1. Colon Cancer Facts and Figures for Michigan Native Americans – Incidence rates, Age at diagnosis, and screening rates Noel Pingatore, B.S. CPH Department of Health Education and Chronic Disease September 25, 2013

2. Incidence rates – Emily Rohen, MPH and Glenn Copeland, State Cancer Registry, 2012

3. Age at Diagnosis: WhiteAmerican Indian Men 50+91%70% Men < 508%29% Women 50+98%79% Women <507%21% More American Indians are diagnosed at a younger age compared to the general/white population Suggests a need to further research and a review of screening guidelines Genetic Component

4. Colon Cancer Screening Rates – Michigan Cancer Consortium SCRBS 2008 – Native American Respondents FOBT w/in past year = 28.3% Flex Sig w/in past 5 years = 30.4% Colonoscopy w/in past 10 years = 41.9% HP 2020 target 70.5%

5. Summary: Incidence rates are comparable to other groups In Michigan, more AI are diagnosed at younger ages ( outside of screening recommendations at age 50) than the general population Need to increase screening rates HP 2020, GPRA measures, etc.