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NCI PUBLICATION ON CANCER MORTALITY AND TRENDS DATA PRESENTATION DESCRIPTION OF DATA UNDER HEADINGS Deaths The total number of deaths from the specified cancer form in the specific geographical area in the indicated time period. Rate - The age adjusted average annual death rate per 100,000 population during the indicated time period. The age adjustment calculation is a method employed in the study to improve comparability of the data. Percent Change Comparisons: 60s/50s; 70s/60s; 70s/50s These plus or minus numbers indicate the percent change in mortality rate between 1950-1959 and 1960-1969, 1960-1969 and 1970-1979, and between 1950-1959 and 1970-1979. Percentile: % Change 70s/50s The percentile rank of a specific county among the 3065 counties (or parishes) in the continental United States, Alaska and Hawaii based on the percent change in mortality rate between 1950-1959 and 1970-19751 District of Columbia is listed Foth as a state and as a county. Higher percentile ranks indicate higher percent mortality rate increase areas. Percentile: Rates 70s The percentile rank of a specific county among the 3065 counties listed based on the average annual mortality rates listed for the 1970-1979 period. Higher percentile ranks indicate higher mortality rate areas. * Asterisk An asterisk indicates that the observed number of deaths from the specified form of cancer in a specific county is significantly larger than the expected (calculated by formula) number of deaths. 0197K UCC 100120 TABLE OF CONTENTS All Cancers Combined............................................................................ Cancer of the Pancreas........................................................................ Cancer of the Liver and Gallbladder............................................ Cancer of the Rectum......... :................................................................ Cancer of the Large Intestine......................................................... Leukemias.................................................................................................... Cancer of the Stomach.......................................................................... Cancer of the Esophagus...................................................................... Cancer of the Nasopharynx................................................................. Cancer of the Salivary Gland........................................................... Cancer of the Oral Cavity Including Tongue............................. Cancer of the Lip.................................................................................. Cancer of the Kidney and Ureter.................................................... Cancer of the Bladder and Other Urinary Organs.................... Cancer of the Testis............................................................................ Cancer of the Prostate........................................................................ Cancer of the Ovary, Fallopian Tube............................................ Cancer of the Cervix Uteri............................................................... Cancer of the Chorion and Uterus.................................................. Cancer of the Breast............................................................................ Nonmelanoma Skin Cancer...................................................................... Malignant Melanoma of Skin............................................................... Connective and Soft Tissue Cancer................................................ Cancer of the Bone Including Jaw.................................................. Cancer of the Trachea, Bronchus & Lung Including Pluera, and Other Respiratory Sites........................................................... UCC 100121 Pages 1-2 Pages 3-4 Pages 5-6 Pages 7-8 Pages 9-10 Pages 11-12 Pages 13-14 Pages 15-16 Pages 17-18 Pages 19-20 Pages 21-22 Pages 23-24 Pages 25-26 Pages 27-28 Pages 29-30 Pages 31-32 Pages 33-34 Pages 35-36 Pages 37-38 Pages 39-40 Pages 41-42 Pages 43-44 Pages 45-46 Pages 47-48 Pages 49-50 TABLE OF CONTENTS (Continued) Cancer of the Larynx........................................................................................... Pages 51-52 Cancer of the Nose, Nasal Cavities, Middle Ear.................................... Pages 53-54 Hodgkin's Disease................................................................................................. Pages 55-56 Lymphosarcoma and Reticulum Cell................................................................. Pages 57-58 Cancer of the Thymus and Other EndocrineGlands................................... Pages 59-60 Cancer of the Thyroid Gland............................................................................ Pages 61-62 Cancer of the Brain and Other Parts........................................................... Pages 63-64 Cancer of the Eye.................................................................................................. Pages 65-66 Multiple Myeloma.................................................................................................... Pages 67-68 Secondary, Site Unspecified and Not Previously Listed Cancers.. Pages 69-70 ucc 100122 WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel Washington, OH 1950-1959 Deaths Rate ALL 1960-1969 Deaths Rate (^COMBINED 1970-1979 Deaths Rate (ft) BUSINESS CONFIDENTIAL Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 1135259 176.6 1434818 190.0 1754868 204.1 8 7 16 11248 147.4 14750 179.8 17838 202.9 22 13 38 1245 157.7 1840* 202.3 2254* 226.2 28 12 43 75 91 40 117.7 53 156.6 69 193.6 33 24 65 90 56 111 124.8 165 152.3 269 196.5 22 29 57 86 61 73 114.4 107 182.4 103 177.0 59 -3 55 84 31 147 147.2 175 172.7 223 206.8 17 20 40 72 74 353 143.5 426 163.5 536 192.4 14 18 34 64 54 WHITE FEMALE United States 1031475 141.6 1220907 132.4 1488093 131.7 -6 -1 -7 West Virginia 10434 132.7 11786 127.1 14078 128.6 -4 1 -3 Kanawha 1198 138.1 1416 126.9 1824 137.4 -8 8 0 63 85 a Pleasants a 41 125.4 49 125.2 52 119.0 0 -5 -5 50 48 o Putnam Tyler 85 99.2 o o 1--* 89 133.5 to 122 106.2 74 102.6 185 118.4 90 123.7 7 -23 11 21 19 90 46 -7 43 59 Wetzel 144 147.2 149 135.6 