Georgia cancer data report [2014]

Georgia Department of Public Health
Georgia Cancer Data Report, 2014

Table of Contents
Executive Summary ................................................................................................................................................ 3 Introduction ............................................................................................................................................................. 4 Basic Cancer Information ....................................................................................................................................... 5 Cancer in Georgia in 2013 ...................................................................................................................................... 6 Cancer Incidence ..................................................................................................................................................... 7 Cancer Mortality ................................................................................................................................................... 13 Breast Cancer ........................................................................................................................................................ 18 Uterine Cervix Cancer........................................................................................................................................... 21 Colon & Rectum Cancer ....................................................................................................................................... 24 Lung & Bronchus Cancer...................................................................................................................................... 27 Prostate Cancer...................................................................................................................................................... 30 Melanoma.............................................................................................................................................................. 33 Cancer Risk Behaviors in Georgia ........................................................................................................................ 36 Technical Appendix .............................................................................................................................................. 43 References ............................................................................................................................................................. 45 Statistical Appendix .............................................................................................................................................. 46
Acknowledgements
The authors of this report would like to thank the following for their contribution and assistance in planning and review:
Georgia Department of Public Health.....................................................Brenda Fitzgerald, M.D., Commissioner Division of Health Protection.....................................................................J. Patrick O'Neal, M.D., Director Epidemiology Program.........................................Cherie Drenzek, D.V.M., M.S., Director/State Epidemiologist Chronic Disease, Healthy Behavior, and Injury Epidemiology Section...............A. Rana Bayakly, M.P.H., Chief Georgia Comprehensive Cancer Registry.................................A. Rana Bayakly, M.P.H., Program Director Chrissy McNamara, M.S.P.H., Epidemiologist Alina Chung, M.P.H., Epidemiology Intern
We would also like to thank all of the facilities in Georgia that contributed data for this report. Without their hard work, this report would not have been possible.
Funding for this research was made possible (in part) by cooperative agreement award number 5/U58/DP003875-03 from the Centers for Disease Control and Prevention and through contract HHSN261201300015I with the National Cancer Institute. The findings and conclusions in this report are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention or the National Cancer Institute.
Suggested Citation: McNamara C, Chung A, Bayakly AR. Georgia Cancer Data Report, 2014. Georgia Department of Public Health, Georgia Comprehensive Cancer Registry, September 2015.
2

Executive Summary

Cancer is a major health problem in Georgia About 43,000 Georgians are diagnosed with
invasive cancer, and nearly 15,000 die from this disease each year. Cancer is the second leading cause of death in Georgia. In 2011, cancer accounted for 22% of all deaths. Breast, lung and bronchus, and colorectal cancers account for 53% of all new cancers in Georgia among females. Breast cancer is the leading cause of cancer incidence among Georgia females and accounts for 31% of all new cancers in women. Non-Hispanic white females in Georgia are 9% more likely than non-Hispanic black females to be diagnosed with cancer. Prostate, lung and bronchus, and colorectal cancers account for 54% of all new cancers in Georgia among males. Prostate cancer is the leading cause of cancer incidence among Georgia males and accounts for 30% of all new cancers in men. Non-Hispanic black males in Georgia are 12% more likely than non-Hispanic white males to be diagnosed with cancer. Black males in Georgia are 27% more likely than white males to die from cancer. During 1990-2003, cancer mortality rates in Georgia declined at an average annual rate of 0.7%. Since 2003, the rates have been decreasing by an average of 2.3% every year.

Much of the burden of death and disability from cancer is preventable Tobacco use is responsible for about one-
third of all cancer deaths and nearly 90% of lung cancer cases. Since 1990, smoking rates in Georgia have declined slightly. About one-third of cancer deaths could be prevented by adopting healthy diet and exercise practices. In 2011, 11% of middle school students and 23% of high school students reported currently using some form of tobacco. In 2011, 28% of Georgia adults were obese. In 2011, 79% of Georgia adults did not meet aerobic and strength exercise recommendations on a regular basis. In 2009, 75% of Georgia adults ate fewer than five fruits or vegetables per day.
Some cancers can be detected early, when treatment is most effective During 2011, 83% of Georgia females ages
40 and older reported having had a mammogram within the past two years. During 2011, 84% of Georgia females ages 18 and older without a hysterectomy reported having had a Pap test within the past 3 years. During 2011, 61% of Georgia adults ages 50 years and older reported having had an FOBT in the last year, and/or sigmoidoscopy in the last 5 years, and/or colonoscopy in the last 10 years

This report reflects the spirit of commitment and dedication to excellence demonstrated by the central cancer registry and its partners in the medical community of Georgia. We hope that this report will be a useful tool in cancer control efforts in Georgia.
3

Introduction
The challenge Cancer is the second leading cause of death in Georgia, accounting for 22% of all deaths in 2011 (Figure 1). Every year, about 43,000 Georgians are diagnosed with cancer and nearly 15,000 die from the disease.
Hope and progress Currently, there is no universal prevention or cure for all types of cancer. However, the number of lives lost to this disease can be reduced. New and better treatments for cancer continue to be developed and survival rates for cancer are improving. Many cancers can be detected early, increasing the chances of successful treatment and survival.
Most importantly, the risk for death from cancer can be reduced by adopting a healthy lifestyle. Nearly one-third of all cancer deaths could be prevented by not smoking.1 Similarly, another one-third of cancer deaths could be prevented by adopting healthy diet and exercise practices.

Purpose of this report This report was written to assist health professionals, volunteers and staff of cancer control organizations, community groups and others who are working to reduce the burden of cancer throughout Georgia. Data provided at the state and local level can be used to measure effectiveness of cancer control programs, develop future programs, develop funding proposals, and coordinate effective collaborations.
This report describes the burden of cancer in Georgia and includes: 1) the estimated number of new cancer cases and deaths in 2013; 2) the number of cancer cases and incidence rates for each county; 3) the number of cancer deaths and mortality rates for each county; 4) trends and survival rates for the top cancers in Georgia; 5) the prevalence of cancer screening; and 6) the prevalence of cancer risk factors. For more information on cancer, visit the Georgia Department of Public Health web site at http://dph.georgia.gov/georgia-comprehensivecancer-registry.

Figure 1. Leading Causes of Death, Georgia, 2011.

Pneumonia and Influenza 2%
Chronic Respiratory Disease 6%
Unintentional Injury 5%

Diabetes 3%

Stroke 5%

Other 35%

Heart Disease 22%
Cancer 22%

Lung and Bronchus 29%
Colon and Rectum 9% Breast 8%
Prostate 5%
Other Cancers 49%
4

Basic Cancer Information
What is cancer? Cancer is a group of diseases characterized by uncontrolled growth and spread of abnormal cells. If the growth is not controlled, it can result in death. Cancer is caused by both internal and external factors. Many cancers can be prevented by lifestyle changes and many can be cured if detected and treated promptly.
How many new cases are expected to occur? In 2013, an estimated 48,370 Georgians were diagnosed with cancer -- about 133 per day (Figure 2). In the United States (U.S.), 1.7 million cases of cancer were expected to occur in 2013.1 These estimates do not include nonmelanoma skin cancer and carcinoma in situ for sites other than urinary bladder. National estimates suggest that more than one million cases of basal and squamous cell skin cancers were diagnosed in the United States in 2013.
How many people are expected to die from cancer? In 2013, an estimated 17,260 Georgians were expected to die from cancer (Figure 3). Cancer is the second leading cause of death in Georgia, with about 1 out of every 5 deaths attributable to cancer. In the U.S., 580,350 cancer deaths were expected to occur in 2013.1
Can cancer be prevented? Many cancers can be prevented. Nearly twothirds of cancer deaths can be linked to modifiable risk factors such as tobacco use, diet, obesity, and lack of exercise.1 In addition, many skin cancers could be prevented by protection from the sun's rays. Regular screening exams by a health care provider can result in early detection of many cancers, when treatment is more likely to be successful.
Who is at risk of developing cancer? Everyone. Since the occurrence of cancer increases as individuals age, most cancers affect adults who are middle-aged or older. Nearly 75% of all cancers in Georgia are diagnosed in individuals aged 55 and older.

In the U.S., males have a 1 in 2 lifetime risk of developing cancer, and females have a 1 in 3 lifetime risk.1 Lifetime risk refers to the probability that an individual, over the course of a lifetime, will develop cancer.
How is cancer treated? Cancer is commonly treated by surgery, radiation, chemotherapy, hormones, immunotherapy (agents to stimulate the body's defenses) or a combination of two or more of these methods.
What are the costs of cancer? The financial costs of cancer are great both to the individual and to society as a whole. Estimates from the Centers for Disease Control and Prevention (CDC) put the overall medical care expenditures for cancer in Georgia at $3.7 billion in 20102. In addition to medical costs, cancer leads to lost productivity through missed work time due to illness (absenteeism). The CDC estimates that cancer patients missed more than one million days of work due to their illness in 2010, leading to about $243 million in lost productivity.

Causes of Cancer in the United States

Estimated percentage of total cancer deaths attributable to established causes of cancer

Risk Factor
Tobacco Adult diet/obesity Sedentary lifestyle Occupational factors Family history of cancer Viruses/other biologic agents Perinatal factors/growth Reproductive factors Alcohol Socioeconomic status Environmental pollution Ionizing/ultraviolet radiation Prescription drugs/medical procedures Salt/other food additives/contaminants

Percentage
30% 30% 5% 5% 5% 5% 5% 3% 3% 3% 2% 2% 1% 1%

Source: Cancer Causes & Control, Harvard Report on Cancer Prevention, 1996

5

Cancer in Georgia, 2013

Figure 2. New Cancer Cases, Georgia, 2013 Estimates.

Female

Male

Breast 6,890
Lung & bronchus 3,060
Colon & rectum 2,070
Uterine corpus 1,130
Melanoma 910
Thyroid 810
Non-Hodgkin lymphoma 800
Ovary 700
Kidney 590
Pancreas 580
ALL SITES* 22,500

Prostate 7,810 Lung & bronchus 4,010 Colon & rectum 2,300 Bladder (incl. in situ) 1,420 Melanoma 1,330 Non-Hodgkin lymphoma 980 Kidney and renal pelvis 960 Oral Cavity 890 Leukemia 660 Pancreas 620 ALL SITES* 25,870

Figure 3. Cancer Deaths Georgia, 2013 Estimates.

Female

Male

Lung & bronchus 2,100
Breast 1,270
Colon & rectum 750
Pancreas 490
Ovary 450
Leukemia 260
Non-Hodgkin lymphoma 230
Corpus and uterus, NOS 220
Brain and other nervous system 180
Multiple myeloma 160
ALL SITES* 8,000

Lung & bronchus 3,060 Prostate 920 Colon & rectum 830 Pancreas 520 Leukemia 360 Esophagus 310 Non-Hodgkin lymphoma 300 Liver 290 Bladder 270 Kidney and renal pelvis 230 ALL SITES* 9,260

* Excludes non-melanoma skin cancer and carcinoma in situ except urinary bladder NOS: Not otherwise specified

6

Cancer Incidence
Background The Georgia Comprehensive Cancer Registry (GCCR) is a statewide population-based cancer registry collecting all cancer cases diagnosed among Georgia residents since January 1, 1995. This information furthers our understanding of cancer and is used to develop strategies and policies for prevention, control, and treatment. The availability of this data at the state level allows health researchers to analyze geographic, racial, and other differences that provide clues that point to risk factors. This data also helps in determining where early detection, educational, or other programs should be directed.

Cancer incidence in Georgia During 2007-2011, an annual average of 42,970 new invasive cancer cases were diagnosed in Georgia: 22,625 among males and 20,345 among females (Table1-Appendix). Four cancer sites -- breast, prostate, lung and bronchus, and colorectal accounted for 54% of the cancer cases in Georgia. The burden of these cancers can be significantly reduced by appropriate use of mammography, colorectal screening, and other early detection examinations and by preventing or stopping tobacco use, improving diet, and increasing physical activity.
Of the 159 counties in Georgia, twenty-five counties have incidence rates significantly higher than the state average and thirty-nine counties have incidence rates significantly lower than the state average (Figure 4).

Figure 4. Age-Adjusted Cancer Incidence Rates by County, Georgia, 2007-2011.

Georgia Rate: 563.8 per 100,000 population
Significantly higher than state rate No significant difference Significantly lower than state rate

7

Cancer incidence in Georgia and the United States Males in Georgia are 38% more likely than females to be diagnosed with cancer (Table 1-
Appendix). Prostate cancer (age-adjusted rate 161/100,000) is the leading cause of cancer incidence among
Georgia males and accounts for 30% of all cancer incidence among males each year. Breast cancer (age-adjusted rate 124/100,000) is the leading cause of cancer incidence among
Georgia females and accounts for 31% of all cancer incidence among females each year. For both males and females, lung and colorectal cancer are the second and third leading causes of
cancer incidence. Prostate, lung, and melanoma cancer incidence rates among Georgia males are 13%, 15%, and
20% higher, respectively, than among U.S. males (Figure 5). The bladder cancer incidence rate is 8% lower among Georgia males than among U.S. males. The colorectal cancer incidence rate among Georgia males is similar to that among U.S. males. The ovarian cancer incidence rate is 8% higher among Georgia females than among US females
(Figure 6). The uterine cancer incidence rate is 21% lower among Georgia females than among U.S.
females. Breast, lung, and colorectal cancer incidence rates among Georgia females are similar to that
among U.S. females.

Figure 5. Age-Adjusted Cancer Incidence Rates in Males, Georgia and the United States, 2007-2011.

Rate per 100,000

200

*

161

150

142

100

*
91 79

Georgia United States

50

51 50

34 37

*
30 25

0 Prostate Lung & Bronchus Colon & Rectum Bladder

Melanoma

* Differences are statistically significant. (p<.05)

Figure 6. Age-Adjusted Cancer Incidence Rates in Females, Georgia and the United States, 2007-2011.
200

Rate per 100,000

150

124 123

100

Georgia United States

55 55

50

38 38

*
19

24

13 12

0

Breast Lung & Bronchus Colon & Rectum Uterine Corpus

Ovary

* Differences are statistically significant. (p<.05)

8

Racial differences in cancer incidence in Georgia Non-Hispanic (NH) black males in Georgia are 12% more likely than NH white males to be
diagnosed with cancer, while NH white females are 9% more likely than NH black females to be diagnosed with cancer (Table 1-Appendix). Prostate, colorectal, and kidney and renal pelvis cancer incidence rates are higher (81%, 27%, and 5% respectively) among NH black males than among NH white males in Georgia (Figure 7). Bladder and melanoma cancer incidence rates are much higher among NH white males than among NH black males in Georgia. The lung cancer incidence rate among NH black males is similar to that among NH white males in Georgia. Colorectal, uterus, and cervical cancer incidence rates are higher (31%, 11%, and 25% respectively) among NH black females than among NH white females in Georgia (Figure 8). Lung and ovarian cancer incidence rates are higher (45% and 40% respectively) among NH white females than among NH black females in Georgia. The breast cancer incidence rate among NH black females is similar to that among NH white females in Georgia.

Figure 7. Age-Adjusted Cancer Incidence Rates in Males by Race, Georgia, 2007-2011

Rate per 100,000

300

*

250

250

200

150

138

100

50

0 Prostate

94 93

*
62 49

Lung & Bronchus

Colon & Rectum

Non-Hispanic Black Non-Hispanic White

*
19 39 Bladder

*
40 1

22 21

Melanoma Kidney & Renal pelvis

* Differences are statistically significant. (p<.05)
Figure 8. Age-Adjusted Cancer Incidence Rates in Females by Race, Georgia, 2007-2011

Rate per 100,000

300 250 200 150 124 126 100
50 0 Breast

*
42 61
Lung & Bronchus

Non-Hispanic Black Non-Hispanic White

*
46 35

21 19

10 14

Colon & Uterine Corpus Ovary Rectum

10 8 Cervical

* Differences are statistically significant. (p<.05)

9

Cancer incidence in Georgia's Hispanic population From 2007 to 2011, a total of 4,892 invasive cancer diagnoses were reported among Georgia's
Hispanic population, an average of 978 per year. For all cancers combined, Hispanics have lower incidence rates than the overall state rates: 365 per
100,000 versus the state rate of 564 per 100,000 among males, and 308 per 100,000 versus the state rate of 408 per 100,000 among females. Five cancer types--prostate, lung, colorectal, non-Hodgkin lymphoma (NHL), and bladder--account for 52% of cancer cases among Hispanic males, while breast, lung, colorectal, uterine, and thyroid account for 58% of all invasive cancer cases among Hispanic females. In general, Hispanic males are less likely than both non-Hispanic (NH) black and NH white males to be diagnosed with most types of cancers in Georgia, with the notable exceptions of NHL, bladder cancer, and stomach cancer where rates are similar to or higher than rates among NH black or NH white males (Figure 9). Similarly, Hispanic females are less likely than NH black and NH white females to be diagnosed with most types of cancer in Georgia, with exceptions for thyroid and cervical cancers (Figure 10).
Figure 9. Age-Adjusted Cancer Incidence Rates in Georgia by Race/Ethnicity, Males, 2007-2011.

Rate per 100,000

300 250 250

200

138

150

120

94 93 100

41 50

0 Prostate

Lung

62 49 33
Colon & Rectum

Non-Hispanic Black Non-Hispanic White Hispanic

18 23 21 19 39 19

NHL

Bladder

16 7 13 Stomach

Figure 10. Age-Adjusted Cancer Incidence Rates in Georgia by Race/Ethnicity, Females, 2007-2011.

Rate per 100,000

300

250

200

150 124 126

100 50

94 42 61 28

0 Breast

Lung

Non-Hispanic Black Non-Hispanic White Hispanic

46 35 27 21 19 17

Colon & Rectum

Uterus

10 18 14 Thyroid

10 8 11 Cervical

10

Trends in cancer incidence among males, Georgia Overall cancer incidence rates among Georgia males remained fairly steady from 2000-2008, then
decreased at an average annual rate of 3.0% from 2008-2011. Since 2000, prostate cancer incidence rates among males have been decreasing at an average annual
rate of 1.2% (Figure 11). Since 2000, lung cancer incidence rates among males have been decreasing at an average annual rate
of 2.6%. During 2000-2003, colorectal cancer incidence rates among males decreased at an average annual
rate of 0.5%, followed by a more rapid decrease during 2003-2011 of 3.4% per year. Since 2000, bladder cancer incidence rates among males have remained fairly steady. Since 2002, melanoma incidence rates among males have been increasing at an average annual rate
of 1.5%.

Rate per 100,000

Figure 11. Trends in Cancer Incidence Rates in Males, Georgia, 2000-2011.

200 180 160 140 120 100
80 60 40 20
0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Year of Diagnosis

Prostate Lung & Bronchus Colon & Rectum Bladder Melanoma

11

Trends in cancer incidence among females, Georgia Overall cancer incidence rates among females, unlike males, have remained fairly steady since 2000. Since 2000, the incidence rates among females for breast cancer have been decreasing at an average
annual rate of 0.2% (Figure 12). During 2000-2008, lung cancer incidence rates among females increased at an average annual rate of
0.8%, followed by a decrease during 2008-2011 of 3.3% per year. Since 2000, colorectal cancer incidence rates among females have been decreasing at an average
annual rate of 2.2%. Since 2000, uterine cancer incidence rates among females have been increasing at an average annual
rate of 1.0%. Since 2000, melanoma incidence rates among females have been increasing at an average annual rate
of 1.8%.

Rate per 100,000

Figure 12. Trends in Cancer Incidence Rates in Females, Georgia, 2000-2011.

200 180 160 140 120 100
80 60 40 20
0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Year of Diagnosis

Breast Lung & Bronchus Colon & Rectum Uterine corpus Melanoma

12

Cancer Mortality

Cancer mortality in Georgia During 2006-2011*, there were an average of 14,870 cancer deaths in Georgia per year: 7,840 among males and 7,030 among females (Table 2- Appendix). Males in Georgia are about 53% more likely than females to die of cancer.
Healthy People 2020
Objective: Reduce the overall cancer death rate.
Target (2020): 161.4 deaths per 100,000 population Georgia (2006-2011)*: 223.0 deaths per 100,000 population
Four cancer sites--lung, colorectal, breast, and prostate--accounted for 52% of cancer deaths in Georgia. The burden of these cancers can be significantly reduced by preventing or stopping tobacco use, improving diet, and increasing

physical activity and by appropriate use of mammography, colorectal screening, and other early detection examinations.
Lung cancer is the leading cause of cancer death among Georgia males and females and accounts for 30% of all cancer deaths each year. Among males, prostate and colorectal cancers are the second and third leading causes of cancer death, while breast and colorectal cancer rank second and third among females.
Of the 159 counties, thirty-five counties have mortality rates that are significantly higher than the state average, while eighteen counties have mortality rates significantly lower than the state average (Figure 13).

Figure 13. Age-Adjusted Cancer Mortality Rates by County, Georgia, 2006-2011*

Georgia Rate: 223.0 per 100,000 population
*Because of data quality issues, 2009 mortality data are not used for analysis.
Significantly higher than state rate No significant difference Significantly lower than state rate

*Because of data quality issues, 2009 mortality data are not used for analysis.
13

Cancer mortality in Georgia and the United States Lung, prostate, and colorectal cancer mortality rates are higher among Georgia males than among
U.S. males by 15%, 23%, and 5% respectively (Figure 14). The pancreatic cancer mortality rate is 8% lower among Georgia males than among U.S. males. The leukemia mortality rate among Georgia males is similar to that among U.S. males. The breast mortality rate is 5% higher among Georgia females than among U.S. females (Figure 15). Lung and pancreatic cancer mortality rates among Georgia females are lower than those among U.S.
females by 3% and 10%, respectively. Colorectal and ovarian cancer mortality rates among Georgia females are similar to those among
U.S. females.

Figure 14. Age-Adjusted Cancer Mortality Rates in Males, Georgia, 2006-2011, and the United States, 2007-2011

Rate per 100,000

100

80

71 *

62

60

40

20

0 Lung & Bronchus

27 * 22
Prostate

20 19 Colon & Rectum

Georgia United States

12 13 Pancreas

9 9 Leukemia

* Differences are statistically significant. (p<.05) Because of data quality issues, 2009 mortality data are not used for analysis.

Figure 15. Age-Adjusted Cancer Mortality Rates in Females, Georgia, 2006-2011, and the United States, 2007-2011

Rate per 100,000

100
80
60 38 39
40
20
0 Lung & Bronchus

23 22 Breast

Georgia United States

14 14

9 10

Colon & Rectum Pancreas

8 8 Ovary

Because of data quality issues, 2009 mortality data are not used for analysis.

14

Racial differences in cancer mortality in Georgia Black males in Georgia are 27% more likely than white males to die of cancer; black females are 9%
more likely than white females to die of cancer (Table 2 Appendix). The prostate cancer mortality rate among black males is nearly three times higher than among white
males in Georgia (Figure 16). Colorectal and pancreatic cancer mortality rates are 61% and 17% higher respectively among black
males in Georgia than among white males. The leukemia mortality rate is 11% lower among black males than among white males. The lung cancer mortality rate among black males is similar to that among white males. Breast, colorectal and pancreatic cancer mortality rates are higher (38%, 58%, and 38% respectively)
among black females in Georgia than among white females (Figure 17). Lung and ovarian cancer mortality rates are 24% and 33% lower respectively among black females
in Georgia than among white females.

Figure 16. Age-Adjusted Cancer Mortality Rates in Males by Race, Georgia, 2006-2011.

100

80

71 72

57 *

60

Black White

Rate per 100,000

40

29 *

20

20

18

14 12

8 9

0 Lung & Bronchus

Prostate

Colon & Rectum

Pancreas

Leukemia

* Differences are statistically significant. (p<.05) Because of data quality issues, 2009 mortality data are not used for analysis.

Figure 17. Age-Adjusted Cancer Mortality Rates in Females by Race, Georgia, 2006-2011.

Rate per 100,000

100

80

60

* 41

40

31

20

0 Lung & Bronchus

*
29 21
Breast

*
19 12
Colon & Rectum

11 8 Pancreas

Black White
6 9 Ovary

* Differences are statistically significant. (p<.05) Because of data quality issues, 2009 mortality data are not used for analysis.

15

Trends in cancer mortality in males, Georgia During 1990-2008, overall cancer mortality rates among Georgia males decreased by an average rate
of 1.6% per year and this downward trend appears to continue through 2011. During 1990-2006, lung cancer mortality rates among males decreased at an average annual rate of
1.8%. From 2006-2008, the rates declined more rapidly by 6.9% per year and this trend appears to continue through 2011 (Figure 18). During 1990-1992, prostate cancer mortality rates among males increased at an average annual rate of 5.2%. From 1992-2008, the rates decreased by 3.8% every year and this trend appears to continue through 2011. During 1990-1998, colorectal cancer mortality rates among males decreased at an average annual rate of 2.6%. During 1998-2002, rates increased by 2.5% annually. From 2002-2008, the rates decreased by 3.8% per year but appear to have leveled off in 2010 and 2011. During 1990-2008, pancreatic cancer mortality rates among males remained relatively steady and this trend appears to continue through 2011. During 1990-2008, leukemia mortality rates among males declined by 0.8% per year and this trend appears to continue through 2011.

Rate per 100,000

Figure 18. Trends in Cancer Mortality Rates in Males, Georgia, 1990-2011*

120

Lung & Bronchus

Prostate

100

Colon & Rectum

Pancreas 80
Leukemia

60

40

20

0 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 Year of Death
* Because of data quality issues, 2009 mortality data are not used for analysis.

16

Trends in cancer mortality in females, Georgia Overall cancer mortality rates among females remained fairly steady from 1990-2003 and began
decreasing by about 2.2% per year from 2003-2008. This decrease appears to continue through 2011. During 1990-2000, lung cancer mortality rates among females increased at an average annual rate of 2.0%. From 2000-2008, the rates decreased by 0.5% every year and this appears to continue through 2011 (Figure 19). During 1990-2008, breast cancer mortality rates among females decreased at an average annual rate of 1.6% but appear to have leveled off in 2010 and 2011. During 1990-2001, colorectal cancer mortality rates among females decreased at an annual average rate of 0.3%. From 2001-2008, the rates decreased by 2.5% per year but appear to have leveled off in 2010 and 2011. Mortality rates for cancers of the pancreas and ovary among females were relatively steady during 1990-2008 and appear to remain so through 2011.

Rate per 100,000

Figure 19. Trends in Cancer Mortality Rates in Females, Georgia, 1990-2011*

120

Lung & Bronchus

Breast

100

Colon & Rectum

Pancreas 80
Ovary

60

40

20

0 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 Year of Death
* Because of data quality issues, 2009 mortality data are not used for analysis.

17

Breast Cancer
New cases Breast cancer is the most commonly diagnosed cancer among Georgia females. Currently it accounts for 31% of all female cancer cases. An average of 6,260 new invasive and 1,560 in situ breast cancer cases are diagnosed among Georgia females every year. Since 2000, breast cancer incidence rates in Georgia have declined at an average annual rate of 0.2%. One in 8 American women will develop breast cancer in her lifetime.3 Breast cancer can also occur in males, but it is rare.
Cobb/Douglas (3-1), Fulton (3-2), East Metro (3-4), and Dekalb (3-5) Public Health Districts have significantly higher incidence rates than the state rate, while Northwest (1-1), North Georgia (1-2), South Central (5-1), Southwest (8-2) Coastal (9-1), and Southeast (9-2) Public Health Districts have significantly lower rates (Figure 20).
Figure 20. Age-Adjusted Breast Cancer Incidence Rates by Public Health District, Georgia, 2007-2011.
Georgia Rate: 123.7 per 100,000 females

Deaths An average of 1,125 Georgia females die from breast cancer every year. Breast cancer is the second leading cause of cancer death in Georgia females and it accounts for 16% of all cancer deaths in females. Since 1990, breast cancer mortality rates in Georgia have declined at an average annual rate of 1.6%. This decrease is probably the result of earlier detection through mammography and improved treatment.
Healthy People 2020
Objective: Reduce the female breast cancer death rate.
Target (2020): 20.7 deaths per 100,000 females Georgia (2006-2011)*: 22.8 deaths per 100,000 females
Fulton (3-2), DeKalb (3-5), and West Central (7-0) Public Health Districts have significantly higher mortality rates than the state average, while North (2-0) Public Health District has a significantly lower rate (Figure 21).
Figure 21. Age-Adjusted Breast Cancer Mortality Rates by Public Health District, Georgia, 2006-2011.*
Georgia Rate: 22.8 per 100,000 females

*Because of data quality issues, 2009 mortality data are not used for analysis.
Significantly higher than state rate No significant difference
18
Significantly lower than state rate

Stage of disease and survival Stage of disease refers to the extent to which cancer has spread when diagnosed. In general the earlier the stage, the better the chance of survival. For breast cancer, the overall five year survival rate among Georgia women is 86%. If the cancer is discovered at a local stage, the survival rate is 96%, but only 81% when discovered at a regional stage and 23% when discovered at a distant stage (Figure 22).
In Georgia from 2004-2010, 68% of breast cancers were diagnosed at an early stage (in situ and localized) compared to 30% at a late stage (regional and distant) (Figure 23). The percentage diagnosed at an early stage varies among Public Health Districts, ranging from 64% in Clayton (3-3) to 71% in the East Metro (3-4) Public Health District.
Risk factors Increasing age Personal or family history of breast cancer White race A long menstrual history (menstrual periods
that start early and end late in life) Never having children or having the first child
after age 30 Recent use of oral contraceptives or
postmenopausal estrogens Breast biopsy with abnormal results Previous breast radiation Consuming two or more drinks of alcohol daily Obesity Physical Inactivity
Prevention Although there is no sure way to prevent breast cancer, the best strategy is to avoid the modifiable risk factors, including alcohol, obesity, inactivity, and hormone therapy with estrogen plus progestin after menopause.3 However, estrogen has a therapeutic use, so consult with your doctor before making this decision. The use of the anti-estrogen drug tamoxifen has been shown to reduce the risk of recurrence in localized breast cancer.

