Georgia cancer data report, 2016

Table of Contents
Executive Summary ................................................................................................................................................ 3 Introduction ............................................................................................................................................................. 4 Basic Cancer Information ....................................................................................................................................... 5 Cancer in Georgia in 2015 ...................................................................................................................................... 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
Georgia Center for Cancer Statistics............................................ Kevin C. Ward, Ph.D., M.P.H, C.T.R., Director
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/NU58/DP003875-04 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, Bayakly AR, Ward KC. Georgia Cancer Data Report, 2016. Georgia Department of Public Health, Georgia Comprehensive Cancer Registry, December 2016.
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Executive Summary

Cancer is a major health problem in Georgia About 45,000 Georgians are diagnosed with
invasive cancer, and nearly 15,500 die from this disease each year. Cancer is the second leading cause of death in Georgia. In 2013, cancer accounted for 22% of all deaths. Breast, lung and bronchus, and colorectal cancers account for 52% of all new cancers in Georgia among females. Breast cancer is the leading cause of cancer incidence among Georgia females and accounts for 30% of all new cancers in women. Non-Hispanic white females in Georgia are 8% more likely than non-Hispanic black females to be diagnosed with cancer. Prostate, lung and bronchus, and colorectal cancers account for 51% of all new cancers in Georgia among males. Prostate cancer is the leading cause of cancer incidence among Georgia males and accounts for 27% of all new cancers in men. Non-Hispanic black males in Georgia are 8% more likely than non-Hispanic white males to be diagnosed with cancer. Black males in Georgia are 25% more likely than white males to die from cancer. During 2000-2013, cancer incidence rates in Georgia declined at an average annual rate of 0.3%. During 1990-2001, cancer mortality rates in Georgia declined at an average annual rate of 0.6%. Since 2001, the rates have been decreasing by an average of 1.7% every year.

Much of the burden of death and disability from cancer is preventable Smoking is responsible for about 4,500
cancer deaths each year in Georgia.4 Since 1990, smoking rates in Georgia have
been slowly declining.* About 20% of cancers could be prevented by
adopting healthy diet and exercise practices.8 In 2013, 9% of middle school students and
24% of high school students reported currently using some form of tobacco.^ In 2014, 31% of Georgia adults were obese.* In 2013, 79% of Georgia adults did not meet aerobic and strength exercise recommendations on a regular basis.*
Some cancers can be detected early, when treatment is most effective During 2014, 80% of Georgia females ages
50 to 74 reported having had a mammogram within the past two years.* During 2014, 84% of Georgia females ages 21 to 65 without a hysterectomy reported having had a Pap test within the past three years.* During 2014, 69% of Georgia adults ages 50 to 75 reported having had an FOBT in the last year, and/or sigmoidoscopy in the last five years, and/or colonoscopy in the last ten years.*
* Data from the Behavioral Risk Factor Surveillance System (BRFSS) ^ Data from the Youth Risk Behavior Surveillance System (YRBS)

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.
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Introduction
The challenge Cancer is the second leading cause of death in Georgia, accounting for 22% of all deaths in 2013 (Figure 1). Every year, about 45,000 Georgians are diagnosed with invasive cancer and nearly 15,500 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 are improving. Many cancers can be detected early, increasing the chances of successful treatment and survival.
Most importantly, the risk of 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-fifth of cancer deaths could be prevented by adopting healthy diet and exercise practices.8

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 2015; 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, 2013.

Pneumonia and Influenza

Diabetes

2%

3%

Unintentional Injury 5%

Stroke 5%

Chronic Respiratory Disease 5%

Heart Disease 22%
Cancer 22%

Lung and Bronchus 28% Colon and Rectum 9%
Female Breast 8% Prostate 5%
Other Cancers 50%

Other 36%
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 2015, an estimated 50,400 Georgians were diagnosed with cancer -- about 138 per day (Figure 2). In the United States (U.S.), 1.7 million cases of cancer were expected to occur in 2015.1 These estimates do not include nonmelanoma skin cancer and carcinoma in situ for sites other than urinary bladder. National estimates suggest that more than three million cases of non-melanoma skin cancers are diagnosed each year in the U.S.
How many people are expected to die from cancer? In 2015, an estimated 17,700 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., nearly 600,000 cancer deaths were expected to occur in 2015.1
Can cancer be prevented? Many cancers can be prevented. Nearly half of cancer deaths can be linked to modifiable risk factors such as tobacco use, excess body mass, physical inactivity and alcohol use.2 Many skin cancers could be prevented by avoiding excessive sun exposure and indoor tanning. 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. About 76% of all cancers in Georgia are diagnosed among individuals ages 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 cancer2

Risk Factor
Tobacco Excess body mass Infectious agents Physical inactivity Alcohol Ionizing radiation Solar radiation Occupation
Men Women

Percentage
30% 10% 5-8% <5% 3-4% 2-3% 1-2%
3-5% 1%

5

Cancer in Georgia, 2015
Figure 2. New Cancer Cases, Georgia, 2015 Estimates.

Female
Breast 7,230
Lung & bronchus 3,170
Colon & rectum 2,120
Uterine corpus 1,260
Melanoma 1,030
Thyroid 880
Non-Hodgkin lymphoma 840
Ovary 680
Pancreas 650
Kidney & renal pelvis 640
ALL SITES* 23,870

Male
Prostate 7,300 Lung & bronchus 4,110 Colon & rectum 2,370 Melanoma 1,540 Bladder (incl. in situ) 1,520 Kidney & renal pelvis 1,050 Non-Hodgkin lymphoma 1,030 Oral cavity 950 Leukemias 760 Pancreas 670 ALL SITES* 26,570

Figure 3. Cancer Deaths, Georgia, 2015 Estimates.

Female
Lung & bronchus 2,120
Breast 1,300
Colon & rectum 730
Pancreas 510
Ovary 450
Leukemias 260
Corpus & uterus, NOS 250
Non-Hodgkin lymphoma 230
Brain & other nervous system 190
Multiple myeloma 170
ALL SITES* 8,180

Male
Lung & bronchus 3,030 Prostate 910 Colon & rectum 870 Pancreas 560 Leukemias 370 Liver 350 Esophagus 330 Non-Hodgkin lymphoma 300 Bladder 300 Brain & other nervous system 240 ALL SITES* 9,520

* Excludes non-melanoma skin cancer and carcinoma in situ except urinary bladder

6

NOS: Not otherwise specified

Cancer Incidence
Background The Georgia Cancer Registry (comprised of the Georgia Comprehensive Cancer Registry and the Georgia Center for Cancer Statistics) is a statewide population-based cancer registry collecting information on 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 2009-2013, an annual average of 44,900 new invasive cancer cases were diagnosed in Georgia: 23,330 among males and 21,570 among females (Table1-Appendix). Four cancer sites -- female breast, prostate, lung and bronchus, and colorectal accounted for 52% 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, 37 counties have incidence rates significantly higher than the state average and 37 counties have incidence rates significantly lower than the state average (Figure 4).

Figure 4. Age-Adjusted Cancer Incidence Rates by County, Georgia, 2009-2013.

Georgia Rate: 465.6 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 32% more likely than females to be diagnosed with cancer (Table 1-
Appendix). Prostate cancer (age-adjusted rate 139.7/100,000) is the leading cause of cancer incidence among
Georgia males and accounts for 27% of all cancer incidence among males each year. Breast cancer (age-adjusted rate 123.8/100,000) is the leading cause of cancer incidence among
Georgia females and accounts for 30% 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 colorectal cancer and melanoma incidence rates among Georgia males are
13%, 16%, 5% and 25% higher, respectively, than among U.S. males (Figure 5). The urinary bladder cancer incidence rate is 6% higher among U.S. males than among Georgia
males. The melanoma incidence rate is 14% higher among Georgia females than among U.S. females
(Figure 6). The uterine cancer incidence rate is 21% higher among U.S. females than among Georgia
females. Breast, lung, and colorectal cancer incidence rates among Georgia females are similar to those
among U.S. females.

Rate per 100,000

Figure 5. Age-Adjusted Cancer Incidence Rates in Males, Georgia and the United States, 2009-2013.

200

Georgia

150

139.7 123.2

United States

100

86.7 75.0

50

49.1 46.9

34.2 36.2

32.5 25.9

0 Prostate*

Lung & Colon & Rectum* Bladder* Bronchus*

Melanoma*

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

Figure 6. Age-Adjusted Cancer Incidence Rates in Females, Georgia and the United States, 2009-2013.

200

Georgia

150 123.8 123.3

United States

Rate per 100,000

100

53.3 53.5

50

36.4 35.6

21.1 25.6

18.4 16.1

0

Breast Lung & Bronchus Colon & Rectum Corpus and

Melanoma*

Uterus, NOS*

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

8

Racial differences in cancer incidence in Georgia Non-Hispanic (NH) black males in Georgia are 8% more likely than NH white males to be
diagnosed with cancer, while NH white females are 8% more likely than NH black females to be diagnosed with cancer (Table 1-Appendix). Prostate and colorectal cancer incidence rates are higher (85% and 29% respectively) among NH black males than among NH white males in Georgia (Figure 7). Melanoma and bladder cancer incidence rates are much higher among NH white males than among NH black males in Georgia. Lung and kidney cancer incidence rates among NH black males are similar to those among NH white males in Georgia. Colorectal and pancreatic cancer incidence rates are higher (26% and 31% respectively) among NH black females than among NH white females in Georgia (Figure 8). The lung cancer incidence rate is 41% higher among NH white females than among NH black females in Georgia and the melanoma incidence rate is much higher among NH white females as compared to NH black females. Breast and uterine cancer incidence rates among NH black females are similar to those among NH white females in Georgia.
Figure 7. Age-Adjusted Cancer Incidence Rates in Males by Race, Georgia, 2009-2013

Rate per 100,000

250 221.2

200

150

119.6

100

87.3 89.9

50

0 Prostate*

Lung & Bronchus

60.6 47.1
Colon & Rectum*

Non-Hispanic Black Non-Hispanic White

39.1 18.9 Bladder*

44.4 1.2

22.6 21.5

Melanoma* Kidney & Renal Pelvis

* Differences are statistically significant. (p<.05)
Figure 8. Age-Adjusted Cancer Incidence Rates in Females by Race, Georgia, 2009-2013

Rate per 100,000

250

200

150 127.2 126.0

100

59.4

42.0

50

0

Breast

Lung &

Bronchus*

Non-Hispanic Black Non-Hispanic White

43.7 34.7

22.8 20.4

28.0 1.1

Colon & Uterine Corpus Melanoma* Rectum*

13.6 10.4 Pancreas*

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

9

Cancer incidence in Georgia's Hispanic population From 2009 to 2013, a total of 5,447 invasive cancer diagnoses were reported among Georgia's
Hispanic population, an average of 1,089 per year. For all cancers combined, Hispanics have lower incidence rates than the overall state rates: 344.2
per 100,000 versus the state rate of 543.9 per 100,000 among males, and 312.6 per 100,000 versus the state rate of 410.7 per 100,000 among females. Five cancer types prostate, lung, colorectal, non-Hodgkin lymphoma (NHL), and leukemias account for 54% of cancer cases among Hispanic males, while breast, thyroid, colorectal, lung, and uterine account for 56% 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 and leukemias 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 uterine cancers (Figure 10).
Figure 9. Age-Adjusted Cancer Incidence Rates in Males by Race/Ethnicity, Georgia, 2009-2013.

Rate per 100,000

250 221.2 200

Non-Hispanic Black Non-Hispanic White

150 100
50

119.6 99.3

87.3 89.9 43.0

60.6 47.1 31.3

Hispanic 17.9 22.9 19.4 14.0 17.8 13.7

0 Prostate Lung & Bronchus Colon & Rectum Non-Hodgkin Leukemias Lymphoma

Figure 10. Age-Adjusted Cancer Incidence Rates in Females by Race/Ethnicity, Georgia, 2009-2013.

Rate per 100,000

250

200

150 127.2126.0

100

88.4

50

0 Breast

Non-Hispanic Black Non-Hispanic White Hispanic

10.8 19.2 16.1

43.7 34.7 26.1

59.4 42.0
25.9

22.8 20.4 19.6

Thyroid Colon & Rectum Lung & Bronchus Uterine Corpus

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 2.4% from 2008-2013. During 2000-2009, prostate cancer incidence rates among males decreased at an average annual rate
of 0.3% (Figure 11), followed by a rapid decrease of 8.7% per year during 2009-2013. During 2000-2013, lung cancer incidence rates among males decreased at an average annual rate of
2.5%. During 2000-2010, colorectal cancer incidence rates among males decreased at an average annual
rate of 2.8%, followed by a more modest decrease of 1.0% per year during 2010-2013. During 2000-2013, bladder cancer incidence rates among males increased at an average annual rate
of 0.2%. During 2000-2013, melanoma incidence rates among males increased at an average annual rate of
2.9%.

Rate per 100,000

Figure 11. Trends in Cancer Incidence Rates in Males, Georgia, 2000-2013.

200 180 160 140 120 100
80 60 40 20
0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Prostate Lung & Bronchus Colon & Rectum Bladder Melanoma

11

Trends in cancer incidence among females, Georgia Overall cancer incidence rates among females remained fairly steady during 2000-2013. During 2000-2013, the incidence rates among females for breast cancer remained steady (Figure 12). During 2000-2008, lung cancer incidence rates among females increased at an average annual rate of
0.7%, followed by a decrease of 1.9% per year during 2008-2013. During 2000-2013, colorectal cancer incidence rates among females decreased at an average annual
rate of 2.1%. During 2000-2004, uterine cancer incidence rates among females decreased at an average annual rate
of 2.0%, followed by an increase of 2.6% per year during 2004-2013. During 2000-2013, melanoma incidence rates among females increased at an average annual rate of
2.1%.

Rate per 100,000

Figure 12. Trends in Cancer Incidence Rates in Females, Georgia, 2000-2013.

200 180 160 140 120 100
80 60 40 20
0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Breast Lung & Bronchus Colon & Rectum Uterine Corpus Melanoma

12

Cancer Mortality

Cancer mortality in Georgia During 2008-2013*, there were an average of 15,450 cancer deaths in Georgia per year: 8,190 among males and 7,250 among females (Table 3- Appendix). Males in Georgia are about 52% 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 (2008-2013)*: 169.7 deaths per 100,000 population
Four cancer sites lung, colorectal, breast, and prostate accounted for 50% 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 29% 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, 42 counties have mortality rates that are significantly higher than the state average, while 17 counties have mortality rates significantly lower than the state average (Figure 13).

Figure 13. Age-Adjusted Cancer Mortality Rates by County, Georgia, 2008-2013*

Georgia Rate: 169.7 per 100,000 population
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 13%, 15%, and 5% respectively (Figure 14). The pancreatic cancer mortality rate among Georgia males is similar to that among U.S. males. The leukemia mortality rate is 7% higher among U.S. males than among Georgia males. The breast cancer mortality rate is 3% higher among Georgia females than among U.S. females
(Figure 15). Colorectal and ovarian cancer mortality rates among Georgia females are similar to those among
U.S. females. Lung and pancreatic cancer mortality rates are higher among U.S. females than among Georgia
females by 3% and 9% respectively.

Figure 14. Age-Adjusted Cancer Mortality Rates in Males, Georgia and the United States, 2008-2013

Rate per 100,000

70

65.6

58.2

60

50

40

30

20

10

0 Lung &
Bronchus*

24.0 20.8

19.1 18.2

12.2 12.6

Prostate* Colon & Rectum* Pancreas

Georgia United States
8.7 9.3 Leukemias*

* 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 and the United States, 20082013

Rate per 100,000

70

60

50

40

36.0 37.1

30

20

10

0 Lung &
Bronchus*

22.3 21.6

12.6 12.8

8.8 9.6

Breast* Colon & Rectum Pancreas*

Georgia United States
7.7 7.6 Ovary

* Differences are statistically significant. (p<.05) 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 25% more likely than white males to die of cancer; black females are
10% more likely than white females to die of cancer (Table 2 Appendix). Prostate and stomach cancer mortality rates among black males are nearly three times higher than
among white males in Georgia (Figure 16). The colorectal cancer mortality rate is 56% higher among black males than among white males. Lung cancer, pancreatic cancer, and leukemia mortality rates among black males are similar to those
among white males. The uterine cancer mortality rate among black females is more than twice that of white females in
Georgia (Figure 17). Breast and colorectal cancer mortality rates are higher (47% and 45% respectively) among black
females than among white females. The lung cancer mortality rate is 38% higher among white females than among black females. Pancreatic and ovarian cancer mortality rates among black females are similar to those among white
females.
Figure 16. Age-Adjusted Cancer Mortality Rates in Males by Race, Georgia, 2008-2013.

Rate per 100,000

80 70 66.7 65.7 60 50 40 30 20 10
0 Lung & Bronchus

50.3 18.4
Prostate*

26.8 17.2
Colon & Rectum*

Black White

13.5 11.9 Pancreas

7.4 8.9 Leukemias

9.2 3.5
Stomach*

* 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, 2008-2013.

Rate per 100,000

80

70

60

50

39.0

40 28.3

30

20

10

0

Lung &

Bronchus*

28.9 19.6
Breast*

16.4 11.3
Colon & Rectum*

10.7 8.2 Pancreas

6.6 8.1 Ovary

Black White
7.4 3.2 Uterine Corpus*

* 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 1990-2000, overall cancer mortality rates among Georgia males decreased by an average rate
of 1.3% per year, followed by a more rapid decrease of 2.1% per year during 2000-2013. During 1990-2004, lung cancer mortality rates among males decreased at an average annual rate of
1.8%, followed by a more rapid decrease of 3.6% per year during 2004-2013(Figure 18). During 1990-1992, prostate cancer mortality rates among males increased at an average annual rate
of 5.1%. From 1992-2013, the rates decreased by 3.7% per year. During 1990-2013, colorectal cancer mortality rates among males decreased at an average annual
rate of 1.4%. During 1990-2013, pancreatic cancer mortality rates among males remained relatively steady. During 1990-2013, leukemia mortality rates among males decreased at an average annual rate of
1.1% per year.

Rate per 100,000

Figure 18. Trends in Cancer Mortality Rates in Males, Georgia, 1990-2013*

120
100
80
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 12 13 Year of Death

Lung & Bronchus Prostate Colon & Rectum Pancreas Leukemias

* 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 Georgia females remained fairly steady from 1990-2002 and
began decreasing by about 1.6% per year from 2002-2013. During 1990-2003, lung cancer mortality rates among females increased at an average annual rate
of 1.6%. From 2003-2013, the rates decreased by 1.7% per year (Figure 19). During 1990-2013, breast cancer mortality rates among females decreased at an average annual
rate of 1.4%. During 1990-2002, colorectal cancer mortality rates among females decreased at an annual average
rate of 0.4%, followed by a more rapid decrease of 2.9% per year during 2002-2013. During 1990-2013, pancreatic cancer mortality rates among females remained relatively steady. During 1990-2005, ovarian cancer mortality rates among females increased at an average annual
rate of 0.5%. From 2005-2013, the rates decreased by 2.7% per year

Rate per 100,000

Figure 19. Trends in Cancer Mortality Rates in Females, Georgia, 1990-2013*

120
100
80
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 12 13 Year of Death

Lung & Bronchus Breast Colon & Rectum Pancreas Ovary

* 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 30% of all female cancer cases. An average of 6,575 new invasive and 1,635 in situ breast cancer cases are diagnosed among Georgia females every year. Since 2000, breast cancer incidence rates in Georgia have remained fairly steady. One in 8 American women will develop breast cancer in her lifetime.4 Breast cancer can also occur in males, but it is rare. About 55 Georgia males are diagnosed with breast cancer each year.
Cobb-Douglas (3-1), Fulton (3-2), 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), and Southeast (9-2) Public Health Districts have significantly lower rates (Figure 20). A list of Public Health Districts and their counties can be found on page 44.
Figure 20. Age-Adjusted Breast Cancer Incidence Rates by Public Health District, Georgia, 2009-2013.
Georgia Rate: 123.8 per 100,000 females

Deaths An average of 1,170 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 1.4%. 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 (2008-2013)*: 22.3 deaths per 100,000 females
Fulton (3-2) Public Health District has a significantly higher mortality rate than the state average, while North (2), Cobb-Douglas (3-1), and Southwest (8-2) Public Health Districts have significantly lower rates (Figure 21).
Figure 21. Age-Adjusted Breast Cancer Mortality Rates by Public Health District, Georgia, 2008-2013.*
Georgia Rate: 22.3 per 100,000 females

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.
18

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 89%. If the cancer is discovered at a local stage, the survival rate is 97%, but only 79% when discovered at a regional stage and 21% when discovered at a distant stage (Figure 22).
In Georgia from 2006-2012, 68% of breast cancers were diagnosed at an early stage (in situ and localized) compared to 31% at a late stage (regional and distant) (Figure 23). The percentage diagnosed at an early stage varies among Public Health Districts, ranging from 61% in Clayton (3-3) to 71% in North (2) 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 chest radiation Excessive alcohol consumption Obesity Physical Inactivity
Prevention Although there is no sure way to prevent breast cancer, the best strategy is to avoid modifiable risk factors, including alcohol, obesity, inactivity, and hormone therapy with estrogen plus progestin after menopause.4 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 (2009-2013): 45.1 cases per 100,000 females

Figure 22. Survival by Stage at Diagnosis for Female Breast Cancer, Georgia, 2006-2012.

Percent of Women Surviving 5 Years

NH Black Females

100

93 98

80

60

40

20

0 Localized

NH White Females 81
74
17 22 Regional Distant

% of tumors found at this stage*

NH Black Females NH White Females

Localized 53% 64%

Regional 37% 30%

Distant 9% 5%

*Unstaged tumors are not shown.

Figure 23. Percent of Early Stage at Diagnosis for Female Breast Cancer by Public Health District, Georgia, 2006-2012.
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

68 68 71 70 69 61 70 68 68 68 66 64 67 68 67 67 66 65

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 2014 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 who had a mammogram in the last two years ranged from 71% in LaGrange (4) to 91% in Southwest (8-2) 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 (2014): 79.9%

Figure 24. Mammogram in the Last 2 Years by Age, Women Ages 50 to74, Georgia, 2014.

100

80

Percent

60

40

20

0 50-54

55-64

65-74

Age Group

Figure 25. Mammogram in the Last 2 Years by Public Health District, Women Ages 50 to 74, Georgia, 2014.

Georgia=80%

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

81 75 77 77
84 89
82 82 71 82 81 84 78 82
91 78 74
86

20

40

60

80 100

Percent

20

Uterine Cervix Cancer
New cases Yearly, an average of 390 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 (2009-2013): 7.7 cases per 100,000 females
East Central (6), South (8-1), and Southwest (8-2) Public Health Districts have significantly higher incidence rates than the state rate. Cobb-Douglas (3-1) Public Health District has a significantly lower rate (Figure 26).

Deaths Yearly, an average of 135 Georgia females die from cervical cancer. Since 1990, cervical cancer mortality rates have declined at an average annual rate of 1.4%.
Healthy People 2020
Objective: Reduce the cervical cancer death rate.
Target (2020): 2.2 deaths per 100,000 females Georgia (2008-2013)*: 2.6 deaths per 100,000 females
There is no public health district that has a significantly higher mortality rate than the state average. East Metro (3-4) and DeKalb (3-5) Public Health Districts have significantly lower rates. South Central (5-1) Public Health District had fewer than 16 deaths and a rate was not calculated (Figure 27).

