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9A THE DAILY ASTORIAN • WEDNESDAY, JANUARY 25, 2017 Dying from cancer: Could your location determine your fate? By LINDSEY TANNER Associated Press CHICAGO — Americans in certain struggling parts of the country are dying from can- cer at rising rates, even as the cancer death rate nationwide continues to fall, an exhaustive new analysis has found. In parts of the country that are relatively poor, and have higher rates of obesity and smoking, cancer death rates rose nearly 50 percent, while wealthier pockets of the coun- try saw death rates fall by nearly half. Better screening and treat- ment have contributed to the improvement in the nation as a whole — but the study under- scores that not all Americans have benefited from these advances. “We are going in the wrong direction,” said Ali Mokdad, the study’s lead author and a professor at the University of Washington’s Institute for Health Metrics and Evaluation. “We should be going forward, not backward.” Stark differences Stark differences in regional cancer death rates have been found in previous research, but this one stands out for pro- viding detailed estimates for deaths from nearly 30 types of cancer in all 3,100 U.S. coun- ties over 35 years. From 1980 to 2014, the U.S. death rate per 100,000 people for all cancers com- bined dropped from about 240 to 192 — a 20 percent decline. More than 19 million Ameri- cans died from cancer during that time, the study found. The picture was rosiest the Colorado ski country, where cancer deaths per 100,000 res- idents dropped by almost half, from 130 in 1980 to just 70 in 2014; and bleakest in some eastern Kentucky counties, where they soared by up to 45 percent. “We all know this is unac- ceptable … in a country that spends more than anybody else on health,” Mokdad said. The Affordable Care Act took effect in the study’s final years and emphasized preven- tion services including no-cost screenings for breast, colorec- tal and cervical cancers. Any resulting benefits wouldn’t be evident in the latest results, since cancer takes years to develop. It’s unknown whether similar coverage will be part of the replacement system the Trump administration and con- gressional Republicans are seeking. An editorial published with the study by Stephanie Wheeler, a University of North Carolina health policy special- ist and Dr. Ethan Basch, a Uni- versity of North Carolina can- cer specialist, notes that many areas with the highest cancer death rates also strongly sup- ported Donald Trump, “raising hopes that future policies devel- oped by the incoming adminis- tration will provide resources” for these communities. Researchers estimated county death rates using U.S. government death records and U.S. Census Bureau data. Results were published Tues- day in the Journal of the Amer- ican Medical Association. Better understanding Ahmedin Jemal, an Ameri- can Cancer Society researcher, said better understanding vari- ations in cancer death rates will help target cancer prevention and control. Among the more striking disparities: —In counties with the high- est 2014 cancer death rates, six of the top 10 were in eastern Kentucky. Six of the 10 low- est rates were in the Colorado Rockies. —For lung cancer deaths, four of the five counties with the highest 2014 rates were in eastern Kentucky, with rates extremely effective, “almost nobody should die of testicular cancer,” Murray said. The poor showing for east- ern Kentucky contrasts with wealthier parts of the state and “is tremendously troubling,” said Ben Chandler, presi- dent of the Foundation for a Healthy Kentucky , a nonpar- tisan group that funds health policy research and advocacy. Chandler cited poor access to health care and high smok- ing rates and said the dispari- ties highlight a need for state- wide smoke-free laws. The foundation funded a study that found that Kentucky’s 2014 Medicaid expansion under the Affordable Care Act covered costs for many cancer-related preventive health measures including mammograms and colon cancer screenings. How that expanded access will fare under with the health care law’s expected repeal “has been of great concern to us,” Chandler said. up to 80 percent higher than in 1980. Three of the five coun- ties with the lowest 2014 rates were in the Colorado Rockies, where rates dropped by up to 60 percent. —Death rates for breast and colorectal cancers increased in Madison County, Missis- sippi, and in 2014 were at least five times higher there than in Summit County, Colorado, where the rates fell. These are among cancers that can be suc- cessfully treated if detected early. Smoking, obesity, physi- cal activity and income explain many of the disparities, said study co-author Dr. Christo- pher Murray, also at the Uni- versity of Washington. But the study also raises questions. For example, rel- atively high rates of testicu- lar cancer were found in parts of Southern California and far southern Texas for reasons that are unclear. Since treat- ments for this rare