Bronx Community Health Dashboard Other Cancers Last Updated

Bronx Community Health Dashboard: Other Cancers Last Updated: 9/24/2019 See last slide for more information about this project. 1

About this dashboard Lung, colorectal, prostate, breast and gynecologic cancers (i. e. , uterine, cervical and ovarian) are presented in individual dashboards available at: https: //www. montefiore. org/population-health-dashboards 2

Death and disability from other cancers Percent of Total DALYs Pancreatic cancer 0. 94 Liver cancer 0. 60 0. 40 Esophageal cancer Larynx cancer 0. 12 Leukemia 0. 59 Non-Hodgkin lymphoma 0. 51 Brain cancer Incidence and mortality rates by borough are shown for the remaining cancers 0. 49 Kidney cancer 0. 37 Stomach cancer 0. 34 Bladder cancer 0. 32 Skin melanoma 0. 28 Multiple myeloma 0. 28 Other pharynx cancer Disability-Adjusted Life Years (DALYs) are calculated by adding the Years of Life Lost due to premature mortality in the population and the Years Lost due to Disability for people living with the health condition or its consequences. 0. 09 Thyroid cancer 0. 06 Hodgkin lymphoma 0. 05 Testicular cancer 0. 03 0. 0 3 Detailed data are provided for cancers in red due to increasing trends or a higher burden in the Bronx 0. 1 0. 2 0. 3 Data source: Global Burden of Disease Project, 2017. 0. 4 0. 5 0. 6 0. 7 0. 8 0. 9 1. 0

Pancreatic cancer incidence 4

Pancreatic cancer rates are about average in the Bronx, but for men are the highest among all NYC boroughs 18 Male Age-adjusted pancreatic cancer incidence rate per 100, 000 16. 1 16 Female 15. 6 15. 2 15. 3 15. 2 14 12. 3 12. 5 12 11. 0 11. 6 12. 2 11. 9 10 8 6 4 2 0 Bronx 5 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Pancreatic cancer rates have remained relatively stable for men, increasing slightly recently; for women, there is a modest increase Bronx male Age-adjusted pancreatic cancer incidence rate per 100, 000 18 16 Bronx female NYC female 16. 1 16. 2 15. 2 14 12 10 12. 3 11. 9 11. 2 10. 0 8 6 4 2 0 1976 -1981 6 1982 -1986 1987 -1991 1992 -1996 Data source: New York State Cancer Registry, 1976 -2016. 1997 -2001 2002 -2006 2007 -2011 2012 -2016

In the Bronx, the pancreatic cancer rate is highest among non-Hispanic black men Hispanic Non-Hispanic white 19. 4 20 Age-adjusted pancreatic cancer incidence rate per 100, 000 Non-Hispanic black 18 16. 2 15. 6 16 14. 2 14 12. 5 12 9. 9 10 8 6 4 2 0 Male 7 Data source: New York State Cancer Registry, 2012 -2016. Female

Mortality from pancreatic cancer 8

Mortality rates from pancreatic cancer are a bit above average in the Bronx Age-adjusted mortality rate from pancreatic cancer per 100, 000 Male 14 Female 13. 9 13. 8 12. 1 11. 6 12 10. 9 10. 8 10. 9 10. 0 10 9. 4 9. 3 9. 4 8 6 4 2 0 Bronx 9 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Age-adjusted mortality rate from pancreatic cancer per 100, 000 Among Bronx men, mortality rates from pancreatic cancer declined, but experienced a recent uptick; rates have increased slightly for Bronx women 16 14 Bronx male Bronx female NYC female 15. 2 14. 8 13. 8 12. 1 12 10 10. 4 10. 8 9. 7 9. 4 8 6 4 2 0 1976 -1981 10 1982 -1986 1987 -1991 1992 -1996 Data source: New York State Cancer Registry, 1976 -2016. 1997 -2001 2002 -2006 2007 -2011 2012 -2016

In the Bronx, the mortality rate from pancreatic cancer is highest among non-Hispanic white men Age-adjusted mortality rate from pancreatic cancer per 100, 000 Hispanic Non-Hispanic black Non-Hispanic white 20 17. 9 18 16 14. 8 14 12. 6 12 10. 5 10 8. 7 8 6 4 2 0 Male 11 Data source: New York State Cancer Registry, 2012 -2016. Female 13. 3

