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National Center for Chronic Disease Prevention and Health Promotion Chronic Disease Prevention Home | Contact Us |
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The National Comprehensive Cancer Control Program is an integrated, coordinated approach to reducing the impact of cancer that includes monitoring, policy, research, education, programs, services, and evaluation. With 2002 funding of $5.5 million, CDC's National Program provides support and technical assistance to plan and implement comprehensive cancer control activities and programs in 19 states and one tribal organization. Health agencies use this funding to establish broad-based cancer coalitions, provide epidemiological support, and develop and implement a comprehensive cancer control plan. In addition, $3.4 million in supplemental funding has been given to support colorectal, prostate, and skin cancer activities within CCC programs.
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Comprehensive cancer control is based on the following principles:
CCC programs across the country are making significant progress in coordinating and integrating cancer prevention and control. Examples include the following:
Enhancing Infrastructure in Georgia
The Georgia Cancer Coalition, a public-private partnership, was created
by Governor Roy Barnes in 2000. With support from tobacco settlement funds,
federal grants, and private organizations, the coalition has funded nine
rural cancer education and screening projects to develop partnerships to
educate citizens and increase cancer screening in rural counties that have
breast, cervical, colorectal, or prostate cancer mortality rates above the
state average. The Coalition also funded eight projects to improve
availability of mammography services for women living in counties that have
no mammography facilities.
Assessing the Cancer Burden in Iowa
In 2001, legislation enacted in Iowa mandated the development of the CCC
Study Committee. On the basis of the cancer data in Healthy Iowans 2010, the
CCC Study Committee used the building blocks model to develop the following
priorities:
The findings of the CCC Study Committee were documented in the CCC Report. The Report identifies priorities for cancer prevention and control in Iowa and serves as the basis for Iowa’s comprehensive cancer prevention and control plan.
Utilizing Data and Research in the Northwest Tribal Population
By linking the records of the Northwest Tribal Registry and the state
cancer registries, the Northwest Portland Area Indian Health Board
documented an underestimation of cancer incidence among its tribal members
(153.5 per 100,000 population prior to linking compared with 267.5 per
100,000 after linking). This work underscores the importance of using
high-quality data to assess the cancer burden and eliminate health
disparities.
Addressing the Cancer Burden in North Carolina
To address a priority area within the North Carolina CCC plan, the North
Carolina Comprehensive Cancer Unit designed a pilot project to conduct
colorectal cancer screening in 10 local health departments that service 15
counties throughout the state. The objective of this pilot project was to
determine the feasibility of conducting colorectal cancer screening in local
health departments. A total of 1,478 participants were counseled and offered
fecal occult blood test kits; 706 (48%) completed and returned these kits.
Ten precancerous polyps were found and four cancers were diagnosed. An
evaluation of this project found local health departments could be useful in
raising public awareness about the importance of early detection, as well as
encouraging participation in screening programs. North Carolina plans to
expand its colorectal cancer screening program as resources become
available.
Building Partnerships for Cancer Control in Colorado
Colorado has enlisted the help of a large and varied group of partners
both internal and external to the state health department to launch a public
education campaign called Sun Smart Tips. The goal of this campaign is to
educate national park visitors about the need to protect themselves from the
damaging rays of the sun and how best to prevent skin cancer. This campaign
resulted from a unique partnership between national park officials and the
state health department. Together, Colorado’s Comprehensive Cancer
Prevention and Control Program, the Mesa Verde National Park, and the park
concessioner are educating Colorado residents and visitors from all over the
world about the easy steps they can take to protect themselves from the
damaging effects of sun exposure.
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According to the National Institutes of Health, in 2002 the overall annual costs for cancer were $170 billion: over $60 billion for direct medical costs, $110 billion in lost productivity. No information is available on the medical or overall costs associated specifically with breast or cervical cancer.
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Missouri: In collaboration with the Missouri Department of Social Services, the Missouri Breast and Cervical Cancer Control Program hired women who are moving from welfare to work as outreach coordinators to inform women about free breast and cervical cancer screening. To date, these coordinators have referred about 3,400 women for screening, and 12 coordinators have been given full-time employment.
Nevada: Along with Race for the Cure, the Nevada Breast and Cervical Cancer Early Detection Program partnered with Chevron, the Susan G. Komen Foundation, and Mobile-Ray Imaging to offer free mammograms at a local Chevron station. The program provided breast health education, follow-up after an abnormal screening result, and additional mammograms for those who qualified. As a result, hundreds of women were educated about breast and cervical health, and more than 200 underserved women were given a free mammogram.
Ohio: In collaboration with the Medical College of Ohio at Toledo, Ohio’s breast and cervical cancer program produced Cultural Competence in Breast Cancer Care, a CD-ROM for health care professionals. The CD-ROM includes discussions on cultural perspectives on breast care, provider-client communication, and follow-up after an abnormal clinical breast examination.
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CDC conducts research or collaborates in research on a variety of issues. For example
One or more documents on this Web page is available in Portable Document Format
(PDF). You will need Acrobat
Reader (a free application) to view and print these documents.
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Privacy
Policy | Accessibility This page last reviewed August 10, 2004 United
States Department of Health and Human Services |
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