T r i b a l H e a l t h R e g i o n s

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T r i b a l H e a l t h R e g i o n s

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Tribal Health Regions
The tribal health regions within this report are based upon census areas and boroughs. In general, these regions closely align with the Alaska Tribal Health Organizations’ service areas. However, the regions used in this report do not include the exceptions noted on the following page.
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Tribal Health Regions

Tribal Health Region Aleutians and Pribilofs
Anchorage/ Mat-Su

Title I and V THOs in Region
Aleutian Pribilof Islands Association (APIA), Eastern Aleutian Tribes Inc., St. George Traditional Council
Southcentral Foundation (SCF), Chickaloon Village, Native Village of Eklutna, Knik Tribal Council

Census Area/Borough included in Region
Aleutians East Borough, Aleutians West Borough
Anchorage Municipality, Matanuska-Susitna Borough

Exceptions to Census Areas/Boroughs (villages in addition) (villages removed)

Arctic Slope

Arctic Slope Native Association (ASNA), Ukpeagvik Inupiat Corporation

Bristol Bay

Bristol Bay Area Health Corporation (BBAHC)

Copper River/Prince William Sound
Interior

Chugachmiut Inc. (part)**, Chitina Traditional Council, Copper River Native Association (CRNA),Mt. Sanford Tribal Consortium, Valdez Native Tribe
Tanana Chiefs Conference (TCC), Council of Athabascan Tribal Governments, Fairbanks Native Assoc., Tanana IRA Native Council

Kenai Peninsula

Chugachmiut (part)**, Kenaitze Indian Tribe IRA, Ninilchik Traditional Council, Seldovia Village Tribe

Kodiak Area Kodiak Area Native Assoc. (KANA), Native Village of Karluk

Northwest Arctic Norton Sound
Southeast

Maniilaq Association
Norton Sound Health Corp. (NSHC), Native Village of Diomede Southeast Alaska Regional Health Corp. (SEARHC), Hoonah Indian Association, Ketchikan Indian Corporation, Metlakatla Indian Community, Yakutat Tlingit Tribe

YukonKuskokwim

Akiachak Native Community, Native Village of Quinhagak, Yukon Kuskokwim Health Corp.

North Slope Borough

Dillingham, Lake and Peninsula Borough, Bristol Bay Borough
Valdez/Cordova

Goodnews Bay, Platinum
Cantwell

Denali Borough, Fairbanks North Star Borough, Southeast Fairbanks, Yukon-Koyukuk

Anaktuvak Pass

Kenai Peninsula Borough

Kodiak Island Borough Northwest Arctic Borough Nome

Point Hope

Yakutat Borough, SkagwayHoonah-Angoon, Haines Borough, Juneau Borough, Sitka Borough, Wrangell-Petersburg, Prince of Wales/Outer Ketchikan, Ketchikan-Gateway Borough, Yakutat Borough
Bethel, Wade Hampton

Grayling, Anvik, Shageluk, Holy Cross

Point Hope (Northwest Arctic), Anaktuvak P (I i )
Cantwell (Copper River/Prince William Sound); Grayling, Anvik Shageluk, Holy Cross (YukonKuskokwim)
Goodnews Bay, Platinum (Bristol Bay)

** Chugachmiut is separated into 2 regions: Chenega Bay, Tatitlek, Valdez and Cordova are included in Copper River/Prince William Sound; Port Graham, Nanwalek and Seward are included in Kenai Peninsula.

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SEER Site Recode ICD-O-3 (1/27/2003) Definition

Site Group
Oral Cavity and Pharynx Lip Tongue Salivary Gland Floor of Mouth Gum and Other Mouth
Nasopharynx Tonsil Oropharynx Hypopharynx Other Oral Cavity and
Pharynx Digestive System Esophagus Stomach Small Intestine Colon and Rectum Colon excluding Rectum Cecum Appendix Ascending Colon Hepatic Flexure Transverse Colon Splenic Flexure Descending Colon Sigmoid Colon Large Intestine, NOS Rectum and Rectosigmoid
Junction Rectosigmoid Junction Rectum Anus, Anal Canal and
Anorectum Liver and Intrahepatic Bile
Duct Liver Intrahepatic Bile Duct Gallbladder Other Biliary Pancreas Retroperitoneum Peritoneum, Omentum and
Mesentery Other Digestive Organs Respiratory System Nose, Nasal Cavity and Middle Larynx Lung and Bronchus Pleura

ICD-O-3 Site
C000-C009 C019-C029 C079-C089 C040-C049 C030-C039, C050-C059,
C060-C069 C110-C119 C090-C099 C100-C109 C129, C130-C139 C140, C142-C148
C150-C159 C160-C169 C170-C179
C180 C181 C182 C183 C184 C185 C186 C187 C188-C189, C260
C199 C209 C210-C212, C218
C220 C221 C239 C240-C249 C250-C259 C480 C481-C482
C268-C269, C488
C300-C301, C310-C319 C320-C329 C340-C349 C384