cancer are Oscars go gaga for ‘La La Land’ with record-tying 14 nominations Musical a hit with viewers and critics By JAKE COYLE Associated Press The candy-colored love let- ter to musicals “La La Land” landed a record-tying 14 Acad- emy Award nominations on Tuesday, while a notably more diverse field of nominees brushed off two straight years of “OscarsSoWhite” backlash. “La La Land” matched “Titanic” and “All About Eve” for most nominations ever, earning nods for best picture, stars Emma Stone and Ryan Gosling, its jazz-infused songs and its 32-year-old writer-direc- tor, Damien Chazelle. In stark contrast to the last two years of all-white acting nominees, seven actors of color were nominated out of the 20 actors. A record six black actors were nominated (“Fences” stars Denzel Washington and Viola 100 Employment Information *ATTENTION READERS * Readers respond to mail/phone order ads at their own risk. If in doubt about a particular offer, check with the Better Business Bureau or U.S. Postal Service before sending any money. The Daily Astorian ASSUMES NO LIABILITY FOR MAIL ORDER ADVERTISERS. ERROR AND CANCELLATIONS Please read your ad on the first day. If you see an error, The Daily Astorian will gladly re-run your ad correctly. We accept responsibility for the first incorrect insertion, and then only to the extent of a cor- rected insertion or refund of the price paid. To cancel or correct an ad, call 503-325-3211 or 1-800- 781-3211. 105 Business-Sales Op Be an Astoria Carrier! $100 Signing Bonus! The Daily Astorian is currently seeking independent contractors to deliver its paper and related products in the Astoria Oregon area. Interested individuals must have valid drivers license, reliable vehicle, and insurance. Routes are Monday through Friday afternoons. There are no collections or weekend deliveries. Please come in person to The Daily Astorian office at 949 Exchange St, Astoria OR 97103 to pick up more information. Davis, Mahershala Ali and Naomie Harris of “Moonlight,” Ruth Negga of “Loving” and Octavia Spencer of “Hidden Figures”), as was Dev Patel, the British-Indian star of “Lion.” A trio of acclaimed films led the overhaul, foremost among them Barry Jenkins’ luminous coming-of-age portrait “Moon- light.” Its eight nominations, including best picture, tied for the second most nods. Denzel Washington’s fiery August Wil- son adaptation “Fences” and Theodore Melfi’s crowd-pleas- ing African American mathe- matician drama, “Hidden Fig- ures,” were also showered with nominations, including best picture. Jenkins, who was nomi- nated for directing and adapted screenplay, said the nomina- tions for “Moonlight” and other films showed that people were eager to put themselves in the shoes of others. “I love the American film industry and to see it this year, I feel, really reflect the world that we all live and work in, it 120 Money to Lend NOTICE TO CONSUMERS The Federal Trade Commission prohibits telemarketers from asking for or receiving payment before they deliver credit repair services, advance fee loans and credit, and recovery services. If you are asked to render payment before receiving any of the preceding services, please contact the Federal Trade Commission at: 1-877-382-4357 Dale Robinette/Lionsgate Ryan Gosling, right, and Emma Stone in a scene from, “La La Land.” The film was nominated for an Oscar for best picture on Tuesday. The 89th Academy Awards will take place on Feb. 26. gives me hope,” Jenkins said by phone from Amsterdam. Best picture Nine films out of a pos- sible ten were nominated for best picture. The others were: Denis Villeneuve’s cerebral alien thriller “Arrival,” Ken- neth Lonergan’s New England 210 Apartments, Unfurnished Brand new studio apartment. Refrigerator, stove, microwave, granite counter top, Direct TV. $685/mo. NO SMOKING. 503- 791-2228 150 Homes for Sale PUBLISHER'S NOTICE EQUAL HOUSING OPPORTUNITY All real estate advertising in this newspaper is subject to the Fair Housing Act which makes it illegal to advertise "Any preference, limitation or discrimination based on race, color, religion, sex, handicap, familial status, or national origin, or an intention to make any such preference, limitation or discrimination." Familial status includes children under the age of 18 living with parents or legal custodians; pregnant women and people securing custody of children under 18. This newspaper will not knowingly accept any advertising for real estate which is in violation of the law. Our readers are hereby informed that all dwellings advertised in this newspaper are available on an equal opportunity basis. To complain of discrimination call HUD at 1(800)669-9777. The toll free telephone number for the hearing impaired is 1(800)927-9275. Brand New Units, near Costco Warrenton. 