189 149.7 -8 10 2 67 95 Washington, OH 365 128.8 387 122.6 480 135.8 -5 11 5 74 82 Significantly more deaths than expected Data Source: -1- U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute ALL CANCE^fOMBINED BUSINESS C0*ENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel Washington, OH 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 102662 166.3 160896 209.5 230120 231.6 26 11 39 807 168.0 957 214.3 981* 245.6 28 15 46 134* 209.8 167 238.2 190* 279.0 14 17 33 43 86 -- -- - -- - - -- -- --- - - -- -- 1* 112.4 - - 38 1* 344.1 1* 490.8 - - 43 - - 10 224.6 8 246.3 12 240.6 10 -2 7 28 74 NON-WHITE FEMALE United States 98414 142.9 129161 142.3 169793 133.1 0 -6 -7 West Virginia 668 155.5 697 152.2 742* 154.8 -2 2 0 Kanawha Cj 103 148.3 134 165.8 165* 186.8 12 13 26 77 88 Pleasants Putnam Tyler O O h--i h--* -- -1 267.9 -- --- - -- - -- ---- --- - - - - -- - - -- Wetzel -- -- --- - - Washington, OH -- -- --- - - *S1gn1fiMtly more deaths than expected Dat^fiaurce : U.S. Cancer Mortality Rates and Trends 195^J979 * U.S. Environmental Protection Agency Natlohal Cancer Institute CANCER OF THE PANCREAS BUSINESS CON^ENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 60167 590 61 1 7 3 7 9.3 7.8 7.9 2.8 7.8 3.8 7.9 82104 909 116 6 6 2 12 10.9 11.1 13.3 18.2 5.4 3.3 11.3 93344 871 no 3 14 6 18 10.9 10.0 11.2 8.8 11.0 10.7 6.4 17 41 67 538 -32 -13 43 0 -10 -16 -52 105 223 45 17 27 41 209 41 179 108 60 60 92 32 60 58 90 54 81 91 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel ooc K-* o (o--il K) 42301 406 55 4 5 4 5.9 5.4 7.2 4.4 7.4 4.4 60602 6.5 588 6.3 80 7.3 4 10.5 7 5.9 11* 15.3 8 7.1 78483 6.7 11 641 5.6 17 71 5.2 2 3 5.9 - 7 4.7 36 4 5.5 106 9 6.9 60 3 -11 -29 -44 -21 -64 -4 14 5 -28 8 -26 54 20 35 - 46 44 27 21 40 70 63 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF THE PANCREAS BUSINESS COMpENTlAL - NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 5352 8.6 9073 11.9 11575 11.8 38 -1 37 43 8.6 60 13.7 47 11.9 59 -13 39 7 9.8 6 8.8 8 12.2 -11 38 23 45 76 -- -- - -- - - -- -- -- - -- - - -- -- -- - -- - - -- -- -- - -- - - -- NON-WHITE FEMALE United States 3377 5.2 6230 7.2 9585 7.7 38 7 47 West Virginia 29 7.1 38 8.2 43 8.8 15 7 23 Kanawha 1 2.7 5 6.0 8 9.5 118 59 246 Pleasants Putnam Tyler Wetzel ^ ^3 o to --- -- -- ---- -- - - -- --- -*- - - - - 89 83 --- -- -- Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate CANCER OF THE LlMAND GALLBLADDER BUSINESS CONFIDENTIAL 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 19404 198 16 1 1 - 3.0 2.6 2.1 3.3 2.5 - 27997 328 45 1 3 2 3.7 4.0 5.1 3.0 2.8 1.9 39785 491* 63* 1 8 3 7 4.6 5.6 6.5 2.6 6.6 4.8 6.6 24 54 139 -7 - 26 41 29 -15 139 256 55 117 208 -22 93 - 84 85 18 24 - 85 62 62 - 85 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam nCJ O Tyler Wetzel h--i ' 30443 363* 47 4.2 4.7 5.8 6 7.4 1 1.4 3 3.0 36360 381 42 1 2 i 5 3.9 4.1 3.9 2.8 1.9 1.3 4.4 44579 529* 55 3 8 9 3.8 4.6 4.1 7.0 5.1 6.9 -8 -14 -34 -74 -8 48 -2 14 7 148 170 58 -10 -1 -29 -31 - 133 32 63 92 30 78 -- 90 92 Significantly more deaths than expected i> Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -S- NON-WHITE HALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950--1959 Deaths Rate CANCER OF THE LIVSfcAND GALLBLADDER INESS C0NNTIAL BUS 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 1940 3.0 4026 5.1 6962 6.9 69 35 129 19 3.7 13 3.5 20 4.7 -5 33 26 2 2.7 -- 7 9.1 237 79 87 ---- ---- --- - - - 1* 112.4 - - 99 --- - - - NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel q ^ o bo 00 1569 24* 2 - - "" 2.4 6.0 2.5 - - 2699 14 1 - * 3.1 2.9 1.3 - - 4581 3.7 27 25 4.7 -51 3 2.8 -48 --- -- 20 61 120 - -- 52 -21 14 - - 53 77 -- - Significantly more deaths than expected 021 IK Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -6- CANCER 0F^^ RECTUM BUSINESS COI^ENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950 -1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 56746 407 44 2 2 1 5 9.0 5.4 5.2 5.7 2.2 1.4 5.0 55437 476 44 2 3 3 9 7.5 5.9 5.2 6.2 2.9 5.3 9.0 48913 5.8 -17 492 5.6 9 61 6.0 -1 3 8.4 10 9 6.8 34 4 7.4 279 2 1.8 82 -23 -4 16 36 135 41 -80 -36 4 15 49 214 435 -63 73 71 84 90 97 80 99 85 10 20 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel nc o 1--* o o StoO 42704 338 41 1 1 6 6 6.0 4.4 5.2 2.8 1.2 9.3 6.5 42476 387 39 5* 5 3 6 4.6 4.2 3.6 12.2 4.6 3.5 5.1 39607 3.4 -23 379 3.4 -6 36 2.7 -30 - - 340 5 3.2 294 4 5.4 -62 3 2.7 -22 -27 -19 -26 -30 55 -48 -44 -24 -48 - 177 -41 -59 36 52 -- 97 64 46 92 23 52 Significantly more deaths than expected 021 IK Data Source: -7- U.S. Cancer Mortality Rates and Trends 1950--1979 U.S. Environmental Protection Agency National Cancer Institute 3^CANCER OMHE RECTUM BUSINESS C DENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyl er Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970- 1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 3637 27 3 - 6.1 5.7 4.1 - 4320 24 6 - 5.8 5.3 9.3 - 4742 5.0 -5 22 5.7 -7 6 9.6 130 --- --- --- --- -15 7 3 - -19 0 137 - 89 91 - ---- NON-WHITE FEMALE United States West Virginia Kanawha Pleasants _. Putnam Tyler Wetzel O q H-* o w 3334 20 4 - 5.1 5.2 5.2 - 3733 27 2 .- 4.3 5.8 2.4 - 3892 3.2 -16 13 2.7 10 1 1.4 -53 ---- ----- -27 -53 -44 - -38 -48 -74 - - 10 76 -- _ --- Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF TH RGE INTESTINE BUSINESS C ENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 107014 870 85 4 4 5 11 17.1 11.6 11.5 12.8 4.9 7.6 10.8 134848 1095 128 4 16 13 23 18.3 13.6 15.1 12.4 15.8 21.7 22.4 169905 1438 184 9 22 10 16 20.0 16.5 19.0 24.3 16.6 16.4 14.9 7 17 32 -4 221 186 108 10 22 25 96 5 -24 -34 17 42 65 89 237 116 38 71 65 79 90 95 49 85 48 56 37 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel c o o O o u> I--* 128567 1175 126 7 5 14 20 18.0 15.6 16.1 22.4 5.7 21.4 20.9 159080 1366 144 7 9 10 19 17.1 14.6 13.4 18.1 8.3 12.2 16.8 194585 1663 214 3 27 10 16 16.4 14.5 15.8 6.2 17.1 13.7 11.4 -5 -6 -17 -19 46 -43 -19 -4 -1 18 -66 106 12 -32 -9 -7 -2 -72 200 -36 -46 49 58 01 05 96 67 14 40 08 23 Significantly more deaths than expected a Source: U.S. Cancer Mortality Rates and Trends; 1950-1979 U.S. Environmental Protection Agency National Cancer Institute NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950- 1959 Deaths Rate CANCER OF THE LARGE INTESTINE