Cancer, American Style
March 7th, 2009 ·
http://ovationsforthecure.org/whispernetwork/?p=103
If ever you've wondered about the incidence rates of particular cancers within the state you live have a look at:
http://statecancerprofiles.cancer.gov/incidencerates/incidencerates.html.
By entering the name of almost any type of cancer, the gender and race of the group you are interested in, and a region within the U.S. you have at your disposal a goldmine of public heath information. (You also can find information across all races and for the United States as a whole.) The data there is from 2001 to 2005. Hopefully funding will permit an update of this information.
Here's the Ovarian Cancer lowdown. As of 2004, the U.S. state with the highest incidence rate (across all races) was the District of Columbia (16%); the state with the lowest was South Dakota (8.5%) – as of 2005, data was not available for Maryland. In 2004, the incidence rate for the nation was 12.5 %.
Ironically, the soundtrack to my perusing of these public health records is The Yardbird's "Think About It" complements of another favorite website of mine The Technicolor Web of Sound. In the history that is this girl's life, the two sites are not unrelated.
I came of age in a suburb of Boston that was home to my family from 1974 to 1991.
During those years, as I sat holed up in my bedroom listening to music, as my mother painted, cooked, or gardened; as my sister made up detailed plays with her theater friends, we each apparently were inadvertent participants in a public health phenomenon.
There are many factors contributing to a region's cancer rates – the ethnic/socioeconomic makeup of the population, the physical environment, and trends in diet, lifestyle, and health care. So many things were going on in our neighborhood that it's impossible to know which in particular were responsible for the fact that 20 years later our county had the third highest incidence rate of ovarian cancer (15%) in the state (14.5% for Massachusetts as a whole).
At a recent high school reunion, I learned at least one other mom from our neighborhood had been diagnosed with—and died from—ovarian cancer.
It's these kinds of findings that don't allow me to rest easy, even though I have been blessed with a negative BRCA. Occurrence of disease in an individual is a result of a conglomeration of factors, an equation that might look something like: genetic predisposition + environment + lifestyle can equal disease.
Community Mapping Projects by breast cancer researchers have gone so far as to map neighborhoods street-by-street, and in so doing have located breast cancer clusters, areas where the incidence rate of breast cancer far exceeds the norm. Some of the factors possibly at play in those locations: pesticide usage and contamination to the water supply to name a few.
Now playing on the Technicolor Web of Sound is "Gentle Loving San Francisco Man." It's a whole lot easier to take than cancer clusters. Especially since San Francisco has an ovarian cancer incidence rate a full 2% less than that of the room I am sitting in now.
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