Liver cancer incidence 12

Men in the Bronx have liver cancer rates 50% higher than NYC overall; rates for women are also elevated 30 Male Female Age-adjusted liver cancer incidence rate per 100, 000 27. 0 25 20 18. 0 17. 0 16. 7 16. 9 15. 7 15 10 8. 2 5. 8 6. 2 5. 1 6. 1 5 0 Bronx 13 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Liver cancer rates have increased for both sexes in the Bronx; the biggest increase was among men Bronx male Age-adjusted liver cancer incidence rate per 100, 000 30 25 20 Bronx female NYC female 27. 0 Hepatitis C rates rose substantially in the 20 th century due to improvements in diagnosis after the discovery of hepatitis C virus in 1989, as well as a combination of intravenous drug use and reused but poorly sterilized medical equipment. 18. 0 15 10 8. 2 6. 3 6. 1 5 2. 7 2. 6 0 1976 -1981 14 1982 -1986 1987 -1991 1992 -1996 Data source: New York State Cancer Registry, 1976 -2016. 1997 -2001 2002 -2006 2007 -2011 2012 -2016

In the Bronx, the liver cancer rate is highest among Hispanic men Hispanic Non-Hispanic black Non-Hispanic white Age-adjusted liver cancer incidence rate per 100, 000 35 31. 0 30 26. 7 25 19. 8 20 15 10. 1 10 7. 4 5. 3 5 0 Male 15 Data source: New York State Cancer Registry, 2012 -2016. Female

Mortality from liver cancer 16

The mortality rate from liver cancer is 57% higher among Bronx men than men in NYC overall Age-adjusted mortality rate from liver cancer per 100, 000 18 Male 17. 7 Female 16 14 12. 0 12 11. 3 10. 8 10. 1 10 8. 9 8 6 5. 6 3. 9 4 4. 1 3. 8 4. 2 3. 5 2 0 Bronx 17 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Mortality rates from liver cancer have increased for both sexes in the Bronx and NYC overall, with larger increases among men Age-adjusted mortality rate from liver cancer per 100, 000 20 Bronx male Bronx female NYC female 18 17. 7 16 14 12 11. 3 10 8 6. 5 6 6. 3 4 3. 5 3. 4 5. 6 4. 2 2 0 1976 -1981 18 1982 -1986 1987 -1991 1992 -1996 Data source: New York State Cancer Registry, 1976 -2016. 1997 -2001 2002 -2006 2007 -2011 2012 -2016

In the Bronx, the mortality rate from liver cancer is highest among Hispanic men Hispanic Age-adjusted mortality rate from liver cancer per 100, 000 20 18 Non-Hispanic black Non-Hispanic white 19. 2 17. 5 16 14. 3 14 12 10 8 6. 3 6 5. 7 3. 6 4 2 0 Male 19 Data source: New York State Cancer Registry, 2012 -2016. Female

Esophageal cancer incidence 20

Men in the Bronx have the second highest esophageal cancer rate in NYC Age-adjusted esophageal cancer incidence rate per 100, 000 8 Male Female 7 6. 4 6. 1 5. 9 6 5. 8 5. 4 5 4 3 2 1. 8 2. 0 1. 5 1. 6 1. 8 1 0 Bronx 21 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Esophageal cancer rates have declined for both sexes in the Bronx and NYC overall Bronx male Age-adjusted esophageal cancer incidence rate per 100, 000 14 Bronx female NYC female 12 10 10. 5 10. 2 8 6. 1 5. 8 6 4 3. 9 3. 5 2 1. 8 0 1976 -1981 22 1982 -1986 1987 -1991 1992 -1996 Data source: New York State Cancer Registry, 1976 -2016. 1997 -2001 2002 -2006 2007 -2011 2012 -2016

In the Bronx, the esophageal cancer rate is highest among non-Hispanic white men Hispanic Non-Hispanic black Non-Hispanic white Age-adjusted esophageal cancer incidence rate per 100, 000 8 7. 1 7. 4 7 6 5. 7 5 4 3 2. 0 2 1. 5 1 0 Male 23 Data source: New York State Cancer Registry, 2012 -2016. Female 2. 0