Figure 26. Age-Adjusted Cervical Cancer Incidence Rates by Public Health District, Georgia, 2009-2013.
Georgia Rate: 7.7 per 100,000 females

Figure 27. Age-Adjusted Cervical Cancer Mortality Rates by Public Health District, Georgia, 2008-2013.*
Georgia Rate: 2.6 per 100,000 females

Significantly higher than state rate No significant difference Significantly lower than state rate Rate not calculated (<16 deaths)

*Because of data quality issues, 2009 mortality data are not used for analysis.
21

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 46%. If the cancer is discovered at a local stage, the survival rate is 71%, but only 44% when discovered at a regional stage and 15% when discovered at a distant stage (Figure 28).
Among Georgia women diagnosed with cervical cancer in 2006-2012, 43% 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.

Figure 28. Survival by Stage at Diagnosis for Cervical Cancer, Georgia, 2006-2012.

NH Black Females NH White Females

Percent of Women Surviving 5 Years

100 80 72 71

60

46 43

40

20

0 Localized Regional

10 12 Distant

% of tumors found at this stage*

NH Black Females NH White Females

Localized 35% 47%

Regional 44% 37%

Distant 16% 12%

*Unstaged tumors are not shown.

Risk factors Certain types of human papillomavirus A high number of childbirths 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.

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 (2009-2013)
7.7 8.6 7.8 7.0 6.5 7.0 9.0 6.8 7.6 7.6 8.8 7.4 10.2 7.7 10.9 10.3 6.7 7.6 8.7

Mortality (2008-2013)
2.6 3.5 2.3 2.4 2.8 2.6 2.8 1.8 1.8 2.7 ~ 3.0 3.4 2.5 3.1 3.3 2.2 2.4 3.4

* Average annual rate per 100,000, age-adjusted to the 2000 U.S. 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 2014 Behavioral Risk Factor Surveillance System, 84% of women ages 21 to 65 years reported having a Pap test within the past 3 years. Women ages 25 to 34 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 64% in South Central (5-1) to 94% in Fulton (3-2) Public Health District (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 (2014): 84.2%

Figure 29. Pap Test in the Last 3 Years by Age, Women Ages 21 to 65 Years, Georgia, 2014.

100

82

87

89

84

80

Percent

60

40

20 ~ 0
21-24 25-34 35-44 45-54 55-65

Age Group

~ Rate not calculated due to sparse data.

Figure 30. Pap Test in the Last 3 Years by Public Health District, Women Ages 21 to 65 Years, Georgia, 2014.

Georgia=84%

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

79 77
84 88 94
84 86
90 83 64 79
86 89
74 81 83 79 89
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 4,000 new cases of colorectal cancer are diagnosed in Georgia: 2,095 in males and 1,905 in females. Since 2000, colorectal cancer incidence rates have declined at an average annual rate of 2.3%.
Healthy People 2020
Objective: Reduce invasive colorectal cancer.
Target (2020): 41.6 cases per 100,000 population Georgia (2009-2013): 41.9 cases per 100,000 population
North Central (5-2), West Central (7), and Southwest (8-2) Public Health Districts have significantly higher incidence rates than the state rate. North Georgia (1-2) and East Metro (3-4) Public Health Districts have significantly lower rates (Figure 31).

Deaths Yearly, an average of 1,400 Georgians die from colorectal cancer: 750 males and 650 females. Colorectal cancer is the third leading cause of cancer death in Georgia. During 1990-2002, colorectal cancer mortality rates decreased at an average annual rate of 0.7%, followed by a more rapid decrease of 2.3% per year from 2002-2013.
Healthy People 2020
Objective: Reduce the colorectal cancer death rate.
Target (2020): 14.5 deaths per 100,000 population Georgia (2008-2013)*: 15.4 deaths per 100,000 population
Clayton (3-3), East Central (6), West Central (7), Southeast (9-2), and Northeast (10) Public Health Districts have significantly higher mortality rates than the state rate. North Georgia (1-2) and Fulton (3-2) Public Health Districts have significantly lower mortality rates than the state (Figure 32).

Figure 31. Age-Adjusted Colorectal Cancer Incidence Rates by Public Health District, Georgia, 2009-2013.
Georgia Rate: 41.9 per 100,000 population

Figure 32. Age-Adjusted Colorectal Cancer Mortality Rates by Public Health District, Georgia, 2008-2013.*
Georgia Rate: 15.4 per 100,000 population

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.
24

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 87%, but only 68% when discovered at a regional stage and 11% when discovered at a distant stage (Figure 33). Early detection and removal of precancerous polyps can greatly reduce the risk of developing or dying from invasive colorectal cancer.
During 2006-2012, 55% of colorectal cancers were diagnosed at a late stage (regional and distant) while only 41% were diagnosed early (in situ and local) (Figure 34). The percentage diagnosed at an early stage varies among Public Health Districts, ranging from 37% in Northeast (10) to 49% in North Central (5-2) 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, 2006-2012.

Percent Surviving 5 Years

NH Black Male NH White Male NH Black Female

100 79 85 84 90

80

63 68 65 71

60

NH White Female

40
20
0 Localized

Regional

6 11 9 15 Distant

% of tumors found at this stage*

NH Black Males NH White Males NH Black Females NH White Females

Localized 37% 40% 39% 39%

Regional 33% 37% 32% 37%

Distant 26% 20% 24% 20%

*Unstaged tumors are not shown.

Figure 34. Percent of Early Stage at Diagnosis for Colorectal Cancer by Public Health District, Georgia 2006-2012.
Georgia=41%

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 42 40 41 41 41 38 44 41
48 49 38 41 42 44 40 43 37
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. 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 (2014): 68.5%
Colorectal cancer screening in Georgia According to the 2014 Behavioral Risk Factor Surveillance System, 69% 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). The likelihood to meet screening recommendations increases significantly with age (Figure 35).
Among the 18 Public Health Districts in Georgia, the percentage of adults ages 50 to 75 years who met screening recommendations ranged from 55% in West Central (7) to 76% in DeKalb (3-5) 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, 2014.

100

81

80

70

60

52

Percent

40

20

0 50-54

55-64

65-75

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, 2014.
Georgia=69%

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

61 57
67 72 71
62 73 76
70 57
70 75
55 70 75 70
62 67
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 6,340 new cases of lung cancer are diagnosed in Georgia: 3,550 in males and 2,790 in females. Since 2000, lung cancer incidence rates in Georgia have decreased at an average annual rate of 1.4%.
Northwest (1-1), North Georgia (1-2), North Central (5-2), South (8-1), Southwest (8-2), Southeast (9-2), and Northeast (10) Public Health Districts have significantly higher incidence rates than the state rate. CobbDouglas (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, 2009-2013.
Georgia Rate: 67.4 per 100,000 population

Deaths Lung cancer is the leading cause of cancer death in Georgia accounting for 29% of all cancer deaths. Yearly, an average of 4,450 Georgians die from lung cancer: 2,590 males and 1,860 females. During 1990-2003, lung cancer mortality rates in Georgia decreased at an average annual rate of 0.5%, followed by a more rapid decline of 2.6% per year from 20032013.
Northwest (1-1), North Georgia (1-2) North Central (5-2), East Central (6), South (8-1), Southwest (8-2), and Southeast (9-2) Public Health Districts have significantly higher mortality rates than the state rate. North (2), 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, 2008-2013.*
Georgia Rate: 48.5 per 100,000 population

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.
27

Healthy People 2020
Objective: Reduce the lung cancer death rate.
Target (2020): 45.5 deaths per 100,000 population Georgia (2008-2013)*: 48.5 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 overall five year survival rate among Georgians is 17%. If the cancer is discovered at a local stage, the survival rate is 52%, but only 26% when discovered at a regional stage and 4% when discovered at a distant stage (Figure 39).
In Georgia from 2006-2012, 80% 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 76% in South Central (5-1) to 83% in Clayton (3-3) and DeKalb (3-5) Public Health Districts.
Risk factors Tobacco use (accounts for about 80% of all
lung cancer deaths) Exposure to environmental (second-hand)
tobacco smoke Exposure to certain industrial substances such
as arsenic, diesel exhaust, 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 to not 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, 2006-2012.

NH Black Male NH White Male NH Black Female NH White Female
100

Percent Surviving 5 Years

80

60

56 57 48

39

40

22 22 26 30

20

0 Localized

Regional

3 3 5 5 Distant

% of tumors found at this stage*

NH Black Males NH White Males NH Black Females NH White Females

Localized 11% 16% 14% 19%

Regional 22% 24% 23% 24%

Distant 64% 56% 59% 52%

*Unstaged tumors are not shown.

Figure 40. Late Stage at Diagnosis for Lung and Bronchus Cancer by Public Health District, Georgia 2006-2012.
Georgia=80%

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

79 79 78 79 80
83 80 83 79 76 79 82 81 79 81 79 78 79
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 27% of all male cancer cases. Yearly, an average of 6,340 new cases of invasive prostate cancer are diagnosed among Georgia males. During 2000-2009, prostate cancer incidence rates decreased at an average annual rate of 0.3%, followed by a more rapid decline of 8.7% per year from 2009-2013.
Fulton (3-2), Clayton (3-3), DeKalb (3-5), LaGrange (4), West Central (7), South (8-1), and Southwest (8-2) Public Health Districts have significantly higher incidence rates than the state rate. Northwest (1-1), North Georgia (1-2) North (2), 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, 2009-2013.
Georgia Rate: 139.7 per 100,000 males

Deaths Prostate cancer is the second leading cause of cancer death among males. Yearly, an average of 760 Georgia males die from prostate cancer. During 1990-1992, prostate cancer mortality rates increased at an average annual rate of 5.1%, followed by a decline of 3.7% per year from 1992-2013. Mortality rates among black males are nearly three times higher than rates among white males.
Fulton (3-2), Clayton (3-3), DeKalb (3-5), and East Central (6) Public Health Districts have significantly higher mortality rates than the state rate. Northwest (1-1) and North (2) Public Health Districts have significantly lower rates (Figure 42).
Figure 42. Age-Adjusted Prostate Cancer Mortality Rates by Public Health District, Georgia, 2008-2013.*
Georgia Rate: 24.0 per 100,000 males

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.
30

Healthy People 2020
Objective: Reduce the prostate cancer death rate.
Target (2020): 21.8 deaths per 100,000 population Georgia (2008-2013)*: 24.0 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 the chance of survival. For prostate cancer, the overall five year survival rate among Georgia males is 96%. If the cancer is discovered at a local stage, the survival rate is 100%, but only 27% 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 the localized stage.
During 2006-2012, 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 78% in South Central (5-1) to 90% in Clayton (3-3) and Southwest (8-2) Public Health Districts.
Risk factors Increasing age Black race Family history Diet high in fat and low in fruits and vegetables
Prevention Eat at least 2 and 1/2 cups of fruits and
vegetables daily Participate in regular physical activity Stay at a healthy weight

Figure 43. Survival by Stage at Diagnosis for Prostate Cancer, Georgia, 2006-2012.

Percent of Men Surviving 5 Years

NH Black Males
100 100 100
80 60 40 20
0 Localized

NH White Males 93
81
30 25
Regional Distant

% of tumors found at this stage*

NH Black Males NH White Males

Localized 86% 86%

Regional 6% 9%

Distant 5% 3%

*Unstaged tumors are not shown.

Figure 44. Early Stage at Diagnosis for Prostate Cancer by Public Health District, Georgia 20062012.
Georgia=86%

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

85 81
84 85 86
90 88 87 88 78 85 83 89 89 90 82 82 86
20 40 60 80 100 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.
PSA Screening in Georgia According to the 2014 Behavioral Risk Factor Surveillance System, nearly two thirds of Georgia men ages 40 and older discussed the advantages of PSA screening with a health professional while only about a third of men discussed the disadvantages (Figure 45). Of those men for whom a PSA was recommended by a health professional, about 90% actually received a PSA and 70% had done so within the past year (Figure 46). NH black men were more likely to discuss PSA with their doctor, but NH white men were more likely to follow through with the screening. The main reason for receiving a PSA for 77% of these men was as part of a routine check-up (Figure 47). About 15% reported some kind of personal prostate issue or a family history of prostate cancer as the main reason for receiving the screening.
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.

Figure 45. Percent of Men Ages 40 Years and Older Who Discussed the Advantages and Disadvantages of PSA Screening with a Health Professional, Georgia, 2014

NH Black Males NH White Males

Percent

100

80

64 63

60

40

20

0 Discussed Advantages

37 25
Discussed Disadvantages

Figure 46. Percent of Men Ages 40 Years and Older Who Received a PSA Screening per Recommendation from a Health Professional, Georgia, 2014

Percent

NH Black Males NH White Males

100

95 86

80

60

64 73

40

20

0 Ever had a PSA PSA within Past 12 Months

Figure 47. Main Reason for Receiving a PSA Screening per Recommendation from a Health Professional, Males Ages 40 Years and Older, Georgia, 2014

Routine Check Up
77%

Prostate Problem
5% Family
History of Prostate Cancer
5%
Personal History of Prostate
Cancer Other 5% 10%

32

Melanoma
New cases Yearly, an average of 2,320 new cases of malignant melanoma, the most serious form of skin cancer, are diagnosed in Georgia: 1,365 in males and 955 in females. Since 2000, melanoma incidence rates have been increasing at an average annual rate of 2.6%.
North Georgia (1-2), North (2), Cobb-Douglas (3-1), Fulton (3-2), East Metro (3-4), and Northeast (10) Public Health Districts have significantly higher incidence rates than the state rate while Northwest (1-1), Clayton (3-3), DeKalb (3-5), South Central (51), North Central (5-2), East Central (6), West Central (7), South (8-1), Southwest (8-2), Coastal (9-1), and Southeast (9-2) Health Districts have significantly lower rates (Figure 48).
Figure 48. Age-Adjusted Melanoma Incidence Rates by Public Health District, Georgia, 20092013.
Georgia Rate: 24.2 per 100,000 population

Deaths Yearly, an average of 225 Georgians die from melanoma: 150 males and 75 females. Since 1990, melanoma mortality rates have been decreasing at an average annual rate of 0.5%.
Healthy People 2020
Objective: Reduce the melanoma death rate. Target (2020): 2.4 deaths per 100,000 population Georgia (2008-2013)*: 2.5 deaths per 100,000 population
North Georgia (1-2), Coastal (9-1), and Northeast (10) Public Health Districts have significantly higher mortality rates than the state rate while Fulton (3-2) and East Metro (34) Public Health Districts have significantly lower rates. Clayton (3-3) Public Health District had fewer than 16 deaths and the melanoma mortality rate was not calculated (Figure 49).
Figure 49. Age-Adjusted Melanoma Mortality Rates by Public Health District, Georgia, 20082013.*
Georgia Rate: 2.5 per 100,000 population

Significantly higher than state rate No significant difference Significantly lower than state rate Rate not calculated (<16 deaths)

*Because of data quality issues, 2009 mortality data are not used for analysis.
33

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 overall five year survival rate is 95%. If the cancer is discovered at a local stage, the survival rate is 96%, but only 62% when discovered at a regional stage and 18% when discovered at a distant stage (Figure 50).
In Georgia from 2006-2012, 91% of melanomas were diagnosed at an early stage (in situ and localized) of disease (Figure 51). The percentage diagnosed at an early stage varies among Public Health Districts, ranging from 81% in Southeast (9-2) to 94% in CobbDouglas (3-1) and Fulton (3-2) 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 the risk of melanoma later in life. Children should be protected from the sun.

Figure 50. Survival by Stage at Diagnosis for Melanoma, Georgia, 2006-2012.

NH Black Male NH White Male NH Black Female NH White Female

Percent Surviving 5 Years

100

97 95 97 87

80

67

60 60

60

46

40

26

17

20

~ ~

0 Localized Regional
~ Rates not calculated due to sparse data.

Distant

% of tumors found at this stage*

NH Black Males NH White Males NH Black Females NH White Females

Localized 42% 83% 64% 87%

Regional 33% 9% 17% 6%

Distant 18% 4% 14% 2%

*Unstaged tumors are not shown.

Figure 51. Early Stage at Diagnosis for Melanoma by Public Health District, Georgia, 2006-2012.
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

89 91 93 94
94 91 93 92 91 85 86 87 89 88 83 86 81 90
20 40 60 80 100
Percent

34

Early detection Careful inspection of the skin can detect melanoma early when 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 signs 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 color is not the same all over and may include shades of brown or black, or
sometimes contain patches of pink, red, white, or blue. D - Diameter: Greater than 6 millimeters (about inch), although melanomas can sometimes be
smaller than this. 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. About 4,500 adult
Georgians die from smoking-related cancers each year.5 During 2008-2013, tobacco use
was responsible for an estimated 17% of deaths
among Georgia adults ages 35 years and older,
and Georgia adults who die as a result of smoking lose an average of 18 years of life.5

Tobacco-Related Cancers5

Lip, oral cavity, pharynx Esophagus Stomach Pancreas Larynx

Trachea, lung, bronchus Uterine Cervix Kidney and renal pelvis Bladder Myeloid Leukemia

In 1986, the U.S. 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.6 Cigars contain
most of the same carcinogens found in
cigarettes. Regular cigar smoking causes
cancer of the lung, oral cavity, larynx, and esophagus, and possibly of the pancreas.7

Tobacco use among Georgia adults The prevalence of cigarette smoking among
adults has been slowly declining over the past two decades (Figure 52).
According to the 2014 Behavioral Risk Factor Surveillance System, an estimated 17% of Georgia adults are current smokers: 21% of males and 14% of females. One in five white adults (19%) and nearly one in seven black adults (15%) smoke cigarettes. Smoking rates vary by age, with adults ages 25-34 years the most likely to smoke cigarettes (24%) and adults 65 and older the least likely (8%) (Figure 53).
Among the 18 Public Health Districts in Georgia, the prevalence of cigarette smoking ranged from 10% in DeKalb (3-5) to 24% in North (2) Public Health District (Figure 54).
Each year from 2008 to 2013, an estimated 10,350 deaths among Georgians ages 35 years and older were attributed to cigarette smoking. Of these, 44% were due to cancer (47% among males and 38% among females).5

Figure 52. Current Cigarette Use by Year, Adults 18+ Years of Age, Georgia, 1990-2014.*

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
* BRFSS weighting methodology changed greatly in 2011. Comparisons should not be made between 2011 data and that of previous years.

11 12 13 14
36

Many smokers want to stop. According to the 2014 Behavioral Risk Factor Surveillance System, 66% 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.8

Figure 53. Current Cigarette Use by Age, Georgia Adults, 2014.

25

24

20 16
15

18

19

19

Percent

10

8

5

0

18-24

25-34

35-44

45-54

55-64

65+

Age Group

Public Health District

Figure 54. Current Cigarette Use by Public Health District, Georgia Adults, 2014.

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

Georgia=17%

22 14
24 13 13
19 14 10
18 16
17 21 23
17 21 22 22
20

5

10

15

20

25

30

Percent

37

Tobacco use among Georgia youth In 2013, 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 2013 YRBS, 9% of middle school students and 24% of high school students reported using some form of tobacco; 4% of middle school and 13% of high school students were current cigarette smokers.
Among males, 5% of middle school students and 14% of high school students reported current cigarette smoking (Figure 55). Among females, 4% of middle school students and 12% of high school students reported current cigarette smoking. Non-Hispanic white high school students (19%) were four times as likely as non-Hispanic black high school students (5%) to smoke cigarettes.
The prevalence of cigarette smoking increased as grade increased (Figure 56). Among middle school students, 4% of males and 3% of females had already begun smoking before the age of 11 (Figure 57). Among high school students, 9% of males and 14% of females started smoking before the age of 13. Age of initiation did not vary between race/ethnicity groups for either middle school or high school students.

Figure 55. Current Cigarette Use by Sex and Race/Ethnicity, Georgia Students, 2013.

Middle School High School

Percent

25

20

15

14

12

10 5 5

4

0 Males Females

19
55 4
NH NH Black White

Figure 56. Current Cigarette Use by Grade, Georgia Students, 2013.

Percent

20

17

15

15 11

10

9

5 6 52

0 6 7 8 9 10 11 12
Grade

Figure 57. Initiation of Smoking before Age 11 among Middle School Students and before Age 13 among High School Students by Sex and Race/Ethnicity, Georgia, 2013

Middle School High School

Percent

25

20

15

14

9

10

4 5

3

0 Males Females

10

10

4

4

NH NH Black White

38

Nutrition, physical activity, and obesity The World Cancer Research Fund estimates that 20% of all cancers diagnosed in the U.S. are related to body fatness, physical inactivity, excess alcohol consumption, and/or poor nutrition, and thus could be prevented.9 Maintaining a healthy weight, staying active throughout life, limiting alcohol, and eating a nutritious diet can reduce one's risk for 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.9

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

Physical activity in Georgia According to the 2013 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 ages 18-24 years (33%) the most likely to meet aerobic and strength exercise recommendations on a regular basis. Adults ages 55 and older are the least likely (15%) to meet the recommendations (Figure 58).

Figure 58. Georgia Adults who Meet Aerobic and Strength Exercise Recommendations on a Regular Basis by Age Group, 2013

Percent

50

40 33

30 20

25 18 20 15 15

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).10 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 2014 Georgia Behavioral Risk Factor Surveillance System, 29% of men and 32% of women are obese based on selfreported height and weight. Among adults, 38% of blacks and 29% of whites are obese. Obesity increases with age, with the highest prevalence reported among adults ages 45-64 years (36%) (Figure 59). However, even among young adults ages 18-24 years, 17% are obese.
Among the 18 Public Health Districts, the prevalence of obese adults ranged from 23% in Cobb-Douglas (3-1) to 42% in South Central (5-1) Public Health District (Figure 60).
The prevalence of obesity among adults in Georgia has been steadily increasing throughout the last decade (Figure 61).

Percent

Figure 59. Percentage of Obese Adults by Age Group, Georgia, 2014.

40

33 36 36

29

30

30

20 17

10

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

Figure 60. Percentage of Obese Adults by Public Health District, Georgia, 2014.

Georgia=31%

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

32 35
28 23
29 34
28 26
36 42
36 32 33 30
35 35
38 33

10

20

30

40

50

Percent

Percent

Figure 61. Percentage of Obese Adults by Year, Georgia, 2000-2014.*

35 30 25 20 15 10
5 0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year

2011 2012 2013 2014

* 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.10 The CDC has developed age-
and gender-specific growth charts which
translate BMI into a percentile. Children with a BMI-for-age greater than the 85th percentile but less than the 95th percentile are classified as
overweight. Obese children have a BMI-forage at or above the 95th percentile.

According to the 2013 Youth Risk Behavior Survey for high school students, 32% of NH black males, 32% of NH white males, 37% of NH black females, and 19% of NH white females are overweight or obese (Figure 62). 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 62. Overweight and Obese High School Students by Sex and Race/Ethnicity, Georgia, 2013

Percent

40

35

30

25

14

20

15

10

18

5

0 NH Black Males

Overweight Obese
15 15
7 22 17
12
NH White Males NH Black Females NH 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 2009-2013 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/.
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 2015 Sub (2000-2013) <Katrina/Rita Population Adjustment> - Linked To County Attributes - Total U.S., 1969-2014 Counties, National Cancer Institute, DCCPS, Surveillance Research Program, Surveillance Systems Branch, released April 2016, based on the November 2015 submission. Incidence and survival data were categorized using the SEER Site Recode ICD-O-3/WHO 2008. Survival data were age-adjusted to the International Cancer Survival Standard 1.

