6.) Community -HistoryThe area known as Evansboro was first settled by French explorers and established as a military outspost. Soon afterward the area was settled by other French immigrant because of its rich farmland. It was a busy trading post in the 1800s because of its location on the St. Croix River. DemographicsThe total population of evansboro, as of the 1990 census, is 9.156. of the total residents, the female/male ratio is 1.1;1. There are 1.767 persons who are 65 year of age or older, and 2.287 are 18 year or younger. Raciel distribution data reveal that 64.2% of the residents are African American, 34.5% are cwhite, 0.8% are Native American, and 0.5% belong to other recial group. The majotary of Evansboros residents are married (71,6%). 23.1% are single, and the reminder are cither separated, divorced, or widowed. The leading couses of death are cardiovascular disease and lung cancer. A number of religious denominations are represented in Evansboro, those with the greatest percentage of member include Southern Baptist, African Methodist Episcopal, and United Methodist. PhyscialEvansboro is bordered on the west by the St. Croix River and as result is threatened by farmland. It lies within the flood plain of the river and as result is threatened by flooding periodically. The last time that homes were affected by flood water was 3 years ago. Evansboro is located in Washington Country, State Highway 25 boarders the eastern limit of the town and intersects with U.S Highway 62 along the northern border of Evansboro. The average temperature during the month of January is 60.3 F and during the month of July, 95.1 F

a) Health and Social Sevicesb) Economicsc) Safety and Transportationd) Educatione) Recreationf) Politics and Governmentg) Communication

KEY WORD 1. Evansboro2. The leading couses of death are cardiovascular disease and lung cancer3. Suhurata-rata selamabulanJanuari adalah60,3F danselama bulanJuli,95,1F

PROBLEMSWhyincountriesevansborocancer,lungandheartintomajordiseasesdeadly tothe stateis thereto do withof race,the existing airtemperatureevansborocountry

CoronaryheartdiseaseCoronaryheartdiseaseis a type ofattackthatmanyof Indonesia's population.This conditionoccursdue tonarrowing/blockageinthe coronaryarterywallsdue tofatty deposits andcholesterolsuplaiancausingbloodto the heartbecomes impaired.Changes inlifestyle, diet,andstress can alsolead tothe occurrence ofcoronaryheartdisease.

What CausesCoronary HeartDisease?

The cause ofcoronary heart diseaseisdue toexcessivebuildup offatty substancesin the lining ofarterywalls ofcoronaryarteries,whichare influencedbyan unhealthydiet.Addicted tosmoking,hypertension,high cholesterolcan also be acause ofcoronaryheartdisease.

Symptoms ofCoronary HeartDiseaseSymptoms ofcoronary heart diseasesuchas:

Painin the chest,more specificallyin thechestpainthatspreads tothe middleto the left armorneck,even to theback.Thischest painis paintypicalofcoronaryheartdisease.This painarisesonlywhen doingphysical activityand will decreasewhen resting.Accompanying symptomssuch assweatingandthe onset ofnausea.

These factorstriggera heart attackareamong others:

- smoke-Consumingfoods high in cholesterol.-Lessmotion.-Lazy to exercise.-Stress.-Lack of rest.-Heart attackis a conditionwhen the damagesuffered bytheheartmuscle(myocardium)isreduceddue tosuddenblood supply topart of the body.

Prevention ofcoronary heartdisease

-Avoidfatty foods-Use theidle timeforsports- Do notsmokeorconsumealcohol-Do not have toomany thoughts/ stress.

Lung cancerLung cancer is the growth of cancer cells that are not controlled in the lung tissue. [1] The pathogenesis of lung cancer has not really understood. Looks like bronchial mucosal cells metaplastik changes in response to chronic exposure of the particles are inhaled and injure lungs. In response to cellular injury, inflammatory reactions and processes will evolve. Mucosal basal cell proliferation and would have differentiated into mucus-secreting goblet cells. Looks like metaplastik activity occurs due to change of columnar epithelium lining the epithelium skuamus, which is accompanied by cellular atipia and increased mitotic activity that develop into mucosal dysplasia. Span of time this process has not been established, only approximately estimated between 10 to 20 years.

