Welcome to Komen Educator Training!

1. Welcome to Komen Educator Training! Central Virginia Affiliate

2. Training Objectives • Komen Organization • History and our Promise • History of the Central Virginia Affiliate • How funds are used • Komen Volunteers • Discuss responsibilities & expectations (Volunteer toolkit) • Equip you with the necessary tools to deliver a presentation about: • Breast Health • Early detection • Komen Organization

3. Our Promise • Our promise is our mission – ending breast cancer forever by… • Empoweringpeople • Ensuringquality of care for all • Energizingscience to find a cure

4. 122 Affiliates Across the Nation 3 International Affiliates

5. Victories and the Fight Ahead • More Early Detection – 75% of women over 40 get mammograms • More Hope – 5 year survival is 98% • More Research – $900 million a year • More Survivors – 2.5 million in America

6. Central Virginia Affiliate Overview

7. 2009 Community Profile Purpose Strengthen sponsorship efforts Drive public policy efforts Establish directions of education & grant outreach Align strategic and operational plans

8. Target Areas

9. Priorities • Priority 1: Improve access to breast health services for low income, uninsured/underinsured women especially in Richmond, Piedmont Health District and Crater Health District • Priority 2: Raise awareness among all populations, with particular emphasis on Hispanic women in Richmond and African American women in all areas. • Priority 3: Address the barriers that prevent people from participating in clinical trials

10. How do we keep the promise to save lives?

11. 2009 Central Virginia Racefor the Cure® Fundraising Over 9,000 Participants Over $800,000 raised! Save the Date: May 7, 2011!Central Virginia Race for the Cure®

13. Grants Investing in our Community2009 Grantees - $556,910 • Augusta Regional Free Clinic • Breast Health Coalition of the Valley • Centra Health Breast Imaging • Central Virginia Health Services • Community Memorial Health Center • Crater Health District • Bon Secours Richmond Health Care Foundation • Fan Free Clinic • LINC (Legal Info. Network for Cancer) • Pittsylvania-Danville Health District • Rappahannock Area Health District • VCU Massey Cancer Center • Winchester Medical Center

14. Education • Komen Educators: • Community health fairs and speaking engagements • I AM THE CURE • Educational materials • E-newsletter • Website www.komencentralva.org

15. Breast Health Basics

16. Breast Cancer by the Numbers • 1 in 33 women will die from breast cancer • 1 in 8 women will have a cumulative lifetime risk of developing breast cancer if they live to age 85. • Every 3 minutes: someone in the U.S. is diagnosed with breast cancer • Every 13 minutes: someone in the U.S. dies from breast cancer • 192,370 women and 1,910 men will be diagnosed with breast cancer • 40,170 women and 440 men will die of this disease

17. What is breast cancer? Every day, cells in your body divide, grow and die. Most of the time cells divide and grow in an orderly manner. But sometimes cells grow out of control. This kind of growth of cells forms a mass or lump called a tumor. Tumors are either benign or malignant.

18. Types of Breast CancerBreast cancer is not one disease, but a family of diseases. • Ductalcarcinoma • Most common • Cancer cells develop in the ducts • Ducts deliver the milk • Lobular carcinoma • Cancer cells develop in the lobules • Milk is produced and held

19. In Situ & Invasive Breast Cancer • In situ • Locked within the duct or lobule • Invasive • Penetrated or broken through the wall of the duct or lobule

20. Inflammatory Breast Cancer Breast cancer does not always come in the form of a lump.

21. Breast Self-Awareness (BSA) • Know Your Risk • Get Screened • Know what is normal for you • Make healthy lifestyle choices

22. 1. Know Your Risk • Talk to your family about your family health history • Talk to your doctor about your personal risk of breast cancer

23. Risk Factors • The most common risk factors are being female and getting older • Other risk factors include having a family history of breast cancer or certain other cancers, an inherited genetic mutation, carcinoma in situ, dense breasts, radiation exposure at a young age, reproductive factors… • There are known risk factors that you can control and others you cannot change • www.komen.org/riskmatrix

24. New Breast Cancer Cases by Age Young women can and do get breast cancer, even in their 20s.

26. 2. Get Screened • Ask your doctor which screening tests are right for you if you are at higher risk • Have a mammogram every year starting at age 40 if you are at average risk • Have a clinical breast exam at least every 3 years starting at 20, and every year starting at 40

27. 3. Know What is Normal for You • Know how your breasts look and feel • Report changes to your health care provider right away

28. Warning Signs of Breast Cancer • A change in the look or feel of the breast. • A change in the size or shape of the breast. • Nipple discharge. • A lump or thickening in the breast, the area surrounding the breast or the underarm. • A warm sensation in the breast. • A change in the look or feel of the nipple or areola. • A nipple turned inward or sunken into the breast. • The shape of the nipple becomes irregular. • A rash on the nipple or areola.

29. Warning Signs of Breast Cancer • Nipple tenderness, increased sensitivity or pain. • Blood or fluid other than breast milk secreted from the nipple. • Dimpling of the skin on the breast (appears like the skin on an orange). • The appearance of irritated, red, scaly, or swollen skin on the breast, nipple, or areola. • Breast pain. • Although breast pain is usually associated with benign breast conditions rather than breast cancer, it can be a symptom of either condition. • It is important to discuss any of these symptoms with a health care provider as soon as possible so that if breast cancer is present, it is more likely to be diagnosed at an early stage when it is most treatable.

30. Warning Signs of Breast Cancer Be your own health advocate -- have your voice heard! It is important to discuss any of these symptoms with a health care provider as soon as possible so that if breast cancer is present, it is more likely to be diagnosed at an early stage when it is most treatable.

31. 4. Make Healthy Lifestyle Choices • Maintain a healthy weight • Add exercise into your routine • Limit alcohol intake

32. Early Detection Saves Lives! • When breast cancer is confined to the breast, the five-year survival rate is more than 98 percent.

33. How do we let other know the importance of early detection? YOU!

34. Resources For more information about breast health or breast cancer: 1-877 GO KOMEN (1-877-465-6636) bilingual www.komencentralva.org(this training will be available on the website) Central Virginia Affiliate Phone (804) 358-7223 Purchase educational materials at: www.komen.org/promiseshop

35. Q&A Thank you for your participation!

36. "Never doubt that a small group of thoughtful citizens can change the world. Indeed, it's the only thing that ever has."  • --Margaret Mead