Incidence rates for the United States for 2009-2013 were obtained from NAACCR Fast Stats: An interactive tool for quick access to key NAACCR cancer statistics. North American Association of Central Cancer Registries. http://www.naaccr.org/. (Accessed on 8-4-2016).
The number of deaths and mortality rates for the state of Georgia for 2008 and 2010-2013 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+. More information on these groupings can be found on the web at http://seer.cancer.gov/codrecode/1969+_d04162012.
Mortality trend data for Georgia and mortality rates for the United States were obtained from the SEER Program (www.seer.cancer.gov) SEER*Stat Database: Mortality - All COD, Aggregated With State, Total U.S. (1969-2013) <Katrina/Rita Population Adjustment>, National Cancer Institute, DCCPS, Surveillance Research Program, Surveillance Systems Branch, released April 2016. 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 2008-2015 and the 2000 U.S. standard million population were obtained from the U.S. Bureau of the Census, available at http://www.census.gov/.
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 U.S. standard million population. Except where calculated to show trends, the incidence rates are five-year average annual rates for the period 2009 through 2013.
Mortality rates were calculated per 100,000 population and age-adjusted by the direct method to the 2000 U.S. 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 2008 and 2010-2013 combined.
The estimated number of cancer cases In Georgia for 2015 was calculated by multiplying the age-specific state incidence rates (2009-2013) by the age-specific

state population estimates for 2015. 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 cancer deaths in Georgia for 2015 was calculated by multiplying the age-specific state mortality rates (2008 and 2010-2013 combined) by the age-specific state population estimates for 2015. 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 4.3.1.0 April 2016; 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 2015. Atlanta: American Cancer Society; 2015. 2. Schottenfeld, D., Beebe-Dimmer, J.L., Buffler, P.A., Omenn, G.S. Current Perspective on the Global and
United States Cancer Burden Attributable to Lifestyle and Environmental Risk Factors. Annu Rev Public Health, 2013. 34:97-117. 3. U.S. Department of Health and Human Services. Chronic Disease Cost Calculator. U.S. 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/ 4. American Cancer Society. Breast Cancer Facts & Figures 2015-2016. Atlanta: American Cancer Society, Inc. 2015. 5. Chung, A., Lavender, A., Bayakly, R. 2015 Georgia Tobacco Use Surveillance Report. Georgia Department of Public Health, Health Protection, Epidemiology, Chronic Disease, Healthy Behaviors and Injury Epidemiology Section, October 2015. 6. U.S. Department of Health and Human Services. The Health Consequences of Using Smokeless Tobacco: A Report of the Advisory Committee to the Surgeon General. U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, National Cancer Institute. DHHS Pub. No. (NIH) 862874, 1986. 7. Shanks T.G., Burns D.M. 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, U.S. Department of Health and Human Services, National Institutes of Health, NIH Pub. No. 98-4302, 1998. 8. U.S. Department of Health and Human Services. The Health Benefits of Smoking Cessation. U.S. 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. 9. American Cancer Society. American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention. Atlanta: American Cancer Society; (2016). Retrieved July 21, 2016 from http:// www.cancer.org/healthy/eathealthygetactive/acsguidelinesonnutritionphysicalactivityforcancerprevention/ 10. 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, 2009-2013

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 116638 543.9 8224 546.8 5759 540.7 8976 555.1 8939 552.4 10452 564.4 2296 544.7 9170 512.9 7105 537.2 10527 568.8 1996 477.5 7139 560.6 5499 499.1 4887 557.8 3349 583.1 5064 572.6 6860 522.5 4457 512.1 5939 562.5

Non-His panic Black Males Cases Rate 29264 591.6 656 624.4 152 588.3 325 577.9 1450 540.7 4737 634.3 1227 578.9 1801 558.5 3694 592.3 2271 623.1 508 490.0 2258 594.8 1969 548.0 1897 606.4 885 651.0 1824 645.4 1830 552.5 840 559.3 940 630.1

ALL SITES

Non-His panic White Males Cases Rate 82740 547.1 7393 548.5 5365 551.8 8319 570.2 7006 575.8 5239 539.5 881 610.3 6392 554.4 3013 519.1 7937 562.8 1448 481.8 4740 553.6 3393 485.4 2862 540.5 2406 575.7 3166 556.8 4843 522.0 3510 514.4 4827 559.6

Females Cases Rate 107828 410.7 7395 409.0 5002 409.2 7916 434.8 8738 421.4 9894 420.3 2302 402.7 9489 409.3 7445 414.9 9335 417.9 1681 358.4 6209 405.8 5274 392.2 4336 398.4 2947 428.5 4457 414.2 6323 404.5 3850 387.2 5235 419.8

Non-His panic Black Females Cases Rate 27957 396.5
631 431.3 137 363.3 325 421.0 1655 378.1 4473 426.4 1328 386.3 2038 382.7 3755 405.8 2046 404.7 437 341.9 2094 399.8 1828 379.6 1625 380.6 751 413.7 1616 413.2 1664 372.8 736 387.6 818 398.7

Non-His panic White Females Cases Rate 74671 429.7 6587 413.5 4613 420.8 7201 447.8 6503 452.9 4864 433.5
796 481.3 6293 458.7 3205 446.0 6978 429.0 1226 368.0 4001 416.8 3270 408.7 2565 418.8 2105 436.5 2779 424.8 4426 425.6 3013 389.0 4246 430.7

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 32877 123.8 2045 112.9 1394 111.8 2273 122.1 2826 130.8 3276 136.1
794 129.6 3136 128.3 2503 136.6 2788 123.4 456 99.3 1817 119.5 1699 126.2 1304 120.9 854 125.0 1254 119.4 1885 120.8 1058 106.6 1515 121.9

BREAST
Non-His panic Black Females Cases Rate 9318 127.2
186 122.0 43 107.6 80 98.5 600 117.7 1445 134.6 529 138.9 770 129.0 1335 138.6 700 129.8 125 99.3 608 114.5 640 131.2 524 123.1 231 128.5 507 130.6 514 114.2 214 111.3 267 128.1

Non-His panic White Females Cases Rate 22025 126.0
1812 113.6 1270 113.4 2097 126.9 2038 138.7 1659 145.4 219 134.3 2006 140.6 1021 145.9 2002 122.4 328 101.4 1176 124.0 1006 125.9 725 118.9 602 125.5 734 114.1 1303 125.7 817 105.2 1210 123.5

UTERINE CERVIX

Females

Cases Rate

1956 7.7

146 8.6

91

7.8

112 7.0

139 6.5

172 7.0

56

9.0

178 6.8

142 7.6

162 7.6

36

8.8

101 7.4

118 10.2

70

7.7

63 10.9

100 10.3

101 6.7

67

7.6

102 8.7

Non-His panic

Black Females

Cases Rate

654 8.8

6

~

<5

~

***

~

48 10.3

99

9.0

31

8.5

44

7.4

79

8.1

54 10.1

16 13.2

50

9.5

45

9.6

28

7.1

23 13.3

43 11.2

40

8.7

21 11.5

20 10.2

Non-His panic

White Females

Cases Rate

1104 7.5

131 9.1

80

8.4

92

7.0

75

6.1

62

6.0

13

~

85

7.0

36

5.8

96

6.8

19

6.7

50

6.5

65 11.2

39

9.2

38 10.2

54 11.1

49

5.4

43

6.7

77

8.9

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

46

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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 10479 49.1
754 50.6 425 40.3 830 51.1 765 47.8 849 46.4 232 53.1 792 44.3 635 48.3 929 51.2 181 42.6 673 52.3 553 50.2 470 53.5 294 52.0 499 57.7 632 49.2 428 50.0 538 52.1

Non-His panic Black Males Cases Rate 2970 60.6 59 62.2 16 63.5 45 77.1 137 44.0 460 62.7 143 72.1 161 53.9 358 61.1 219 59.6 48 44.5 244 64.3 228 62.5 198 64.7 93 70.2 184 64.9 193 60.4 85 55.7 99 64.2

COLON & RECTUM

Non-His panic White Males Cases Rate 7058 47.1 683 51.1 391 40.8 746 51.3 574 48.7 352 36.6 76 52.1 510 44.1 242 41.3 689 50.0 132 44.6 414 47.8 314 45.4 259 48.1 194 47.6 309 56.1 419 46.6 333 49.8 421 50.5

Females Cases Rate 9532 36.4
667 36.5 394 32.4 668 36.4 681 34.2 813 35.2 218 38.4 765 34.6 651 37.0 854 38.3 180 38.2 638 41.7 450 33.0 459 41.6 253 36.8 446 40.1 590 38.1 348 34.5 457 36.4

Non-His panic

Black Females

Cases Rate

3002 43.7

64 43.8

12

~

41 54.0

142 37.2

436 42.3

142 43.8

207 43.1

384 42.1

207 44.4

51 40.8

286 55.9

188 38.5

208 49.0

73 40.2

196 49.2

201 46.1

71 36.2

93 45.8

Non-His panic White Females Cases Rate 6149 34.7
585 36.1 370 33.3 604 36.6 504 35.1 336 29.8 63 36.7 466 34.2 228 30.1 624 37.7 125 36.6 340 34.2 251 30.9 242 38.3 173 35.4 247 35.6 370 35.9 270 34.2 351 35.0

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 17747 86.7 1596 109.3
991 96.2 1298 81.1 1112 77.8 1119 66.6 309 84.0 1035 67.7 797 65.5 1570 88.7 408 98.7 1281 100.8 986 91.1 769 89.8 572 101.5 917 105.1 1096 85.5 923 105.9 968 94.4

Non-His panic Black Males Cases Rate 3930 87.3 96 96.4 26 124.2 41 75.0 144 65.6 598 86.9 126 78.4 132 50.4 427 78.8 272 82.9 96 102.8 380 100.0 330 94.8 291 98.3 128 102.2 281 104.7 255 81.6 154 113.3 153 111.8

LUNG & BRONCHUS

Non-His panic White Males Cases Rate 13414 89.9 1488 112.1 936 97.3 1234 83.8 929 82.2 475 54.7 164 108.5 820 78.1 339 59.7 1271 91.8 307 99.4 886 101.9 643 92.1 470 88.3 443 104.9 630 108.7 818 88.6 755 108.0 806 94.6

Females Cases Rate 13944 53.3 1265 67.7
765 62.2 1000 53.2 1047 54.3 1040 46.4 269 52.5 994 48.3 758 44.8 1214 54.1 216 43.4 893 56.7 722 52.5 581 52.0 386 54.1 607 53.6 903 57.6 582 56.0 702 54.4

Non-His panic

Black Females

Cases Rate

2809 42.0

90 64.4

13

~

34 48.6

140 40.4

524 50.9

114 42.1

152 37.7

350 41.0

186 38.7

41 30.8

225 43.0

203 41.9

165 38.3

74 41.6

161 41.5

179 40.9

72 38.6

86 40.9

Non-His panic White Females Cases Rate 10805 59.4 1161 69.4
733 64.5 945 55.1 872 60.4 489 44.1 146 80.5 784 57.6 377 48.5 1008 59.6 174 48.5 655 64.3 501 59.0 404 61.9 297 58.2 443 61.6 711 66.2 501 60.9 604 57.9

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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 31701 139.7 1810 113.1 1392 121.8 2204 128.5 2497 141.6 3234 170.7
717 156.3 2678 141.0 2242 161.7 2902 145.9 498 114.0 1910 141.9 1451 123.7 1384 152.8 982 165.2 1452 155.6 1812 129.0 957 103.9 1579 140.7

PROSTATE
Non-His panic Black Males Cases Rate 11161 221.2 252 231.2 60 225.4 123 213.3 635 235.4 1696 226.9 478 207.9 794 248.7 1396 211.9 953 250.2 160 154.1 819 209.0 703 190.7 701 224.9 345 255.4 728 254.5 676 198.1 271 173.3 371 241.1

Non-His panic White Males Cases Rate 19461 119.6 1522 105.6 1258 119.4 2020 128.5 1750 129.6 1440 140.2 191 122.3 1658 130.2 767 127.3 1867 122.1 327 102.3 1053 115.5 706 93.3 647 116.1 624 142.8 712 115.8 1092 107.8 661 90.0 1166 125.5

MELANOMA

Males Cases Rate 6830 32.5
412 28.0 524 49.6 823 51.8 779 47.7 697 37.4 56 17.6 657 35.6 302 25.2 612 33.8 70 17.9 243 20.2 223 20.8 233 27.5 129 22.9 140 16.6 380 30.4 173 19.4 377 37.5

Females

Cases Rate

4767 18.4

301 17.6

335 27.8

558 32.6

511 23.9

523 21.5

31

5.6

521 21.3

263 14.0

423 19.5

38

8.6

138 9.3

176 13.4

120 11.7

99 15.0

132 12.9

244 15.9

103 11.2

251 20.9

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population ~ Rates not calculated where the count is less than sixteen *** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

48

Table 2. Age-Adjusted Cancer Incidence for Georgia by County, Sex, and Race/Ethnicity, 2009-2013

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 116638 543.9
206 419.8 80 403.3 135 461.4 44 428.0 631 537.4 252 512.8 802 574.5 1321 572.6 259 584.1 240 459.1 2139 605.5 164 492.1 231 483.1 285 598.4 389 587.8 598 459.4 310 551.4 374 641.9 94 547.3 523 492.9 119 398.7 1356 563.4 683 418.2 165 488.1 3320 530.2 75 680.4 432 614.9 2648 570.1 1012 534.1 61 584.5 2296 544.7 105 609.9 7562 555.3 489 503.7 619 576.8 1289 458.3 219 504.2 1562 544.2 220 573.2

Non-His panic

Black Males

Cases Rate

29264 591.6

38 558.8

15

~

21 713.9

17 373.8

212 547.9

5

~

79 561.9

112 699.1

72 590.7

24 608.9

885 630.3

29 658.9

12

~

86 688.8

55 768.0

127 483.9

127 595.4

88 650.7

54 601.7

87 515.6

28 529.0

187 614.9

13

~

26 401.0

1120 580.7

25 763.8

28 419.4

94 646.0

315 635.9

24 514.7

1227 578.9

23 713.0

1114 530.0

98 485.1

116 666.9

159 494.0

51 484.1

235 622.1

43 592.9

ALL SITES

Non-His panic White Males Cases Rate 82740 547.1 167 417.6 61 430.8 110 435.5 26 473.4 408 542.5 243 523.4 691 589.9 1177 570.7 186 606.8 216 460.0 1219 595.1 133 470.2 216 470.5 197 584.2 328 578.2 459 460.8 180 538.9 278 630.9 40 516.1 426 497.2 89 395.0 1133 559.9 658 419.6 133 516.1 2112 520.5 46 657.2 398 638.5 2436 574.9 639 504.5 36 656.5 881 610.3 81 609.6 6016 581.1 376 526.1 475 593.9 1066 461.6 162 507.7 1287 546.4 176 587.5

Females Cases Rate 107828 410.7
211 385.3 81 397.0 116 354.2 53 464.0 495 400.1 182 359.5 719 411.3 1213 454.7 241 440.9 244 422.9 1991 423.8 142 346.9 207 400.0 191 357.0 303 409.0 597 382.9 289 425.2 256 387.6 63 398.8 457 398.6 113 324.7 1267 437.7 656 332.5 86 270.8 3172 409.7 45 347.0 322 401.1 2450 442.9 1038 422.4 34 286.3 2302 402.7 77 380.6 7328 419.6 462 415.8 509 395.4 1268 375.0 251 513.5 1343 395.7 149 371.1

Non-His panic

Black Females

Cases Rate

27957 396.5

49 538.0

19 525.3

11

~

25 511.4

185 397.4

<5

~

73 425.8

98 408.3

62 388.3

21 394.4

871 416.5

29 416.9

<5

~

70 426.0

34 349.1

126 331.6

136 435.2

52 357.7

31 352.1

72 332.9

31 373.3

150 351.9

10

~

26 406.4

1070 396.1

11

~

20 313.9

101 405.8

306 409.4

16 251.1

1328 386.3

18 448.4

1272 376.7

104 409.6

102 402.7

145 320.9

51 430.9

216 383.9

30 348.9

Non-His panic White Females Cases Rate 74671 429.7
159 357.0 57 384.9 100 353.8 28 469.9 302 409.1 174 368.6 616 426.2 1081 466.3 171 456.2 215 421.0 1095 438.8 113 345.1 201 407.1 116 327.5 256 424.8 455 399.4 151 420.5 200 401.6 31 422.6 356 407.6 77 308.9 1082 455.4 633 334.2 60 237.0 1985 426.2 33 433.0 297 411.0 2215 451.0 679 442.7 18 392.7 796 481.3 59 377.1 5529 449.8 344 420.4 392 413.8 1056 395.4 192 531.7 1078 404.3 117 382.8

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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
296 463.5 196 413.1 370 550.0 353 497.4 7105 537.2 279 482.7 194 472.0 1266 603.1 1377 535.6 187 631.8 49 577.4 623 552.0 322 554.7 288 500.6 156 562.9 470 516.6 1417 489.1 1469 592.8 2022 547.4 392 595.1 10452 564.4 507 539.4 43 527.4 1141 513.8 726 566.1 368 540.8 338 539.8 7034 503.6 670 567.2 2285 552.3 110 353.3 437 585.4 453 479.0 415 511.0 200 642.9 2263 574.0 1585 530.6 132 516.4 840 586.0 205 575.2

Non-His panic

Black Males

Cases Rate

91 505.9

<5

~

<5

~

118 562.2

3694 592.3

66 524.9

70 428.6

657 617.4

336 568.1

71 693.6

5

~

67 574.5

78 580.1

70 520.9

39 613.6

<5

~

241 506.4

200 756.3

28 406.5

27 642.6

4737 634.3

<5

~

<5

~

207 538.5

19 458.1

92 635.4

90 694.7

1151 556.5

13

~

133 551.1

63 362.9

21 572.2

79 466.9

47 502.6

22 655.8

630 595.5

320 524.0

29 588.0

44 427.4

36 469.1

ALL SITES

Non-His panic White Males Cases Rate 205 473.1 194 418.6 362 550.5 229 485.0 3013 519.1 212 485.5 122 523.6 598 598.2 990 544.4 115 622.9 41 567.3 538 549.8 240 548.2 216 510.9 113 561.3 458 511.2 1113 493.0 1232 581.4 1863 565.5 360 598.3 5239 539.5 490 542.1 40 533.2 908 516.9 689 592.1 270 542.4 242 513.3 4963 554.6 637 581.4 2024 588.3 44 349.5 410 584.3 367 484.9 358 507.1 174 635.7 1514 573.0 1207 536.5 103 520.0 772 601.1 165 602.7

Females Cases Rate
276 371.4 185 358.3 283 414.3 318 364.3 7445 414.9 242 381.7 117 285.9 1181 429.9 1410 430.4 140 384.7 40 411.3 590 456.9 271 398.9 249 359.9 134 408.4 390 423.1 1368 409.1 1250 415.8 1949 441.3 332 448.1 9894 420.3 374 379.8 52 510.0 1074 404.3 654 427.0 306 393.4 257 410.6 7465 410.9 623 451.4 2081 436.5 100 328.7 371 420.8 381 367.8 353 385.9 147 428.1 2104 419.8 1480 396.5 130 422.9 756 454.7 179 436.0

Non-His panic

Black Females

Cases Rate

91 381.5

<5

~

<5

~

128 425.2

3755 405.8

51 334.6

53 294.1

611 408.2

383 386.7

50 330.7

<5

~

45 293.0

68 411.8

66 339.8

41 479.8

<5

~

217 389.3

167 484.0

44 425.2

29 600.4

4473 426.4

<5

~

<5

~

197 370.8

21 441.8

81 403.7

74 407.3

1369 398.4

22 628.1

132 417.1

64 311.6

21 539.3

55 285.3

39 304.5

12

~

653 418.8

323 379.5

31 490.6

47 436.2

54 545.1

Non-His panic White Females Cases Rate
180 367.9 181 362.2 279 424.6 185 337.5 3205 446.0 191 408.9 61 300.7 553 458.9 974 470.1 89 441.9 37 454.2 537 487.4 201 408.3 179 371.7 89 379.7 379 419.0 1076 423.8 1064 420.8 1784 462.9 293 433.6 4864 433.5 359 375.8 49 531.5 844 420.2 614 445.2 217 391.8 182 440.4 5001 464.4 567 446.5 1786 466.1 35 373.7 345 415.7 316 390.6 306 401.3 135 450.2 1338 432.3 1098 414.7 98 407.9 688 462.9 124 412.8

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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
185 466.3 240 533.8 104 472.9 122 406.5 420 572.5 280 583.5 125 516.9 676 533.8 374 648.4 524 528.0 132 503.9 134 486.1 1310 623.3 436 568.3 207 512.2 455 604.7 119 464.7 308 567.8 206 398.3 381 613.4 92 488.3 363 628.8 419 546.7 115 460.1 309 576.4 464 502.1 2414 607.4 1127 560.4 444 565.9 235 541.7 1428 580.5 360 582.9 568 614.5 269 531.2 271 609.5 642 626.0 152 466.9 408 566.8 65 656.7 299 483.3

Non-His panic

Black Males

Cases Rate

32 540.0

116 611.1

33 510.9

35 504.0

104 673.2

55 504.3

29 618.3

186 552.0

67 672.1

220 539.5

36 629.4

23 298.0

397 681.6

<5

~

110 532.7

42 741.2

35 503.4

123 725.9

51 335.8

137 733.2

24 708.3

176 834.7

99 699.0

27 442.3

63 693.4

<5

~

996 660.6

338 602.8

24 613.7

50 707.1

152 557.0

138 675.6

<5

~

20 475.7

41 766.3

77 734.7

30 381.6

70 592.7

25 886.7

6

~

ALL SITES

Non-His panic White Males Cases Rate 149 468.2 122 487.4 71 466.6 84 386.0 313 552.6 224 618.4 95 509.0 474 530.1 298 653.1 274 541.4 96 490.1 106 567.6 883 613.4 423 575.7 94 500.6 402 592.6 80 465.8 182 506.9 151 416.8 238 563.8 68 454.9 182 532.6 316 527.4 86 458.6 246 567.0 451 514.4 1327 592.9 760 551.9 404 570.0 185 526.1 1233 592.1 212 555.1 549 609.0 246 546.1 229 595.6 550 624.3 120 488.6 333 573.0 39 659.0 287 477.0

Females Cases Rate
159 365.2 210 377.1 111 393.1 94 326.0 329 382.2 238 435.1 118 467.0 607 395.4 322 463.7 463 390.3 89 305.9 99 316.2 1054 399.8 400 473.6 173 414.4 383 446.2 78 286.0 280 405.7 165 321.9 308 420.2 100 466.0 318 463.1 319 376.7 99 389.1 260 438.3 393 370.7 2391 438.7 1124 429.5 379 410.7 183 394.9 1423 442.3 349 456.1 452 449.0 226 407.3 186 365.0 543 448.3 105 240.2 298 397.5 50 515.9 299 477.4

