1. Cancer Incidence and Mortality in Massachusetts, 1995-1999 Bureau of Health Statistics, Research and Evaluation Massachusetts Department of Public Health Massachusetts Cancer Registry

2. Statewide Report [Cancer Incidence and Mortality (1995-1999) [Cancer Incidence Trends in Massachusetts Over Time

3. New Features Race/Ethnicity Data 2000 US Population Standard No comparison with SEER/NCHS

4. Example of 1970 vs 2000 Standards 1995 Cancer Incidence Data* * * age-adjusted rates per 100,000

5. Massachusetts Cancer Incidence Newly Diagnosed Cases 1995-1999 156,735 diagnosed cases - 77,922 in males - 78,787 in females

6. Distribution of Cancer Incidence Massachusetts, 1995-1999 Males Females Colon/Rectum 12.3% Bronchus & Lung 15.6% Urinary Bladder 4.9% Prostate 30.4% Other 36.8% Other 36.6% Uterine 6.1% Colon/Rectum 12.6% Bronchus & Lung 13.1% Breast 31.6% n = 77,922n = 78,787

7. Distribution of Cancer Deaths Massachusetts, 1995-1999 Males Females Colon/Rectum 10.8% Prostate 11.5% Pancreas 4.7% Bronchus & Lung 28.8% Other 44.2% Other 42.9% Pancreas 5.6% Colon/Rectum 12.1% Breast 16.3% Bronchus & Lung 23.1% n = 34,822n = 34,843

8. Massachusetts Incidence Rates* 1995 vs. 1999 * * rates per 100,000; age-adjusted to 2000 standard million

9. Massachusetts Mortality Rates* 1995 vs. 1999 * * rates per 100,000; age-adjusted to 2000 standard million

10. Leading Cancers by Race/Ethnicity Males, 1995-1999 * incidence rates per 100,000; age-adjusted to the 2000 standard million

11. Leading Cancers by Race/Ethnicity Females, 1995-1999 * incidence rates per 100,000; age-adjusted to the 2000 standard million

12. Leading Cancer Deaths by Race/Ethnicity, Males, 1995-1999 * mortality rates per 100,000; age-adjusted to the 2000 standard million

13. Leading Cancer Deaths by Race/Ethnicity, Females, 1995-1999 * mortality rates per 100,000; age-adjusted to the 2000 standard million

14. 1995 vs. 1999 Incidence Rates*, MA Males * * rates per 100,000; age-adjusted to 2000 standard million

15. Annual Age-Adjusted Cancer Incidence Rates* Massachusetts Males, 1995-1999 * * age-adjusted to 2000 standard million per 100,000 males

16. Annual Age-Adjusted Cancer Mortality Rates* Massachusetts Males, 1995-1999 * * age-adjusted to 2000 standard million per 100,000 males

17. 1995 vs. 1999 Incidence Rates*, MA Females * * rates per 100,000; age-adjusted to 2000 standard million

18. Annual Age-Adjusted Cancer Incidence Rates* Massachusetts Females, 1995-1999 * * age-adjusted to 2000 standard million per 100,000 females

19. Annual Age-Adjusted Cancer Mortality Rates* Massachusetts Females, 1995-1999 * * age-adjusted to 2000 standard million per 100,000 females

20. Lung Cancer Incidence Rates* MA, 1995-1999 * * age-adjusted to 2000 standard million per 100,000 persons

21. Prostate and Breast Cancer Incidence Rates* MA, 1995-1999 * * age-adjusted to 2000 standard million per 100,000 persons

22. Prostate Cancer [Fall toward an equilibrium reflecting truly incident cases [Outpatient diagnoses [Decreased utilization of PSA screening tests

23. Colo-Rectal Cancer Incidence Rates* MA, 1995-1999 * * age-adjusted to 2000 standard million per 100,000 persons

24. Colo-Rectal Cancer [Diet (increased intake of vegetables and other sources of fiber) [Use of nonsteroidal anti-inflammatory drugs such as aspirin [Earlier detection/screening [Removal of polyps

25. Conclusions Prostate cancer rates have increased 5.7% between 1995 and 1999, but there still has been an overall decrease from its peak incidence in 1992. Breast cancer, the leading cancer in females, increased 1.7% between 1995 and 1999. Lung cancer in females has increased 7.7% between 1995 and 1999.

26. Conclusions (cont.) Melanoma increased in both males and females; 17.4% in males and 31.4% in females. Leading cancers with increased incidence of at least 5% from 1995 through 1999 include: prostate and melanoma in males; lung and melanoma in females. Leading cancers with decreased incidence of at least 5% from 1995 through 1999 include: oral cavity and pharynx and bladder cancer in males; ovarian and cervical in females.

27. Estimated % of Total Cancer Deaths Attributable to Established Risk Factors (U.S.) Tobacco.....................30% Adult Diet / Obesity...30% All Other Factors.......40% Risk factor source: “Harvard Report on Cancer Prevention” in Cancer Causes & Control, International Association of Cancer Registries, 1996

28. MDPH Cancer Prevention and Early Detection Programs Mass. Tobacco Control Program Women’s Health Network Chronic Disease Prevention Programs Men’s Health Partnership Skin Cancer Prevention Program MA Skin Cancer Prevention Collaborative Colorectal Cancer Awareness Program Oral Cancer Partnership