Cell origin of lung cancer is still unexplained. During these two theories evolved,leuripotential cell theory by Auerbach, who explains the deviations occur in the process of stem cell differentiation into other cells.The theory of small cells by Yesner, which explains the small cell neoplasms transforming and evolving into cancer cells

But note that genetic mutations occur in p73, [2] p53 and PRB, in addition to the role of c-MYB oncogene, c-myca, mycc c-, c-raf, L-myc, N-myc, K-sense, c-fura , N-ras, H-ra, c-erbB1, c-fms, c-Fes, c-RLF, c-erbB1, c-ErbB2, c-sis, BCL1. [3]According to WHO, lung cancer is the leading cause of death in the group of cancer in both men and girls.

1. Skuamus cell carcinoma

Called squamous cell carcinoma in English or SCC, a type of cancer is common in the main bronchus in the channel. Generally there is a development of keratin and keratin pearls.

2. Lung adenocarcinoma

Adenocarcinoma of the lung were recorded around 30% - 45% and will likely continue to increase. Cases of adenocarcinoma of the lung usually occurs in the lungs and organs are more common in women than in men, with a trend in the area of early metastasis in lymph nodes and brain around. Patients with lung adenocarcinoma usually have a history of chronic interstitial lung disease, such as scleroderma, rheumatoid disease, sarcoidosis, interstitial pneumonitis, tuberculosis, recurrent pulmonary infection or lung disease accompanied by necrosis. This causes adenocarcinoma often called scar carcinoma.

3. Adenocarcinoma bronkioalveolar

A subtype of lung adenocarcinoma with an incidence rate of about 2% - 4% of the total incidence of lung cancer, often associated with several lung diseases that result in pulmonary fibrosis, such as pneumonia, idiopathic pulmonary fibrosis, granulomata, asbestosis, alveolitis with fibrosis, scleroderma, and disease Hodgkin's lymphoma. Place of occurrence of cancer is still a debate, but it may have been reduced between populations Clara cells or type II pneumosit which propagate along the alveolar septa.

4. Large cell carcinoma

This cancer has an incidence rate of around 9%. The tumor has a characteristic large cells with large cell nucleus. Grandular differentiation has not been found or skuamus

5. The main causeSub-types of non-small cell lung cancer insmokers and never-smokers [7] histological sub-type Frequency of non-small cell lung cancers (%)Never-smokers SmokersSquamous cell lung carcinoma 42 33Adenocarcinoma Adenocarcinoma (Not Otherwise Specified) 39 35Bronchioloalveolar carcinoma 4 10Carcinoid 7 16Other 8 6

Smoking is a major cause of about 90% of cases of lung cancer in men and about 70% in women. The more cigarettes smoked, the greater the risk for lung cancer.

Only a small proportion of lung cancers (about 10% -15% in men and 5% in women) caused by or inhaled substances encountered in the workplace. Working with asbestos, radiation, arsenic, chromate, nickel, chloromethyl ethers, mustard gas and coke oven emissions can cause lung cancer, although usually only occurs in workers who also smoke.

The role of air pollution as a cause of lung cancer is still unclear. Some cases occur because of exposure by radon gas in the household.

Sometimes lung cancer (particularly adenocarcinoma and alveolar cell carcinoma) occurred in people who already have lung scarring due to other lung diseases, like tuberculosis and fibrosis ..

6. Symptoms of lung cancer

The most common symptoms encountered in patients with lung cancer are:

Persistent cough or become great.Bloody sputum, change colors and more.Shortness of breath and shallow.Headache, sore or cracked bone with no apparent cause.Chronic FatigueSelara loss eating or weight loss for no apparent reason.Hoarseness / husky.Swelling in the face or neck.

Symptoms of lung cancer are generally not too obvious, so that most lung cancer patients who seek medical help has been in an advanced stage. Kasusk-case early stage / early often found accidentally when someone makes a routine health check ..

7. Diagnosis and treatment

Some procedures that can facilitate the diagnosis of lung cancer include X-ray, Thoracic CT Scan, Fine Needle Biopsies, Bronchoscopy, and USG Abdomen.

Treatment of lung cancer can be done in ways such as

Surgery by removing any part of one lung - sometimes in excess of the discovery of the tumor and remove all the lymph nodes affected by cancer.

Radiotherapy or radiation with high intensity X-rays to kill cancer cells.ChemotherapyTaking the drugs orally with certain side effects which aims to prolong the suffering of life expectancy