Non-His panic

Black Females

Cases Rate

24 410.0

107 379.0

36 329.2

17 224.5

85 376.9

54 391.7

20 341.3

189 397.8

46 409.6

177 363.3

25 304.2

17 204.9

335 408.1

<5

~

93 403.4

35 468.5

24 301.1

94 388.7

52 294.4

109 416.0

27 591.9

139 487.5

71 393.8

17 287.9

44 324.8

<5

~

933 417.3

357 381.8

20 424.8

26 296.0

194 411.3

128 437.8

<5

~

9

~

22 332.4

71 488.5

33 264.0

65 418.5

26 619.7

<5

~

Non-His panic White Females Cases Rate
131 370.1 100 375.4 73 437.5 77 369.2 241 386.1 182 453.5 95 513.3 407 390.7 275 495.5 257 449.6 64 313.9 79 375.9 688 402.3 383 475.0 76 421.1 334 444.7 54 304.5 180 401.6 112 352.1 197 431.2 72 436.2 177 457.7 245 378.7 81 436.6 214 480.7 379 380.5 1347 471.0 740 458.6 342 411.0 151 409.7 1168 450.7 215 473.0 442 451.0 213 438.4 161 371.1 457 450.7 70 227.0 229 398.7 23 350.2 290 477.0

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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
115 514.8 2279 507.0 1009 529.8
62 487.3 208 514.9 145 496.3 994 603.1 453 594.8 103 653.8 441 571.8 124 577.2 29 531.8 336 558.1 123 501.5 165 364.0 178 697.0 670 558.5 580 620.3 418 634.4 311 646.6 89 517.6 954 606.9 150 630.3 172 583.6 578 624.8 475 658.7 890 473.4 1182 567.9 475 503.4 73 426.1 315 559.2 490 641.2 35 375.3 97 471.0 493 546.6 1102 480.5 137 499.6 196 607.8 155 544.3 311 527.8

Non-His panic

Black Males

Cases Rate

54 523.6

1088 522.5

312 516.1

15

~

70 510.1

40 575.1

252 685.0

49 768.8

56 776.4

204 659.2

55 566.5

20 628.1

64 567.8

42 581.1

49 382.3

91 831.6

239 694.6

148 704.2

95 758.6

<5

~

33 701.8

275 695.8

44 633.3

77 718.8

<5

~

108 722.1

32 484.9

155 657.5

125 666.6

40 487.5

156 678.4

77 687.3

16 450.8

22 298.6

5

~

49 580.0

31 407.3

84 760.9

55 639.5

62 481.3

ALL SITES

Non-His panic

White Males

Cases Rate

59 463.2

1133 507.5

669 559.2

46 492.9

135 511.2

105 491.4

724 586.7

400 587.0

44 567.1

231 518.9

68 627.2

9

~

264 593.5

80 480.0

104 367.7

87 614.0

424 519.7

419 616.3

306 615.8

308 651.7

56 460.4

660 580.8

104 635.9

95 507.9

572 629.9

363 646.5

852 478.1

1006 565.2

338 465.6

33 381.8

153 485.8

402 651.4

18 287.3

74 521.3

482 552.6

981 514.5

105 558.3

110 536.0

99 511.2

249 553.6

Females Cases Rate
89 294.5 2259 406.1 900 377.5 45 312.6 204 430.8 139 413.4 857 441.7 390 435.7 56 344.3 391 417.4 92 366.8 23 334.7 279 447.5 96 328.8 152 314.1 145 462.0 587 396.7 538 460.8 320 382.5 231 467.8 85 417.8 864 435.2 140 510.0 122 394.6 410 408.8 397 425.9 778 350.1 989 412.5 441 376.5 89 430.0 265 410.0 341 401.2 22 254.8 51 261.5 383 408.7 943 354.0 104 403.9 151 391.5 133 395.7 276 400.7

