An Introduction to Dutchess County Comprehensive Cancer Control Initiative

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An Introduction to Dutchess County
Comprehensive Cancer Control Initiative
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Tom Kean, MPH C-Change
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Ena Wanliss, MSCenters for Disease Control and
Prevention
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David Momrow, MPHAmerican Cancer Society
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Kristen Admiraal, MSWNew York State Department
of Health
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An Introduction to Dutchess County
Comprehensive Cancer Control Initiative
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Dutchess County Demographics - Population Growth

• 8 growth from 1990 to 2000
• 5 growth from 2000 to 2005

Census, ACS
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Dutchess County Demographics - Population
Characteristics (2005)
ACS
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Dutchess County Demographics - Births and Deaths

• Dutchess County averages
• 3,200 births per year (2001-2004)
• 2,200 deaths per year (2000-2003)

NYSDOH
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Dutchess County Leading Causes of Death -
(2001-2003)
1999-2003
NYSDOH
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Dutchess County Malignant Cancer Incidence Over
Time (1976-2003)
NYSDOH
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Dutchess County Malignant Cancer Mortality Over
Time (1976-2003)
NYSDOH
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Malignant Cancer Incidence Rates, By Site
(1999-2003)
NYSDOH
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Malignant Cancer Mortality Rates, By Site
(1999-2003)
NYSDOH
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Malignant Cancer Rates, All Cancers(1999-2003)
NYSDOH
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Dutchess County Malignant Cancer Average Annual
New Cases (1999-2003)
New Cases M 740 F 685
Lung Bronchus M 112 F 92
Colorectal M 80 F 81
Prostate (male) 234
Breast (female) 216
NYSDOH
Revised 6/29/07
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Dutchess County Malignant Cancer Average Annual
Deaths (1999-2003)
Deaths M 282 F 269
Lung Bronchus M 85 F 66
Colorectal M 27 F 33
Prostate (male) 30
Breast (female) 44
NYSDOH
Revised 6/29/07
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Prevention of Cancer
Many cancer deaths are preventable

• Tobacco Control
• Healthy lifestyles
• Regular screenings
• Reduction of exposure to high risk environmental
  factors
• Increased knowledge of cancer genetics

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Preventive Care
Mammogram in past 2 yrs, ages 40
Sigmoidoscopy or colonoscopy ever, ages 50
Fecal occult blood test in past 2 yrs, ages 50
Routine physical in past 2 yrs, ages 18
BRFSS
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Lifestyles that Enhance Health
BRFSS
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Lifestyles that Pose Health Risks
BRFSS, Expanded BRFSS, YRBSS, DC Youth Tobacco
Survey, DCDOH/CSC Childhood Obesity Study
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Dutchess Countys Commitment to Comprehensive
Cancer Control

• C-Change
• NYS Comprehensive Cancer Control Plan
• County Executive William R. Steinhaus initiative
• New York States only locally funded cancer
  initiative

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DCDOH leads Comprehensive Cancer Control Process

• Identify key community partners
• Establish core workgroup
• Introduce concept of comprehensive cancer control
• Develop elements of community needs assessment

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Dutchess Countys Comprehensive Cancer Control
Core Workgroup

• American Cancer Society
• Dutchess County Department of Health
• Dutchess Health 2000
• Healthy Womens Partnership
• Hospice of Dutchess and Ulster Counties
• Hudson River Healthcare
• NY State Rural Health Association
• St. Francis Hospital
• Vassar Brothers Medical Center

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Short-Term Goals

• Share cancer services information
• Assist in the development of a community needs
  assessment
• Create a plan which will address local cancer
  control issues

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Needs Assessment

• Review of communitys care system
• Quantitative Qualitative Data Collection
• Review of epidemiological data
• Qualitative information will provide a rich
  understanding of our circumstances
• Relies on community input

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Needs Assessment
Description
A snapshot of cancer, cancer services, and cancer
survivors in our community
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Needs Assessment
Elements

• An Epidemiologic Profile
• Identification and Evaluation of
• Service Needs Among Affected Populations
• Clinical Cancer Providers
• Local Supportive Service Cancer Providers

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Needs Assessment
Product

• What trends and issues were identified in the
  assessment?
• What trends and issues should be considered for
  potential planning?
• Where are we now?
• How will we monitor our progress?
• Develop a Plan of Action

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Next Steps
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Who is here today . . .

