WISCONSIN Wisconsin Cancer Reporting System (WCRS) County Cancer Fact Sheets 2013 NATIONAL PROGRAM OF CANCER REGISTRIES SUCCESS STORY Public Health Problem: Ninety-seven percent of Wisconsin counties have cancer death rates exceeding the 2015 goal set by the Wisconsin Comprehensive Cancer Control Program (WCCCP). Ninety-two percent of Wisconsin counties exceed the WCCCP 2015 state adult obesity goal, and 88 percent of counties exceed the 2015 state adult smoking goal. In addition, research shows that 50 to 75 percent of cancer deaths are caused by behavior primarily influenced by unhealthy eating, physical inactivity, and smoking. The WI Comprehensive Cancer Control (WI CCC) Program and the Cancer Health Disparities Initiative (CHDI), both based at the University of Wisconsin Carbone Cancer Center identified a need for increased public awareness of the issues surrounding cancer and its effect on the community. These organizations jointly created the facts sheets with the express purpose of increasing cancer awareness and promoting discussion about the impact of cancer in families and communities throughout Wisconsin. While there are important personal strategies to prevent cancer, communities can also use this information for system change. With this data, communities can conduct local needs assessments to learn about factors that influence their health, as well as develop local initiatives that address the environment and other factors that are effective in reducing the cancer burden. Use of Surveillance: For each of Wisconsin’s 72 counties, the County Cancer fact sheets present the rate of cancer diagnoses and deaths as well as smoking and obesity rates. The WI CCC Program’s “Cancer in Your Community” fact sheet compares these rates to state goals, and suggests local change to support healthy lifestyles that reduce the risk of cancer. CHDI’s “Community Cancer Profile” presents local economic, social and health care system factors that shape cancer’s impact and encourages counties to address broader influences on health. Data sources include Wisconsin Cancer Reporting System incidence data as published on Wisconsin’s Interactive Statistics on Health (WISH) public use data query system, National Center for Health Statistics mortality data, National Cancer Institute’s Cancer Trends Progress Report 2009/2010, American Cancer Society’s Facts and Figures 2012 Report, the Wisconsin Behavioral Risk Factor Survey data as published on WISH, the Wisconsin Comprehensive Cancer Control Plan 2010-2015, United States Census Bureau, Bureau of Labor Statistics and County Health Rankings 2013 at http://www.countyhealthrankings.org Collaboration: The fact sheets were created collaboratively between the WI Comprehensive Cancer Control (WI CCC) Program and the Cancer Health Disparities Initiative (CHDI). These programs consulted with the stewards and epidemiologists of the various data sources, including the Wisconsin Cancer Reporting System and the WI Behavioral Risk Factor staff, both located in the Office of Health Informatics, Division of Public Health, Department of Health Services. Public Health Outcome: These fact sheets were recently released in June 2013, so the actual public health impact is yet to be measured. However the intended outcome, according to Dr. Noelle LoConte, UW Carbone Cancer Center oncologist is “to increase cancer awareness and promote action on the impact of cancer in communities throughout Wisconsin.” The facts sheets have been distributed on line, to Wisconsin legislators, and highlighted in local press releases since being posted in early June. The fact sheets can be accessed at: http://wicancer.org/countymaps.cfm
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