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The Impact of Cancer in Indiana (1999-2008)
Average Cases Per Year
Uterine, Cervical & Other Female Genital
Brain & Other Nervous System
Bladder & OtherUrinary System
Lymphoma
Leukemia
BreastMore than
99% women
Excludes Basal and Squamous
Endocrine
Miscellaneous
Colorectal & Other Digestive System
Lung & Other Respiratory System
Myeloma
Oral Cavity & Pharynx
Prostate & Other Male Genital
Melanoma & Other Skin Cancers
= 100 Hoosiers
About 2.4 million Hoosiers, or 2 in 5 people now living in Indiana, will eventually develop cancer. Nationally, men have almost a 1 in 2 chance of developing cancer during their lifetime; women’s lifetime risk of developing cancer is slightly more than 1 in 3.
The Indiana Cancer Facts and Figures 2012 provides the most up-to-date cancer information available and identifies current cancer trends and their potential impact on Indiana residents. Download a free copy at IndianaCancer.org.
30,272 Hoosiers were diagnosed with cancer this year
15,434 of those Hoosiers were male
twitter.com/IN_Cancer
facebook.com/IndianaCancer
$1.01 billion was spent in 2003 by Hoosiers on direct costs of treating cancer
$2.76 billion is the estimated amount of money Hoosiers will spend on direct costs for cancer care in 2023 if current trends continue
14,838 of those Hoosiers were female
On average...
Economical impact*...
Cancer Risk Factors
Data from: Indiana Behavioral Risk Factor Surveillance System, Indiana State Cancer Registry, 2011 Indiana Cancer Facts and Figures and *The Milken Institute
JOIN THE INDIANA CANCER CONSORTIUM
AT INDIANACANCER.ORG & HELP PREVENT CANCER
»
Body Weight, Diet, and Physical Activity
Scientific evidence suggests that nationally
about one-third of the 571,950 cancer deaths occurred in 2011 were
related to overweight or obesity, physical
inactivity, and poor nutrition and thus could have been prevented. In
2010, approximately 30% of Indiana adults, or almost 1.8 million people, were considered obese.
Tobacco
All cancers that are attributed to tobacco use and secondhand smoke
exposure could be prevented. The Harvard
Report on Cancer Prevention estimated that
around 30% of cancer deaths are caused by
tobacco use.5 In 2010, 21.2% of Indiana adults were current smokers.
Sun Exposure
The majority of the more than 2 million skin cancers
that are diagnosed annually in the United
States could have been prevented by protection
from the sun’s rays.
Infectious Diseases
About 5% of cancers are related to infectious exposures, such as
hepatitis B Virus (HBV), human papillomavirus
(HPV), human immunodeficiency virus
(HIV), Helicobacter bacteria, and others, and
could be prevented through behavioral
changes or the use of vaccines or antibiotics.
Healthcare Coverage
Uninsured and underinsured patients are substantially more likely to be diagnosed with cancer
at a later stage, when treatment can be more
extensive and more costly. According to the U.S.
Census Bureau, almost 50 million Americans were
uninsured in 2010; almost 1/3 of Hispanics (31%) and 1 in 10 children (17
years and younger) had no health insurance coverage
during the same time period.
Screening
Early diagnosis through regular screening
examinations saves lives by identifying cancers when they are most
curable and treatment is more successful. Cancers that can be detected by screening account for about half of all new
cancer cases and include breast, colon, rectum,
cervix, prostate, testis, oral cavity, and skin
cancers.
1 .$ 3in excess medical expenses and premature loss of life, or about $201 per person each year
. 13 2 7$
in direct health care costs each year
. 59 7 7$
in premature loss of life costs each year
373,500PEOPLE
113,000PEOPLE
351,000 PEOPLE 30%40% 22%
85%Believe that secondhand smoke is a health hazard,
including 58 percent who say it is a serious health hazard.
84%Feel that all workers should be
protected from exposure to secondhand smoke in the workplace.
70%Support a law that would
prohibit smoking in indoor workplaces and public places, including restaurants and bars.
In Indiana, studies (see below) have shown that there are considerable and instant
of smoke-free air laws.
Over 800,000 Indiana workers are not protected by smoke-free indoor air policies in their workplace.
SOURCES
217-226, 2007.
Impact of Secondhand Smoke on Indiana in 2010. Bowen
Secondhand smoke is smoke breathed in involuntarily by someone who is not smoking. Secondhand smoke can trigger
cause cancer.
is one that prohibits smoking in all workplaces including all hospitality venues and indoor public places.
59%.
13.2%.
322
179
273
17
11
32
local smoke-free laws did not have -
rant revenue or employment.
-nesses posted strong gains in gross income in
taverns generated 20.3 percent more gross income in 2007 compared to a .3 percent gain in 2006.
-ued increase in money collected from food and beverage taxes. Fort Wayne, 2007. Expanded its smoking ban to include bars and private clubs. One month later, bar and restaurant receipts increased 39 percent.
found that local or state smoke-free -
ence local economies in either rural
-
restaurants saw increases in receipts.
The Indiana Cancer Consortium (ICC) is a statewide network
of public and private partnerships whose mission is to reduce
the cancer burden in Indiana through the development,
implementation, and evaluation of a comprehensive plan
that addresses cancer across the continuum from prevention
through palliation.
Where Are We Now?
• From 2010 to 2012, the number of local comprehensive smoke-free
air ordinances in Indiana increased from 11 to 18.
