1. Lung Cancer Awareness Month Presented by: Chris Colter, IUESN

2. Lung Cancer Awareness Month http://www.youtube.com/watch?v=Z-- F_cQjMOA

3. November Awareness Month November is National Lung Cancer Awareness Month Founded by Lung Cancer Alliance LCA has been a trusted source of information on lung cancer risk, screening, diagnosis and treatment options since 1995.

4. Lung Cancer Alliance As the lung cancer community and the lung cancer movement grew, the awareness activities increased and grew into Lung Cancer Awareness Month. Information provided are health disparities related to lung cancer and diseases, signs and symptoms of lung cancer, and also smoking cessation and health benefits.

5. Lung Cancer Facts More people die of lung cancer than any other for of cancer in the United States according to the CDC. 208,493 people in the United States were diagnosed with lung cancer, including 111,886 men and 96,607 women in the year 2008. 158,592 people in the United States died from lung cancer, including 88,541 men and 70,051 women.*†

6. What is the anatomy of the lung? Your lungs are sponge-like organs that are part of the respiratory system. Within those lungs are alveoli where oxygen, carbon dioxide, and other substances are exchanged between the lungs and the blood stream. The lungs are divided into sections, called lobes. The right lung has three lobes, the left has two.

7. Anatomy of the lung cont.

8. Lung Cancer Cancer is the word used to describe a group of diseases in which normal cells change, multiple, spread, and divide. Within the lung cancer cells can attach to the lung, invade directly through the lung, as well as metastasize around the lung and throughout the body system.

9. Where Does Indiana Stand? Indiana, Montana, Oklahoma, Louisiana, Alabama, Missouri, Arkansas, Kentucky, Tennessee, and West Virginia Highest Rated States in the U.S. for Lung Cancer Populations

10. Risk by Age and Gender The risk of getting lung cancer increases with age and is greater in men than in women. Current Age10 Years20 Years30 Years 300.020.190.93 400.170.932.97 500.782.895.99 602.295.647.60 70 Current Age 10 Years20 Years30 Years 300.020.190.93 400.170.932.97 500.782.895.99 602.295.647.60 703.966.28N/A

11. Risk by Ethnicity and Culture Non-Hispanic black: 20.7% Non-Hispanic white: 22.6% Native Hawaiian or Other Pacific Islander: 22.6% American Indian or Alaska Native: 23.7%

12. Types of Lung Cancers Adenocarcinoma (30% lung cancers) Bronchioloalveolar carcinoma (BAC) (3% lung cancers) Squamous cell carcinoma (30% lung cancers) Large cell carcinoma (9% lung cancers) Large cell neuroendocrine tumors (2% lung cancers)

13. Signs and Symptoms of Lung Cancer and/or Disease Cough Blood in Sputum or productive cough Shortness of Breath Wheezing Pain in Chest while Breathing Fatigue Pneumonia

14. Diagnostics Determine Lung Cancer? CT, MRI, X-Ray, and PET Scans of chest wall Lung Tissue Biopsy Blood and Urine Tests (elevated WBC and tumor/cancer cells)

15. Causes of Lung Cancer Radon: A gaseous decay product of radium-226 and uranium-238, radon can damage the respiratory epithelium. Second Hand Smoke: 15 to 35 percent of lung cancer cases among never smokers Asbestos is a known cause of lung cancer and other types of cancer

16. Causes of Lung Cancer Pesticides: Agent Orange used in Vietnam War and also for farming. Heavy Metals: Cadmium, Chromium, and Arsenic Air Pollutants: Smog, smoke, transportation pollutants, burning coal, etc.

17. Causes of Lung Cancer: Smoking Men who smoke are 23 times more likely to develop lung cancer than those who don’t smoke. Women smokers are 13 times more likely to develop the disease than their non-smoking counterparts.

18. Smoking Related: Lung Cancer Every year in the U.S. over 392,000 people die from tobacco-caused disease, making it the leading cause of preventable death. 50,000 people die from exposure to secondhand smoke annually. Everyday 1,000 kids still pick up a cigarette for the first time and add to the vicious cycle.

19. Smokers Lungs vs. Healthy Lungs

20. Chemicals within Cigarettes Benzene can be found in pesticides and gasoline. Formaldehyde is a chemical used to preserve dead bodies. Pesticides are used on our lawns and gardens. Tobacco-specific N-nitrosamines (TSNAs) are known to be some of the most potent carcinogens. Nicotine is a poison used in pesticides and is the addictive element in cigarettes.

21. Chemicals in Cigarettes Cont. Arsenic commonly used in rat poison. Cadmium is a toxic heavy metal that is used in batteries. Ammonia compounds are commonly used in cleaning products and fertilizers. Carbon monoxide is present in car exhaust and is lethal in very large amounts. Hydrogen cyanide was used to kill people in the gas chambers in Nazi Germany during World War II.