Healthy People 2020
Objective: Reduce late-stage female breast cancer.
Target (2020): 38.9 cases per 100,000 females Georgia (2007-2011): 45.6 cases per 100,000 females

Figure 22. Survival by Stage at Diagnosis for Female Breast Cancer, Georgia, 2004-2010.

Percent of Women Surviving 5 Years

Black Females

100

94 97

80

60

40

20

0 Localized

White Females 83
75
19 25 Regional Distant

% of tumors found at this stage*

Black Females White Females

Localized 52% 63%

Regional 38% 31%

Distant 8% 5%

*Unstaged tumors are not shown.

Figure 23. Percent of Early Stage at Diagnosis for Female Breast Cancer by Public Health District, Georgia, 2004-2010.
Georgia=68%

Public Health District

1-1 1-2
2 3-1 3-2 3-3 3-4 3-5
4 5-1 5-2
6 7 8-1 8-2 9-1 9-2 10
0

69 68
71 71 70 64 71 68 68 67 66 65 66 65 67 67 65 67

20

40

60

80 100

Percent

19

Early detection Early detection of breast cancer saves lives. Mammograms and clinical breast exams are both important screening tools. A mammogram, or low-dose x-ray of the breast, is valuable because it can identify breast abnormalities before a woman or her health care provider can feel them.
Breast cancer screening in Georgia According to the 2011 Behavioral Risk Factor Surveillance System, 80% of women ages 50 to 74 years reported having had a mammogram in the last two years. Mammography rates did not vary between age groups. (Figure 24).
Among the 18 public health districts in Georgia, the percentage of women ages 50 to 74 had a mammogram in the last two years ranged from 65% in DeKalb (3-5) to 93% in South (8-1) Public Health District (Figure 25).
Guidelines for Breast Cancer Screening
Beginning at age 50 and continuing until age 74, women at average risk for developing breast cancer should have a screening mammogram every two years.
Women at increased risk (e.g. women with family history, genetic tendency, past breast cancer) should talk with their doctors about the benefits and limitations of starting mammography earlier, having additional tests, or more frequent exams.

Healthy People 2020
Objective: Increase the proportion of women ages 50 to 74 years who receive a breast cancer screening based on
the most recent guidelines.
Target (2020): 81.1% Georgia (2011): 80.2%
Figure 24. Mammogram in the Last 2 Years by Age, Women Ages 50 to74, Georgia, 2011.

Percent

100 77

81

83

78

84

80

60

40

20

0 50-54 55-59 60-64 65-69 70-74
Age Group

Figure 25. Mammogram in the Last 2 Years by Public Health District, Women Ages 50 to 74, Georgia, 2011.

Public Health District

Georgia=80%

1-1 1-2
2 3-1 * 3-2 3-3 * 3-4 3-5
4 5-1 5-2
6 7 8-1 8-2 * 9-1 9-2 * 10

0

20

76 75
86

76

85 65
74 78 80 84 84 93

85

40 60 Percent

75 80 100

* Insufficient data to produce estimates.

20

Uterine Cervix Cancer
New cases Yearly, an average of 405 new invasive cervical cancer cases are diagnosed among Georgia females. Since 2000, cervical cancer incidence rates in Georgia have declined at an average annual rate of 2.2%. As Pap screening has become more prevalent, pre-invasive lesions of the cervix are detected far more frequently than invasive cancer.
Healthy People 2020
Objective: Reduce invasive cervical cancer. Target (2020): 7.5 cases per 100,000 females Georgia (2007-2011): 8.2 cases per 100,000 females
South (8-1) and Southwest (8-2) Public Health Districts have significantly higher incidence rates than the state rate. Cobb/Douglas (3-1) and East Metro (3-4) Public Health Districts have significantly lower rates (Figure 26).
Figure 26. Age-Adjusted Cervical Cancer Incidence Rates by Public Health District, Georgia, 2007-2011.
Georgia Rate: 8.2 per 100,000 population

Deaths Yearly, an average of 135 Georgia females die of cervical cancer. Since 1990, cervical cancer mortality rates have declined at an average annual rate of 1.5%.
Healthy People 2020
Objective: Reduce the cervical cancer death rate. Target (2020): 2.2 deaths per 100,000 females
Georgia (2006-2011)*: 2.7 deaths per 100,000 females
There is no public health district that has a significantly higher mortality rate than the state average. North Georgia (1-2) and East Metro (3-4) Public Health Districts have significantly lower rates. Clayton (3-3) and South Central (5-1) Public Health Districts had fewer than 16 deaths and rates were not calculated (Figure 27).
Figure 27. Age-Adjusted Cervical Cancer Mortality Rates by Public Health District, Georgia, 2006-2011.*
Georgia Rate: 2.7 per 100,000 population

*Because of data quality issues, 2009 mortality data are not used for analysis.

Significantly higher than state rate

No significant difference

Significantly lower than state rate

21

Rates not calculated (less than 16 cases or deaths)

Stage of disease and survival Stage of disease refers to the extent to which cancer has spread when diagnosed. In general the earlier the stage, the better chance of survival. For cervical cancer, the overall five year survival rate among Georgia women is 64%. If the cancer is discovered at a local stage, the survival rate is 86%, but only 54% when discovered at a regional stage and 14% when discovered at a distant stage (Figure 28).
Among Georgia women diagnosed with cervical cancer in 2004-2010, 45% had early stage (localized) cancers. The vast majority of invasive cervical cancers can be prevented. Following the guidelines for early detection of cervical cancer helps in the prevention of this cancer.
Risk factors Certain types of human papillomavirus Early age at 1st full term pregnancy Cigarette smoking Family history of cervical cancer Immunosuppression
Prevention Almost all invasive cervical cancers can be prevented. Early detection and treatment of precancerous lesions prevents invasive disease.1 Cervical cancer can be prevented by delaying onset of first sexual intercourse and limiting the number of lifetime sex partners, both of which reduce exposure to the human papillomavirus and are risk factors beyond their relationship to human papillomavirus.
American Cancer Society Guidelines for Human Papilloma Virus (HPV) Vaccine Use
To work best, the HPV vaccine should be given before the young person has had any type of sexual contact with another person.
Routine HPV vaccination is recommended for girls 11 to 12 years old.
Girls as young as age 9 can get HPV vaccination.
HPV vaccination is also recommended for females 13 to 18 years old who have not started the vaccines, or who have started but not completed the series.

Figure 28. Survival by Stage at Diagnosis for Cervical Cancer, Georgia, 2004-2010.

Black Females White Females

Percent of Women Surviving 5 Years

100

83 87

80

60

40

20

0 Localized

53 54 Regional

19 9 Distant

% of tumors found at this stage*

Black Females White Females

Localized 36% 49%

Regional 45% 37%

Distant 15% 10%

*Unstaged tumors are not shown.

Table A. Invasive Cervical Cancer Incidence and Mortality* by Public Health District, Georgia.

State of Georgia 1-1 Northwest 1-2 North Georgia 2 North 3-1 Cobb-Douglas 3-2 Fulton 3-3 Clayton 3-4 East Metro 3-5 DeKalb 4 LaGrange 5-1 South Central 5-2 North Central 6 East Central 7 West Central 8-1 South 8-2 Southwest 9-1 Coastal 9-2 Southeast 10 Northeast

Incidence (2007-2011)
8.2 9.5 8.9 7.4 6.9 7.2 8.3 6.9 7.8 8.3 10.3 7.2 9.2 7.1 12.3 11.2 8.3 9.4 9.5

Mortality (2006-2011)
2.7 2.6 1.8 2.0 2.7 2.8 ~ 1.9 2.7 3.4 ~ 2.7 3.7 2.9 4.2 3.8 2.4 2.5 3.4

* Average annual rate per 100,000, age-adjusted to the 2000 US standard population. Because of data quality issues, 2009 mortality data are not used for analysis. ~ Rates not calculated where the count is less than sixteen.
22

Early detection Deaths from cervical cancer were reduced dramatically with the advent of the Pap smear test in the 1940s. With regular Pap tests and appropriate follow-up care, death from cervical cancer is almost totally preventable.
Cervical cancer screening in Georgia According to the 2011 Behavioral Risk Factor Surveillance System, 82% of women ages 21 to 65 years reported having a Pap test within the past 3 years. Women ages 50 to 65 years were least likely to have had a Pap test within the past three years (Figure 29).
Among the 18 public health districts in Georgia, the percentage of women ages 21 to 65 years who had a Pap test within three years ranged from 60% in LaGrange (4-0) to 91% in Northwest (1-1) and East Metro (3-4) Public Health Districts (Figure 30).
Guidelines for Cervical Cancer Screening
Cervical cancer screening (testing) should begin at age 21. Women under age 21 should not be tested.
Women between ages 21 and 29 should have a Pap test every 3 years. HPV testing should not be used in this age group unless it is needed after an abnormal Pap test result.
Women between the ages of 30 and 65 should have a Pap test plus an HPV test (called "co-testing") every 5 years. This is the preferred approach, but it is also OK to have a Pap test alone every 3 years.
Women over age 65 who have had regular cervical cancer testing with normal results should not be tested for cervical cancer. Once testing is stopped, it should not be started again. Women with a history of a serious cervical pre-cancer should continue to be tested for at least 20 years after that diagnosis, even if testing continues past age 65.
Talk to your doctor or nurse about your history. Some women, because of their health history, may need to have a different screening schedule for cervical cancer.

Healthy People 2020
Objective: Increase the proportion of women ages 21 to 65 years who receive a cervical cancer screening based
on the most recent guidelines. Target (2020): 93.0% Georgia (2011): 81.5%
Figure 29. Pap Test in the Last 3 Years by Age, Women Ages 21 to 65 Years, Georgia, 2011.

Percent

100

87

80

60

40

20

0 21-29

80

87

30-39 40-49 Age Group

76 50-65

Figure 30. Pap Test in the Last 3 Years by Public Health District, Women Ages 21 to 65 Years, Georgia, 2011.

Georgia=82%

Public Health District

1-1 1-2
2 3-1 3-2 3-3 3-4 3-5
4 5-1 5-2
6 7 8-1 8-2 9-1 9-2 10
0

91 85 84
89 76
84 91
72 60
86 88 84 86 83 81 85 80 79
20 40 60 80 100 Percent

23

Colon and Rectum Cancer
New cases Colorectal cancer is the third most common cancer diagnosed among Georgia males and females. Yearly, an average of 3,890 new cases of colorectal cancer are diagnosed in Georgia: 2,025 in males and 1,865 in females. During 2000-2003, colorectal cancer incidence rates among Georgia males decreased at an average annual rate of 0.5%, followed by a more rapid decline of 3.4% per year. Among females, the rates have been decreasing at an average annual rate of 2.2% since 2000.
Healthy People 2020
Objective: Reduce invasive colorectal cancer.
Target (2020): 41.6 cases per 100,000 population Georgia (2007-2011): 43.3 cases per 100,000 population
LaGrange (4-0), West Central (7-0), and Southwest (8-2) Public Health Districts have significantly higher incidence rates than the state for both males and females, while North Georgia (1-2) and East Metro (3-4) have significantly lower rates (Figure 31).
Figure 31. Age-Adjusted Colorectal Cancer Incidence Rates by Public Health District, Georgia, 2007-2011.
Georgia Rate: 43.3 per 100,000 population

Deaths Yearly, an average of 1,375 Georgians die of colorectal cancer: 710 males and 665 females. Colorectal cancer is the third leading cause of cancer death among Georgia males and females. During 1990-1998, colorectal cancer mortality rates among Georgia males decreased at an average annual rate of 2.6%, followed by an increase of 2.5% per year from 1998-2002. Since 2002, the rates have been decreasing by 3.8% per year. Among females, during 1990-2001, mortality rates decreased at an average annual rate of 0.3%, followed by a more rapid decline of 2.5% per year.
Healthy People 2020
Objective: Reduce the colorectal cancer death rate.
Target (2020): 14.5 deaths per 100,000 population Georgia (2006-2011)*: 16.3 deaths per 100,000 population
East Central (6-0) and West Central (7-0) Public Health Districts have significantly higher incidence rates than the state. North Georgia (12) has a significantly lower mortality rate than the state (Figure 32).
Figure 32. Age-Adjusted Colorectal Cancer Mortality Rates by Public Health District, Georgia, 2006-2011.*
Georgia Rate: 16.3 per 100,000 population

*Because of data quality issues, 2009 mortality data are not used for analysis.
Significantly higher than state rate
No significant difference
24
Significantly lower than state rate

Stage of disease and survival Stage of disease refers to the extent to which cancer has spread when diagnosed. In general the earlier the stage, the better chance of survival. For colorectal cancer, the overall five year survival rate among Georgians is 64%. If the cancer is discovered at a local stage, the survival rate is 88%, but only 68% when discovered at a regional stage and 12% when discovered at a distant stage (Figure 33). Early detection and removal of precancerous polyps can greatly reduce the risk of developing or dying of invasive colorectal cancer.
During 2004-2010, 52% of colorectal cancers were diagnosed at a late stage (regional and distant) while only 43% were diagnosed early (in situ and local) (Figure 34). The percentage diagnosed at an early stage varies among Public Health Districts, ranging from 38% in Northeast (10-0) Public Health District to 51% in South Central (5-1) Public Health District.
Risk factors Increasing age Personal or family history of colorectal cancer
or inflammatory bowel disease Inherited syndromes such as familial
adenomatous polyposis (FAP) or hereditary non-polyposis colorectal cancer (HNPCC) Smoking and alcohol consumption Physical inactivity A high fat or low fiber diet Inadequate intake of fruits and vegetables Obesity Type 2 Diabetes
Prevention Preventing colorectal cancer saves lives. Strategies for prevention include managing modifiable risk factors, such as diet and physical activity, and detection and removal of precancerous polyps.1

Figure 33. Survival by Stage at Diagnosis for Colorectal Cancer, Georgia, 2004-2010.

Black Male White Male Black Female White Female

Percent Surviving 5 Years

100 89 87 86 89

80

64 69 65 71

60

40

20

0 Localized

Regional

9 12 11 14 Distant

% of tumors found at this stage*

Black Males White Males Black Females White Females

Localized 39% 41% 40% 40%

Regional 33% 37% 32% 37%

Distant 25% 20% 24% 19%

*Unstaged tumors are not shown.

Figure 34. Percent of Early Stage at Diagnosis for Colorectal Cancer by Public Health District, Georgia 2004-2010.
Georgia=43%

Public Health District

1-1 1-2
2 3-1 3-2 3-3 3-4 3-5
4 5-1 5-2
6 7 8-1 8-2 9-1 9-2 10
0

42 44 42 45 43 45 42
47 43
51 49 41 44 45 43 41 44 38
20 40 60 80 100 Percent

25

Early detection There are several effective tools available for screening for colorectal cancer. The Fecal Occult Blood Test (FOBT) and Fecal Immunochemical Test (FIT) are non-invasive cancer screening methods which can often be done at home. While sigmoidoscopy and colonoscopy are able to detect cancers as well as polyps before they become cancerous. Adults ages 50 years and older should decide with their doctor which screening schedule is right for them.
Healthy People 2020
Objective: Increase the proportion of adults ages 50 to 75 years who receive a colorectal cancer screening based on
the most recent guidelines.
Target (2020): 70.5% Georgia (2011): 61.1%
Colorectal cancer screening in Georgia According to the 2011 Behavioral Risk Factor Surveillance System, 61% of adults ages 50 to 75 years reported having had an FOBT in the last year, and/or sigmoidoscopy in the last 5 years, and/or colonoscopy in the last 10 years (Figure 36). Adults ages 50-59 years were least likely to meet screening recommendations (Figure 35).
Among the 18 public health districts, the percentage of adults ages 50 to 75 years who met screening recommendations ranged from 43% in North Georgia (1-2) to 74% in Southwest (8-2) Public Health District (Figure 36).

Guidelines for Colorectal Cancer Screening

Beginning at age 50 and continuing until age 75, both men and women at average risk for developing colorectal cancer should be screened for colorectal cancer using one of the examination schedules below.

Tests that are used to screen for colorectal cancer can be divided into two groups with different schedules:

Tests that find both colorectal polyps and cancer:

Sigmoidoscopy

every 5 years

Standard Colonoscopy

every 10 years

Tests that find cancer: Fecal Occult Blood Test (FOBT) Fecal Immunochemical Test (FIT)

every year every year

Figure 35. Percent of Adults Ages 50 to 75 Years Meeting the Colorectal Screening Recommendation* by Age, Georgia, 2011.

Percent

100

80

68

71

60

53

40

20

0 50-59

60-69

70-75

Age Group

* The Colorectal Screening Recommendation is defined as having had an FOBT in the last year, and/or sigmoidoscopy in the last 5 years, and/or colonoscopy in the last 10 years.

Figure 36. Percent of Adults Ages 50 to 75 Years Meeting the Colorectal Screening Recommendation* by Public Health District, Georgia, 2011.
Georgia=61%

Public Health District

1-1 1-2
2 3-1 3-2 3-3 3-4 3-5
4 5-1 5-2
6 7 8-1 8-2 9-1 9-2 10
0

66 43
59 65
60 64 73
58 56
65 52
63 65 58
74 62 62 63

20

40

60

80 100

Percent

* The Colorectal Screening Recommendation is defined as having had an FOBT in the last year, and/or sigmoidoscopy in the last 5 years, and/or colonoscopy in the last 10 years.

26

Lung and Bronchus Cancer
New cases Lung cancer is the second most common cancer diagnosed among both males and females in Georgia and accounts for 14% of all cancer diagnoses. Yearly, an average of 6,155 new cases of lung cancer are diagnosed in Georgia: 3,460 in males and 2,700 in females. Since 2000, lung cancer incidence rates among Georgia males have decreased at an average annual rate of 2.6%. Among females, during 2000-2008, incidence rates were increasing at an average annual rate of 0.8%, followed by a rapid decline of 3.3% per year.
Northwest (1-1), North Georgia (1-2), North Central (5-2), East Central (6-0), South (8-1), Southwest (8-2), and Southeast (9-2) Public Health Districts have significantly higher incidence rates than the state rate while Cobb/Douglas (3-1), Fulton (3-2), East Metro (3-4), and DeKalb (3-5) Public Health Districts have significantly lower rates (Figure 37).
Figure 37. Age-Adjusted Lung and Bronchus Cancer Incidence Rates by Public Health District, Georgia, 2007-2011.
Georgia Rate: 69.9 per 100,000 population

Deaths Yearly, an average of 4,395 Georgians die of lung cancer: 2,575 males and 1,820 females. Lung cancer is the leading cause of cancer death accounting for 30% of all cancer deaths in Georgia. During 1990-2006, lung cancer mortality rates among Georgia males decreased at an average annual rate of 1.8%, followed by a more rapid decline of 6.9% per year. Among females, during 1990-2000, mortality rates were increasing at an average annual rate of 2.0%, followed by a decline of 0.5% per year.
Northwest (1-1), North Central (5-2), East Central (6-0), West Central (7-0), South (8-1), Southwest (8-2), and Southeast (9-2) Public Health Districts have significantly higher mortality rates than the state average, while North (2-0), Cobb-Douglas (3-1), Fulton (3-2), East Metro (3-4), and DeKalb (3-5) have significantly lower rates (Figure 38).
Figure 38. Age-Adjusted Lung and Bronchus Cancer Mortality Rates by Public Health District, Georgia, 2006-2011.*
Georgia Rate: 51.7 per 100,000 population

*Because of data quality issues, 2009 mortality data are not used for analysis.

Significantly higher than state rate

No significant difference

27

Significantly lower than state rate

Healthy People 2020
Objective: Reduce the lung cancer death rate.
Target (2020): 45.5 deaths per 100,000 population Georgia (2006-2011)*: 51.7 deaths per 100,000 population
Stage of disease and survival Stage of disease refers to the extent to which cancer has spread when diagnosed. In general the earlier the stage, the better chance of survival. For lung and bronchus cancer, the five year survival rate among Georgians is 16%. If the cancer is discovered at a local stage, the survival rate is 47%, but only 23% when discovered at a regional stage and 4% when discovered at a distant stage (Figure 39).
During 2004-2010, 75% of lung cancers were diagnosed at a late stage (regional and distant) (Figure 40). The percentage diagnosed at a late stage varies among Public Health Districts, ranging from 69% in South Central (5-1) Public Health District to 78% in DeKalb (3-5) and West Central (7-0) Public Health Districts.
Risk factors Tobacco use (accounts for nearly 90% of all
lung cancer cases) Exposure to environmental (second-hand)
tobacco smoke Exposure to certain industrial substances such
as arsenic, some organic chemicals, radon, and asbestos, particularly for persons who smoke Radiation exposure from occupational, medical, and environmental sources Air pollution
Prevention The best strategy for preventing lung cancer is not to smoke or to stop smoking and to avoid exposure to environmental or second-hand smoke.1 People who work with potentially cancer-causing chemicals should take appropriate protective measures to avoid harmful exposure.

Figure 39. Survival by Stage at Diagnosis for Lung and Bronchus Cancer, Georgia, 2004-2010.

Percent Surviving 5 Years

Black Male White Male Black Female White Female 100

80

60 38 43 49 53

40

20 21 24 26

20

0 Localized

Regional

3 3 4 5 Distant

% of tumors found at this stage*

Black Males White Males Black Females White Females

Localized 12% 16% 14% 20%

Regional Distant

22%

62%

25%

54%

22%

59%

25%

50%

*Unstaged tumors are not shown.

Figure 40. Late Stage at Diagnosis for Lung and Bronchus Cancer by Public Health District, Georgia 2004-2010.
Georgia=75%

Public Health District

1-1 1-2
2 3-1 3-2 3-3 3-4 3-5
4 5-1 5-2
6 7 8-1 8-2 9-1 9-2 10
0

75 73 74 75 75
76 77 78 73 69 74 75 78 74 77 74 73 74
20 40 60 80 100 Percent

28

Early detection Doctors should talk to high risk patients about the benefits, limitations, and potential harms of lung cancer screening. Screening facilities should have the proper equipment and extensive experience in performing low dose helical CT scans for lung cancer. A team of specialists should also be on staff to provide the appropriate care and follow-up for patients with abnormal screening results.

American Cancer Society Guidelines for Lung Cancer Screening
Patients should be asked about their smoking history.
Patients who meet ALL of the following criteria may be candidates for lung cancer screening (low dose helical CT scan):
55 to 74 years old In fairly good health Have at least a 30 pack-year smoking history Are either still smoking or have quit smoking within
the last 15 years

29

Prostate Cancer
New cases Prostate cancer is the most commonly diagnosed cancer among Georgia males, accounting for 30% of all male cancer cases. Yearly, an average of 6,740 new cases of invasive prostate cancer are diagnosed among Georgia males. Since 2000, prostate cancer incidence rates in Georgia have been decreasing at an average annual rate of 1.2%.
Fulton (3-2), Clayton (3-3), DeKalb (3-5), West Central (7-0), South (8-1), and Southwest (8-2) Public Health Districts have significantly higher incidence rates than the state rate, while Northwest (1-1), North Georgia (1-2) North (20), South Central (5-1), East Central (6), Coastal (9-1), and Southeast (9-2) Public Health Districts have significantly lower rates (Figure 41).
Figure 41. Age-Adjusted Prostate Cancer Incidence Rates by Public Health District, Georgia, 2007-2011.
Georgia Rate: 160.6 per 100,000 population

Deaths Prostate cancer is the second leading cause of cancer death among males. Yearly, an average of 755 Georgia males die of prostate cancer. During 1990-1992, prostate cancer mortality rates increased at an average annual rate of 5.2%, followed by a decline of 3.8% per year. Mortality rates among black males are nearly three times as high as rates among white males.
Fulton (3-2), DeKalb (3-5), East Central (6-0), and West Central (7-0) Public Health Districts have significantly higher mortality rates than the state rate, while Northwest (1-1), North Georgia (1-2) North (2-0), Cobb-Douglas (3-1), and LaGrange (4-0) Public Health Districts have significantly lower rates (Figure 42).
Figure 42. Age-Adjusted Prostate Cancer Mortality Rates by Public Health District, Georgia, 2006-2011.*
Georgia Rate: 26.7 per 100,000 population

*Because of data quality issues, 2009 mortality data are not used for analysis.

Significantly higher than state rate

No significant difference

Significantly lower than state rate

30

Healthy People 2020
Objective: Reduce the prostate cancer death rate.
Target (2020): 21.8 deaths per 100,000 population Georgia (2006-2011)*: 26.7 deaths per 100,000 population
Stage of disease and survival Stage of disease refers to the extent to which cancer has spread when diagnosed. In general the earlier the stage, the better chance of survival. For prostate cancer, the five year survival rate among Georgia males is 98%. If the cancer is discovered at a local stage, the survival rate is 100%, but only 28% when discovered at a distant stage (Figure 43). Prostate cancer usually grows more slowly than most other cancers. As a result, the majority of prostate cancers are diagnosed at an early stage (in situ and localized).
During 2004-2010, 86% of prostate cancers were diagnosed at an early stage (Figure 44). The percentage diagnosed at an early stage varies among Public Health Districts, ranging from 76% in South Central (5-1) to 90% in Clayton (3-3).
Risk factors Increasing age Black race Family history Obesity
Prevention Eat at least 2 and 1/2 cups of vegetables and
fruits daily Participate in regular physical activity Stay at a healthy weight

Figure 43. Survival by Stage at Diagnosis for Prostate Cancer, Georgia, 2004-2010.

Black Males White Males

Percent of Men Surviving 5 Years

120 100 100 100
80 60 40 20
0 Localized

96 98 Regional

32 24 Distant

% of tumors found at this stage*

Black Males White Males

Localized 86% 86%

Regional 6% 8%

Distant 5% 3%

*Unstaged tumors are not shown.

Figure 44. Early Stage at Diagnosis for Prostate Cancer by Public Health District, Georgia 20042010.

Georgia=86%

Public Health District

1-1

86

1-2

81

2

85

3-1

87

3-2

87

3-3

90

3-4

88

3-5

87

4

88

5-1

76

5-2

86

6

80

7

85

8-1

87

8-2

89

9-1

81

9-2

81

10

86

0

50

100

Percent

31

Early detection A blood test for prostate specific antigen (PSA) and digital rectal examination of the prostate gland are two tools commonly used to detect prostate cancer early. Neither the PSA nor the digital rectal examination has been proven to reduce mortality from prostate cancer. Currently, there are no commonly agreed upon recommendations regarding routine screening for prostate cancer. Men should discuss prostate cancer screening options with their health care professional.

American Cancer Society Guidelines for Early Detection of Prostate Cancer
At present, national organizations commonly recommend informed decision making about testing for prostate cancer rather than a recommendation that all men be screened. For both men at average risk and high risk, information should be provided about what is known and what is uncertain about the benefits and limitations of early detection and treatment of prostate cancer so that they can make an informed decision about testing.
*The American Cancer Society also recommends that the PSA test and the digital rectal examination be offered annually, beginning at age 50, to men who have a life expectancy of at least 10 years. Men at high risk (African American men and men with one or more first-degree relatives diagnosed with prostate cancer at an early age) should begin testing at age 45.

