Lung Cancer in Washington State

What is lung cancer? How does is affect Washington? What is its impact on society?

What is Lung Cancer?

Cancer is a group of diseases in which there is abnormal and often rabid cell growth and spread. It can happen in many different forms anywhere in the body. The leading cause of cancer deaths worldwide is lung cancer.

Lung cancer is a type of cancer that attacks the lungs. There are two main types: non-small cell lung cancer and small cell lung cancer, called NSCLC and SCLC respectively.

SCLC is usually treated with chemotherapy and almost always associated with cigarette smoking. NSCLC makes up the majority of lung cancer cases, with 80% being this type. It is slower to grow and spread than SCLC.

To treat lung cancer patients, a variety of methods are used (based on the stage of the disease). They include but are not limited to: surgery, radiation therapy, chemotherapy, targeted therapy, and immunotherapy.

Background Information

Causes

The primary cause of lung cancer is cigarette smoking. Other causes include but are not limited to air pollution, secondhand smoke, radon gas, and frequent exposure to certain chemicals and substances. Avoiding these, as well as getting regular check-ups from a doctor, are good prevention measures for lung cancer.

At a cellular level, the causes of cancer are mutations in the DNA of the cells. These mutations can occur due to genetics, environmental exposures (e.g., radiation), and lifestyle habits. Risk factors include old age, family history of the disease, exposure to carcinogens, unhealthy diet, lack of physical exercise.

Symptoms

Some symptoms are excessive coughing (blood or not), chest pain, shortness of breath, and significant weight loss.

Additional Resources

Washington Counties

For future reference, here is a map of Washington and all its counties. This panel can be accessed again by clicking the "Washington Counties" tab on the top of the screen or by clicking the link at the top of each section.

Analysis

Still Maps

Incidence Rates of Lung Cancer

This map shows us the incidence rate in Washington from 2015-2019 with no restrictions (race, sex, or age). The counties with the highest incidence rates are Gray's Harbor, Mason, Pacific, Pierce, Cowlitz, and Columbia.

Incidence Rates of Lung Cancer, Cont.

Here is another version of the map above with slightly adjusted ranges.

Lung Cancer Data - Incidence and Death

This is a table for the same time range that includes statistics about the average incidences and death counts of all of Washington's counties. For each section, each county has average cases/deaths, rate of incidence per 100,000, and 95% confidence intervals for rates. A key thing to note for both columns is the rate of incidence per 100,000. The counties with the highest in both incidence and death include Pacific, Gray's Harbor, and notably Mason. The lowest include Ferry, Kittitas, and notably Lincoln.

Interactive Maps

Note: The next few maps are interactive and are in the form of a slideshow. To interact with a map, scroll/click/drag on it. To move to the next map, press the arrows on either side. Link to counties:  https://storymaps.arcgis.com/stories/9c9b153583b445c2b2882682e39cf83f#ref-n-zXLMVU 

Incidence

This map contains information about lung cancer incidence in Washington state (by county). The bigger the circle, the more cases in that particular county. Keep in mind that this map calculated circles not by incidence percentage but by case count - some counties may have a high case count but low incidence percentages.

Explore the map to find out more!

Deaths

This map contains includes information about mortality due to lung cancer in Washington state (by county). The bigger the circle, the more cases in that particular county. Keep in mind that this map calculated circles not by incidence percentage but by case count - some counties may have a high case count but low incidence percentages.

Explore the map to find out more!

Air Pollution

This map contains information about increases or decreases in air pollution in Washington State. It is a lot more prevalent in the eastern side of the state because of wildfires. The Cascade Range also stops fresh ocean air from clearing out the smoke and smog from the area.

Explore the map to find out more!

Air Pollution, Cont.

This map contains information about increases or decreases in air pollution in the USA. As seen here, many of Washington's counties do quite well in comparison to other states and their counties.

Explore the map to find out more!

Impact and Equity

As seen above, while there is a lot of data collected between sexes, data for races/ethnicities is quite under-researched. Only more populous parts of Washington have data for Black, American Indian, Alaska Native, Asian, Pacific Islander people and for Hispanic people. It, too, is highly irregular. It is very unlikely that this lack of data is caused by a lack of people with lung cancer in other parts of the state-- it is much more likely that there is not enough awareness or push in those communities to be part of surveys or research.

Just because it is not visible doesn't mean it is not there. It is crucial to raise awareness about this. It is imperative to educate the people of Washington about this disease and many others. By raising awareness for and in these communities, it ensures that people in those areas and demographics are more educated about lung cancer, recognize its signs, and know what to do if it does happen to them or someone they know.

