2012 – 2017 New York State Comprehensive Cancer Control Plan

1. 2012 – 2017 New York State Comprehensive Cancer Control Plan A Strategic Plan for Cancer Prevention and Control in NYS

2. New York State Cancer Consortium Mission The mission of the New York State Cancer Consortium is to reduce the human and economic burden of cancer in New York State. Vision People concerned about cancer will work collaboratively to implement the New York State Comprehensive Cancer Control Plan, while respecting and embracing the cultural, demographic and geographic diversity within New York State.

3. Working Together, Reducing Cancer, Saving Lives New York State Cancer consortium New York State Comprehensive Cancer Control Plan 1st version covered 2003-2010 Revised over an 18-month period by the Consortium Six priority areas for action: Health Promotion and Cancer Prevention Early Detection Treatment Survivorship Palliative Care Health Care Workforce • Statewide network of individuals and organizations dedicated to addressing the cancer burden in NYS • Officially formed in 2003 from group that convened to write 1st NYS Comprehensive Cancer Control Plan • Currently, over 250 members representing over 100 organizations in 38 NYS counties

4. The burden of cancer in NYS is high 103,000 35,300 • More than 95 New Yorkers die each day from cancer which results in over 35,300 deaths annually • Approximately 103,000 cases of cancer are diagnosed among residents of NYS each year Source: NYS Cancer Registry, 2005-2009

5. Cancer is the leading cause of early death in NYS *Based on deaths that occurred prior to age 65 Source for leading causes of death rank and total deaths: NYS DOH Vital Statistics, 2010 Tables, Table 34a Source for total years of potential life lost: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) 2009 [cited 2012 April 3].  Available from URL: www.cdc.gov/ncipc/wisqars

6. In 2009, cancer caused nearly a quarter of all deaths in NYS and in the US Sources: New York State Vital Statistics 2009 Tables, Table 34a - Death from Five Leading Causes of Death by Age and Race / Ethnicity. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS), 2009.

7. At least half of all cancer deaths could be prevented Tobacco use causes at least 1/3 of cancer deaths Another 1/3 of cancer deaths can be attributed to obesity, poor nutrition and physical inactivity Other preventable cancer risk factors include the HPV and HBV viruses, environmental exposures (ex: radon gas) and UV exposure

8. Lung cancer is the #1 cancer killer for both men and women in NYS 26% Lung cancer accounts for over 26% of all cancer deaths in NYS Smoking is the most common cause of lung cancer

9. Tobacco control efforts have effectively reduced smoking in NYS March 1, 2000 NYS cigarette excise tax increased to $1.11/pack July 24, 2003 Clean Indoor Air Act Amended July 1, 2010 NYS cigarette excise tax increased to $4.35/pack April 3, 2002 NYS cigarette excise tax increased to $1.50/pack Source: NYS BRFSS, 2000-2010

10. Obesity rates continue to rise Obesity among Adults Age 18 and Over, NYS and US*, 2000-2010 Source: NYS BRFSS and CDC BRFSS. *US data is the median% from the 50 States, DC, and Territories Several major cancers, including colon, breast, endometrial, kidney and esophageal, are associated with overweight and obesity. Adopting a physically active lifestyle, eating a healthy diet and maintaining a healthy weight can help prevent cancer and improve cancer mortality rates

11. Cancer screening saves lives Screening tests can help find cancer at early stages when treatment is more effective Screenings for cervical and colorectal cancers can detect growths before they become cancerous

12. Lack of health insurance is one of the biggest barriers to cancer screening Source: NYS BRFSS, 2010

13. For individuals diagnosed with cancer, access to high quality treatment is critical Barriers to treatment include lack of or inadequate health insurance coverage or limited availability of specialists or treatment centers, especially in rural areas of New York

14. The effects of cancer do not end with the last treatment 1 Million The number of cancer survivors continues to rise and there are nearly 1 million survivors alive today in NYS Cancer survivors may face challenges during and after treatment, including those related to their physical and emotional health, as well as those related to legal and financial matters

15. Palliative care should be an integral part of cancer treatment and care Palliative care encompasses support from diagnosis throughout the course of illness, including pain control and symptom management With a focus on pain control and symptom management palliative care is a vital service available to cancer patients to improve quality of life

16. The healthcare workforce plays an important role in cancer prevention and control efforts • Cancer care involves a broad category of healthcare professionals that includes specialties across the cancer continuum—from prevention and screening/diagnosis, to treatment, survivorship and palliative care • Access to an adequate healthcare workforce is necessary to prevent and control cancer in NYS

17. The NYS CCC Plan seeks to reduce the cancer burden in NYS by outlining a comprehensive approach to: Prevent cancer by encouraging healthy behaviors and fostering communities that support and reinforce healthy lifestyles. Increase early detection of cancer by raising awareness of and access to evidence-based cancer screenings. Increase access to quality cancer treatment. Improve the integration of palliative care in cancer treatment and care. Improve the quality of life for cancer survivors. Sustain an adequate health care workforce to meet the need for all cancer services.