32

Melanoma
New cases Yearly, an average of 2,025 new cases of malignant melanoma, the most serious form of skin cancer, are diagnosed in Georgia: 1,180 in males and 845 in females. Since 2002, melanoma incidence rates among Georgia males have been increasing at an average annual rate of 1.5%. Among females, the rates have been increasing at an average annual rate of 1.8% since 2000.
North Georgia (1-2), North (2-0), Cobb/Douglas (3-1), Fulton (3-2), and East Metro (3-4) Public Health Districts have significantly higher incidence rates than the state rate while Northwest (1-1), Clayton (3-3), DeKalb (3-5), South Central (5-1), North Central (5-2), East Central (6-0), West Central (7-0), South (8-1), Southwest (8-2), and Southeast (9-2) Health Districts have significantly lower rates (Figure 45).
Figure 45. Age-Adjusted Melanoma Incidence Rates by Public Health District, Georgia, 20072011.
Georgia Rate: 22.1 per 100,000 population

Deaths Yearly, an average of 210 Georgians die from melanoma: 135 males and 75 females. Since 1990, melanoma mortality rates have been decreasing at an average annual rate of 0.5% among Georgia males and 0.7% among females.
Healthy People 2020
Objective: Reduce the melanoma death rate.
Target (2020): 2.4 deaths per 100,000 population Georgia (2006-2011)*: 2.5 deaths per 100,000 population
Most public health districts in Georgia have mortality rates similar to the state average. Coastal (9-1) and Northeast (10-0) Public Health Districts have significantly higher mortality rates than the state rate while Fulton (3-2) Public Health District has a significantly lower rate. Clayton (3-3) Public Health District had fewer than 16 deaths and the melanoma mortality rate was not calculated (Figure 46).
Figure 46. Age-Adjusted Melanoma Mortality Rates by Public Health District, Georgia, 20062011.*
Georgia Rate: 2.5 per 100,000 population

*Because of data quality issues, 2009 mortality data are not used for analysis.

Significantly higher than state rate

No significant difference

Significantly lower than state rate

33

Rates not calculated (less than 16 cases or deaths)

Stage of disease and survival Stage of disease refers to the extent to which cancer has spread when diagnosed. In general the earlier the stage, the better chance of survival. For melanoma, the five year survival rate is 92%. If the cancer is discovered at a local stage, the survival rate is 98%, but only 66% when discovered at a regional stage and 17% when discovered at a distant stage (Figure 47).
During 2004-2010, 91% of the melanomas were diagnosed at an early stage (in situ and localized) of disease (Figure 48). The percentage diagnosed at an early stage varies among Public Health Districts, ranging from 78% in Southeast (9-2) Public Health District to 94% in Cobb/Douglas (3-1), Fulton (3-2), and DeKalb (3-5) Public Health Districts.
Risk factors Excessive exposure to ultraviolet radiation
from sunlight or tanning lamps Fair complexion, freckling, and light hair Family history Multiple or atypical nevi (moles)
Prevention Avoid tanning beds and sunlamps.1 Limit or avoid direct exposure to sun during
the midday hours (10 a.m. 4 p.m.). When outdoors, wear a hat that shades the
face, neck, and ears and a long sleeved shirt and long pants. Wear sunglasses to protect the skin around the eyes. Use sunscreen with a sun protection factor (SPF) of 30 or higher. Severe sunburns in childhood may increase risk of melanoma in later life. Children should be protected from the sun.

Figure 47. Survival by Stage at Diagnosis for Melanoma, Georgia, 2004-2010.

Percent Surviving 5 Years

Black Male White Male

100

98 95 98 85

80

60

Black Female 72
63

White Female

40
20
0 Localized

~ ~ Regional

18 17 ~ ~
Distant

~ Rates not calculated due to sparse data.

% of tumors found at this stage*

Black Males White Males Black Females White Females

Localized 46% 84% 65% 88%

Regional 30% 9% 18% 6%

Distant 20% 4% 14% 2%

*Unstaged tumors are not shown.

Figure 48. Early Stage at Diagnosis for Melanoma by Public Health District, Georgia, 2004-2010.
Georgia=91%

Public Health District

1-1 1-2
2 3-1 3-2 3-3 3-4 3-5
4 5-1 5-2
6 7 8-1 8-2 9-1 9-2 10
0

90 90 92
94 94 89 93 94 91 81 86 87 88 86 85 84 78 91
20 40 60 80 100
Percent

34

Early detection Careful inspection of the skin can detect melanoma early so that it can be treated successfully. Recognition of changes in skin growths or the appearance of new growths is the best way to find early skin cancer. Adults should practice regular skin self-examination. Suspicious lesions should be evaluated promptly by a physician. A simple ABCDE rule outlines the warning signals of melanoma. A - Asymmetry: One half of the mole does not match the other half. B - Border: The edges of the mole are irregular, ragged, notched, or blurred. C - Color: The pigmentation is not uniform, with variable degrees of tan, brown, or black. D - Diameter: Greater than 6 millimeters (about inch). E- Evolving: The mole is changing in size, shape, or color.
35

Cancer Risk Behaviors in Georgia

Tobacco use Tobacco use is a major preventable cause of death in our society. It accounts for about onethird of all cancer deaths and nearly 90% of lung cancer cases.1 Tobacco use is also associated with cancers of the nasal cavities, mouth, pharynx, larynx, esophagus, pancreas, uterine cervix, kidney, bladder, stomach and liver, and with myeloid leukemia. During 2003-2007, tobacco use was responsible for 16% of deaths among Georgia adults ages 35 years and older, and Georgia adults who die as a result of their smoking habit lose an average of 18 years of life.4
In 1986, the US Surgeon General concluded that the use of spit tobacco is not a safe substitute for smoking cigarettes. Spit tobacco causes cancer and a number of non-cancerous oral conditions, and can lead to nicotine addiction and dependence.5 Cigars contain most of the same carcinogens and cancerproducing chemicals found in cigarettes. Regular cigar smoking causes cancer of the lung, oral cavity, larynx and esophagus, and may also be related to cancer of the pancreas.6

Tobacco use among Georgia adults The prevalence of cigarette smoking among
adults has been slowly declining over the past two decades from a baseline of 24% down to 18% in more recent years (Figure 49). According to the 2011 Behavioral Risk Factor Surveillance System, an estimated 21% of Georgia adults are current smokers: 24% of males and 18% of females. One in four white adults (24%) and nearly one in five black adults (18%) smoke cigarettes. Smoking rates vary by age, with adults aged 18-24 years the most likely to smoke cigarettes (25%) and adults 65 and older the least likely (11%) (Figure 50). Among the 18 public health districts in Georgia, the prevalence of cigarette smoking ranged from 14% in Fulton (3-2) and East Metro (3-4) Public Health Districts to 31% in Southeast (9-2) Public Health District (Figure 51).

Figure 49. Current Cigarette Use by Year, Adults 18+ Years of Age, Georgia, 1990-2011.*

30

25

20

Percent

15

10

5

0 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11
* BRFSS weighting methodology chanYgeeadr greatly in 2011. Comparisons should not be made between 2011 data and that of previous years.
36

Many smokers want to stop. According to the 2011 Behavioral Risk Factor Surveillance System, 62% of Georgia adults who were current smokers reported that they had tried to quit smoking for at least one day during the past year.

There are many benefits to stopping smoking. People who quit smoking, regardless of age, live longer than people who continue to smoke. Quitting smoking decreases the risk of developing many cancers and other major diseases, including chronic obstructive pulmonary disease (COPD) and cardiovascular diseases.7

Percent

Figure 50. Current Cigarette Use by Age, Georgia Adults, 2011.

40

35

30

25

25

20

15

10

5

0 18-24

24 25-34

23

24

35-44

45-54

Age Group

19 11
55-64 65 and older

Figure 51. Current Cigarette Use by Public Health District, Georgia Adults, 2011.

1-1 1-2
2 3-1 3-2 3-3 3-4 3-5
4 5-1 5-2
6 7 8-1 8-2 9-1 9-2 10
0

26 25 20 20 14
26 14
16 22 22
18 23 23 26 23 25 31
20

5

10

15

20

25

30

35

Percent

37

Public Health District

Tobacco use among Georgia youth In 2011, the Youth Risk Behavior Survey (YRBS) was conducted to monitor priority health risk behaviors that put youth at risk for the leading causes of morbidity, mortality, and social problems. According to the 2011 YRBS, 11% of middle school students and 23% of high school students reported using some form of tobacco; 6% of middle school and 17% of high school students were current cigarette smokers.
Among males, 7% of middle school students and 19% of high school students reported current cigarette smoking (Figure 52). Among females, 6% of middle school students and 15% of high school students reported current cigarette smoking. Non-Hispanic white high school students (24%) were three times as likely as non-Hispanic black high school students (8%) to smoke cigarettes (Figure 53). The prevalence of cigarette smoking increased as grade increased (Figure 54).

Figure 52. Current Cigarette Use by Gender, Georgia Students, 2011.
Middle School High School
30

Percent

19

20

15

10

7

6

0 Males

Females

Figure 53. Current Cigarette Use by Race/Ethnicity, Georgia Students, 2011.

Middle School High School 30
24

Percent

20

10

8

9

3

0 Non-Hispanic Black Non-Hispanic White

Figure 54. Current Cigarette Use by Grade, Georgia Students, 2011.

Percent

30

25

20

13 17 15

10

7 9

4

0 6 7 8 9 10 11 12
Grade

38

Nutrition, physical activity, and obesity Scientific evidence suggests that about onethird of all cancer deaths that occur in the US each year are due to inappropriate diet, physical inactivity, and excess body weight.8 Eating a nutritious diet, staying active throughout life, and maintaining a healthy weight can reduce one's risk of developing a cancer. These same behaviors also help lower risk of developing heart disease and diabetes.

Community efforts are needed to create an environment that promotes healthy behaviors and reduces cancer risk regardless of one's social, physical, and economic circumstances. Although these healthy choices are made individually, community involvement can affect many lives.8

American Cancer Society Guidelines on Nutrition and Physical Activity
Achieve and maintain a healthy weight throughout life. Be as lean as possible throughout life without being underweight. Avoid excess weight gain at all ages. For those who are overweight or obese, losing even a small amount of weight has health benefits and is a good place to start. Get regular physical activity and limit intake of high-calorie foods and drinks as keys to help maintain a healthy weight.
Be physically active. Adults: Get at least 150 minutes of moderate intensity or 75 minutes of vigorous intensity activity each week (or a combination of these), preferably spread throughout the week. Children and teens: Get at least 1 hour of moderate or vigorous intensity activity each day, with vigorous activity on at least 3 days each week. Limit sedentary behavior such as sitting, lying down, watching TV, and other forms of screen-based entertainment. Doing some physical activity above usual activities, no matter what one's level of activity, can have many health benefits.
Eat a healthy diet, with an emphasis on plant foods. Choose foods and drinks in amounts that help you get to and maintain a healthy weight. Limit how much processed meat and red meat you eat. Eat at least 2 cups of vegetables and fruits each day. Choose whole grains instead of refined grain products.
If you drink alcohol, limit your intake. Drink no more than 1 drink per day for women or 2 per day for men.
Public, private, and community organizations should work together at national, state, and local levels to apply policy and environmental changes that:
Increase access to affordable, healthy foods in communities, places of work, and schools, and decrease access to and marketing of foods and drinks of low nutritional value, particularly to youth.
Provide safe, enjoyable, and accessible environments for physical activity in schools and workplaces, and for transportation and recreation in communities.

39

Nutrition in Georgia According to the 2009 Behavioral Risk Factor Surveillance System, 25% of Georgia adults were eating the recommended 5 or more servings of fruits and vegetables per day.
Georgia adults from 18-24 years of age were the most likely of all the age groups to meet the recommendation (Figure 55). R
Physical activity in Georgia According to the 2011 Behavioral Risk Factor Surveillance System, 21% of Georgia adults meet aerobic and strength exercise recommendations on a regular basis.
Physical activity rates vary by age, with adults aged 18-24 years (30%) the most likely to meet aerobic and strength exercise recommendations on a regular basis. Adults aged 65 and older the least likely (13%) to meet the recommendations (Figure 56). G I A

Figure 55. Consumption of 5 or More Servings of Fruits and Vegetables per Day by Age Group, Georgia Adults, 2009.

Percent

50

40 34

30

21

26

24

23

25

20

10

0 18-24 25-34 35-44 45-54 55-64 65+
Age Groups

Figure 56. Georgia Adults who Meet Aerobic and Strength Exercise Recommendations on a Regular Basis by Age Group, 2011

Percent

50

40

30

30 20

26

21

19

16

13

10

0 18-24 25-34 35-44 45-54 55-64 65+
Age Groups

Recommendations for Physical Activity among Adults

Aerobic
150 minutes per week of moderate intensity activity or 75 minutes per week of vigorous intensity activity or An equivalent mix of moderate and vigorous intensity activity

Strength
Include muscle-strengthening activities on two or more days per week that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms).

The different types of physical activities may include:

Moderate Physical Activities
Walking fast Doing water aerobics Riding a bike on level ground or with few hills Playing doubles tennis Pushing a lawn mower

Vigorous Physical Activities
Jogging or running Swimming laps Riding a bike fast or on hills Playing singles tennis Playing basketball

Muscle-Strengthening Activities

Lifting weights

Working with resistance bands

Doing exercises that use your body weight for resistance (i.e., push-ups, sit-ups)

Heavy gardening (i.e., digging,

shoveling)

Yoga

40

Obesity among Georgia adults A common measure of healthy weight for adults is body mass index (BMI).9 Calculated as the ratio of weight (in kilograms) to height squared (in meters), BMI is an indicator of total body fat. For adults 20 years of age and older, a BMI of 18.5-24.9 is considered normal, while adults with a BMI of 25.0-29.9 are considered overweight. Obesity is defined as a BMI of 30.0 or more.
According to the 2011 Georgia Behavioral Risk Factor Surveillance System, 26% of men and 29% of women are obese based on selfreported height and weight. Among adults, 36% of blacks and 25% of whites are obese. For adults, obesity increases with age, with the highest prevalence reported in the population aged 45-64 years (34%) (Figure 57). However, even among young adults aged 18-24 years, 15% are obese.
The prevalence of obese adults ranges from 23% in North Georgia (1-2), Fulton (3-2), East Metro (3-4), and Dekalb (3-5) Public Health Districts to 35% in Clayton (3-3) and North Central (5-2) Public Health Districts (Figure 58).
The prevalence of obesity among adults in Georgia has been steadily increasing throughout the last decade (Figure 59).

Percent

Figure 57. Percentage of Obese Adults by Age Group, Georgia, 2011.

40

34 34

30

30

26

25

20 15

10

0 18-24 25-34 35-44 45-54 55-64 65+
Age Groups

Figure 58. Percentage of Obese Adults by Public Health District, Georgia, 2011.

Public Health District

1-1

32

1-2

23

2

27

3-1

26

3-2

23

3-3

35

3-4

23

3-5

23

4

25

5-1

29

5-2

35

6

34

7

32

8-1

28

8-2

31

9-1

29

9-2

32

10

31

0 5 10 15 20 25 30 35 40 Percent

Percent

Figure 59. Percentage of Obese Adults by Year, Georgia, 2000-2011.*

40

35

30 25 20 15 10
5 0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Year

* BRFSS weighting methodology changed greatly in 2011. Comparisons

41

should not be made between 2011 data and that of previous years.

Obesity among youth in Georgia
Defining obesity among children and
adolescents is difficult since BMI is age
dependent, and height and weight change as a child develops.9 Growth charts show the
distribution of weight-for-height across a range
of ages for a reference population and provide a
useful means to define childhood overweight
based on percentile cut-offs. Children with a BMI-for-age greater than the 85th percentile but less than the 95th percentile are classified as
obese. Overweight children have a BMI-forage at or above the 95th percentile.

According to the 2011Youth Risk Behavior Survey for high school students, 36% of black males, 35% of white males, 34% of black females, and 21% of white females are overweight or obese (Figure 60). Nearly a third of Georgia's high school students are at an increased risk for cancer later in life because they are overweight or obese.

Figure 60. Overweight and Obese High School Students by Sex and Race/Ethnicity, Georgia, 2011

Percent

40
35 21
30
25
20
15 15
10
5
0 Non-Hispanic Black Males

Overweight Obese

17

15

9

18

19

12

Non-Hispanic White Males

Non-Hispanic Black Females

Non-Hispanic White Females

42

Technical Appendix

Definitions: Age-adjusted rate: A rate calculated in a manner that allows for the comparison of rates derived from populations with different age structures. Cancer incidence: The number of new cancer cases occurring in a population during a specified period of time, often expressed as a rate per 100,000 population. Cancer mortality: The number of cancer deaths occurring in a population during a specified period of time, often expressed as a rate per 100,000 population. Relative survival rate: A net survival measure representing cancer survival in the absence of other causes of death, often expressed as a percent. Prevalence: The number of people with a disease or risk factor out of the total number of persons in a population, often expressed as a percent.
Data sources: The number of new cases and incidence rates for the state of Georgia for 2007-2011 were obtained from the Georgia Department of Public Health, Division of Health Protection, Epidemiology Program, Georgia Comprehensive Cancer Registry. Incidence data were coded using ICD-O-3 codes and grouped using the SEER Site Recode ICD-O-3/WHO 2008. For more information on these groupings, please visit the Surveillance, Epidemiology, and End Results (SEER) Program on the web at http://seer.cancer.gov/ siterecode/icdo3_dwhoheme/.
The number of deaths and mortality rates for the state of Georgia for 2006-2008, 2010, and 2011 were obtained from the Georgia Department of Public Health, Office of Vital Records. Mortality data were coded using ICD-10 codes and grouped using the SEER Cause of Death Recode 1969+. For more information on these groupings, please visit the SEER Program on the web at http://seer.cancer.gov/ codrecode/1969+_d04162012.
Incidence trend and survival data for Georgia were obtained from the SEER Program (www.seer.cancer.gov) SEER*Stat Database: Incidence - SEER 18 Regs Research Data +

Hurricane Katrina Impacted Louisiana Cases, Nov 2013 Sub (2000-2011) <Katrina/Rita Population Adjustment> - Linked To County Attributes - Total U.S., 1969-2012 Counties, National Cancer Institute, DCCPS, Surveillance Research Program, Surveillance Systems Branch, released April 2014 (updated 5/7/2014), based on the November 2013 submission. Incidence and survival data were categorized using the SEER Site Recode ICD-O3/WHO 2008.
Mortality trend data for Georgia were obtained from the SEER Program (www.seer.cancer.gov) SEER*Stat Database: Mortality - All COD, Aggregated With State, Total U.S. (1969-2011) <Katrina/Rita Population Adjustment>, National Cancer Institute, DCCPS, Surveillance Research Program, Surveillance Systems Branch, released July 2014. Underlying mortality data provided by NCHS (www.cdc.gov/nchs). Cause of death was categorized using the SEER Cause of Death Recode 1969+.
Population estimates for 2006-2013 and the 2000 US standard million population were obtained from the US Bureau of the Census, available at http://www.census.gov/.
Incidence and mortality rates for the United States for 2007-2011 were obtained from the North American Association of Central Cancer Registries (NAACCR) Cancer in North America: 2007-2011 publication.
Health risk and screening behavior data for adults were obtained from the Behavioral Risk Factor Surveillance System (BRFSS), a telephone health survey administered by the Georgia Department of Public Health, in collaboration with the CDC (Centers for Disease Control and Prevention).
Health risk behavior data for youths were obtained from the Youth Risk Behavior Surveillance System (YRBS), a national school-based survey administered by the Georgia Department of Public Health, in collaboration with the CDC.

43

Methods: Incidence rates were calculated per 100,000 population and age-adjusted by the direct method to the 2000 US standard million population. Except where calculated to show trends, the incidence rates are five-year average annual rates for the period 2007 through 2011.
Mortality rates were calculated per 100,000 population and age-adjusted by the direct method to the 2000 US standard million population. Because of data quality issues, 2009 Georgia cancer death data are not used for analysis. Except where calculated to show trends, the mortality rates are five-year average annual rates including data for 2006-2008, 2010, and 2011 combined.
The estimated number of cases for 2013 was calculated by multiplying the age-specific state incidence rates (2007-2011) by the age-specific state

population estimates for 2013. The results were then summed to obtain a state estimate. This was done for all sites combined and for each cancer site individually.
The estimated number of deaths for 2013 was calculated by multiplying the age-specific state mortality rates (2006-2008, 2010 and 2011 combined) by the age-specific state population estimates for 2013. The results were then summed to obtain a state estimate. This was done for all sites combined and for each cancer site individually.
Annual percent change computations for the incidence and mortality trends were calculated using Joinpoint Regression Program, Version 4.1.1 - August 2014; Statistical Methodology and Applications Branch, Surveillance Research Program, National Cancer Institute.

Georgia public health districts:

Public Health District 1-1 Northwest (Rome) 1-2 North Georgia (Dalton) 2 North (Gainesville)
3-1 Cobb-Douglas 3-2 Fulton 3-3 Clayton (Jonesboro) 3-4 East Metro (Lawrenceville) 3-5 DeKalb 4 LaGrange
5-1 South Central (Dublin)
5-2 North Central (Macon)
6 East Central (Augusta)
7 West Central (Columbus)
8-1 South (Valdosta) 8-2 Southwest (Albany)
9-1 Coastal (Savannah) 9-2 Southeast (Waycross)
10 Northeast (Athens)

Counties Bartow, Catoosa, Chattooga, Dade, Floyd, Gordon, Haralson, Paulding, Polk, Walker
Cherokee, Fannin, Gilmer, Murray, Pickens, Whitfield Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart, Lumpkin, Rabun, Stephens, Towns, Union, White
Cobb, Douglas
Fulton
Clayton
Gwinnett, Newton, Rockdale
DeKalb Butts, Carroll, Coweta, Fayette, Heard, Henry, Lamar, Meriwether, Pike, Spalding, Troup, Upson Bleckley, Dodge, Johnson, Laurens, Montgomery, Pulaski, Telfair, Treutlen, Wheeler, Wilcox Baldwin, Bibb, Crawford, Hancock, Houston, Jasper, Jones, Monroe, Peach, Putnam, Twiggs, Washington, Wilkinson Burke, Columbia, Emanuel, Glascock, Jefferson, Jenkins, Lincoln, McDuffie, Richmond, Screven, Taliaferro, Warren, Wilkes Chattahoochee, Clay, Crisp, Dooly, Harris, Macon, Marion, Muscogee, Quitman, Randolph, Schley, Stewart, Sumter, Talbot, Taylor, Webster
Ben Hill, Berrien, Brooks, Cook, Echols, Irwin, Lanier, Lowndes, Tift, Turner Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth
Bryan, Camden, Chatham, Effingham, Glynn, Liberty, Long, McIntosh Appling, Atkinson, Bacon, Brantley, Bryan, Bulloch, Camden, Candler, Charlton, Clinch, Coffee, Evans, Glynn, Jeff Davis, Liberty, Long, McIntosh, Pierce, Tattnall, Toombs, Ware, Wayne
Barrow, Clarke, Elbert, Greene, Jackson, Madison, Morgan, Oconee, Oglethorpe, Walton

44

References
1. American Cancer Society. Cancer Facts & Figures 2013. Atlanta: American Cancer Society; 2013. 2. US Department of Health and Human Services. Chronic Disease Cost Calculator. US Department of Health
and Human Services, Public Health Service, Centers for Disease Control and Prevention, Center for Chronic Disease Prevention and Health Promotion (November 2013). Retrieved July 23, 2015 from http://www.cdc.gov/chronicdisease/calculator/ 3. American Cancer Society. Breast Cancer Facts & Figures 2013-2014. Atlanta: American Cancer Society, Inc. 2013. 4. Davis V., Lavender A., Bayakly R., Ray K., Moon T. Georgia Tobacco-related Cancers Report, 2012. Georgia Department of Public Health, Epidemiology Program, May 2012. 5. US Department of Health and Human Services. The Health Consequences of Using Smokeless Tobacco: A Report of the Advisory Committee to the Surgeon General. US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Cancer Institute. DHHS Pub. No. (NIH) 862874, 1986. 6. Shanks TG, Burns DM. Disease Consequences of Cigar Smoking (Chapter 4). In: Cigars: Health Effects and Trends, Monograph No 9. Burns D, Cummings KM, Hoffman D, Editors, Bethesda, MD, US Department of Health and Human Services, National Institutes of Health, NIH Pub. No. 98-4302, 1998. 7. US Department of Health and Human Services. The Health Benefits of Smoking Cessation. US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. DHHS Publication No. (CDC) 90-8416, 1990. 8. American Cancer Society. American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention. Atlanta: American Cancer Society; (2012). Retrieved January 7, 2015 from http:// www.cancer.org/healthy/eathealthygetactive/acsguidelinesonnutritionphysicalactivityforcancerprevention/ 9. American Cancer Society. Body Weight and Cancer Risk. Atlanta: American Cancer Society; (2013). Retrieved January 7, 2015 from http://www.cancer.org/cancer/cancercauses/dietandphysicalactivity/ bodyweightandcancerrisk/
45

Statistical Appendix

Table 1. Age-Adjusted Cancer Incidence for Georgia by Public Health District, Sex, and Race/Ethnicity, 2007-2011

Georgia 1.1 Northwest 1.2 North Georgia 2.0 North 3.1 Cobb-Douglas 3.2 Fulton 3.3 Clayton 3.4 East Metro 3.5 DeKalb 4.0 LaGrange 5.1 South Central 5.2 North Central 6.0 East Central 7.0 West Central 8.1 South 8.2 Southwest 9.1 Coastal 9.2 Southeast 10.0 Northeast

Males Cases Rate 113125 563.8 8045 571.1 5411 547.3 8462 565.5 8798 584.5 10107 595.8 2249 558.0 8669 527.1 7143 572.9 10051 584.7 1979 497.7 7084 586.0 5529 529.9 4801 578.9 3274 600.0 5085 598.3 6472 525.1 4357 522.3 5609 567.8

Non-His panic Black Males Cases Rate 28219 626.4 619 646.5 153 702.9 317 629.7 1344 607.4 4582 670.2 1158 595.7 1635 592.9 3610 635.9 2137 650.7 498 503.3 2243 634.7 1983 592.9 1921 665.8 848 662.9 1810 678.3 1649 529.4 793 565.6 919 674.5

ALL SITES

Non-His panic

White Males

Females

Cases Rate Cases Rate

80475 560.4 101718 407.5

7272 572.7 7144 412.9

4979 549.3 4698 408.7

7864 577.2 7349 428.4

6985 601.0 8055 413.3

5026 560.3 9274 421.4

918 604.2 2186 402.9

6164 560.0 8648 404.5

3136 554.4 7115 415.4

7603 573.3 8737 412.7

1453 506.3 1660 362.1

4704 570.8 5885 397.6

3430 511.3 5195 401.7

2746 540.0 4261 403.3

2368 590.0 2742 409.0

3204 575.1 4359 412.3

4651 531.8 5865 393.3

3467 525.3 3649 377.6

4505 555.2 4896 412.4

Non-His panic Black Females Cases Rate 25529 389.2
563 411.7 119 359.0 287 408.6 1425 378.3 4058 416.2 1228 404.1 1682 369.8 3542 410.3 1748 378.2 424 338.8 1905 380.4 1826 400.1 1550 375.0 691 393.0 1504 400.2 1565 366.3 669 363.0 743 381.5

Non-His panic White Females Cases Rate 71547 425.6
6390 416.4 4338 417.9 6755 440.6 6111 438.5 4708 440.3 798 467.3 5975 450.4 3172 449.9 6677 426.3 1218 373.9 3874 414.1 3219 412.4 2573 426.9 1978 418.4 2787 426.5 4105 411.8 2888 381.9 3981 422.1

Georgia 1.1 Northwest 1.2 North Georgia 2.0 North 3.1 Cobb-Douglas 3.2 Fulton 3.3 Clayton 3.4 East Metro 3.5 DeKalb 4.0 LaGrange 5.1 South Central 5.2 North Central 6.0 East Central 7.0 West Central 8.1 South 8.2 Southwest 9.1 Coastal 9.2 Southeast 10.0 Northeast

Females Cases Rate 31301 123.7 1968 113.3 1324 112.4 2151 123.1 2635 129.1 3074 136.2
723 122.9 2909 129.0 2406 137.1 2647 123.2 445 99.8 1775 119.7 1669 128.9 1312 126.1 799 119.8 1214 116.9 1728 115.0 1015 104.8 1507 127.4

BREAST Non-His panic Black Females Cases Rate 8554 124.4 178 124.7
40 114.3 77 101.0 537 121.5 1322 131.6 461 131.6 620 119.8 1269 139.1 600 122.1 122 98.8 597 116.2 635 136.9 523 126.1 204 114.5 460 121.4 452 104.5 203 109.0 254 127.0

Non-His panic White Females Cases Rate 21294 125.8
1744 113.3 1211 113.4 1992 127.0 1926 134.1 1591 146.2 214 125.1 1940 141.5 1006 147.5 1955 123.7 320 101.4 1152 123.6 985 125.3 736 124.1 577 123.4 736 114.0 1215 121.0 786 103.5 1208 129.1