Non-His panic

Black Females

Cases Rate

40 251.1

1045 394.1

312 338.5

10

~

67 382.3

37 421.6

215 433.7

39 436.7

25 271.9

167 418.2

38 280.6

12

~

62 512.5

33 323.2

45 308.2

75 461.2

206 428.8

126 441.5

72 416.2

<5

~

20 335.7

243 432.5

32 377.7

48 372.1

<5

~

103 466.0

28 356.4

125 391.3

96 355.4

41 375.1

125 397.7

44 336.7

10

~

13

~

9

~

29 297.2

23 374.9

52 353.0

45 391.4

58 336.6

Non-His panic

White Females

Cases Rate

48 346.9

1129 432.4

552 408.0

35 338.3

135 468.3

100 402.2

634 455.1

342 431.1

31 474.1

216 411.6

53 466.0

11

~

209 436.0

62 333.1

106 317.2

69 498.6

374 391.4

388 472.4

237 381.2

226 465.2

65 449.5

602 444.4

105 583.4

74 422.4

403 413.4

293 419.2

747 354.4

839 418.4

332 379.0

45 496.6

139 433.2

290 414.5

12

~

36 258.3

368 407.4

839 386.4

80 429.6

98 433.0

87 400.9

217 424.7

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

32877 123.8

61 116.7

25 116.7

32

96.0

12

~

124 97.9

43

81.2

186 105.8

336 124.9

65 120.2

61 103.1

577 125.4

39

99.6

39

73.5

49 100.6

87 111.5

175 113.2

83 120.3

69 104.8

17 112.1

141 119.0

28

80.7

339 116.2

182 91.5

27

80.8

993 130.0

8

~

67

86.0

729 127.5

311 130.2

11

~

794 129.6

16

75.7

2417 133.2

111 99.5

142 111.0

419 119.5

66 139.7

395 112.4

58 149.4

BREAST

Non-His panic

Black Females

Cases Rate

9318 127.2

16 185.6

6

~

5

~

6

~

46

94.5

<5

~

25 125.3

30 124.9

12

~

7

~

257 122.4

7

~

<5

~

20 130.5

9

~

38

97.9

40 124.0

19 132.0

<5

~

27 125.7

9

~

41

90.7

<5

~

9

~

338 124.6

<5

~

<5

~

28 102.9

107 140.9

6

~

529 138.9

<5

~

467 121.4

29 114.0

31 123.0

62 121.0

18 149.7

58 100.9

12

~

Non-His panic

White Females

Cases Rate

22025 126.0

44 101.0

18 111.5

26

91.3

6

~

77 101.0

42

84.6

154 106.2

295 125.6

49 132.2

53 100.5

312 128.7

32 106.3

38

75.6

28

87.9

74 116.5

130 114.7

43 119.8

49

98.8

14

~

102 112.3

17

69.9

290 120.9

175 91.8

18

68.3

617 135.3

6

~

63

89.7

654 128.7

188 129.1

5

~

219 134.3

14

~

1778 141.5

80

97.5

108 114.1

338 123.9

47 133.2

326 118.2

46 154.8

UTERINE CERVIX

Females

Cases Rate

1956 7.7

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

15

~

23

8.5

<5

~

<5

~

33

8.6

<5

~

<5

~

<5

~

6

~

11

~

6

~

5

~

<5

~

6

~

<5

~

19

6.9

15

~

<5

~

52

7.0

<5

~

8

~

39

6.8

28

10.6

<5

~

56

9.0

<5

~

111

6.1

5

~

12

~

34

10.7

8

~

26

7.7

<5

~

Non-His panic

Black Females

Cases Rate

654

8.8

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

20

10.1

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

28

10.3

<5

~

<5

~

<5

~

8

~

<5

~

31

8.5

<5

~

36

9.5

<5

~

6

~

<5

~

<5

~

10

~

<5

~

Non-His panic

White Females

Cases Rate

1104 7.5

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

13

~

20

9.0

<5

~

<5

~

13

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

11

~

14

~

<5

~

18

4.1

<5

~

7

~

34

6.9

16

10.3

<5

~

13

~

<5

~

62

5.9

<5

~

5

~

28

12.0

6

~

13

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

75 100.1

47

90.2

89 121.0

91 109.9

2503 136.6

64 104.4

29

67.5

329 123.0

409 118.8

36 106.8

11

~

170 130.4

67 104.8

82 117.2

40 126.6

101 112.6

473 140.6

356 120.2

628 132.4

96 129.6

3276 136.1

92

96.5

18 170.5

301 116.3

181 117.5

77 101.8

88 146.1

2499 129.5

167 120.3

575 118.3

24

79.2

83

94.6

125 118.9

91

97.8

31

89.1

679 129.9

437 115.2

34 117.1

225 132.5

59 145.7

BREAST

Non-His panic

Black Females

Cases Rate

29 116.5

<5

~

<5

~

39 133.2

1335 138.6

12

~

11

~

197 128.7

133 106.9

14

~

<5

~

15

~

18 116.9

26 134.1

14

~

<5

~

96 165.1

42 119.9

11

~

10

~

1445 134.6

<5

~

<5

~

55 106.4

<5

~

22 118.3

22 134.5

532 135.4

8

~

34 103.2

15

~

7

~

22 113.2

10

~

<5

~

260 144.4

91

98.1

12

~

19 171.9

17 174.6

Non-His panic

White Females

Cases Rate

45

85.9

47

93.3

89 125.2

50

92.1

1021 145.9

52 115.7

17

71.7

128 113.3

260 121.9

22 110.2

9

~

154 139.3

49 107.2

55 110.0

26 117.8

97 110.0

348 138.7

307 123.0

584 141.3

83 122.7

1659 145.4

89

96.0

17 171.4

240 122.9

173 124.3

53

99.7

65 148.6

1627 144.1

154 117.8

497 126.0

9

~

75

90.1

99 120.2

81 102.5

27

90.4

390 123.9

329 124.3

21

88.8

202 133.6

41 134.3

UTERINE CERVIX

Females

Cases Rate

<5

~

<5

~

<5

~

7

~

142

7.6

<5

~

5

~

25

10.1

28

8.1

6

~

<5

~

7

~

5

~

9

~

<5

~

11

~

12

~

31

12.2

19

4.1

9

~

172

7.0

5

~

<5

~

15

~

14

~

5

~

<5

~

131

6.2

11

~

35

8.1

<5

~

<5

~

<5

~

5

~

5

~

34

5.8

24

6.4

<5

~

16

10.5

<5

~

Non-His panic

Black Females

Cases Rate

<5

~

<5

~

<5

~

<5

~

79

8.1

<5

~

<5

~

16

11.3

12

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

99

9.0

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

29

7.4

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

9

~

<5

~

<5

~

<5

~

Non-His panic

White Females

Cases Rate

<5

~

<5

~

<5

~

5

~

36

5.8

<5

~

<5

~

9

~

13

~

<5

~

<5

~

7

~

<5

~

6

~

<5

~

11

~

6

~

27

13.6

17

4.6

9

~

62

6.0

5

~

<5

~

7

~

13

~

5

~

<5

~

57

5.7

10

~

23

7.2

<5

~

<5

~

<5

~

<5

~

5

~

23

7.6

14

~

<5

~

14

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

42

91.2

64 112.8

31 113.2

23

79.2

99 113.6

72 131.4

33 128.4

180 118.8

85 116.5

122 98.3

25

85.0

26

84.0

328 125.3

103 116.1

44 106.8

102 119.9

26 108.7

84 121.4

45

78.7

90 127.2

28 131.5

100 152.9

97 111.1

30 119.8

80 135.9

106 97.7

738 136.7

324 120.8

132 134.3

51 112.8

420 123.8

104 137.5

107 104.0

64 114.1

49

94.6

153 126.0

23

51.3

87 117.4

16 175.1

83 124.3

BREAST

Non-His panic

Black Females

Cases Rate

6

~

29

99.6

8

~

7

~

24 104.9

13

~

<5

~

59 126.8

15

~

49

86.6

9

~

5

~

115 142.8

<5

~

21

93.4

10

~

9

~

33 135.5

16

89.5

32 130.3

6

~

41 143.8

13

~

<5

~

19 147.8

<5

~

320 141.1

117 118.2

<5

~

8

~

66 128.5

48 169.7

<5

~

<5

~

7

~

21 140.9

7

~

19 118.7

9

~

<5

~

Non-His panic

White Females

Cases Rate

34

88.2

35 126.6

23 142.3

16

76.9

73 115.9

58 145.2

30 158.3

119 116.3

70 117.7

67 117.4

16

77.2

20

99.8

206 121.2

101 118.7

22 125.2

89 119.6

17 108.2

48 104.7

29

74.3

58 127.0

21 125.2

59 166.0

82 122.8

26 140.7

61 135.6

102 99.3

375 135.4

198 120.9

125 141.4

41 112.2

335 123.6

54 117.3

106 106.4

62 126.3

42

95.0

132 130.6

15

~

68 124.1

7

~

82 125.5

UTERINE CERVIX

Females

Cases Rate

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

23

16.4

7

~

13

~

<5

~

<5

~

23

10.1

5

~

<5

~

<5

~

<5

~

5

~

<5

~

12

~

5

~

6

~

5

~

<5

~

<5

~

8

~

45

9.5

24

9.0

5

~

<5

~

22

6.3

7

~

7

~

5

~

<5

~

13

~

<5

~

6

~

<5

~

<5

~

Non-His panic

Black Females

Cases Rate

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

10

~

<5

~

<5

~

<5

~

<5

~

10

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

19

8.9

7

~

<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

~

12

~

7

~

7

~

<5

~

<5

~

12

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

24

12.5

15

~

5

~

<5

~

19

7.0

<5

~

7

~

<5

~

<5

~

11

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

28

95.6

744 134.9

313 127.5

16 107.3

56 114.9

43 130.3

236 123.0

93 101.2

11

~

121 136.6

23

90.9

5

~

78 124.8

30 104.4

38

78.8

50 172.2

168 115.6

163 139.3

94 116.4

63 125.5

23 119.1

255 130.8

44 151.9

34 116.5

118 121.2

100 111.2

220 101.7

273 113.4

127 110.9

36 171.0

79 125.9

99 115.3

<5

~

10

~

124 129.1

259 96.3

26 104.2

52 135.9

38 120.6

76 114.3

BREAST

Non-His panic

Black Females

Cases Rate

9

~

382 142.5

121 120.6

<5

~

14

~

17 194.2

66 127.6

<5

~

5

~

54 143.4

12

~

<5

~

16 119.5

10

~

13

~

26 172.9

71 149.0

35 117.6

27 159.7

<5

~

6

~

71 121.7

7

~

11

~

<5

~

33 151.9

9

~

35 111.2

23

84.6

14

~

37 116.8

11

~

<5

~

<5

~

<5

~

14

~

8

~

19 136.3

18 171.7

19 126.5

Non-His panic

White Females

Cases Rate

19 150.9

337 132.1

181 130.1

12

~

41 138.5

26 104.0

169 122.6

86 105.9

6

~

63 133.3

11

~

<5

~

59 123.3

19 100.2

25

73.9

24 164.7

96 101.5

123 152.3

66 109.5

61 122.1

17 123.6

178 137.0

36 186.0

23 139.7

117 124.1

67

96.6

210 102.0

236 117.9

100 119.3

19 210.2

42 138.7

85 119.8

<5

~

8

~

120 129.1

222 99.3

18 102.1

33 138.6

20

91.3

57 111.0

UTERINE CERVIX

Females

Cases Rate

<5

~

47

9.5

23

10.0

<5

~

6

~

<5

~

24

14.1

10

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

13

~

9

~

<5

~

<5

~

<5

~

9

~

6

~

<5

~

6

~

11

~

16

8.1

21

9.4

<5

~

<5

~

5

~

6

~

<5

~

<5

~

<5

~

21

8.5

<5

~

<5

~

<5

~

<5

~

Non-His panic

Black Females

Cases Rate

<5

~

26

9.7

8

~

<5

~

<5

~

<5

~

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

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Non-His panic

White Females

Cases Rate

<5

~

15

~

13

~

<5

~

<5

~

<5

~

12

~

8

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

8

~

5

~

<5

~

<5

~

<5

~

6

~

5

~

<5

~

6

~

9

~

16

8.6

20

11.1

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

16

10.1

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

10479 49.1

23

58.9

7

~

12

~

5

~

52

45.0

34

69.2

65

48.8

143 64.2

17

38.2

24

46.8

204 56.7

11

~

24

49.8

24

57.3

38

63.4

57

43.1

29

49.5

32

49.1

8

~

44

44.5

9

~

136 56.7

53

33.0

18

57.0

299 48.7

8

~

50

73.9

161 35.9

79

43.7

8

~

232 53.1

9

~

643 47.7

46

45.5

59

59.8

117 40.3

14

~

141 47.3

16

36.3

Non-His panic

Black Males

Cases Rate

2970 60.6

7

~

<5

~

<5

~

<5

~

14

~

<5

~

7

~

12

~

5

~

<5

~

101 70.2

<5

~

<5

~

<5

~

9

~

11

~

20

99.5

12

~

5

~

10

~

<5

~

24

66.3

<5

~

<5

~

117 62.1

<5

~

<5

~

11

~

27

60.4

7

~

143 72.1

<5

~

103 40.8

8

~

12

~

18

54.2

<5

~

20

45.1

<5

~

COLON & RECTUM

Non-His panic

White Males

Cases Rate

7058 47.1

16

49.4

7

~

9

~

<5

~

36

48.2

31

67.0

54

49.9

130 64.2

12

~

21

43.9

99

46.8

8

~

21

45.8

19

66.7

28

52.7

46

46.3

8

~

20

42.1

<5

~

34

42.6

6

~

107 53.6

50

32.7

15

~

176 44.7

<5

~

45

74.8

146 35.8

46

37.7

<5

~

76

52.1

8

~

494 49.3

37

51.4

45

59.5

95

39.9

9

~

118 49.3

13

~

Females

Cases Rate

9532 36.4

22

37.7

9

~

8

~

7

~

58

48.6

23

47.3

44

24.9

115 43.0

20

34.7

26

42.9

200 42.8

14

~

17

31.1

19

31.3

29

43.5

36

23.2

43

61.8

18

27.0

9

~

47

40.8

10

~

129 44.4

54

27.1

8

~

289 36.7

7

~

32

37.2

186 34.6

98

38.8

<5

~

218 38.4

15

~

539 32.1

42

37.2

43

32.5

102 31.6

26

54.8

107 32.6

9

~

Non-His panic

Black Females

Cases Rate

3002 43.7

<5

~

<5

~

<5

~

5

~

23

51.6

<5

~

6

~

12

~

10

~

<5

~

117 56.5

<5

~

<5

~

5

~

5

~

8

~

24

72.4

<5

~

<5

~

7

~

<5

~

15

~

<5

~

<5

~

133 49.3

<5

~

<5

~

12

~

28

38.3

<5

~

142 43.8

7

~

103 35.7

8

~

15

~

10

~

5

~

23

42.8

<5

~

Non-His panic

White Females

Cases Rate

6149 34.7

19

39.9

6

~

8

~

<5

~

34

49.3

22

47.5

36

24.1

101 43.0

9

~

23

41.8

80

31.7

12

~

17

32.6

14

~

24

43.4

28

24.9

18

52.6

14

~

5

~

38

41.5

6

~

110 45.7

51

26.5

6

~

146 31.1

5

~

29

37.4

169 34.8

68

41.7

<5

~

63

36.7

8

~

404 32.5

32

38.9

28

26.8

85

32.9

20

54.0

81

31.4

6

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

35

56.1

14

~

35

52.2

38

52.5

635 48.3

20

34.9

11

~

119 58.1

122 48.3

20

67.9

5

~

69

63.4

38

68.9

39

67.7

17

63.3

49

53.3

90

34.9

131 52.8

185 50.5

45

70.6

849 46.4

40

44.0

<5

~

104 47.0

62

47.9

43

62.2

30

49.4

601 42.8

72

62.9

206 49.2

10

~

39

53.6

42

45.0

46

55.2

28

89.4

177 45.0

164 53.8

15

~

80

54.8

14

~

Non-His panic

Black Males

Cases Rate

10

~

<5

~

<5

~

11

~

358 61.1

9

~

7

~

65

61.4

34

52.2

10

~

<5

~

10

~

10

~

11

~

6

~

<5

~

13

~

20

78.1

<5

~

<5

~

460 62.7

<5

~

<5

~

25

64.6

<5

~

12

~

14

~

89

39.4

<5

~

18

79.2

6

~

<5

~

<5

~

8

~

<5

~

59

52.5

40

57.5

6

~

<5

~

7

~

COLON & RECTUM

Non-His panic

White Males

Cases Rate

25

56.4

14

~

35

53.9

27

55.5

242 41.3

11

~

<5

~

53

57.1

80

45.5

10

~

<5

~

54

55.4

28

66.8

28

67.9

10

~

47

52.4

75

36.6

111 53.0

165 50.1

41

70.3

352 36.6

37

42.4

<5

~

76

44.8

60

51.3

31

60.8

16

32.2

399 44.9

68

64.4

172 49.8

<5

~

35

49.6

37

48.8

38

53.6

27

99.2

109 42.4

120 53.4

9

~

74

57.1

7

~

Females

Cases Rate

32

40.9

14

~

20

27.8

35

38.4

651 37.0

31

50.4

13

~

112 39.7

142 44.7

11

~

<5

~

53

42.1

29

40.4

25

36.0

22

65.0

30

30.2

106 29.8

106 34.7

139 34.0

35

46.1

813 35.2

35

33.7

<5

~

93

35.1

63

41.0

40

50.9

21

32.8

585 34.3

57

40.2

156 33.1

21

77.4

42

47.6

34

33.4

38

37.1

13

~

184 39.4

163 44.8

10

~

66

41.3

19

45.7

Non-His panic

Black Females

Cases Rate

12

~

<5

~

<5

~

13

~

384 42.1

5

~

7

~

66

44.7

39

43.0

7

~

<5

~

6

~

13

~

11

~

7

~

<5

~

18

33.3

21

60.5

7

~

<5

~

436 42.3

<5

~

<5

~

13

~

<5

~

16

78.4

10

~

128 41.2

<5

~

13

~

19

98.3

<5

~

12

~

7

~

<5

~

66

56.0

38

50.4

<5

~

<5

~

12

~

Non-His panic

White Females

Cases Rate

20

42.7

12

~

19

27.8

22

38.0

228 30.1

26

58.2

6

~

44

32.8

100 49.6

<5

~

<5

~

47

43.7

16

30.1

13

~

14

~

30

30.8

82

28.7

85

32.8

125 34.4

32

45.5

336 29.8

34

33.8

<5

~

75

38.1

60

43.1

23

38.6

11

~

372 35.2

52

40.4

134 34.3

<5

~

41

49.5

21

26.6

29

34.3

12

~

109 35.5

120 44.3

9

~

61

42.4

7

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

43.3

35

79.3

14

~

9

~

39

56.1

23

47.7

10

~

61

46.8

36

63.5

43

39.8

19

73.5

18

76.5

116 55.5

37

42.5

24

57.5

57

76.3

13

~

39

72.9

17

33.2

53

85.6

6

~

38

66.5

39

52.0

15

~

29

55.3

47

48.9

213 53.7

104 54.0

25

32.0

25

56.8

132 51.3

45

74.0

32

32.9

24

50.3

24

55.4

53

54.4

15

~

36

54.9

10

~

25

42.9

Non-His panic

Black Males

Cases Rate

<5

~

19 102.5

7

~

<5

~

11

~

<5

~

5

~

13

~

6

~

15

~

5

~

<5

~

37

66.0

<5

~

8

~

9

~

6

~

17

95.0

5

~

15

~

<5

~

22 101.3

12

~

<5

~

8

~

<5

~

97

67.5

38

76.3

<5

~

<5

~

12

~

14

~

<5

~

<5

~

7

~

5

~

<5

~

9

~

<5

~

<5

~

COLON & RECTUM

Non-His panic

White Males

Cases Rate

16

44.6

16

69.6

7

~

6

~

27

48.3

20

55.4

5

~

47

52.3

30

65.7

23

41.0

14

~

16 102.7

76

53.8

37

44.5

15

~

47

71.1

6

~

20

62.2

12

~

37

89.9

5

~

15

~

27

44.5

12

~

21

51.4

46

50.7

107 47.4

63

47.0

24

34.3

21

59.5

117 53.6

30

74.2

31

33.1

22

51.6

17

46.5

46

56.4

13

~

26

51.0

6

~

25

45.2

Females

Cases Rate

21

47.4

22

39.9

13

~

6

~

18

20.0

26

44.6

10

~

62

41.0

32

44.2

56

52.1

8

~

6

~

81

30.7

30

35.2

23

51.1

41

47.1

8

~

20

26.3

17

30.6

37

50.0

9

~

38

51.8

23

25.6

6

~

32

52.4

29

26.4

244 44.6

103 39.4

30

35.6

23

44.5

123 39.5

37

48.7

41

41.2

17

27.9

22

44.2

61

51.2

16

37.0

29

38.7

<5

~

31

45.7

Non-His panic

Black Females

Cases Rate

6

~

12

~

7

~

<5

~

8

~

6

~

5

~

22

47.8

8

~

26

57.3

<5

~

<5

~

32

40.0

<5

~

17

70.0

<5

~

<5

~

7

~

9

~

11

~

<5

~

22

77.4

6

~

<5

~

10

~

<5

~

107 50.2

44

51.0

<5

~

5

~

13

~

17

59.1

<5

~

<5

~

<5

~

8

~

7

~

11

~

<5

~

<5

~

Non-His panic

White Females

Cases Rate

15

~

10

~

6

~

5

~

9

~

20

47.3

5

~

39

37.7

24

43.1

29

54.5

5

~

<5

~

48

27.7

29

35.9

5

~

38

49.0

5

~

13

~

8

~

26

56.5

7

~

16

38.0

17

24.3

5

~

21

45.7

28

26.7

130 42.9

59

36.4

28

36.8

17

40.9

104 40.6

20

44.6

41

42.5

16

29.3

18

43.4

49

47.5

9

~

17

27.5

<5

~

30

43.4

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

~

192 42.5

87

44.1

6

~

34

83.1

11

~

93

57.8

48

63.5

17 111.2

43

53.2

11

~

<5

~

37

62.4

15

~

21

40.2

19

86.7

61

49.9

47

50.7

32

48.2

15

~

7

~

93

63.0

22

99.3

14

~

43

48.7

39

55.6

77

40.8

110 51.9

49

53.0

5

~

27

46.3

44

53.8

<5

~

6

~

39

45.5

96

41.9

16

61.6

22

71.2

13

~

36

59.6

Non-His panic

Black Males

Cases Rate

8

~

101 47.5

34

70.1

<5

~

14

~

<5

~

20

56.7

10

~

10

~

19

56.5

7

~

<5

~

10

~

6

~

11

~

9

~

17

42.8

17

74.6

7

~

<5

~

<5

~

29

81.9

12

~

6

~

<5

~

16 114.3

<5

~

15

~

8

~

<5

~

16

67.7

10

~

<5

~

<5

~

<5

~

5

~

<5

~

10

~

5

~

9

~

COLON & RECTUM

Non-His panic

White Males

Cases Rate

<5

~

88

40.0

48

36.7

6

~

19

66.9

7

~

73

59.2

37

55.3

7

~

23

47.4

<5

~

<5

~

26

63.6

9

~

10

~

10

~

42

51.4

29

44.6

23

42.9

15

~

5

~

63

57.9

10

~

8

~

43

49.7

23

41.1

75

41.7

90

50.5

39

54.5

<5

~

10

~

32

48.8

<5

~

5

~

39

47.0

84

43.8

15

~

12

~

8

~

27

62.0

Females

Cases Rate

9

~

163 29.0

77

33.2

5

~

23

51.8

14

~

91

46.2

49

51.9

5

~

39

41.1

16

63.3

<5

~

32

50.2

16

52.7

12

~

20

65.6

48

32.1

44

37.8

20

23.7

20

36.8

10

~

72

36.8

15

~

13

~

31

27.2

49

49.8

57

24.4

73

30.4

36

26.2

9

~

31

46.7

33

40.5

<5

~

6

~

39

39.1

73

27.5

17

60.7

16

37.4

17

48.6

28

39.8

Non-His panic

Black Females

Cases Rate

<5

~

90

33.4

35

43.2

<5

~

8

~

<5

~

20

46.5

5

~

<5

~

20

47.4

8

~

<5

~

8

~

6

~

7

~

11

~

20

39.0

11

~

6

~

<5

~

<5

~

26

48.5

<5

~

8

~

<5

~

13

~

<5

~

13

~

5

~

6

~

17

57.1

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

10

~

7

~

6

~

Non-His panic

White Females

Cases Rate

5

~

71

27.0

35

24.5

<5

~

15

~

13

~

70

47.2

42

47.9

<5

~

19

31.2

8

~

<5

~

24

48.7

10

~

<5

~

9

~

28

30.2

31

37.6

14

~

20

37.4

10

~

46

34.3

12

~

5

~

31

27.7

36

48.0

53

24.1

55

27.4

29

27.6

<5

~

13

~

28

41.3

<5

~

<5

~

39

40.3

68

30.7

13

~

6

~

10

~

22

43.7

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

17747 86.7

49 102.1

17

82.9

31

96.7

10

~

113 93.9

43

87.0

150 118.8

262 114.9

60 126.7

53 102.9

374 105.4

30

88.4

53 109.4

46

96.8

71 117.4

129 103.3

63 117.6

77 136.3

14

~

76

76.6

31

96.6

242 105.1

139 87.0

30

80.4

494 80.6

11

~

92 141.2

360 89.4

139 76.3

5

~

309 84.0

18 120.3

881 74.0

101 105.2

136 122.6

198 75.9

48 116.1

223 84.2

53 146.4

Non-His panic

Black Males

Cases Rate

3930 87.3

5

~

<5

~

5

~

<5

~

35

93.7

<5

~

11

~

11

~

14

~

5

~

151 105.0

<5

~

<5

~

13

~

15

~

34 149.1

21

96.4

13

~

<5

~

10

~

<5

~

23

95.3

<5

~

5

~

149 81.8

<5

~

<5

~

13

~

53 108.8

<5

~

126 78.4

<5

~

110 62.7

17

99.0

13

~

25 104.8

7

~

40 117.5

12

~

LUNG & BRONCHUS

Non-His panic

White Males

Cases Rate

13414 89.9

44 112.1

14

~

26

95.8

8

~

75

94.1

42

88.6

138 126.2

248 120.7

46 139.9

48 104.1

220 106.6

26

88.5

51 108.8

33

94.5

55 109.4

92

94.4

42 126.2

63 144.4

10

~

64

78.3

27 110.5

216 108.6

135 87.5

24

81.3

334 81.9

9

~

89 151.6

333 88.9

82

67.2

9

~

164 108.5

16 129.8

737 77.7

81 110.6

122 147.0

166 75.8

41 129.8

180 82.1

41 143.0

Females

Cases Rate

13944 53.3

28

50.8

9

~

27

80.1

6

~

69

55.5

23

45.1

126 70.2

198 73.2

30

49.9

35

60.0

297 60.8

26

60.8

38

69.0

35

61.4

40

57.0

93

59.6

43

63.0

50

70.0

8

~

66

59.2

26

70.3

199 68.5

111 51.2

14

~

422 54.1

6

~

64

77.1

317 61.3

123 51.2

<5

~

269 52.5

16

68.6

827 51.4

69

61.2

84

63.7

165 50.9

38

71.9

168 51.8

26

60.8

Non-His panic

Black Females

Cases Rate

2809 42.0

5

~

<5

~

<5

~

<5

~

22

43.9

<5

~

10

~

17

71.5

<5

~

<5

~

100 47.1

7

~

<5

~

13

~

<5

~

13

~

13

~

6

~

<5

~

5

~

5

~

17

40.6

<5

~

<5

~

116 43.4

<5

~

5

~

8

~

33

45.3

<5

~

114 42.1

<5

~

106 40.8

10

~

15

~

14

~

<5

~

17

30.0

<5

~

Non-His panic

White Females

Cases Rate

10805 59.4

23

50.8

8

~

26

89.3

<5

~

46

59.1

22

45.9

115 75.9

179 75.1

25

58.9

33

64.0

197 74.5

19

51.9

38

72.4

20

50.7

36

63.3

78

66.2

30

80.6

44

80.9

6

~

60

70.1

20

71.9

180 73.5

110 52.5

11

~

297 60.6

6

~

57

75.1

297 63.1

86

53.0

<5

~

146 80.5

15

~

690 56.3

58

68.2

68

67.8

141 53.7

31

80.2

148 57.5

24

75.7

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

55

87.6

43

93.2

63

92.8

67

95.8

797 65.5

65 113.9

36

91.9

208 103.0

231 98.7

30

99.4

8

~

113 99.6

61 101.2

61 108.5

28 107.1

89

94.0

152 59.2

253 102.1

230 68.1

77 113.1

1119 66.6

91

97.5

5

~

194 85.2

154 123.6

71 101.6

64 102.3

728 62.7

102 84.1

293 74.3

16

49.3

84 113.2

67

76.5

76

90.3

46 139.8

268 73.6

272 93.5

33 118.3

134 94.2

29

89.0

Non-His panic

Black Males

Cases Rate

20 110.7

<5

~

<5

~

25 121.0

427 78.8

19 136.5

11

~

91

92.9

34

72.8

11

~

<5

~

8

~

16

95.4

11

~

6

~

<5

~

11

~

37 145.5

<5

~

7

~

598 86.9

<5

~

<5

~

36

92.7

<5

~

22 157.8

21 179.1

80

48.1

<5

~

14

~

10

~

<5

~

5

~

7

~

<5

~

51

53.8

45

81.9

8

~

<5

~

<5

~

LUNG & BRONCHUS

Non-His panic

White Males

Cases Rate

35

82.8

42

93.5

63

95.3

41

88.4

339 59.7

45 106.5

25 109.3

117 114.6

192 109.0

18

92.4

7

~

103 103.9

45 101.1

50 118.0

21 106.8

86

92.0

136 64.5

212 98.2

215 70.2

70 112.5

475 54.7

91 100.2

5

~

157 85.6

150 129.9

48

90.5

43

92.9

568 72.0

101 87.7

273 79.8

6

~

80 114.5

61

85.0

68

91.2

42 141.7

207 82.0

220 97.2

25 113.2

127 98.3

27 111.1

Females

Cases Rate

49

63.7

40

71.0

42

59.0

48

53.4

758 44.8

36

53.5

14

~

153 53.6

220 70.0

13

~

7

~

93

73.1

41

52.5

29

38.8

15

~

59

59.1

134 39.4

208 66.5

219 54.5

48

58.8

1040 46.4

67

60.4

7

~

173 61.5

120 74.8

42

51.7

30

42.9

714 44.8

76

51.2

250 52.3

9

~

78

79.9

55

51.5

52

52.4

27

76.2

242 51.4

210 57.6

19

57.5

118 68.2

31

74.4

Non-His panic

Black Females

Cases Rate

13

~

<5

~

<5

~

18

60.8

350 41.0

8

~

7

~

64

44.3

34

39.1

<5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

17

32.6

30

88.6

<5

~

<5

~

524 50.9

<5

~

<5

~

28

54.5

8

~

7

~

8

~

94

37.6

<5

~

14

~

<5

~

<5

~

<5

~

<5

~

<5

~

37

27.0

34

46.9

<5

~

<5

~

8

~

Non-His panic

White Females

Cases Rate

36

69.0

40

73.1

42

60.8

30

52.7

377 48.5

28

55.5

7

~

88

63.3

182 84.6

9

~

7

~

90

82.5

33

54.5

25

46.6

12

~

57

58.1

113 42.3

176 65.4

208 57.8

42

56.7

489 44.1

65

59.2

7

~

143 65.4

109 74.1

35

59.4

22

45.0

565 53.7

73

52.6

231 56.6

6

~

76

82.1

53

63.0

48

57.2

26

82.9

197 62.9

166 60.5

17

66.8

112 70.9

23

75.5

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

43 107.9

43

92.4

26 117.7

24

85.6

85 112.7

57 119.0

17

69.9

138 106.2

54 101.4

91 108.7

25

89.3

29 118.6

183 90.7

69

90.7

35

92.5

98 130.0

21

97.5

40

75.4

28

55.9

60

94.5

23 119.2

69 115.7

72

94.0

21 103.8

52

97.9

125 135.1

353 90.8

167 87.9

45

62.2

38

99.9

222 99.0

67 109.2

94

98.0

58 114.3

47

95.8

144 140.7

27

82.2

69 100.6

18 187.5

45

70.5

Non-His panic

Black Males

Cases Rate

<5

~

20 101.3

<5

~

6

~

16 102.0

6

~

<5

~

37 127.8

6

~

28

77.5

5

~

<5

~

50

94.5

<5

~

20 112.3

6

~

<5

~

15

~

6

~

24 138.2

7

~

28 148.4

15

~

<5

~

12

~

<5

~

148 104.8

30

55.9

<5

~

7

~

6

~

25 131.8

<5

~

<5

~

8

~

18 171.1

<5

~

10

~

6

~

<5

~

LUNG & BRONCHUS

Non-His panic

White Males

Cases Rate

40 124.7

23

84.0

22 137.1

17

80.7

69 118.2

51 139.9

15

~

101 105.9

48 110.1

59 136.2

20

90.4

24 136.5

133 93.2

69

94.1

15

~

92 135.7

16 103.6

25

67.8

22

62.3

36

79.6

16 104.7

41 109.5

