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Healthy People 2010 Focus Area 3

Healthy People 2010 Focus Area 3. Cancer Progress Review October 16, 2002. Population without cancer. Population with cancer. Population with cancer --detected. Population with cancer --treated. Research. Prevention. Detection. Treatment. Cases Survival Deaths.

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Healthy People 2010 Focus Area 3

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

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

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

  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. 2010 Target Cancer mortality: by site, 2000 Age-adjusted rate per 100,000 standard population Overall Lung Prostate Breast (Female) Colorectal Cervical Oro- 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 Hispanic Black, 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 Age-adjusted rate per 100,000 standard population 300 250 Male Total 200 Female 150 2010 Target 0 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 Asian/ Pacific Islander Hispanic Black, not Hispanic White, not Hispanic American Indian/ Alaska Native 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 Male Total 2010 Target Female Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.

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

  12. 2010 Target Cervical cancer mortality:by 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 Note: See the data sections (summary and slides) for information on data sources and issues.

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

  14. Evaluation of 2010 Target Attainment Percent of Cancer Mortality Cancer Site Required Change to Meet 2010 Target EAPC* *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. Evaluation of 2010 Target Attainment Specific EAPC Years Used For Evaluation of Target Attainment** Cancer Site EAPC* *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 Actual Projected Annual Change* (-1.1%) Required Annual Change (-2.3%) 2010 Target 0 **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 Age-adjusted rate per 100,000 standard population Projected annual change* Required annual change Black Population (-0.6%) (-6.9%) White Population (-1.8%) (-3.7%) 2010 Target 0 **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 Baseline 2001 2010 Target Moderate physical activity Sun protection (2000) Current smoker 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 1999 baseline 2001 2010 Target Percent ** Vigorous physical activity Current cigarette smoking Sunscreen use **Developmental objective, target to be determined. 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 Adults Students 2010 Target: Students 2010 Target: Adults 1965 1970 1975 1980 1985 1990 1995 2000 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. 2010 Target Early cancer detection procedures:by family income level, 2000 Near poor Age-adjusted percent Poor Middle/High Mammogram: Females 40+ Pap test: Females 18+ Exam*: Adults 50+ (ever) Fecal occult blood test: Adults 50+ *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 Black, not Hispanic White, not Hispanic Hispanic Age-adjusted percent 2010 Target 2010 Target Mammogram (past 2 years) Pap test (past 3 years) 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 American Indian/ Alaska Native Asian / Pacific Islander Black, not Hispanic Hispanic White, not Hispanic 2010 Target Age-adjusted percent Fecal occult blood test (past 2 years) Exam* (ever) *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 Hispanic White, not Hispanic Hispanic Pap Test (past 3 years) Mammogram (past 2 years) 2010 Target 2010 Target Age-adjusted percent Poor Near poor Middle/ High Poor Near poor Middle/ High

  27. Sunscreen use by students in grades 9-12, 2001* Total Female Male Always or most of the time use sunscreen % Total Hispanic Black, not Hispanic White, not Hispanic *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

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