BUSINESS COI^ENTIAL 1960- 1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Riles 60s/50s 7Os/60s 70s/50s 70s/50s 1970s 6332 10.8 10393 14.0 15673 16.2 30 16 46 9.0 72 15.9 55 13.0 77 -18 9 13.7 15 20.3 7 10.0 48 -51 -- -- -- 1* 344.1 ----- ------- --- - - 51 44 -27 - 21 66 - - - NON-WHITE FEMALE United States 7622 12.0 12138 14.1 18620 14.9 18 6 West Virginia 43 10.2 57 12.1 84 16.4 18 35 Kanawha 6 7.7 10 12.1 28* 29.9 56 147 Pleasants Putnam Cj O O -- __ -- - - Tyler Wetzel l ^ 1* 267.9 -- --- - ---- * - 24 60 286 _ - 93 92 _ - Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -1 LEMIAS 3cBUSINESS COUWDENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles '% Change Rates 60s/5Os 70s/60s 70s/50s 70s/50s 1970s 57690 643 91 1 4 5 8 8.5 7.7 10.0 2.7 3.4 7.6 7.4 73022 743 107 2 10 6 5 9.5 9.0 11.3 5.4 8.8 9.5 4.8 77359 725 88 2 12 2 12 9.1 8.4 9.1 6.1 9.2 3.5 11.2 12 17 13 99 160 24 -36 -5 -7 -19 13 4 -63 133 7 9 -8 125 172 -54 50 32 52 88 19 92 53 06 06 72 75 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyl er Wetzel CJ O O -* o 2 U) 42273 457 49 2 3 3 3 5.7 5.4 5.0 6.1 3.1 4.4 3.1 53660 506 65 - 6 3 7 5.9 5.5 5.8 - 5.0 4.6 6.3 59453 5.4 4 549 5.2 3 68 5.3 16 2 5.3 - 5 3.3 60 5 5.8 6 9 6.6 102 -9 -6 -8 - -34 25 6 -6 -4 6 -13 5 32 113 57 52 41 51 56 19 70 61 88 74 Significantly more deaths than expected Data Source: .# U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute . LE#I1AS BUSINESS C^IDENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyl er Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles .% Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 3772 5.1 5504 6.3 7039 6.4 23 2 25 23 4.5 38 8.5 22 5.7 90 -33 27 3 4.2 5 6.3 3 4.3 51 -32 3 41 70 -- -- -- -- -- -- - - -- -- -- NON-WHITE FEMALE United States 2785 3.4 4153 4.1 5462 4.0 21 -3 17 West Virginia 15 2.8 20 4.3 17 3.7 53 -15 30 Kanawha Pleasants 3 3.6 -- 2 2.7 -- 5 6.6 -24 144 85 76 89 --- - - -- Putnam Tyler Wetzel * o w 4^ --- --- --- - - -- --- - - -- Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF^fc STOMACH A BUSINESS CONFIDENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyl er Wetzel 1950-1959 Deaths Rate I960-'1969 Deaths Rate 1970-'1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 125640 1317 123 5 9 13 18 20.2 17.8 17.5 13.3 10.3 18.3 17.6 96672 1081 115 7 14 5 12 13.2 13.4 13.2 20.6 12.7 8.8 12.0 75604 9.0 -35 701 8.1 -25 65 6.6 -25 1 2.8 55 12 8.5 23 4 6.5 -52 8 7.5 -32 -32 -39 -50 -86 -33 -27 -37 -56 -55 -63 -79 -17 -65 -57 36 39 10 8 90 62 32 38 48 50 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 75224 733 76 CJ o1 n 4 o O7 U) Ui 11 10.7 9.9 10.2 3.0 4.4 9.7 11.6 61985 610 63 3 9 5 8 6.7 6.6 6.0 7.5 8.3 5.4 6.9 51456 4.3 -38 470 4.2 -34 57 4.2 -41 2 4.0 155 7 4.9 86 4 5.4 -44 4 3.0 -40 -35 -37 -31 -47 -40 0 -57 -60 -58 -59 35 11 -44 -75 51 63 96 59 94 74 74 80 22 36 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate CANCER OF STOMACH 1960-1969 Deaths Rate 1970-1979 Deaths Rate ^1 BUSINESS CONFIDENTIAL Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 16598 131 22 28.0 29.2 37.6 17045 106 17 23.1 24.1 24.0 15112 84* 14 15.8 20.1 21.4 -17 -17 -36 -32 -17 -11 -44 -31 -43 47 87 NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel an o i--* o ot--k 0\ 8176 55 12 13.2 14.8 17.7 -- 8503 40 8 " * 10.0 8.9 9.8 -- 8577 33 6 - 6.9 6.2 6.3 - -24 -40 -45 - -31 -30 -35 - -48 -58 -64 - 29 77 ---- _ Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute #CANCER OF ESOPHAGUS BUSINESS CHDENTIAL WHITE MALE United States West Virginia Kanawha PIeasants Putnam Tyler Wetzel 1950*-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 28381 184 27 1 1 1 3 4.4 2.4 3.2 2.4 1.2 2.0 3.2 32417 246 38 1 2 - 1 4.3 3.0 4.2 3.1 1.7 - 1.0 37897 364 64* 1 4 3 4 4.4 4.1 6.2 2.6 3.0 5.1 3.9 -3 25 33 28 36 - -70 2 37 48 -16 77 - 309 -1 71 96 7 140 151 23 76 89 43 36 83 42 84 77 52 59 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel c o o o O H-A Ui 8004 67 7 - 1 - 1 1.1 .9 .9 - 1.2 - .9 10223 93 14 - 1 - 1 1.1 1.0 1.4 - 1.1 _ .8 14031 1.2 -2 121 1.0 15 22 1.6 49 1 1.9 - 1 .6 -9 1 1.0 1 .6 -14 10 2 17 -50 -25 7 18 75 -55 -35 84 81 - 87 17 43 59 33 45 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF^jJ ESOPHAGUS BUSINESS C(A)ENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Pjjtnam Tyler Wetzel 1950-1959 Deaths Rate 1960- 1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 5142 8.0 8716 10.9 12642 12.3 36 12 53 19 3.9 35 7.8 45 12.8 98 65 227 2 2.7 5 7.6 5 7.7 177 1 181 -- -- -- - - - --- -- -- ----- - - -- -- -- - - - 80 73 - NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel O1 H-* H--i 00 1262 4 - - 1.8 .8 - 2284 7 4 - 2.5 1.6 5.1 - 3869 3.0 35 14 3.1 101 3 3.5 - -- - 23 96 -31 - ----- - 65 293 - - 88 -- - Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF THASOPHARYNX BUSINESS CONFIDENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 2500 25 4 - - - .4 .3 .4 - - 3263 25 2 - 1 - .4 .3 .2 - .9 - 3587 .4 15 32 .4 -4 9* .9 -58 --------- -2 22 402 - - - - 13 16 108 86 86 ----- WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam ^ Tyler Wetzel w vo 827 6 - - - .1 .1 - - - 1161 10 3 - .1 .1 .3 - - - 1641 .2 16 19 18 .2 55 52 2 .2 - -42 --- - --- - --- - --- - 39 136 - 82 ----- Significantly more deaths than expected Data Source: * U.S. Cancer Mortality Rates and Trends 1950'-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF ASOPHARYNX BUSINESS CONFIDENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Refes 60s/50s 70s/60s 70s/50s 70s/50s 1970s 358 .