ICD-O-3 Histology (Type) excluding 9590-9989, and sometimes 9050-9055, 9140+
excluding 9590-9989, and sometimes 9050-9055, 9140+
excluding 9590-9989, and sometimes 9050-9055, 9140+
excluding 9590-9989, and sometimes 9050-9055, 9140+

Recode
20010 20020 20030 20040 20050
20060 20070 20080 20090 20100
21010 21020 21030
21041 21042 21043 21044 21045 21046 21047 21048 21049
21051 21052 21060

excluding 9590-9989, and sometimes 9050-9055, 9140+
excluding 9590-9989, and sometimes 90509055, 9140+

21071 21072 21080 21090 21100 21110 21120
21130
22010 22020 22030 22050

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Trachea, Mediastinum and Other Respiratory Organs
Bones and Joints
Soft Tissue including Heart
Skin excluding Basal and Squamous Melanoma of the Skin Other Non-Epithelial Skin

C339, C381-C383, C388, C390, C398, C399
C400-C419 C380, C470-C479, C490C499
C440-C449 C440-C449

Breast
Female Genital System Cervix Uteri
Corpus and Uterus, NOS Corpus Uteri Uterus, NOS Ovary Vagina Vulva Other Female Genital
Organs Male Genital System Prostate Testis Penis Other Male Genital Organs Urinary System Urinary Bladder Kidney and Renal Pelvis Ureter Other Urinary Organs
Eye and Orbit
Brain and Other Nervous System Brain
Cranial Nerves Other Nervous System
Endocrine System Thyroid Other Endocrine including Thymus

C500-C509
C530-C539
C540-C549 C559 C569 C529 C510-C519 C570-C589
C619 C620-C629 C600-C609 C630-C639
C670-C679 C649, C659 C669 C680-C689 C690-C699
C710-C719
C710-C719 C700-C709, C720-C729
C739 C379, C740-C749, C750-
C759

excluding 9590-9989, and sometimes 90509055, 9140+
excluding 9590-9989, and sometimes 9050-9055, 9140+ excluding 9590-9989, and sometimes 9050-9055, 9140+

22060 23000 24000

8720-8790 excluding 8000-8005, 8010-8045, 80508084, 8090-8110, 8720-8790, 9590-9989, and sometimes 9050-9055, 9140+ excluding 9590-9989, and sometimes
9050-9055, 9140+
excluding 9590-9989, and sometimes 9050-9055, 9140+
excluding 9590-9989, and sometimes 9050-9055, 9140+

25010 25020
26000
27010
27020 27030 27040 27050 27060 27070

excluding 9590-9989, and sometimes 9050-9055, 9140+
excluding 9590-9989, and sometimes 9050-9055, 9140+
excluding 9590-9989, and sometimes 9050-9055, 9140+

28010 28020 28030 28040
29010 29020 29030 29040
30000

excluding 9530-9539, 9590-9989, and sometimes 9050-9055, 9140+ 9530-9539 excluding 9590-9989, and sometimes
9050-9055, 9140+
excluding 9590-9989, and sometimes 9050-9055, 9140+

31010 31040
32010 32020

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Lymphoma Hodgkin Lymphoma Hodgkin - Nodal
Hodgkin - Extranodal Non-Hodgkin Lymphoma
NHL - Nodal
NHL - Extranodal
Myeloma Leukemia
Lymphocytic Leukemia Acute Lymphocytic Leukemia Chronic Lymphocytic Leukemia Other Lymphocytic Leukemia
Myeloid and Monocytic Leukemia
Acute Myeloid Leukemia
Acute Monocytic Leukemia Chronic Myeloid Leukemia Other Myeloid/Monocytic Leukemia Other Leukemia Other Acute Leukemia Aleukemic, subleukemic and NOS
Mesothelioma + Kaposi Sarcoma +
Miscellaneous
Invalid

C024, C098-C099, C111, C142, C379, C422, C770- C779

9650-9667

All other sites

C024, C098,C099, C111,C142, C379,C422, C770-C779
All sites except C024, C098C099, C111, C142, C379, C422, C770-C779
All sites except C024, C098C099, C111, C142, C379, C420C422, C424, C770- C779

9590-9596, 9670-9671, 9673, 9675, 9678-9680, 9684, 9687, 9689-9691, 9695, 9698-9702, 9705, 9708-9709, 9714-9719, 9727-9729, 9823, 9827
9590-9596, 9670-9671, 9673, 9675, 9678-9680, 9684, 9687, 9689-9691, 9695, 9698-9702, 9705, 9708-9709, 9714-9719, 9727-9729
9823, 9827

