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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

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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: