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The Burden of Cancer and an Action Plan for Change in Monroe County January 2013. Byron Kennedy, MD, PhD, MPH Deputy Director of Health Monroe County, NY. 2007-2009. 2004-2006. Leading Causes of Death Percentage of all Deaths, Monroe County. Source: Vital Records, MCDPH.
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The Burden of Cancer and an Action Plan for Change inMonroe CountyJanuary 2013 Byron Kennedy, MD, PhD, MPH Deputy Director of Health Monroe County, NY
2007-2009 2004-2006 Leading Causes of DeathPercentage of all Deaths, Monroe County Source: Vital Records, MCDPH
Cancer and Heart Disease: Number of DeathsMonroe County, 1994-2010 Source: Vital Records, MCDPH
Cancer Mortality5 Year Average Annual Age Adjusted RatesMonroe County 1976-2009 Source: Cancer Registry, 2005-2009, NYSDOH
Cancer Incidence5 Year Average Annual Age Adjusted RatesMonroe County 1976-2009 Source: Cancer Registry, 2005-2009, NYSDOH
Deaths Due to Cancer & New Cancer DiagnosesAverage Annual NumbersMonroe County, 2005-2009 1,504 deaths 4,252 new cases Source: Cancer Registry, 2005-2009, NYSDOH
Leading Causes of Cancer DeathsAverage annual Number of deaths, 2005-2009 Lung - 416 Colorectal – 132 Pancreatic – 104 Breast – 103 Prostate - 69 Source: Cancer Registry, 2005-2009, NYSDOH
Premature Death from Cancer:Years of Potential Life Lost Before Age 75 (YPLL)Monroe County, 2007-2009 Source: Vital Records, MCDPH
Cancer Risk Behaviors and ScreeningMonroe County, 2006 Source: Monroe County Adult Health Survey, 2006
Mammography RatesManaged Care, 2011 The percentage of women between the ages of 40 and 69 who had a mammogram during the measurement year or the year prior. Source: Managed Care Performance Report, 2012, , data from 2011
Pap SmearManaged Care, 2011 The percentage of women between the ages of 24 and 64 who had a Pap test within the measurement year or the two years prior Source: Managed Care Performance Report, 2012, , data from 2011
Colorectal Cancer ScreeningManaged Care, 2011 The percentage of adults, ages 50 to 75 years, who had appropriate screening for colorectal cancer. Source: Managed Care Performance Report, 2012, , data from 2011
There is no limit to what we can accomplish as long as no one gets the credit. Action Plan To Reduce the Burden of Cancer in Monroe County
About the Plan • Started with NYS Cancer Control Plan as the Foundation • Committee identified priority areas • The plan is a starting point for addressing cancer burden • Four focus areas: • Awareness • Prevention • Screening • Support Services
Awareness • Media and events during national cancer months • Focus on cancers in which there is good evidence about prevention and screening • Breast - October • Lung - November • Cervical - January • Colorectal - March • Skin - May • Build upon efforts underway
Prevention • Promote smoke free policies • Workplaces grounds • College campuses • Municipalities **Reasons: • Lung cancer is the leading cause of cancer deaths • 90% of lung cancers are smoking related
Screening • Identify best strategies to increase colorectal cancer screening rates. **Reasons: • Colorectal cancer 2nd leading cause of cancer deaths • If everyone were screened, could prevent 60% of deaths due to CRC (CDC)
Support Services for those with Cancer • Determine if existing services meeting the needs of patients, especially African American and Latino residents. • Develop a plan to best meet needs **Reasons: • Financial, social/emotional, burdens of cancer • Some face transportation issues
Next Steps • Multiple cancer awareness and media events will occur throughout the calendar year to reinforce key messages. • A colorectal cancer screening committee will be formed to assess community needs. • A cancer support services committee will be formed to assess community needs.