Cancer: A Public Health Issue
Cancer is a major public health issue, affecting millions of people each year. Cancer is the second leading cause of death in the United States, exceeded only by heart disease. One of every five deaths in the United States is due to cancer according to the Centers for Disease Control and Prevention (CDC). However, thanks to advances in medical research, early detection, and access to treatment, the survival rates for many types of cancer have improved significantly.
Understanding Cancer: Four Types and Overview
Cancer is a term used for diseases in which abnormal cells divide without control. These cells can invade nearby tissues and spread to other parts of the body through the blood and lymph systems, a process known as metastasis. There are over 100 different types of cancer, each named based on the part of the body where they originate. Early detection and advances in treatment are key factors in improving survival rates and outcomes for individuals diagnosed with cancer.
While cancer can affect any part of the body, some types are more prevalent and widely known. Below, we explore four of the most common forms: lung cancer, prostate cancer, colorectal cancer, and breast cancer.
Lung cancer is one of the most common types of cancer worldwide. It usually begins in the lungs, but can be spread to other parts of the body over time. It occurs when abnormal cells in the lungs grow uncontrollably, often forming tumors that interfere with breathing and the overall function of the respiratory system. The majority of cases are linked to smoking, but non-smokers can also develop lung cancer.
- Symptoms: Common signs include a persistent cough, chest pain, shortness of breath, wheezing, coughing up blood, and unexplained weight loss.
- Risk Factors: Smoking, secondhand smoke exposure, asbestos, radon exposure, air pollution and certain genetic factors.
- Treatment: Treatment depends on the stage of the cancer and may include surgery, chemotherapy, radiation therapy, and targeted therapies.
Prostate cancer occurs in the
prostate, a small gland in men that produces seminal fluid. It is one of the
most common cancers among men, particularly those over the age of 50. While it
often grows slowly and may not cause significant harm in its early stages, some
forms of prostate cancer can be aggressive and spread to other parts of the
body.
- Symptoms: Early-stage prostate cancer often
shows no symptoms. As the disease progresses, symptoms may include
difficulty urinating, blood in the urine, and pain in the pelvic area.
- Risk Factors: Age, family history, and
genetics play a significant role in the risk of developing prostate
cancer. African American men have a higher risk compared to other racial
groups.
- Treatment: Options for treating prostate
cancer include surgery, radiation therapy, hormone therapy, and in some
cases, active surveillance if the cancer is slow-growing.
Colorectal cancer refers to cancer that starts in the colon or rectum. It is one of the leading causes of cancer-related deaths worldwide but is often preventable with early detection and lifestyle changes.
- Symptoms: Common symptoms include changes in bowel habits, rectal bleeding, abdominal discomfort, unexplained weight loss, and fatigue.
- Risk Factors: A diet high in red and processed meats, lack of physical activity, smoking, and family history of colorectal cancer are major risk factors. Those over the age of 50 are encouraged to undergo regular screening.
- Treatment: Treatment depends on the stage of the cancer and may include surgery, chemotherapy, radiation therapy, and targeted therapies. Early detection through screenings like colonoscopies is crucial for improving survival rates.
Breast cancer is the most common
cancer among women, though it can also affect men. It begins in the cells of
the breast and can spread to other parts of the body if not treated in time.
- Symptoms: The most common symptom is a lump in
the breast, but changes in breast size, shape, or skin texture, and
unexplained pain in the breast or nipple can also be warning signs.
- Risk Factors: Family history, hormonal
factors, age, and lifestyle choices such as alcohol consumption and lack
of physical activity can increase the risk of developing breast cancer.
Women with a genetic mutation in the BRCA1 or BRCA2 genes are at higher
risk.
- Treatment: Depending on the type and stage of
the cancer, treatment options may include surgery, chemotherapy, radiation
therapy, hormonal therapy, and targeted therapy. Regular screening through
mammograms is recommended for early detection, particularly for those with
a family history of the disease.
American Cancer Society (ACS) Statistics for 2024
Federally Qualified Health Centers (FQHCs) in New Jersey and Cancer Care
Federally Qualified Health Centers (FQHCs) in New Jersey are crucial healthcare resources, especially for underserved populations. They provide comprehensive primary care services, including cancer screenings, education, preventive services, and support for low-income or uninsured individuals. FQHCs play a significant role in early detection, prevention, and coordination of care for cancer patients.
Many FQHCs in New Jersey offer essential cancer screenings, which are vital for early diagnosis and improved survival rates. Early detection can make cancer more treatable, and FQHCs help bridge gaps in access to these critical services. Some cancer screenings provided by FQHCs include:
- Breast Cancer: Mammograms for women, particularly for those over 40 or with risk factors, are offered through FQHCs or through partnerships with local hospitals or mobile screening units.
- Cervical Cancer: Pap smears and HPV testing for women as part of routine preventive care.
- Colorectal Cancer: Colon cancer screenings (colonoscopy or stool tests) for eligible individuals, especially those over 50 or with a family history of colon cancer.
FQHCs typically work with community partners to provide these services at reduced costs or for free for uninsured or underinsured patients.
Additional Resources and Links:
The New Jersey Cancer Education and Early Detection (NJCEED) Program provides comprehensive outreach, education and screening services for breast, cervical, colorectal and prostate cancers. Persons eligible for these services must be at or below 250% of the Federal Poverty Level and be uninsured or under-insured.
For more information on where you can get free screening services, contact your nearest NJCEED Screening Location or call 1-800-328-3838 then press 3.
Find valuable resources on the New Jersey Department of Health: Cancer Resources Page. Provides up to date information about cancer statistics in New Jersey.
The New Jersey Department of Health has developed a useful tool to view cancer statistics. Cancer-Rates.info/NJ is New Jersey’s official source for cancer statistics. The application provides cancer incidence and mortality data for New Jersey. The data is displayed in maps, tables, and graphs. Statewide and county-level cancer incidence data are available by cancer site, gender, race, and ethnicity. Similar data are available for cancer mortality.
The U.S. Cancer Statistics Data Visualizations tool displays the official federal cancer statistics. This tool provides incidence and death counts, rates, stage distribution, and trend data; survival and prevalence estimates; and state-, county-, and congressional district-level data in a user-driven format.
Find more information on cancer at the National Cancer Insititute. NCI is the nation’s trusted source for cancer information. They provide a variety of information about causes and risk factors, symptoms, how cancer is diagnosed, and treatment options.
Find more information, tools, factsheets and resources on the American Cancer Society Resource Page.
Screening tests are used to find cancer before a person has any symptoms. Screening can often help find and treat pre-cancers and cancers early, before they have a chance to spread. Check out the American Cancer Society’s recommendations for early detection.
The American Cancer Society has developed a quiz for you to learn more about colorectal cancer. CLICK HERE TO TAKE THE QUIZ
Cancer Awareness Campaigns and Movements:

March is Colorectal Cancer Awareness Month
Campaigns encourage individuals to get screened for colorectal cancer, particularly starting at age 45, and highlight the role of diet and lifestyle in preventing this type of cancer.

October is Breast Cancer Awareness Month
Pink ribbons symbolize the fight against breast cancer, and campaigns during this month focus on educating women about self-exams, mammograms, and early detection.

November is Prostate Cancer Awareness Month
This campaign focuses on raising awareness about prostate cancer, especially the importance of PSA screening for men, and it’s symbolized by blue ribbons and mustache campaigns (e.g., Movember).