UTERINE CERVIX

Non-Hispanic Non-Hispanic

Females Black Females White Females

Cases Rate Cases Rate Cases Rate

2015 8.2 668 9.5 1168 8.0

156 9.5

8

~

137 9.9

98

8.9

<5

~

87

9.7

116 7.4

8

~

94

7.3

144 6.9

42 10.4 87

6.9

163 7.2

99

9.7

52

5.2

53

8.3

30

8.9

13

~

173 6.9

39

7.0

95

7.5

139 7.8

77

8.1

45

7.8

170 8.3

50

9.8 112 8.2

43 10.3 19 15.3 24

8.5

96

7.2

40

7.9

53

7.4

108 9.2

48 10.1 57

9.5

65

7.1

35

8.9

27

6.3

73 12.3 32 18.0 37

9.9

107 11.2 49 13.1 53 10.8

121 8.3

40

8.7

69

7.6

81

9.4

27 15.1 49

7.7

109 9.5

23 11.8 77

8.9

Average annual rate per 100,000, age-adjusted to the 2000 US standard population

46

~ Rates not calculated where the count is less than sixteen

Table 1. (continued)

Georgia 1.1 Northwest 1.2 North Georgia 2.0 North 3.1 Cobb-Douglas 3.2 Fulton 3.3 Clayton 3.4 East Metro 3.5 DeKalb 4.0 LaGrange 5.1 South Central 5.2 North Central 6.0 East Central 7.0 West Central 8.1 South 8.2 Southwest 9.1 Coastal 9.2 Southeast 10.0 Northeast

Males Cases Rate 10123 50.7
716 50.7 409 43.1 762 51.2 720 48.4 822 49.9 236 55.5 769 47.1 597 47.5 921 53.9 181 43.9 646 53.0 539 52.3 453 54.7 283 52.0 481 57.5 609 50.2 456 55.2 523 54.7

Non-His panic

Black Males

Cases Rate

2780 61.5

50 56.1

14

~

41 77.2

118 46.1

437 66.6

131 62.0

152 53.0

318 54.4

215 64.4

44 42.2

231 64.4

206 61.2

185 66.5

85 67.4

175 65.1

192 62.6

87 57.8

99 73.3

COLON & RECTUM

Non-His panic White Males Cases Rate 6924 48.8 658 51.6 376 43.2 690 51.2 561 49.4 341 39.4 86 56.2 507 47.0 248 43.6 684 52.2 134 46.5 403 48.4 325 49.1 256 49.7 192 48.0 302 55.5 398 46.7 356 55.1 407 52.2

Females Cases Rate 9316 37.5
631 36.3 373 33.1 634 36.8 673 36.5 823 38.4 221 41.0 722 35.0 652 38.9 842 39.8 169 36.6 601 39.9 486 37.3 474 44.0 244 35.8 423 38.9 570 38.7 328 33.5 450 37.8

Non-His panic

Black Females

Cases Rate

2913 46.1

61 43.6

12

~

45 64.9

142 42.3

441 46.9

138 45.9

180 44.9

396 48.0

179 41.0

51 41.9

267 53.6

202 44.7

213 51.6

67 38.3

174 45.6

206 49.3

53 29.3

86 45.9

Non-His panic White Females Cases Rate 6055 35.3
551 35.4 352 34.0 567 36.4 503 36.4 341 31.2 71 40.4 453 33.7 233 31.3 636 40.0 116 34.3 327 33.5 266 33.7 251 40.4 174 35.5 244 35.2 349 35.3 266 34.3 355 36.9

Georgia 1.1 Northwest 1.2 North Georgia 2.0 North 3.1 Cobb-Douglas 3.2 Fulton 3.3 Clayton 3.4 East Metro 3.5 DeKalb 4.0 LaGrange 5.1 South Central 5.2 North Central 6.0 East Central 7.0 West Central 8.1 South 8.2 Southwest 9.1 Coastal 9.2 Southeast 10.0 Northeast

Males Cases Rate 17293 90.9 1587 116.8
889 92.5 1159 78.6 1073 80.8 1074 69.8 300 83.2 998 72.3 813 71.9 1518 92.8 449 115.7 1250 104.2 1005 99.0 779 95.8 588 109.7 906 108.0 1091 91.6 894 109.5 920 97.1

Non-His panic Black Males Cases Rate 3843 94.2 96 104.9 23 118.2 42 81.3 118 68.0 605 96.7 129 79.5 122 55.9 412 86.8 274 94.3 100 109.8 336 95.7 342 108.4 299 109.0 132 115.2 279 109.4 246 82.6 131 102.5 157 124.3

LUNG & BRONCHUS

Non-His panic White Males Cases Rate 13089 93.1 1480 119.2 843 93.8 1101 80.8 927 86.2 428 53.6 154 99.7 799 81.5 366 66.0 1221 94.3 348 120.3 900 107.8 648 97.2 470 91.7 455 112.1 621 110.0 824 95.8 751 114.0 753 95.4

Females Cases Rate 13492 54.7 1258 71.1
749 65.3 1013 58.0 950 53.4 1011 48.2 282 57.6 933 49.9 709 44.4 1148 54.4 221 45.6 877 57.9 728 55.2 590 54.6 367 53.6 588 53.6 832 55.9 577 57.7 659 54.4

Non-His panic

Black Females

Cases Rate

2602 42.3

75 58.9

10

~

39 60.1

110 36.3

476 50.0

117 46.8

127 35.9

303 38.5

164 38.4

41 30.9

216 44.0

218 48.3

150 36.4

71 42.7

142 38.9

187 45.1

72 39.4

84 42.8

Non-His panic White Females Cases Rate 10606 60.9 1169 73.3
722 67.6 954 59.4 807 58.6 503 47.9 157 83.7 764 59.4 375 49.4 968 59.9 179 51.5 653 65.8 500 60.6 430 67.5 284 57.3 442 62.9 634 61.9 501 63.0 564 57.6

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
47

Table 1. (continued)

Georgia 1.1 Northwest 1.2 North Georgia 2.0 North 3.1 Cobb-Douglas 3.2 Fulton 3.3 Clayton 3.4 East Metro 3.5 DeKalb 4.0 LaGrange 5.1 South Central 5.2 North Central 6.0 East Central 7.0 West Central 8.1 South 8.2 Southwest 9.1 Coastal 9.2 Southeast 10.0 Northeast

Males Cases Rate 33701 160.6 1962 133.6 1478 141.8 2337 148.8 2690 166.2 3516 205.5
768 182.6 2722 159.4 2569 200.2 3004 165.3 497 120.8 2109 166.5 1542 139.3 1497 176.4 1034 184.8 1584 178.2 1774 134.3 1005 113.0 1613 156.0

PROSTATE
Non-His panic Black Males Cases Rate 11380 250.3 259 270.8 67 296.9 113 233.2 610 276.6 1821 266.9 464 228.3 761 289.6 1540 264.2 942 278.3 156 158.9 865 239.3 733 215.4 770 268.0 334 264.5 726 271.7 591 181.7 270 185.5 358 256.2

Non-His panic White Males Cases Rate 21053 137.7 1660 124.5 1302 134.3 2151 148.1 1958 153.4 1562 168.0 253 152.5 1746 146.5 924 159.5 1958 138.7 328 108.4 1196 137.4 774 106.9 681 127.9 681 163.5 837 140.1 1134 119.3 707 98.6 1201 139.6

MELANOMA

Males Cases Rate 5894 29.6
354 25.6 430 43.3 687 46.9 703 45.9 592 33.7 44 13.5 596 33.4 280 24.2 522 30.9 55 13.8 225 19.4 214 21.4 192 23.8 93 17.6 142 16.9 313 26.6 148 17.4 304 31.4

Females

Cases Rate

4227 17.0

270 16.3

270 23.4

454 27.7

461 22.5

470 20.7

31

6.0

469 20.9

247 13.7

354 17.0

31

7.2

130 9.2

157 12.3

121 12.2

86 13.3

120 12.1

238 16.2

101 10.9

217 18.8

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen

48

Table 2. Age-Adjusted Cancer Incidence for Georgia by County, Sex, and Race/Ethnicity, 2007-2011

Georgia Appling A tkin s o n Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Cato o s a Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford

Males Cases Rate 113125 563.8
196 414.7 87 470.2 135 470.5 45 471.7 664 587.2 265 569.4 739 565.7 1278 595.1 241 554.1 243 498.5 2125 621.9 164 506.2 207 477.6 287 629.6 342 557.5 575 472.7 288 559.6 386 668.1 113 698.9 505 512.2 136 481.8 1295 571.5 717 475.9 140 454.8 3174 535.6 66 598.8 400 583.2 2445 577.3 959 542.1 65 618.8 2249 558.0 103 631.6 7479 587.4 431 466.0 602 586.0 1257 478.1 234 559.1 1472 559.5 206 589.7

Non-His panic

Black Males

Cases Rate

28219 626.4

30 534.5

14

~

18 626.3

21 497.9

225 595.6

6

~

85 694.0

108 679.6

64 599.5

18 462.3

859 662.9

32 776.6

11

~

87 716.1

44 611.2

117 501.8

115 604.1

112 799.6

67 781.9

87 543.1

29 611.1

169 586.8

9

~

24 313.2

1011 555.1

23 688.8

34 524.2

88 775.8

313 700.8

28 669.7

1158 595.7

20 569.1

1053 604.0

90 472.4

120 686.9

132 433.0

48 456.2

231 628.8

46 662.3

ALL SITES

Non-His panic White Males Cases Rate 80475 560.4 166 424.0 70 523.5 113 459.4 23 453.6 426 585.3 255 579.4 623 565.2 1137 594.2 176 565.9 223 509.1 1229 604.6 131 469.8 194 466.5 199 622.6 289 553.8 451 477.5 172 537.9 265 618.2 46 637.2 409 511.6 102 473.4 1086 566.6 694 477.6 112 489.3 2086 539.8 40 570.3 362 596.5 2225 571.9 592 492.6 37 663.1 918 604.2 81 646.2 6014 606.9 329 482.7 455 586.6 1073 493.9 178 573.0 1195 554.9 159 588.9

Females Cases Rate 101718 407.5
190 361.5 71 357.4 103 304.4 51 431.4 485 401.7 185 383.0 636 386.9 1160 458.6 234 441.8 232 412.8 1884 404.8 132 329.2 173 352.1 178 344.8 303 434.0 562 378.5 294 452.1 270 424.0 73 469.1 433 392.0 112 338.0 1185 425.2 695 363.0 89 286.5 2989 401.4 61 508.6 309 396.0 2260 440.6 974 419.9 42 367.8 2186 402.9 68 337.9 6794 412.8 434 406.7 540 429.9 1191 378.4 238 487.0 1259 398.7 144 388.5

Non-His panic

Black Females

Cases Rate

25529 389.2

36 400.1

21 547.2

7

~

26 513.4

166 371.2

<5

~

60 336.6

90 389.4

61 397.8

17 312.0

816 407.5

15

~

7

~

72 431.0

38 419.3

141 390.9

132 441.5

55 374.5

39 446.5

65 298.9

30 361.7

138 350.4

8

~

25 406.4

1004 388.5

12

~

15

~

85 383.4

271 395.2

17 269.3

1228 404.1

14

~

1109 379.0

78 334.6

95 409.6

125 315.7

52 460.2

185 358.7

29 359.8

Non-His panic White Females Cases Rate 71547 425.6
145 343.4 42 293.9 95 326.1 25 392.3 313 425.1 178 391.6 544 399.5 1028 466.9 164 449.0 209 416.1 1046 413.4 117 367.8 165 352.1 103 313.0 257 449.3 411 376.8 159 464.9 209 438.0 32 456.0 338 403.8 78 335.8 1011 438.4 678 367.6 63 253.9 1891 419.0 47 727.2 291 412.1 2050 448.0 655 451.1 25 551.2 798 467.3 53 352.1 5220 437.7 346 437.1 424 450.1 1003 397.7 181 504.7 1032 413.5 113 399.9

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
49

Table 2. (continued)

Cris p Dade Daws o n Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Fo rs y th Franklin Fulton Gilmer Glas co ck Glynn Gordon Grady Greene Gwinnett Hab ers h am Hall Hancock Harals o n Harris Hart Heard Henry Ho u s to n Irwin Jacks o n Jas p er

Males Cases Rate
295 493.6 213 484.6 326 526.3 347 506.0 7143 572.9 301 555.0 171 421.6 1306 646.6 1319 565.0 186 623.4 47 611.4 565 543.7 327 572.0 296 535.1 161 600.4 430 504.0 1447 542.8 1477 620.2 1890 574.6 376 590.2 10107 595.8 453 506.4 41 508.5 1097 520.5 680 553.8 344 539.0 327 584.0 6564 513.2 622 544.8 2204 578.0 134 466.4 434 605.8 458 521.8 393 514.9 179 611.3 2164 611.8 1526 547.3 138 542.9 778 570.8 208 608.3

Non-His panic

Black Males

Cases Rate

90 545.0

<5

~

<5

~

104 489.7

3610 635.9

77 631.1

61 374.1

633 649.2

291 620.0

71 650.8

5

~

63 551.2

73 585.5

86 658.6

35 609.2

<5

~

246 536.3

192 800.0

28 533.4

28 650.8

4582 670.2

<5

~

<5

~

184 517.0

22 564.5

90 662.2

85 693.0

1007 568.1

13

~

122 538.3

82 479.4

20 569.3

87 558.1

55 674.3

15

~

563 650.9

315 558.3

28 546.7

44 512.2

38 578.1

ALL SITES

Non-His panic White Males Cases Rate 204 499.8 211 490.6 320 526.1 235 516.3 3136 554.4 223 551.3 108 466.0 661 653.7 971 562.9 113 597.7 38 558.1 486 540.7 250 568.7 208 510.8 120 613.1 421 503.5 1141 542.6 1260 613.0 1766 592.2 345 590.7 5026 560.3 435 505.0 40 541.1 892 530.3 646 576.1 251 530.2 238 567.8 4744 559.1 592 557.6 1963 607.8 48 453.0 409 603.5 362 510.0 333 502.7 161 617.6 1492 605.0 1158 542.3 110 558.2 708 577.8 164 614.9

Females Cases Rate
240 325.5 182 370.8 299 488.0 315 369.1 7115 415.4 250 400.1 120 296.8 1152 422.6 1261 416.1 139 369.3 41 454.3 542 455.1 261 385.9 276 408.5 125 384.4 332 372.5 1364 429.1 1225 416.4 1757 444.0 303 411.3 9274 421.4 288 311.9 48 490.7 957 376.2 624 429.2 315 420.9 220 373.6 6762 405.9 578 429.9 1931 429.6 93 292.8 367 433.1 359 365.8 323 360.3 137 397.4 1863 404.4 1383 393.2 113 371.6 703 440.6 178 448.2

Non-His panic

Black Females

Cases Rate

70 289.8

<5

~

<5

~

101 345.4

3542 410.3

51 332.9

49 275.0

579 409.6

316 377.6

46 302.2

<5

~

54 358.3

58 349.0

78 419.3

32 378.8

<5

~

186 353.8

163 486.2

33 412.7

25 483.0

4058 416.2

<5

~

<5

~

192 373.7

19 463.9

93 480.8

66 375.3

1117 389.8

15

~

113 396.3

57 263.4

21 573.2

52 294.3

38 312.9

11

~

520 390.5

294 389.0

31 500.7

54 523.5

42 434.5

Non-His panic White Females Cases Rate
167 337.3 178 372.7 296 499.6 207 382.7 3172 449.9 197 431.4 69 338.4 561 442.9 891 442.4 91 418.0 40 519.9 481 474.2 199 409.2 194 407.9 89 383.4 322 366.5 1108 451.7 1035 414.2 1627 463.4 272 403.4 4708 440.3 276 308.6 45 510.5 736 381.4 583 440.0 213 401.2 150 388.2 4713 456.1 541 432.9 1693 459.8 35 370.3 337 420.2 294 383.9 281 370.7 126 418.2 1230 414.0 1034 408.6 82 351.8 625 436.8 136 467.3

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
50

Table 2. (continued)

Jeff Davis Jeffers o n Jenkins Jo h n s o n Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Mad is o n Marion McDuffie McIn to s h Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pu las ki Putnam Quitman Rabun

Males Cases Rate
182 478.8 250 585.2 98 462.1 133 450.1 429 625.1 272 612.8 114 498.3 685 556.7 359 651.9 473 477.4 114 446.5 116 486.2 1306 663.4 428 602.0 215 590.1 435 620.9 106 441.1 297 559.4 200 440.7 358 609.3 87 469.5 394 709.3 428 597.6 106 463.7 274 533.8 470 549.9 2399 631.3 1113 598.1 410 552.9 228 573.6 1301 612.0 344 582.4 506 582.0 276 560.7 250 582.1 670 684.3 138 475.2 385 558.0 61 648.9 259 443.5

Non-His panic

Black Males

Cases Rate

29 545.5

119 616.4

35 583.4

39 496.1

111 834.8

51 563.0

25 548.4

179 543.7

61 758.8

193 512.5

28 515.4

21 376.5

400 739.1

5

~

123 706.7

42 821.2

43 666.6

119 714.1

46 323.9

135 762.3

32 1054.7

170 839.9

102 741.6

24 414.7

50 553.1

<5

~

1026 725.2

330 663.8

24 614.3

47 708.2

116 502.7

127 663.7

<5

~

21 488.9

42 850.6

86 761.7

27 380.9

64 578.6

21 992.4

5

~

ALL SITES

Non-His panic White Males Cases Rate 150 482.4 130 548.5 62 430.4 93 454.5 315 586.7 221 646.4 85 488.0 495 567.6 293 650.6 247 473.5 86 438.4 90 551.9 880 645.3 416 604.5 92 521.8 384 603.7 60 355.4 175 503.3 152 497.9 217 546.2 55 365.7 220 655.3 322 575.1 81 481.8 222 541.8 451 558.2 1282 586.9 757 579.7 365 546.6 179 555.7 1144 625.9 211 556.8 485 571.2 252 574.0 206 554.6 573 682.6 110 502.8 318 572.0 40 679.1 249 440.5

Females Cases Rate
147 359.4 203 377.7 101 367.8 93 326.7 314 383.5 222 424.3 105 423.4 575 385.9 292 445.8 415 360.3 86 295.5 71 244.5 1006 398.0 373 473.6 161 395.7 359 440.3 87 338.7 292 426.9 155 321.6 265 360.3 91 418.1 280 417.7 320 409.6 108 441.3 253 442.9 450 443.5 2357 446.0 1033 422.6 342 390.2 178 406.9 1284 435.6 309 414.9 407 427.9 231 427.2 181 374.2 509 426.8 121 289.4 271 370.7 43 463.0 281 459.5

Non-His panic

Black Females

Cases Rate

23 433.9

92 339.2

36 350.2

20 241.9

73 354.9

40 300.8

21 352.4

184 402.7

38 373.2

156 325.1

28 337.1

15

~

301 388.1

<5

~

86 379.7

26 376.5

22 298.0

93 406.9

41 247.3

95 365.9

17 410.4

110 384.2

69 401.7

16 274.2

43 319.2

<5

~

884 417.7

305 361.6

17 430.7

34 404.7

169 392.1

126 439.3

<5

~

12

~

18 254.3

57 391.6

49 394.0

52 355.1

22 541.9

<5

~

Non-His panic White Females Cases Rate
119 350.3 108 421.8 64 385.1 72 364.5 238 398.0 178 466.4 80 440.8 381 374.8 251 473.6 235 422.0 58 280.7 54 276.6 682 413.2 354 468.9 73 419.1 324 447.5 64 367.4 198 442.1 113 370.7 168 359.0 74 450.3 167 447.0 250 422.4 91 513.1 206 486.9 435 454.2 1373 478.6 708 450.3 310 389.2 138 403.1 1058 440.9 175 401.0 397 427.9 213 446.8 160 387.7 438 436.0 70 238.1 217 392.7 20 326.0 271 448.6

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
51

Table 2. (continued)

Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Up s o n Walker Walton Ware Warren W as h in g to n Wayne Webster Wheeler White Whitfield Wilcox Wilkes W ilkin s o n Worth

Males Cases Rate
115 541.7 2394 560.5 992 546.2
59 521.5 207 540.1 159 570.9 949 619.7 427 589.4 101 657.4 428 589.1 118 616.3 32 580.3 359 627.5 121 529.6 157 382.1 181 738.5 658 578.1 538 606.3 416 649.2 280 620.5 80 471.6 854 574.3 126 531.7 176 625.3 510 583.6 425 595.4 875 488.4 1132 592.6 483 518.0 70 402.2 313 599.3 470 625.6 23 287.8 78 437.1 482 583.9 1107 513.6 137 507.8 185 584.2 146 551.5 304 534.1

Non-His panic

Black Males

Cases Rate

68 710.7

1149 608.9

298 581.0

13

~

74 575.4

45 783.6

229 692.8

42 686.6

47 674.8

183 682.3

54 607.6

19 624.5

80 765.2

43 656.9

48 432.1

96 902.8

237 749.8

133 696.5

80 665.8

<5

~

22 533.8

246 680.1

40 579.1

84 868.7

<5

~

98 669.0

30 490.8

156 744.8

123 684.9

32 383.8

140 658.7

72 738.1

11

~

17 292.5

8

~

56 777.0

33 423.8

74 668.1

50 676.3

63 540.1

ALL SITES

Non-His panic

White Males

Cases Rate

46 385.5

1195 541.2

663 547.6

45 583.8

129 510.7

114 549.0

704 610.1

377 576.3

46 626.9

236 533.4

60 621.4

13

~

271 635.6

76 486.5

103 396.7

84 604.2

414 524.7

396 600.3

319 656.1

278 625.1

58 464.2

590 540.7

83 496.9

92 493.5

499 580.8

325 586.1

836 491.1

944 574.9

351 487.8

38 428.4

167 564.5

386 629.7

12

~

59 474.8

471 587.9

962 531.0

100 540.6

109 543.8

95 515.7

240 537.7

Females Cases Rate
96 338.7 2235 413.2 853 373.6 35 263.3 197 421.1 129 389.9 806 432.3 379 421.6 61 361.5 383 408.9 90 358.2 28 411.1 271 433.6 100 359.8 145 303.8 157 496.6 572 392.9 466 409.2 318 384.1 236 477.7 81 392.6 808 418.5 129 461.4 120 383.8 348 379.3 377 413.3 789 366.3 970 423.1 427 356.6 89 423.1 252 391.9 328 404.3 26 322.5 50 276.9 356 394.7 961 374.6 105 398.1 155 398.6 132 409.7 253 365.3

Non-His panic

Black Females

Cases Rate

53 341.7

1057 418.7

260 323.4

7

~

69 419.1

40 470.6

199 416.0

49 522.7

31 326.2

158 401.9

36 256.9

15

~

44 369.7

40 401.1

31 209.1

78 492.6

175 375.2

107 385.2

74 440.3

<5

~

20 337.5

211 396.0

28 318.2

36 270.0

<5

~

90 419.1

21 288.2

114 387.8

79 285.2

38 368.4

103 325.7

46 372.7

11

~

14

~

<5

~

29 311.7

24 347.5

61 408.7

42 362.1

67 392.3

Non-His panic

White Females

Cases Rate

43 333.8

1109 422.2

554 402.2

27 284.4

127 434.5

88 369.7

588 439.1

326 411.9

28 427.5

216 403.3

52 474.1

13

~

222 461.1

60 346.5

113 351.0

78 483.6

391 412.3

338 414.9

237 380.5

231 473.0

61 397.5

580 432.3

99 541.5

83 467.8

336 375.1

287 421.9

764 373.2

830 427.9

339 371.6

48 491.6

145 449.9

271 403.6

15

~

36 272.0

349 399.8

858 403.0

80 421.9

93 404.9

89 432.5

185 359.7

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
52

Table 2. (continued)

Georgia Appling A tkin s o n Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Cato o s a Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford

Females

Cases Rate

31301 123.7

65 125.6

20

98.5

28

81.1

13

~

131 105.6

47

94.2

177 107.3

291 112.8

68 133.1

62 110.2

591 129.1

45 118.1

34

68.2

53 105.2

91 123.5

170 116.0

76 114.5

79 122.9

17 106.3

120 105.3

34

98.7

332 119.0

200 103.6

22

64.9

906 122.4

11

~

81 108.2

692 130.7

331 146.3

12

~

723 122.9

13

~

2254 130.7

100 93.9

138 111.4

400 124.3

69 147.5

393 120.8

52 135.1

BREAST

Non-His panic

Black Females

Cases Rate

8554 124.4

10

~

5

~

<5

~

7

~

48 102.9

<5

~

18

86.0

25 110.9

17 107.9

5

~

259 128.1

6

~

<5

~

22 136.1

11

~

53 144.1

39 126.0

22 155.7

5

~

17

80.1

8

~

36

86.2

<5

~

6

~

291 111.7

6

~

7

~

25

96.9

108 155.9

5

~

461 131.6

<5

~

419 124.5

19

86.9

28 113.1

49 106.8

17 141.3

57 103.7

15

~

Non-His panic

White Females

Cases Rate

21294 125.8

51 120.9

12

~

25

83.1

6

~

82 108.7

45

95.1

155 114.0

254 112.3

46 133.5

56 110.6

324 131.0

39 131.9

32

68.5

30

92.0

78 128.8

114 106.7

37 109.5

54 110.8

12

~

92 106.6

25 103.5

288 124.8

195 104.9

16

60.9

587 131.1

5

~

73 106.7

625 132.4

206 149.6

7

~

214 125.1

12

~

1678 136.2

79

97.6

106 115.2

327 128.2

50 147.6

325 126.9

37 127.8

UTERINE CERVIX

Females

Cases Rate

2015 8.2

6

~

<5

~

<5

~

<5

~

8

~

<5

~

14

~

20

7.7

6

~

<5

~

30

7.5

<5

~

<5

~

5

~

8

~

15

~

6

~

7

~

<5

~

12

~

<5

~

23

8.5

16

9.6

<5

~

51

7.2

<5

~

9

~

41

7.5

28

11.2

<5

~

53

8.3

<5

~

119

6.8

9

~

11

~

19

6.2

9

~

20

6.3

<5

~

Non-His panic

Black Females

Cases Rate

668

9.5

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

16

8.3

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

22

8.2

<5

~

<5

~

<5

~

10

~

<5

~

30

8.9

<5

~

37

11.1

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

Non-His panic

White Females

Cases Rate

1168 8.0

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

9

~

17

7.7

<5

~

<5

~

14

~

<5

~

<5

~

<5

~

6

~

9

~

<5

~

6

~

<5

~

6

~

<5

~

14

~

15

~

<5

~

24

5.9

<5

~

8

~

37

8.1

14

~

<5

~

13

~

<5

~

71

6.7

8

~

<5

~

16

7.3

7

~

13

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
53

Table 2. (continued)

Cris p Dade Daws o n Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Fo rs y th Franklin Fulton Gilmer Glas co ck Glynn Gordon Grady Greene Gwinnett Hab ers h am Hall Hancock Harals o n Harris Hart Heard Henry Ho u s to n Irwin Jacks o n Jas p er

Females

Cases Rate

66

93.9

39

79.2

85 127.1

79

96.4

2406 137.1

58

94.5

37

91.2

327 122.5

381 120.4

39 111.0

11

~

155 126.6

64

98.6

93 137.0

38 120.1

92 105.3

459 139.5

355 123.0

553 130.7

76 102.8

3074 136.2

77

83.7

14

~

285 113.7

181 123.8

77 104.8

79 138.6

2308 130.0

173 128.4

553 121.6

24

76.6

94 109.9

127 129.4

100 112.5

28

80.0

598 124.0

414 115.7

26

86.5

211 129.3

65 162.5

BREAST

Non-His panic

Black Females

Cases Rate

26 104.6

<5

~

<5

~

30 103.7

1269 139.1

12

~

12

~

181 123.7

118 111.6

14

~

<5

~

16

98.7

16 100.3

31 171.3

12

~

<5

~

85 155.7

47 140.6

11

~

6

~

1322 131.6

<5

~

<5

~

55 108.3

<5

~

24 128.7

21 123.0

437 131.9

7

~

33 109.2

17

77.6

11

~

23 134.7

8

~

<5

~

207 140.0

91 104.5

9

~

21 197.4

12

~

Non-His panic

White Females

Cases Rate

39

81.1

39

81.5

85 131.2

46

86.8

1006 147.5

45 100.0

24 110.4

143 117.8

248 121.5

25 121.2

10

~

138 133.2

47 100.2

60 119.5

25 119.3

90 104.3

346 136.4

301 123.4

515 136.8

69 102.5

1591 146.2

74

82.9

13

~

219 115.9

174 130.9

49

95.1

57 150.0

1540 142.4

160 126.8

482 128.3

7

~

80

97.3

98 125.9

92 120.0

26

85.6

361 118.7

312 122.9

17

70.5

185 126.5

53 177.2

UTERINE CERVIX

Females

Cases Rate

<5

~

<5

~

7

~

9

~

139

7.8

5

~

<5

~

27

10.3

25

7.8

7

~

<5

~

10

~

6

~

9

~

<5

~

8

~

9

~

34

13.8

24

5.9

9

~

163

7.2

<5

~

<5

~

20

8.8

12

~

7

~

5

~

128

6.5

10

~

38

9.0

7

~

5

~

<5

~

<5

~

5

~

42

7.7

23

6.4

<5

~

14

~

<5

~

Non-His panic

Black Females

Cases Rate

<5

~

<5

~

<5

~

<5

~

77

8.1

<5

~

<5

~

18

12.2

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

99

9.7

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

28

8.3

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

13

~

<5

~

<5

~

<5

~

<5

~

Non-His panic

White Females

Cases Rate

<5

~

<5

~

7

~

6

~

45

7.8

<5

~

<5

~

9

~

16

8.3

<5

~

<5

~

10

~

<5

~

5

~

<5

~

8

~

7

~

29

15.3

21

6.2

8

~

52

5.2

<5

~

<5

~

12

~

9

~

5

~

<5

~

64

6.4

8

~

29

9.7

<5

~

5

~

<5

~

<5

~

5

~

27

9.5

16

7.2

<5

~

12

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
54

Table 2. (continued)

Jeff Davis Jeffers o n Jenkins Jo h n s o n Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Mad is o n Marion McDuffie McIn to s h Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pu las ki Putnam Quitman Rabun

Females

Cases Rate

38

90.9

69 130.6

21

76.8

21

78.6

91 106.9

72 138.0

22

88.0

160 110.7

87 128.6

105 85.9

26

87.3

20

65.7

313 123.2

107 132.0

46 111.4

106 132.7

28 119.9

93 135.4

46

85.4

68

98.2

19

92.0

95 151.4

91 111.2

29 119.9

85 147.6

131 124.4

734 141.1

308 124.5

116 125.6

50 116.6

372 120.0

96 129.2

92

92.6

58 103.7

51 103.0

145 121.1

36

85.6

75 103.3

11

~

82 127.6

BREAST

Non-His panic

Black Females

Cases Rate

6

~

33 125.0

5

~

6

~

20

92.9

14

~

5

~

58 130.7

12

~

42

79.1

8

~

8

~

92 117.2

<5

~

20

86.7

5

~

9

~

33 144.0

12

~

26 105.8

<5

~

34 123.5

16

89.7

<5

~

18 141.3

<5

~

311 142.5

91

98.9

<5

~

11

~

54 108.1

47 166.1

<5

~

<5

~

6

~

21 143.3

12

~

14

~

7

~

<5

~

Non-His panic

White Females

Cases Rate

30

82.2

35 133.2

16 100.9

15

~

68 109.4

56 144.0

17

93.5

101 102.4

73 130.2

56

99.9

18

86.8

11

~

217 131.5

105 135.1

26 152.1

96 134.0

18 117.4

60 129.0

34

96.3

42

93.6

16 103.3

61 177.2

75 120.1

25 139.1

65 149.2

126 125.7

387 139.8

211 136.0

112 134.5

37 106.9

303 121.5

48 110.3

90

93.0

55 111.0

45 107.5

123 122.3

23

77.7

61 114.3

<5

~

82 131.9

UTERINE CERVIX

Females

Cases Rate

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

7

~

23

16.3

9

~

17

12.1

<5

~

<5

~

24

10.5

<5

~

<5

~

6

~

<5

~

7

~

<5

~

9

~

<5

~

7

~

6

~

<5

~

5

~

11

~

43

9.1

24

8.9

6

~

5

~

26

7.3

5

~

10

~

5

~

<5

~

13

~

<5

~

<5

~

<5

~

5

~

Non-His panic

Black Females

Cases Rate

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

5

~

<5

~

<5

~

13

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

25

12.1

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Non-His panic

White Females

Cases Rate

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

14

~

8

~

9

~

<5

~

<5

~

9

~

<5

~

<5

~

6

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

10

~

16

8.3

16

11.5

5

~

5

~

21

7.5

<5

~

10

~

<5

~

<5

~

12

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
55

Table 2. (continued)

Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Up s o n Walker Walton Ware Warren W as h in g to n Wayne Webster Wheeler White Whitfield Wilcox Wilkes W ilkin s o n Worth

Females

Cases Rate

32 118.2

726 134.9

293 124.5

10

~

61 128.1

35

99.0

228 122.6

95 105.2

18 102.2

130 145.8

20

83.9

8

~

73 119.2

27 101.8

40

83.1

51 171.5

168 114.9

132 115.7

99 120.0

70 146.5

19

92.8

247 128.4

43 146.6

46 147.2

96 104.6

92 104.4

210 99.0

288 124.3

128 109.3

30 147.1

69 110.0

95 116.4

<5

~

13

~

114 122.1

240 93.2

24

94.9

52 138.5

30

94.7

69

99.3

BREAST

Non-His panic

Black Females

Cases Rate

17 113.2

372 144.6

92 102.4

<5

~

23 133.0

14

~

51 103.5

10

~

8

~

57 153.0

10

~

5

~

11

~

9

~

7

~

20 135.4

64 135.4

30 106.1

29 177.0

<5

~

<5

~

65 117.2

6

~

13

~

<5

~

29 135.6

7

~

34 107.7

20

71.2

13

~

30

92.3

15

~

<5

~

6

~

<5

~

14

~

7

~

24 171.3

15

~

24 140.1

Non-His panic

White Females

Cases Rate

15

~

335 127.4

189 133.6

7

~

38 127.5

21

77.1

172 129.1

83 103.7

9

~

67 135.5

10

~

<5

~

62 135.8

18 105.9

33 104.9

31 193.3

102 103.0

98 121.8

70 112.0

68 142.8

15

~

177 132.6

36 184.9

32 180.2

95 106.3

63

94.9

202 100.3

248 127.3

105 119.5

15

~

38 123.8

73 107.1

<5

~

7

~

111 122.3

206 95.3

17

96.4

28 112.9

15

~

45

84.6

UTERINE CERVIX

Females

Cases Rate

<5

~

50

10.0

21

8.9

<5

~

<5

~

<5

~

23

14.5

6

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

5

~

11

~

8

~

7

~

<5

~

<5

~

16

9.2

7

~

<5

~

<5

~

11

~

19

10.7

20

8.8

<5

~

<5

~

<5

~

11

~

<5

~

<5

~

<5

~

24

10.0

<5

~

<5

~

<5

~

7

~

Non-His panic

Black Females

Cases Rate

<5

~

30

11.3

5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Non-His panic

White Females

Cases Rate

<5

~

18

10.1

15

~

<5

~

<5

~

<5

~

13

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

12

~

<5

~

<5

~

<5

~

9

~

19

11.3

17

9.2

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

18

11.8

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
56

Table 2. (continued)

Georgia Appling A tkin s o n Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Cato o s a Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford

Males

Cases Rate

10123 50.7

25

61.3

12

~

18

60.0

6

~

59

51.0

37

79.0

63

47.1

148 71.5

16

36.1

23

49.6

189 55.0

11

~

22

51.1

19

42.6

40

76.7

67

53.4

25

47.7

29

46.8

10

~

44

44.0

13

~

130 58.0

61

41.4

14

~

295 50.1

6

~

35

49.8

145 35.7

91

53.4

5

~

236 55.5

6

~

592 47.2

38

38.0

53

53.9

101 36.9

24

57.9

143 53.1

16

40.6

Non-His panic

Black Males

Cases Rate

2780 61.5

6

~

<5

~

<5

~

<5

~

16

40.4

<5

~

6

~

10

~

5

~

<5

~

91

72.7

<5

~

<5

~

5

~

8

~

14

~

12

~

15

~

5

~

7

~

<5

~

23

66.7

<5

~

<5

~

114 63.9

<5

~

<5

~

13

~

34

80.4

<5

~

131 62.0

<5

~

87

42.8

5

~

9

~

13

~

5

~

26

62.1

5

~

COLON & RECTUM

Non-His panic

White Males

Cases Rate

6924 48.8

19

53.4

11

~

14

~

5

~

40

53.3

34

77.0

53

47.5

138 73.8

11

~

21

49.7

95

45.3

10

~

20

49.6

14

~

32

71.4

53

55.9

13

~

14

~

5

~

37

47.6

11

~

102 54.7

59

41.9

9

~

174 45.4

<5

~

31

49.8

128 33.8

50

42.2

<5

~

86

56.2

6

~

469 48.5

33

44.8

42

55.8

87

38.5

17

56.2

115 53.4

11

~

Females

Cases Rate

9316 37.5

21

37.6

8

~

11

~

7

~

45

38.5

24

50.0

44

27.1

121 47.8

21

37.8

22

36.4

214 45.3

17

37.4

13

~

18

32.6

36

54.1

37

24.6

51

77.6

22

34.7

9

~

45

42.3

8

~

126 45.3

60

31.5

7

~

294 38.8

<5

~

22

26.2

164 34.2

95

39.7

6

~

221 41.0

6

~

538 34.4

50

47.0

34

26.1

95

30.7

24

47.3

113 37.0

9

~

Non-His panic

Black Females

Cases Rate

2913 46.1

5

~

<5

~

<5

~

5

~

16

36.7

<5

~

6

~

14

~

9

~

<5

~

127 63.8

<5

~

<5

~

7

~

7

~

7

~

26

85.3

8

~

5

~

8

~

<5

~

12

~

<5

~

<5

~

138 53.7

<5

~

<5

~

11

~

28

41.2

<5

~

138 45.9

<5

~

109 42.7

9

~

9

~

15

~

7

~

20

40.2

<5

~

Non-His panic

White Females

Cases Rate

6055 35.3

16

36.9

6

~

10

~

<5

~

29

40.5

24

52.5

36

26.2

103 46.6

12

~

22

40.6

84

33.2

17

47.6

13

~

11

~

29

51.2

30

27.0

24

70.5

14

~

<5

~

36

42.6

<5

~

111 47.4

56

30.4

<5

~

147 31.5

<5

~

21

27.7

149 34.4

65

40.7

<5

~

71

40.4

<5

~

403 33.7

39

47.6

25

24.2

72

28.3

16

40.2

89

36.4

7

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
57

Table 2. (continued)

Cris p Dade Daws o n Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Fo rs y th Franklin Fulton Gilmer Glas co ck Glynn Gordon Grady Greene Gwinnett Hab ers h am Hall Hancock Harals o n Harris Hart Heard Henry Ho u s to n Irwin Jacks o n Jas p er

Males

Cases Rate

31

51.9

18

38.9

30

50.3

38

56.7

597 47.5

27

49.2

10

~

118 61.0

128 54.9

18

59.3

<5

~

58

60.0

38

71.1

36

65.9

18

67.9

40

51.1

92

37.2

112 46.6

159 49.3

50

82.5

822 49.9

40

46.7

9

~

104 48.8

58

48.0

42

63.3

32

58.7

585 45.8

72

61.1

187 48.7

12

~

38

53.5

37

42.4

39

53.4

30

98.0

191 53.3

163 57.6

16

64.6

85

62.8

11

~

Non-His panic

Black Males

Cases Rate

8

~

<5

~

<5

~

10

~

318 54.4

8

~

8

~

56

60.1

31

57.0

11

~

<5

~

10

~

9

~

13

~

<5

~

<5

~

13

~

16

63.8

<5

~

<5

~

437 66.6

<5

~

<5

~

28

76.5

<5

~

15

~

13

~

89

41.6

<5

~

16

65.7

9

~

<5

~

5

~

7

~

<5

~

59

72.1

35

49.2

5

~

5

~

5

~

COLON & RECTUM

Non-His panic

White Males

Cases Rate

23

54.7

18

39.8

30

51.6

28

63.5

248 43.6

19

46.6

<5

~

61

64.1

92

54.4

7

~

<5

~

43

53.3

28

67.2

23

59.8

12

~

40

52.0

77

39.0

95

46.4

147 50.7

45

81.3

341 39.4

39

47.7

9

~

72

43.1

58

52.3

27

55.6

19

43.7

391 47.1

67

61.0

155 48.5

<5

~

33

45.8

31

44.6

32

50.0

30 111.1

124 49.5

124 58.3

11

~

78

64.0

6

~

Females

Cases Rate

35

44.0

17

33.8

28

44.4

34

38.0

652 38.9

25

41.7

16

35.6

117 41.8

135 46.8

10

~

<5

~

52

46.2

29

39.8

27

40.5

13

~

29

29.8

115 35.5

104 34.4

130 35.8

40

50.4

823 38.4

27

28.4

6

~

85

32.9

59

40.5

37

49.2

17

26.6

539 33.8

55

40.5

154 34.8

14

~

39

44.1

33

33.6

40

40.0

10

~

169 38.3

138 39.9

12

~

79

50.3

17

41.9

Non-His panic

Black Females

Cases Rate

13

~

<5

~

<5

~

8

~

396 48.0

5

~

7

~

64

45.9

33

39.5

<5

~

<5

~

6

~

8

~

10

~

<5

~

<5

~

9

~

19

53.7

<5

~

<5

~

441 46.9

<5

~

<5

~

20

37.9

<5

~

13

~

7

~

108 43.5

<5

~

15

~

11

~

<5

~

9

~

11

~

<5

~

51

47.7

35

52.9

<5

~

<5

~

9

~

Non-His panic

White Females

Cases Rate

22

44.7

15

~

27

44.5

25

43.0

233 31.3

20

45.8

9

~

52

37.9

100 51.6

6

~

<5

~

46

47.3

21

39.4

15

~

9

~

29

30.3

99

38.9

84

32.3

116 35.5

36

49.4

341 31.2

27

29.2

6

~

60

31.1

55

41.1

22

39.6

10

~

352 33.9

54

43.0

129 35.2

<5

~

38

45.5

23

29.8

28

34.0

9

~

108 36.0

101 38.6

10

~

75

52.9

8

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
58

Table 2. (continued)

Jeff Davis Jeffers o n Jenkins Jo h n s o n Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Mad is o n Marion McDuffie McIn to s h Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pu las ki Putnam Quitman Rabun

Males

Cases Rate

20

48.5

36

90.1

8

~

13

~

36

52.8

28

61.9

11

~

70

53.8

27

45.4

43

43.5

18

68.5

12

~

102 52.3

36

43.6

27

80.4

43

63.4

13

~

29

59.0

13

~

43

77.5

6

~

35

62.2

42

57.9

9

~

24

49.9

57

69.1

226 59.8

106 57.6

23

30.3

21

52.8

127 53.3

39

67.4

35

39.5

30

62.8

20

48.0

48

52.3

12

~

27

39.2

9

~

26

47.5

Non-His panic

Black Males

Cases Rate

<5

~

18

99.9

<5

~

6

~

12

~

6

~

5

~

14

~

<5

~

19

51.2

6

~

<5

~

33

67.9

<5

~

12

~

<5

~

7

~

11

~

5

~

15

~

<5

~

17

79.9

10

~

<5

~

5

~

<5

~

101 78.7

35

67.3

<5

~

7

~

12

~

16

89.4

<5

~

<5

~

6

~

5

~

<5

~

8

~

<5

~

<5

~

COLON & RECTUM

Non-His panic

White Males

Cases Rate

18

54.6

18

83.4

<5

~

7

~

24

44.7

22

66.4

6

~

54

60.1

23

45.4

21

39.3

12

~

11

~

66

48.2

36

45.1

15

~

39

63.4

6

~

16

54.7

8

~

28

74.4

<5

~

17

50.8

32

56.8

7

~

19

52.9

54

69.0

116 52.8

68

53.1

20

29.9

14

~

113 55.8

23

59.3

34

39.1

27

62.8

14

~

43

54.9

12

~

19

33.8

8

~

26

50.5

Females

Cases Rate

20

46.2

19

32.0

14

~

5

~

24

26.8

25

46.0

9

~

58

39.1

27

42.3

39

39.6

11

~

6

~

88

34.4

25

31.6

24

55.5

31

37.3

10

~

25

35.2

13

~

33

42.9

9

~

26

36.4

26

32.5

7

~

25

43.1

36

35.1

251 47.0

99

40.8

30

35.4

24

52.5

102 35.7

34

45.5

35

35.8

19

33.5

19

39.0

45

36.8

15

~

24

33.1

5

~

23

33.7

Non-His panic

Black Females

Cases Rate

5

~

8

~

6

~

<5

~

8

~

<5

~

<5

~

22

49.3

7

~

20

45.3

6

~

<5

~

30

40.7

<5

~

18

76.3

<5

~

<5

~

8

~

7

~

11

~

<5

~

14

~

6

~

<5

~

6

~

<5

~

115 56.2

37

50.9

<5

~

5

~

16

41.8

18

62.9

<5

~

<5

~

<5

~

5

~

7

~

9

~

<5

~

<5

~

Non-His panic

White Females

Cases Rate

15

~

11

~

8

~

<5

~

16

24.2

22

55.9

5

~

35

33.4

20

40.8

19

40.0

5

~

6

~

57

33.2

25

32.9

5

~

27

35.5

7

~

17

36.1

6

~

22

46.0

7

~

11

~

20

32.3

5

~

19

43.6

34

34.8

128 42.3

62

38.2

26

33.3

19

53.3

81

34.0

15

~

35

36.8

17

33.0

15

~

37

35.0

8

~

15

~

<5

~

21

29.8

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
59

Table 2. (continued)

Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Up s o n Walker Walton Ware Warren W as h in g to n Wayne Webster Wheeler White Whitfield Wilcox Wilkes W ilkin s o n Worth

Males

Cases Rate

11

~

205 48.3

78

43.9

7

~

29

75.1

12

~

94

62.3

49

65.4

13

~

37

51.0

6

~

<5

~

45

78.6

13

~

16

36.1

17

77.7

65

56.7

56

63.3

32

56.0

17

39.7

8

~

87

58.1

14

~

23

82.2

28

34.5

34

49.1

71

41.3

103 54.2

39

42.0

8

~

20

37.2

57

73.3

<5

~

5

~

32

42.3

92

44.9

10

~

32 100.2

9

~

34

58.1

Non-His panic

Black Males

Cases Rate

6

~

98

50.8

28

64.7

<5

~

12

~

<5

~

25

71.5

7

~

9

~

15

~

<5

~

<5

~

12

~

<5

~

8

~

10

~

20

61.2

19

79.4

8

~

<5

~

<5

~

17

44.3

6

~

10

~

<5

~

10

~

<5

~

13

~

6

~

7

~

10

~

15

~

<5

~

<5

~

<5

~

<5

~

<5

~

10

~

<5

~

10

~

COLON & RECTUM

Non-His panic

White Males

Cases Rate

<5

~

103 46.7

48

38.7

6

~

16

58.4

9

~

68

60.7

41

59.7

<5

~

21

47.4

<5

~

<5

~

32

81.0

11

~

7

~

7

~

45

56.6

36

56.9

21

47.7

17

40.1

6

~

66

59.9

8

~

13

~

28

35.2

24

43.0

70

42.9

87

54.2

31

42.9

<5

~

9

~

39

64.7

<5

~

5

~

32

43.4

81

47.3

7

~

22 108.5

5

~

24

55.1

Females

Cases Rate

12

~

189 35.1

84

36.9

5

~

20

42.6

13

~

93

49.4

41

43.4

7

~

36

37.6

12

~

<5

~

28

44.2

18

61.2

14

~

23

71.7

56

38.5

37

32.8

26

30.7

20

35.5

10

~

76

39.4

10

~

12

~

19

20.2

41

46.1

62

28.2

76

33.1

27

20.9

10

~

26

39.6

34

42.6

<5

~

<5

~

35

37.8

82

31.9

16

56.9

18

43.5

18

53.1

21

28.5

Non-His panic

Black Females

Cases Rate

6

~

98

39.7

35

44.3

<5

~

9

~

<5

~

23

51.8

7

~

6

~

15

~

<5

~

<5

~

<5

~

8

~

7

~

15

~

22

45.3

7

~

<5

~

<5

~

<5

~

28

55.3

<5

~

6

~

<5

~

9

~

<5

~

16

61.0

<5

~

5

~

12

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

10

~

8

~

5

~

Non-His panic

White Females

Cases Rate

6

~

85

33.1

39

26.6

<5

~

11

~

12

~

68

49.2

34

37.9

<5

~

21

36.0

8

~

<5

~

24

47.7

10

~

6

~

8

~

34

36.7

29

34.9

22

35.2

20

36.0

9

~

47

35.1

9

~

6

~

18

19.5

32

46.8

61

29.1

57

28.9

25

25.1

<5

~

13

~

29

43.2

<5

~

<5

~

35

39.0

78

35.2

12

~

8

~

10

~

16

29.8

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
60

Table 2. (continued)

Georgia Appling A tkin s o n Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Cato o s a Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford

Males

Cases Rate

17293 90.9

40

83.3

20 102.8

27

89.2

8

~

113 99.3

46

99.5

161 138.0

249 117.7

56 124.0

55 107.8

350 102.8

36 110.0

52 120.3

58 128.6

53

96.4

110 95.4

65 123.8

76 141.9

21 114.4

78

89.9

30 108.4

227 104.2

150 103.8

27

87.6

522 90.2

5

~

82 128.2

319 86.0

123 70.0

16 158.3

300 83.2

24 149.4

852 77.3

89 100.6

127 121.6

192 78.1

44 107.2

217 87.6

58 177.9

Non-His panic

Black Males

Cases Rate

3843 94.2

<5

~

<5

~

<5

~

<5

~

33

91.9

<5

~

12

~

16 102.9

11

~

<5

~

120 92.3

<5

~

<5

~

17 154.9

7

~

24 116.2

28 148.5

17 142.7

8

~

15

~

5

~

23

93.5

<5

~

5

~

147 82.7

<5

~

5

~

10

~

56 115.3

5

~

129 79.5

<5

~

93

67.0

18 102.2

19 103.7

22

93.3

<5

~

39 114.3

9

~

LUNG & BRONCHUS

Non-His panic

White Males

Cases Rate

13089 93.1

36

90.4

17 121.5

25

97.1

5

~

79 102.7

44 100.1

147 146.5

232 121.5

45 138.7

51 109.3

228 110.2

32 111.9

49 118.1

41 126.2

44

96.8

85

94.0

37 106.2

58 142.3

13

~

63

86.5

25 117.0

202 107.2

147 104.6

21

90.3

364 94.7

<5

~

77 133.3

301 87.4

62

53.1

11

~

154 99.7

20 147.5

737 82.0

69 102.3

106 133.7

163 79.2

40 127.2

176 85.9

49 188.2

Females

Cases Rate

13492 54.7

29

53.1

8

~

21

60.7

6

~

76

61.7

22

44.0

104 61.3

211 83.2

27

46.3

38

67.7

269 56.6

20

48.6

31

58.2

29

52.9

37

58.2

89

59.9

46

71.0

43

65.1

<5

~

61

55.8

15

~

188 67.1

113 54.6

17

50.5

417 55.4

11

~

57

70.7

300 63.3

124 54.2

5

~

282 57.6

16

73.9

767 51.3

67

61.5

77

60.8

168 55.4

40

78.9

157 51.7

26

68.3

Non-His panic

Black Females

Cases Rate

2602 42.3

<5

~

<5

~

<5

~

<5

~

20

44.0

<5

~

9

~

16

71.8

5

~

<5

~

100 49.7

<5

~

<5

~

6

~

<5

~

18

53.6

14

~

<5

~

<5

~

6

~

<5

~

22

60.6

<5

~

<5

~

123 48.3

<5

~

<5

~

8

~

31

46.3

<5

~

117 46.8

<5

~

82

35.6

7

~

11

~

10

~

5

~

15

~

<5

~

Non-His panic

White Females

Cases Rate

10606 60.9

26

59.3

5

~

21

69.7

5

~

56

72.0

21

44.3

94

65.3

191 85.3

21

51.4

36

72.3

169 63.3

17

49.0

31

61.0

22

61.3

33

64.2

70

62.2

32

92.5

39

78.2

<5

~

54

64.8

11

~

164 68.9

112 55.8

15

~

289 61.0

10

~

54

73.8

284 65.4

90

57.8

<5

~

157 83.7

15

~

655 55.9

59

71.3

65

66.5

153 61.5

33

88.2

142 58.1

23

77.0

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
61

Table 2. (continued)

Cris p Dade Daws o n Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Fo rs y th Franklin Fulton Gilmer Glas co ck Glynn Gordon Grady Greene Gwinnett Hab ers h am Hall Hancock Harals o n Harris Hart Heard Henry Ho u s to n Irwin Jacks o n Jas p er

Males

Cases Rate

67 110.2

44 104.3

40

65.5

72 106.8

813 71.9

84 162.2

28

70.2

202 103.5

221 99.2

31 102.8

7

~

102 104.4

69 121.0

58 107.5

42 161.8

71

78.0

156 64.6

281 119.9

210 68.7

68 105.2

1074 69.8

80

89.6

6

~

196 93.9

152 128.7

62

94.7

62 116.3

712 67.9

84

72.5

299 82.9

28

95.8

97 132.8

66

87.1

62

75.7

32 105.3

271 84.8

258 95.8

33 124.4

124 99.2

31

92.8

Non-His panic

Black Males

Cases Rate

23 140.7

<5

~

<5

~

24 112.4

412 86.8

25 214.2

5

~

82

91.5

25

72.3

11

~

<5

~

7

~

21 171.3

14

~

8

~

<5

~

14

~

37 159.4

5

~

6

~

605 96.7

<5

~

<5

~

30

88.7

<5

~

18 145.7

18 173.4

78

59.5

<5

~

16

74.5

16

88.1

<5

~

6

~

8

~

<5

~

45

61.0

40

74.4

5

~

6

~

<5

~

LUNG & BRONCHUS

Non-His panic

White Males

Cases Rate

44 102.1

43 104.3

40

66.7

48 106.4

366 66.0

59 150.5

23

97.1

120 116.3

190 110.0

19

96.2

5

~

94 106.0

48 110.7

44 108.6

31 160.8

68

76.3

136 69.1

240 116.4

199 71.4

62 104.7

428 53.6

79

90.6

6

~

165 96.6

148 134.7

44

86.9

44 107.4

561 76.2

82

74.3

277 87.7

11

~

96 139.1

59

97.8

54

74.9

30 110.9

216 93.0

211 98.9

28 133.7

115 101.2

27 102.9

Females

Cases Rate

48

63.2

41

78.3

35

61.0

42

47.7

709 44.4

40

62.3

11

~

141 51.0

183 64.4

14

~

6

~

79

68.9

46

61.6

30

41.9

27

80.1

56

55.4

138 45.3

219 71.3

213 60.7

50

61.1

1011 48.2

54

51.6

5

~

151 56.2

115 76.8

47

59.3

17

22.0

671 47.4

64

45.0

281 62.7

13

~

75

82.3

56

57.0

51

52.2

30

83.9

210 50.9

203 59.1

15

~

106 65.3

20

50.6

Non-His panic

Black Females

Cases Rate

8

~

<5

~

<5

~

13

~

303 38.5

7

~

<5

~

58

44.2

28

38.5

<5

~

<5

~

7

~

9

~

5

~

5

~

<5

~

15

~

27

79.9

<5

~

<5

~

476 50.0

<5

~

<5

~

29

59.0

5

~

9

~

<5

~

77

35.8

<5

~

17

65.3

<5

~

<5

~

<5

~

5

~

<5

~

25

22.9

35

56.7

<5

~

6

~

5

~

Non-His panic

White Females

Cases Rate

40

77.2

41

80.3

35

62.4

29

49.3

375 49.4

33

69.2

7

~

81

58.9

152 74.0

11

~

6

~

72

73.6

37

64.8

25

48.9

22

87.1

54

53.9

117 47.5

190 71.5

204 63.9

45

60.2

503 47.9

50

48.2

5

~

119 55.6

108 77.9

38

66.9

12

~

555 56.8

62

46.1

256 66.0

10

~

73

84.6

53

69.3

46

54.7

28

88.2

180 62.1

162 61.3

11

~

99

66.6

15

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
62

Table 2. (continued)

Jeff Davis Jeffers o n Jenkins Jo h n s o n Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Mad is o n Marion McDuffie McIn to s h Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pu las ki Putnam Quitman Rabun

