Pacific Cancer Programs

Cancer Specific information

Significant health disparities exist between the populations of U.S. mainland and the USAPI jurisdictions due to multiple complex factors, including historical, social, cultural, environmental and economic. Health disparities also exist within the Pacific Islands themselves, most notably between populations living on the ‘main’ or central island and those living in the ‘outer’ islands far from any ‘urban’ area. Rapid westernization has adversely affected many of the social, cultural, and environmental structures and practices that traditionally protected and supported good health in the USAPI. One of the most significant areas of impact due to the westernization of the Pacific cultures is the rapid adoption of unhealthy practices and behaviors such as tobacco and alcohol use, reduction in daily physical activity and an increase in the consumption of non-local foods with little nutritional value. As a result, the incidence and prevalence of all non-communicable diseases have risen exponentially in the Pacific in just the fifteen years. Cancer mortality is now the second most common cause of death in nearly all USAPI jurisdictions. Due to constrained economic conditions in the FAS, increasing numbers of FAS citizens are out-migrating to Hawaii, Guam and throughout the U.S. This adds to the complexity of cancer registration.

Pacific map

(by clicking on the map, a larger version can be accessed)

Table 1: Top 13 Cancer Cases in the USAPI

Top 13 Cancer Cases in the USAPI 2014

(by clicking on the table, a larger version can be accessed)

Top 13 Incidence Counts in the USAPI

Top 13 Cancer incidence counts in the USAPI 2014

(by clicking on the table, a larger version can be accessed)

If you wish to learn more about cancer in the Pacific, please read our newest publication:

Cancer in the US Affiliated Pacific Islands 2007 - 2012


To access earlier versions of the publication, click button below

Challenges related to the cancer burden and related health disparities in the USAPIs

  • Significant health, resource, and capacity disparities persist between the U.S. and the USAPI and within the USAPI, including cancer disparities.
  • The rapid rise in cancer rates and other chronic diseases challenges the fragile health systems and resource limited environments.
  • Insufficient infrastructure, health care expenditures and community resources preclude adequate prevention, early detection and treatment.
  • Westernized health systems are not adequately responsive to the cultural preferences in health care seeking practices.

Publication of the ACOG Committee Opinion

In September 2013, an expert panel on cervical cancer screening in the U.S. Territories and Pacific Island Jurisdictions met to explore screening strategies to improve the rates and efficacy of cervical cancer screening in the U.S. Affiliated Pacific Islands. This Committee Opinion summarizes the recommendations of the American College of Obstetricians and Gynecologists based on the deliberations and findings of the expert panel.

This Committee Opinion resulted from the Expert Panel on Cervical Cancer Screening in the US Territories and Pacific Island Jurisdictions meeting in September, 2013. (link)

Read the Commitee Opinion by clicking >HERE<

Cancer Information Clearinghouses

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Funding for this website was made possible by a cooperative agreement from the Centers for Disease Control and Prevention, through the following:
Pacific CEED, award #: 5U58DP000976,USAPI Community Health Interventions Project (CHIP), award #: 1U58DP005810,
Pacific Regional Central Cancer Registry, award #: 5U58DP003906; Regional Comprehensive Cancer Control Program, award #: U55/CCU923887.
The views expressed on this site do not necessarily reflect the official policies of the Department of Health and Human Services;
nor does mention of trade names, commercial practices, or organizations imply endorsement by them or the U.S. Government.
Funding Sources: PRCCR: #: 5U58DP003906  | Pacific REACH: #: 1U58DP005810 | RCCC: #: U55/CCU923887 

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