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31 Chronic isease Chronic disease refers to diseases that are long-lasting in nature (including cancer, type II diabetes, heart disease, and stroke) and is one of the biggest causes of poor health. Although genetics and other factors contribute to the development of chronic health conditions, individual behaviors play a major role. In 2013, nearly 50 million dollars was spent on cardiovascular and circulatory disease inpatient visits in Orange County. Figure 22 shows the percent of survey respondents who have been told by a health care provider that they have a chronic disease. Cancer While there hasn’t been a change in the overall cancer rate, Orange County has seen increases in prostate cancer, colorectal cancer, and female breast cancer. According to the National Cancer Institute, it is estimated that nearly 80% of cancers are due to factors that can potentially be controlled to reduce cancer risk. Controllable factors that contribute to the development of cancer include tobacco and alcohol use, poor nutrition, unhealthy weight, physical inactivity, and exposure to radiation. 52% of all deaths in Orange County are caused by cancer, diseases of the heart, or chronic respiratory diseases. Orange County has a lower age-adjusted cancer death rate than NC averages in all categories except for breast cancer (22.1 vs. 21.7 per 100,000 people)48. Cancer remains the top cause of death in the County. Trachea, bronchus, and lung cancers are the most common in both men and women. In 2012, 536 cancer cases were reported for Orange County residents. In 2013 Orange County had a cancer death rate of 27.7%, compared to 22.3% in NC with a breakdown shown in figure 23. 5% 26%25% 6%6% 12% 16% Heart DiseaseHigh blood pressure High cholesterol DiabetesOsteoporosisCancerAsthma Figure 22: I have been told by a doctor that I have..... Figure 23: