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Investigating Cancer in the Community Basic Epidemiology Principles PUBLIC HEALTH INSTITUTE

Investigating Cancer in the Community Basic Epidemiology Principles PUBLIC HEALTH INSTITUTE Spring 2004 Williamsport, Pennsylvania. Gene B. Weinberg, MPH, Dr.PH Bureau of Epidemiology Pennsylvania Department of Health. Health Department Responses to Cancer Clusters. Evaluate Significance

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Investigating Cancer in the Community Basic Epidemiology Principles PUBLIC HEALTH INSTITUTE

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  1. Investigating Cancer in the Community Basic Epidemiology Principles PUBLIC HEALTH INSTITUTE Spring 2004 Williamsport, Pennsylvania Gene B. Weinberg, MPH, Dr.PH Bureau of Epidemiology Pennsylvania Department of Health

  2. Health Department Responses to Cancer Clusters Evaluate Significance Assess the Causes Recommend Public Health Actions Educate Determine the Need for Further Studies

  3. International Classification of Diseases for Oncology Morphology Code Description 9840 /3 * Acute Myeloid leukemia, M6 type 9861 /3 * Acute Myeloid leukemia, NOS 9866 /3 * Acute promyelocytic leukemia, t(15;17)(q22;q11-12) 9867 /3 * Acute myelomonocytic leukemia 9870 /3 * Acute basophilic 9871 /3 * Acute myeloid leukemia w abnormal marrow eosinphls 9872 /3 * Acute myeloid leukemia, minimal differentiation 9873 /3 * Acute myeloid leukemia without maturation 9874/3 * Acute myeloid leukemia with maturation 9891 /3 * Acute monocytic leukemia 9895/3 * Acute myeloid leukemia with multi-lineage dysplasia 9896 /3 * Acute myeloid leukemia, t(8;21)(q22;q22) 9897/3 * Acute myeloid leukemia, 11q23 abnormalities 9910 /3 * Acute megakaryoblastic leukemia

  4. Reasons for Growing Numbers of Cluster Reports • Greater Awareness of Cancer • Public More Willing to Talk about their Experiences • Media Coverage • Greater Concern about the Environment • Public is More Sophisticated

  5. Characteristics of Cancer and Infectious Disease Epidemics CANCERS Not easily recognized Very long incubation period Agents not known Intervention not possible Long exposure period INFECTIOUS DISEASES Easily recognized Short incubation period Agent generally understood Intervention possible Short exposure period

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