Mortality from esophageal cancer 24

Bronx men have the highest mortality rate from esophageal cancer Age-adjusted mortality rate from esophageal cancer per 100, 000 Male Female 7 6 5. 9 5. 7 5 4. 7 4. 4 3. 9 4 3. 6 3 2 1. 7 1. 6 1. 1 1. 0 1 1. 2 1. 3 0 Bronx 25 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Age-adjusted mortality rate from esophageal cancer per 100, 000 Mortality rates from esophageal cancer have declined for both sexes in the Bronx and NYC overall Bronx male 12 10 Bronx female NYC female 9. 5 9. 2 8 6 4 5. 9 4. 4 3. 9 3. 1 2 1. 6 1. 3 0 1976 -1981 26 1982 -1986 1987 -1991 1992 -1996 Data source: New York State Cancer Registry, 1976 -2016. 1997 -2001 2002 -2006 2007 -2011 2012 -2016

In the Bronx, the mortality rate from esophageal cancer is highest among non-Hispanic white men Age-adjusted mortality rate from esophageal cancer per 100, 000 Hispanic Non-Hispanic black Non-Hispanic white 9 8. 1 8 7 6 5. 7 5 4 3 2 1. 1 1 0 Male 27 Data source: New York State Cancer Registry, 2012 -2016. Female 2. 0

Larynx cancer incidence 28

Bronx men have the highest larynx cancer rate Male Age-adjusted larynx cancer incidence rate per 100, 000 10 Female 9 8 7. 4 7 6. 6 6 5. 7 5. 4 5. 1 5 4 3 2 1. 7 0. 8 1 1. 0 0. 8 0 Bronx 29 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Larynx cancer rates have declined for both sexes, but remain higher for men, in the Bronx and NYC overall Bronx male Age-adjusted larynx cancer incidence rate per 100, 000 16 Bronx female NYC female 14 12 11. 6 10 8 7. 4 6 5. 7 4 2 2. 0 2. 1 1. 7 1. 0 0 1976 -1981 30 1982 -1986 1987 -1991 1992 -1996 Data source: New York State Cancer Registry, 1976 -2016. 1997 -2001 2002 -2006 2007 -2011 2012 -2016

In the Bronx, the larynx cancer rate is highest among Hispanic men Age-adjusted larynx cancer incidence rate per 100, 000 Hispanic Non-Hispanic black Non-Hispanic white 10 9 8. 3 8 7. 2 7. 4 7 6 5 4 3 1. 7 2 1. 8 1 0 Male 31 Data source: New York State Cancer Registry, 2012 -2016. Female 1. 6

Mortality from larynx cancer 32

Bronx men have the highest mortality rate from larynx cancer among NYC boroughs Age-adjusted mortality rate from larynx cancer per 100, 000 4 Male Female 3. 4 3 2. 0 2 2. 0 1. 8 1. 6 1. 5 1 0. 7 0. 3 0. 4 0. 3 0 Bronx 33 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Mortality rates from larynx cancer have declined for both sexes, but remain higher for men, in the Bronx and NYC overall Age-adjusted mortality rate from larynx cancer per 100, 000 8 Bronx male Bronx female NYC female 7 6 5. 3 5 4. 9 4 3 2 1 2. 0 1. 0 0. 9 0. 7 0. 3 0 1976 -1981 34 1982 -1986 1987 -1991 1992 -1996 Data source: New York State Cancer Registry, 1976 -2016. 1997 -2001 2002 -2006 2007 -2011 2012 -2016

In the Bronx, the mortality rate from larynx cancer is highest among non-Hispanic black men Hispanic Non-Hispanic black Non-Hispanic white Age-adjusted mortality rate from larynx cancer per 100, 000 5. 0 4. 5 4. 0 3. 6 3. 5 3. 0 2. 7 2. 5 2. 0 1. 5 1. 1 0. 9 1. 0 0. 4 0. 5 0. 0 Male 35 Data source: New York State Cancer Registry, 2012 -2016. Female

Leukemia incidence and mortality 36

Leukemia rates are slightly below average in the Bronx Male Female Age-adjusted leukemia incidence rate per 100, 000 25 23. 7 20. 0 20 17. 9 17. 2 16. 8 16. 0 15 10. 8 10. 9 11. 1 10 5 0 Bronx 37 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Mortality rates from leukemia are about average in the Bronx Age-adjusted mortality rate from leukemia per 100, 000 Male Female 12 10. 7 10 8 7. 4 6. 5 6. 2 7. 5 7. 2 6. 9 6 4. 1 4 3. 7 4. 4 3. 6 2 0 Bronx 38 Brooklyn Manhattan Data source: New York State Cancer Registry, 20102 -2016. Queens Staten Island NYC overall

