Atlas of Cancer Mortality

Introduction

The study of geographic variation in cancer rates has provided important clues to the role of lifestyle and other environmental factors that affect cancer risk. Earlier atlases of cancer mortality in the United States1-4 prepared by the National Cancer Institute (NCI) revealed substantial geographic fluctuations in rates from 1950 to 1980 in the white and nonwhite populations, pointing to high-risk areas for epidemiologic studies designed to identify carcinogenic exposures.5,6 This Atlas updates the maps through 1994, presenting for the first time data specifically for blacks. The main focus will be the recent geographic patterns for 1970-94, but we also present maps for 1950-69 prepared in a similar fashion for purposes of comparison. The geographic patterns of cancer displayed in this Atlas should help to target further epidemiologic investigations into the causes of cancer and to set priorities for public health activities aimed at cancer prevention and control.

Two Web sites are available to further enhance evaluation of data illustrated in the Atlas:

Static Web Site: This Web site contains the entire text of the Atlas, as well as the maps for both time periods (1950-69 and 1970-94), tables, and figures. Maps at the state level, which are not included in the Atlas, are also available at this Web site. All data used to generate the county, state economic area, and state maps are housed at this site as well. Data, text, maps, tables, and figures can be downloaded. The Table of Contents is hyperlinked to the various sections of the Atlas, and references in the text are hyperlinked to the individual citations in the References section of the Atlas. The discussion about any specific cancer and the associated maps are interlinked.

Dynamic Web Site: This Web site enables the user to view the maps for both time periods, as well as for the entire period, 1950-94. The user can control certain parameters such as number of ranges and colors. Also available is the option to view maps using percentiles based on one of the two time periods versus the entire time period. The user can select (from a drop-down menu) a specific state, state economic area, or county and view a map of the specific geographic unit and a table displaying the mortality rate and number of deaths for the selected unit, as well as the larger areas in which it is contained. Zooming in and out, and panning around the map, are additional options available at this Web site.

References
1. Mason TJ, McKay FW, Hoover R, Blot WJ, Fraumeni JF Jr. Atlas of cancer mortality for U.S. counties: 1950-1969. Washington, DC: U.S. Gov. Printing Office; 1975. DHEW Publ. No. (NIH) 75-780.
2. Mason TJ, McKay FW, Hoover R, Blot WJ, Fraumeni JF Jr. Atlas of cancer mortality among U.S. nonwhites: 1950-1969. Washington, DC: U.S. Gov. Printing Office; 1976. DHEW Publ. No. (NIH) 76-1204.
3. Pickle LW, Mason TJ, Howard N, Hoover R, Fraumeni JF Jr. Atlas of U.S. cancer mortality among whites: 1950-1980. Washington, DC: U.S. Gov. Printing Office; 1987. DHHS Publ. No. (NIH) 87-2900.
4. Pickle LW, Mason TJ, Howard N, Hoover R, Fraumeni JF Jr. Atlas of U.S. cancer mortality among nonwhites: 1950-1980. Washington, DC: U.S. Gov. Printing Office; 1990. DHHS Publ. No. (NIH) 90-1582.
5. Blot WJ, Fraumeni JF Jr. Geographic epidemiology of cancer in the United States. In: Schottenfeld D, Fraumeni JF Jr, editors. Cancer epidemiology and prevention. New York: W.B. Saunders; 1982. p. 179-93.
6. Fraumeni JF Jr. Etiologic insights from cancer mapping. In: Miller RW, Watanabe S, Fraumeni JF Jr, et al., editors. Unusual occurrences as clues to cancer etiology. Tokyo: Japan Sci Soc Press; 1988. p. 13-25.

Suggested Citation

Devesa SS, Grauman DG, Blot WJ, Pennello G, Hoover RN, Fraumeni JF Jr. Atlas of cancer mortality in the United States, 1950-94. Washington, DC: US Govt Print Off; 1999 [NIH Publ No. (NIH) 99-4564].
Back to Full Text