Cancer Across the Islands ( Counties )
• Annually , Honolulu County , including all of O ‘ ahu , accounts for the majority of newly diagnosed cancer cases ( 70 %, or 4,891 ), followed by Hawai ‘ i County ( 14 %, or 977 cases ), Maui County ( including Maui , Moloka ‘ i & Lāna ‘ i ) ( 11 %, or 797 cases ), and Kaua ‘ i County ( 5 %, or 343 cases ).
• Each year , residents of Honolulu County account for the most cancer deaths ( 68 %, or 1,593 ), followed by Hawai ‘ i County ( 16 %, or 366 deaths ), Maui County ( 11 %, or 266 deaths ), and Kaua ‘ i County ( 5 %, or 123 deaths ).
• Overall cancer incidence rates were highest in Honolulu County ( 419 per 100,000 ), followed by Maui County ( 402 per 100,000 ); incidence rates in Hawai ‘ i County ( 374 per 100,000 ) and Kaua ‘ i County ( 369 per 100,000 ) were sta�s�cally comparable .
• Overall cancer mortality rates were higher in Hawai ‘ i County ( 138 per 100,000 ) compared to Honolulu County ( 128 per 100,000 ); mortality in Maui County ( 134 per 100,000 ) and Kaua ‘ i County ( 129 per 100,000 ) were sta�s�cally comparable to both Honolulu and Hawai ‘ i Coun�es .
• Melanoma of the skin incidence was highest in Maui County followed by Hawai ‘ i County , both of which exceeded statewide rates . Melanoma mortality in Hawai ‘ i County was higher than that of Honolulu County .
• Colon & rectum cancer incidence was lower in Hawai ‘ i County compared to statewide rates and rates in Honolulu and Maui Coun�es .
• Breast cancer incidence was higher in Honolulu County compared to Kaua ‘ i County .
• Lung & bronchus cancer incidence among males was higher in Honolulu County compared to Hawai ‘ i and Maui Coun�es .
• Prostate cancer incidence was highest in Honolulu and Kaua ‘ i Coun�es .
• Thyroid cancer incidence was highest in Honolulu and Maui Coun�es .
County
Table 4 . Average Annual Number of Cancer Cases and Deaths , by County , Hawai ‘ i , 2012-2016
All Sites Breast ( Female ) Prostate Colon & Rectum Lung & Bronchus Cases Deaths Cases Deaths Cases Deaths Cases Deaths Cases Deaths
Honolulu 4,891 1,593 836 98 545 72 509 152 573 380
Hawai ‘ i 977 366 166 23 74 16 89 33 116 78
Maui 797 266 132 20 61 12 84 27 89 57
Kauai 343 123 56 < 10 46 < 10 34 13 37 26
Source : Hawai ‘ i Tumor Registry , University of Hawai ‘ i Cancer Center Cancer cases and deaths include invasive cancers except for bladder cancer , which includes both invasive and in situ tumors . Excludes 9 cases with unknown county of residence . Annual average numbers are rounded and may not add up to the rounded total . Maui County includes Maui , Molokai , and Lanai . HAWAI ‘ I CANCER AT A GLANCE 2012-2016 Page 6