Males

Cases Rate

45 123.1

60 135.8

22 102.8

26

89.3

90 131.4

53 120.6

20

84.7

141 114.3

45

96.0

82

91.4

22

95.6

24 113.1

191 101.3

61

85.8

47 137.9

86 122.1

18

84.8

47

91.8

34

74.3

62 105.1

21 113.1

95 167.6

71 102.3

30 151.5

51 101.2

114 134.2

350 93.1

150 85.6

35

53.3

40 108.3

204 108.0

59

99.5

81

90.9

56 116.4

40

89.6

132 133.0

24

83.5

61

94.0

16 182.9

29

47.3

Non-His panic

Black Males

Cases Rate

6

~

27 142.5

6

~

6

~

18 119.8

9

~

5

~

30

98.9

<5

~

29

79.0

<5

~

6

~

56 117.5

<5

~

30 204.6

5

~

7

~

20 133.8

5

~

25 145.3

6

~

28 147.4

14

~

5

~

7

~

<5

~

146 107.3

25

53.9

<5

~

7

~

8

~

24 131.2

<5

~

<5

~

9

~

13

~

<5

~

7

~

6

~

<5

~

LUNG & BRONCHUS

Non-His panic

White Males

Cases Rate

39 131.3

33 128.9

16 109.1

20

97.0

72 136.4

44 125.8

15

~

111 122.8

42 106.6

49 103.3

19 107.9

16 108.2

135 99.9

61

88.5

17

89.3

81 127.4

10

~

27

76.1

29

89.7

37

91.9

15

~

67 189.0

57 105.1

25 166.1

44 104.0

112 137.8

200 90.8

123 95.8

35

57.5

33 109.9

194 117.3

34

88.8

78

88.9

55 128.4

31

80.1

119 138.5

22 103.2

54 104.2

10

~

27

45.7

Females

Cases Rate

17

39.4

25

41.6

7

~

16

52.4

43

50.2

30

51.3

20

77.1

63

39.2

47

79.0

51

47.8

11

~

12

~

128 52.0

54

68.4

19

45.1

54

62.4

12

~

45

62.4

24

49.9

45

57.5

14

~

43

58.7

59

74.2

17

63.9

29

47.7

85

83.4

328 61.4

155 66.6

26

31.0

28

59.3

173 62.6

42

54.8

72

74.6

39

71.5

27

57.0

89

72.4

14

~

55

69.8

6

~

39

58.9

Non-His panic

Black Females

Cases Rate

<5

~

11

~

<5

~

<5

~

5

~

<5

~

<5

~

17

33.5

6

~

12

~

<5

~

<5

~

36

49.6

<5

~

9

~

6

~

<5

~

14

~

<5

~

8

~

<5

~

12

~

10

~

<5

~

5

~

<5

~

95

46.1

29

38.7

<5

~

<5

~

16

50.5

11

~

<5

~

<5

~

<5

~

<5

~

5

~

7

~

<5

~

<5

~

Non-His panic

White Females

Cases Rate

17

47.7

14

~

<5

~

15

~

38

60.8

27

63.1

16

84.3

45

40.7

41

86.1

37

70.9

8

~

10

~

88

52.8

51

66.8

10

~

47

62.1

10

~

31

64.4

20

67.7

37

72.1

13

~

30

70.7

49

81.4

15

~

23

52.0

85

86.8

225 74.0

125 78.7

25

32.0

24

64.5

154 65.7

31

68.0

72

76.5

38

78.7

26

62.7

84

78.6

9

~

48

78.6

<5

~

39

60.5

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
63

Table 2. (continued)

Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Up s o n Walker Walton Ware Warren W as h in g to n Wayne Webster Wheeler White Whitfield Wilcox Wilkes W ilkin s o n Worth

Males

Cases Rate

26 126.8

436 105.3

136 87.8

9

~

40 101.1

18

65.0

152 101.2

68

91.6

15

~

67

90.8

24 143.5

<5

~

92 161.2

21

90.2

38

96.1

31 137.1

126 110.3

95 109.4

73 117.2

36

67.8

20 119.5

140 95.6

29 125.9

37 127.6

72

81.9

92 131.3

196 110.8

169 91.3

78

85.3

22 130.6

64 126.1

89 119.0

<5

~

20 128.3

84 100.4

224 101.2

30 113.8

31

95.5

30 107.0

47

81.8

Non-His panic

Black Males

Cases Rate

15

~

181 103.7

19

48.7

<5

~

15

~

5

~

32 108.7

<5

~

7

~

29 106.7

7

~

<5

~

16 152.5

9

~

11

~

18 190.0

47 145.2

21 138.9

8

~

<5

~

<5

~

40 114.6

7

~

16 146.1

<5

~

19 149.8

10

~

25 121.7

11

~

7

~

27 130.5

14

~

<5

~

<5

~

<5

~

9

~

11

~

17 142.3

9

~

7

~

LUNG & BRONCHUS

Non-His panic

White Males

Cases Rate

11

~

248 111.7

115 102.9

6

~

24

93.9

13

~

119 101.6

65

96.6

5

~

38

82.7

17 183.0

<5

~

73 166.6

12

~

26

99.5

13

~

76

95.4

73 108.2

64 130.7

36

68.5

16 128.6

99

90.4

22 129.9

21 117.7

72

83.1

73 129.2

184 108.6

144 89.6

67

91.8

15

~

36 123.0

75 120.0

<5

~

18 157.2

82 101.1

205 106.3

19

96.4

14

~

21 106.5

40

85.3

Females

Cases Rate

8

~

323 58.8

107 49.2

5

~

30

59.5

25

68.7

104 53.6

60

66.1

6

~

49

50.2

11

~

<5

~

44

68.3

11

~

20

38.1

11

~

85

55.7

55

45.9

42

49.3

29

50.9

11

~

122 61.5

9

~

18

55.1

65

61.2

54

55.5

165 71.9

125 54.8

69

55.2

13

~

30

43.8

46

55.2

<5

~

9

~

50

52.3

182 69.6

11

~

22

50.9

23

66.1

33

45.5

Non-His panic

Black Females

Cases Rate

<5

~

135 55.5

21

33.2

<5

~

7

~

<5

~

23

48.8

5

~

<5

~

13

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

13

~

10

~

11

~

<5

~

<5

~

32

60.2

<5

~

5

~

<5

~

15

~

<5

~

9

~

12

~

6

~

10

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

5

~

Non-His panic

White Females

Cases Rate

6

~

184 64.0

84

56.2

<5

~

22

67.8

21

77.4

80

55.6

55

68.0

5

~

35

61.4

9

~

<5

~

43

85.6

7

~

19

52.4

5

~

72

70.4

42

46.6

30

45.3

29

51.5

9

~

89

63.2

9

~

13

~

62

59.4

39

52.2

162 73.9

113 57.9

56

58.3

7

~

20

55.3

42

60.7

<5

~

8

~

49

52.6

177 77.2

9

~

14

~

19

87.7

28

51.7

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
64

Table 2. (continued)

Georgia Appling A tkin s o n Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Cato o s a Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford

Males

Cases Rate

33701 160.6

44

81.4

22 109.2

28

97.4

13

~

188 160.5

71 152.6

170 123.0

323 149.8

66 150.2

64 124.4

693 197.0

42 127.2

36

74.2

100 210.7

76 108.0

120 93.1

83 151.2

115 199.0

39 208.9

167 161.3

32 105.9

300 124.5

150 94.4

39 127.6

891 141.5

18 200.8

114 157.0

721 159.8

334 188.2

23 204.8

768 182.6

30 163.9

2325 169.7

98 100.7

159 147.7

353 123.5

67 157.3

420 151.1

46 117.0

PROSTATE

Non-His panic

Black Males

Cases Rate

11380 250.3

7

~

6

~

6

~

10

~

90 229.3

<5

~

29 214.2

44 279.0

21 200.0

6

~

332 247.6

9

~

<5

~

38 300.6

11

~

34 152.4

35 184.1

44 313.3

30 329.9

31 187.9

7

~

63 226.4

<5

~

8

~

368 193.7

9

~

17 262.5

43 329.8

116 263.2

13

~

464 228.3

5

~

485 281.2

31 166.5

43 245.7

58 177.0

21 206.5

99 267.7

17 212.1

Non-His panic

White Males

Cases Rate

21053 137.7

37

84.0

16 108.3

20

82.0

<5

~

94 128.5

68 151.9

136 115.1

267 138.7

45 141.3

57 123.9

346 164.6

32 111.6

34

72.4

62 188.0

63 104.3

83

80.0

47 128.0

69 165.6

9

~

133 155.0

21

91.7

224 108.6

144 93.6

30 128.7

498 120.2

9

~

96 148.2

618 146.5

204 166.3

10

~

253 152.5

23 164.7

1732 159.0

63

87.4

107 126.9

278 117.8

44 142.6

309 134.1

29

95.6

MELANOMA

Males

Cases Rate

5894 29.6

7

~

<5

~

5

~

<5

~

24

20.1

17

36.0

37

26.5

50

23.2

6

~

7

~

48

14.4

6

~

9

~

5

~

23

37.6

25

20.2

11

~

16

27.3

<5

~

23

24.2

<5

~

83

37.7

28

16.9

5

~

172 29.9

<5

~

10

~

264 59.2

35

19.8

<5

~

44

13.5

<5

~

631 48.5

14

~

16

14.9

81

31.5

7

~

91

35.5

<5

~

Females

Cases Rate

4227 17.0

6

~

<5

~

<5

~

<5

~

15

~

14

~

40

24.7

42

16.8

<5

~

5

~

33

7.2

6

~

<5

~

5

~

18

25.3

26

16.9

7

~

12

~

<5

~

15

~

<5

~

42

15.4

34

18.5

<5

~

113 15.5

<5

~

10

~

153 27.1

33

14.1

<5

~

31

6.0

<5

~

416 24.1

13

~

19

16.0

43

13.0

6

~

59

18.5

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
65

Table 2. (continued)

Cris p Dade Daws o n Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Fo rs y th Franklin Fulton Gilmer Glas co ck Glynn Gordon Grady Greene Gwinnett Hab ers h am Hall Hancock Harals o n Harris Hart Heard Henry Ho u s to n Irwin Jacks o n Jas p er

Males

Cases Rate

85 144.8

43

89.8

80 108.4

101 143.0

2569 200.2

71 124.9

58 129.1

480 225.2

365 145.6

64 204.3

14

~

109 91.2

90 149.6

72 123.2

25

88.0

111 119.0

527 180.3

445 178.3

528 154.4

101 152.9

3516 205.5

138 142.8

13

~

316 140.2

141 106.6

79 120.7

97 151.6

2000 151.9

168 136.2

617 154.3

40 143.1

77 104.8

152 169.1

96 121.9

33 123.6

731 191.6

392 132.6

39 152.3

193 132.3

73 196.1

PROSTATE

Non-His panic

Black Males

Cases Rate

32 219.0

<5

~

<5

~

42 206.8

1540 264.2

15

~

26 155.7

279 273.1

125 256.8

20 168.6

<5

~

24 181.6

19 151.2

32 252.3

7

~

<5

~

146 284.5

79 319.8

10

~

9

~

1821 266.9

<5

~

<5

~

57 159.0

9

~

25 181.4

32 233.9

439 268.7

<5

~

52 245.0

27 174.0

8

~

54 352.2

16 232.4

<5

~

283 311.9

124 199.5

12

~

23 255.6

16 232.9

Non-His panic

White Males

Cases Rate

53 123.6

42

89.4

77 104.5

57 117.5

924 159.5

55 126.1

31 115.4

196 180.6

226 120.2

43 215.0

9

~

83

79.2

68 143.1

40

90.3

18

80.1

106 116.3

358 157.2

363 166.5

491 156.5

92 150.5

1562 168.0

128 135.7

13

~

253 139.0

131 106.5

53 105.6

64 126.3

1370 149.5

162 138.2

538 155.4

11

~

68

96.9

94 125.8

79 113.8

27 111.2

409 152.8

254 113.6

27 136.8

166 126.0

54 181.8

MELANOMA

Males

Cases Rate

11

~

11

~

29

49.7

14

~

280 24.2

<5

~

<5

~

27

13.6

72

31.9

6

~

<5

~

32

31.8

8

~

10

~

8

~

30

35.0

111 38.8

39

17.9

212 62.9

10

~

592 33.7

24

26.2

<5

~

45

23.5

28

24.5

5

~

24

36.9

486 33.8

41

39.8

188 49.8

<5

~

28

41.1

31

34.1

17

21.6

10

~

119 35.7

59

22.9

<5

~

59

44.4

9

~

Females

Cases Rate

<5

~

11

~

11

~

6

~

247 13.7

7

~

<5

~

22

8.3

45

14.3

<5

~

<5

~

31

26.1

13

~

5

~

<5

~

17

17.6

80

26.1

31

11.6

150 34.8

14

~

470 20.7

17

18.5

<5

~

39

15.9

23

16.4

9

~

6

~

395 22.3

25

19.6

110 25.0

<5

~

20

27.3

21

22.1

7

~

<5

~

80

16.5

34

9.8

<5

~

22

14.3

6

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
66

Table 2. (continued)

Jeff Davis Jeffers o n Jenkins Jo h n s o n Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Mad is o n Marion McDuffie McIn to s h Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pu las ki Putnam Quitman Rabun

Males

Cases Rate

41 104.8

73 164.6

24 106.4

31

97.8

128 179.6

74 156.9

35 153.1

164 130.6

104 175.8

132 129.3

31 111.3

22

80.1

473 235.0

118 153.1

64 171.1

114 150.0

33 145.9

76 132.8

61 119.9

95 152.5

25 128.1

120 213.0

150 200.5

32 129.6

77 145.1

86 100.5

751 195.0

358 185.0

157 194.5

62 138.7

290 124.0

96 155.2

154 163.7

58 106.2

76 167.3

180 177.4

38 115.7

113 144.1

14

~

97 158.5

PROSTATE

Non-His panic

Black Males

Cases Rate

12

~

47 232.9

12

~

12

~

48 375.2

22 237.2

7

~

61 183.3

33 380.9

78 192.0

12

~

6

~

170 317.0

<5

~

40 217.9

20 332.2

15

~

35 209.9

16 109.1

49 276.5

12

~

57 299.9

50 392.1

11

~

18 189.1

<5

~

423 296.7

166 334.3

16 392.7

19 256.8

48 228.2

39 174.7

<5

~

8

~

20 408.3

37 320.1

9

~

25 246.0

5

~

<5

~

Non-His panic

White Males

Cases Rate

27

83.7

26 107.9

12

~

19

85.2

80 137.4

52 139.7

25 141.2

98 109.5

69 140.7

46

88.5

19

83.1

15

~

297 209.6

113 151.1

24 131.8

90 129.8

18 115.2

41 105.0

43 119.2

44 107.2

13

~

63 177.9

96 156.7

21 117.4

57 133.7

83 101.5

295 132.5

180 131.2

133 182.3

42 114.6

226 110.3

55 144.2

141 152.6

49 100.0

56 141.0

138 157.9

29 112.2

87 126.5

9

~

93 153.0

MELANOMA

Males

Cases Rate

7

~

5

~

<5

~

<5

~

17

24.2

5

~

<5

~

20

17.1

16

27.1

10

~

6

~

<5

~

40

20.5

27

43.1

<5

~

20

30.5

<5

~

8

~

8

~

11

~

<5

~

5

~

12

~

<5

~

20

42.4

20

23.2

110 29.5

60

29.7

15

~

9

~

105 53.2

13

~

48

59.0

6

~

6

~

19

18.4

9

~

18

34.9

<5

~

<5

~

Females

Cases Rate

5

~

8

~

<5

~

<5

~

7

~

6

~

<5

~

11

~

16

22.3

12

~

5

~

<5

~

34

13.3

25

37.5

5

~

9

~

<5

~

11

~

7

~

<5

~

5

~

5

~

5

~

<5

~

11

~

15

~

64

12.5

49

20.0

15

~

7

~

62

20.0

8

~

24

27.0

<5

~

12

~

11

~

<5

~

7

~

<5

~

7

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
67

Table 2. (continued)

Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Up s o n Walker Walton Ware Warren W as h in g to n Wayne Webster Wheeler White Whitfield Wilcox Wilkes W ilkin s o n Worth

Males

Cases Rate

36 158.1

686 153.4

364 184.4

16 109.8

54 135.7

55 181.6

284 180.1

86 115.8

32 214.8

142 185.9

38 187.4

8

~

79 126.9

31 130.1

45 111.0

62 235.2

199 169.3

149 163.8

132 187.0

94 192.5

15

~

239 156.4

27 106.9

46 147.7

151 157.6

110 139.6

199 107.0

319 162.6

136 140.2

18

95.8

98 175.1

85 109.9

<5

~

21 108.1

130 143.9

268 120.6

38 132.8

51 151.6

46 170.6

84 141.2

PROSTATE

Non-His panic

Black Males

Cases Rate

23 246.1

434 222.4

156 301.5

5

~

25 195.3

22 379.9

87 266.2

13

~

14

~

78 304.0

20 221.3

5

~

27 206.3

12

~

14

~

41 383.6

90 298.1

47 259.1

46 367.4

<5

~

<5

~

91 261.2

10

~

25 220.6

<5

~

34 209.2

12

~

66 337.8

47 251.9

8

~

52 240.3

17 190.8

<5

~

7

~

<5

~

21 315.8

14

~

30 283.8

20 275.0

22 221.7

Non-His panic

White Males

Cases Rate

13

~

238 102.4

196 145.0

11

~

27

99.2

33 140.0

190 155.4

71 104.2

16 224.1

63 131.2

15

~

<5

~

51 108.9

17 102.3

29 104.4

21 134.3

108 128.4

100 143.2

82 150.5

93 192.8

11

~

144 126.4

15

~

21 112.3

147 156.0

76 123.2

185 104.8

241 141.3

86 114.3

10

~

44 131.5

67 100.7

<5

~

13

~

127 144.6

226 118.7

21 108.5

20

80.8

25 128.1

62 126.3

MELANOMA

Males

Cases Rate

<5

~

74

18.6

50

31.5

<5

~

8

~

8

~

36

24.4

27

39.7

<5

~

12

~

6

~

<5

~

10

~

<5

~

<5

~

6

~

21

18.9

20

22.4

15

~

29

61.5

<5

~

21

15.1

<5

~

<5

~

44

50.8

13

~

36

19.8

77

41.5

15

~

<5

~

11

~

14

~

<5

~

<5

~

42

52.8

44

20.3

5

~

7

~

5

~

15

~

Females

Cases Rate

<5

~

60

10.8

25

11.2

<5

~

8

~

<5

~

25

13.2

16

18.9

<5

~

8

~

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

18

13.4

22

20.1

7

~

19

43.5

<5

~

23

12.2

<5

~

<5

~

27

33.7

10

~

26

13.3

61

28.0

11

~

<5

~

8

~

8

~

<5

~

<5

~

29

35.7

44

17.6

<5

~

5

~

<5

~

8

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen
68

Table 3. Age-Adjusted Cancer Mortality for Georgia by Public Health District, Sex, and Race, 2006-2011*

Georgia 1.1 Northwest 1.2 North Georgia 2.0 North 3.1 Cobb-Douglas 3.2 Fulton 3.3 Clayton 3.4 East Metro 3.5 DeKalb 4.0 LaGrange 5.1 South Central 5.2 North Central 6.0 East Central 7.0 West Central 8.1 South 8.2 Southwest 9.1 Coastal 9.2 Southeast 10.0 Northeast

Males Deaths Rate 39198 223.0
3132 249.1 1735 203.2 2700 200.3 2479 198.3 2875 200.2 704 212.8 2549 192.6 2223 208.6 3312 221.7 790 218.5 2679 244.3 2427 260.9 1935 255.4 1219 243.9 1958 249.7 2523 229.5 1901 252.6 2057 233.1

Black Males Deaths Rate 10009 272.8
178 219.4 38 251.3 134 298.1 338 205.3 1567 279.8 321 237.9 424 216.4 1131 265.0 666 250.3 209 237.4 857 287.3 915 329.9 753 299.5 318 281.4 706 307.3 713 260.8 347 286.1 394 336.6

ALL SITES

White Males

Females

Deaths Rate Deaths Rate

28771 214.0 35171 145.8

2942 252.2 2793 163.6

1687 203.6 1580 145.1

2546 198.6 2329 137.8

2103 200.7 2347 133.2

1269 156.3 2921 140.3

351 217.8 756 158.9

2004 197.6 2546 137.9

1050 181.5 2342 145.5

2623 217.5 3085 150.7

578 212.6 661 138.9

1812 230.7 2152 145.4

1502 237.2 2037 157.9

1170 236.1 1643 152.4

897 234.1 994 147.7

1249 229.6 1628 149.3

1791 220.3 2207 151.3

1547 248.0 1426 146.0

1650 219.8 1724 147.2

Black Females Deaths Rate
9382 156.3 206 163.2 40 123.6 88 134.3 412 141.6 1540 168.2 390 160.2 505 147.1 1207 163.1 654 156.1 163 131.0 701 146.5 752 171.6 646 158.0 271 158.9 570 153.3 676 165.0 253 139.1 308 167.7

White Females Deaths Rate 25403 143.9
2574 163.9 1531 146.4 2227 139.2 1903 134.2 1346 120.6 347 167.8 1945 142.0 1096 133.4 2410 150.2 495 141.7 1436 144.7 1265 152.6 978 147.8 718 144.5 1051 147.3 1509 146.9 1168 148.1 1404 144.2

Georgia 1.1 Northwest 1.2 North Georgia 2.0 North 3.1 Cobb-Douglas 3.2 Fulton 3.3 Clayton 3.4 East Metro 3.5 DeKalb 4.0 LaGrange 5.1 South Central 5.2 North Central 6.0 East Central 7.0 West Central 8.1 South 8.2 Southwest 9.1 Coastal 9.2 Southeast 10.0 Northeast

Females Deaths Rate
5636 22.8 418 24.4 248 22.0 327 19.3 409 21.5 580 27.0 137 26.5 450 22.3 445 26.4 475 22.6 99 21.2 311 20.8 301 23.1 287 27.1 139 20.6 219 20.1 323 21.8 207 21.1 261 22.2

BREAST

Black Females

Deaths Rate

1895 29.3

45 31.4

12

~

20 29.5

107 28.1

334 35.5

82 29.6

107 24.5

271 32.8

139 30.8

30 24.4

112 22.3

131 28.7

139 33.5

49 27.0

87 22.4

110 25.9

63 33.6

57 30.8

White Females Deaths Rate
3682 20.7 368 23.4 234 21.7 305 19.1 296 20.0 239 20.9 54 26.2 328 22.8 170 21.0 334 20.5 69 20.0 199 20.2 166 19.9 144 22.3 88 17.5 132 18.7 208 20.1 144 18.2 204 21.0

UTERINE CERVIX

Females

Black Females White Females

Deaths Rate Deaths Rate Deaths Rate

666

2.7

270

4.1

384

2.3

45

2.6

<5

~

43

2.8

20

1.8

<5

~

19

1.8

31

2.0

<5

~

28

1.9

55

2.7

15

~

40

2.7

61

2.8

40

4.1

20

1.8

15

~

<5

~

11

~

40

1.9

11

~

25

1.6

44

2.7

32

4.1

11

~

72

3.4

27

5.6

45

2.9

9

~

5

~

<5

~

38

2.7

22

4.3

16

1.8

45

3.7

24

5.2

20

2.9

29

2.9

18

4.5

11

~

27

4.2

13

~

14

~

37

3.8

21

5.7

15

~

35

2.4

16

3.9

18

1.8

22

2.5

<5

~

19

2.7

41

3.4

15

~

25

2.6

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
69

Table 3. (continued)

Georgia 1.1 Northwest 1.2 North Georgia 2.0 North 3.1 Cobb-Douglas 3.2 Fulton 3.3 Clayton 3.4 East Metro 3.5 DeKalb 4.0 LaGrange 5.1 South Central 5.2 North Central 6.0 East Central 7.0 West Central 8.1 South 8.2 Southwest 9.1 Coastal 9.2 Southeast 10.0 Northeast

Males Deaths Rate
3555 19.8 274 21.9 125 14.3 245 17.4 216 16.9 294 19.7 78 20.9 247 17.7 230 20.5 297 19.4 56 14.9 242 22.2 238 24.6 181 23.5 106 20.3 153 20.1 225 20.3 156 21.1 192 21.8

Black Males

Deaths Rate

1091 28.6

14

~

6

~

21 38.7

41 26.7

169 29.7

45 19.8

52 25.2

127 25.3

79 26.8

19 23.3

99 34.9

105 34.7

76 31.8

26 20.7

60 27.9

68 23.7

36 28.4

48 43.4

COLON & RECTUM

White Males

Females

Deaths Rate Deaths Rate

2420 17.8 3330 13.8

259 22.4 252 14.8

117 13.6 111 10.4

220 16.6 212 12.5

172 16.2 235 13.7

117 13.8 271 12.8

30 19.8 79 15.8

183 17.3 253 13.8

95 16.3 235 14.7

218 18.0 301 14.8

37 12.9 65 14.0

143 18.0 224 15.1

132 20.6 183 14.3

104 20.4 173 15.9

80 20.2 92 13.3

93 17.2 153 13.9

157 19.4 217 14.7

119 19.6 116 12.0

144 19.2 158 13.5

Black Females

Deaths Rate

1104 18.7

21 17.4

5

~

10

~

40 14.6

160 17.4

45 13.5

60 19.2

149 20.9

70 17.8

19 14.9

102 21.7

84 19.1

88 21.3

30 18.0

70 18.5

91 22.7

23 11.8

37 20.0

White Females

Deaths Rate

2184 12.3

230 14.6

106 10.3

202 12.5

192 13.9

107 9.4

33 15.7

183 13.3

83

9.4

226 14.1

46 13.9

118 11.8

97 11.8

81 12.2

62 12.1

82 11.2

122 11.5

93 11.9

121 12.4

Georgia 1.1 Northwest 1.2 North Georgia 2.0 North 3.1 Cobb-Douglas 3.2 Fulton 3.3 Clayton 3.4 East Metro 3.5 DeKalb 4.0 LaGrange 5.1 South Central 5.2 North Central 6.0 East Central 7.0 West Central 8.1 South 8.2 Southwest 9.1 Coastal 9.2 Southeast 10.0 Northeast

Males Deaths Rate 12876 71.2
1199 92.2 616 67.3 865 61.7 736 58.3 719 49.5 212 65.0 768 58.0 599 54.8 1147 74.4 300 80.5 939 82.1 788 81.5 650 84.4 454 88.1 697 86.5 840 74.6 682 86.8 665 71.9

Black Males

Deaths Rate

2788 71.3

61 79.3

5

~

37 83.3

75 44.7

416 70.4

78 60.5

118 54.5

311 69.4

189 67.3

65 69.9

237 70.5

256 84.9

229 87.9

94 76.8

231 95.5

183 64.5

89 63.0

114 86.6

LUNG & BRONCHUS

White Males

Females

Deaths Rate Deaths Rate

9960 71.9 9089 37.9

1131 93.2 897 51.8

607 68.3 464 42.3

822 61.4 648 38.0

652 61.0 566 33.4

292 36.8 637 31.1

124 73.9 183 39.4

616 61.0 683 38.3

279 47.9 510 32.9

950 76.2 810 39.6

234 84.0 147 30.3

697 85.8 603 40.5

529 81.0 520 40.2

418 82.7 393 36.5

359 91.0 245 36.0

465 83.5 409 37.8

648 77.7 555 38.2

590 91.4 381 38.5

547 70.0 438 37.2

Black Females

Deaths Rate

1783 30.6

42 34.7

7

~

15

~

79 29.5

312 34.1

87 42.0

111 37.6

209 30.0

109 26.4

25 19.2

144 30.3

153 35.4

112 27.2

43 25.7

101 27.6

137 33.6

37 20.8

60 31.8

White Females Deaths Rate
7239 41.0 853 53.6 455 43.0 629 38.9 478 34.5 319 29.0 92 43.9 560 41.5 295 36.5 695 43.1 121 34.1 458 45.5 362 43.3 277 42.4 200 40.0 308 43.7 415 40.6 344 43.1 378 38.7

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
70

Table 3. (continued)

Georgia 1.1 Northwest 1.2 North Georgia 2.0 North 3.1 Cobb-Douglas 3.2 Fulton 3.3 Clayton 3.4 East Metro 3.5 DeKalb 4.0 LaGrange 5.1 South Central 5.2 North Central 6.0 East Central 7.0 West Central 8.1 South 8.2 Southwest 9.1 Coastal 9.2 Southeast 10.0 Northeast

Males Deaths Rate
3787 26.7 194 20.4 140 22.0 247 22.0 207 21.6 383 31.9 67 28.9 250 25.4 291 33.1 277 23.1 74 23.8 273 30.5 284 37.0 212 32.9 112 27.2 178 26.6 228 24.7 187 30.1 183 25.9