- .5 - 549 1 - .6 .2 - 724 1 - .6 30 .3 - 2 29 33 NON-WHITE FEMALE United States West Virginia Kanawha Pleasants ^ Putnam Tyler ^ Wetzel o 88 .1 ---- -- 169 - .2 - -- 275 .2 56 1 .2 --- 17 -- 83 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF THEWIVARY GLAND BUSINESS CONFIDENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles * Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 2967 20 3 - 1 .5 .3 .4 - 2.4 3483 28 4 1* - 1 .5 .3 .4 2.8 - .9 3447 .4 0 -14 26 .3 28 -13 2 .2 4 -50 1* 3.4 23 1 .8 -7 -14 11 -48 23 62 * 98 82 WHITE FEMALE United States West Virginia Kanawha Pleasants ^ Putnam _, Tyler Wetzel ^ o o ^ 1780 20 - .2 .3 - 2166 17 2 - 1* .2 .2 .2 - 2.0 2272 27 4 - .2 -5 .2 -35 .3 ---- -17 29 73 - -21 -15 - 81 ---_ Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF Tlll^l I if nil I I I Hill BUSINESS COflTOENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Kales 60s/50s 70s/60s 70s/50s 70s/50s 1970s 198 .3 294 .4 309 .3 20 -17 NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel O O o o>-- -t*. to 135 1 1* .2 .2 1.3 178 .2 2 .4 197 .2 1 -22 1 .2 99 -58 1* 1.0 -21 -17 -25 64 98 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF THE ORAL cATY INCLUDING TONGUE ------------------------------------- ~ A BUSINESS CONTOENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950- 1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 30701 241 41 2 - 3 4.8 3.2 5.8 - -2.1 - 2.8 36622 285 38 - 1 1 4 4.8 3.4 4.3 - .9 2.0 4.1 40461 4.6 0 299 3.4 9 41 4.1 -26 - -- 4 2.9 -57 -- 5 4.6 - 45 -3 -1 -5 223 - 12 -3 8 -29 - 38 - 62 25 61 -- 65 42 -- 73 69 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler C O O Wetzel 7739 96 5 2* - 1 1.1 1.3 .5 6.1 - .9 11429 130 13 1.2 1.4 1.2 1 1.0 -1 .9 16928 131 22 1 1 - 5* 1.5 1.2 1.6 2.3 .7 - 4.0 15 12 133 _ -7 21 -17 37 26 - 358 39 -7 220 -62 - - 325 95 71 12 86 - 39 -97 96 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF THE ORAL CHtY INCLUDING TONGUE BUSINESS CONFIDENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950- 1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 2623 .19 6 -- 4.1 3.6 8.2 - - 4372 16 6 - 5.4 4.1 10.0 - 6787 6.5 30 20 29 8.4 14 105 4 5.8 22 -42 -- - -- - - -- - -- - 56 133 -29 21 81 - - - NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam ^ ^ Tyler Wetzel S o 4* 863 11* 4* - - 1.3 2.6 6.2 - - - 1340 5 1 - - 1.4 1.1 4.3 - 2143 9 3 - 1.7 2.2 3.9 * 12 -57 . 16 100 30 -14 -37 26 94 - - " Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER ^THE LIP BUSINESS cdSbENTlAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyl er Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change 60s/50s 70s/60s 70s/50s Percentiles % Change Rates 70s/50s 1970s 3126 32 1 1 - .5 .4 1.8 - 2.0 - 1624 19 - .2 .2 - 1429 10 - .2 -57 .1 -46 - 14 ----- -26 -53 - -68 -74 - - - WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel c o o t--* o o1--i A 328 .0 4 .1 --- -- 198 .0 ---- 200 .0 -58 5* .0 - 2* .1 - --- -25 - a* -69 -41 - _ _ 96 - Significantly more deaths than expected Data Source: M U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute NON-WHITE HALE United States West Virginia Kanawha Pleasants Putnam Tyl er Wetzel 1950-1959 Deaths Rate CANCER THE LIP 1960-1969 Deaths Rate 1970-1979 Deaths Rate BUSINESS CONFIDENTIAL Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 46 .1 34 .1 26 .0 -40 -42 -65 NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel c o n to-- f* 32 .1 24 .0 22 .0 -45 -38 -66 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF THEJttPNEY AMD URETER BUSINESS C DEKTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate I960-'1969 Deaths Rate 1970- 1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 7Qs/60s 70s/50s 70s/50$ 1970s 24970 215 19 - 4 1 3 3.7 2.7 2.5 - 4.2 1.5 2.9 32809 305 45 1 4 2 3 4.2 3.7 4.8 3.0 3.5 3.4 3.2 40161 4.6 15 375 4.2 37 56 5.6 90 2 5.2 - 7 4.8 -15 2 3.1 121 7 6.7 12 10 15 17 71 34 -9 105 26 58 123 - 13 102 129 77 74 - 67 40 60 74 30 79 84 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyl er Wetzel ncA o o to--` 14979 177 27* 1 1 3 2.0 2.2 2.8 3.2 1.5 2.7 19232 172 25 3 1 4 2.1 1.9 2.3 2.2 1.0 3.3 23861 2.1 2 219 2.0 -15 27 2.0 -18 --- 1 .7 - 1 1.9 -33 2 1.3 24 1 7 -12 -67 93 -62 3 -9 -28 28 -52 32 54 -- 21 65 51 15 31 Significantly more deaths than expected Data Source: M U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF THE NEY AND URETER BUSINESS C DENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 1566 2.2 2481 3.0 3308 3.2 35 7 44 15 2.9 13 2.9 13 3.5 2 19 21 5* 8.0 3 3.9 3 4.1 -51 5 -48 -- -- - -- - - -- -- --- --- --- - - -- -- --- - - 15 86 ---- -- NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel c o o o o i--i 00 976 4 1 - - - 1.3 .8 1.1 -- - 1432 13* 3 mm - 1.5 2.7 3.7 mm - 1947 1.5 16 11 2.2 228 2 2.3 231 --- -1 -19 -39 - --- _ - 15 164 102 - _ 86 87 -- . Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF Till III H|l|ll|l(^l mill I IIUINARY ORGANS ^11 BUSINESS CONFIDENTIAL WHITE HALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 45258 348 35 1 6 2 3 7.4 4.7 5.0 2.7 7.1 2.5 2.9 53013 452 66 3 3 5 7 7.3 5.6 7.8 8.8 3.0 9.9 6.8 61173 7.3 -1 0 575 6.6 18 18 60 6.4 57 -18 2 5.0 230 . -43 9 6.5 -58 119 5 8.1 296 -19 4 3.7 137 -46 -1 39 29 88 -8 222 29 60 55 78 37 35 57 92 76 60 23 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel c o o t--* o o vo 20269 180 27 1 1 2.9 2.4 3.6 - 1.2 - 1.0 22834 196 18 3* 2 2 1 2.4 2.1 1.7 6.3 1.7 2.5 1.1 26206 2.1 -16 233 2.0 -13 36 2.7 -52 2 4.1 - 1 .6 40 1 1.1 - 4 2.6 12 -13 -5 54 -35 -67 -56 131 -27 -18 -25 -54 159 50 79 - 94 22 22 - 33 95 76 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF THE BLADDER OTHER URINARY ORGANS I^E BUSINESS CONFIDENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate o1 1o^v 1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 2913 26 2 - - 4.9 6.0 2.6 - -- - 4083 17 1 - - 5.5 3.7 1.2 - - 4932 22 5 - 5.3 5.4 7.6 - 12 -39 -52 - -5 47 513 - - - 7 -10 195 - 91 86 ---- -- NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel c o O o H-k oU) 1991 19 3 - - 3.1 4.1 3.7 - - 2740 24* 2 - 3.2 5.0 2.8 . 3287 10 2.7 1.8 3 22 1 1.2 -25 _ . --- -17 -64 -58 - -14 -56 -68 - 11 77 -- m_ Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -?q- CANCER OF JHE TESTIS BUSINESS CO^bENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change 60s/50s 70s/60s 70s/50s Percentiles % Change Rates 70s/50s 1970s 6324 86 9 r - .9 1.0 .8 - 6599 68 13 1 - .8 .8 1.2 3.0 - 6811 72 3 1 - .7 -5 .8 -12 .3 59 -.7 --- -10 -1 -77 - -15 -13 -63 - 10 49 61 WHITE FEMALE United States West Virginia -- Kanawha -- PIeasants d - o Putnam o Tyler o1--` i--* Wetzel Ln i--* ---- ------ - - - Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -2! NON-WHITE HALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate CANCER OHIE TESTIS 1960-1969 Deaths Rate 1970-1979 Deaths Rate BUSINESS CI ENTIAL Percent Change Percentiles % Change RaTes 60s/50s 7Os/60s 70s/50s 70s/50s 1970s 229 3 1* .3 .9 3.0 269 .3 304 .2 -4 -21 -24 NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel O O O o Ul Significantly more deaths than expected Data Source 3 U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF PROSTATE )^D BUSINESS CONFIDENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 116636 1305 91 A 17 8 17 20.7 19.0 14.9 10.3 20.8' 11.3 16.5 136007 1440 135 5 18 17 23 19.7 18.5 17.7 14.3 17.5 25.5 22.8 165345 1594 175 10 20 5 27 20.3 18.8 20.4 28.8 15.7 8.3 23.3 -5 -3 19 39 -16 126 38 3 1 16 101 -10 -68 2 -2 -1 37 180 -24 -27 41 79 52 97 91 21 20 19 03 81 74 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel c no O i U) -- ---- -- -- --- . -- _ -- - - -- - - - -- --- - - -- - -- - - -- _ Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF PROSTATE BUSINESS CONFIDENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percent! 