The following is a compilation of various Comp Cancer programs that have incorporated cancer and the environment in their state cancer plans. Most cancer plans are hyperlinked on state titles.
Arizona
Arizona’s Plan has a chapter on Environmental Carcinogens that discusses radon, arsenic, asbestos, uranium, and UV exposure. For more details and recommendations, see pp. 163-174.
Delaware
Delaware’s 2007-2011 Plan has a chapter on their Environment Committee, which mentions radon, fish consumption, toxics assessment, air toxins, Healthy Homes, water quality, occupational exposures and more. For additional details, see pp29-35.
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Goal 1: Reduce exposure to carcinogenic substances in the ambient environment.
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Goal 2: Coordinate with the Department of Labor’s Occupational Safety & Health Office to reduce workplace carcinogenic risk and exposure.
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Goal 3: Reduce exposure to carcinogens in the indoor environment.
Florida
Florida’s 2010 Plan has a short section on environmental factors (p. 19) suggesting a multi-disciplinary approach, providing risk information and supporting policies and procedures to reduce environmental risk.
Idaho (Childhood Cancer Strategic Plan)
 Goal: "Reduce the exposure of Idahoans to known carcinogens"
Idaho’s 2008-2010 Childhood Cancer Strategic Plan contains a short section (p. 16) dedicated to an environmental goal, objective, and strategies. The focus is on campaigns to increase awareness about exposure to known carcinogens.
Iowa
Iowa has included information and strategies related to radon in their cancer plan (p.22) http://canceriowa.org/2012-2017IowaCancerPlan.aspx
Maryland
Maryland’s 2011 version of their cancer plan has a chapter on environmental and occupational issues related to cancer. There are plans to include in the 2015 version as well. Here is the link: http://phpa.dhmh.maryland.gov/cancer/cancerplan/SitePages/environmental.aspx
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Michigan
Michigan’s 2009-2015 Plan has a section dedicated to environmental/occupational cancer, and provides an extensive background on environmental exposures and data, including chemicals and radiation, pesticides, non-ionizing radiation, toxic wastes, nuclear power plants, occupational cancer risk, mesothelioma, and hemangiosarcoma. Strategies broach provider and employer education, improving data and surveillance systems, updating exposure standards, exploring reasons for safe work environments, and testing children of lead-exposed workers. For additional details, see pp. 85-92.
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Goal: “Improve education about environmental/occupational exposures and cancer risk in
Michigan”
Mississippi
Mississippi’s 2006-2011 Plan contains an environmental-related goal and a section on “Environmental
Factors & Infectious Agents” within its Prevention chapter. Strategies include: developing partnerships to reduce exposure to environmental risk factors, improving public awareness, enforcing and increasing compliance with environmental regulations, promoting clean indoor air policies, and moving through existing educational programs targeting youth. For additional details, see pp. 10-11.
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Goal: "Reduce cancer incidence by modifying behaviors and environmental factors that contribute to cancer"
Missouri
Missouri’s 2010-2015 Plan includes a goal that encompasses both healthy lifestyles and environmental hazards. The objective most relevant to environmental factors can be found on p. 50: “Increase awareness of cancer causing chemicals such as radon in air, soil and water.” The measures and strategies listed describe radon testing and mitigation, public awareness activity, and promotion of policies and regulations to decrease environmental carcinogens.
 Goal: "Reduce preventable cancer incidence in Missouri by promoting healthy lifestyles and reducing environmental hazards that cause cancer"
Nebraska
Nebraska added an objective related to radon and housing in their state plan:
Objective F: Increase the number of Nebraska communities that are protected by Radon Resistant New
Construction (RRNC) codes from 7 to 10 by June 2017.
What will be measured Baseline Timeframe
Number of RNNC codes 7 NE communities 2017
Notes: In collaboration with the Nebraska Radon Program and local health departments across the state. and have worked on a radon education program for state distribution via public television.
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http://netnebraska.org/basic-page/television/radon-awareness
North Dakota
CCCP has had a Radon related objective since their 2011 plan was created. There are plans to keep a
Radon objective in their 2015-2019 plan.
Ohio
Ohio’s 2011-2014 Plan contains a goal to reduce exposure to environmental carcinogens under its section on primary prevention. The objectives and strategies related to this goal cover environmental tobacco smoke exposure and radon. For additional details, see pp. 29-31.
 Goal: "Reduce exposure to environmental carcinogens "
Oregon
Oregon’s 2005-2010 Plan has a section on Environmental Risk Factors with 6 related objectives: 1.
“Identify and prioritize Oregon’s environmental carcinogens”; 2. “Increase Oregonians’ access to data on environmental carcinogens”; 3. “Identify and bridge information gaps regarding environmental carcinogens”; 4. “Increase public awareness of carcinogens in the environment to promote prevention activities”; and 5. “Advocate for better public policy and enforcement to protect individual health”; 6.
“Reduce health disparities related to environmental carcinogens.” For more information and to see related strategies, see pp. 34-39.
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Goal: "Reduce all Oregonians’ risk of cancers related to environmental carcinogens."
South Carolina
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South Carolina’s 2011-2015 Plan has a section on “Environmental Factors” within its Prevention section.
Objectives highlight the intention to increase traffic to environmental and cancer registry websites, and conduct community cancer assessments to generate data for public use. For additional information, see pp. 44-45.
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High-level primary cancer prevention goal: "To reduce the incidence of preventable cancers by increasing physical activity and a healthy diet and by decreasing exposure to tobacco, excessive sun exposure, infection with certain pathogens such as HPV, and environmental toxins that cause cancer"
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Environmental factors sub-goal: “To reduce cancer incidence by knowledge of and avoidance of environmental cancer risks”
Tennessee
Tennessee’s 2013-2017 Plan has content about environmental exposures, which is sprinkled throughout the Plan’s various chapters in relevant areas. Radon testing is mentioned in the Lung Cancer chapter on
p. 22. Environmental pollutants are mentioned in the Primary Prevention chapter on pp. 32-33.
 Goal: "By 2017, reduce Tennessean’s population risks associated with environmental exposures to known or likely environmental risk factors for cancer prevention through reduction of exposure to environmental hazards and risk factors"
Texas
Texas has one goal focused on environmental strategies: http://www.cprit.state.tx.us/images/uploads/tcp2012_web_v1.pdf
(Goal 6- pg. 24).
Washington
Washington state’s 2009-2013 Plan has a section on Environmental Carcinogens with 4 objectives: 1. “By
2013, decrease population exposure to soil that contains more than 20 parts per billion (ppb) of arsenic”; 2. “By 2013, decrease population exposure to drinking water that contains more than 10 parts per billion (ppb) of arsenic”; 3. “By 2013, increase awareness of the hazards of diesel exhaust”; 4. “By
2013, increase awareness of the hazards of wood smoke.” For more information and to see related strategies, see pp. 24-32.
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Goal: "Reduce the impact of environmental carcinogens on cancer incidence and death in
Washington"
Tohono O'Odham Nation
Tohono O’odham Nation’s 2010-2015 Plan has a chapter on “Environment and Cancer,” which described worries of soil contamination from dumping of asphalt and petroleum products, water contamination with methylene chloride, uranium and sulfate water contamination from copper mines, and arsenic in drinking water. They are interested in creating a GIS database for soil and water arsenic levels. For
additional details, see pp. 74-78.
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Goal: "To enhance the knowledge of the O’odham about environmental risk factors"
Wyoming
Wyoming’s 2011-2015 Plan contains a “Radon” sub-section under the Prevention section. Strategies center around education and awareness-raising. For additional details, see pp.28-29.
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Goal: "Decrease radon exposure."
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