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New Hampshire Comprehensive Cancer Control Program (NH CCCP)

May is Bladder Cancer Awareness Month

New Hampshire has the highest occurrence of bladder cancer in the US. Here are the symptoms and risk factors for bladder cancer.


  • Blood in the urine
  • Having to urinate often
  • Pain while urinating
  • Back pain
  • Pelvic pain

If you have any of these symptoms, talk to your doctor.

Risk Factors

  • Drinking water contaminated with arsenic
  • Smoking
  • Having a family history of bladder cancer
  • Having certain gene mutations (unusual changes made when your body’s cells are dividing).
  • Being exposed to too much of certain workplace chemicals Adobe Acrobat Reader Symbol used in processing paint, dye, metal, and petroleum products
  • Taking some kinds of chemotherapy drugs
  • Taking the Chinese herb Aristolochia fangchi
  • Having chronic urinary tract infections (including those caused by Schistosoma haematobium).

What can I do to reduce my risk?

  • If you have your own private well you should get your well tested for Arsenic every 3 years from an accredited lab. Upon receiving the results from the testing visit the DES Be Well Informed Guide web tool to understand the water test results. If the private well has a high level of Arsenic, the web tool will provide information about water treatment choices.
  • Be careful around certain kinds of chemicals
  • Try and quit tobacco by contacting QuitNow-NH. They offer NH residents who want to quit tobacco products access to specially trained Quit Coaches who will help you choose nicotine replacement medicines and offer ways to stop cravings and avoid triggers-at no cost to you! Call 1-800-QUIT-NOW (784-8669) or log on to QuitNow-NH and fill out the enrollment form for a Quit Coach to call back.

Two people holding handsSince 2005 cancer has been the leading cause of death for both males and females in New Hampshire. Between 2009 and 2016 an average of 7,793 new invasive cancers were reported each year1 making it likely that most people have been impacted by cancer by knowing someone who has been diagnosed, undergone treatment, or has survived cancer.

The NH Comprehensive Cancer Collaborative Program (NH CCC) is a CDC-funded program that enables all 50 states, the District of Colombia, seven tribal groups, and seven US Associated Pacific Islands/Territories to:

  • Maintain a state cancer coalition
  • Look at the burden of cancer in New Hampshire
  • Implement proven strategies for cancer control
  • Create cancer plans and put them into action

The NH CCCP works in close partnership with the New Hampshire Comprehensive Cancer Collaboration to develop and implement the NH Comprehensive Cancer Control Plan . The plan contains measurable objectives and evidence based strategies to prevent and control cancer.

The New Hampshire Comprehensive Cancer Collaboration
The NH CCC was established in 2004 to help reduce the burden of cancer in NH. The NH CCC is a dedicated partnership of individuals and organizations committed to eliminating cancer, reducing health disparities, promoting evidence based and promising practices, using a population health approach to maximize their impact. In partnership with the Division of Public Health Services the NH CCC routinely revises and updates their cancer plan. The 2015-2020 plan has three overarching goals:

  • To foster communities and systems that support and reinforce healthy lifestyles
  • To prevent and detect cancer at its earliest stage
  • To optimize quality of life for those affected by cancer
  1. GM Monawar Hosain, New Hampshire State Cancer Report 2009-2013, New Hampshire Department of Health and Human Services, Division of Public Health Services and the New Hampshire State Cancer Registry, 2016. Accessed on April 13, 2017, Adobe Acrobat Reader Symbol.

Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. You can download a free reader from Adobe.

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New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852

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