Georgia Breast and Cervical Cancer Program

1. Georgia Breast and Cervical Cancer Program Developed by Olga Lucia Jimenez, BS State Public Education Senior Manager American Cancer Society Presented by the University of Georgia Cooperative Extension Service

2. What Is Cancer ? • Cancer is the name given to a large number of diseases.

3. Did you know that? • One out of two American men will develop cancer • One out of three American women will develop cancer

4. KNOWN CANCER CAUSES • Smoking causes 87% of all lung cancers and 30% of all cancers • Poor diet and little exercise are related to 30% of all cancers

5. GEORGIA CANCER FACTS • Georgia ranks among 12th in new cancer diagnoses and 26thhighest in cancer mortality among 50 states • 31,000+ Georgians developed cancer • 13,600 Georgians died of Cancer ____________________________ Source: American Cancer Society, Cancer Facts & Figures 2001

6. EVERY DAY IN GEORGIA • 90 people develop cancer • 38 people die from cancer • $2.1 million is spent for cancer care

7. Breast Cancer

8. Breast Cancer Facts • 2nd leading cause of death • 2nd most common cancer • Incidence increases with age • All women are at risk

9. Breast Cancer in USA One out ofeight American women will be diagnosed with breast cancer

10. Breast Cancer in Georgia • It is the most common cancer in Georgia women. • It is the second cause of death. • Every year in Georgia over 5,200 women are diagnosed with this disease • Every year over 1,100 died of breast cancer _________________________________________________________ Sources: Georgia Comprehensive Cancer Registry, 2003

11. Breast Cancer in Georgia Breast Cancer Incidence and Mortality Rates by Race, US (1996-2000) and GA (1999-2000; 1997-2001) Rates are age-adjusted to the 2000 US standard population.

12. Breast Cancer in Georgia Georgia Breast Cancer Incidence and Mortality by Age Group Georgia Breast Cancer Incidence and Mortality by Age Group Rates are age-adjusted to the 2000 US standard population.

13. Breast Cancer Risk Factorsthat cannot be changed Age GENDER - All women are at risk Reproductive History Family/Personal History Menstrual History Race Radiation Treatment with DES Genetic Factors

14. Breast Cancer Risk Factorsthat can be controlled Obesity All women are at risk Not having children Exercise Breastfeeding Birth Control Pills Hormone Replacement Therapy Alcohol

15. A Good Breast Health Plan • Mammograms • Clinical Breast Examination • Self Awareness (Monthly Self Exams)

16. Mammography Average-size lump found by woman practicing occasional breast self-exam (BSE) Average-size lump found by woman practicing regular breast self-exam (BSE) Average-size lump found by first mammogram Average-size lump found by getting regular mammograms

17. Warning Signs Warning signs and symptoms: • Painless lump or thickening • Thickening or swelling that persist • Nipple pain or retraction • Breast skin irritation or dimpling • Spontaneous discharge Early breast cancer may not have symptoms.

18. American Cancer SocietyScreening Recommendations • Annual mammograms, starting at age 40 • Clinical breast exams • every year starting at age 40 • every 3 years for women age 20-39 • Self-breast exams monthly, starting at age 20

19. Surgery Chemotheraphy Radiation Therapy Hormone Theraphy Immunotherapy Breast Cancer Treatments

20. Cervical Cancer

21. What Is Cervical Cancer? It is the growth of cancerous cells in or around the cervix. This type of cancer is one of the few that can be easily detected before it spreads.

22. Who Is More At Risk Of Developing Cervical Cancer? In addition to being a woman, age and race, you are more at risk if: • Had sex before you were 18 years of age • Have had many sexual partners, or having sex with men who have had many partners. • Have had an abnormal Pap smear in the past • Have had sexual transmitted diseases, like Human Papiloma virus, herpes, or HIV/AIDS • Cannot afford a Pap test • Cigarette smoking • A diet that is low in fruits and vegetables

23. Cervical Cancer And The Human Papiloma Virus (HPV) • HPV is the most common sexually transmitted disease. This virus infects normal cells and change them. • It is the risk factor most commonly associated with cervical cancer. • However, scientists believe that there are additional factors that cause cervical cancer.

24. What Are The Symptoms?

25. What You Should Do To Prevent Cervical Cancer? • Delay sex until adulthood • Know your sexual partner • Avoid having multiple sex partners • Use condoms when having sex • Eat more fruits and vegetables • Stop smoking • Have regular Pap tests!

26. 1. Pap Test (Following the American Cancer Society guidelines for screening) 2. Pelvic Exam Cervical Cancer Detection A good prevention plan includes:

27. How Often Should I Have A Pap Test? The American Cancer Society recommends: • All women should begin screening about 3 years after they begin having sex, but not later than when they are 21 years old. • Beginning at age 30, women who have had 3 normal results in a row may get the test every 2-3 years.