57

95.1

16

97.9

40

91.4

123 139.3

201 89.5

135 99.4

42

63.0

31 105.5

214 110.1

41 103.2

90

94.0

54 118.7

39

91.3

126 141.3

24

98.5

59 103.6

12

~

44

71.4

Females

Cases Rate

22

48.7

25

39.5

10

~

15

~

49

54.9

35

60.6

22

83.0

69

42.0

43

69.4

60

54.1

12

~

21

66.2

126 47.6

51

59.2

22

51.0

56

60.0

12

~

51

69.1

28

56.9

36

45.5

15

~

44

57.5

46

54.2

14

~

27

41.6

83

76.5

314 56.8

176 71.3

32

34.9

30

59.2

192 64.1

43

54.6

76

72.0

30

53.1

30

59.8

97

75.7

14

~

46

55.3

6

~

44

64.3

Non-His panic

Black Females

Cases Rate

<5

~

12

~

<5

~

<5

~

5

~

<5

~

<5

~

17

32.1

7

~

17

37.2

<5

~

<5

~

34

41.3

<5

~

11

~

5

~

<5

~

17

71.0

<5

~

9

~

<5

~

10

~

9

~

<5

~

<5

~

<5

~

100 45.4

33

43.1

<5

~

<5

~

18

50.9

6

~

<5

~

<5

~

<5

~

7

~

<5

~

6

~

<5

~

<5

~

Non-His panic

White Females

Cases Rate

22

58.9

13

~

6

~

15

~

44

67.2

32

74.1

18

92.6

51

45.9

36

73.0

42

75.5

12

~

19

88.2

88

50.5

48

57.8

10

~

50

61.4

10

~

33

67.7

24

80.6

27

54.3

13

~

33

71.7

37

56.5

12

~

25

51.9

83

79.9

205 67.4

141 84.6

28

33.6

29

71.1

172 68.7

37

79.9

76

74.0

30

60.1

26

59.9

88

79.9

13

~

39

59.8

5

~

44

66.4

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

21

92.7

424 94.9

140 81.9

12

~

43 107.1

22

68.4

164 99.3

77

95.1

12

~

65

82.4

22 116.6

<5

~

93 152.0

23

94.1

36

80.5

28 113.3

130 110.8

95 104.7

72 111.1

45

79.8

22 129.2

138 88.9

29 123.6

40 135.5

90

91.8

96 137.5

203 109.1

187 92.8

91

95.0

21 125.8

57 105.1

79 103.0

5

~

19 100.6

88

97.3

232 98.3

26 101.5

35 103.6

34 111.2

55

99.1

Non-His panic

Black Males

Cases Rate

15

~

187 90.8

22

53.6

<5

~

13

~

5

~

42 117.4

8

~

5

~

31 100.7

6

~

<5

~

19 157.0

11

~

8

~

19 194.6

42 123.2

24 140.5

10

~

<5

~

8

~

36

97.2

<5

~

19 166.5

<5

~

16 117.9

9

~

21

96.6

23 146.3

8

~

28 126.7

13

~

<5

~

<5

~

<5

~

9

~

6

~

20 166.0

12

~

6

~

LUNG & BRONCHUS

Non-His panic

White Males

Cases Rate

6

~

231 102.5

117 100.5

9

~

30 116.6

17

65.4

121 95.7

68

92.6

6

~

34

72.5

16 149.2

<5

~

72 154.7

12

~

26

88.8

9

~

86 105.1

70 100.8

62 125.8

45

80.8

14

~

101 87.7

25 147.0

21 118.8

90

93.4

79 140.9

192 108.0

166 94.7

66

85.8

13

~

28

92.1

65 104.6

<5

~

18 128.6

86

98.1

213 105.9

20

99.3

15

~

22 107.6

49 109.3

Females

Cases Rate

9

~

318 56.0

104 46.5

8

~

30

57.7

25

65.6

113 54.8

57

62.4

10

~

47

48.4

12

~

5

~

39

58.5

9

~

18

34.3

11

~

77

47.3

60

49.2

42

48.4

30

48.5

9

~

123 60.9

14

~

18

58.6

60

51.5

57

56.7

157 66.7

119 49.1

66

52.7

12

~

29

41.2

48

54.1

<5

~

7

~

48

47.5

163 60.4

8

~

15

~

20

52.9

38

49.9

Non-His panic

Black Females

Cases Rate

<5

~

118 45.0

25

33.2

<5

~

9

~

<5

~

22

46.5

5

~

<5

~

15

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

19

39.0

8

~

7

~

<5

~

<5

~

41

75.3

<5

~

9

~

<5

~

12

~

<5

~

13

~

12

~

6

~

14

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

7

~

<5

~

Non-His panic

White Females

Cases Rate

7

~

195 68.3

78

53.2

5

~

20

61.0

24

85.2

90

59.3

52

63.4

6

~

31

54.1

12

~

<5

~

35

67.1

8

~

16

43.5

5

~

58

52.7

47

51.6

33

48.8

30

49.2

8

~

80

55.6

11

~

9

~

59

51.8

45

58.8

154 68.8

104 50.5

52

55.0

6

~

15

~

40

54.3

<5

~

5

~

46

46.7

155 66.5

7

~

10

~

12

~

34

60.0

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

31701 139.7

41

73.8

21 102.2

28

89.6

14

~

161 127.0

53 103.6

174 115.9

279 115.5

68 154.8

62 104.8

618 167.2

40 115.8

39

76.6

93 190.3

83 111.8

101 73.7

77 125.6

95 161.4

31 160.4

153 128.0

24

73.5

295 115.5

150 89.6

37

99.1

901 136.1

15

~

101 132.1

700 138.5

328 171.1

19 163.1

717 156.3

35 181.2

2119 142.8

109 108.9

148 133.0

348 112.0

60 126.5

371 118.8

45 107.0

PROSTATE

Non-His panic

Black Males

Cases Rate

11161 221.2

9

~

6

~

5

~

10

~

72 169.1

<5

~

25 156.6

42 249.9

27 239.8

7

~

313 212.2

9

~

<5

~

37 283.5

15

~

24

91.1

37 164.8

26 212.6

23 237.5

35 194.6

7

~

67 225.4

<5

~

7

~

409 207.2

6

~

12

~

44 290.6

132 266.1

7

~

478 207.9

11

~

486 236.6

38 186.8

47 261.2

64 194.0

21 208.0

88 216.3

14

~

Non-His panic

White Males

Cases Rate

19461 119.6

32

70.8

15

~

21

79.6

<5

~

87 109.2

51 104.7

142 112.3

231 106.1

41 131.7

55 103.1

297 138.9

30 100.7

34

69.3

56 161.9

68 103.6

73

68.1

39 101.6

67 148.0

8

~

115 116.9

17

67.9

218 100.1

146 90.2

29 101.8

470 108.0

9

~

89 130.7

619 133.5

185 141.8

12

~

191 122.3

23 148.8

1534 133.2

68

92.9

94 111.4

259 100.1

37 104.1

275 106.2

31

95.5

MELANOMA

Males

Cases Rate

6830 32.5

9

~

<5

~

<5

~

<5

~

16

13.3

18

38.8

45

33.1

65

29.2

6

~

7

~

50

14.5

5

~

12

~

7

~

19

29.0

32

23.0

11

~

14

~

<5

~

24

23.1

5

~

92

39.7

37

21.9

9

~

220 36.4

<5

~

13

~

314 66.1

49

26.7

<5

~

56

17.6

5

~

702 51.0

19

18.6

11

~

89

32.9

7

~

115 40.0

5

~

Females

Cases Rate

4767 18.4

<5

~

<5

~

<5

~

<5

~

12

~

20

39.9

38

22.5

50

19.0

6

~

7

~

39

8.6

<5

~

7

~

8

~

19

27.2

23

14.5

6

~

9

~

<5

~

19

15.9

<5

~

55

19.5

38

20.6

<5

~

116 15.2

<5

~

13

~

181 30.7

44

17.7

<5

~

31

5.6

<5

~

471 26.1

14

~

16

13.0

54

15.6

6

~

79

23.1

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

74 115.2

36

67.1

78

98.7

101 139.9

2242 161.7

72 117.8

49 108.2

443 197.6

378 134.6

56 184.2

15

~

111 89.6

82 132.9

57

93.6

33 115.5

107 107.0

436 131.4

380 143.0

521 133.5

87 125.8

3234 170.7

121 114.6

12

~

310 130.3

133 96.5

71 101.4

91 124.5

2029 137.0

169 132.6

577 131.6

37 121.4

83 107.0

149 147.1

83

97.5

34 104.4

747 177.0

373 118.3

27 105.3

204 128.9

52 127.5

PROSTATE

Non-His panic

Black Males

Cases Rate

29 186.4

<5

~

<5

~

50 250.2

1396 211.9

13

~

23 130.6

281 250.4

149 227.4

23 253.4

<5

~

27 215.5

24 182.5

24 189.0

10

~

<5

~

126 213.5

70 250.9

14

~

10

~

1696 226.9

<5

~

<5

~

62 166.6

<5

~

26 182.0

30 203.0

479 240.0

6

~

58 237.0

25 154.4

8

~

46 270.3

10

~

9

~

299 268.7

124 198.2

7

~

19 168.1

14

~

Non-His panic

White Males

Cases Rate

45

95.9

35

66.7

75

95.5

50

98.1

767 127.3

59 123.8

24

89.1

159 146.8

216 109.0

33 166.7

11

~

83

75.2

56 117.5

33

70.5

23 106.4

104 106.2

296 115.3

303 131.6

486 138.9

76 118.4

1440 140.2

114 112.5

11

~

238 124.0

126 99.6

45

86.2

58 100.4

1339 134.5

162 134.5

493 131.1

10

~

74 101.5

100 120.7

71

93.6

25

86.6

415 146.7

235 99.4

20

98.8

179 125.8

36 113.2

MELANOMA

Males

Cases Rate

11

~

8

~

36

52.4

11

~

302 25.2

7

~

6

~

26

13.1

77

30.2

11

~

<5

~

40

36.0

10

~

17

27.3

7

~

31

33.9

132 44.0

60

26.3

253 65.7

20

29.6

697 37.4

32

35.0

<5

~

49

24.0

36

28.3

8

~

31

49.5

529 35.5

54

48.6

212 52.9

<5

~

31

41.3

32

29.4

25

32.9

12

~

122 32.0

73

26.3

8

~

73

59.7

14

~

Females

Cases Rate

8

~

6

~

16

28.0

9

~

263 14.0

8

~

<5

~

27

10.2

40

12.3

<5

~

<5

~

32

25.1

12

~

5

~

<5

~

22

23.9

96

29.2

42

14.3

174 38.6

19

28.3

523 21.5

27

27.4

<5

~

35

13.6

29

19.9

8

~

8

~

431 22.0

27

20.2

144 31.7

<5

~

19

25.3

20

21.4

16

18.8

<5

~

98

18.9

37

9.9

5

~

24

15.0

8

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

43 104.9

66 145.5

19

88.8

30

91.2

118 149.7

85 165.3

41 171.6

160 121.9

96 160.8

158 146.8

29 101.0

28

86.6

440 206.0

100 119.6

60 135.1

95 116.8

34 123.8

86 153.8

68 119.9

87 129.0

29 143.8

98 165.2

131 163.6

36 133.7

82 145.6

73

82.0

690 171.1

324 152.6

166 192.9

59 122.1

326 118.8

86 128.9

151 142.2

60 107.8

73 157.2

155 143.2

40 109.3

111 134.0

17 161.8

85 132.7

PROSTATE

Non-His panic

Black Males

Cases Rate

14

~

40 201.1

8

~

9

~

44 285.2

33 280.3

13

~

64 190.0

36 385.9

100 228.5

14

~

9

~

170 292.4

<5

~

40 184.5

19 367.8

13

~

41 245.0

19 113.6

48 246.7

10

~

53 253.0

44 305.0

15

~

24 246.0

<5

~

375 248.9

162 277.1

16 397.2

19 249.6

76 294.2

44 195.9

<5

~

8

~

16 317.2

28 229.6

9

~

27 237.9

9

~

<5

~

Non-His panic

White Males

Cases Rate

27

82.3

25

99.6

11

~

21

90.9

74 118.8

52 134.2

27 141.7

91

98.4

59 122.3

54

96.5

15

~

18

81.3

263 178.1

98 120.7

19

87.3

73

97.3

21 110.3

45 116.4

46 112.4

39

87.0

19 113.1

45 122.3

83 131.4

21 104.5

58 125.6

72

83.3

286 125.8

156 107.3

144 182.6

40

98.5

237 100.9

39

96.0

143 137.3

51 101.2

57 139.3

123 133.3

31 109.8

82 114.2

8

~

80 126.8

MELANOMA

Males

Cases Rate

9

~

8

~

<5

~

5

~

11

~

9

~

6

~

25

20.3

14

~

13

~

6

~

<5

~

55

25.5

36

54.0

<5

~

24

32.6

<5

~

9

~

14

~

16

25.4

<5

~

7

~

13

~

<5

~

24

44.6

18

17.1

137 35.0

69

33.9

30

41.2

11

~

99

42.1

11

~

62

71.5

8

~

10

~

22

19.8

6

~

25

42.4

<5

~

14

~

Females

Cases Rate

6

~

8

~

<5

~

<5

~

<5

~

8

~

<5

~

13

~

25

35.0

13

~

5

~

<5

~

39

14.7

29

39.7

<5

~

20

24.6

<5

~

8

~

9

~

5

~

<5

~

6

~

7

~

<5

~

14

~

23

23.6

67

12.7

60

23.2

20

21.3

7

~

59

16.5

6

~

30

30.1

5

~

11

~

18

16.3

<5

~

9

~

<5

~

12

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

30 127.1

617 131.4

325 157.7

13

~

50 113.1

42 135.0

297 173.8

92 111.1

27 159.6

131 158.7

36 168.2

7

~

68 109.7

29 109.5

43 100.7

50 170.4

184 144.9

143 143.0

119 163.5

94 178.2

17

99.4

255 150.8

33 127.6

43 141.5

157 152.9

127 160.8

167 84.2

298 138.2

115 118.0

20 101.9

99 168.8

84 107.0

11

~

27 114.1

108 108.5

240 102.9

33 106.3

63 179.4

36 126.0

89 142.7

PROSTATE

Non-His panic

Black Males

Cases Rate

14

~

398 184.4

153 243.5

7

~

23 160.7

17 252.2

95 261.4

16 204.7

19 251.7

74 238.9

20 215.6

6

~

15

~

11

~

10

~

30 234.7

96 284.6

48 223.8

48 360.1

<5

~

7

~

102 251.8

13

~

20 187.9

<5

~

44 284.1

9

~

63 256.9

48 245.5

11

~

61 265.1

17 177.4

8

~

10

~

<5

~

15

~

14

~

36 316.6

17 204.3

26 227.2

Non-His panic

White Males

Cases Rate

16 116.8

207 88.9

163 124.1

6

~

25

80.1

25 105.2

196 148.8

75 101.2

8

~

57 118.8

16 146.4

<5

~

51 110.3

17

93.3

29 101.4

20 125.2

88

99.0

95 128.8

67 119.9

92 176.3

10

~

146 118.0

19 107.9

23 112.6

154 150.5

81 129.9

158 84.1

231 125.1

64

84.8

9

~

37 103.9

66

99.0

<5

~

17 105.8

107 110.6

206 103.9

18

83.8

26 104.7

19

92.8

63 126.6

MELANOMA

Males

Cases Rate

<5

~

68

15.7

59

36.3

<5

~

6

~

11

~

46

28.3

33

42.4

<5

~

13

~

7

~

<5

~

11

~

5

~

<5

~

<5

~

16

14.3

27

30.4

11

~

26

51.9

<5

~

26

17.4

<5

~

6

~

36

39.8

18

26.2

41

22.8

80

38.1

13

~

<5

~

9

~

17

23.1

<5

~

7

~

60

66.7

67

29.8

5

~

5

~

8

~

16

28.1

Females

Cases Rate

<5

~

68

11.9

30

12.3

<5

~

10

~

<5

~

24

13.3

16

21.7

<5

~

9

~

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

14

~

22

20.5

11

~

22

50.6

<5

~

23

11.2

<5

~

<5

~

31

31.9

11

~

27

14.1

64

28.5

8

~

<5

~

8

~

5

~

<5

~

<5

~

32

40.0

52

19.9

<5

~

6

~

<5

~

15

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

68

Table 3. Age-Adjusted Cancer Mortality for Georgia by Public Health District, Sex, and Race, 2008-2013*

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 40972 213.4
3152 230.8 1941 205.1 2894 192.6 2583 190.0 3013 189.0 771 213.2 2750 184.4 2350 206.6 3589 216.7 838 215.5 2687 228.1 2559 254.8 1840 226.0 1264 235.0 1998 243.8 2555 214.4 1974 245.0 2214 229.9

Black Males Deaths Rate 10496 254.6
201 235.2 39 210.9 129 256.5 378 196.9 1638 262.1 376 234.4 471 204.0 1206 252.3 730 234.7 240 256.9 896 274.5 953 312.7 716 253.7 327 260.7 682 273.4 735 248.5 379 292.3 400 306.5

ALL SITES

White Males

Females

Deaths Rate Deaths Rate

29573 203.8 36265 140.5

2875 227.5 2806 155.0

1864 204.0 1661 139.7

2711 190.5 2412 131.2

2137 190.8 2531 131.6

1308 146.1 3029 133.0

345 215.2 762 149.7

2061 186.2 2747 133.4

1059 178.9 2313 135.1

2809 212.9 3182 144.8

596 203.8 677 137.0

1772 212.4 2283 147.0

1583 234.0 2037 150.0

1107 212.0 1632 146.4

921 225.5 1018 145.5

1300 231.4 1630 145.1

1780 202.5 2261 145.4

1563 235.0 1461 143.7

1782 218.5 1823 144.6

Black Females Deaths Rate
9903 150.5 223 160.4 46 120.7 96 131.3 472 132.6 1653 165.1 415 146.7 620 147.5 1218 148.4 685 148.4 164 127.2 769 149.3 749 158.4 635 149.3 268 147.8 574 148.1 689 160.3 283 149.4 344 172.7

White Females Deaths Rate 25547 136.9
2517 151.9 1585 139.3 2273 131.3 1978 130.7 1310 107.6 316 157.2 1939 132.6 1022 121.3 2459 144.2 511 141.5 1493 145.1 1251 144.9 972 142.4 734 143.2 1036 142.2 1533 139.8 1167 142.4 1451 138.7

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
5858 22.3 437 24.3 244 20.0 327 17.6 418 20.2 599 25.3 141 25.6 501 22.7 439 24.6 517 23.1 115 23.7 350 22.3 334 24.3 257 23.3 152 21.8 213 19.0 319 20.6 196 19.5 299 23.6

BREAST

Black Females

Deaths Rate

2040 28.9

51 33.1

13

~

13

~

114 26.3

369 35.5

94 28.9

134 25.8

271 30.5

159 31.9

35 27.0

146 27.5

146 30.3

122 27.8

53 28.3

81 19.8

106 24.1

54 28.3

79 37.4

White Females Deaths Rate
3683 19.6 376 22.9 227 19.5 304 17.4 288 18.3 214 17.0 42 20.6 338 22.4 157 19.2 353 20.6 80 22.6 202 19.9 182 21.0 129 19.1 97 18.5 132 18.3 204 18.9 142 17.4 216 20.9

UTERINE CERVIX

Females

Black Females White Females

Deaths Rate Deaths Rate Deaths Rate

678

2.6

253

3.5

403

2.3

62

3.5

<5

~

58

3.7

27

2.3

<5

~

24

2.2

40

2.4

<5

~

35

2.3

61

2.8

19

5.0

41

2.6

61

2.6

40

3.8

20

1.7

18

2.8

6

~

8

~

45

1.8

13

~

30

1.9

34

1.8

24

2.5

7

~

60

2.7

21

4.3

39

2.4

10

~

<5

~

8

~

41

3.0

22

4.4

18

2.1

42

3.4

20

4.1

21

3.0

27

2.5

17

4.0

10

~

20

3.1

8

~

12

~

33

3.3

18

4.8

14

~

33

2.2

16

3.8

14

~

22

2.4

5

~

16

2.2

42

3.4

13

~

28

2.9

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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
3762 19.1 251 18.5 131 13.3 258 16.9 227 16.5 313 18.9 85 22.7 271 17.2 263 22.5 328 19.1 61 15.3 240 20.4 259 25.3 177 21.2 106 18.5 155 18.9 232 19.1 185 23.1 220 22.9

Black Males

Deaths Rate

1151 26.8

17 19.1

5

~

19 35.3

44 22.9

175 27.3

51 29.4

53 19.6

147 28.9

87 23.7

20 19.7

92 28.5

116 35.3

75 27.0

31 26.5

54 21.1

82 28.1

35 25.8

48 38.5

COLON & RECTUM

White Males

Females

Deaths Rate Deaths Rate

2531 17.2 3248 12.6

231 18.5 240 13.2

123 12.9 119 10.1

235 16.4 224 12.2

175 15.7 239 12.9

127 13.4 244 10.5

30 19.0 85 16.2

195 16.7 255 12.4

106 17.6 202 12.0

238 17.9 294 13.4

41 13.9 68 14.2

145 17.3 213 13.7

141 21.0 177 13.0

101 18.5 171 15.1

75 16.9 77 11.0

100 17.6 127 11.1

148 16.5 216 13.6

149 22.8 133 13.1

171 21.1 164 13.2

Black Females

Deaths Rate

1067 16.4

19 13.3

6

~

15

~

42 12.0

154 15.3

51 16.4

70 17.3

123 16.3

66 14.9

21 16.7

90 17.7

77 16.1

84 19.9

26 15.2

55 13.6

93 21.6

34 17.5

41 21.1

White Females

Deaths Rate

2108 11.3

217 13.0

113 10.1

206 12.0

190 12.9

87

7.0

32 16.1

162 11.0

74

8.1

225 13.2

47 13.3

118 11.4

96 11.2

83 11.6

51

9.8

70

9.5

118 10.5

98 12.0

121 11.7

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 12946 65.6
1141 80.7 661 66.0 908 58.3 759 55.5 750 47.2 234 65.1 756 51.7 609 53.0 1175 69.3 322 79.8 928 75.7 810 76.6 580 70.2 440 80.2 699 82.6 769 62.3 701 83.4 704 70.4

Black Males

Deaths Rate

2898 66.7

60 64.9

9

~

33 66.0

85 42.9

439 67.5

96 58.6

104 42.0

332 68.9

192 58.3

76 82.0

271 75.5

278 81.9

209 71.2

90 67.3

218 84.2

182 59.9

109 79.3

115 79.9

LUNG & BRONCHUS

White Males

Females

Deaths Rate Deaths Rate

9818 65.7 9296 36.0

1050 80.2 856 46.4

641 66.1 496 41.3

858 58.0 673 36.1

659 57.9 622 33.3

293 33.6 647 29.0

126 76.6 166 33.6

605 55.6 685 34.4

264 44.5 497 29.7

966 71.2 799 36.3

246 80.7 149 29.4

652 75.6 609 39.1

523 74.4 515 37.8

369 69.5 419 37.7

350 83.5 265 37.3

477 82.2 434 38.8

574 63.0 598 38.3

580 83.5 402 38.7

585 69.4 464 36.5

Black Females

Deaths Rate

1836 28.3

49 36.3

8

~

19 26.0

88 26.1

330 33.0

74 29.2

119 33.1

220 27.4

119 26.1

21 15.6

143 27.6

140 29.0

99 22.7

39 21.8

117 30.8

139 32.5

49 25.6

63 30.8

White Females Deaths Rate
7313 39.0 796 47.2 480 41.5 647 36.9 521 34.9 303 25.2 88 42.9 540 37.1 261 31.0 670 39.1 127 34.5 465 44.9 366 42.3 313 46.9 219 42.3 314 43.3 453 41.0 352 41.9 398 37.7

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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
3807 24.0 196 18.0 159 20.9 230 17.9 230 21.2 396 28.9 84 31.8 262 22.7 309 32.0 293 21.6 71 21.3 252 25.7 266 32.3 188 26.6 102 22.5 187 27.0 227 22.2 166 25.2 189 24.0

PROSTATE

Black Males

Deaths Rate

1489 50.3

20 34.4

11

~

14

~

46 37.0

260 53.0

42 41.3

76 49.7

186 58.1

100 46.7

33 46.0

123 52.1

134 62.7

102 48.0

44 46.6

83 46.7

100 41.6

60 58.9

55 61.6

White Males Deaths Rate
2267 18.4 172 16.9 145 19.7 215 17.6 180 19.4 132 16.1 39 28.0 174 19.7 118 20.4 191 17.2 38 14.8 128 17.8 131 22.2 86 17.9 56 16.3 102 20.0 125 16.4 105 19.1 130 18.9

MELANOMA

Males

Females

Deaths Rate Deaths Rate

738

3.9

378

1.5

65

4.6

32

1.9

53

5.5

24

2.1

62

4.3

24

1.3

52

3.7

26

1.3

31

2.0

23

1.0

6

~

<5

~

46

2.6

27

1.4

32

3.1

22

1.3

76

4.8

34

1.5

19

4.8 ***

~

37

3.3

19

1.2

33

3.2

18

1.3

23

2.9

17

1.7

26

4.5

18

2.7

25

3.5

14

~

58

5.3

30

1.9

40

4.9

18

1.7

54

5.7

24

2.0

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population ~ Rates not calculated where the count is less than sixteen *** Counts less than five and those that allow data inference are suppressed for confidentiality purposes * Because of data quality issues, 2009 mortality data are not used for analysis

71

Table 4. Age-Adjusted Cancer Mortality for Georgia by County, Sex, and Race, 2008-2013*

Males

Deaths Rate

Georgia

40972 213.4

Appling

111 258.9

A tkin s o n

42 249.5

Bacon

77 274.5

Baker

15

~

Baldwin

229 206.9

Banks

89 190.6

Barrow

311 246.6

Bartow

475 237.1

Ben Hill

123 281.5

Berrien

98 201.9

Bibb

815 242.9

Bleckley

63 190.5

Brantley

114 246.1

Brooks

106 235.1

Bryan

149 264.1

Bulloch

266 224.3

Burke

168 314.9

Butts

161 300.6

Calhoun

38 259.9

Camden

185 193.3

Candler

66 227.5

Carroll

499 238.5

Cato o s a

276 185.3

Charlton

67 220.5

Chatham

1219 209.1

Chattahoochee 19 226.5

Chattooga

165 246.7

Cherokee

732 187.8

Clarke

355 201.9

Clay

20 184.5

Clayton

771 213.2

Clinch

40 284.3

Cobb

2131 186.3

Coffee

192 215.8

Colquitt

247 237.3

Columbia

474 189.9

Cook

92 220.5

Coweta

506 200.7

Crawford

89 264.9

Black Males

Deaths Rate

10496 254.6

24 415.6

6

~

16 596.7

5

~

77 235.2

<5

~

39 366.3

30 213.5

33 277.4

9

~

339 284.2

10

~

<5

~

36 316.4

24 380.4

75 329.5

75 389.8

40 309.1

13

~

37 242.4

14

~

63 270.4

<5

~

8

~

449 258.2

<5

~

9

~

18 187.8

135 307.3

10

~

376 234.4

5

~

290 197.4

40 246.2

37 199.0

56 189.2

15

~

100 298.4

17 271.8

ALL SITES

White Males

Females

Deaths Rate Deaths Rate

29573 203.8 36265 140.5

87 236.9 73 129.6

35 266.2 28 147.7

60 239.1 62 179.7

10

~

16 147.5

148 197.1 197 163.4

86 191.5 58 122.0

268 239.1 245 146.1

442 239.7 424 162.6

90 283.1 88 157.5

88 200.6 94 158.7

467 226.3 728 148.3

53 184.7 59 136.5

108 240.4 76 145.8

69 209.3 79 137.4

121 248.1 107 153.7

190 202.0 223 144.9

93 275.1 116 174.6

121 296.6 114 164.1

25 350.9 27 149.3

141 176.1 180 160.6

52 224.7 39 106.5

429 233.5 461 161.5

255 175.6 270 132.2

50 208.0 37 112.3

752 188.1 1123 141.8

13

~

24 218.1

153 250.9 134 164.8

705 189.3 691 137.5

210 166.8 335 131.9

10

~

14

~

345 215.2 762 149.7

34 303.7 27 133.6

1781 186.6 2095 129.3

151 211.2 173 153.9

208 244.0 194 146.3

405 191.4 430 136.3

77 240.2 87 169.1

402 188.1 421 131.7

72 266.9 57 148.3

Black Females

Deaths Rate

9903 150.5

12

~

8

~

5

~

6

~

74 166.6

<5

~

36 235.9

39 174.5

25 145.7

7

~

315 153.4

8

~

<5

~

25 138.4

13

~

57 163.9

60 202.5

26 181.1

13

~

25 123.6

12

~

63 168.2

<5

~

6

~

452 170.2

<5

~

10

~

31 126.4

113 161.5

6

~

415 146.7

7

~

359 129.7

32 136.9

40 165.8

50 140.5

20 157.7

77 144.3

12

~

White Females

Deaths Rate

25547 136.9

61 129.9

20 133.2

56 183.4

9

~

122 162.2

57 125.6

202 136.2

383 162.5

63 156.5

87 164.0

410 144.4

51 142.2

74 148.1

49 127.1

93 156.6

165 140.4

55 148.6

88 161.6

13

~

150 169.2

27

96.3

395 160.3

255 128.0

30 113.7

657 127.4

21 313.0

121 160.5

650 138.1

216 119.0

8

~

316 157.2

20 130.2

1658 127.9

139 157.9

153 141.1

368 139.3

66 166.3

338 128.7

45 154.1

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population ~ Rates not calculated where the count is less than sixteen *** Counts less than five and those that allow data inference are suppressed for confidentiality purposes * 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
126 201.4 111 251.9 130 217.7 180 272.5 2350 206.6 137 260.1 58 144.7 454 233.7 452 210.2 82 287.9 19 228.1 238 248.2 140 245.3 154 287.8 71 282.6 177 195.0 425 165.8 540 226.8 517 165.0 154 245.4 3013 189.0 164 196.3 19 234.5 457 219.1 274 237.4 141 221.9 126 239.7 2014 176.6 228 198.3 686 179.7 64 244.8 183 268.8 150 178.0 165 207.3 80 262.5 684 212.5 578 213.9 63 251.8 337 274.9 65 206.3

Black Males

Deaths Rate

50 289.1

<5

~

<5

~

60 306.1

1206 252.3

40 374.9

19 127.3

229 250.5

88 200.7

34 376.7

<5

~

28 257.4

37 300.2

39 302.5

20 382.6

<5

~

73 192.7

74 318.4

6

~

12

~

1638 262.1

<5

~

<5

~

91 275.8

6

~

37 304.3

36 307.9

289 204.9

6

~

43 196.8

46 299.1

8

~

30 212.3

25 318.9

8

~

162 218.1

120 214.5

18 368.4

25 333.4

9

~

ALL SITES

White Males

Females

Deaths Rate Deaths Rate

76 175.5 110 143.9

107 247.3 89 167.9

130 219.6 83 129.1

116 256.3 132 145.5

1059 178.9 2313 135.1

97 237.0 107 161.2

38 155.0 48 116.6

223 221.2 423 148.6

356 216.1 436 143.5

48 253.5 55 140.6

18

235.1

9

~

207 245.2 205 178.6

101 228.8 98 134.2

115 284.6 123 172.2

47 243.6 50 147.5

172 192.1 160 163.9

342 161.8 423 127.0

461 217.3 475 152.0

501 170.2 521 132.5

140 240.3 126 162.5

1308 146.1 3029 133.0

163 197.7 86

86.1

17 226.9 18 150.5

362 208.5 403 142.8

268 242.4 241 158.7

104 209.8 141 176.0

88 218.1 96 155.4

1514 177.5 2038 130.2

215 193.1 223 153.4

629 177.8 603 124.7

18 180.6 38 117.9

175 272.8 157 175.2

120 170.2 129 128.8

135 192.5 132 132.2

70 257.6 55 155.5

501 211.7 665 148.4

454 212.0 509 139.8

45 223.9 49 152.8

307 269.7 268 165.2

56 227.4 73 179.3

Black Females

Deaths Rate

37 159.3

<5

~

<5

~

48 155.0

1218 148.4

19 120.5

23 132.9

199 141.2

113 144.3

20 122.7

<5

~

24 185.0

25 145.4

37 190.2

15

~

<5

~

70 138.2

55 164.2

7

~

9

~

1653 165.1

<5

~

<5

~

90 170.8

8

~

40 191.7

43 242.4

381 148.1

<5

~

42 130.9

26 121.1

10

~

16

84.0

15

~

<5

~

162 123.8

117 146.1

10

~

23 280.8

19 191.6

White Females

Deaths Rate

73 135.8

82 159.9

83 130.8

83 142.7

1022 121.3

88 177.5

24

99.3

218 156.2

320 147.9

34 142.2

9

~

179 178.6

72 125.7

85 166.3

35 138.9

153 159.3

345 125.2

418 151.5

499 134.9

117 160.4

1310 107.6

84

84.2

18 167.5

305 134.2

230 158.7

97 163.4

53 120.3

1482 130.3

220 157.9

543 122.0

12

~

145 167.8

111 140.2

115 133.1

51 162.2

485 158.0

379 135.1

39 155.1

237 156.6

54 178.7

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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
72 200.3 130 308.8 59 290.2 62 218.2 170 254.1 98 208.7 44 192.4 269 217.3 122 244.2 178 208.1 68 287.0 47 200.1 455 242.0 143 201.4 92 267.3 189 267.5 49 193.8 145 319.0 82 179.7 132 222.1 53 285.7 122 231.4 126 176.2 42 219.1 117 226.8 213 255.0 929 251.0 408 223.8 129 188.4 80 205.7 458 222.2 142 243.9 185 218.5 125 251.7 110 266.2 242 250.4 57 190.7 141 208.1 33 392.9 123 208.8

