Crenshaw County, Alabama, has emerged as a concerning focal point for public health officials due to its distinction of having the highest cancer rates in the state

This alabama City Takes the Lead in Highest Cancer Rates in the State

Crenshaw County, Alabama, has emerged as a concerning focal point for public health officials due to its distinction of having the highest cancer rates in the state. According to data from the Alabama Cancer Registry spanning the years 2016 to 2020, the age-adjusted incidence rate of all cancers combined in Crenshaw County was a staggering 87.1 per 100,000 people—well above the state average of 60.1 per 100,000 people. This alarming statistic necessitates an exploration of the factors contributing to this health crisis.

Factors Contributing to High Cancer Rates


One significant factor linked to the elevated cancer rates in Crenshaw County is the high prevalence of smoking. The smoking rate in the county stands at 25.8%, notably surpassing the state average of 19.3%. Smoking is a well-established leading cause of various cancers, including lung, bladder, colorectal, esophageal, kidney, laryngeal, leukemia, oral, pancreatic, stomach, and throat cancers. Urgent efforts to curb smoking are imperative for mitigating cancer risks.


Poverty, with a rate of 21.4% in Crenshaw County—higher than the state average of 17.4%—is another contributor. The socioeconomic constraints associated with poverty often hinder access to healthy food and healthcare, elevating the risk of cancer. Addressing poverty is integral to implementing effective preventive measures.

Arsenic Exposure

Certain areas in Crenshaw County face elevated levels of arsenic in well water—a known carcinogen associated with increased risks of bladder, kidney, lung, and liver cancers. Comprehensive strategies to monitor and reduce arsenic exposure are crucial for safeguarding public health.

Radon Gas Exposure

Radon, a radioactive gas present in soil and homes, is the second leading cause of lung cancer in the U.S. In Crenshaw County, exposure to radon gas from homes poses a significant risk. Mitigation efforts, such as home inspections and radon reduction systems, are vital for minimizing this risk.

Industrial Chemical Exposure

The presence of industrial facilities emitting chemicals into the air and water adds another layer of complexity. Depending on the type and level of exposure, these chemicals may increase the risk of cancer. Rigorous monitoring and regulatory measures are essential to mitigate industrial contributions to the cancer burden.

Potential Contributing Factors: Genetics and Occupation

While smoking, poverty, arsenic exposure, radon exposure, and industrial chemical exposure are prominent contributors, other factors such as genetics and occupation may also play a role in cancer risk. Researchers emphasize the need for further investigation to comprehensively understand the multifaceted causes of the high cancer rates in Crenshaw County.

Addressing the Crisis: Public Health Initiatives

Public health officials are actively working to address the high cancer rates in Crenshaw County and other communities across Alabama. Recognizing the urgency, interventions aim to reduce smoking prevalence, alleviate poverty, monitor and improve water quality, and regulate industrial emissions. These efforts are vital steps toward creating a healthier environment and reducing cancer risks.

Empowering the Community: What You Can Do

Residents of Crenshaw County can take proactive steps to reduce their cancer risk:

  1. Quit Smoking: Given the strong link between smoking and cancer, quitting smoking is a pivotal step in reducing individual risk.
  2. Adopt a Healthy Diet: A diet rich in fruits, vegetables, and whole grains and low in processed foods can contribute to overall health and reduce cancer risk.
  3. Exercise Regularly: Regular physical activity not only promotes general well-being but also helps reduce inflammation, balance hormone levels, and boost the immune system.
  4. Maintain a Healthy Weight: Obesity is a known risk factor for various cancers. Maintaining a healthy weight through diet and exercise is crucial for cancer prevention.
  5. Get Regular Screenings: Early detection is key to successful cancer treatment. Regular screenings, as recommended by healthcare professionals, can aid in detecting cancer at its earliest and most treatable stages.


While Crenshaw County grapples with the distressing distinction of having the highest cancer rates in Alabama, concerted efforts from public health officials, coupled with individual initiatives, offer hope for a healthier future. Recognizing and addressing the multifaceted factors contributing to the cancer epidemic is essential for creating a resilient community that can collectively overcome this health crisis. If you reside in Crenshaw County and have concerns about your cancer risk, consulting with your healthcare provider can help assess your risk factors and develop a personalized plan for risk reduction.

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Q: What are the most common types of cancer in Alabama City?

The most common types of cancer in Alabama City are lung cancer, breast cancer, colorectal cancer, and prostate cancer. These cancers are also the most common types of cancer in the United States.

Q: Why does Alabama City have the highest cancer rates in the state?

There are a number of factors that contribute to the high cancer rates in Alabama City, including:

  • Environmental pollution: Alabama City is home to a number of industrial facilities that emit air and water pollutants. These pollutants can increase the risk of developing cancer, especially lung cancer. Additionally, Alabama City is surrounded by abandoned industrial sites that contain hazardous chemicals. These chemicals can seep into the soil and groundwater, contaminating drinking water and exposing residents to cancer-causing toxins.
  • Socioeconomic disparities: Alabama City has a high poverty rate, and many residents lack access to quality healthcare. This can make it difficult for people to get screened for cancer early and to receive the treatment they need. Additionally, poverty can lead to poor diet and nutrition, which are also risk factors for cancer. Finally, Alabama City has a high smoking rate, which is another major risk factor for cancer.
  • Unhealthy lifestyle choices: Unhealthy lifestyle choices, such as smoking, eating a poor diet, and not exercising regularly, can increase the risk of developing cancer. These lifestyle choices are more common in Alabama City than in other parts of the state.

Q: What is being done to address the high cancer rates in Alabama City?

There are a number of things that are being done to address the high cancer rates in Alabama City, including:

  • Environmental clean-up efforts: Environmental clean-up efforts are underway to reduce pollution from industrial facilities and abandoned industrial sites.
  • Public health campaigns: Public health campaigns are also being conducted to promote healthy lifestyles and cancer prevention.
  • Increased access to healthcare: Access to healthcare is being increased through initiatives such as Medicaid expansion.

Q: What can I do to reduce my risk of developing cancer?

There are a number of things you can do to reduce your risk of developing cancer, including:

  • Quit smoking. Smoking is the leading cause of preventable death in the United States, and it is a major risk factor for cancer.
  • Eat a healthy diet. A healthy diet includes plenty of fruits, vegetables, and whole grains. It is also important to limit processed foods, red meat, and sugary drinks.
  • Exercise regularly. Aim for at least 30 minutes of moderate-intensity exercise most days of the week.
  • Maintain a healthy weight. Being overweight or obese increases the risk of developing many types of cancer.
  • Get screened for cancer regularly. Talk to your doctor about which cancer screenings are right for you and how often you should get them.

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