Social Significance and Stigma

Lung cancer affects millions of people worldwide and its social significance and stigma in society are very important to consider. It is often associated with negative stereotypes, like smoking and a lack of responsibility. The link between lung cancer and smoking has led to a perception that those who develop the disease brought it upon themselves. This stigma can lead to feelings of shame, isolation, and discrimination, making it more challenging for individuals with lung cancer to seek support or share their experiences openly. Moreover, people with lung cancer face discrimination in social places due to the negative stereotypes. Despite significant advancements in medical research and treatment options, lung cancer remains a challenging disease with a significant impact on individuals and society. It is essential to increase awareness and education to overcome the stigma associated with this disease and provide better support to those affected.

New Approaches

New ideas and approaches to lung cancer are incredibly important as they can provide valuable insights into the the disease and lead to the development of new treatments. Here are some of the scientific significance of new ideas/approaches to lung cancer:

  1. Immunotherapy is a promising new approach to treating lung cancer that involves boosting the body's own immune system to fight cancer cells. This approach has shown promise in clinical trials and has already been approved for use in some cases of lung cancer.
  2. Liquid biopsies is a new approach to diagnosing lung cancer that involves analyzing a patient's blood for signs of cancer. This approach is less invasive than traditional biopsies and may be able to detect cancer at an earlier stage, which can improve the chances of successful treatment.
  3. Precision medicine is an approach to treating lung cancer that involves changing treatment to a patient's specific genetic makeup. This approach can help identify the most effective treatments for individual patients, leading to better outcomes.
  4. Artificial intelligence (AI) is being used to develop new approaches to diagnosing and treating lung cancer. For example, AI algorithms can analyze medical images to detect signs of cancer that may be missed by human doctors.
  5. Targeted therapies is a new approach to treating lung cancer which involves targeting specific genes or proteins that are involved in the development of the disease. This approach can lead to more effective treatments with fewer side effects.

Overall, new ideas and approaches to lung cancer are significant because they have the potential to improve our understanding of the disease and lead to the development of more effective treatments.

Conclusion

In conclusion, lung cancer is a disease that affects individuals from all backgrounds, but certain groups are disproportionately impacted due to environmental and social factors. Efforts to address lung cancer must include a focus on equity to ensure that all individuals have access to prevention, early detection, and treatment. Addressing environmental factors, such as air pollution, is critical to reducing the burden of lung cancer on marginalized communities. Moreover, it is important to recognize and overcome the social stigma associated with lung cancer to provide better support and care to those affected. By taking a big approach that considers the social and environmental factors related to lung cancer, we can improve outcomes for individuals and communities affected by this disease.

Reflection

At our school, Tesla STEM High School, there were a lot of research projects being conducted and we were intruiged by one of them which talked about potentially curing cancer. This caught our attention and we wanted to learn more about this. We decided to choose the topic cancer because it is a very important issue that is happening globally. We were initially going to do it on cancer but later decided to do lung cancer. We chose to do lung cancer because it is one of the most dangerous type of cancer and we thought it is very important to bring awareness to this. We did not recieve any help on this project. We used the data given by WTN and the online maps available on ArcGIS. There were a couple of challenging things in this project. There was plenty of useful WTN data, all of which could be related to our final topic. However, we had to be wise with our time management and efforts. This was to ensure that we were not just doing a broad, weak overview but rather an in-depth, detailed analysis. We had to look through several counties and several different versions of the data until our team finally settled on a result we were satisfied with.

Credits:

Citations:

Advances in lung cancer research. National Cancer Institute. (2021, October 26). Retrieved April 30, 2023, from https://www.cancer.gov/types/lung/research Association, A. L. (2017, November 17). Types of lung cancer. Lung Cancer Basics | American Lung Association. Retrieved April 30, 2023, from https://www.lung.org/lung-health-diseases/lung-disease-lookup/lung-cancer/basics/lung-cancer-types#:~:text=What%20Are%20the%20Types%20of,lung%20cancer%20is%20called%20carcinoid. Hamann, H. A., Ostroff, J. S., Marks, E. G., Gerber, D. E., Schiller, J. H., & Lee, S. J. (2013). Stigma among patients with lung cancer: A patient-reported measurement model. Psycho-Oncology, 23(1), 81–92. https://doi.org/10.1002/pon.3371 Lung cancer types. Lung Cancer Types | Johns Hopkins Medicine. (2021, August 8). Retrieved April 30, 2023, from https://www.hopkinsmedicine.org/health/conditions-and-diseases/lung-cancer/lung-cancer-types Occhipinti, S., Dunn, J., O’Connell, D. L., Garvey, G., Valery, P. C., Ball, D., Fong, K. M., Vinod, S., & Chambers, S. (2018). Lung cancer stigma across the social network: Patient and caregiver perspectives. Journal of Thoracic Oncology, 13(10), 1443–1453. https://doi.org/10.1016/j.jtho.2018.06.015