Transcript Public Education Meeting - Blackford County Concerned Citizens

Public
Education
Meeting
May 21, 2011
1:00
Hartford City, IN
We are not here to curse
the darkness, but to light
the cand le that can guide
us through that darkness
to a safe and sane future.
~John F. Kennedy~
 The
mission of Blackford County Concerned
Citizens is to improve the quality of life of
Blackford County’s residents by reducing the
incidence of diseases, primarily through citizen
action to investigate the diseases that are
prevalent and by advocating to have these
diseases investigated
Founding Members
 Katherine
 Kathy
Castelo
Schrope Dunsmore
 Joseph
Castelo
History of BCCC
 May
2010- met with Indiana Department
of Health
 December 2011-met with the Hoosier
Environmental Council and the IU School
of Public Health
BCCC Contact info
 Facebook/Blackford
Action Group
County Indiana Cancer
 BlackfordCountyConcernedCitizens.com
 [email protected]
What is happening in
Blackford County?
A summary of knowledge relating to
disease and the environment
State Cancer Incidence
Cancer Incidence by County
Blackford
County
700
Cancer Incidence #/100,000
650
600
550
500
Blackford rate:
535.3
State Avg:
457.2
Std Dev: 39.5
450
400
350
300
250
200
Brown
Warren
Swit zerland
Perry
Hamilt on
DeKalb
Mont gomery
Henry
Port er
Hancock
Crawf ord
St . Joseph
Miami
Sullivan
Pulaski
Bent on
County of Indiana
Years 2002-2006
Source:
http://statecancerprofiles.cancer.gov/incidencerates/index.php?stateFIPS=18&cancer=001&race=00&sex=0&age=001&type=incd&so
rtVariableName=rate&sortOrder=default
Cancer Incidence Report from
Indiana Department of Health
 Cancers
sites that were statistically higher
than the state average
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All Cancer Sites
Colon, rectum and anus
Lung and Bronchus
Malignant Lymphoma
Thyroid and Other Endocrine Glands
Bladder
Interim Report on Blackford County, Indiana Cancer Incidence
Prepared by: Public Health Geographics, Epidemiology Resource Center
Indiana State Department of Health
Apriil 12th, 2010
Sampling from State Report
Years
Expected #
of Cases
Actual # of
Case
All Sites
2001-2005
202.8
239
Bladder
2001-2005
18.1
32
Colon
2003-2005
28.5
40
Lung
2001-2005
32.9
56
Lymphoma
1997-2006
30.5
44
Thyroid
1998-2007
13.6
25
Cancer Incidence by County
All Cancer Sites
Female Breast
Prostate
Lung and Bronchus
Colorectal
US
473.7
125.1
159.2
69.5
52.6
Indiana Blackford Deleware
479.4
536.9
492
113.8
86.9
117.2
137.5
152.3
152
79.8
95.8
81.3
52.2
63.8
53.4
Grant
535.7
106.6
163.5
84.1
53.1
Henry
508.9
114.3
118.9
87.2
65.9
Jay Madison
504.2
469.3
116.2
109.1
105.3
142
91
84.1
56.5
43.6
Red-highest rate in compared counties
Blue-second highest rate in compared counties
State Cancer Profiles by National Cancer Institute
Years 2003-2007
Wayne
499.1
106.9
122.2
97.3
51.6
Issues with Data
 Small
Population
 Data lags behind

Latest data analyzed was 2007
 Inaccurate


Reporting
People seeking treatment else where
Long term residents who move before
diagnosis
What is Cancer?

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A name for a group of more than 100
diseases where cells grow out of control
Cancer cell growth is different than normal
cell growth.
Cancer cells don’t die
Cancer cells can invade other tissues
Cells become cancer cells when DNA is
damaged
Some damage is inherited but most is caused
while a normal cell is reproducing or from
something in the environment
What Causes Cancer?

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
Tobacco
Overweight or Obesity
Physical inactivity and nutrition
Infectious Agents
 E.g. HPV, HIV
Heredity
Ultraviolet Light
Environmental Factors
Source: American Cancer Society,
Cancer Facts & Figures 2008
Who Gets Cancer?




Anyone can get cancer
One of the biggest factors that can make a
person more likely to get cancer is age: 3 out
of 4 cancers are found in people age 55 or
older.
Half of all men and one-third of all women in
the US will develop cancer during their
lifetimes
There are many other factors that affect
cancer risk and some of them can be
changed
Colon Cancer
• The 3rd most common cancer in both men and
women in the U.S.
• 3rd leading cause of cancer-related death in the
U.S.
• At least half of all cases could be prevented by
regular testing
• Non-controllable risk factors include age and
family history
• Controllable risk factors include diet, smoking,
overweight, heavy alcohol use, physical activity
Colon Cancer Risk Factors

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Diets that are high in red meats and
processed meats
Obesity
Smoking
Heavy alcohol use
Type 2 diabetes
Lung Cancer

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Lung cancer is the second most common
cancer in both men and women
It accounts for 15% of all new cancers
Lung cancer is the leading cause of cancer
death among both men and women in the
U.S.
More people die of lung cancer than of
colon, breast, and prostate cancers
combined
Lung cancer mainly occurs in older people
For smokers, the risk is much higher
Lung Cancer Risk Factors
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Smoking
Radon
Exposure to second hand smoke
Work place exposure to asbestos
Cancer causing agents in the workplace
Radioactive ores
 Inhaled chemicals such as arsenic, silica, vinyl
chloride, nickel and chromium compounds
 Diesel exhaust

Lymphoma Risk Factors
 Exposure
to certain chemicals such as
benzene and certain herbicides and
insecticides
 Immune system deficiency
 Autoimmune Disease
 Certain viral infections
 Age
Thyroid Cancer Risk Factors
 Exposure
to radiation
 Diet low in iodine
 Hereditary conditions
 Age and Gender


In women risk peaks between 45-49
In men risk peaks between 65-69
Bladder Cancer Risk Factors
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Smoking
Arsenic in the drinking water
Work place exposures to aromatic amines or
certain organic chemicals
Industries carrying highest risks include


Makers of rubber, leather, textiles and paint
products
Other workers with increased risk include
painters, hairdressers, machinist, printers and
truck drivers (because of diesel fumes)
Female Breast Cancer
• The most common cancer in women in the U.S.
• 2nd leading cause of cancer-related death in
women in the U.S.
• Death rates have been steadily going down since
1990
• Non-controllable risk factors include age,
genetics, family history, dense breast tissue
• Controllable risk factors include exposure to
tobacco smoke, overweight, alcohol use, physical
activity
Amyotrophic Lateral Sclerosis
(ALS, Lou Gehrigs Disease)
 ALS
incidence is AT LEAST 4.5 cases/100,00
 ALS incidence in the US is 1-2
cases/100,000
 Environmental pollutants such as toluene
are suspected in ALS
 5-10% of cases are genetic, the cause in
the rest is unknown
Questions?