Lung Cancer and Tobacco Use - North Dakota Department of Health

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					LUNG CANCER
    AND
TOBACCO USE
What is the function of the lungs?
                Right lung=3 lobes
                Left lung=2 lobes
                Air enters lungs through
                trachea
                Trachea divides into
                bronchi
                Bronchi divide into
                bronchioles
                Alveoli are the air sacs at
                the end of the bronchioles
                Pleura = lining of the
                lungs
         What is lung cancer?

• Lung cancer is the uncontrolled growth of abnormal cells.

• These cells develop into tumors and the tumors disrupt
the proper function of the lung.
                      Symptoms
•   Cough that does not go away
•   Breathing trouble, such as shortness of breath
•   Constant chest pain
•   Coughing up blood
•   A hoarse voice
•   Frequent lung infections
•   Feeling tired all the time
•   Weight loss with no known cause
          United States lung cancer facts
                                        Estimated new cases and deaths from lung cancer in the
                                        United States in 2007:
                                                New cases: 213,380
                                                Deaths: 160,390 (29% of all cancer deaths)

                                        Lung cancer is the leading cause of cancer death among
                                        men and women

                                        More than 87% of lung cancers are smoking related

                                        More Americans die each year of lung cancer than from
                                        breast, prostate and colorectal cancers combined




American Cancer Society, 2007 www.cancer.org
         North Dakota lung cancer facts

                                                  About 390 new cases each year in
                                                  North Dakota.

                                                  It is estimated that 330 Lung cancer
                                                  deaths will occur in North Dakota
                                                  this year.




American Cancer Society, Cancer Facts and Figures 2008
     Lung/Bronchus cancer rates
            1980-2005
Age-adjusted rate per 100,000




                                  7
North Dakota lung and bronchus
  cancer by gender, 1980-2005
                                     Male - mortality
                                     Female - mortality
                                     Male - incidence
                                     Female - incidence
90
80
70
60
50
40
30
20
10
 0
      80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05
                                           Year

     Age-adjusted rate per 100,000
                                      Age-adjusted rate per 100,000
          US
             A




                                                              100
                                                                      120




                                  0
                                       20
                                             40
                                                  60
                                                        80
                  ll R
    Al                ac
      lI                es
           HS
                  Re
                     gio
                        ns

    No
      rt
           he
              r   n
                      Pl
                        ain
                                                                            Both Sexes




                              s
                      Al
                        as
                          ka
                                                                            Males




                        Ea
         Pa               st
            cif
               ic
                  C     oa
                                                                            Females




    So
         ut                st
            h   er
                  n
                      Pl
                        ain
                              s
            So
                                                                                               Lung cancer mortality rates,




                 ut
                    h   w
                         es
                           t
                                                                                         IHS regions and U.S. all races, 1999-2003




9
• No approved screening test proven to improve survival
  or detect localized disease

• Clinical studies are under way
                    Diagnosis

•   Physical exam
•   Chest X-ray
•   CT Scan
•   PET Scan
•   MRI
•   Sputum sample
                                       PET Scan
•   Bronchoscopy
•   Biopsy            CT Scan




                                Chest Xray
Primary Risk Factors

Tobacco use

   &

Secondhand Smoke
•Lung cancer is the most preventable form of cancer death
in our society.

•More than 87% of lung cancers are smoking related
        Secondhand smoke



• Each year about 3,000 non-smoking adults die
  of lung cancer as a result of breathing
  secondhand smoke.
                   What about
               secondhand smoke?

 Being in a nonsmoking section of a restaurant for 2 hours =

 Being in a smoky home for one day =

 Being in a smoky bar =




Mayo Clinic
              What can you do?
To learn what you can do to make a difference with secondhand
smoke?




                      www.breatheND.com
                   Spit tobacco is
                    not harmless



• Smokeless (spit) tobacco is not a safe alternative to cigarettes
  – smokeless tobacco also causes serious health problems!

• Smokeless tobacco contains 28 cancer-causing agents.
            Consequences
          of spit tobacco use
• Tooth discoloration and   • Addiction
  staining
                            • Precancerous mouth
• Tooth abrasion/worn
  teeth                       lesions
• Cavities                  • Oral cancers and other
• Stained tongue/bad          cancers
  breath                    • Heart problems
• Tarter buildup and
  gingivitis
• Receding gums
• Gum disease
Warning signs of oral cancer
• A sore in the mouth that bleeds easily and
  does not heal

• A lump or red/white patch in the mouth

• Prolonged sore throat

• Difficulty chewing or swallowing

• Restricted movement of the tongue or jaw

      Pain is rarely an early symptom!
Oral cancer-deadly to ignore




Precancerous lesion   Oral cancer
               Other risk factors

• Exposure to asbestos and toxic chemicals

• Environmental contamination

• Chronic lung inflammation /scarring

• Family history
             Treatment

• Surgery

• Chemotherapy

• Radiation Therapy
It is preventable!

          Lung cancer is the most
          preventable form of cancer
          death in our society.

          By quitting tobacco use you
          significantly reduce your risk
          of all cancers.
            Quit tobacco use today




Seek help in quitting by:

•Becoming familiar with the medications and combinations of
medications available.
•Contacting your local health department
•Contacting your physician
•Calling the North Dakota Tobacco Quitline
Is a resource for:

        •   Tobacco users

        •   Family members & friends

        •   Health care professionals
Supported by North Dakota Department of
Health with funding from
• Tobacco Master Settlement Agreement (MSA) funds
  appropriated by ND legislature
• Centers for Disease Control and Prevention (CDC)
  grant
Hours that you can speak to someone direct are:

• Monday-Thursday         7:00am – 8:00pm(CT)
• Friday                  7:00am – 7:00pm(CT)
• Saturday                10:00am – 4:00pm(CT)

         – Voice mail available 24 hours/day

         – Quit Tips audio library also available
• Every caller receives a thorough initial
  assessment
• May also receive up to 5 additional
  counseling sessions
• Special protocols for certain populations
• Will refer callers to local cessation
  programs if needed
Free nicotine replacement therapy (NRT)


Free 28 day supply of your choice of
  nicotine patch, gum or Lozenge to
  qualified enrollees
For The Directory of North
Dakota Tobacco Cessation
Programs In Your Area:




     www.ndhealth.gov/tobacco

				
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