Black Males

Deaths Rate

10

~

73 433.5

20 392.5

18 228.0

45 348.2

18 182.4

12

~

86 263.9

13

~

68 189.5

19 380.2

10

~

132 257.7

<5

~

51 315.5

15

~

14

~

60 439.3

28 207.2

44 239.8

15

~

61 328.8

25 194.4

11

~

30 349.4

<5

~

368 271.0

107 215.6

12

~

17 239.1

37 235.8

63 386.6

5

~

9

~

17 350.1

24 254.3

13

~

30 313.8

10

~

<5

~

ALL SITES

White Males

Females

Deaths Rate Deaths Rate

62 197.5 57 126.5

56 223.3 80 130.6

39 264.9 52 176.6

44 219.4 42 131.9

124 233.3 130 153.3

80 223.0 96 174.9

31 177.2 44 173.8

183 204.0 221 138.2

108 264.7 87 136.3

108 227.2 147 144.4

49 256.3 38 129.7

35 211.6 40 134.7

313 233.0 344 132.0

142 204.1 104 121.5

40 223.3 77 181.7

173 263.8 160 188.3

35 179.9 32 111.1

84 265.0 122 171.1

54 165.1 56 114.2

88 213.8 100 129.9

37 250.8 34 139.1

60 178.6 114 156.5

101 175.4 116 130.4

31 212.4 34 131.0

87 207.7 92 150.0

211 255.4 178 178.1

552 241.3 868 155.6

298 226.7 391 156.5

113 178.0 104 111.7

63 202.6 62 129.0

413 223.7 449 155.5

78 188.4 117 152.9

179 214.3 165 160.1

115 254.9 88 151.9

93 260.8 75 144.4

216 250.3 225 179.9

43 179.7 39

88.1

111 194.1 122 160.1

22 373.4 14

~

115 199.3 97 140.9

Black Females

Deaths Rate

5

~

45 151.6

19 170.1

9

~

27 119.8

25 180.2

9

~

62 132.7

14

~

57 152.4

10

~

9

~

108 137.3

<5

~

48 202.9

15

~

11

~

43 175.9

19 108.7

35 131.4

12

~

49 171.3

31 160.1

8

~

13

~

<5

~

348 160.1

130 160.0

7

~

17 178.5

65 147.2

48 164.8

<5

~

8

~

14

~

27 191.9

17 138.0

29 186.1

6

~

<5

~

White Females

Deaths Rate

50 131.1

35 111.1

32 168.2

33 145.0

103 166.2

69 166.7

35 183.9

157 138.9

72 139.8

83 143.1

27 128.8

29 143.5

229 128.3

101 121.0

29 152.5

145 189.8

21 110.6

79 170.4

37 127.0

65 125.6

22 116.3

65 144.9

85 122.9

26 127.8

77 162.6

176 179.1

500 150.2

258 154.5

97 113.5

45 116.3

371 152.6

69 148.1

164 161.9

80 154.1

60 135.4

195 176.5

22

70.1

92 151.8

8

~

94 139.3

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

42 195.5

1075 259.0

328 196.6

22 203.1

127 343.0

52 195.0

376 252.9

193 270.9

39 272.9

158 213.9

41 227.2

16 291.2

164 310.5

50 211.8

79 204.3

72 321.3

287 256.9

208 238.1

162 271.6

113 230.2

41 259.3

330 220.2

56 226.1

71 303.3

190 197.8

188 274.8

428 246.6

430 226.9

204 224.3

40 237.5

134 270.3

201 280.8

12

~

36 200.9

163 189.9

470 226.9

52 208.8

84 284.7

63 234.3

133 253.2

Black Males

Deaths Rate

20 204.5

489 280.4

75 195.5

<5

~

46 387.6

11

~

80 226.8

29 522.3

18 263.1

76 262.3

19 208.9

9

~

34 363.5

19 285.1

30 280.3

44 551.3

92 294.1

50 290.1

31 278.6

<5

~

14

~

79 213.0

21 271.0

31 404.7

<5

~

46 349.4

10

~

54 265.9

48 284.4

20 275.8

75 354.2

35 394.4

5

~

7

~

<5

~

16 235.4

11

~

45 432.1

19 223.6

31 255.5

ALL SITES

White Males

Females

Deaths Rate Deaths Rate

22 185.8 30

94.5

580 254.9 867 153.6

249 209.4 318 135.2

19 181.9 18 124.2

79 317.5 79 155.4

41 208.3 49 139.0

294 259.5 321 158.6

163 251.3 143 150.1

20 271.2 30 184.1

81 175.1 149 149.9

21 251.2 39 149.5

7

~

13

~

127 307.3 104 161.2

31 183.9 36 122.4

49 171.8 75 147.4

28 198.1 52 154.0

190 235.8 226 141.5

155 224.8 174 145.9

129 268.8 133 153.7

108 222.4 79 144.7

27 230.1 28 124.6

249 223.5 300 146.4

35 196.9 50 185.5

40 249.3 48 145.1

187 196.1 127 123.3

140 255.7 151 157.3

385 231.6 342 147.4

372 224.0 363 148.9

151 209.2 170 136.5

20 192.8 34 137.9

59 214.1 103 143.2

165 270.9 121 145.4

7

~

14

~

28 213.5 17

83.1

160 189.5 116 119.9

434 220.5 381 141.3

41 230.2 55 200.1

39 210.5 65 151.7

44 238.1 45 138.1

102 247.1 80 111.6

Black Females

Deaths Rate

14

~

409 157.8

109 136.3

7

~

31 170.1

8

~

73 153.3

16 167.5

18 202.7

60 151.4

18 118.5

6

~

24 190.5

13

~

19 120.0

31 185.0

73 148.1

51 178.0

32 177.8

<5

~

6

~

87 163.1

13

~

15

~

<5

~

49 232.2

7

~

52 171.8

41 145.2

13

~

46 129.1

18 140.2

7

~

5

~

<5

~

15

~

11

~

26 168.7

10

~

21 121.5

White Females

Deaths Rate

16 118.3

437 145.1

199 128.8

11

~

48 146.0

40 148.3

248 161.7

127 148.0

12

~

89 145.8

20 186.4

7

~

80 157.5

22 115.8

56 159.0

21 132.8

151 138.0

122 137.0

100 144.2

78 144.3

22 130.9

213 143.9

35 192.7

33 174.9

125 123.0

102 138.5

317 141.6

307 146.0

127 132.6

21 179.9

55 150.8

103 146.0

7

~

12

~

114 120.0

358 139.7

44 211.0

39 141.1

34 159.1

58 106.1

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

75

Table 4. (continued)

Females

Deaths Rate

Georgia

5858 22.3

Appling

11

~

A tkin s o n

<5

~

Bacon

<5

~

Baker

<5

~

Baldwin

28

23.3

Banks

7

~

Barrow

37

22.2

Bartow

63

24.5

Ben Hill

18

33.3

Berrien

14

~

Bibb

117 23.7

Bleckley

9

~

Brantley

5

~

Brooks

11

~

Bryan

20

29.8

Bulloch

33

22.2

Burke

15

~

Butts

31

43.0

Calhoun

<5

~

Camden

32

27.7

Candler

<5

~

Carroll

66

22.7

Cato o s a

40

20.1

Charlton

6

~

Chatham

172 22.3

Chattahoochee <5

~

Chattooga

21

26.9

Cherokee

101 19.6

Clarke

55

21.3

Clay

<5

~

Clayton

141 25.6

Clinch

<5

~

Cobb

335 19.1

Coffee

18

16.4

Colquitt

27

20.2

Columbia

69

21.2

Cook

16

31.8

Coweta

61

20.0

Crawford

10

~

BREAST

Black Females

Deaths Rate

2040 28.9

<5

~

<5

~

<5

~

<5

~

16

33.6

<5

~

7

~

10

~

6

~

<5

~

61

29.0

<5

~

<5

~

<5

~

<5

~

11

~

8

~

11

~

<5

~

5

~

<5

~

12

~

<5

~

<5

~

73

27.2

<5

~

<5

~

7

~

27

37.0

<5

~

94

28.9

<5

~

84

25.5

5

~

7

~

9

~

<5

~

12

~

<5

~

White Females

Deaths Rate

3683 19.6

10

~

<5

~

<5

~

<5

~

12

~

7

~

29

20.3

53

22.6

12

~

11

~

55

20.7

8

~

5

~

7

~

18

31.7

22

19.5

6

~

20

35.6

<5

~

25

27.1

<5

~

53

21.6

39

20.1

6

~

96

19.8

<5

~

17

22.0

92

19.1

28

15.0

<5

~

42

20.6

<5

~

235 17.3

13

~

20

19.3

58

21.7

12

~

49

19.3

8

~

Females

Deaths Rate

678

2.6

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

10

~

13

~

<5

~

<5

~

12

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

6

~

<5

~

17

2.5

<5

~

<5

~

6

~

10

~

<5

~

18

2.8

<5

~

55

3.0

<5

~

<5

~

9

~

<5

~

6

~

<5

~

UTERINE CERVIX

Black Females White Females

Deaths Rate Deaths Rate

253

3.5

403

2.3

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

12

~

<5

~

<5

~

<5

~

<5

~

8

~

<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

~

9

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

5

~

5

~

<5

~

<5

~

6

~

8

~

<5

~

<5

~

16

5.2

38

2.8

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

14

~

13

~

9

~

15

~

439 24.6

14

~

7

~

54

18.6

83

26.1

7

~

<5

~

23

18.2

15

~

18

25.8

8

~

30

32.7

75

22.0

71

23.9

69

16.4

13

~

599 25.3

12

~

<5

~

44

16.0

32

21.0

19

23.8

26

43.7

370 21.9

34

23.5

83

16.8

6

~

27

31.5

18

17.0

19

18.6

8

~

131 27.0

71

19.0

<5

~

46

27.0

14

~

BREAST

Black Females

Deaths Rate

8

~

<5

~

<5

~

5

~

271 30.5

<5

~

<5

~

32

20.3

30

29.3

<5

~

<5

~

5

~

<5

~

8

~

5

~

<5

~

22

36.4

11

~

<5

~

<5

~

369 35.5

<5

~

<5

~

12

~

<5

~

<5

~

15

~

85

26.1

<5

~

8

~

5

~

<5

~

5

~

<5

~

<5

~

54

37.1

22

27.2

<5

~

6

~

<5

~

White Females

Deaths Rate

6

~

12

~

9

~

10

~

157 19.2

11

~

<5

~

22

16.4

53

24.9

<5

~

<5

~

18

16.4

11

~

10

~

<5

~

29

32.3

52

19.2

60

22.9

66

16.6

13

~

214 17.0

12

~

<5

~

30

13.9

31

21.5

16

26.9

11

~

257 21.8

33

23.8

70

15.3

<5

~

24

29.0

13

~

17

19.6

8

~

75

23.5

48

17.0

<5

~

39

24.8

10

~

Females

Deaths Rate

<5

~

<5

~

<5

~

<5

~

34

1.8

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

12

~

<5

~

<5

~

61

2.6

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

29

1.5

<5

~

20

4.3

<5

~

<5

~

<5

~

<5

~

<5

~

18

3.4

10

~

<5

~

<5

~

<5

~

UTERINE CERVIX

Black Females White Females

Deaths Rate Deaths Rate

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

24

2.5

7

~

<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

~

12

~

<5

~

<5

~

<5

~

<5

~

40

3.8

20

1.7

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

19

1.5

<5

~

<5

~

<5

~

17

4.1

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

12

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

~

7

~

<5

~

19

22.2

18

31.6

5

~

43

27.2

15

~

15

~

7

~

<5

~

49

19.2

16

18.2

9

~

25

31.0

5

~

16

22.8

9

~

7

~

<5

~

17

23.8

15

~

<5

~

17

28.4

33

32.5

145 26.4

72

27.8

12

~

8

~

77

24.7

16

19.3

18

17.4

14

~

10

~

41

34.1

7

~

22

28.9

<5

~

17

21.2

BREAST

Black Females

Deaths Rate

<5

~

7

~

<5

~

<5

~

<5

~

9

~

<5

~

16

32.5

<5

~

7

~

<5

~

<5

~

25

31.1

<5

~

5

~

<5

~

<5

~

7

~

<5

~

5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

72

30.5

27

26.1

<5

~

<5

~

18

35.7

9

~

<5

~

<5

~

<5

~

6

~

<5

~

9

~

<5

~

<5

~

White Females

Deaths Rate

<5

~

7

~

5

~

<5

~

16

25.6

8

~

<5

~

27

25.2

14

~

7

~

<5

~

<5

~

23

12.6

15

~

<5

~

23

32.0

<5

~

9

~

7

~

<5

~

<5

~

9

~

14

~

<5

~

13

~

32

32.2

68

21.4

45

27.6

11

~

<5

~

57

22.3

7

~

18

17.7

13

~

9

~

34

31.5

<5

~

13

~

<5

~

16

20.4

Females

Deaths Rate

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

14

~

8

~

<5

~

<5

~

17

5.2

<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

~

10

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

14

~

<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 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

<5

~

148 26.1

59

23.7

<5

~

11

~

<5

~

60

29.8

16

17.1

5

~

28

28.9

<5

~

<5

~

14

~

7

~

17

31.7

7

~

32

19.2

27

21.9

27

32.4

6

~

7

~

28

14.1

8

~

6

~

23

25.0

22

23.1

52

23.0

58

23.3

28

21.6

7

~

19

27.7

14

~

<5

~

<5

~

15

~

50

18.0

9

~

16

41.4

7

~

12

~

BREAST

Black Females

Deaths Rate

<5

~

89

32.9

22

26.4

<5

~

<5

~

<5

~

12

~

<5

~

<5

~

14

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

12

~

7

~

9

~

<5

~

<5

~

13

~

<5

~

<5

~

<5

~

8

~

<5

~

9

~

9

~

<5

~

10

~

5

~

<5

~

<5

~

<5

~

6

~

<5

~

8

~

<5

~

<5

~

White Females

Deaths Rate

<5

~

57

18.6

36

21.5

<5

~

8

~

<5

~

48

33.0

15

~

<5

~

14

~

<5

~

<5

~

11

~

<5

~

14

~

<5

~

20

17.1

20

21.3

18

27.0

6

~

<5

~

15

~

6

~

5

~

22

24.6

14

~

49

22.4

47

22.1

19

19.3

5

~

9

~

9

~

<5

~

<5

~

15

~

44

16.5

8

~

8

~

<5

~

8

~

Females

Deaths Rate

<5

~

19

3.8

8

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

5

~

<5

~

9

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

12

~

<5

~

<5

~

<5

~

<5

~

UTERINE CERVIX

Black Females White Females

Deaths Rate Deaths Rate

<5

~

<5

~

13

~

5

~

<5

~

6

~

<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

~

9

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

79

Table 4. (continued)

Males

Deaths Rate

Georgia

3762 19.1

Appling

11

~

A tkin s o n

<5

~

Bacon

6

~

Baker

<5

~

Baldwin

16

13.4

Banks

12

~

Barrow

26

17.8

Bartow

33

16.9

Ben Hill

10

~

Berrien

6

~

Bibb

80

23.6

Bleckley

<5

~

Brantley

10

~

Brooks

11

~

Bryan

13

~

Bulloch

25

18.6

Burke

21

41.4

Butts

16

28.7

Calhoun

<5

~

Camden

16

14.5

Candler

6

~

Carroll

53

26.2

Cato o s a

14

~

Charlton

7

~

Chatham

114 19.5

Chattahoochee <5

~

Chattooga

18

25.3

Cherokee

47

11.1

Clarke

28

15.9

Clay

<5

~

Clayton

85

22.7

Clinch

<5

~

Cobb

189 16.2

Coffee

20

22.2

Colquitt

18

18.6

Columbia

43

15.7

Cook

9

~

Coweta

48

18.2

Crawford

7

~

Black Males

Deaths Rate

1151 26.8

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

40

32.1

<5

~

<5

~

<5

~

<5

~

5

~

9

~

6

~

<5

~

5

~

<5

~

7

~

<5

~

<5

~

46

28.1

<5

~

<5

~

<5

~

12

~

<5

~

51

29.4

<5

~

37

24.8

<5

~

<5

~

10

~

<5

~

13

~

<5

~

COLON & RECTUM

White Males

Females

Deaths Rate Deaths Rate

2531 17.2 3248 12.6

9

~

8

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

11

~

14

~

11

~

7

~

24

19.1

19

10.9

30

16.5

44

16.9

7

~

9

~

6

~

7

~

38

18.7

69

14.1

<5

~

5

~

9

~

<5

~

8

~

5

~

9

~

10

~

20

19.4

17

10.9

12

~

20

29.7

10

~

8

~

<5

~

<5

~

11

~

16

13.6

6

~

<5

~

46

26.5

37

13.5

13

~

26

12.6

5

~

<5

~

66

16.2 110 13.4

<5

~

<5

~

18

27.9

10

~

43

10.9

50

9.8

16

13.3

29

11.3

<5

~

<5

~

30

19.0

85

16.2

<5

~

<5

~

147 15.3 192 12.3

19

26.8

18

15.9

17

20.6

12

~

32

14.3

34

11.5

7

~

6

~

35

16.2

32

10.0

5

~

8

~

Black Females

Deaths Rate

1067 16.4

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

5

~

<5

~

<5

~

<5

~

39

19.9

<5

~

<5

~

<5

~

<5

~

<5

~

13

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

64

23.9

<5

~

<5

~

<5

~

9

~

<5

~

51

16.4

<5

~

33

12.6

6

~

<5

~

5

~

<5

~

5

~

<5

~

White Females

Deaths Rate

2108 11.3

6

~

<5

~

6

~

<5

~

8

~

7

~

14

~

41

17.2

5

~

7

~

30

10.3

5

~

<5

~

<5

~

7

~

13

~

7

~

<5

~

<5

~

12

~

<5

~

32

13.6

25

12.4

<5

~

44

8.1

<5

~

8

~

46

9.7

19

10.0

<5

~

32

16.1

<5

~

153 12.2

11

~

9

~

27

10.8

<5

~

26

9.8

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

12

~

9

~

8

~

13

~

263 22.5

5

~

5

~

32

16.8

38

18.2

9

~

<5

~

27

31.1

12

~

18

35.0

7

~

20

21.3

33

12.4

43

17.3

43

12.9

20

36.3

313 18.9

7

~

<5

~

36

17.0

18

17.2

15

~

16

32.1

205 17.5

15

~

65

16.2

6

~

15

~

15

~

16

20.7

6

~

58

15.6

51

18.3

8

~

38

27.1

<5

~

Black Males

Deaths Rate

5

~

<5

~

<5

~

<5

~

147 28.9

<5

~

<5

~

19

19.0

7

~

5

~

<5

~

9

~

<5

~

8

~

<5

~

<5

~

7

~

8

~

<5

~

<5

~

175 27.3

<5

~

<5

~

7

~

<5

~

<5

~

9

~

29

17.0

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

20

16.0

15

~

<5

~

<5

~

<5

~

COLON & RECTUM

White Males

Females

Deaths Rate Deaths Rate

7

~

11

~

9

~

<5

~

8

~

8

~

9

~

10

~

106 17.6 202 12.0

<5

~

12

~

<5

~

8

~

13

~

38

13.1

28

17.9

47

15.8

<5

~

<5

~

<5

~

<5

~

18

22.8

25

22.7

8

~

8

~

10

~

13

~

5

~

8

~

20

21.5

9

~

25

11.6

43

13.5

35

15.9

40

12.3

43

13.8

50

13.1

17

34.1

18

24.5

127 13.4 244 10.5

7

~

9

~

<5

~

<5

~

29

16.7

35

12.3

18

17.9

19

12.4

11

~

9

~

7

~

9

~

154 17.5 189 12.2

14

~

19

12.9

57

15.4

51

10.7

<5

~

6

~

14

~

16

18.4

12

~

12

~

13

~

13

~

5

~

<5

~

38

15.2

64

14.5

36

16.7

51

14.0

5

~

<5

~

35

26.4

27

17.6

<5

~

5

~

Black Females

Deaths Rate

6

~

<5

~

<5

~

<5

~

123 16.3

5

~

5

~

20

13.3

9

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

8

~

5

~

<5

~

<5

~

154 15.3

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

43

17.5

<5

~

7

~

5

~

<5

~

<5

~

<5

~

<5

~

16

12.6

10

~

<5

~

<5

~

<5

~

White Females

Deaths Rate

5

~

<5

~

8

~

8

~

74

8.1

7

~

<5

~

17

13.1

37

17.6

<5

~

<5

~

21

21.5

5

~

6

~

5

~

9

~

35

13.1

35

12.2

49

13.5

16

23.1

87

7.0

9

~

<5

~

25

11.2

18

12.3

5

~

5

~

125 11.1

18

12.7

43

9.9

<5

~

14

~

8

~

10

~

<5

~

46

14.9

37

13.4

<5

~

24

16.9

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

10

~

21

54.5

6

~

7

~

19

27.9

7

~

<5

~

25

19.8

10

~

16

14.5

8

~

<5

~

31

14.5

12

~

9

~

16

30.4

8

~

19

37.9

8

~

12

~

<5

~

9

~

12

~

5

~

12

~

17

18.1

92

24.0

40

20.8

10

~

7

~

48

22.6

17

33.1

6

~

13

~

6

~

16

19.0

<5

~

10

~

<5

~

16

25.9

Black Males

Deaths Rate

<5

~

15

~

<5

~

<5

~

7

~

<5

~

<5

~

10

~

<5

~

6

~

<5

~

<5

~

10

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

5

~

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

38

28.2

13

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

COLON & RECTUM

White Males

Females

Deaths Rate Deaths Rate

10

~

6

~

6

~

12

~

<5

~

10

~

6

~

<5

~

12

~

11

~

<5

~

<5

~

<5

~

<5

~

15

~

23

15.4

9

~

<5

~

10

~

14

~

6

~

<5

~

<5

~

<5

~

21

13.3

23

8.4

12

~

5

~

6

~

12

~

14

~

11

~

<5

~

<5

~

14

~

6

~

<5

~

<5

~

7

~

15

~

<5

~

<5

~

<5

~

12

~

10

~

14

~

<5

~

<5

~

8

~

10

~

17

18.3

12

~

53

22.7

91

16.3

27

19.8

35

13.3

9

~

7

~

5

~

7

~

44

23.6

37

12.9

12

~

12

~

5

~

11

~

10

~

7

~

5

~

6

~

16

21.0

17

12.9

<5

~

<5

~

7

~

9

~

<5

~

<5

~

15

~

7

~

Black Females

Deaths Rate

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

9

~

<5

~

<5

~

11

~

<5

~

10

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

43

20.6

11

~

<5

~

<5

~

7

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

White Females

Deaths Rate

5

~

7

~

6

~

<5

~

8

~

<5

~

<5

~

15

~

<5

~

5

~

<5

~

<5

~

12

~

5

~

<5

~

9

~

<5

~

<5

~

<5

~

12

~

<5

~

5

~

11

~

<5

~

8

~

12

~

46

12.7

23

13.0

5

~

<5

~

29

12.2

<5

~

11

~

7

~

5

~

17

14.7

<5

~

5

~

<5

~

6

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

5

~

88

20.1

26

13.0

<5

~

14

~

<5

~

28

18.2

18

25.8

6

~

7

~

5

~

<5

~

18

33.9

<5

~

<5

~

6

~

25

23.1

17

17.4

11

~

7

~

6

~

45

28.4

9

~

7

~

17

17.7

16

25.3

37

21.8

55

28.6

17

19.8

5

~

8

~

18

24.3

<5

~

<5

~

9

~

34

16.8

<5

~

11

~

5

~

8

~

Black Males

Deaths Rate

<5

~

46

23.7

11

~

<5

~

7

~

<5

~

10

~

6

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

5

~

5

~

5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

<5

~

5

~

<5

~

9

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

COLON & RECTUM

White Males

Females

Deaths Rate Deaths Rate

<5

~

<5

~

41

18.0

63

11.1

14

~

31

12.9

<5

~

<5

~

7

~

6

~

<5

~

7

~

18

15.8

28

13.3

12

~

12

~

<5

~

<5

~

<5

~

11

~

<5

~

<5

~

<5

~

<5

~

11

~

9

~

<5

~

8

~

<5

~

6

~

<5

~

6

~

20

25.0

19

12.0

12

~

17

14.6

8

~

16

18.4

7

~

13

~

5

~

<5

~

35

30.5

37

18.1

5

~

<5

~

<5

~

<5

~

17

17.8

13

~

10

~

17

18.6

34

21.2

27

11.1

45

27.3

37

15.3

14

~

14

~

<5

~

<5

~

<5

~

7

~

16

25.9

13

~

<5

~

<5

~

<5

~

<5

~

9

~

8

~

31

15.6

28

10.5

<5

~

10

~

5

~

7

~

<5

~

<5

~

6

~

<5

~

Black Females

Deaths Rate

<5

~

33

12.7

16

20.2

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

6

~

<5

~

<5

~

11

~

<5

~

<5

~

<5

~

9

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

White Females

Deaths Rate

<5

~

28

9.4

14

~

<5

~

<5

~

5

~

24

15.2

10

~

<5

~

5

~

<5

~

<5

~

7

~

<5

~

<5

~

<5

~

10

~

13

~

10

~

13

~

<5

~

26

17.8

<5

~

<5

~

13

~

8

~

26

11.0

29

13.5

10

~

<5

~

<5

~

12

~

<5

~

<5

~

8

~

26

10.3

9

~

5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

83

Table 4. (continued)