28. How Often Should I Have A Pap Test? The American Cancer Society recommends: • Women 70 tears of age or older who have had 3 or more normal test results in a row (and no abnormal test in the last 10 years) may not need to continue having the Pap test. • Women who have had a hysterectomy (removal of the uterus and cervix) for reasons other than having cancer or a precancerous lesion may not need to continue having Pap tests.

29. Cervical Cancer in USA One out of 125 American women will develop cervical cancer in her lifetime

30. Cervical Cancer Facts in Georgia • Cervical cancer is the eigth most common cause of cancer • Every year are over 430 new cases diagnosed • Every year over 130 Georgia women died of this disease _________________________________________________________ Sources: Georgia Comprehensive Cancer Registry, 2003

31. Cervical Cancer in Georgia Cervical Cancer Incidence and Mortality Rates by Race, US (1996-2000) and GA (1999-2000; 1997-2001) Rates are age-adjusted to the 2000 US standard population.

32. Cervical Cancer in Georgia Georgia Cervical Cancer Incidence and Mortality by Age Group Rates are age-adjusted to the 2000 US standard population.

33. Cervical Cancer Treatments • Surgery • Radiation therapy • Chemotherapy

34. ACS Nutrition Guidelines • Eat a variety of healthful foods, with an emphasis on plant sources. • Adopt a physically active lifestyle. • Maintain a healthful weight throughout life. • If you drink alcoholic beverages, limit consumptions.

35. Georgia Breast and Cervical Cancer Program =BreasTEST & MORE (BTM)

36. BreasTEST & More • CDC funded program. • Provides access to no or low-cost screening tests for: • Breast cancer. • Cervical cancer. • Help with some diagnostic procedures and treatment.

37. BreasTEST & More • It is important to know that: • Part of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). • Supported with state and federal funds (CDC). • Every year BTM screens 15,000+

38. BreasTEST & MORE

39. BreasTEST & MORE

40. Who Qualifies for BTM? • Women who • are uninsured • have income at or below 200% of poverty, and are: • are 40 to 64 years of age • are younger than 40, with symptoms highly suspicious of breast • 18 and older or who are sexually active • for cervical cancer

41. How Does It Work? • At the Health Department, • the staff will: • Determine if the woman qualifies for services. • Provide CBE, Pap Tests, Pelvic Exams. • Schedule Mammograms at local facilities. • Make referrals for diagnostic work-up and treatment as needed. • Provide case management. • Assist women with application for WHMP

42. Why Get Screened? • Breast cancer diagnosed and treated at a local stage the 5-year survival rate is 97%! • Pre-cancerous cervical lesions or early cervical cancer have a survival rate of almost 100%! Routine screening can prevent approximately 15-30% of all deaths from breast cancer among women 40 & older, and virtually ALL deaths from cervical cancer.

43. Women’s Health Medicaid Program(WHMP) • Funded by the National Breast and Cervical Cancer Prevention and Treatment Act of 2000 with matching funds appropriated by the state. • A partnership of the Georgia Department of Human Resources and the Georgia Department of Community Health.

44. Women’s Health Medicaid ProgramWho Qualifies? • Women eligible for the Georgia Breast and Cervical Cancer Program (BCCP) • 18 – 64 years of age • At or below 200% of the Federal Poverty Level. • Uninsured. • Georgia residents who are U.S. citizens or qualified aliens who meet the eligibility requirements of the BTM

45. Who Qualifies? - continued • Women diagnosed with breast or cervical cancer or cervical pre-cancer (CIN II and CIN III). • Women screened by BCCP or any other provider.

46. What Is The Process? • County health departments and private BCCP providers • inform women about WHMP • determine BCCP eligibility • help women complete the presumptive eligibility form for Medicaid.

47. What Services Are Provided by WHMP? • Eligible women receive full service Medicaid, including: • Cancer treatment • Treatment for other illnesses • Transportation • Case Management. Full benefits end when cancer treatment is completed

48. American Cancer Society Mission The American Cancer Society is the nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives and diminishing suffering from cancer, through research, education, advocacy, and service.

49. American Cancer SocietySouth Atlantic Division, Inc. Programs • Quality of Life • Information & Referral via 1-800-ACS-2345 • Reach to Recovery • Prevention and Early Detection • CDC Breast & Cervical Cancer Program • Tell A Friend • Relay for Life – A Celebration of Survivorship

50. American Cancer SocietySouthAtlantic Division, Inc. Programs (Cont.) • Advocacy • Community Development Project Grants • Information & Referral Resources • 1-800-ACS-2345 (Links to Southeast Patient Navigation Center for Delivery of Services) • www.cancer.org (Links to Cancer Survivors Network)