PROSTATE

Black Males

Deaths Rate

1503 57.5

17 32.0

9

~

16 48.4

36 35.2

248 58.7

39 47.0

64 51.5

170 62.6

92 47.7

30 43.4

132 60.2

153 75.4

130 67.5

56 66.7

86 50.0

104 47.9

65 69.6

56 70.7

White Males Deaths Rate
2260 20.3 177 19.9 130 21.0 231 21.6 168 20.2 133 18.3 27 21.9 178 22.9 121 21.9 185 19.1 43 18.0 140 21.4 130 23.6 82 18.7 55 17.5 92 18.7 122 17.7 121 22.8 125 20.1

MELANOMA

Males

Females

Deaths Rate Deaths Rate

681

3.8

372

1.5

59

4.3

31

1.9

40

4.3

27

2.4

59

4.1

27

1.6

49

3.7

25

1.3

26

1.9

21

1.0

5

~

<5

~

49

3.4

28

1.6

33

3.3

23

1.4

66

4.8

25

1.2

18

5.0 ***

~

42

3.8

17

1.1

33

3.5

16

1.2

23

3.2

16

1.5

20

3.5

20

3.0

26

3.5

17

1.5

54

5.2

32

2.1

32

4.2

15

~

47

5.2

24

2.1

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis *** Data suppressed for confidentiality purposes

71

Table 4. Age-Adjusted Cancer Mortality for Georgia by County, Sex, and Race, 2006-2011*

Males

Deaths Rate

Georgia

39198 223.0

Appling

112 273.4

A tkin s o n

41 260.1

Bacon

79 309.3

Baker

15

~

Baldwin

228 215.1

Banks

89 205.1

Barrow

289 262.1

Bartow

481 264.0

Ben Hill

120 297.7

Berrien

92 208.0

Bibb

808 254.0

Bleckley

54 169.6

Brantley

109 258.0

Brooks

104 244.6

Bryan

139 273.3

Bulloch

250 234.0

Burke

161 347.5

Butts

134 271.4

Calhoun

36 269.2

Camden

164 194.5

Candler

59 227.8

Carroll

469 238.2

Cato o s a

300 223.4

Charlton

55 210.6

Chatham

1245 228.3

Chattahoochee 20 244.9

Chattooga

161 250.8

Cherokee

626 179.2

Clarke

329 199.8

Clay

21 222.1

Clayton

704 212.8

Clinch

38 266.7

Cobb

2046 193.1

Coffee

179 224.6

Colquitt

244 254.6

Columbia

425 191.0

Cook

98 254.1

Coweta

438 199.6

Crawford

74 247.3

Black Males

Deaths Rate

10009 272.8

23 459.5

7

~

6

~

6

~

80 254.3

5

~

30 364.3

27 189.4

27 280.0

6

~

320 302.2

6

~

<5

~

28 263.6

20 376.8

60 319.1

82 480.6

36 315.7

15

~

33 238.2

13

~

63 291.1

<5

~

6

~

431 263.9

<5

~

12

~

15

~

126 332.5

9

~

321 237.9

10

~

267 202.7

37 255.1

46 275.5

50 209.6

18 237.8

96 312.1

11

~

ALL SITES

White Males

Females

Deaths Rate Deaths Rate

28771 214.0 35171 145.8

89 251.1 64 119.8

34 276.4 34 171.9

73 325.0 60 183.7

9

~

14

~

145 202.6 171 145.3

83 200.6 71 155.0

256 258.3 245 159.8

452 271.1 386 157.3

93 313.8 86 154.9

86 211.7 93 168.0

485 237.6 716 148.1

48 174.6 55 135.4

108 264.9 69 139.6

76 241.4 67 120.7

117 264.8 103 161.7

190 220.9 216 149.7

79 263.2 118 186.7

98 259.1 109 165.4

21 348.2 37 209.8

130 185.6 155 152.6

46 221.9 37 110.1

405 233.8 447 165.3

295 224.4 278 143.4

48 232.0 27

87.4

800 213.7 1134 149.9

16 291.6 17 158.5

149 253.2 132 164.3

606 181.2 625 138.6

200 165.5 327 139.8

12

~

21 157.2

351 217.8 756 158.9

28 249.6 27 139.0

1746 195.2 1941 130.3

142 221.5 154 143.9

198 250.3 210 161.0

373 195.4 410 140.9

80 260.9 86 173.2

340 184.1 411 140.9

63 267.5 51 140.5

Black Females

Deaths Rate

9382 156.3

5

~

12

~

<5

~

7

~

57 137.7

<5

~

24 165.1

35 165.5

24 149.0

9

~

301 158.0

7

~

<5

~

23 129.6

14

~

56 169.5

57 198.8

20 147.2

18 182.4

19

98.4

9

~

62 176.3

<5

~

<5

~

448 176.5

<5

~

7

~

27 135.4

107 170.4

9

~

390 160.2

5

~

310 135.2

25 123.7

43 185.0

49 160.4

22 183.1

81 169.0

8

~

White Females

Deaths Rate

25403 143.9

59 131.2

22 137.3

58 200.9

7

~

112 148.1

71 161.0

215 158.4

349 157.2

62 155.4

84 167.1

414 140.4

48 142.7

68 143.0

42 113.6

89 165.6

158 143.2

61 177.0

89 172.9

18 226.0

133 165.9

28 112.0

382 162.7

271 143.0

24

99.0

676 136.7

15

~

124 165.9

594 139.6

218 130.0

12

~

347 167.8

22 147.7

1600 131.7

128 150.5

166 155.4

356 144.9

64 167.1

328 136.3

43 157.3

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
72

Table 4. (continued)

Cris p Dade Daws o n Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Fo rs y th Franklin Fulton Gilmer Glas co ck Glynn Gordon Grady Greene Gwinnett Hab ers h am Hall Hancock Harals o n Harris Hart Heard Henry Ho u s to n Irwin Jacks o n Jas p er

Males Deaths Rate
123 217.4 105 262.5 123 223.2 175 280.1 2223 208.6 148 298.7 57 146.3 420 224.6 433 230.1 76 276.8 19 262.5 214 245.1 132 236.0 154 298.1 66 261.5 148 183.9 407 182.9 525 235.5 473 182.0 132 218.3 2875 200.2 141 178.1 21 264.3 458 236.6 276 253.1 153 254.0 112 250.6 1835 182.7 198 180.6 648 189.4 64 252.2 195 297.2 166 219.5 156 211.6 66 236.8 631 228.7 575 235.2 54 216.2 300 259.5 64 203.1

Black Males

Deaths Rate

45 285.8

<5

~

<5

~

55 290.3

1131 265.0

39 371.0

16 110.0

218 271.8

71 246.2

35 412.5

<5

~

24 231.0

41 360.7

50 377.0

21 396.0

<5

~

59 189.6

60 269.1

5

~

14

~

1567 279.8

<5

~

<5

~

97 316.6

6

~

45 344.9

39 368.6

254 204.2

5

~

43 221.5

44 283.1

7

~

35 251.4

25 360.7

7

~

131 228.7

105 233.0

14

~

27 340.6

12

~

ALL SITES

White Males

Females

Deaths Rate Deaths Rate

78 197.0 106 143.3

103 261.2 92 183.7

123 224.9 88 164.2

119 274.8 127 144.5

1050 181.5 2342 145.5

109 285.0 102 157.9

40 170.7 53 131.8

202 199.9 405 144.4

357 234.6 406 149.3

41 216.8 61 146.0

18 271.7 14

~

190 248.0 192 182.7

91 208.8 96 131.6

104 271.3 119 169.3

42 220.2 52 155.5

148 185.4 129 142.9

342 182.6 433 141.5

462 231.9 520 169.3

463 187.9 445 131.9

117 207.7 120 158.2

1269 156.3 2921 140.3

140 178.9 104 111.0

19 267.0 13

~

360 224.0 397 152.1

270 258.4 225 160.2

108 234.2 132 171.1

72 217.3 86 140.0

1463 189.1 1879 135.1

189 178.0 200 144.2

601 188.8 567 129.2

20 207.5 38 121.7

188 303.4 147 170.3

130 209.2 119 130.3

131 199.7 136 143.8

59 241.3 59 176.5

489 230.7 613 153.9

468 235.5 487 145.1

40 199.1 45 131.5

273 256.0 247 163.8

52 197.0 65 166.1

Black Females

Deaths Rate

35 143.7

<5

~

<5

~

39 134.3

1207 163.1

16 111.6

21 117.9

198 145.8

102 164.2

19 115.3

<5

~

25 195.6

23 134.0

35 182.0

15

~

<5

~

60 128.7

55 169.4

5

~

9

~

1540 168.2

<5

~

<5

~

95 190.3

9

~

35 169.9

35 210.2

306 147.5

5

~

43 157.5

24 114.1

9

~

21 121.2

9

~

5

~

142 137.6

96 138.5

11

~

23 253.2

15

~

White Females

Deaths Rate

71 136.2

92 187.3

88 166.2

88 152.3

1096 133.4

86 176.3

30 138.6

206 140.6

303 150.1

42 162.0

14

~

166 182.3

73 131.9

83 164.3

37 149.8

128 143.2

368 144.7

465 171.0

432 134.3

111 154.7

1346 120.6

104 111.8

12

~

300 143.6

214 159.4

95 167.0

51 114.3

1482 140.8

195 145.7

521 128.3

14

~

138 167.0

97 135.2

127 154.7

54 181.6

460 161.0

381 145.5

34 121.7

222 159.3

50 172.7

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
73

Table 4. (continued)

Jeff Davis Jeffers o n Jenkins Jo h n s o n Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Mad is o n Marion McDuffie McIn to s h Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pu las ki Putnam Quitman Rabun

Males Deaths Rate
70 214.8 130 333.2 53 266.9 54 200.6 165 260.7 102 245.6 41 197.4 258 224.7 108 213.7 174 223.3 66 278.2 45 214.9 433 250.1 162 259.3 100 327.4 165 259.6 45 201.0 144 326.1 84 197.0 129 232.0 50 272.3 136 267.9 138 219.5 50 293.4 109 227.5 209 279.1 993 281.1 390 240.2 117 182.0 96 275.4 432 243.7 137 249.7 169 231.0 121 274.7 89 224.7 239 266.0 50 185.2 141 231.0 26 318.8 105 191.6

Black Males

Deaths Rate

10

~

62 390.0

19 320.2

14

~

46 403.5

20 231.8

10

~

76 253.6

11

~

72 247.3

15

~

10

~

142 300.7

<5

~

55 389.1

13

~

18 309.1

58 443.6

26 195.8

46 259.9

12

~

65 376.8

31 250.7

11

~

26 322.5

<5

~

394 331.5

103 260.5

8

~

22 332.4

28 230.7

57 370.9

<5

~

9

~

13

~

23 200.3

16 267.6

26 262.6

8

~

<5

~

ALL SITES

White Males

Females

Deaths Rate Deaths Rate

60 216.2 66 156.3

68 291.0 84 142.7

34 245.6 47 163.6

40 212.4 36 112.9

118 231.9 98 127.2

82 257.4 88 167.9

30 187.8 35 145.8

182 216.0 208 136.8

97 225.5 107 181.7

102 217.2 140 142.7

51 266.6 41 143.4

34 236.4 27 105.1

290 233.9 357 146.6

159 259.7 118 151.5

45 283.9 66 155.3

151 253.2 147 180.1

27 160.5 42 164.9

86 287.4 113 165.7

58 195.4 59 139.4

83 217.4 106 144.5

38 255.6 33 149.4

70 214.8 110 152.2

107 216.1 121 152.2

39 301.7 37 156.1

83 213.0 90 153.3

207 279.5 179 191.7

593 263.0 886 163.5

287 238.1 369 160.3

106 176.5 92 107.9

74 262.5 61 139.4

403 249.6 420 168.6

79 198.4 101 139.9

166 228.8 166 173.7

112 280.7 81 150.6

75 219.2 77 160.5

215 271.1 235 193.2

33 154.4 48 114.0

115 226.6 115 161.0

18 288.0 20 207.5

100 185.0 102 151.6

Black Females

Deaths Rate

<5

~

37 131.8

15

~

7

~

28 132.7

17 132.6

8

~

69 156.5

18 205.9

52 137.8

18 222.6

6

~

114 158.6

<5

~

43 181.1

15

~

18 221.7

34 153.1

17 105.6

42 166.4

9

~

50 176.4

30 164.9

7

~

18 123.1

<5

~

352 173.4

120 169.1

9

~

9

~

61 168.8

42 150.7

<5

~

7

~

14

~

17 129.9

17 142.7

33 228.9

8

~

<5

~

White Females

Deaths Rate

61 171.7

47 154.4

31 169.5

29 128.7

70 127.7

71 179.9

27 145.7

137 126.9

88 181.4

83 152.5

23 106.0

20 112.5

241 144.0

116 152.3

23 121.8

132 178.0

24 142.4

79 173.5

42 167.7

64 134.0

24 140.2

60 134.1

91 149.1

30 160.4

71 161.2

178 193.1

519 157.3

248 155.2

83 105.6

52 145.7

355 166.7

59 134.0

164 174.6

74 154.3

63 152.7

217 201.4

31 103.5

82 145.6

12

~

100 150.8

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
74

Table 4. (continued)

Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Up s o n Walker Walton Ware Warren W as h in g to n Wayne Webster Wheeler White Whitfield Wilcox Wilkes W ilkin s o n Worth

Males

Deaths Rate

50 252.3

1032 269.0

324 210.4

16 277.5

112 303.7

61 227.9

350 252.8

199 292.7

38 274.9

162 238.0

46 267.2

19 353.1

167 332.3

58 273.5

68 188.1

68 316.9

283 265.6

199 244.5

143 252.2

89 205.0

31 194.0

324 229.0

59 252.6

76 306.0

177 206.3

173 258.2

418 255.1

408 237.5

221 245.5

38 225.5

149 318.2

191 277.6

14

~

27 190.0

149 186.5

442 230.3

50 217.3

72 252.8

60 236.2

133 253.2

Black Males

Deaths Rate

25 284.6

468 310.0

67 209.6

6

~

46 360.3

15

~

76 262.7

30 542.5

16 250.6

76 301.2

19 219.5

8

~

37 395.1

20 337.5

26 267.5

37 498.0

109 384.9

50 299.4

26 265.9

<5

~

10

~

80 247.7

22 331.5

30 348.6

<5

~

39 302.3

10

~

62 338.9

48 271.3

23 333.2

80 408.0

33 408.0

8

~

<5

~

<5

~

19 366.1

10

~

32 328.5

15

~

37 354.0

ALL SITES

White Males

Females

Deaths Rate Deaths Rate

25 232.3 36 126.3

556 253.1 889 164.7

254 221.1 298 137.6

10

~

19 142.8

66 274.4 84 168.3

46 225.9 55 165.0

273 254.0 297 155.4

168 271.3 140 146.3

21 290.0 29 176.8

85 191.3 150 152.8

26 313.9 31 126.5

11

~

11

~

128 320.9 112 175.2

38 246.6 35 126.2

41 159.1 67 136.1

31 231.2 46 143.9

173 224.1 217 142.7

148 229.4 163 140.0

116 249.5 124 146.4

89 205.4 84 167.3

21 175.6 35 155.0

244 228.0 305 153.6

36 215.8 48 166.4

46 289.5 41 129.1

177 207.3 139 143.4

133 247.9 140 148.2

405 256.3 358 159.9

344 228.5 333 147.8

173 244.1 174 139.0

15

~

44 187.4

69 257.1 104 153.5

158 265.9 129 160.0

6

~

13

~

26 234.8 22 103.5

146 185.6 119 128.9

420 227.7 377 147.4

39 230.8 51 184.8

40 215.5 64 150.9

45 260.0 44 135.0

96 230.5 74 111.6

Black Females

Deaths Rate

20 125.9

417 176.5

79 132.5

6

~

36 208.7

15

~

74 162.5

14

~

17 178.9

59 153.1

16 114.1

5

~

21 169.8

13

~

18 120.0

28 178.9

69 145.4

46 166.9

32 185.7

<5

~

9

~

93 179.7

14

~

12

~

<5

~

44 207.6

9

~

45 168.2

37 137.7

21 186.5

46 141.6

19 165.7

6

~

6

~

<5

~

12

~

7

~

27 167.1

9

~

22 144.1

White Females

Deaths Rate

16 141.9

459 155.4

215 138.7

13

~

48 148.5

40 160.4

223 152.6

125 146.5

12

~

91 149.5

14

~

6

~

91 179.6

22 123.8

48 139.1

18 114.2

148 143.6

117 132.6

92 134.8

84 168.0

26 152.6

212 146.0

33 159.4

29 159.3

139 144.6

96 131.3

349 162.3

287 146.4

136 137.7

23 201.8

56 157.8

110 160.5

7

~

16 100.4

118 130.2

363 149.0

44 214.5

37 138.7

35 166.2

51 101.1

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
75

Table 4. (continued)

Females

Deaths Rate

Georgia

5636 22.8

Appling

15

~

A tkin s o n

10

~

Bacon

<5

~

Baker

<5

~

Baldwin

19

16.2

Banks

7

~

Barrow

38

24.4

Bartow

51

20.6

Ben Hill

20

37.6

Berrien

12

~

Bibb

104 21.6

Bleckley

10

~

Brantley

9

~

Brooks

10

~

Bryan

18

29.4

Bulloch

27

18.6

Burke

18

28.0

Butts

23

33.9

Calhoun

<5

~

Camden

23

22.6

Candler

5

~

Carroll

66

23.9

Cato o s a

35

18.2

Charlton

<5

~

Chatham

170 22.9

Chattahoochee <5

~

Chattooga

23

29.8

Cherokee

99

20.3

Clarke

44

18.1

Clay

<5

~

Clayton

137 26.5

Clinch

<5

~

Cobb

334 20.9

Coffee

18

17.0

Colquitt

22

17.3

Columbia

67

22.2

Cook

17

34.4

Coweta

59

21.2

Crawford

6

~

BREAST

Black Females

Deaths Rate

1895 29.3

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

7

~

6

~

<5

~

46

23.2

<5

~

<5

~

<5

~

<5

~

11

~

11

~

6

~

<5

~

<5

~

<5

~

17

42.2

<5

~

<5

~

77

29.5

<5

~

<5

~

8

~

16

26.1

<5

~

82

29.6

<5

~

81

27.0

5

~

6

~

7

~

5

~

12

~

<5

~

White Females

Deaths Rate

3682 20.7

12

~

7

~

<5

~

<5

~

14

~

7

~

34

25.0

44

19.5

14

~

10

~

58

20.2

8

~

9

~

6

~

16

29.8

16

14.5

7

~

17

32.4

<5

~

20

24.5

<5

~

47

19.9

34

18.1

<5

~

90

19.2

<5

~

18

23.8

91

19.9

28

16.0

<5

~

54

26.2

<5

~

247 19.5

13

~

16

15.8

58

23.0

12

~

47

20.4

<5

~

Females

Deaths Rate

666

2.7

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

8

~

8

~

<5

~

<5

~

11

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

12

~

6

~

<5

~

16

2.3

<5

~

6

~

<5

~

12

~

<5

~

15

~

<5

~

49

2.9

<5

~

<5

~

7

~

<5

~

5

~

<5

~

UTERINE CERVIX

Black Females White Females

Deaths Rate Deaths Rate

270

4.1

384

2.3

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

6

~

<5

~

<5

~

9

~

6

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

7

~

5

~

<5

~

<5

~

<5

~

11

~

<5

~

<5

~

13

~

36

2.8

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
76

Table 4. (continued)

Cris p Dade Daws o n Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Fo rs y th Franklin Fulton Gilmer Glas co ck Glynn Gordon Grady Greene Gwinnett Hab ers h am Hall Hancock Harals o n Harris Hart Heard Henry Ho u s to n Irwin Jacks o n Jas p er

Females

Deaths Rate

19

27.2

15

~

14

~

16

18.4

445 26.4

16

26.0

11

~

49

17.1

75

25.0

5

~

<5

~

26

21.9

13

~

11

~

7

~

20

23.7

65

19.5

75

25.2

55

15.1

12

~

580 27.0

16

18.2

<5

~

51

19.5

36

25.7

19

24.8

20

34.4

336 21.7

29

21.7

91

20.5

9

~

27

32.4

12

~

23

25.4

10

~

109 24.8

78

22.4

5

~

38

24.8

9

~

BREAST

Black Females

Deaths Rate

9

~

<5

~

<5

~

5

~

271 32.8

<5

~

5

~

29

19.6

26

30.9

<5

~

<5

~

<5

~

<5

~

6

~

5

~

<5

~

16

25.4

10

~

<5

~

<5

~

334 35.5

<5

~

<5

~

14

~

<5

~

5

~

9

~

69

24.6

<5

~

12

~

6

~

<5

~

5

~

<5

~

<5

~

42

36.1

22

30.7

<5

~

6

~

<5

~

White Females

Deaths Rate

10

~

15

~

14

~

11

~

170 21.0

13

~

6

~

20

14.2

49

23.6

<5

~

<5

~

22

21.7

10

~

5

~

<5

~

20

23.9

49

18.6

65

24.6

54

15.5

12

~

239 20.9

16

18.4

<5

~

36

17.1

35

26.4

14

~

11

~

252 22.5

26

20.1

79

19.3

<5

~

25

31.5

7

~

21

27.4

10

~

67

22.0

56

21.0

<5

~

32

22.6

8

~

Females

Deaths Rate

<5

~

<5

~

<5

~

<5

~

44

2.7

<5

~

<5

~

5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

9

~

<5

~

61

2.8

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

30

1.7

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

20

4.0

10

~

<5

~

5

~

<5

~

UTERINE CERVIX

Black Females White Females

Deaths Rate Deaths Rate

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

32

4.1

11

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

7

~

<5

~

<5

~

40

4.1

20

1.8

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

18

1.4

<5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

13

~

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
77

Table 4. (continued)

Jeff Davis Jeffers o n Jenkins Jo h n s o n Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Mad is o n Marion McDuffie McIn to s h Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pu las ki Putnam Quitman Rabun

Females

Deaths Rate

<5

~

14

~

11

~

<5

~

15

~

9

~

<5

~

35

23.7

19

31.9

20

20.2

6

~

<5

~

46

18.6

21

26.2

9

~

21

27.0

8

~

11

~

12

~

11

~

<5

~

16

22.0

16

19.8

<5

~

16

28.5

34

36.8

156 29.3

68

28.6

11

~

9

~

70

25.5

12

~

26

26.3

11

~

12

~

34

28.7

7

~

19

27.8

<5

~

15

~

BREAST

Black Females

Deaths Rate

<5

~

7

~

<5

~

<5

~

5

~

<5

~

<5

~

13

~

<5

~

7

~

<5

~

<5

~

22

28.7

<5

~

6

~

<5

~

<5

~

5

~

<5

~

5

~

<5

~

7

~

<5

~

<5

~

6

~

<5

~

77

35.9

25

28.9

<5

~

<5

~

16

34.6

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

White Females

Deaths Rate

<5

~

7

~

8

~

<5

~

10

~

5

~

<5

~

22

21.4

17

35.0

12

~

<5

~

<5

~

23

13.6

20

25.3

<5

~

19

27.0

<5

~

6

~

9

~

6

~

<5

~

9

~

14

~

<5

~

10

~

33

36.5

75

23.9

43

27.0

10

~

7

~

52

22.9

8

~

26

26.7

10

~

10

~

29

27.6

<5

~

10

~

<5

~

14

~

Females

Deaths Rate

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

10

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

19

3.9

6

~

<5

~

<5

~

9

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

UTERINE CERVIX

Black Females White Females

Deaths Rate Deaths Rate

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

14

~

5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
78

Table 4. (continued)

Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Up s o n Walker Walton Ware Warren W as h in g to n Wayne Webster Wheeler White Whitfield Wilcox Wilkes W ilkin s o n Worth

Females

Deaths Rate

7

~

128 23.4

46

19.9

5

~

12

~

7

~

52

27.4

13

~

5

~

30

31.4

6

~

<5

~

22

33.9

9

~

10

~

8

~

38

23.8

21

17.9

25

30.4

6

~

6

~

39

19.9

<5

~

5

~

27

30.1

20

20.4

52

24.2

51

22.3

28

22.9

7

~

13

~

19

22.6

<5

~

6

~

14

~

53

20.1

<5

~

14

~

6

~

11

~

BREAST

Black Females

Deaths Rate

<5

~

74

29.5

13

~

<5

~

5

~

<5

~

14

~

<5

~

<5

~

13

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

18

36.9

7

~

10

~

<5

~

<5

~

15

~

<5

~

<5

~

<5

~

6

~

<5

~

8

~

12

~

<5

~

8

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

White Females

Deaths Rate

<5

~

53

17.3

33

19.8

<5

~

7

~

6

~

38

26.3

12

~

<5

~

17

29.2

<5

~

<5

~

18

35.0

6

~

5

~

5

~

20

16.4

14

~

15

~

6

~

<5

~

24

17.0

<5

~

<5

~

27

30.3

14

~

51

24.8

43

21.7

16

17.2

5

~

5

~

13

~

<5

~

5

~

13

~

48

19.0

<5

~

5

~

5

~

7

~

Females

Deaths Rate

<5

~

21

4.2

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

5

~

UTERINE CERVIX

Black Females White Females

Deaths Rate Deaths Rate

<5

~

<5

~

15

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
79

Table 4. (continued)

Georgia Appling A tkin s o n Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Cato o s a Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford

Males

Deaths Rate

3555 19.8

10

~

6

~

<5

~

<5

~

15

~

14

~

17

16.4

39

20.7

9

~

<5

~

93

29.9

<5

~

9

~

9

~

13

~

16

13.1

18

37.9

13

~

<5

~

10

~

5

~

55

29.7

23

15.7

<5

~

115 20.8

<5

~

18

28.7

51

12.5

26

15.3

<5

~

78

20.9

<5

~

177 15.9

13

~

12

~

37

15.9

7

~

41

19.0

<5

~

Black Males

Deaths Rate

1091 28.6

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

<5

~

50

50.3

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

39

23.4

<5

~

<5

~

<5

~

13

~

<5

~

45

19.8

<5

~

32

25.3

<5

~

<5

~

8

~

<5

~

15

~

<5

~

COLON & RECTUM

White Males

Females

Deaths Rate Deaths Rate

2420 17.8 3330 13.8

8

~

5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

8

~

17

14.6

12

~

9

~

16

17.5

15

~

37

21.6

38

15.7

8

~

6

~

<5

~

8

~

43

21.8

86

17.7

<5

~

<5

~

9

~

<5

~

7

~

7

~

10

~

10

~

14

~

21

14.2

9

~

15

~

9

~

11

~

<5

~

<5

~

7

~

17

16.5

<5

~

<5

~

46

28.5

39

14.5

23

16.1

21

10.9

<5

~

<5

~

76

20.0 107 13.8

<5

~

<5

~

18

30.9

9

~

47

12.3

48

10.5

13

~

38

16.5

<5

~

<5

~

30

19.8

79

15.8

<5

~

<5

~

143 15.4 186 13.0

11

~

14

~

10

~

15

~

29

14.8

28

10.1

6

~

6

~

26

14.7

32

11.4

<5

~

<5

~

Black Females

Deaths Rate

1104 18.7

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

53

28.6

<5

~

<5

~

6

~

<5

~

5

~

10

~

<5

~

<5

~

5

~

<5

~

5

~

<5

~

<5

~

56

22.2

<5

~

<5

~

<5

~

9

~

<5

~

45

13.5

<5

~

31

13.7

5

~

<5

~

5

~

<5

~

8

~

<5

~

White Females

Deaths Rate

2184 12.3

5

~

<5

~

6

~

<5

~

11

~

9

~

12

~

36

16.3

<5

~

8

~

33

11.4

<5

~

<5

~

<5

~

6

~

16

14.7

5

~

7

~

<5

~

12

~

<5

~

34

14.5

21

11.1

<5

~

48

9.4

<5

~

9

~

45

10.4

29

17.3

<5

~

33

15.7

<5

~

152 13.0

9

~

12

~

22

9.4

6

~

22

9.5

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
80

Table 4. (continued)

Cris p Dade Daws o n Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Fo rs y th Franklin Fulton Gilmer Glas co ck Glynn Gordon Grady Greene Gwinnett Hab ers h am Hall Hancock Harals o n Harris Hart Heard Henry Ho u s to n Irwin Jacks o n Jas p er

