1. Healthy People 2010 Focus Area 3 Cancer Progress Review October 16, 2002

2. Population without cancer PreventionDetectionTreatment Professionals, Public Research Education, Information, Infrastructure Cases Survival Deaths Policy Cancer Objectives: Framework Population with cancer Population with cancer --detected Population with cancer --treated

3. Reduction in Cancer Deaths All Cancer Lung Breast Uterine cervix Colorectal Oropharyngeal Prostate Melanoma

4. Distribution of the HP2010 Cancer Mortality Objectives, 2000 Remaining cancer mortality Specific HP2010 objective Cancer Mortality Other Mortality Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.

5. Distribution of the HP2010 Cancer Mortality Objectives, 2000 Remaining cancer mortality Specific HP2010 objective Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.

6. Cancer mortality: by site, 2000 Age-adjusted rate per 100,000 standard population 2010 Target OverallLungProstateBreast (Female) ColorectalCervicalOro- pharyngeal Melanoma Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.

7. Overall cancer mortality: by race/ethnicity, 2000 Age-adjusted rate per 100,000 standard population 2010 Target American Indian/ Alaska Native Asian/ Pacific Islander HispanicBlack, not Hispanic White, not Hispanic Note: See the data sections (summary and slides) for information on data sources and issues.

8. Overall cancer mortality: by sex, 1950-2000 0 150 200 250 300 2010 Target Age-adjusted rate per 100,000 standard population Male Total Female Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.

9. Lung cancer mortality: by race/ethnicity, 2000 Age-adjusted rate per 100,000 standard population 2010 Target American Indian/ Alaska Native Asian/ Pacific Islander HispanicBlack, not Hispanic White, not Hispanic Note: See the data sections (summary and slides) for information on data sources and issues.

10. Lung cancer mortality: by sex, 1950-2000 Age-adjusted rate per 100,000 standard population 2010 Target Female Male Total Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.

11. Colorectal cancer mortality: by sex, race/ethnicity, 2000 Age-adjusted rate per 100,000 standard population American Indian/ Alaska Native Asian/ Pacific Islander Hispanic Black, not Hispanic White, not Hispanic 2010 Target FemaleMale Note: See the data sections (summary and slides) for information on data sources and issues.

12. Cervical cancer mortality: by race/ethnicity, 2000 Age-adjusted rate per 100,000 standard population American Indian/ Alaska Native Asian/ Pacific Islander HispanicBlack, not Hispanic White, not Hispanic 2010 Target Note: See the data sections (summary and slides) for information on data sources and issues.

13. Cervical Cancer Mortality Rates by County, 1970-1998 White Females Black Females (age-adjusted 1970 US Population)

14. Cancer Site Percent of Cancer Mortality EAPC* Required Change to Meet 2010 Target Evaluation of 2010 Target Attainment *Estimated Annual Percent Change. **Based on EAPC, found at www.seer.cancer.gov in either the SEER Cancer Statistics Review, 1973-1999 or Fast Stats. The most current group of years was used for the projection.

15. Cancer Site EAPC* Specific EAPC Years Used For Evaluation of Target Attainment** Evaluation of 2010 Target Attainment *Estimated Annual Percent Change. **Based on EAPC, found at www.seer.cancer.gov in either the SEER Cancer Statistics Review, 1973-1999 or Fast Stats. The most current group of years was used for the projection.

16. Evaluation of 2010 Target Attainment: Overall Cancer Mortality Age-adjusted rate per 100,000 standard population Projected Annual Change* Required Annual Change 2010 Target 0 (-1.1%) (-2.3%) Actual **Based on EAPC, found at www.seer.cancer.gov, Fast Stats. The most current group of years was used for the projection.

17. Evaluation of 2010 Target Attainment: Colorectal Cancer Projected annual change* Required annual change 2010 Target 0 Age-adjusted rate per 100,000 standard population White Population Black Population (-0.6%) (-6.9%) (-1.8%) (-3.7%) **Based on EAPC, found at www.seer.cancer.gov, Fast Stats. The most current group of years was used for the projection.

18. Cancer Prevention Sun Protection Cigarette Smoking Physical Activity

19. Cancer prevention - Adults Age-adjusted percent Sun protection (2000) Current smoker Moderate physical activity Baseline2001 2010 Target Note: See the data sections (summary and slides) for information on data sources and issues. Physical activity data can be found at www.cdc.gov/nchs/hphome.htm.

20. Cancer prevention - students in grades 9-12 Percent Sunscreen use Current cigarette smoking Vigorous physical activity ** **Developmental objective, target to be determined. 1999 baseline2001 2010 Target Note: See the data sections (summary and slides) for information on data sources and issues. Vigorous physical activity data can be found at www.cdc.gov/nchs/hphome.htm.

21. Current cigarette smoking : Adults age 18 and older, and students in grades 9-12 Percent 2010 Target: Students StudentsAdults 2010 Target: Adults 19701975198020001965198519901995 2001 Note: See the data sections (summary and slides) for information on data sources and issues. Earlier adult data found in: National Center for Health Statistics. Health, United States, 2002

22. Screening/Early Detection Pap smear FOBT Proctoscopic exam Mammography

23. Early cancer detection procedures: by family income level, 2000 Age-adjusted percent Mammogram: Females 40+ Pap test: Females 18+ Fecal occult blood test: Adults 50+ Exam*: Adults 50+ (ever) Poor Near poor Middle/High 2010 Target *Includes sigmoidoscopy, colonoscopy, proctoscopy. Note: See the data sections (summary and slides) for information on data sources and issues.

24. Cervical and breast cancer screening, 2000 American Indian/ Alaska Native Asian /Pacific Islander Hispanic Black, not Hispanic White, not Hispanic Age-adjusted percent Mammogram (past 2 years) Pap test (past 3 years) 2010 Target Note: See the data sections (summary and slides) for information on data sources and issues.

25. Colorectal cancer screening: Adults age 50 and over, by race/ethnicity, 2000 2010 Target Age-adjusted percent American Indian/ Alaska Native Asian / Pacific Islander Hispanic Black, not Hispanic White, not Hispanic Exam* (ever) Fecal occult blood test (past 2 years) *Includes sigmoidoscopy, colonoscopy, proctoscopy. Note: See the data sections (summary and slides) for information on data sources and issues.

26. Cervical and breast cancer screening, by family income level, and race/ethnicity, 2000 Black, not HispanicWhite, not HispanicHispanic Age-adjusted percent Mammogram (past 2 years)Pap Test (past 3 years) 2010 Target Near poorPoorMiddle/ High PoorNear poorMiddle/ High

27. Sunscreen use by students in grades 9-12, 2001* Always or most of the time use sunscreen % Black, not HispanicWhite, not HispanicTotalHispanic TotalFemaleMale *Target to be determined Source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP.

28. Persons with invasive cancer (any type), 5 years or longer survival 5-Year Relative Survival (percent) 2010 Target Source: Surveillance, Epidemiology, and End Results (SEER) Program, NIH, NCI.

29. Remaining Cancer Objectives Increase counseling on tobacco use cessation, physical activity, and cancer screening (8 sub-objectives) to 85 percent, current range is 12-59 percent. Increase the number of States that have a statewide population-based cancer registry on at least 95 percent of the expected number of reportable cancers to 45, 1999 baseline is 29 States + D.C.

30. Progress review data slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm