The Georgia Department Of Community Health 2010 Data Summary Lung Cancer Lung and Bronchus Cancer Lung cancer is the second most common cancer diagnosed in Georgia for men and women combined Approximately 6,900 new cases of lung cancer will be diagnosed in Georgia by 2010 Lung cancer accounts for about 15% of all newly-diagnosed cancers The overall age-adjusted lung cancer incidence The overall age-adjusted lung cancer incidence rate among Georgia females is 54 per 100,000 rate among Georgia males is 99 per 100,000 (2,380 annually) (3,280 annually). Four health districts overall have significantly Nine health districts overall have significantly higher incidence rates for lung cancer than the higher incidence rates for lung cancer than the state average for females state average for males Two health districts have significantly lower lung Five health districts have significantly lower lung cancer incidence rates than the state average for cancer incidence rates than the state average for females males Lung Cancer Incidence Rates among Adults in Urban and Rural Counties in Georgia 2003-2007 The lung cancer incidence rate for males in rural counties (114 per 100,000) is significantly higher than the rate in urban counties (95 per 100,000) There is no significant difference between the rates of lung cancer among females in urban counties (55 per 100,000) and rural counties (53 per 100,000) 2 Peachtree Street, Atlanta, Ga 30303 w www.dch.georgia.gov January 2011 Lung Cancer Data Summary Smoking prevalence The smoking prevalence in Georgia has remained fairly steady over the past decade Approximately 18% (1.3 million) of adults in Georgia are current smokers Approximately 21% (400,000) of non-Hispanic (NH) white males currently smoke compared to 20% (49,000) Hispanic males, and 17% (200,000) of NH black males Approximately 17% (400,000) of NH white females currently smoke compared to 13% (100,000) of NH black females, and 3% (7,000) Hispanic females (Figure 1) Lung Cancer Incidence Rates by Sex and Race/Ethnicity The incidence rate of lung cancer among NH black males in Georgia is 101 per 100,000 (700 annually) The incidence rate of lung cancer among NH white males in Georgia is 101 per 100,000 (2,540 annually) Although the smoking prevalence among NH black males is lower than the prevalence among NH white males, the incidence rate of lung cancer is about the same among both groups The lung cancer incidence rate among NH black females in Georgia (43 per 100,000; 440 annually) is significantly lower than the incidence rate for NH white females in Georgia (59 per 100,000; 1,890 annually) Black males have the highest lung cancer mortality rate, followed by white males (see figure 2) Trend in Lung Cancer Incidence Incidence rate of lung cancer among males has declined significantly from 1999-2001 to 2005-2007 There was a greater percent decrease in lung cancer incidence among NH black males (18% decrease) than among NH white males (11% decrease) from 1999-2001 to 2005-2007 Incidence rate of lung cancer among females did not change from 1999-2001 to 2005-2007(Figure 3) Lung Cancer Data Summary Table 1. Lung Cancer Incidence by Public Health District, Females, Georgia, 19992001 and 2005-2007 Table 2. Lung Cancer Incidence by Public Health District, Males, Georgia, 1999-2001 and 2005-2007 1999-2001 2005-2007 District Rate Rate Sig. State of Georgia 53 55 ~ 1.1 Northwest 56 74 1.2 North 65 68 ~ Georgia 2.0 North 46 60 3.1 Cobb- 57 53 ~ Douglas 3.2 Fulton 54 44 3.3 Clayton 56 47 ~ 3.4 East Metro 54 53 ~ 3.5 DeKalb 46 44 ~ 4.0 LaGrange 56 56 ~ 5.1 South 40 54 Central 5.2 North 52 62 Central 6.0 East Central 53 58 ~ 7.0 West Central 45 49 ~ 8.1 South 61 51 8.2 Southwest 49 49 ~ 9.1 Coastal 59 62 ~ 9.2 Southeast 50 53 ~ 10.0 Northeast 48 54 ~ Average annual rate per 100,000; Age-adjusted to the 2000 US standard population. Key: significant increase; significant decline; ~ no significant difference 1999-2001 2005-2007 District Rate Rate Sig. State of Georgia 111 96 1.1 Northwest 139 125 ~ 1.2 North 122 100 Georgia 2.0 North 109 97 3.1 Cobb- 101 77 Douglas 3.2 Fulton 90 69 3.3 Clayton 116 79 3.4 East Metro 103 76 3.5 DeKalb 84 66 4.0 LaGrange 108 101 ~ 5.1 South 118 Central 118 ~ 5.2 North 122 119 ~ Central 6.0 East Central 122 104 7.0 West Central 117 107 ~ 8.1 South 134 109 8.2 Southwest 131 106 9.1 Coastal 104 105 ~ 9.2 Southeast 121 121 ~ 10.0 Northeast 105 104 ~ Average annual rate per 100,000; Age-adjusted to the 2000 US standard population. Key: significant increase; significant decline; ~ no significant difference Only the Fulton and South public health districts have had significant declines in lung cancer incidence rates for females There were significant increases in lung cancer incidence rates among females for the Northwest, North, South Central, and North Central public health districts There were significant declines in lung cancer incidence rates among males for the North Georgia, North, Cobb-Douglas, Fulton, Clayton, East Metro, DeKalb, East Central, South, and Southwest public health districts There were no significant increases in lung cancer incidence rates for males in any of the public health districts Lung Cancer Data Summary RISK FACTORS Definitions: Tobacco use accounts for approximately 30% of all cancer deaths and 87% of lung cancer deaths in the United States Exposure to secondhand smoke accounts for approximately 3,400 lung cancer deaths among non-smoking adults in the United States Exposure to certain industrial substances such as arsenic, organic chemicals, radon, and asbestos Radiation exposure from occupational, medical, and environmental sources Air pollution PREVENTION Quitting smoking and avoiding secondhand smoke are the best strategies for preventing lung cancer. QUITTING TAKES PRACTICE! The Georgia Tobacco Quit Line is available for all Georgians 13 years of age and older who want to quit using tobacco. 1. Lung cancer incident rate is the number of newly diagnosed lung cancers per 100,000 population. 2. Adults are defined as civilian persons aged 18 years and older. 3. Current cigarette smokers are defined as those who have smoked at least 100 cigarettes in their lifetime and are currently smoking. 4. Rural counties are the counties outside of the metropolitan statistical areas (MSA). Data sources: 1. Georgia Comprehensive Cancer Registry (GCCR) (http://health.state.ga.us/programs/gccr/). 2. 2009 Georgia Behavioral Risk Factor Surveillance System (BRFSS) (http://health.state.ga.us/epi/ brfss/publications.asp). 3. American Cancer Society (ACS) (http://www. cancer.org/Cancer/CancerCauses/TobaccoCancer/ Index). To receive free counseling, support, and referral services call: 1-877-270-STOP (English) 1-877-2NO-FUME (Spanish) 1-877-777-6534 (Hearing Impaired) www.livehealthygeorgia.org/quitLine/index.shtml www.livehealthygeorgia.org http://dhr.georgia.gov/gasmokefreeair