Non-Hodgkin lymphoma incidence and mortality 39

Non-Hodgkin lymphoma rates in the Bronx are about average Age-adjusted non-Hodgkin lymphoma incidence rate per 100, 000 Male Female 30 27. 7 27. 5 25 24. 3 23. 8 23. 1 22. 6 21. 0 20 15 18. 1 15. 0 15. 7 16. 3 15. 3 10 5 0 Bronx 40 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Bronx men have the second highest mortality rate from non-Hodgkin lymphoma among NYC boroughs Male Age-adjusted mortality rate from non-Hodgkin lymphoma per 100, 000 8 Female 7. 8 7. 7 7 6. 5 6. 3 6. 2 6 5. 3 5 4. 6 4. 1 4 3. 5 3. 8 3. 5 3. 1 3 2 1 0 Bronx 41 Brooklyn Manhattan Data source: New York State Cancer Registry, 2010 -2014. Queens Staten Island NYC overall

Brain cancer incidence and mortality 42

Brain cancer rates are lowest in the Bronx as compared to other NYC boroughs Age-adjusted brain cancer incidence rate per 100, 000 9 8. 6 8 Male Female 7. 5 7. 4 6. 9 7 6 5 6. 4 6. 0 5. 7 5. 4 5. 0 4. 9 4. 6 4. 3 4 3 2 1 0 Bronx 43 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Mortality rates from brain cancer are about average in the Bronx as compared to other NYC boroughs Male Female Age-adjusted mortality rate from brain cancer per 100, 000 5 4. 8 5 4. 1 4 3. 8 3. 5 4 3 3. 0 2. 9 2. 7 2. 9 2. 6 2. 4 3 2 2 1 1 0 Bronx 44 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Kidney cancer incidence and mortality 45

Men in the Bronx have the second highest kidney cancer incidence rate among NYC boroughs Male Age-adjusted kidney cancer incidence rate per 100, 000 30 Female 26. 5 25 24. 1 19. 8 20 20. 3 19. 2 17. 7 15 12. 6 11. 4 9. 5 10 8. 1 9. 3 8. 2 5 0 Bronx 46 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Men in the Bronx have the highest mortality rate from kidney cancer compared to other NYC boroughs Male Female Age-adjusted mortality rate from kidney cancer per 100, 000 6 5. 2 5. 0 5 4 3. 8 3. 6 3. 4 3. 3 3 2. 2 2 1. 7 1. 6 1. 2 1. 5 1. 4 1 0 Bronx 47 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Stomach cancer incidence and mortality 48

Among women, stomach cancer rates in the Bronx are slightly higher compared to NYC overall but about average among men Male 20 Age-adjusted stomach cancer incidence rate per 100, 000 18 16 16. 7 Female 16. 7 14. 9 14. 6 14 10 11. 7 11. 3 12 8. 8 9. 0 8. 6 8. 0 8 6. 1 5. 9 6 4 2 0 Bronx 49 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

For women, mortality rates from stomach cancer are slightly above average in the Bronx Male Age-adjusted mortality rate from stomach cancer per 100, 000 10 9 8 Female 8. 3 7. 4 7. 3 7. 2 7 6. 0 6 5. 4 5 4 4. 0 3. 8 3. 5 2. 7 3 3. 4 2 1 0 Bronx 50 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Bladder cancer incidence and mortality 51

Bladder cancer rates are lowest in the Bronx as compared to other NYC boroughs Age-adjusted bladder cancer incidence rate per 100, 000 Male Female 50 46. 5 45 40 35 30 25 30. 8 29. 4 30. 0 29. 0 24. 0 20 15 10. 1 10 6. 7 7. 4 8. 0 7. 4 5 0 Bronx 52 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Mortality rates from bladder cancer are about average in the Bronx Male Female Age-adjusted mortality rate from bladder cancer per 100, 000 10 9. 3 9 8 7 6. 5 6. 3 5. 8 6 5. 7 5 4 3 2. 5 2. 1 2 1. 9 1. 7 1 0 Bronx 53 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Melanoma incidence and mortality 54