1es % Change Rates 60s/50s 70s/60s 7.0s/50s 70s/50s 1970s 14007 26.5 21409 31.9 30620 34.3 21 8 30 105 24.1 135 30.1 156 35.3 25 17 46 15 31.0 21 32.4 32 44.5 5 37 44 55 82 -- -- --- - - -- -- -- --- - - -- -- -- --- - - -- -- -- --- - - -- NON-WHITE FEMALE United States West Virginia Kanawha Pleasants * Putnam q Tyler Wetzel o o c/ -------- -------- --- - - --- - - --- - - -- --- - - -- --- - - -- --- - - -- --- - - -- Significantly more deaths than expected Data Source: U.S* Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute _7?_ WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate CANCER OF THE O)V^MfY, FALLOPIAN TUBE BUSINESS C DENTIAL 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s -------- - - -- - - - - -- - - - - -- - - - - -- - - - - WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel C5 o o to--* I-1 64190 496 69 3 2 3 7 8.6 6.1 6.9 8.8 1.9 5.1 7.0 81711 651 71 9 4 4 8.9 7.1 6.2 7.7 5.3 3.8 95988 795 112 8* 12 3 8 8.8 7.5 8.5 19.1 7.7 4.5 6.8 4 17 -10 316 3 -46 -1 5 36 - -1 -15 79 3 23 23 118 313 -12 -3 58 58 86 98 96 47 31 15 39 36 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF THE , FALLOPIAN TUBE ft) BUSINESS CONFIDENTIAL NON-WHITE MALE United States West Virginia Kanawha PIeasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s -------- -------- -- - - --- - - -- --- - - -- --- - - -- --- - - -- NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam ^ Tyler Wetzel O cn o\ . *305 33 5 - 5.9 6.9 6.2 - 6402 15 1 - 6.9 3.2 1.2 - 7981 6.3 38 7.7 11* 12.7 -- -- 16 -54 -81 - -9 143 970 . 6 13 106 - 82 91 --- Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute _i/i_ CANCER OF THfi^ERVIX UTERI BUSINESS CONVENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s -------- - --- -- -- ---- -- - -- - - -- - - - -- -- - -- - - - -- - - - -- - - - - - - WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel C5 o o o o 15927 86 11 - - - 21.2 17.8 14.8 - - - 16385 89 13 - - - 17.3 19.7 16.1 - - - 13117 54 6 - - - 10.2 11.7 6.5 - - -19 11 9 - - - -41 -41 -60 - - -52 -34 -56 - _ - 33 64 -- --- Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute .A CANCER OF TfflPCERVIX UTERI BUSINESS CONFIDENTIAL NON-WHITE MALE United States West Virginia Kanawha PIeasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s -------- -------- -- -- - --- - - --- - - -- --- - - -- --- - - -- --- - - -- --- - - -- NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel ^ ^ o--11 t--* Wl 68785 9,1 1063* 12.4 144* 13.9 5 14.9 8 8.9 6 9.9 16* 16.8 62479 1017* 123* 3 17* 3 10 6.9 11.0 10.6 7.6 14.4 4.3 9.8 44693 698* 86* 1 7 4 9 4.2 6.8 6.6 2.1 4.5 6.5 7.6 -24 -12 -24 -49 60 -57 -42 -39 -38 -38 -72 -68 52 -23 -54 -45 -53 -86 -49 -34 -55 44 81 02 18 49 56 66 81 40 87 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF THE WGtffJRrIO~N AND UTERUS BUSINESS Cd0DENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950- 1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s -------- - -------- -- - -- - -- - - -- - - -- - - -- - - -- - - - WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel a o n oi--* OM on v 56734 7.8 679* 8.6 67 7.6 2 6.7 8 9.7 6 9.0 14* 13.7 49709 469 38 3 1 1 9 5.4 5.1 3.5 7.4 .6 2.3 8.3 48922 4.3 -31 454 4.1 -41 47 3.5 -55 1 1.5 9 4 2.9 -94 1 1.0 -75 8 6.1 -39 -21 -20 1 -79 363 -57 -27 -46 -53 -54 -77 -70 -89 -56 39 42 10 14 18 31 01 10 37 83 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF THE mION AND UTERUS BUSINESS CONFIDENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change 60s/50s 7Gs/60s 70s/50s Percentiles 70s/50s 1970s -------- -------- -- -- - --- - - --- - - -- --- - - -- --- - - -- --- - - -- --- - - -- NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam _ Tyler 5 o ^ o Wetzel 9981 59 13 - 15.0 13.8 21.3 * _ 8237 9.4 53 11.4 18* 22.7 -- -- -. 8015 6.5 -37 34 6.6 -17 8 8.6 7 --- **- -- -31 -42 -62 - _ r57 -52 -60 .. 39 83 - Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate CANCER E BREAST 1960-1969 Deaths Rate 1970-1979 Deaths Rate BUSINESS C DENTIAL Percent Change Percentiles % Change Rates 6Qs/50s 70s/60s 70s/50s 70s/50s 1970s 2026 21 1* - 1 - .3 .3 1.5 - 1.1 - - 2104 17 - - .3 2414 .3 -12 2 -11 .2 15 .2 -24 -13 -33 - -53 -- -- - - - -- - - -- -- - _ - - WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel CJ o o 1--* o o ON 194660 1565 173 6 13 12 17 26.3 19.7 19.3 25.1 14.1 18.1 16.8 241927 1870 245 9 17 9 14 26.4 20.2 21.1 24.0 14.3 15.2 12.9 294242 2360 293 9 29 16 32 27.0 22.2 22.3 22.5 18.2 22.4 26.1 0 2 9 -4 2 -16 -23 2 10 6 -6 27 47 102 3 13 16 -10 29 24 55 58 46 26 47 69 23 65 46 83 69 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER O3^M1E BREAST BUSINESS C DENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970- 1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 244 1 - .4 .2 - 274 - .4 - 368 2 1 - .4 .5 1.7 - -10 3 - 155 ------ -7 - - - - 97 --- --- NON-WHITE FEMALE United States 15164 21.3 21651 23.2 29169 22.5 9 -3 6 West Virginia 111 25.5 97 21.9 112 25.3 -14 16 0 Kanawha Pleasants ^ 16 25.1 -- 20 25.6 -- 21 24.4 2 -5 -3 44 78 --- - - - Putnam Tyler Wetzel ^ o to -- _ -- --- - - - _ _ Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute NONMELAN KIN CANCER BUSINESS COrWlDENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change 60s/50s 70s/60s 70s/50s Percentiles * Change Rates 70s/50s 1970s 11251 2.0 10477 1.5 8270 1.0 -25 -33 -50 135 2.0 131 1.7 107* 1.2 -16 -27 -39 12 2.0 13 1.6 10 1.1 -19 -31 -44 50 60 - - 2* 5.2 1 2.8 - -48 - - 88 , 1 1.1 2 2.0 2 1.3 83 -34 24 85 67 3 5.0 4* 6.5 - - 29 - - - - 1 1.0 3 3.2 3 2.7 216 -13 175 98 87 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel CJ o o oI--* ON u> 6971 93* 8 - 1 1 - 1.1 1.4 1.2 - 2.7 1.4 - 5962 67 7 1 2 - .6 .7 .7 2.6 2.1 - 5421 48 4 1* .4 .4 .3 1.6 - -38 -48 -40 - -21 -32 -45 -56 -37 -58 -71 -74 - 23 54 - 92 _ Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute _a1 NONMELAN KIN CANCER BUSINESS C DENTIAL <0 0 1 NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s IT) *3- 1 O 1 00 1 574 .9 656 .8 518 .5 .4 .9 2 .4 4 1.3 -56 206 35 2* 4.1 - 1 1.5 -63 18 95 -- - --- -- -- - --- -- - -- - --- -- -- - --- -- NON-WHITE FEMALE United States 466 .7 West Virginia 4 1.2 Kanawha -- Pleasants a- - Putnam Tyler Wetzel n Oh-t - o\ A-- 526 .6 3 .7 1 1.2 - -- 440 .4 -13 -41 3 .7 -42 2 --- -- __ -49 -41 _ --- _ --- Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute MALIGNANT ME MA OF SKIN BUSINESS CONFIDENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 9088 1.3 14337 1.8 21549 2.4 40 35 88 100 1.2 130 1.6 176 2.0 34 28 72 16 1.7 16 1.6 20 1.8 -9 16 5 28 43 - - 1 2.9 3* 7.3 - 154 - - 97 2 1.8 -- 4 2.8 - - 55 48 66 1 2.2 2 4.2 4* 7.5 96 77 246 88 97 4* 3.8 2 1.9 2 1.9 -50 -4 -52 06 43 WHITE FEMALE United States 7566 1.0 11297 1.2 16079 1.5 25 21 51 West Virginia 78 .9 106 1.2 159 1.5 27 32 68 Kanawha Pleasants Putnam Tyler Wetzel onc K-* o o 0\ 13 1.2 15 1.3 2* 5.9 1 1.2 19 1.5 8 11 19 50 56 - -- - - -- - -- - - - - 1 1.1 _ -8 42 *S1gn1f1cantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute _/n_ MALIGNANT M IMA OF SKIN BUSINESS CO ENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change 60s/50s 70s/60s 70s/50s Percentiles 70s/50s 1970s 198 1 - .3 .2 - 359 1 - .5 .2 - 478 2 - .5 .5 - 44 4 41 113 ------ 49 201 - ------ NON-WHITE FEMALE United States West Virginia Kanawha Pleasants ^ ^ Putnam Tyler Wetzel o on 184 .3 1 .3 ----- 302 .3 3 .7 1 1.5 ---- 396 .3 23 -6 1 .2 120 -73 - - - - - -- - - -- - --- _ 15 -40 _ - ---__ Significantly more deaths than expected 'ist/ Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -44- WHITE HALE United States West Virginia Kanawha PIeasants Putnam Tyler Wetzel WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam ^ ^ Tyler Wetzel o o\ -4 1950-1959 Deaths Rate CONNECTIVE AND TISSUE CAMCER BUSINESS CONFIDENTIAL 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 4099 .6 7973 1.0 9312 1.1 68 8 81 52 .6 88 1.0 97 1.1 70 8 84 7 .7 -- 12 1.2 -- 17 1.8 69 46 147 78 82 -- - - - 1 .7 -- 1 1.0 1 1.9 1 .8 1 1.6 31 -19 - -17 6 33 51 - 79 1 1.0 -- -- - - - - 3258 .4 6507 .7 8552 .8 68 13 91 25 .3 52 .6 71 .7 95 26 146 2 .1 7 .6 8 .6 342 6 367 -- -- 1 2.4 - - - -- -- --- - -- -- -- - -- - - 1 1.1 -- 3* 2.2 - - Ill 95 55 92 . - 72 91 *S1gnificantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate CONNECTIVE AND^T TISSUE CAHCER BUSINESS CONFIDENTIAL 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 358 .5 1 .2 1 1.4 859 .9 1129 .9 83 3 3 .8 3 .7 337 -n 2* 2.4 -- -- 88 288 65 63 94 NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyl er Wetzel CJ o n h-* o o --I OS 00 307 .4 2 .4 -- -- -- 777 .7 1210 .9 99 18 135 2 .5 3 .8 12 58 77 -- 1 1.4 - - - -- _ --__ - - 91 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -46- CANCER OF THE BOHNCLUDING JAW BUSINESS CONFIDENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950- 1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 10961 1.7 9416 1.2 8798 1.0 -28 -18 -41 146 1.9 134* 1.6 119* 1.4 -12 -15 -26 14 1.8 16 1.7 18* 1.7 -4 1 -4 70 80 -- - - - - - - - -- 2 2.3 5* 4.6 2 1.4 99 -70 -41 42 71 3* 4.2 1 2.0 1 1.6 -52 -21 -62 21 77 3 2.9 -- 3* 2.8 -5 68 91 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyl er Wetzel c o o >-* l On NO 134* 97 6 1 - 1.5 1.2 .8 3.1 - 142* 1.2 86 .9 10 .8 --1 1.2 2 1.9 111 73 10 1 2 2* 3* .7 .7 .8 2.9 1.4 2.8 2.3 -18 -23 8 - -38 -28 -2 - 126 23 -49 -45 6 -8 - 80 74 74 96 - 87 - 96 94 *S1gnificant1y more deaths than expected 021 IK Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -47- CAHCER OF THE Bfm INCLUDING JAW BUSINESS COMENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 953 -9 1 - 1.4 2.1 1.4 - - - 1015 5 1 - 1.2 1.0 1.2 - mi 4 l - 1.0 .9 1.3 - -17 -18 -53 -14 -9 2 --- -32 -60 -7 - 63 90 -- .. - NON-WHITE FEMALE United States West Virginia Kanawha Pleasants ^ Putnam Tyl er Wetzel ^ O ~-4 783 1.1 4 1.3 1 1.2 --- 738 .8 2 .4 -- --- _ . 812 3 1 -- .6 .6 1.0 -31 -67 -22 41 - -46 -53 -15 -- 65 92 -- Significantly more deaths than expected Data Source: -4 U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyl er Wetzel CANCER OF THE TRACHEA, BRONCHUS & LUNG IDING PLUERA, & OTHER RESPIRATORY SITES 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate BUSINESS CONFIDENTIAL Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 204225 2004 274 5 25 16 16 29.6 25.1 31.2 15.3 27.3 27.4 16.5 366806 3926 560* 10 38 20 29 46.8 46.7 58.8 29.0 33.8 35.8 28.8 560907 64.0 6220* 69.7 791* 76.5 19 55.7 89 63.4 34 61.0 67 62.9 58 37 116 86 49 178 89 30 145 37 90 92 265 .75 24 87 132 31 31 70 122 27 75 118 281 78 84 37 57 51 56 WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler n8 i oot Wetzel 37789 398 46 3 8 4 7 5.1 5.0 5.5 3.7 9.3 6.1 7.4 70587 739 105 4 6 4 11 7.6 7.9 9.2 10.6 5.1 6.0 10.1 168663 15.3 1784* 16.5 281* 21.1 5 12.3 30 19.3 8 10.8 26 22.0 48 56 65 37 -46 -1 36 102 no 130 16 280 80 117 199 228 280 59 107 79 196 74 94 20 52 33 91 25 41 56 96 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute A rt \ NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel CANCER OF THE TRACHEA, BRONCHUS & LUNG UDING PLUERA, & OTHER RESPIRATORY SITES BUSINESS CONFIDENTIAL 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change . Percentiles 60s/50s 70s/60s 70s/50s 70s/50s 1970s 15969 172* 33* - - - 24.1 33.8 45.5 - - - 37972 263* 53* 1* 47.4 58.0 73.5 - - 490.8 69963 272 47 - - - 68.6 69.3 69.4 - - - 97 45 72 19 62 -6 -- -- --- 185 105 53 - - - 19 73 -- ---- NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel . c Q o g o ^ N> 3220 20 5 - - - 4.7 4.3 6.1 - - - 6947 47 12* 7.5 10.2 14.2 - -- -- -- 17441 95* 24* - - 13.5 20.9 29.2 - 60 136 134 - - - - - 80 105 106 - * - 188 383 380 88 92 - -- - -- - - Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OFJHE LARYNX BUSINESS CAEI NTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 17068 2.6 20885 2.7 23822 2.7 5 1 5 161 2.1 177 2.1 262 2.9 2 40 43 15 1.7 21 2.3 25 2.4 36 6 43 62 56 1 3.5 1 1.2 -1 .8 -- -i --- 5 3.6 -32 340 198 90 80 2 3.0 -- 3 4.7 - - 56 66 90 3 3.6 1 1.1 1 1.0 -70 -7 -72 03 27 WHITE FEMALE United States West Virginia Kanawha Pleasants ^ Putnam ^ Tyler Wetzel 1732 23 2 - - 1* .2 .3 .3 - .9 2411 34* 6 - - * 2* .3 .4 .5 - _ 1.8 4009 .4 10 39 35 .3 16 -12 3 .2 65 -55 --- - 86 53 2 -26 - 30 69 -- . Significantly more deaths than expected Data Source: M U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OWWE LARYNX BUSINESS CONFIDENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970- 1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 1411 14 1 - - - - 2.2 2.7 1.3 - - 2474 10 3 - - 3.1 2.2 4.0 - - - 3813 20 5 - - - 3.7 5.1 6.6 - - - 40 20 -19 131 213 67 -- ---- 68 87 424 - - - - 97 92 -- -- --- NON-WHITE FEMALE United States West Virginia Kanawha PIeasants ^ Putnam Tyler ^ Wetzel A 215 .3 ------ . 