9731-9732, 9734

C420, C421, C424

9826,9835-9837 9823 9820, 9832-9834, 9940

33011 33012 33041 33042
34000 35011 35012 35013

9840, 9861, 9866, 9867, 9871-9874, 9895-9897, 9910, 9920 9891
9863, 9875, 9876, 9945, 9946
9860, 9930

35021 35031 35022 35023

9801, 9805, 9931

9733, 9742, 9800, 9831, 9870, 9948,

9963, 9964

C420, C421, C424

9827

9050-9055

9140

9740-9741, 9750-9758, 9760-9769, 9950,

9960-9962, 9970, 9975, 9980, 9982-

C760-C768, C809 C420-C424 C770-C779

9987, 9989
excluding 9590-9989, and sometimes 9050-9055, 9140

Site or histology code not within valid range or site code not found in this table.

35041 35043
36010 36020
37000
99999

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GLOSSARY OF CANCER TERMS AGE-ADJUSTED RATES: Rates have been mathematically weighted to allow comparisons of populations with different age distributions. Adjustment is usually made to a standard population. In this report the Census 2000 U.S. standard population is used. AGE-SPECIFIC RATES: Rates are calculated using the number of cases occurring in a specified age group, divided by the population for that age group. AVERAGE ANNUAL RATE: Cases for a given number of years are added together and divided by the numbers of years to give an average annual number. This number of cases is then divided by the population to determine the rate. BENIGN: A growth which generally is not life threatening. BIOPSY: The removal of a sample of tissue to be examined under a microscope to look for cancer cells. CANCER: A harmful growth of cells that if allowed to keep growing will interfere with body function and eventually cause death. Cancer is also known as malignant neoplasm or malignant tumor. CARCINOGEN: A cancer causing substance. CORPUS UTERI: Body of the uterus, in contrast to the cervix. DYSPLASIA: Abnormal development of cells which may precede the development of cancer. GENETIC: Inherited; having to do with cell information passed from parents to children through DNA. HYPERPLASIA: Abnormal growth of cells resulting in the increase in size of a tissue or organ. Hyperplasia may become cancerous. INCIDENCE: New cases of a specific disease occurring in a specified time period, usually expressed as new cases per 100,000 persons per year. IN SITU: The growth, tumor, cancer has not extended beyond the level of tissue in which it began. INVASIVE: The growth extends beyond where it started, into other tissues and organs in the body. LEUKEMIAS: Cancers of the organs that make the blood, bone marrow and lymph. LOCALIZED: Cancer found only in the organ where the cancer started. MALIGNANT: A tumor that is cancerous and has the ability to spread to other parts of the body. METASTASIS: The spread of cancer from one part of the body to another part of the body. MORBIDITY: Illness or disease. MORTALITY: Numbers of deaths occurring in a certain time period usually expressed as number of deaths per 100,000 persons. Mortality data are based on death certificates. NEOPLASM: Any growth, benign or malignant. A tumor.
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ONCOLOGIST: A doctor who specializes in cancer treatment. POLYP: A small, noncancerous growth in the mucous membrane, most commonly found in the colon. PRIMARY CANCER: The organ of the body in which the cancer is thought to have started. RATE: The number of occurrences of a disease in a population in a given time period. RATE RATIO: Comparison of one rate with another to show how many times larger or smaller one is compared to the other. Generally the rate in the population of interest is compared with that of a standard population (for which data are available and published). RISK: An individual’s chance of developing cancer. RISK FACTORS: Factors which increase an individual’s chance of getting cancer. These may genetic, environmental, cultural or behavioral. SCREENING: Tests or examinations done to detect cancer very early, before the person is aware of the cancer or before the person has symptoms. SEER (STATISTICS, EPIDEMIOLOGY AND END RESULTS): A program sponsored by the National Cancer Institute designed to collect very detailed information on cancer occurrence, treatment and outcome in select states and regions in the U.S. SITE: In the cancer field, site refers to a body organ. SITE-SPECIFIC RATE: Rate or risk of developing cancer in a specific site (body organ). STAGE OF DISEASE: The disease (cancer) is categorized by how far the disease has spread. Generally, the terms local, regional, or distant are used. More detailed staging systems are also available specific to the cancer site. SURVIVAL RATE: The proportion of patients alive following diagnosis of cancer at a specific time period after diagnosis. Often expressed as the percent of patients alive after five years or the five year survival rate. TUMOR: A general term used for a growth, malignant or benign. TUMOR REGISTRAR: The person who collects and reports tumor registry information; t hose who have had special training and an examination to become a Certified Tumor Registrars (CTR). TUMOR REGISTRY: A standard system of collecting information on patients with cancer. Benign tumors are usually not entered into the registry.
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CancerGrowthPopulationBodyRate