• Together, the ICC along with other statewide coalitions and partner
organizations supported Indiana in passing its first ever statewide
smoking ban, effective July 1, 2012, by providing technical assistance
such as writing letters to the editor and producing infographs.
Where Are We Going?
• Support communities working to pass local comprehensive
smoke-free air ordinances by providing educational resources
and technical assistance.
• Educate ICC members, partners, and communities on advocacy
and smoke-free air policies.
3. Smoke-free Air Law:
Policy in Cancer Prevention & Control in Indiana
Conclusion:Given the continuing burden of cancer and cancer disparities in
Indiana, the partnership of the ICC will continue to implement policy,
systems, and environmental change initiatives to evoke sustainable,
far-reaching impacts on the burden of cancer. The initiatives through
their effects across age groups, genders, and race/ethnicities are
particularly important in addressing populations of need. The ICC will
continue to enhance the efforts of its partners by providing training and
technical assistance, cancer-related data, and guidance on evidence
based practices. To learn more about cancer control, please visit:
www.indianacancer.org
Earned Media:
Where Are We Now?
• Despite a 44 cent cigarette tax increase in 2007, Indiana still has one
of the lowest tobacco excise tax rates in the U.S., at roughly $1/pack
compared with overall all states’ average at $1.49/pack.
Where Are We Going?
• Convene with partners to coordinate the educational process and
grassroots efforts on increasing cigarette tax by releasing the Brown
Cigarette Report, which provides the evidence base to support brown
cigarettes being taxed at the same rate as regular cigarettes in
Indiana, and secondly, provides the evidence base to support an
increase in the overall tobacco tax in Indiana.
Where Are We Now?
• The ICC has established support for current efforts to implement
school wellness policies. There is a statewide initiative working with
29 K-5 and K-6 schools advocating for each school to implement 30
minutes of daily activity into their school wellness policy.
• In Indiana, 8 school districts officially changed their school wellness
policies to include daily physical activity: Approximately 26,768
students are impacted.
• The ICC Primary Prevention Action Team is providing funding
opportunities to selected Indiana middle and high schools to
implement and evaluate of one the following evidence based
interventions: SPARK, National Bike to School Day, Active 4 Me®,
and CATCH.
Where Are We Going?
• Continue building support for an amendment to existing legislation
that would require a minimum of 30 minutes of physical activity per
day in elementary schools.
• Work with partners to train teachers on how to effectively incorporate
physical activity into curriculum for the 2012-13 school year.
4. Physical Activity:Fort Wayne
South Bend
Lafayette
Muncie
Carmel
Indianapolis MPO
Franklin
Peru
Columbus
Bloomington MPO
Evansville MPO
NIRPCMPO
Madison Co MPO
Frankfort
Kendallville
Richmond
Cities and Towns Considering Complete Streets Policies
Existing Complete Streets Policies (Cities and MPO's)
MPO Counties without Complete Streets Policies
Cities and Towns without Complete Streets Policies
Counties not in a MPO 0 10 20 30 40Miles
Map Author: Nutrition and Physical Activity, Indiana State Department of Health
Program Data: Indiana MPO CouncilReference Data: Indiana Geographic Information Office
May 2012
Indiana Complete Streets CampaignWhere Policy Change is Happening
*Metropolitan Planning Organization
2. Complete Streets:
Where Are We Now?
• From 2010 to 2012, the number of Complete Streets policies in Indiana
increased from 3 to 6.
• Providing technical assistance to statewide coalitions and partners
such as offering media advocacy trainings, and compiling resources
and information on local policy content.
Where Are We Going?
• Maintain active partnerships with the Indiana Healthy Weight
Initiative and Health by Design to build momentum when working to
pass local ordinances in order to exceed our goal of 7 Complete
Streets policies in Indiana.
Earned media is vastly used in order to promote and inform
the public of partner policy efforts. Earned media tactics such
as press releases, letters to the editor, editorials, and Op-eds
have been well received and easily tracked.1. Tobacco Tax:
TOBACCO TAXImagine, Indiana Cigarette Taxes Raised To Fund New Bureaucracy! COMPLETE STREETSComplete Streets Make Cities More Livable!
SMOKE-FREE AIRIndiana Smoke-free Air Law Goes into Effect Today!PHYSICAL ACTIVITYWe Can Get More Kids Walking to School!
Policy Initiatives:
Health policy at the local, state, or federal level can have a large impact on the community, guiding the public to healthier behaviors and making healthier
options more accessible.To positively impact the health of the community, the ICC leadership, member organizations, and individual members adopted the following cancer-related policy initiatives:
Improvement of existing laws
that support elementary school students receiving at least 30 minutes of
the recommended 60 minutes of physical activity during the school day.
Increase the number of
Complete Streets policies at the Metropolitan Planning Organization and/or county/city level(s) from 3 to 7.
Passage of a statewide
comprehensive smoke-free air law.
Increase of the state cigarette tax from
99.5 cents to $2.
We acknowledge the Centers for Disease Control and Prevention, for
its support of the Indiana Cancer Section, under cooperative agreement
1U58DP003884-01 awarded to Indiana State Health Department. The
findings and conclusions in this presentation are those of the author(s)
and do not necessarily represent the official position of the Centers for
Disease Control and Prevention.
Emily Erdmann
Indiana State Department of Health, Cancer Control Section
Caleb Levell
ICC Coalition Coordinator
Acknowledgements: