1. Alaska Native Tumor Registry Alaska Native Epidemiology Center 40-Year Trends in Cancer Incidence among Alaska Native People 1969-2008

2. SEER Alaska Native Tumor Registry is funded by the National Cancer Institute Surveillance, Epidemiology, and End Results (SEER) Program (RFP NO-1-PC-9500-20)

3. Source: Fast Stats. NAACCR.org, accessed 1 August, 2012. Rates for American Indian/Alaska Native are based on the Contract Health Service Delivery Area counties. Rates are adjusted to the US 2000 standard population. Cancer Incidence: US Race/Ethnic Groups, 2005-2009 Alaska Native Tumor Registry

4. Cancer Incidence: Alaska Native and American Indian People, 2005-2009 CHSDA: Indian Health Service Contract Health Service Delivery Area Counties (federally recognized tribal lands or adjacent to tribal lands). Source: Wiggins et al., 2008. Rates are adjusted to the US 2000 standard population. Alaska Native Tumor Registry

5. Alaska Native People 1. Colorectal* 2. Lung* 3. Breast 4. Prostate 5. Stomach* U.S. Whites 1. Prostate* 2. Breast 3. Lung 4.Colon/Rectum 5. Melanoma* Leading Cancers 2004-2008 Alaska Native Tumor Registry * 95% Confidence interval indicates a statistically significant difference between AN and US rates.

6. Cancer Incidence Trends

7. Cancer Incidence: Alaska Native, US White Men Alaska Native Tumor Registry Rates are age-adjusted to the US 2000 standard population.

8. Alaska Native Tumor Registry Cancer Incidence: Alaska Native, US White Women

9. Cancer Incidence Alaska Native Tumor Registry

10. Cancer Incidence Alaska Native Tumor Registry

11. Cancer Incidence Alaska Native Tumor Registry

12. Cancer Incidence Alaska Native Tumor Registry

13. Cancer Incidence Alaska Native Tumor Registry

14. Cancer incidence is decreasing among Alaska Native men but not among women

15. Alaska Native Tumor Registry Lung cancer is not decreasing

16. Alaska Native Tumor Registry Colorectal cancer is decreasing

17. All Cancer Mortality: Alaska Native and US White Populations, 1994-2008 Alaska Native Tumor Registry

19. Lung Cancer Mortality: Alaska Native and US White Populations, 1994-2008 Alaska Native Tumor Registry

20. Breast Cancer Mortality: Alaska Native and US White Women, 1994-2008 Alaska Native Tumor Registry

21. Alaska Native Epidemiology Center Alaska Native Tribal Health Consortium http://anthctoday.org/epicenter/

22. Stomach Cancer Mortality: Alaska Native and US White Populations, 1994-2008 Alaska Native Tumor Registry

23. Prostate Cancer Mortality: Alaska Native and US White Men, 1994-2008 Alaska Native Tumor Registry