388 .4 3 .7 ---- 623 .5 4 .8 1 1.0 ---- 32 - 17 5 - 54 - - 95 -- Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel WHITE FEMALE United States West Virginia Kanawha Pleasants ^ Putnam Tyler Wetzel ^ t--* CANCER OF THE NOSE. CAVITIES, MIDDLE EAR BUSINESS C DENTIAL 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970- 1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 3231 .5 3072 .4 -28 .4 38 .5 2 .2 4 .4 -- -- -- -- -- 1* 2.0 -- 1 .9 3012 .4 -21 -14 -32 27 .3 27 -34 -16 1 .1 54 -74 -59 -- --- -- -- -- - -- -- --- 19 62 - --- -- 2082 .3 1974 .2 20 .3 17 .2 1 .1 3 .2 -- -- -- -- 2019 .2 -28 -19 -42 17 .1 -32 -20 -45 1 .1 112 -68 -32 -_ -- -- --- -61 73 -- Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute NON-WHITE HALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel CANCER OF Till IIII I 1'^ CAVITIES, MIDDLE EAR BUSINESS CONFIDENTIAL 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Pates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 427 .7 455 .6 480 .5 -15 -18 -30 1 .2 2 .4 2 .5 162 37 259 -1 -1.3 - -- - - -- - -- - - NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 155 1 .2 244 .2 - - .3 233 2 1* -- -- .2 22 -33 -19 .5 82 .9 -- - - ---- _ 97 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -54- H0DGKIj DISEASE BUSINESS C^IDENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 16656 2.3 18631 2.3 14440 1.6 174 2.1 171 2.1 129 1.5 0 -31 -31 0 -28 -27 21 2.0 14 1.4 19 1.8 -34 32 -12 1 3.2 -- -- - 2 2.7 1 .7 3 2.1 -73 189 -22 -- 1 2.0 -- - -- 1 1.1 1 1.4 1 .9 26 -36 -19 59 64 52 73 54 37 WHITE FEMALE United States 10121 1.3 12228 1.4 10321 1.0 2 -29 -27 West Virginia 104 1.2 97 1.1 74 .7 -15 -31 -42 Kanawha Pleasants Putnam _, Tyler Wetzel cj O o -* o o i-- ^3 ^ 12 1.3 1 2.8 --3 3.0 8 .7 -- 1 .8 --- 11 .9 -45 -27 -30 2* 5.4 - - 91 2 1.2 49 1 2.3 - - - 1 1.0 - - -67 46 61 90 98 72 - 91 11 65 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency Rational Cancer Institute M NON-WHITE MALE United States West Virginia Kanawha PIeasants Putnam Tyler Wetzel 1950-1959 Deaths Rate HODGKI ISEASE 1960-1969 Deaths Rate 1970-1979 Deaths Rate )^P^}BUSINESS CO ENTIAL Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 1216 9 2 - - - 1.6 1.7 2.3 - 1531 5 - 1.7 1320 1.1 7 - 3* - - - 1.1 5 -33 -29 2.2 -39 110 29 5.4 _ 135 91 96 NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel . C Q o ^ o 00 642 5 1 -- - .8 783 1.0 1 1.2 - -- -- Significantly more deaths than expected .8 718 .2 2 - - - .5 -2 -34 -35 .4 -80 86 -63 -- - - Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute LYMPHOSARCOMA 4 RETICULUM CELL BUSINESS C(AdENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-'1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 30115 4.4 43363 5.6 52358 6.0 27 8 38 304 3.7 431 5.2 470 5.3 39 3 43 53 6.1 43 4.3 72 7.0 -29 62 15 -- 2 6.2 2 5.7 - -9 - 2 2.2 7 6.4 8 5.5 193 -15 150 1 1.3 4 6.6 4 6.1 417 -7 378 3 2.7 6 5.8 5 4.7 112 -20 -71 35 74 - 53 80 49 95 60 62 37 WHITE FEMALE United States 21357 2.9 34311 3.7 46566 4.1 30 10 43 West Virginia 190 2.4 292 3.1 345 3.2 34 1 35 Kanawha 30 3.4 32 2.9 49 3.7 -16 29 8 Pleasants Putnam Tyler ^ vi f) h--i 1 3.3 3 4.3 1 1.2 -- 2 1.7 1 1.0 2 3.9 - - 17 6 3.5 -61 113 -18 1 .9 -17 -9 -24 Wetzel -vO<1 3 2.9 4 3.3 15- - -- * 30 50 35 53 18 46 15 11 -- Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -5 LYMPHOSARCOMA mTICULUM CELL BUSINESS CO ENTIAL 1950--1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 2066 22 5* - - 2.9 3167 4.3 19 6.6 3 -- ---- 3.8 4007 4.2 7 4.5 1 -- --- -- 3.8 30 0 30 2.1 -3 -50 -51 2.2 -32 -50 -66 -- -- -- -- -- - - - - -- 07 75 - NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel c o O o 2 00 1226 3 1 - - 1.6 .6 1.3 - - 2027 8 3 - 2.1 2930 1.7 8 3.3 3 -- -- 2.2 29 6 38 1.5 185 -14 145 2.8 154 -15 115 - - -- - - - .. -- -- 81 86 .- -- - Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -58- CANCER OF THE THYMUS A OTHER ENDOCRINE GLANDS T-- BUSINESS CO^JENTIAL WHITE HALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel WHITE FEHALE United States West Virginia Kanawha Pleasants ^ Putnam T*yler Wetzel ^ h-i 00 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Chanqe Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 2296 .3 2471 .3 19 .2 26 .3 2 .2 2 .2 -- 1* 3.5 -- -- -- 1* 1.8 '" 2228 .3 -3 -18 -21 28 .3 42 2 45 2 .2 0 -5 -5 -- - -- - -- - *" " ** " 64 73 ---- 1492 .2 1698 .2 14 .1 23 .2 3 .2 6* .5 -- -- -- -- -- -- -- 1* .9 1999 20 3 - .2 -3 .2 67 .2 153 ----- 4 -18 -54 1 38 17 68 80 - Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute, -# NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel CANCER OF THE THYMUS THER ENDOCRINE GLANDS BUSINESS CONFIDENTIAL 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/5Os 70s/60s 70s/50s 70s/50s 1970s 175 2 207 .2 261 20 -3 -3 1 2 2 .4 1 2 143 -38 51 1* 1.3 NON-WHITE FEMALE United States West Virginia Kanawha Pleasants ^ Putnam Tyler Wetzel ^ h- o oi-- oo 122 152 .1 165 -3 -11 -13 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -60- CANCER OF Tj^THYROID GLAND NESS C^DENTIAL BUS I WHITE MALE United States West Virginia Kanawha PIeasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 3219 25 2 - - - 1 .5 .3 .2 - 1.2 3217 25 2 - - - .4 .3 .2 - - - - 3131 41 6 - .4 -14 -14 -25 .5 -6 54 44 .6 -22 280 196 . . . -- --- 97 81 - WHITE FEMALE United States West Virginia Kanawha Pleasants < O Putnam ^ TTy1ler Wetzel Ol oj 1 5966 71 9 .8 .9 1.2 1 .9 1 1.2 -- 6071 51 4 .7 .6 .3 -- --- 6039 .5 -21 -22 -38 56 .5 -40 -9 -45 8 .6 -73 95 -48 * _ 1 1.3 1 .8 . 