• AG Edwards
• American Cancer Society
• Benedictine Hospital
• Cancer Awareness Coalition
• Cancer Information Services NCI Memorial Sloan
  Kettering
• Catharine Street Community Center
• Centers for Disease Control and Prevention
• Childrens Media Project
• City of Poughkeepsie
• Dutchess County Executive
• Dutchess County Department of Health
• Dutchess County Office for the Aging
• Dutchess Health 2000
• Dutchess Outreach
• Healthy Womens Partnership

• Hospice of Dutchess and Ulster
• Hudson River Healthcare
• Hudson Valley Business Journal
• Leukemia and Lymphoma Society
• MD Imaging
• Miles of Hope Foundation
• NACCHO
• New York State Breast Cancer Network
• NY State Rural Health Association
• Planned Parenthood
• Poughkeepsie Journal
• St. Francis Hospital
• The Community Foundation of Dutchess County
• Vassar Brothers Medical Center
• Vassar College

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Survey Results

• 97 had cancer impact your life in some way
• 29 were familiar with CCCP process
• 99 indicated interest in participating in this
  initiative

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How You Can Participate in the Dutchess County
Comprehensive Cancer Control Initiative

• Community Based Organizations
• Businesses / Employers
• Fraternal Organizations
• Health Care Providers
• Academia

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Traditional Partners
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Non-Traditional Partners
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Non-Traditional Partners
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CEO Gold Standard

• Focuses on five critical areas, known as The Five
  Pillars
• Tobacco Use Prevention and Reduction  
• Diet and Nutrition
• Physical Activity
• Screening and Early Detection
• Access to Quality Treatment and Clinical Trials
• www.cancergoldstandard.org

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Non-Traditional Partners
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Non-Traditional Partners
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Non-Traditional Partners
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Non-Traditional Partners
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Non-Traditional Partners
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Non-Traditional Partners
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Please complete the Evaluation and Contact form
in your packet Thank You!
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Dutchess County Comprehensive Cancer Control
website
www.cancerfreedutchess.net
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THANK YOU!!!For attending the2006 Dutchess
County Comprehensive Cancer Control Kick Off
Event!!!For More Information, ContactLisa
Cardinale, LMSWSr. Public Health
Educator845.486.3565cancerfreedutchess.netlcar
dinale_at_co.dutchess.ny.us
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2006 Dutchess County Comprehensive Cancer Control
Introduction EventLunch is Served Enjoy!!!
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Dutchess County Department of Health
We are connected to our Community
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All photos used in this presentation were taken
from google images, All photos were selected
to be illustrative and were not to be specific to
an individual, group, agency or any other format.
Below are their perspective addresses

• http//www.bkr.com/Images/public/Stock/BusinessMan
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• http//www.sosindonesia.com/Portals/0/business20m
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• http//www.1stmarinerbank.com/images/Common/Busine
  ss20Man20with20computer20presentation.JPG
• http//www.vanguard.edu/uploadedImages/MBA/busines
  s_woman.jpg
• http//www.breastcancernegligence.com/mammogram2.j
  pg
• http//www.photo.net/photo/pcd1251/taxi-driver-9.4
  .jpg
• http//www.independencecomm.com/images/photos/limo
  _driver.jpg
• http//www.tifaexpress.com/images/limo-driver.jpg
• http//www.nea.gov/features/stories/12-04images/ir
  co2.jpg
• http//www.answerthecall.net/atf/cf/7B9312E0F5-8A
  A1-47D4-9199-569C3DF089BE7D/Food_pantry.jpg
• http//www.marthastewart.com/images/content/featur
  e/0406_edf_weekend_dinner.jpg
• http//www1.istockphoto.com/file_thumbview_approve
  /557862/2/istockphoto_557862_pasta_dinner.jpg
• http//us.inmagine.com/168nwm/photodisc/pdeo003/pd
  eo003059.jpg
• http//www.edgehill.ac.uk/Shared/images/img_childc
  are.jpg
• http//members.shaw.ca/calgaryselfhelp/Images/hair
  dresser.jpg
• http//www.smgsi.com/internet/home/goodsam.nsf/(Im
  ages)/19694E0AD281AED386257058005A5D8D/FILE/makeu
  p.jpg
• http//www.bhsala.com/princeton/programsAndService
  s/cancerServices/images/lookGood.jpg

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Data Sources

• U.S. Census Bureau
• Decennial Census 1990, 2000
• American Community Survey 2005
• Population Estimates 2005
• New York State Department of Health, Bureau of
  Biometrics
• Behavioral Risk Factor Surveillance System
• BRFSS 2003
• Expanded BRFSS 2003
• Youth Risk Behavior Surveillance System (YRBSS)
  2003
• Dutchess County Youth Tobacco Survey 2003,
  Childrens Services Council
• Childhood Obesity Study 2004, Dutchess County
  Department of Health Childrens Services
  Council