January 31, 2007 Crisis in Jackson County Cancer Mortality Rates Public Records for Cancer Mortality rates are readily available from many sources including: Mississippi Dept. of Health Center for Disease Control American Cancer Society University of Miss School of Medicine- Bio Records Environmental Protection Agency Other sources via the Internet Since 1992, Mississippi has declined to the top Ten (10) of the 50 United States with the highest Cancer Incidents and Cancer Death Rates per capta (Per 100,000 Population) in the nation. The year 2005 reported Mississippi with a Cancer Mortality Rate of 220 persons per 100,000. By Comparison the State of Alaska ran 10 persons per 100,000 and the U.S. as a whole ran 190. It is interesting to note that depending upon the source and methodology these numbers vary but for a layman appear to be fairly uniform. During 2005, the U.S. reported 14,970 Malignant Neo Plasm cases, while Mississippi reported 6,220. By comparison Mississippi’s Cancer Death rate per 100,000 Population Ran: 2005 Est. 2004 1990 213.3 215.2 192.4 while the U.S. rate ran 205.4 per 100,000 Population. A side-by-side comparison for Total Deaths versus Cancer Mortality Rates for the State of Mississippi and Jackson County for the periods 1990-2004 reveals the following: Year 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 MISSISSIPPI Total Cancer Cancer Deaths Deaths Death Rate 22,338 21,992 22,753 22,873 22,972 23,220 22,684 28,765 28,333 27,748 5,725 5,732 5,815 5,944 6,131 6,060 6,050 5,933 5,924 5,964 21.3%* 21.6%* 21.2%* 216.0 221.4 213.4 210.7 208.6 205.6 205.4 JACKSON COUNTY Total Cancer Cancer Deaths Deaths Death Rate 1,038 924 1,003 1,112 1,013 1,183 1,121 1,193 1,195 1,164 256 235 238 260 282 285 244 263 275 258 192 176.5 178.8 198.6 211.8 216.9 185.7 197.4 205.3 228.2 Year 2005 MISSISSIPPI JACKSON COUNTY Total Cancer Cancer Total Cancer Cancer Deaths Deaths Death Rate Deaths Deaths Death Rate 29,047 6,018 205.4 1,228 225 165.5 Totals 249,609 59,247 220 12,171 2,821 317 What do these historical numbers suggest? First on a national basis, Mississippi has experienced an increase in the Incidents of Cancer and the Cancer deaths per 100,000 Population compared to the United States and is now in the top ten (10%) percent of all the States with the highest cancer mortality rate per 100,000 population. Collectively, the various sources indicate that Jackson County’s Cancer Mortality Rate is about 147% higher than Mississippi as a whole. If we take the MS Dept. of Health’s numbers, we find the following has occurred over the past ten years: Year MISSISSIPPI Total Cancer Cancer Deaths Deaths Death Rate Total 249,609 59,247 220* *Composite from multiple sources ** Per 100,000 Population JACKSON COUNTY Total Cancer Cancer Deaths Deaths Death Rate 12,171 2,821 317** The MS Dept. of Health, and the Univ. Of MS Medical School Cancer Registry report the Cancer Death Rates and the Incidents of Cancer. Note that the Incidents of Cancer are much more telling, as many terminal cancer patients may have a “registered death” as caused by some other illness such as a heart attack, stroke, pneumonia, etc. A review of these facts reveal is presented comparing Mississippi with Jackson County, Hinds County and Harrison County. One important point to note is the difference is actual population: Population Per Cent of Total Mississippi 2,921,088* Hinds County 249,345…. 8.53% of state population Harrison County 193,810…. 6.63% of state population Jackson County 135,940….. 4.65% of state population Est. 2005 Year End U.S. Census Bureau Thus far we have found that Jackson County over the ten year period covering 1995 –2004 reported 10,943 deaths from all sources. Of these deaths those registered as deaths by cancer totaled 2,596. To put this into perspective: Total Deaths 3 deaths per day - all sources 21 deaths per week- all sources 92 deaths per month- all sources Reported Cancer Deaths 1 cancer death every 1.5 days 5 cancer deaths per week 21.4 deaths per month Simply put 24% (1 out of 4) of all reported Jackson County deaths are from cancer. This does not include reported deaths of other causes for persons ill with cancer. Cancer Incident Rates provide a more viable look into the Cancer issues as Cancer remissions from improved treatment methodology and medicines impact the Cancer Death Rates which is a blessing compared to previous rates and treatment. Mississippi’s Cancer Incident Rate leads the United States. The State rate is Jackson County’s Cancer Incident Rates range between 389 – 436 per 100,000 Population. While the States unadjusted average is 402 based upon 2003 data. As recently as February 1, 2007 yet another scientific study by the Environmental Protection Agency resulted in the tightening of the permitted amount of fine particulates in air discharges. The EPA announced a concentration of 15 millionths of a gram for every cubic meter or air. The study was performed on 65,893 women with an average exposure of 13 units, with two-thirds of the subjects falling under the national standard. But every increase of 10 units, starting with zero (0), lifted the risk of fatal cardiovascular disease by twenty four (24%) percent. This is several times higher than in a study By the American Cancer Society. Donald Dockery, pollution specialist at the Harvard School of Public Health advised that this study was “one more piece of evidence adding to the body of evidence.” Writing in the New Jersey Journal of Medicine. Particulates contribute to lung and heart disease. (Note: my mother, Inez H. Hardy, died of Interstertial Lung Disease. The EPA study focused on post menopausal women 50-79 years of age. For these women, the odds of a cardio-vascular problems including arterial blockage, coronary disease, stroke and heart attacks were 24% more likely to have these problems with every 10-unit rise in particulates. The particulates are so tiny that 30 particles would be the diameter of a human hair. The particulates are part of the dust and soot that comes from chemicals, burning coal, fuel, power plants, and factory discharges……. The reported air releases into Jackson County by industries over the ten year period from 1992-2002 totaled 43,997,423 pounds…..the EPA study focused on particulates that are 15 millionths of a gram in weight.