Males

Deaths Rate

15

~

10

~

9

~

15

~

230 20.5

10

~

7

~

35

20.3

39

22.4

7

~

<5

~

23

24.7

13

~

20

37.9

9

~

14

~

28

12.4

45

20.7

48

17.8

17

29.0

294 19.7

10

~

5

~

38

20.0

17

16.6

13

~

17

44.0

184 17.9

21

17.6

56

15.5

8

~

15

~

14

~

11

~

<5

~

50

16.4

56

21.3

9

~

30

24.7

<5

~

Black Males

Deaths Rate

5

~

<5

~

<5

~

<5

~

127 25.3

<5

~

<5

~

22

29.7

9

~

<5

~

<5

~

7

~

<5

~

11

~

<5

~

<5

~

7

~

7

~

<5

~

<5

~

169 29.7

<5

~

<5

~

7

~

<5

~

<5

~

11

~

34

25.7

<5

~

8

~

6

~

<5

~

<5

~

<5

~

<5

~

13

~

13

~

<5

~

<5

~

<5

~

COLON & RECTUM

White Males

Females

Deaths Rate Deaths Rate

10

~

10

~

10

~

9

~

9

~

7

~

12

~

14

~

95

16.3 235 14.7

8

~

10

~

<5

~

6

~

13

~

46

16.3

29

20.7

49

18.3

<5

~

5

~

<5

~

<5

~

16

22.3

18

20.0

11

~

9

~

9

~

8

~

7

~

5

~

14

~

10

~

21

11.0

40

13.2

38

19.7

51

16.5

46

18.2

38

11.5

14

~

18

23.8

117 13.8 271 12.8

10

~

6

~

5

~

<5

~

31

19.4

39

14.5

17

17.3

19

13.7

10

~

9

~

6

~

10

~

138 17.6 187 13.7

19

16.2

15

~

48

14.6

51

11.6

<5

~

5

~

15

~

17

19.4

11

~

12

~

8

~

13

~

<5

~

5

~

37

16.7

65

16.9

43

20.5

38

11.2

7

~

6

~

26

21.9

29

19.0

<5

~

5

~

Black Females

Deaths Rate

7

~

<5

~

<5

~

<5

~

149 20.9

<5

~

<5

~

28

19.9

9

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

5

~

6

~

<5

~

<5

~

160 17.4

<5

~

<5

~

13

~

<5

~

<5

~

6

~

36

20.2

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

16

16.8

9

~

<5

~

5

~

<5

~

White Females

Deaths Rate

<5

~

9

~

7

~

10

~

83

9.4

8

~

<5

~

18

13.0

40

19.7

<5

~

<5

~

15

~

7

~

<5

~

<5

~

10

~

34

13.6

45

16.7

38

12.0

16

21.9

107

9.4

6

~

<5

~

25

11.3

18

13.6

6

~

<5

~

142 13.5

15

~

49

12.0

<5

~

16

18.9

6

~

10

~

5

~

47

16.7

26

10.1

5

~

24

17.2

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
81

Table 4. (continued)

Jeff Davis Jeffers o n Jenkins Jo h n s o n Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Mad is o n Marion McDuffie McIn to s h Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pu las ki Putnam Quitman Rabun

Males

Deaths Rate

9

~

15

~

<5

~

6

~

13

~

9

~

6

~

24

20.1

12

~

17

19.9

5

~

<5

~

31

15.7

12

~

10

~

12

~

9

~

19

40.4

8

~

9

~

<5

~

10

~

16

24.7

<5

~

8

~

10

~

96

26.7

34

19.9

12

~

7

~

52

25.2

13

~

11

~

12

~

5

~

14

~

<5

~

8

~

5

~

16

27.5

Black Males

Deaths Rate

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

<5

~

11

~

<5

~

5

~

<5

~

<5

~

11

~

<5

~

5

~

<5

~

6

~

6

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

38

34.0

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

COLON & RECTUM

White Males

Females

Deaths Rate Deaths Rate

9

~

5

~

8

~

13

~

<5

~

8

~

5

~

<5

~

9

~

7

~

7

~

9

~

<5

~

<5

~

13

~

22

15.5

11

~

6

~

12

~

15

~

<5

~

<5

~

<5

~

6

~

20

14.2

32

12.7

12

~

<5

~

5

~

15

~

11

~

13

~

<5

~

<5

~

13

~

8

~

5

~

5

~

5

~

10

~

<5

~

<5

~

<5

~

14

~

14

~

21

27.1

<5

~

<5

~

6

~

<5

~

10

~

12

~

57

25.0

93

17.1

26

20.2

38

16.2

10

~

6

~

<5

~

7

~

48

26.2

34

14.2

9

~

12

~

9

~

11

~

9

~

6

~

5

~

6

~

13

~

20

15.6

<5

~

6

~

6

~

11

~

<5

~

<5

~

15

~

9

~

Black Females

Deaths Rate

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

7

~

<5

~

<5

~

13

~

<5

~

13

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

8

~

<5

~

<5

~

<5

~

45

22.8

14

~

<5

~

<5

~

9

~

7

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

White Females

Deaths Rate

<5

~

6

~

5

~

<5

~

5

~

8

~

<5

~

14

~

6

~

8

~

<5

~

5

~

19

10.8

<5

~

<5

~

11

~

<5

~

5

~

<5

~

8

~

<5

~

7

~

13

~

<5

~

<5

~

12

~

46

13.2

24

14.5

<5

~

<5

~

24

12.1

5

~

11

~

5

~

5

~

18

16.0

<5

~

8

~

<5

~

9

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
82

Table 4. (continued)

Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Up s o n Walker Walton Ware Warren W as h in g to n Wayne Webster Wheeler White Whitfield Wilcox Wilkes W ilkin s o n Worth

Males

Deaths Rate

6

~

89

22.2

29

16.7

<5

~

12

~

<5

~

30

19.6

15

~

<5

~

<5

~

<5

~

<5

~

14

~

<5

~

<5

~

6

~

22

22.0

19

22.9

11

~

5

~

<5

~

37

24.0

11

~

<5

~

11

~

17

25.8

41

26.1

50

27.2

20

21.4

6

~

8

~

15

~

<5

~

<5

~

10

~

29

16.6

<5

~

7

~

<5

~

9

~

Black Males

Deaths Rate

5

~

49

30.3

10

~

<5

~

6

~

<5

~

15

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

7

~

<5

~

5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

COLON & RECTUM

White Males

Females

Deaths Rate Deaths Rate

<5

~

5

~

39

17.3

84

15.8

19

15.1

28

12.5

<5

~

<5

~

6

~

6

~

<5

~

8

~

15

~

24

12.5

11

~

17

17.1

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

<5

~

<5

~

6

~

8

~

<5

~

7

~

<5

~

6

~

<5

~

5

~

15

~

22

14.0

15

~

19

15.9

6

~

9

~

5

~

8

~

<5

~

<5

~

29

26.5

45

22.6

8

~

5

~

<5

~

<5

~

11

~

14

~

15

~

15

~

40

26.5

34

14.6

41

25.3

28

12.4

17

22.3

17

12.5

<5

~

<5

~

<5

~

7

~

11

~

13

~

<5

~

<5

~

<5

~

<5

~

10

~

9

~

27

15.7

24

9.6

<5

~

9

~

6

~

6

~

<5

~

8

~

6

~

<5

~

Black Females

Deaths Rate

<5

~

43

18.8

10

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

5

~

<5

~

<5

~

<5

~

15

~

<5

~

<5

~

<5

~

8

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

White Females

Deaths Rate

<5

~

40

13.5

17

10.7

<5

~

<5

~

<5

~

19

12.6

14

~

<5

~

5

~

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

13

~

14

~

7

~

8

~

<5

~

30

20.5

<5

~

<5

~

14

~

7

~

34

15.2

23

11.4

14

~

<5

~

<5

~

13

~

<5

~

<5

~

9

~

22

9.3

9

~

5

~

5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
83

Table 4. (continued)

Males

Deaths Rate

Georgia

12876 71.2

Appling

42

96.9

A tkin s o n

19 123.7

Bacon

30 104.8

Baker

5

~

Baldwin

74

70.0

Banks

35

77.5

Barrow

122 106.5

Bartow

186 96.2

Ben Hill

51 122.5

Berrien

42

93.6

Bibb

273 83.5

Bleckley

19

60.5

Brantley

45 102.7

Brooks

42

95.4

Bryan

49

88.3

Bulloch

79

68.8

Burke

55 108.2

Butts

58 108.8

Calhoun

11

~

Camden

56

67.7

Candler

20

75.2

Carroll

175 84.1

Cato o s a

109 73.2

Charlton

21

74.7

Chatham

402 71.9

Chattahoochee 7

~

Chattooga

70 110.6

Cherokee

189 51.9

Clarke

86

50.4

Clay

6

~

Clayton

212 65.0

Clinch

14

~

Cobb

597 56.4

Coffee

63

73.4

Colquitt

89

92.0

Columbia

137 60.6

Cook

32

83.1

Coweta

148 64.5

Crawford

38 131.3

Black Males

Deaths Rate

2788 71.3

<5

~

<5

~

<5

~

<5

~

20

66.3

<5

~

6

~

9

~

8

~

<5

~

85

70.7

<5

~

<5

~

8

~

7

~

14

~

24 117.2

15

~

<5

~

9

~

<5

~

22

85.1

<5

~

<5

~

115 67.3

<5

~

6

~

<5

~

39

84.3

<5

~

78

60.5

<5

~

65

48.6

13

~

9

~

15

~

<5

~

23

63.0

5

~

LUNG & BRONCHUS

White Males

Females

Deaths Rate Deaths Rate

9960 71.9 9089 37.9

38 103.0 15

~

15

~

6

~

29 114.0 14

~

<5

~

<5

~

54

74.2

39

31.2

33

77.0

14

~

114 112.4 70

44.3

176 98.8 144 57.9

43 140.1 16

28.3

39

92.3

29

49.7

186 89.4 195 40.5

17

61.2

19

45.1

44 103.8 25

51.3

34 107.4 17

30.0

40

83.5

27

40.7

65

72.9

51

35.2

31 101.1 29

44.7

43 109.1 35

52.5

8

~

6

~

47

69.8

38

39.2

17

82.8

9

~

153 84.2 127 46.9

107 73.2

91

45.7

21

92.5

10

~

282 73.4 274 36.5

5

~

<5

~

64 111.0 36

43.2

185 52.5 173 39.2

45

37.4

74

32.5

5

~

<5

~

124 73.9 183 39.4

12

~

6

~

524 58.2 464 32.5

50

72.5

48

44.4

80 100.8 57

45.1

120 61.6 116 39.3

28

91.7

17

33.2

124 64.5 114 37.7

33 147.9 21

57.4

Black Females

Deaths Rate

1783 30.6

<5

~

<5

~

<5

~

<5

~

11

~

<5

~

5

~

13

~

<5

~

<5

~

67

34.6

<5

~

<5

~

<5

~

<5

~

9

~

8

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

88

34.9

<5

~

<5

~

<5

~

21

32.9

<5

~

87

42.0

<5

~

57

28.8

<5

~

10

~

15

~

<5

~

15

~

<5

~

White Females

Deaths Rate

7239 41.0

15

~

<5

~

14

~

<5

~

28

34.0

14

~

65

46.2

131 58.3

13

~

29

54.9

128 43.7

17

48.7

25

53.4

15

~

26

47.0

42

38.2

21

60.6

31

59.2

5

~

34

44.9

7

~

117 49.6

89

45.8

10

~

185 37.9

<5

~

34

44.4

168 39.8

53

32.4

<5

~

92

43.9

6

~

398 33.6

44

51.2

47

46.1

101 40.5

13

~

99

39.8

20

71.8

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
84

Table 4. (continued)

Cris p Dade Daws o n Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Fo rs y th Franklin Fulton Gilmer Glas co ck Glynn Gordon Grady Greene Gwinnett Hab ers h am Hall Hancock Harals o n Harris Hart Heard Henry Ho u s to n Irwin Jacks o n Jas p er

Males

Deaths Rate

43

73.0

33

84.4

48

82.0

67 104.1

599 54.8

56 108.4

21

49.2

150 76.7

139 69.4

25

89.4

10

~

73

80.4

53

89.8

51

97.4

22

84.7

52

58.0

123 55.2

198 86.7

135 50.2

49

78.4

719 49.5

49

61.0

10

~

160 80.2

129 117.8

55

88.1

29

53.9

537 55.0

44

39.4

211 61.2

23

83.9

80 119.0

57

81.6

56

72.1

25

82.9

199 71.0

196 78.4

23

93.7

97

82.6

18

51.3

Black Males

Deaths Rate

11

~

<5

~

<5

~

24 128.7

311 69.4

15

~

<5

~

71

78.3

10

~

12

~

<5

~

<5

~

16 116.9

14

~

6

~

<5

~

13

~

24 124.3

<5

~

<5

~

416 70.4

<5

~

<5

~

25

76.1

<5

~

16 110.7

9

~

69

53.4

<5

~

12

~

14

~

<5

~

9

~

7

~

<5

~

24

48.1

22

41.1

5

~

7

~

<5

~

LUNG & BRONCHUS

White Males

Females

Deaths Rate Deaths Rate

32

77.7

31

41.4

32

83.3

24

45.0

48

82.6

28

49.5

43

95.7

33

37.1

279 47.9 510 32.9

41 101.2 21

32.3

19

74.1

6

~

79

75.0

89

32.2

128 78.3 102 37.9

13

~

21

49.4

9

~

<5

~

70

86.1

60

54.5

37

81.3

27

36.2

37

94.4

30

43.0

14

~

19

55.5

52

58.4

35

35.2

108 57.6 100 34.7

173 83.7 161 51.8

132 51.8 123 37.4

46

79.4

37

45.0

292 36.8 637 31.1

48

60.7

28

28.7

10

~

<5

~

134 80.5 107 40.5

128 121.5 77

53.9

39

81.7

34

44.3

20

44.9

11

~

435 57.9 477 35.7

42

38.7

55

38.7

199 61.8 163 37.0

9

~

8

~

79 124.2 47

53.1

47

88.0

37

40.6

49

70.3

33

33.4

21

79.2

21

58.1

172 77.6 161 41.7

173 84.7 134 40.1

18

92.4

9

~

90

83.0

63

40.4

17

57.9

17

40.7

Black Females

Deaths Rate

7

~

<5

~

<5

~

7

~

209 30.0

<5

~

<5

~

34

26.2

22

31.8

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

7

~

9

~

<5

~

<5

~

312 34.1

<5

~

<5

~

25

51.9

<5

~

7

~

<5

~

62

33.9

<5

~

12

~

<5

~

<5

~

<5

~

<5

~

<5

~

18

17.8

19

31.2

<5

~

<5

~

<5

~

White Females

Deaths Rate

24

46.7

24

45.9

28

50.1

26

44.4

295 36.5

19

38.5

5

~

55

38.4

80

39.4

17

68.3

<5

~

56

58.9

21

36.3

26

52.0

17

68.3

35

35.5

92

38.0

152 55.2

119 38.0

36

47.1

319 29.0

28

28.9

<5

~

82

38.6

73

53.3

27

47.5

7

~

406 39.7

55

40.0

151 37.0

7

~

45

53.7

35

48.8

33

38.4

20

61.5

139 48.7

114 42.9

6

~

60

41.6

16

50.9

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
85

Table 4. (continued)

Jeff Davis Jeffers o n Jenkins Jo h n s o n Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Mad is o n Marion McDuffie McIn to s h Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pu las ki Putnam Quitman Rabun

Males

Deaths Rate

28

82.2

47 117.2

15

~

19

66.6

63

94.9

36

86.6

10

~

97

80.5

34

70.7

56

75.9

23

96.0

16

86.7

146 79.8

61

97.5

34 113.0

52

78.6

16

71.9

33

69.7

28

62.3

37

62.9

22 114.4

54

99.5

44

61.1

22 131.6

38

76.9

93 110.5

300 83.5

126 72.2

35

50.1

32

85.3

138 78.9

47

80.3

66

86.6

37

77.5

34

80.4

95

98.6

23

79.6

48

76.5

12

~

32

56.8

Black Males

Deaths Rate

<5

~

21 111.8

<5

~

<5

~

15

~

11

~

<5

~

20

62.4

<5

~

16

59.3

<5

~

<5

~

41

74.9

<5

~

21 165.8

<5

~

6

~

15

~

5

~

9

~

6

~

19 110.0

8

~

<5

~

6

~

<5

~

114 91.2

34

70.3

<5

~

5

~

6

~

16 100.9

<5

~

<5

~

5

~

9

~

7

~

<5

~

<5

~

<5

~

LUNG & BRONCHUS

White Males

Females

Deaths Rate Deaths Rate

25

86.3

21

46.8

26 113.4 14

~

11

~

8

~

16

80.2

9

~

47

93.7

29

39.1

25

76.7

27

49.3

8

~

9

~

77

87.8

39

24.8

32

78.3

35

56.7

40

89.2

28

25.8

20 108.0 13

~

12

~

<5

~

105 80.9 103 41.7

59

96.0

45

56.7

13

~

8

~

48

79.7

45

52.9

10

~

10

~

18

55.0

36

51.3

23

70.3

17

39.4

28

69.2

26

33.1

16

104.3

7

~

35

99.2

24

32.4

36

65.9

34

42.5

20 153.2 11

~

32

76.0

25

43.4

92 110.3 58

60.4

185 80.8 220 40.7

92

72.2 128 57.0

34

52.8

21

25.1

27

89.7

17

39.8

132 82.9 113 45.5

30

71.3

33

45.7

66

87.7

45

44.7

35

81.7

22

39.9

28

73.4

24

49.8

85 100.1 78

63.3

16

80.1

14

~

44

84.2

38

50.1

9

~

5

~

29

52.4

27

41.2

Black Females

Deaths Rate

<5

~

5

~

<5

~

<5

~

6

~

<5

~

<5

~

9

~

<5

~

9

~

6

~

<5

~

25

35.1

<5

~

6

~

7

~

<5

~

9

~

5

~

5

~

<5

~

12

~

<5

~

<5

~

<5

~

<5

~

62

29.8

33

56.8

<5

~

<5

~

5

~

9

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

White Females

Deaths Rate

21

55.2

9

~

6

~

8

~

23

43.9

24

58.6

8

~

29

25.4

31

61.8

18

34.1

7

~

<5

~

78

46.2

45

57.9

<5

~

38

49.8

7

~

27

56.6

12

~

21

40.7

6

~

12

~

30

49.1

9

~

21

49.5

58

61.1

154 48.3

94

58.7

19

24.6

16

46.2

108 49.7

24

54.0

44

44.4

21

42.5

20

48.9

75

68.9

12

~

29

46.4

<5

~

27

41.6

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
86

Table 4. (continued)

Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Up s o n Walker Walton Ware Warren W as h in g to n Wayne Webster Wheeler White Whitfield Wilcox Wilkes W ilkin s o n Worth

Males

Deaths Rate

20 100.6

343 86.7

105 65.9

8

~

30

78.1

12

~

132 94.4

63

86.0

19 139.8

60

85.1

21 122.0

7

~

69 129.9

21 100.2

23

63.1

31 142.8

99

90.7

77

90.6

52

88.0

31

63.0

8

~

114 80.1

21

90.8

33 124.0

46

50.3

66

94.7

161 94.4

121 68.7

71

79.1

16

91.1

55 111.4

70

97.2

5

~

12

~

54

65.9

167 80.5

21

87.3

21

65.6

27

90.5

43

79.8

Black Males

Deaths Rate

8

~

129 79.6

15

~

<5

~

14

~

<5

~

24

87.3

7

~

7

~

25

93.2

7

~

<5

~

9

~

8

~

9

~

18 235.1

36 123.9

15

~

6

~

<5

~

<5

~

28

84.4

8

~

11

~

<5

~

11

~

<5

~

21 125.2

13

~

6

~

28 142.4

8

~

<5

~

<5

~

<5

~

<5

~

5

~

10

~

8

~

9

~

LUNG & BRONCHUS

White Males

Females

Deaths Rate Deaths Rate

12

~

11

~

213 94.6 226 42.0

89

75.1

78

36.4

6

~

<5

~

16

67.8

17

32.2

8

~

17

50.1

108 97.8

74

38.4

55

81.4

35

38.0

12

~

7

~

34

75.1

37

38.2

14

~

<5

~

6

~

<5

~

60 141.4 29

44.2

13

~

5

~

13

~

12

~

13

~

7

~

62

78.6

54

35.8

62

92.2

34

29.8

45

93.8

29

33.9

31

63.2

28

57.3

7

~

8

~

86

79.4

69

34.8

13

~

8

~

22 134.1 20

60.0

46

50.6

32

30.5

54

96.8

32

34.5

155 94.4 126 55.5

100 64.0

85

37.9

58

82.4

44

35.6

10

~

10

~

27

93.2

21

31.0

62 100.7 33

40.5

<5

~

<5

~

11

~

5

~

53

66.0

28

30.2

164 82.9 125 48.8

16

93.9

9

~

11

~

18

39.7

19

95.4

14

~

34

78.5

22

32.3

Black Females

Deaths Rate

6

~

91

39.8

16

30.0

<5

~

<5

~

<5

~

18

39.5

<5

~

<5

~

10

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

10

~

5

~

<5

~

<5

~

<5

~

17

31.0

<5

~

7

~

<5

~

8

~

<5

~

7

~

6

~

<5

~

9

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

5

~

White Females

Deaths Rate

5

~

131 44.0

60

39.2

<5

~

13

~

14

~

56

37.6

33

40.3

<5

~

27

45.3

<5

~

<5

~

26

50.1

<5

~

12

~

<5

~

44

43.5

29

34.2

26

39.0

28

57.6

<5

~

52

36.2

6

~

13

~

32

30.7

24

33.9

122 55.7

78

39.9

38

39.9

7

~

12

~

29

41.8

<5

~

<5

~

28

30.7

122 50.1

7

~

12

~

14

~

17

32.1

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
87

Table 4. (continued)

Georgia Appling A tkin s o n Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Cato o s a Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford

Males

Deaths Rate

3787 26.7

11

~

<5

~

5

~

<5

~

19

21.2

5

~

18

22.9

28

23.6

11

~

<5

~

90

33.1

<5

~

9

~

5

~

10

~

28

33.3

21

53.1

8

~

<5

~

13

~

6

~

33

19.2

18

17.4

6

~

130 26.4

<5

~

5

~

59

22.0

39

27.0

<5

~

67

28.9

<5

~

179 21.7

20

29.1

28

30.1

42

21.7

8

~

46

28.1

8

~

PROSTATE

Black Males

Deaths Rate

1503 57.5

<5

~

<5

~

<5

~

<5

~

11

~

<5

~

6

~

<5

~

5

~

<5

~

47

59.6

<5

~

<5

~

5

~

5

~

11

~

15

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

66

48.5

<5

~

<5

~

<5

~

18

71.6

<5

~

39

47.0

<5

~

29

35.1

7

~

8

~

5

~

<5

~

16

76.2

<5

~

White Males

Deaths Rate

2260 20.3

7

~

<5

~

5

~

<5

~

8

~

5

~

11

~

26

23.2

6

~

<5

~

42

22.7

<5

~

9

~

<5

~

5

~

17

23.6

6

~

5

~

<5

~

10

~

<5

~

28

18.2

17

16.9

<5

~

62

17.9

<5

~

5

~

56

22.0

21

18.0

<5

~

27

21.9

<5

~

147 20.5

13

~

20

24.2

37

21.7

6

~

30

21.7

6

~

MELANOMA

Males

Females

Deaths Rate Deaths Rate

681

3.8

372

1.5

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

10

~

<5

~

10

~

<5

~

<5

~

<5

~

<5

~

<5

~

13

~

6

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

6

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

14

~

8

~

6

~

<5

~

<5

~

<5

~

25

4.9

12

~

<5

~

<5

~

<5

~

<5

~

19

5.6

12

~

8

~

7

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

42

3.8

22

1.3

<5

~

<5

~

5

~

<5

~

5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
88

Table 4. (continued)

Cris p Dade Daws o n Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Fo rs y th Franklin Fulton Gilmer Glas co ck Glynn Gordon Grady Greene Gwinnett Hab ers h am Hall Hancock Harals o n Harris Hart Heard Henry Ho u s to n Irwin Jacks o n Jas p er

Males

Deaths Rate

14

~

6

~

11

~

12

~

291 33.1

18

43.4

5

~

35

22.4

28

21.4

9

~

<5

~

18

33.2

9

~

16

38.2

7

~

11

~

34

17.7

30

15.9

46

24.6

13

~

383 31.9

9

~

<5

~

34

20.1

9

~

8

~

14

~

164 21.8

23

22.6

52

17.9

5

~

12

~

13

~

10

~

5

~

63

29.4

54

27.5

6

~

28

32.1

11

~

PROSTATE

Black Males

Deaths Rate

6

~

<5

~

<5

~

5

~

170 62.6

7

~

<5

~

24

42.5

7

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

11

~

<5

~

<5

~

<5

~

248 58.7

<5

~

<5

~

16

65.9

<5

~

<5

~

5

~

32

38.3

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

<5

~

25

64.2

17

50.2

<5

~

5

~

<5

~

White Males

Deaths Rate

8

~

6

~

11

~

7

~

121 21.9

11

~

<5

~

11

~

21

18.7

6

~

<5

~

15

~

5

~

11

~

<5

~

11

~

23

14.7

29

16.8

45

25.2

10

~

133 18.3

9

~

<5

~

18

12.9

6

~

5

~

9

~

125 21.1

23

23.2

48

17.5

<5

~

11

~

5

~

6

~

<5

~

38

23.1

37

23.5

<5

~

23

29.7

7

~

MELANOMA

Males

Females

Deaths Rate Deaths Rate

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

33

3.3

23

1.4

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

16

7.5

<5

~

10

~

5

~

12

~

<5

~

<5

~

<5

~

26

1.9

21

1.0

<5

~

<5

~

<5

~

<5

~

11

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

42

3.8

25

1.8

<5

~

<5

~

14

~

8

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

10

~

5

~

<5

~

<5

~

9

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
89

Table 4. (continued)

Jeff Davis Jeffers o n Jenkins Jo h n s o n Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Mad is o n Marion McDuffie McIn to s h Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pu las ki Putnam Quitman Rabun

Males

Deaths Rate

8

~

16

51.0

10

~

<5

~

19

42.4

5

~

<5

~

18

17.7

6

~

15

~

8

~

<5

~

50

35.2

10

~

7

~

14

~

<5

~

17

47.1

5

~

18

38.7

5

~

10

~

12

~

5

~

12

~

6

~

117 37.7

46

36.4

10

~

7

~

28

24.8

14

~

17

32.0

6

~

6

~

19

27.2

<5

~

15

~

<5

~

15

~

PROSTATE

Black Males

Deaths Rate

<5

~

13

~

5

~

<5

~

10

~

<5

~

<5

~

7

~

<5

~

9

~

<5

~

<5

~

27

80.8

<5

~

<5

~

<5

~

<5

~

12

~

<5

~

8

~

<5

~

7

~

6

~

<5

~

<5

~

<5

~

69

79.7

19

74.9

<5

~

<5

~

<5

~

10

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

White Males

Deaths Rate

6

~

<5

~

5

~

<5

~

9

~

<5

~

<5

~

11

~

<5

~

6

~

<5

~

<5

~

23

22.2

10

~

<5

~

12

~

<5

~

5

~

<5

~

10

~

5

~

<5

~

6

~

<5

~

8

~

6

~

48

22.6

27

27.9

8

~

<5

~

24

23.0

<5

~

17

32.2

5

~

<5

~

16

25.8

<5

~

8

~

<5

~

14

~

MELANOMA

Males

Females

Deaths Rate Deaths Rate

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

10

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

13

~

7

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
90

Table 4. (continued)

Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Up s o n Walker Walton Ware Warren W as h in g to n Wayne Webster Wheeler White Whitfield Wilcox Wilkes W ilkin s o n Worth

Males

Deaths Rate

6

~

118 36.8

40

34.4

<5

~

19

60.8

6

~

31

26.9

17

28.9

<5

~

20

31.9

7

~

<5

~

17

41.4

6

~

11

~

5

~

37

38.8

21

31.6

19

43.3

14

~

<5

~

19

14.6

6

~

5

~

20

25.3

9

~

39

29.5

32

22.6

22

26.4

7

~

16

39.1

19

32.7

<5

~

<5

~

11

~

38

27.4

6

~

6

~

5

~

12

~

PROSTATE

Black Males

Deaths Rate

5

~

76

68.3

13

~

<5

~

8

~

<5

~

11

~

<5

~

<5

~

16

85.4

6

~

<5

~

8

~

<5

~

<5

~

5

~

21

95.4

9

~

8

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

8

~

5

~

11

~

6

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

White Males

Deaths Rate

<5

~

41

20.5

26

28.0

<5

~

11

~

6

~

20

22.4

15

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

8

~

<5

~

16

21.7

11

~

11

~

14

~

<5

~

14

~

<5

~

<5

~

20

25.3

5

~

37

28.6

25

20.1

14

~

<5

~

5

~

13

~

<5

~

<5

~

10

~

31

23.0

<5

~

<5

~

<5

~

8

~

MELANOMA

Males

Females

Deaths Rate Deaths Rate

<5

~

<5

~

11

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 US standard population ~ Rates not calculated where the count is less than sixteen * Because of data quality issues, 2009 mortality data are not used for analysis
91