Lung Cancer in Lewisham Catherine Mbema

Epidemiology Incidence Mortality Survival Lewisham has significantly higher incidence of lung Ca than London or England average Mortality 23% of Ca deaths (all ages) in Lewisham were due to lung/bronchus Ca Lewisham has higher mortality rate for lung cancer in comparison to England but similar to neighbours Survival 35.8% 1 year survival from lung cancer in Lewisham (2014), although has been improving over last 6 years (31.4% in 2008) Epidemiology

Prevention Smoking Public Awareness – early signs and symptoms Smoking prevalence in Lewisham (21.2% vs 15.2% for London) Higher in high risk groups (MH, LTCs) Smoking cessation services Public Awareness – early signs and symptoms PHE Be Clear On Cancer campaign No current screening programme for Lung Ca Prevention

Early Detection and Diagnosis Lewisham diagnoses Lung cancer at stage 4 more often compared to London or England Only 1/6 (17%) of lung cancers are diagnosed at stage 1 or 2 Approximately 40% of lung cancer cases diagnosed at A&E Worse than for other cancer sites (Breast – 4%, Bowel – 25%) Worse than England and London averages for A&E diagnoses Early Detection and Diagnosis

Difference in life expectancy of about 6 years between most and least affluent in Lewisham Approximately 20% of that is thought to be due to cancer, with around 60% of this cancer mortality difference in men being due to lung cancer (i.e. 12% of the total difference in life expectancy) Inequalities in smoking thought to be a driving factor Inequalities