2 bedroom/2 bath $1150/mo. Call 541-921-8807 or jvb.management.llc@gmail.com For Rent: Studio Apartment in Warrenton $525/Month Call Mary at Astoria Coast, Inc 503-325-9093 230 Houses, Unfurnished For all our available rentals. CPSMANAGEMENT.COM (503)738-5488/ (888)916-RENT w w w .d ailyasto rian .co m 3-day garage sale Thursday, Friday and Saturday (Jan 26th-28th) 10am-4pm. antiques, collectibles, christmas decor, new costume jewelry, much more. 1889 SE 3rd Street, Astoria LIVE OUTSIDE ASTORIA? To place your ad in the Daily Astorian Classifieds, simply dial: 1-800-781-3211 Itʼs fast and itʼs toll free! CRYPTOQUIP 560 Trucks 1987 Ford 250 XLT diesel, one owner. $5,000/OBO. 503-440- 4658 585 Antique-Classic Cars Astoria Automotive Swap Meet Vendors Wanted Clatsop Fairgrounds Saturday, March 11th 8am-2pm Contact Fred at 503-325-8437-evenings 1-800-220-0792-days or Rod 971-219-5517 Specialty Services We urge you to patronize the local professionals advertising in The Daily Astorian Specialty Services. To place your Specialty Services ad, call 325-3211. DO YOU BELIEVE in magic? Place an ad in the classifieds and watch the item you want to sell turn into instant cash! If You Live In Seaside or Cannon Beach 325-3211 Home share: 1 furnished bedroom, $650. First/last month, $300 security deposit. No pets/smoking. (503)338-0703 Daily Astorian Classified Ad DUST off the old pool table and sell it with a classified ad. FREE WOODEN PALLETS Available for pick up at The Daily Astorian loading dock. 949 Exchange St, Astoria NOTICE TO CONSUMERS Oregon Firewood Law requires advertisements quote a price and also express quantity in units of a cord or fractional part of a cord. Ads must also identify the species of wood and whether the wood is unseasoned (green) or dry. 375 Misc for Sale If you want results... 74% of Clatsop County Residents read The Daily Astorian and rated Classifieds #1 for the most read section!! (From 2010 Astoria Market Study, by Marshall Marketing & Communications, Inc. Pittsburgh, PA) (503)325-3211 ext. 231 or (800)781-3211 classifieds@dailyastorian.com www.dailyastorian.com 470 Feed-Hay-Grain HALE FOR SALE 65lb bales, $7 each. Call 503-338-8145 for information. Best actors Best actor favorites Wash- ington, Gosling and Casey Affleck (“Manchester by the Sea”) were joined by Garfield and Viggo Mortensen (“Captain Fantastic”). Along with Ali and Patel, the best supporting actor nominees are Lucas Hedges (“Manchester by the Sea”), Michael Shannon (“Noctur- nal Animals”) and Jeff Bridges (“Hell or High Water”). Viola Davis, the supporting actress front-runner for her per- formance in “Fences,” notched the expected nomination. Also up for the category are Har- ris, Spencer, Nicole Kidman (“Lion”) and Michelle Williams (“Manchester by the Sea”). BUDGE T AD $ P lace yo u r ad to d ay | w w w .d ailyasto rian .co m 4 drawer file cabinet 52”tall X15”w X26” deep. $20 Small table 35”X19”wide adjustable height. $20 Sears Craftsman 3.0 10” blade table saw, attached with wheels. $150 (503)325-9711 WE DELIVER! Please leave a light on or install motion detector lights to make your carrierʼs job easier. Thanks! THE DAILY ASTORIAN coa st weekend Y ou r loca l gu ide to A rt, En terta in m en t, Food & Fu n DIAL 250 Home Share, Rooms &Roommate 340 Fuel & Wood GARAGE SALES family drama “Manchester by the Sea,” the West Texas heist thriller “Hell or High Water,” the “Lion,” and Mel Gibson’s World War II drama “Hacksaw Ridge.” The biggest surprise of the morning was the strong boost of support for Gibson, who had long been shunned in Hol- landed her 20th nomination. Her performance in “Florence Foster Jenkins” was among the best actress nominees that included Stone, Natalie Port- man (“Jackie”), Ruth Negga (“Loving”) and Isabelle Hup- pert (“Elle”). Also left out was Annette Bening for “20th Cen- tury Women.” lywood since an anti-Semitic tirade while being arrested for drunk driving in 2006 and a 2011 conviction for domestic violence. Along with the best picture nod, Gibson scored an unexpected best director nom- ination. Gibson, whose ninth child was born Friday, said in a statement that nothing was more exciting than hearing the nominations read while holding my newborn son.” Andrew Garfield, who was nominated for best actor for his performance in “Hacksaw Ridge,” said Gibson deserved the moment. “I think finally people are remembering who Mel actually is, not what the tabloids (said),” said Garfield by phone. “I’m so, so proud of him.” “Arrival” tied “Moonlight” for the second most nominees with eight nods. Yet its five-time nominated star, Amy Adams, was left out of the competitive best actress category. 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Call Mike 503-836-7859 Terry Marshall Bookkeeping Service (503)298-0750 •Payables •Receivables •Payroll •Quarterly Reporting Oregon Construction Contractor's Law requires that all those who advertise remodeling, repair or construction services be registered with the Construction Contractor's Board. Registration means contractors have bonds and insurance on the job site. For your protection, be sure any construction contractors you hire are registered. If they are not, or if you are a contractor who wishes to register, call Construction Contractor's Board in Salem, OR 1-503-378-4621.