22. Quitting the Cancer Cycle Quitting smoking is the single most important step a smoker can take to improve the length and quality of his or her life. Stopping smoking can be tough but smokers don’t have to quit alone. American Lung Association has lots of options to help adult and teen smokers quit for good.

23. Resources to Help Quit To help adult smokers quit, the American Lung Association offers Freedom From Smoking®. The program teaches the skills and techniques that have been proven to help smokers quit. Freedom From Smoking® is available as a group clinic, an online program and a self- help book.

24. Resources to Help Quit The Quit Smoking Toolbox: is an online forum and blog where people who are trying to quit can gain support from others. Quit Smoking 101: is a help line as well as a blog/website where people can go to learn of tips and tricks in quitting.

25. Resources to Help Quit Cont. Lung Association Lung HelpLine: will provide you with immediate, clear and accurate information. Free counseling with our Registered Nurses, Respiratory Therapists & Quit Smoking Specialists. 1-800-LUNGUSA (586-4872) Monday – Friday 7am – 7 pm (Central time) TTY for hearing impaired 1-800-501-1068

26. Reducing Lung Cancer Cancer Free Diet: Foods high in protein, green leafy vegetables, fruits, whole grains, multivitamins, high protein meals, fish, and nuts. Risk Taking Diet: High processed foods, starchy meals, high fat content, high levels of saturated fats, etc.

27. Healthy People 2020 Main focus of Pollutant Free Air (Outdoor Air Quality ) In 2009, an estimated 20.6% of all American adults age 18 and older— 46.6 million people smoked, and every day another 850 young people age 12 to 17 began smoking on a daily basis

28. Healthy People 2020 Several forms of cancer, including cancers of the lung, bladder, kidney, pancreas, mouth, and throat Heart disease and stroke Lung diseases, including emphysema, bronchitis, and chronic obstructive pulmonary disease (COPD) Pregnancy complications, including preterm birth, low birth weight, and birth defects Gum disease Vision problems Health Impact of Tobacco Use

29. Healthy People 2020: Plan of Action Teaching smoking cessation groups, s/s of lung cancer, disparities and dangers of smoking and air pollutants. Free counseling via nursing, student nursing, medical clinics, and telehealth. Creating a healthier tomorrow for the citizens of tomorrow.

30. Healthy People 2020: Conclusion Primary: Teaching and Informing others of dangers of smoking and relation to lung cancer. Secondary: Lung cancer screenings and lung capacity. Tertiary: Smoking cessation groups and counseling for assisting former smokers to stop to reduce the risk of lung cancer.

31. References Centers for Disease Control and Prevention. Annual smoking—attributable mortality, years of potential life lost, and productivity losses—United States, 2000–2004. MMWR. 2008;57(45):1226–1228. Available from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5745a3.ht m http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5745a3.ht m Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services. Results From the 2009 National Survey on Drug Use and Health: National Findings. Rockville, MD: 2010. Available from http://www.oas.samhsa.gov/NSDUH/2k9NSDUH/tabs/Cover. pdf [PDF - 93KB] http://www.oas.samhsa.gov/NSDUH/2k9NSDUH/tabs/Cover. pdf [PDF - 93KB] Healthy People 2020 National Lung Cancer Center and CDC

32. Lung Cancer Quiz What is the most costly, common, and hard to treat cancer in the United States? A. Prostate Cancer B. Lung Cancer C. Ovarian Cancer D. Esophageal Cancer

33. Lung Cancer Quiz: Answer What is the most costly, common, and hard to treat cancer in the United States? A. Prostate Cancer B. Lung Cancer C. Ovarian Cancer D. Esophageal Cancer

34. Lung Cancer Quiz What is one of the Signs and Symptoms of Lung Cancer? A. Shortness of Breath B. Constipation C. Indigestion D. Insomnia

35. Lung Cancer Quiz: Answer What is one of the Signs and Symptoms of Lung Cancer? A. Shortness of Breath B. Constipation C. Indigestion D. Insomnia

36. Lung Cancer Quiz Which Minority/Gender has a higher prevalence of acquiring Lung Cancer in their lives? A. Asian Females B. African American Females C. Caucasian Males D. Asian Males

37. Lung Cancer Quiz: Answer Which Minority/Gender has a higher prevalence of acquiring Lung Cancer in their lives? A. Asian Females B. African American Females C. Caucasian Males D. Asian Males

38. Lung Cancer Quiz What is the most cost effective and easiest way to prevent/stop Lung Cancer? A. Smoking Cessation B. Exercise C. Healthy Eating (Diet) D. All of the above

39. Lung Cancer Quiz: Answer What is the most cost effective and easiest way to prevent/stop Lung Cancer? A. Smoking Cessation B. Exercise C. Healthy Eating (Diet) D. All of the above