An Introduction to Dutchess County Comprehensive Cancer Control Initiative

1. An Introduction to Dutchess County Comprehensive Cancer Control Initiative

2. Tom Kean, MPHC-Change

3. Ena Wanliss, MSCenters for Disease Control and Prevention

4. David Momrow, MPHAmerican Cancer Society

5. Kristen Admiraal, MSWNew York State Department of Health

6. An Introduction to Dutchess County Comprehensive Cancer Control Initiative

7. Dutchess County Demographics - Population Growth • 8% growth from 1990 to 2000 • 5% growth from 2000 to 2005 Census, ACS

8. Dutchess County Demographics - Population Characteristics (2005) ACS

9. Dutchess County Demographics - Births and Deaths Dutchess County averages • 3,200 births per year (2001-2004) • 2,200 deaths per year (2000-2003) NYSDOH

10. Average 1,259 deaths per year • Account for more than half of all deaths (57%) • 551 cancer related deaths (25% of all deaths) 1. Diseases of the Heart 2. Malignant Cancers * 3. Cerebrovascular Disease 4. Chronic Lower Respiratory Disease • Average 255 deaths per year Dutchess County Leading Causes of Death - (2001-2003) * 1999-2003 NYSDOH

11. Dutchess County Malignant Cancer Incidence Over Time (1976-2003) NYSDOH

12. Dutchess County Malignant Cancer Mortality Over Time (1976-2003) NYSDOH

13. Malignant Cancer Incidence Rates, By Site (1999-2003) NYSDOH

14. Malignant Cancer Mortality Rates, By Site (1999-2003) NYSDOH

15. Malignant Cancer Rates, All Cancers(1999-2003) NYSDOH

16. Dutchess County Malignant Cancer Average Annual New Cases (1999-2003) Lung & Bronchus 204 Colorectal 234 New Cases N = 1,425 Breast (female) 216 Prostate (male) 234 All Other 610 NYSDOH

17. Dutchess County Malignant Cancer Average Annual Deaths (1999-2003) Lung & Bronchus 151 Colorectal 60 Deaths N = 551 Breast (female) 44 Prostate (male) 60 All Other 236 NYSDOH

18. 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

19. 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

20. Lifestyles that Enhance Health BRFSS

21. Lifestyles that Pose Health Risks BRFSS, Expanded BRFSS, YRBSS, DC Youth Tobacco Survey, DCDOH/CSC Childhood Obesity Study

22. Dutchess County’s Commitment to Comprehensive Cancer Control • C-Change • NYS Comprehensive Cancer Control Plan • County Executive William R. Steinhaus initiative • New York State’s only locally funded cancer initiative

23. 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

24. Dutchess County’s Comprehensive Cancer Control Core Workgroup • American Cancer Society • Dutchess County Department of Health • Dutchess Health 2000 • Healthy Women’s Partnership • Hospice of Dutchess and Ulster Counties • Hudson River Healthcare • NY State Rural Health Association • St. Francis Hospital • Vassar Brothers Medical Center

25. 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

26. Needs Assessment • Review of community’s care system • Quantitative & Qualitative Data Collection • Review of epidemiological data • Qualitative information will provide a rich understanding of our circumstances • Relies on community input

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

28. Needs Assessment Elements • An Epidemiologic Profile • Identification and Evaluation of: • Service Needs Among Affected Populations • Clinical Cancer Providers • Local Supportive Service Cancer Providers

29. 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

30. Next Steps

31. 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 • Children’s 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 Women’s 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

32. 97% had cancer impact your life in some way 29% were familiar with CCCP process 99% indicated interest in participating in this initiative Survey Results

33. Traditional Partners

34. Non-Traditional Partners

35. Non-Traditional Partners

36. 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

37. Non-Traditional Partners

38. Non-Traditional Partners

39. Non-Traditional Partners

40. Non-Traditional Partners

41. Non-Traditional Partners

42. Non-Traditional Partners

43. Please complete the Evaluation and Contact form in your packet – Thank You!

44. Dutchess County Comprehensive Cancer Control website www.cancerfreedutchess.net

45. THANK YOU!!!For attending the2006 Dutchess County Comprehensive Cancer Control Kick Off Event!!!For More Information, Contact:Lisa Cardinale, LMSWSr. Public Health Educator845.486.3565cancerfreedutchess.netlcardinale@co.dutchess.ny.us

46. 2006 Dutchess County Comprehensive Cancer Control Introduction EventLunch is Served – Enjoy!!!

47. Dutchess County Department of Health We are connected to our Community

48. 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_Folder2.jpg • http://www.sosindonesia.com/Portals/0/business%20man%20in%20the%20meeting.jpg • http://www.1stmarinerbank.com/images/Common/Business%20Man%20with%20computer%20presentation.JPG • http://www.vanguard.edu/uploadedImages/MBA/business_woman.jpg • http://www.breastcancernegligence.com/mammogram2.jpg • 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/irco2.jpg • http://www.answerthecall.net/atf/cf/%7B9312E0F5-8AA1-47D4-9199-569C3DF089BE%7D/Food_pantry.jpg • http://www.marthastewart.com/images/content/feature/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/pdeo003059.jpg • http://www.edgehill.ac.uk/Shared/images/img_childcare.jpg • http://members.shaw.ca/calgaryselfhelp/Images/hairdresser.jpg • http://www.smgsi.com/internet/home/goodsam.nsf/(Images)/19694E0AD281AED386257058005A5D8D/$FILE/makeup.jpg • http://www.bhsala.com/princeton/programsAndServices/cancerServices/images/lookGood.jpg • http://www.mobile-review.com/articles/2002/image/plane/airplane.jpg • http://www.coppermine.luchtzak.be/albums/userpics/10001/normal_FOTO_WAW.jpg • http://www.kingstonregionalhealth.org/kingston_hospital/images/clip_image002_001.jpg • http://doctor.website2go.com/images/59141.JPG?s=935790689 • http://www.fdrlibrary.marist.edu/images/wcstat.gif • http://www.vibride.com/images/article/PM/groom%20close%20up%20hiding%20face.jpg • http://us.inmagine.com/168nwm/itstock/itf089/itf089063.jpg • http://naturallycurly2.com/images/reader/1085299272terry-smiling-with-hair-in-face-close-up.JPG • http://us.inmagine.com/168nwm/photoalto/paa106/paa106000064.jpg • http://images.acclaimimages.com/_gallery/_TN/0106-0509-2219-4139_TN.jpg • http://images.jupiterimages.com/common/detail/31/50/23245031.jpg • http://turing.cs.pub.ro/cec-wys/image/Teenager.jpg

49. 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, Children’s Services Council • Childhood Obesity Study 2004, Dutchess County Department of Health & Children’s Services Council