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ACS South Atlantic Division Cancer Facts & Figures, 2007 South Atlantic Division Cancer Facts & Figures 2007 Includes CD With State & County Data We Are Here. Making A Difference In Every Community. Delaware North Carolina District of Columbia South Carolina Georgia Virginia Maryland West Virginia South Atlantic Division, Inc. American Cancer Society Mission Statement The American Cancer Society is the nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives and diminishing suffering from cancer, through research, education, advocacy, and service. Acknowledgements With grateful appreciation for their contribution and assistance: Delaware Cancer Registry Marjorie Shannon, MS District of Columbia Cancer Registry Aaron Adade, PhD Georgia Comprehensive Cancer Registry Rana Bayakly, MPH Maryland Cancer Registry Diane Dwyer, MD Maryland Vital Statistics Administration Hal Sommers, MA North Carolina Central Cancer Registry Karen Knight, MS; Chandrika Rao, PhD South Carolina Central Cancer Registry Susan Bolick-Aldrich, MSPH, CTR; Margaret Ehlers, MSPH Virginia Cancer Registry Jim Martin, PhD; Carolyn Halbert MA, MPH Virginia Center For Health Statistics Calvin Reynolds, Robert Magnotti West Virginia Cancer Registry Patricia Colsher, PhD, Myra Fernatt West Virginia Health Statistics Center Daniel Christy, MPA; Tom Light American Cancer Society Kathleen Wall, MSW Editor: Judy Walrath, PhD Planning Manager © 2007 American Cancer Society, South Atlantic Division, Inc. All rights reserved, including the right to reproduce this publication or portions thereof in any form. However, data provided from the State Cancer Registries/State Centers for Health Statistics may be reproduced without permission. For written permission, address the American Cancer Society, South Atlantic Division, 2200 Lake Boulevard, Atlanta, GA 30319. Table of Contents Introduction ...............................................................2 Virginia ....................................................................62 How to Use Cancer Facts & Figures for Planning Cancer Control Demographics Trends Demographics ...........................................................4 Incidence, Staging and Mortality Risk Behaviors Estimated New Cancer Cases & Deaths, 2007 .........6 West Virginia ...........................................................70 Incidence and Mortality ............................................7 Demographics Trends Trends in Cancer Incidence and Mortality ...............8 Incidence, Staging and Mortality Risk Behaviors Cervical Cancer and the HPV Vaccine ....................0 Cervical Cancer and the HPV Vaccine American Cancer Society Guidelines for Epidemiology of Cervical Cancer Nutrition and Physical Activity .......................78 Early Detection of Cervical Cancer Causes of Cervical Cancer American Cancer Society Screening Guidelines ....80 Cervical Cancer Research Cancer Research ......................................................8 Delaware .................................................................4 Total Current American Cancer Society Research and Training Demographics Grants in the South Atlantic Division Trends Incidence, Staging and Mortality Data Sources & Technical Notes .............................85 Risk Behaviors Data Sources District of Columbia ................................................22 Risk Factor Data Technical Notes Demographics At A Glance Reports Trends Incidence, Staging and Mortality State Cancer Registries & Vital Statistics ...............87 Risk Behaviors American Cancer Society South Atlantic Georgia ....................................................................30 Division Offices .................................................88 Demographics Trends County Level Data ................................. Attached CD Incidence, Staging and Mortality County Level Incidence and Mortality Data Risk Behaviors By State and Cancer Site Maryland .................................................................38 Demographics Trends Incidence, Staging and Mortality Risk Behaviors North Carolina .........................................................46 Demographics Trends Incidence, Staging and Mortality Risk Behaviors South Carolina .........................................................54 Demographics Trends Incidence, Staging and Mortality Risk Behaviors American Cancer Society | South Atlantic Cancer Facts & Figures 2007 Introduction This year’s Cancer Facts & Figures contains one special section across two or more regions in the same year because of poten- entitled Cervical Cancer and the HPV Vaccine. This section out- tial differences in population characteristics. Therefore age- lines cervical cancer epidemiology (including incidence, mortal- adjusted incidence rates, which account for population differ- ity and survival), screening guidelines, etiology and research on ences, should be used to track year-to-year changes in cancer cervical cancer. The development of the human papillomavirus occurrence. Age-adjusted cancer incidence rates are the number (HPV) vaccine is highlighted in this section, along with Ameri- of people per 100,000 who are diagnosed with cancer during can Cancer Society recommendations for the HPV vaccine use a given time period, with adjustment for the age distribution to prevent cervical cancer and its precursors. of the population. Cancer incidence rates are used to moni- tor changes in the occurrence of cancer over a period of years, frequently over a five-year time period. How to Use Cancer Facts & Figures Deaths due to cancer are referred to as cancer mortality. Cancer for Planning Cancer Control deaths, or mortality counts, are also used to describe the cancer burden in a community. Cancer mortality rates are defined as the number of people per 100,000 dying of the disease during South Atlantic Division Cancer Facts & Figures 2007 provides a given time period. Age-adjusted mortality rates, like age-ad- a comprehensive resource for state and community cancer justed incidence rates, account for population differences and control planning and implementation. The South Atlantic Divi- should be used when comparing cancer mortality patterns from sion is comprised of Delaware, District of Columbia, Georgia, different populations. These rates are also frequently averaged Maryland, North Carolina, South Carolina, Virginia and West over a five-year time period. Virginia. The publication includes data on cancer incidence, staging and mortality for the following cancer sites: breast, Statistical Significance cervix, colorectal, lung and bronchus, melanoma of the skin and Individual county/ward incidence and mortality rates are tested prostate for the South Atlantic Division. statistically to determine whether or not these rates are statisti- cally significantly different from the overall state rate. If an inci- This publication includes the following information: demo- dence or mortality rate is significantly lower than the state rate, graphics, cancer incidence, mortality and staging data and this is indicated by a ‘<’ placed next to the rate and if a rate is prevalence rates for behavioral risk factors and screening significantly higher than the state rate, a ‘>’ is next to that rate. practices. The following sections describe how this information can be useful in planning, implementing and evaluating cancer A statistically significant lower or higher rate does not necessar- control interventions. ily mean that the difference is biologically or clinically impor- tant or interesting. These differences could have occurred by Demographic Data chance alone since we are making multiple comparisons. Demographic data describe the population distribution within a community. These data include age, race, income, education, as Cancer Staging Data well as a host of other variables that describe the socioeconomic Cancer staging is the process of describing the extent or spread and cultural variation within a community. Demographic data of the cancer from the site of origin. The earlier a cancer is diag- are helpful in identifying populations most at risk for cancer in nosed, the greater the likelihood of survival. order to better target our efforts. We must, however, ensure that Communities often launch initiatives to promote screening interventions utilize messages and human resources reflective (early detection) of cancer. Thus, staging data can be invalu- of the racial and cultural make-up of the community. able to community partners by identifying segments of the Cancer Incidence and Mortality Data population in need of screening as well as to monitor effects of a screening program. While it is important that cancer be diag- New cancer cases are called cancer incidence. Cancer incidence nosed at any stage, the earlier a cancer is diagnosed, the more data describe the burden of specific types of cancer and the likely it can be successfully treated and thus decrease overall impact of cancer on a population within a specific time period. cancer mortality. The number of new cancer cases can be helpful in planning a particular survivorship program. Risk Factor Data Comparing the number of new cancer cases from year to year There are ways of decreasing the risk of or preventing certain is not recommended because population demographics change types of cancer. All cancers known to be caused by cigarette over time. Further, it is difficult to compare cancer patterns smoking and heavy use of alcohol could be prevented com- 2 American Cancer
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