5 35 71 --- 77 90 81 gn Icantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF T YROID GLAND ft) BUSINESS CONFIDENTIAL NON-WHITE MALE United States West Virginia Kanawha PIeasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change 60s/50s 70s/60s 70s/50s Percentiles 70s/50s 1970s 228 .4 291 .4 306 .3 5 -18 -14 1 .2 2 .4 2 .4 126 -4 118 -- - --- -- -- -- - -- -- -- -- --- -- -- -- - - - -- -- -- ----- -- -- ---- NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Cl O O h-'` Wetzel 492 8* - _ - .7 619 1.9 4 -1 ---- .7 636 .9 5 1.1 - _ -- .5 -6 -27 -32 1.1 -52 21 -42 ---- -- - -- mm -- -- -- --- *S1gniftcantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute -62- CANCER OF THE BRAIN AND OTHER PARTS BUSINESS COj^pp ENTIAL WHITE HALE United States West Virginia Kanawha PTeasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 29211 4.0 36253 4.4 43594 4.9 12 10 23 283 3.2 340 4.0 347 3.9 24 -2 22 30 2.7 53 5.0 43 4.2 83 -16 53 7* 21.7 -- 4 9.8 - - -55 5 5.5 3 2.5 7 4.6 -55 85 -17 -- 1 1.5 3 6.1 - 318 - 6 6.1 1 1.2 3 2.9 -81 144 -53 63 42 06 94 23 51 - 75 07 23 WHITE FEMALE United States West Virginia Kanawha Pleasants ^ Putnam q Tyler Wetzel O O oo 19886 2.6 25563 2.9 34189 3.3 10 15 27 184 2.1 240 2.6 269 2.7 24 4 30 27 2.6 32 2.7 47 3.8 2 43 45 -- 1 2.1 1 2.3 - 5- 2 1.9 5 4.0 6 3.7 117 -9 98 4* 7.9 1 1.7 4 6.1 -79 261 -24 4 4.4 -- 4 3.6 - - -17 59 67 - 31 75 64 22 91 26 63 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute CANCER OF THE BRUM AND OTHER PARTS V BUSINESS CoftlENTIAL NON-WHITE KALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 1633 8 1 - - 2.0 2225 1.4 11 1.3 3 ---- -- 2.3 2936 2.8 10 3.8 2 -- - --- 2.5 19 2.9 97 6 26 4 106 3.2 204 -16 157 ----_ -- ---- --- --- 83 87 __ -- __ - NON-WHITE FEMALE United States West Virginia Kanawha Pleasants ^ Putnam T1 Tyl er ^ 5 o Wetzel o\ mo 7 - 1.2 1675 1.2 6 ------ 1.5 2340 1.5 4 -2 -- --- 1.6 24 8 33 .9 30 -37 -18 2.6 - --- _ ---- 90 - - Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute - CANCER QfcJHE EYE ^ BUSINESS COGENT IAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel WHITE FEMALE United States West Virginia Kanawha PIeasants C O Putnam O Tyler Wetzel ^4 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 1750 21 - - ,3 .3 - - - 1702 26 2 - - - - .2 .3 .2 - - - - 1551 14 .2 -17 -18 -32 .2 5 -50 -48 -- ---1* 1.0 - - - -- -- -- -- 93 1591 19 5* - Ml - - .2 .2 .7 - - 1698 14 2 - .2 .1 .2 - 1* 1.2 -- 1542 11 - . - .1 -15 -26 -37 .1 40 -27 -56 - -78 -_ ... - ... 08 81 -- .. . Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute NON-WHITE HALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate CANCER ATHE EYE 1960-1969 Deaths Rate 1970-1979 __ Deaths Rate BUSINESS CONFIDENTIAL Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s NON-WHITE FEMALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel c Q n o oI OO 00 99 .1 95 .1 2* .5 1* 1.0 81 .1 -25 -31 -49 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute MULTI PSVYELOKA BUSINESS CONFIDENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel WHITE FEMALE United States West Virginia Kanawha Pleasants ^ Putnam , Tyler Wetzel f^ l--i o >--l GO 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970- 1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 10178 1.5 16102 2.1 23611 2.7 42 31 85 113 1.4 182 2.2 244 2.8 54 27 96 17 2.1 16 1.6 39 4.0 -24 -151 -91 -- 1 3.0 -- -- -- -- 7 5.3 - - - 4* 4.0 1 1.3 4 3.9 1 1.6 - 24 - 3 2.9 -2 -26 -27 58 79 - - 90 _- 13 60 7783 1.0 13694 1.5 21596 1.8 42 63 .8 101 1.1 194 1.7 39 8 .9 12 1.1 22 1.7 23 26 78 58 120 58 94 -- -- -- -- - -- 1 1.4 -- 1 .9 2 3.3 1 .9 3 1.8 _ 92 1 1.6 144 -50 2 1.6 - 83 . 21 - 63 50 -- 54 35 50 - 49 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute MULTIPIWIYELOMA BUSINESS CONFIDENTIAL NON-WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960- 1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 1270 14 1 - 1.9 2585 3.4 4501 4.6 74 38 141 2.9 14 3.0 27 6.8 2 127 133 1.3 2 . 2.8 8* 11.0 123 287 764 - -- - -- -- - -- ----- - -- ----- - -- ----- 97 93 ----- NON-WHITE FEMALE United States West Virginia Kanawha Pleasants c Putnam Wetzel 'sO 992 3 2 - - 1.3 1995 .6 13 2.6 5* -- _ --- 2.2 3952 2.7 17 6.0 2 -- -- 3.1 70 41 140 3.4 330 27 447 2.0 128 -67 -26 -- -- . _ _ 15 76 -- _ _ 3 fO 10 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute SECONDARY, SITE UNSPECIFIED NOT PREVIOUSLY LISTED CANCERS BUSINESS CO ENTIAL WHITE MALE United States West Virginia Kanawha Pleasants Putnam Tyler Wetzel 1950-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 92361 1181* 127 6 12 3 25* 14.5 15.8 17.5 18.1 13.6 4.7 25.5 102092 1408* 166* 2 26* 16* 25* 13.6 17.3 18.0 5.9 24.7 27.3 24.4 110650 1477* 210* 5 19 8 23* 12.8 16.7 20.7 14.4 13.4 13.1 21.9 -7 -5 9 -3 3 15 -67 . -144 81 -45 488 -52 -4 -11 -12 6 18 -21 -1 182 -14 73 93 41 69 60 62 97 60 47 95 WHITE FEMALE United States 96509 13.5 102823 11.1 117424 10.1 -18 -9 -25 West Virginia 1230* 16.1 1398* 15.1 1630* 14.4 -6 -4 -10 Kanawha 113 13.4 184* 17.0 202* 14.9 26 -12 11 Pleasants ^ 3 9.5 3 7.6 3 6.4 -20 -16 -33 Putnam Tyler q h--1 O 10 12.7 13 17.2 14 12.7 9 12.0 19 12.1 0 -5 -5 17* 22.5 -30 88 31 Wetzel 'O 18 18.1 29* 27.0 27* 21.2 49 -21 17 80 89 43 19 71 75 86 97 82 97 Significantly more deaths than expected Data Source: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute ft lO --1 SECONDARY , SITE UNSPECIFIED PREVIOUSLY LISTED CANCERS V BUSINESS CONFIDENTIAL NON-WHITE MALE United States West Virginia Kanawha PIeasants Putnam Tyler Wetzel I960'-1959 Deaths Rate 1960-1969 Deaths Rate 1970-1979 Deaths Rate Percent Change Percentiles % Change Rates 60s/50s 70s/60s 70s/50s 70s/50s 1970s 11124 71 10 - 17.9 14.6 17.2 14161 86 14 -- -- --- 18.4 19.0 20.4 - 18082 99* 25* - 18.1 24.4 38.1 - 3 30 19 - -2 1 28 67 87 122 - 85 93 - NON-WHITE FEMALE United States 10884 16.5 13595 15.4 17057 13.5 -6 -12 -18 West Virginia 94* 23.3 102* 22.1 96* 19.6 -5 -11 -16 Kanawha 11 16.7 21* 26.0 23* 25.1 55 -3 50 Pleasants Putnam Tyler ^ ^ o -- __ -- --- --- - _ .. ---- Wetzel --- -- --- -- 80 90 --_ - Significantly more deaths than expected Data Sourcei: U.S. Cancer Mortality Rates and Trends 1950-1979 U.S. Environmental Protection Agency National Cancer Institute m