Great news: the death rate from cancer is falling. Over the past 20 years, cancer deaths have decreased dramatically and steadily. After peaking in 1991, deaths from cancer have fallen 20%. That’s well over a million deaths prevented over 20 years!
The American Cancer Society’s research shows progress – for example, middle-aged black men are the group with the largest decline in cancer deaths – but also the need for continued research and improvements in care, as cancer deaths are still more common in black men than in white men. Experts estimate that there will be over 1.5 million new cases of cancer in the US in 2014, about 586,000 of which will result in death.
The divide in cancer cases and deaths between races and ethnicities is starkly evident when one considers that even though the rate of deaths has been effectively cut by half in middle-aged black men, their deaths from cancer are still significantly more common than those of white men. The lowest rate of cancer deaths is seen in Asian Americans. Even more deaths could be prevented if the knowledge we now have about fighting cancer were applied across all groups of people – including the poorest subset of the population.
Lung cancer continues to top the list of fatal cancers, along with breast, colon, and prostate cancers. These four cancers alone are responsible for almost half of all cancer deaths in the US, with lung cancer causing more than a quarter of cancer deaths. Researchers estimate that this year, these four cancers will be the most common cancers diagnosed.
Still, the rates of not only deaths but new cases of cancer are also falling. One reason is that more people are having regular colonoscopies, during which pre-cancerous polyps can be removed and full-blown cancer avoided. Lung cancer occurrence has also decreased, thanks in large part to declining numbers of smokers.
Doing Your Part
The number of new cancer cases as well as the number of deaths from cancer can be further reduced by individuals taking a proactive approach to preventing cancer – or catching it early. This is one reason why your annual appointment with your gynecologist is so important; cervical and other cancers can be detected and treated in the early stages, before metastasis complicates your prognosis. Screening for other types of cancers, such as breast cancer and colorectal cancer, is also highly effective at detecting cancer early on. Most cancers are highly treatable when caught early. Free and low-cost cancer screenings are available in many states.
You can further reduce your cancer risk by getting an HPV vaccine and/or a hepatitis B vaccine; ask your doctor if these are right for you. Besides getting regular preventive medical care, avoiding tobacco, limiting sun exposure and avoiding tanning beds, keeping alcohol use to a minimum, getting plenty of exercise, and eating lots of fruits and vegetables can all go a long way toward helping your prevent – and fight – cancer.
– Yvonne S. Thornton, M. D., M. P. H.