Melanoma rates are highest in the Bronx as compared to other NYC boroughs Male Female Age-adjusted skin cancer incidence rate per 100, 000 14. 4 14 12. 9 12 10 11. 4 10. 9 9. 0 8. 9 7. 9 8 7. 3 7. 0 6 5. 6 4 2 0 Bronx 55 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

The melanoma mortality rate is slightly above average in the Bronx Age-adjusted mortality rate from skin cancer per 100, 000 6. 0 Male Female 5. 1 5. 0 4. 8 3. 9 4. 0 3. 2 3. 4 3. 3 3. 2 3. 0 2. 4 2. 5 2. 3 2. 5 2. 2 2. 0 1. 0 0. 0 Bronx 56 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Myeloma incidence and mortality 57

Bronx men have the highest myeloma rates compared to other NYC boroughs Age-adjusted myeloma incidence rate per 100, 000 14 Male 14. 0 Female 11. 9 12 10. 7 10. 9 10. 6 9. 6 10 8. 9 8. 0 8 7. 3 6. 7 6. 0 6 6. 5 4 2 0 Bronx 58 Brooklyn Manhattan Data source: New York State Cancer Registry, 2010 -2014. Queens Staten Island NYC overall

Men in the Bronx have the highest mortality rate from myeloma 5 Male Female Age-adjusted mortality rate from myeloma per 100, 000 4. 5 4. 0 4 3. 7 3. 4 3. 0 2. 5 2. 6 2. 5 2. 4 2. 2 2. 0 2 1 0 Bronx 59 Brooklyn Manhattan Data source: New York State Cancer Registry, 2010 -2014. Queens Staten Island NYC overall

Oral cavity and pharynx cancer incidence and mortality 60

Bronx men have the second highest oral cavity and pharynx cancer rate among NYC boroughs Age-adjusted oral cavity and pharynx cancer incidence rate per 100, 000 20 Male 18 16 Female 16. 7 16. 0 14. 7 14. 4 13. 6 14 12. 7 12 10 8 6 5. 4 5. 7 6. 4 6. 1 5. 8 5. 9 4 2 0 Bronx 61 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Age-adjusted mortality rate from oral cavity and pharynx cancer per 100, 000 Men in the Bronx have the highest mortality rates from oral cavity & pharynx cancer, while for women the rate is about average 5 Male 4. 9 Female 4. 0 4 3. 5 3 2. 4 2. 0 2 1. 5 1. 3 1. 1 1. 0 1 1. 2 0 Bronx 62 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Thyroid cancer incidence 63

Thyroid cancer rates are the lowest in the Bronx as compared to other NYC boroughs Age-adjusted thyroid cancer incidence rate per 100, 000 Male Female 49. 7 50 45 40 35 31. 8 30. 6 30 30. 4 26. 8 25. 7 25 18. 8 20 15 10. 8 11. 8 10. 3 9. 4 10 6. 0 5 0 Bronx 64 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Hodgkin lymphoma incidence 65

Hodgkin lymphoma rates are about average in the Bronx Male Female Age-adjusted Hodgkin lymphoma incidence rate per 100, 000 5 4 4. 7 3. 9 3. 7 3. 5 3. 2 3. 3 3. 0 3 3. 2 3. 0 2. 9 2. 3 2 1 0 Bronx 66 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

Testicular cancer incidence 67

The Bronx has the lowest testicular cancer rate in NYC 7 Age-adjusted testicular cancer incidence rate per 100, 000 6. 5 6. 0 6 5 4. 7 4. 4 4 4. 0 3. 6 3 2 1 0 Bronx 68 Brooklyn Manhattan Data source: New York State Cancer Registry, 2012 -2016. Queens Staten Island NYC overall

About the Community Health Dashboard Project § The goal of the project is to provide Bronx-specific data on risk factors and health outcomes with an emphasis on presenting data on trends, socio-demographic differences (e. g. , by age, sex, race/ethnicity, etc. ) and sub-county/neighborhood level data § Data will be periodically updated as new data becomes available. § Produced by Montefiore’s Office of Community & Population Health using publicly-available data sources § For more information please contact us at OCPHDept@montefiore. org 69