1. 5 th Annual Tennessee Cancer Coalition Summit: Challenges in addressing cancer health disparities Dr. Samuel Evans Adunyah Professor and Chairman Department of Cancer Biology Meharry Medical College & Co-PI Meharry Medical College-Vanderbilt-Ingram Cancer Center Partnership NCI U54 Grant Meharry Medical Vanderbilt-Ingram TSU College Cancer Center

2. US All Types of Cancer Incidence Rates by Race Race/EthnicityMaleFemale All Races 549.3 per 100,000 men 411.0 per 100,000 women White 551.4 per 100,000 men 423.6 per 100,000 women Black 651.5 per 100,000 men 398.9 per 100,000 women Asian/Pacific Islander 354.0 per 100,000 men 287.8 per 100,000 women American Indian/Alaska Native a a 336.6 per 100,000 men 296.4 per 100,000 women Hispanic b b 419.4 per 100,000 men 317.8 per 100,000 women

3. US All Cancer Death Rates by Race The age-adjusted death rate was 189.8 per 100,000 men and women per year. These rates are based on patients who died in 2001-2005 in the US. Race/EthnicityMaleFemale All Races 234.4 per 100,000 men 159.9 per 100,000 women White 230.7 per 100,000 men 159.2 per 100,000 women Black 313.0 per 100,000 men 186.7 per 100,000 women Asian/Pacific Islander 138.8 per 100,000 men 95.9 per 100,000 women American Indian/Alaska Native a a 190.0 per 100,000 men 142.0 per 100,000 women Hispanic b b 159.0 per 100,000 men 105.2 per 100,000 women

4. Major Cancer Sites: Comparison of Blacks to Whites Cancer SiteIncidence Black/White Death Rate Black/White Lung1.34 (34% up)1.31 (31 % up) Breast0.9 (10 % low)1.37 (47% up) Colon- Rectum 1.21 (21% up)1,44 (44 % up) Prostate1.59 (59 % up)2.41 (141% up) Leukemia0.78 (22% low)0.833 (17 % low)

5. Liver Cancer Incidence Rates by Race Race/EthnicityMaleFemale All Races 9.9 per 100,000 men 3.5 per 100,000 women White 8.2 per 100,000 men 2.9 per 100,000 women Black 13.2 per 100,000 men 4.0 per 100,000 women Asian/Pacific Islander 21.7 per 100,000 men 8.3 per 100,000 women American Indian/Alaska Native a a 14.4 per 100,000 men 6.3 per 100,000 women Hispanic b b 15.0 per 100,000 men 5.8 per 100,000 women ________________________________________________________________________

6. Liver Cancer Death Rate by Race Race/EthnicityMaleFemale All Races 7.3 per 100,000 men 3.1 per 100,000 women White 6.7 per 100,000 men 2.9 per 100,000 women Black 10.3 per 100,000 men 3.9 per 100,000 women Asian/Pacific Islander 15.2 per 100,000 men 6.6 per 100,000 women American Indian/Alaska Native a a 10.6 per 100,000 men 6.6 per 100,000 women Hispanic b b 11.1 per 100,000 men 5.1 per 100,000 women ________________________________________________________________________

7. Cancer Health Disparities Exist 1. African-Americans have the highest cancer incidence and mortality rates among the most common types of cancer in this country 2. Caucasians have the highest Leukemia incidence and death rates 3. Asian/Pacific Islanders and Hispanics have the highest liver cancer incidence and death rates

8. Challenges: How can we effectively address cancer health disparities? How can we eliminate cancer health disparities?