House Resolution 105 - Introduced HOUSE RESOLUTION NO. 105 BY MADISON , ANDREWS , YOUNG , KURTH , ABDUL-SAMAD , BUCK , LEVIN , WESSEL-KROESCHELL , GUSTOFF , SRINIVAS , JENEARY , GERHOLD , KNIFF MCCULLA , JACOBY , ZABNER , WILBURN , and WILSON A Resolution designating November 2024 as Lung Cancer 1 Awareness Month. 2 WHEREAS, in 1904, Dr. Edward Livingston Trudeau, 3 a public health pioneer, believing that the combined 4 efforts of physicians and laypersons working together 5 against death and disease, could be more effective in 6 the fight against tuberculosis, the leading cause of 7 death in the United States at the time, co-founded 8 the National Association for the Study and Prevention 9 of Tuberculosis, later known as the American Lung 10 Association; and 11 WHEREAS, the American Lung Association, recognizing 12 the importance of education, advocacy, and the funding 13 of research, as well as the power of people and 14 communities in addressing critical public health 15 and lung health issues, was instrumental in largely 16 controlling tuberculosis in the United States; and 17 WHEREAS, just as tuberculosis was a great health 18 threat in the early 20th century, lung cancer is now 19 the number one cancer killer of both men and women; and 20 WHEREAS, in the United States, lung and bronchus 21 (lung) cancer accounted for an estimated 127,000 deaths 22 or 20 percent of all cancer deaths, and represented 23 approximately 12 percent of all new cancer cases in 24 2023; and 25 -1- LSB 5117YH (8) 90 pf/ko 1/ 4

H.R. 105 WHEREAS, approximately 1 in 16 men and 1 in 17 1 women will be diagnosed with lung cancer in their 2 lifetime; and 3 WHEREAS, lung cancer claims approximately the same 4 number of lives annually as prostate, breast, and 5 pancreatic cancer combined; and 6 WHEREAS, an estimated 6,310 Iowans died from lung 7 cancer and an estimated 20,460 Iowans were newly 8 diagnosed with lung cancer in 2023; and 9 WHEREAS, lung cancer has one of the lowest five-year 10 survival rates with a five-year relative survival rate 11 of approximately 63 percent following a diagnosis 12 of localized or stage 1 lung cancer, 35 percent 13 following a diagnosis of regional lung cancer that 14 has spread to regional lymph nodes, and 8 percent 15 following a diagnosis of distant lung cancer that has 16 metastasized, making early detection the key to length 17 of survival; and 18 WHEREAS, while the rate of lung cancer death is 19 higher for men than women, lung cancer is the leading 20 cause of cancer deaths among women, Black Americans, 21 and Asian Americans; and 22 WHEREAS, while smoking is the leading risk factor 23 for lung cancer accounting for 80 percent of lung 24 cancer deaths, those who never smoked account for the 25 remaining 20 percent, and the proportion of lung cancer 26 diagnosed in individuals who never smoked is increasing 27 in the United States with women who never smoked being 28 more than twice as likely to develop lung cancer as men 29 who never smoked; and 30 -2- LSB 5117YH (8) 90 pf/ko 2/ 4

H.R. 105 WHEREAS, while other leading risk factors of lung 1 cancer include secondhand smoke, asbestos, certain 2 metals and organic materials, radiation, air pollution, 3 and diesel exhaust, family history and genetic factors 4 may also play a role in the development of lung 5 cancer; and 6 WHEREAS, funding for lung cancer research falls far 7 behind funding for research of many other cancers, 8 and additional research is needed in early diagnosis, 9 screening, and treatment of lung cancer as well as to 10 determine the unique impact of lung cancer on women 11 and the effect of health disparities on diagnosis, 12 treatment, and survival rates; and 13 WHEREAS, approximately 8 million Americans are at 14 high risk for lung cancer and early detection for these 15 individuals could reduce mortality by up to 20 percent, 16 but only approximately 5.7 percent of these individuals 17 are actually screened; and 18 WHEREAS, in 2024 as the American Lung Association, 19 the oldest American voluntary health organization, 20 marks its 120th anniversary of being at the forefront 21 of improving public health and championing lung health 22 by focusing on four strategic imperatives: to defeat 23 lung cancer, create a tobacco-free future, champion 24 clean air for all, and improve the quality of life for 25 those living with lung disease; NOW THEREFORE, 26 BE IT RESOLVED BY THE HOUSE OF REPRESENTATIVES, 27 That the House of Representatives designates the month 28 of November 2024 as Lung Cancer Awareness Month and 29 encourages the citizens of Iowa to speak with their 30 -3- LSB 5117YH (8) 90 pf/ko 3/ 4

H.R. 105 doctors and other health care providers to learn more 1 about lung cancer; and encourages the citizens of Iowa, 2 government agencies, private businesses, nonprofit 3 organizations, the media, and other interested entities 4 to increase awareness about what Iowans can do to 5 prevent, detect, and treat lung cancer. 6 -4- LSB 5117YH (8) 90 pf/ko 4/ 4