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Cancer outbreaks heart disease as leading cause of death in many US counties

November 12, 2018 Health 1 Views "We are only on the transition from the transition from heart disease to cancer…

“We are only on the transition from the transition from heart disease to cancer as the main cause of death,” said Dr. Latha Palaniappan, senior author of the study and an internist, professor and clinical researcher at Stanford University Medical Center.

A decade of old theory described a shift that occurred in health patterns in the United States in the last century. Early in the 100 years, infectious diseases including tuberculosis, diphtheria and flu took more American lives than other diseases. But by the end of the century, chronic diseases, including heart disease and cancer, had become the leading cause of death. The theory described these complex patterns and suggested that such changes derive from economic and social conditions.

New data indicate that the nation is experiencing a new transition, this time in the chronic disease category. In order to understand these changes, Stanford Medical School investigated more than 32 million death records across 3 1

43 US counties for 2003 to 2015. The research group not only looked at medical information but also on demographic data, including income and race.

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During the 13th study period, mortality in the total population decreased by 12%, from about 823 deaths per every 100,000 people to about 724 deaths per 100,000.

In more than three quarters of all counties (79%), heart disease was the leading cause of death in 2003, but this was still true for only 59% of the counties in 2015.

However, cancer caused most deaths in about two of the 10 counties in 2003, with the same for four of the 10 counties in 2015.

While the overall heart disease lethal rate decreased by 28%, high income regions experienced a 30% decrease compared to a 22% fall in low income regions. Crime mortality also decreased, but less dramatic: It fell by 16%, with an 18% decrease in high income regions, compared with 11% in low income.

According to researchers, low-income regions may see a slower change in the cause of death due to socio-economic, geographical, demographic and other factors affecting health and death.

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The researchers also compared changes in patterns for race and ethnic groups. Here, they found that cancer among Asian Americans, Hispanics and White, replaced heart disease as the main cause of death. However, a similar pattern was not seen among American Indians / Alaska native or black.

Economic factors also affect the new mortality pattern across the country. Heart disease exceeded other causes of death in low-income regions for all racial and ethnic groups in 2015, researchers found, but only Asian Americans, Hispanic and White in the highest income regions saw cancer exceed heart disease as the main cause of death in 2015.

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The research “provides another lens” for interpreting dynamics related to the transition in mortality patterns, wrote Silvia Stringhini, researcher at Switzerland Lausanne University Hospital and Dr. Idris Guessous, a practicing physician and epidemiologist at Switzerland Geneva University Hospital, in an editorial published with the study.

“The driving force behind the transition from the age of” pest and starvation “to the age of” manmade diseases “is improvements in socio-economic conditions, such as living standards, health habits, hygiene and nutrition,” wrote Stringhini and Guessous. [19659004] Obesity, low BMI linked to increased risk of death, studies reveal “data-src-mini =” // cdn.cnn.com/cnnnext/dam/assets/181030132856-02-bmi-obesity-underweight-morbidity- risk-103018-restricted-small-169.jpg “data-src-xsmall =” // cdn.cnn.com/cnnnext/dam/assets/181030132856-02-bmi-obesity-underweight-morbidity-risk-103018-restricted -medium-plus-169.jpg “data-src-small =” http://cdn.cnn.com/cnnnext/dam/assets/181030132856-02-bmi-obesity-underweight-morbidity-risk-103018-restricted- large-169.jpg “data-src-medium =” // cdn.cnn.com/cnnnext/dam/assets/181030132856-02-bmi-obesity-underweight-morbidity-risk-103018-restricted-exlarge-169.jpg “data-src-large =” // cdn.cnn.com/cnnnext/dam/assets/181030132856-02-bmi-obesity-underweight-morbidity-risk-103018-restricted-super-169.jpg “data-src- full16x9 = “// cdn.cnn.com/cnnnext/dam/assets/181030132856-02-bmi-obesity-underweight-morbidity-risk-103018-restricted-full-169.jpg” data-src-mini1x1 = “// cdn.cnn.com/cnnnext/dam/assets/181030132856-02-bmi-obes ity-underweight-morbidity-risk-103018-restricted-small-11.jpg “data-demand-load =” not-loaded “data-eq-pts =” mini: 0, xsmall: 221, small: 308, medium: 461, large: 781 “src =” data: image / poison; base64, R0lGODlhEAAJAJEAAAAAAP /////// wAAACH5BAEAAAIALAAAAAAAAAAAAAIKII + py + 0Po5yUFQA7 “/>

 Obesity, low BMI linked to increased risk of death, studies reveal

How genetic testing, screening and personal medicine affect the cancer rate is still unclear, they noted. New and expensive cancer therapies are introduced, but they can help to “increase social inequalities in cancer survival, with better people experiencing faster mortality rates,” they added. And the same can be true for genetic testing and cancer screening, they noted.

It is likely that any differences in mortality rates can be explained by differences in smoking, obesity and diabetes development among high and low income groups, the authors stated. “For example, between 1960 and 2015, the incidence of smoking in the United States decreased from 39% to 6% among college degrees, but from 46% to 23% among people who did not finish high school”, they wrote.

What do most Americans need for cancer to take over heart disease as the main cause of death?

“Undergo all recommended cancer screenings”, recommended Palaniappan and adopt “life-threatening methods, such as healthy diet and exercise, which are beneficial to lower both cancer and heart disease mortality.”

“Investments in both cardiovascular and cancer research have paid over the past decades, as both heart disease and cancer rates go down,” she says. “Without all the amazing new therapies we have now, it would not happen.”

Still, there is more work to do, she said: “We need to work harder in lower income areas in the United States so they can see the same improvements in mortality. We need to focus more on heart disease and cancer prevention and treatment in African-American populations. “

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