Males

Deaths Rate

Georgia

12946 65.6

Appling

42

93.7

A tkin s o n

19 109.6

Bacon

25

77.7

Baker

5

~

Baldwin

77

65.4

Banks

31

60.6

Barrow

118 94.9

Bartow

172 80.0

Ben Hill

46 100.1

Berrien

34

64.2

Bibb

282 81.4

Bleckley

25

76.2

Brantley

46

92.2

Brooks

38

81.1

Bryan

54

96.0

Bulloch

86

69.9

Burke

51

93.6

Butts

67 124.2

Calhoun

15

~

Camden

52

55.2

Candler

27

84.5

Carroll

182 83.5

Cato o s a

92

57.4

Charlton

23

67.3

Chatham

339 56.2

Chattahoochee <5

~

Chattooga

65 101.2

Cherokee

221 55.9

Clarke

100 54.8

Clay

6

~

Clayton

234 65.1

Clinch

14

~

Cobb

598 52.6

Coffee

63

67.4

Colquitt

88

80.1

Columbia

144 54.0

Cook

34

84.2

Coweta

156 61.3

Crawford

38 114.4

Black Males

Deaths Rate

2898 66.7

6

~

<5

~

5

~

<5

~

23

58.9

<5

~

7

~

5

~

9

~

<5

~

102 79.4

<5

~

<5

~

10

~

10

~

19

70.0

21

96.8

12

~

<5

~

8

~

<5

~

16

64.8

<5

~

<5

~

112 61.6

<5

~

<5

~

<5

~

44

77.0

<5

~

96

58.6

<5

~

64

40.1

11

~

9

~

15

~

<5

~

27

71.8

8

~

LUNG & BRONCHUS

White Males

Females

Deaths Rate Deaths Rate

9818 65.7 9296 36.0

36

94.3

17

29.9

16 118.8 8

~

19

66.2

23

67.9

<5

~

<5

~

54

68.8

42

32.8

31

62.5

15

~

110 99.2

69

40.4

164 83.5 139 51.8

37 110.4 19

32.2

32

66.4

26

44.0

178 84.4 190 39.2

22

76.3

21

48.2

42

85.1

26

49.6

28

80.8

24

40.6

42

84.5

26

35.7

66

68.9

62

38.8

30

88.2

33

49.7

55 132.7 32

47.2

12

~

6

~

43

55.6

47

42.2

23

90.9

12

~

164 85.5 129 44.9

85

53.7

73

34.4

19

67.7

9

~

222 54.0 282 35.7

<5

~

7

~

63 106.9 37

43.4

218 57.4 204 41.4

54

43.4

72

28.8

<5

~

<5

~

126 76.6 166 33.6

13

~

5

~

521 54.5 514 32.7

52

68.3

57

50.7

79

89.0

54

41.6

123 54.3 109 34.3

30

96.3

23

42.9

127 59.4 104 32.2

30 116.6 20

52.5

Black Females

Deaths Rate

1836 28.3

<5

~

<5

~

<5

~

<5

~

14

~

<5

~

9

~

12

~

<5

~

<5

~

69

32.9

<5

~

<5

~

<5

~

<5

~

10

~

11

~

<5

~

<5

~

6

~

<5

~

10

~

<5

~

<5

~

92

34.8

<5

~

<5

~

5

~

18

25.4

<5

~

74

29.2

<5

~

68

25.7

8

~

9

~

11

~

<5

~

16

27.5

<5

~

White Females

Deaths Rate

7313 39.0

16

32.8

5

~

21

67.6

<5

~

28

33.5

14

~

59

38.7

127 52.5

18

41.5

26

49.1

121 43.9

17

47.1

26

51.7

18

45.6

24

38.4

52

42.9

22

62.0

29

54.2

5

~

40

46.2

10

~

118 47.7

71

34.3

9

~

188 36.7

7

~

34

43.3

196 41.9

54

30.1

<5

~

88

42.9

5

~

434 34.1

49

56.0

45

42.6

96

36.1

19

47.2

86

32.7

19

64.7

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population ~ Rates not calculated where the count is less than sixteen *** Counts less than five and those that allow data inference are suppressed for confidentiality purposes * 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

44

67.3

32

73.5

45

70.0

58

84.7

609 53.0

50

93.9

19

46.8

168 84.6

161 71.3

30 105.6

8

~

76

72.0

59

99.2

51

90.1

27 100.6

59

60.3

124 48.7

174 72.3

147 44.9

59

90.5

750 47.2

56

64.0

7

~

150 68.6

126 105.1

49

72.8

35

59.6

540 49.0

73

62.6

213 54.6

19

68.4

71

98.0

43

52.2

53

64.7

36 107.7

202 59.4

188 68.3

18

67.7

100 79.1

22

68.1

Black Males

Deaths Rate

15

~

<5

~

<5

~

23 120.6

332 68.9

14

~

5

~

75

76.2

21

53.7

11

~

<5

~

<5

~

14

~

11

~

5

~

<5

~

15

~

30 128.1

<5

~

5

~

439 67.5

<5

~

<5

~

24

69.0

<5

~

14

~

12

~

68

46.3

<5

~

13

~

14

~

<5

~

9

~

6

~

<5

~

33

48.4

29

51.2

<5

~

7

~

<5

~

LUNG & BRONCHUS

White Males

Females

Deaths Rate Deaths Rate

29

66.5

38

49.7

30

70.4

26

46.9

45

70.7

30

45.6

35

73.3

33

36.8

264 44.5 497 29.7

36

85.6

25

37.3

14

~

6

~

93

91.1 103 36.7

138 78.5 108 36.2

19

98.0

12

~

7

~

5

~

70

74.7

68

58.3

44

95.6

27

34.8

40

94.8

30

41.6

20

95.5

12

~

58

59.9

41

36.9

106 49.9

87

26.4

143 66.3 132 41.2

144 47.0 137 35.2

54

89.0

34

41.5

293 33.6 647 29.0

55

64.0

20

17.9

7

~

<5

~

125 68.8 113 39.5

125 108.6 88

57.0

35

66.9

39

48.8

23

48.2

14

~

426 51.6 494 32.6

69

61.4

57

38.3

196 54.0 172 35.6

5

~

6

~

69 100.9 49

51.1

34

50.4

40

40.9

46

63.4

35

33.9

32 105.0 21

55.7

162 63.7 156 36.7

158 71.5 141 39.5

14

~

15

~

93

78.9

74

44.0

21

87.0

20

47.0

Black Females

Deaths Rate

9

~

<5

~

<5

~

12

~

220 27.4

<5

~

<5

~

42

30.6

20

28.0

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

8

~

13

~

<5

~

<5

~

330 33.0

<5

~

<5

~

21

41.5

<5

~

9

~

5

~

73

32.5

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

15

~

19

25.4

<5

~

<5

~

<5

~

White Females

Deaths Rate

29

54.9

24

44.5

30

46.2

20

34.8

261 31.0

23

46.4

<5

~

61

43.1

87

39.6

8

~

5

~

64

63.5

22

36.6

25

48.3

10

~

38

34.4

77

28.5

119 42.1

130 35.6

32

42.6

303 25.2

19

17.1

<5

~

91

39.3

83

56.4

29

48.9

9

~

398 35.4

57

39.8

163 36.8

5

~

47

51.3

40

51.3

34

38.5

20

59.0

136 44.4

121 43.2

12

~

69

43.7

17

53.3

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

34

88.6

51 117.9

21

88.9

22

74.7

69

96.5

33

68.9

9

~

108 83.0

43

86.9

55

71.6

22

86.8

16

70.7

150 77.6

49

69.6

24

80.5

68

91.8

17

71.9

31

63.0

27

57.4

43

69.7

20 104.0

47

82.5

39

51.3

17

85.9

34

65.6

90

96.9

269 71.1

132 71.3

34

48.5

30

80.1

143 66.7

42

69.5

64

71.3

47

86.4

34

73.4

101 98.9

19

66.5

47

66.9

14

~

35

56.2

Black Males

Deaths Rate

<5

~

28 154.6

7

~

6

~

14

~

7

~

<5

~

25

83.0

<5

~

13

~

5

~

<5

~

38

71.7

<5

~

15

~

<5

~

<5

~

12

~

7

~

11

~

6

~

16

92.3

8

~

<5

~

7

~

<5

~

96

67.2

26

49.3

<5

~

<5

~

6

~

18 103.9

<5

~

<5

~

5

~

10

~

<5

~

7

~

5

~

<5

~

LUNG & BRONCHUS

White Males

Females

Deaths Rate Deaths Rate

31

95.6

22

46.7

22

84.6

16

24.6

14

~

11

~

16

74.7

11

~

54

99.0

38

44.6

26

71.0

30

54.5

8

~

13

~

83

86.9

41

25.2

39

95.5

31

48.0

41

95.5

32

30.0

17

85.2

11

~

11

~

14

~

112 80.2

95

35.7

49

70.9

38

43.0

9

~

17

39.8

65

95.5

50

56.2

13

~

10

~

18

51.8

42

57.4

20

58.1

16

33.3

32

76.3

26

31.3

14

~

10

~

31

82.4

29

38.5

31

53.0

32

37.9

14

~

15

~

27

61.5

23

36.3

89

97.2

55

54.1

172 73.8 226 40.6

106 78.7 120 49.5

31

47.6

24

25.8

27

90.8

18

37.1

133 70.0 116 41.1

23

54.2

35

45.4

62

68.4

53

48.5

43

86.8

21

35.6

29

67.8

29

56.3

90

98.8

75

58.1

17

80.8

6

~

40

68.5

38

46.8

9

~

<5

~

32

52.6

30

42.5

Black Females

Deaths Rate

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

8

~

<5

~

<5

~

20

24.8

<5

~

10

~

7

~

<5

~

11

~

5

~

6

~

<5

~

12

~

6

~

<5

~

<5

~

<5

~

56

24.4

28

42.2

<5

~

<5

~

9

~

7

~

<5

~

<5

~

7

~

<5

~

<5

~

5

~

<5

~

<5

~

White Females

Deaths Rate

22

54.7

9

~

9

~

10

~

35

56.8

27

64.3

12

~

35

30.3

27

53.0

23

39.4

9

~

12

~

73

40.4

37

43.1

7

~

43

54.1

8

~

31

63.7

11

~

20

36.5

8

~

17

37.1

26

39.9

11

~

21

43.4

55

54.9

163 51.1

91

54.1

22

25.9

17

42.5

106 43.9

28

59.0

53

49.4

19

36.1

22

49.5

70

61.8

6

~

33

50.3

<5

~

30

43.0

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

14

~

353 82.6

84

50.4

7

~

31

80.9

8

~

127 84.0

57

72.8

18 128.0

63

84.7

16

97.2

5

~

71 130.6

17

71.5

29

67.9

23

92.5

97

84.7

80

91.1

57

92.6

32

58.2

13

~

98

64.6

23

97.5

27 100.0

59

59.3

73 105.0

165 91.9

126 62.4

62

68.5

18

99.1

51

98.6

58

81.4

5

~

17

~

55

63.2

171 76.1

22

89.3

25

74.1

27

91.8

48

88.0

Black Males

Deaths Rate

6

~

147 76.9

10

~

<5

~

10

~

<5

~

25

78.6

6

~

6

~

27

90.4

5

~

<5

~

16 146.9

10

~

10

~

16 178.5

30

91.0

14

~

8

~

<5

~

6

~

23

55.9

7

~

14

~

<5

~

15

~

<5

~

15

~

16

95.9

5

~

27 133.1

6

~

<5

~

<5

~

<5

~

5

~

<5

~

16 125.3

6

~

6

~

LUNG & BRONCHUS

White Males

Females

Deaths Rate Deaths Rate

8

~

11

~

206 89.0 213 37.8

73

61.4

71

30.6

6

~

5

~

20

79.7

16

31.2

5

~

17

46.3

101 86.2

77

37.6

50

68.4

45

48.2

12

~

7

~

35

76.3

34

34.5

11

~

6

~

<5

~

<5

~

55 126.2 29

43.4

7

~

6

~

19

61.6

9

~

7

~

14

~

64

78.8

56

34.7

66

94.6

37

31.3

48

96.1

28

33.0

30

54.8

20

39.0

7

~

8

~

75

66.9

76

37.2

16

91.1

8

~

13

~

17

49.3

58

58.9

32

27.8

57 102.5 32

32.5

148 86.0 121 51.4

111 62.4

93

38.1

45

61.8

42

33.7

13

~

11

~

24

80.8

17

23.2

52

84.9

29

32.2

<5

~

<5

~

13

~

<5

~

54

63.4

28

30.4

159 74.9 123 45.3

19

106.1

9

~

9

~

18

42.3

21 106.3 13

~

42

94.8

27

36.1

Black Females

Deaths Rate

<5

~

78

30.6

18

25.6

<5

~

5

~

<5

~

16

32.3

<5

~

<5

~

8

~

<5

~

<5

~

6

~

<5

~

<5

~

6

~

10

~

6

~

<5

~

<5

~

<5

~

23

42.1

<5

~

7

~

<5

~

11

~

<5

~

11

~

5

~

<5

~

8

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

White Females

Deaths Rate

8

~

129 43.0

51

32.3

<5

~

11

~

14

~

61

39.1

42

50.1

5

~

26

44.0

5

~

<5

~

23

43.5

<5

~

9

~

8

~

46

42.1

30

34.4

24

35.8

20

39.2

5

~

53

36.0

6

~

10

~

32

28.0

21

28.0

115 50.7

82

39.0

37

39.2

8

~

9

~

24

31.8

<5

~

<5

~

26

28.8

119 46.1

8

~

13

~

13

~

23

41.3

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

3807 24.0

10

~

<5

~

6

~

<5

~

14

~

<5

~

18

20.3

32

22.2

10

~

<5

~

79

28.0

<5

~

7

~

7

~

10

~

27

28.5

23

46.4

11

~

<5

~

14

~

8

~

32

18.0

18

16.1

6

~

124 23.5

<5

~

5

~

70

24.0

37

23.7

<5

~

84

31.8

5

~

196 21.4

16

21.3

25

26.6

40

19.2

5

~

52

27.7

9

~

PROSTATE

Black Males

Deaths Rate

1489 50.3

<5

~

<5

~

<5

~

<5

~

10

~

<5

~

<5

~

<5

~

<5

~

<5

~

45

55.0

<5

~

<5

~

7

~

<5

~

12

~

15

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

62

42.2

<5

~

<5

~

5

~

20

74.0

<5

~

42

41.3

<5

~

34

38.7

7

~

<5

~

6

~

<5

~

16

75.4

<5

~

White Males

Deaths Rate

2267 18.4

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

14

~

29

21.6

6

~

<5

~

33

17.1

<5

~

7

~

<5

~

7

~

15

~

8

~

8

~

<5

~

10

~

<5

~

24

14.6

18

16.3

<5

~

60

16.2

<5

~

5

~

64

23.0

15

~

<5

~

39

28.0

5

~

158 19.8

9

~

21

26.0

34

18.6

<5

~

36

21.7

5

~

MELANOMA

Males

Females

Deaths Rate Deaths Rate

738

3.9

378

1.5

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

13

~

<5

~

5

~

<5

~

<5

~

<5

~

10

~

7

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

7

~

6

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

16

7.8

6

~

5

~

5

~

<5

~

<5

~

30

5.5

12

~

<5

~

<5

~

5

~

<5

~

26

5.9

9

~

10

~

7

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

49

4.0

22

1.3

<5

~

<5

~

<5

~

<5

~

6

~

6

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

8

~

9

~

10

~

13

~

309 32.0

16

37.9

7

~

45

27.1

34

19.3

8

~

<5

~

17

28.5

15

~

17

39.2

6

~

12

~

40

16.7

28

13.2

52

21.0

9

~

396 28.9

14

~

<5

~

37

20.2

13

~

11

~

12

~

174 19.8

18

16.5

54

16.6

10

~

13

~

13

~

7

~

5

~

66

27.4

55

24.6

9

~

32

31.9

6

~

PROSTATE

Black Males

Deaths Rate

5

~

<5

~

<5

~

7

~

186 58.1

6

~

<5

~

27

39.8

12

~

<5

~

<5

~

<5

~

6

~

5

~

<5

~

<5

~

15

~

5

~

<5

~

<5

~

260 53.0

<5

~

<5

~

17

69.2

<5

~

<5

~

<5

~

37

39.1

<5

~

5

~

9

~

<5

~

5

~

<5

~

<5

~

26

54.8

15

~

<5

~

6

~

<5

~

White Males

Deaths Rate

<5

~

9

~

10

~

6

~

118 20.4

10

~

<5

~

17

17.5

22

16.9

<5

~

<5

~

15

~

9

~

12

~

<5

~

12

~

25

13.2

23

12.1

49

21.1

8

~

132 16.1

14

~

<5

~

20

13.1

11

~

8

~

10

~

125 18.4

18

16.8

49

16.1

<5

~

12

~

8

~

5

~

<5

~

39

20.5

40

22.6

5

~

26

28.1

5

~

MELANOMA

Males

Females

Deaths Rate Deaths Rate

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

32

3.1

22

1.3

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

15

~

<5

~

13

~

5

~

11

~

7

~

<5

~

<5

~

31

2.0

23

1.0

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

35

2.3

25

1.7

<5

~

<5

~

19

5.1

8

~

<5

~

<5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

14

~

7

~

8

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

6

~

9

~

9

~

6

~

19

36.7

6

~

<5

~

15

~

7

~

17

27.1

5

~

<5

~

45

29.0

12

~

6

~

11

~

<5

~

19

52.0

5

~

14

~

5

~

7

~

9

~

<5

~

13

~

8

~

109 33.1

48

32.8

14

~

6

~

23

16.1

11

~

24

30.8

7

~

7

~

13

~

5

~

16

26.2

<5

~

13

~

PROSTATE

Black Males

Deaths Rate

<5

~

7

~

6

~

<5

~

7

~

<5

~

<5

~

10

~

<5

~

9

~

<5

~

<5

~

18

47.8

<5

~

<5

~

<5

~

<5

~

10

~

<5

~

7

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

59

58.5

21

60.1

<5

~

<5

~

5

~

8

~

<5

~

<5

~

<5

~

<5

~

<5

~

7

~

<5

~

<5

~

White Males

Deaths Rate

<5

~

<5

~

<5

~

<5

~

12

~

<5

~

<5

~

5

~

5

~

8

~

<5

~

<5

~

26

22.8

12

~

<5

~

8

~

<5

~

9

~

<5

~

7

~

<5

~

<5

~

6

~

<5

~

10

~

7

~

50

22.8

27

25.3

11

~

<5

~

18

14.6

<5

~

22

29.5

5

~

<5

~

10

~

<5

~

9

~

<5

~

12

~

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

~

6

~

8

~

<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

~

6

~

10

~

6

~

<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

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

* 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

<5

~

105 31.0

40

29.7

<5

~

24

73.4

7

~

29

22.0

13

~

<5

~

16

21.6

7

~

<5

~

12

~

5

~

11

~

7

~

37

37.5

14

~

15

~

10

~

<5

~

18

13.9

5

~

5

~

17

19.3

13

~

42

28.9

31

20.5

20

24.7

6

~

16

36.8

14

~

<5

~

<5

~

11

~

31

18.0

5

~

6

~

<5

~

12

~

PROSTATE

Black Males

Deaths Rate

<5

~

60

50.2

18

70.7

<5

~

11

~

<5

~

8

~

<5

~

<5

~

9

~

5

~

<5

~

<5

~

<5

~

5

~

6

~

18

84.7

7

~

7

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

5

~

<5

~

7

~

7

~

<5

~

11

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

<5

~

<5

~

White Males

Deaths Rate

<5

~

44

21.1

22

21.7

<5

~

13

~

7

~

21

20.0

12

~

<5

~

7

~

<5

~

<5

~

9

~

<5

~

6

~

<5

~

18

23.2

6

~

8

~

10

~

<5

~

12

~

<5

~

<5

~

16

18.0

8

~

37

26.2

24

18.1

13

~

<5

~

5

~

10

~

<5

~

<5

~

10

~

26

15.3

<5

~

<5

~

<5

~

9

~

MELANOMA

Males

Females

Deaths Rate Deaths Rate

<5

~

<5

~

11

~

7

~

7

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

9

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

8

~

<5

~

6

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

5

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

5

~

8

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

<5

~

<5

~

<5

~

<5

~

6

~

<5

~

15

~

5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

<5

~

Average annual rate per 100,000, age-adjusted to the 2000 U.S. standard population

~ Rates not calculated where the count is less than sixteen

*** Counts less than five and those that allow data inference are suppressed for confidentiality purposes

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

91