Cancer Stakeholder - December 2015/January 2016

Florida Department of Health, Comprehensive Cancer Control Program

All women are at risk for cervical cancer.It occurs most often in women over age30. According to the Centers for DiseaseControl and Prevention (CDC),approximately 12,000 women in theUnited States are diagnosed withcervical cancer each year. In Florida,there were 817 new cases and 345deaths from cervical cancer in 2013(Florida Cancer Data System). Most casesof cervical cancer occur in women whohave never been screened with a Paptest or who have not been screened inthe past five years.Talk to your doctor about when a Paptest is most appropriate for you. Tests forspecific human papilloma virus (HPV)strains can support earlier diagnosis ofcervical cancer. When found early, it ishighly treatable and associated withlong survival and good quality of life. Since the vaccine was introduced in2006, CDC reports that the rates of HPVstrains related to genital warts and somecancers have decreased 56 percentamong American teen girls. Nearly allcervical cancers are caused by HPV. HPVis a common virus that is passed fromone person to another during sexualactivity. The three dose HPV vaccinationseries can help prevent multiple cancers,including cervical cancer and cancer ofthe mouth and throat. The AdvisoryCommittee for Immunization Practicesrecommends vaccinating boys and girls,ages 11 to 12 years old. The HPV vaccinemay be given starting at 9 years of ageand through the age of 26 for those whodid not get any or all of the shots whenthey were younger. The new GardasilHPV 9 vaccine offers protection frommore types of HPV. Those males andfemales who have completed a HPVvaccination series do not needvaccination with the new vaccine. HPV 9may be used to complete a series started

with one of the other HPV vaccines.The Florida Breast and Cervical CancerEarly Detection Program offers free Paptests to women who are:

n Ages 50-64; andn Low income; andn With no health insurance.To learn more about HPV vaccinationseries or Pap testing call your FloridaDepartment of Health local office or visitthe Departments website.

According to the CDC, to reduce risk orprevent cervical cancer:

n Get the HPV vaccine n Women between 21 and 65 years oldshould see their doctor regularly for aPap test

n Do not smoken Limit the number of sexual partnersParents and young adults areencouraged to visit this site at Diseasesand the Vaccines that Prevent Them tolearn more about vaccine-preventablediseases and recommendations. Medicalproviders are encouraged to visit theCDCs Preteen and Teen Vaccines websitewhich includes useful information andpatient handouts: HPV Vaccine is CancerPrevention

For more information oncervical cancer go towww.cdc.gov/cancer.

CancerStakeholder

December 2015 & January 2016

State Spotlight, Tobaccco Free Florida, 2Cancer Survivor Tips, 3 Healthiest Weight, 4 Cancer in the News, 5Cancer Survivor Tips, 3 Tools & Resources, 6Funding Opportunities, 7Collaboratives, 8 Events, 8

PROGRAM SPOTLIGHT:

January is Cervical Cancer Awareness Month


Cancer Stakeholder

2

Bring in the New Year Tobacco Free with Tobacco Free Florida

Florida Cancer Planning EffortsCoalitions Develop Plans toMove Florida Forward! Over 50 cancer partners convened over a few months todevelop the next phase of coordinated cancer planning effortsand have released plans for moving Florida closer to a cancerfree state. Five committees were convened which identified 12actionable objectives and strategies to reduce the burden ofcancer in the state. The following summaries highlight theoverall focus of the objectives:

Increasing Sun Safety in Schools and Public AreasExpand Florida school district policies to include or increase sunsafe measures which protect students and staff from exposureto the sun; promote simplified, collaborative based models forincreasing access to sun protective factors, such as sunscreen, inpublic areas.

Expand Human Papilloma Virus Vaccination (HPV) throughHealth ProvidersDevelop and coordinate an outreach campaign to educatehealth care providers on the importance of physician referral forHPV vaccination adoption.Limit Tobacco Risk through School, Work and Sale PoliciesReduce tobacco related cancers through the development ofpolicies that prevent and reduce tobacco use among youngadults including K-12 Comprehensive Tobacco Free SchoolPolicy, tobacco free worksites and tobacco product marketing.Improve Access to Cancer Screenings Using Data DrivenInterventionsIdentify high need regions for the top six screenable cancers;provide tailored support to health care practitioners and patientnavigators within these regions on recommended cancerscreening guidelines, evidence based practices to increasescreening and resources on overcoming barriers to care.Support Cancer Survivors by Expanding Access to QualityCare Plans and Assisting ProvidersExpand access to high quality survivorship cancer plans byenhancing electronic health record systems and assistingcommunity partners and health care champions throughpromotion and support of efforts.Objectives and strategies will be implemented January 2016and an invitation remains open to interested individuals andgroups to become involved. To learn more about ongoingcancer control efforts contact [email protected]. Lets moveFlorida forward!

With a new year comes an opportunity to set new healthgoals and stick with them. For many, it is a chance to quittobacco. In fact, more than 1.7 million Florida adults whosmoke report that they want to quit completely.1,2,3Fortunately, Tobacco Free Florida offers free help andencourages tobacco users to make a plan to quit.

There are plenty of reasons to quit smoking. Smoking isresponsible for one in every three cancer deaths in theUnited States. In fact, smoking can cause cancer almostanywhere in the body and also blocks the body fromfighting it.4,5 But, the good news is that its possible to quitnow and reverse the damage:

Within five years of quitting:6nThe risk for stroke could fall to about the same as anonsmokers.

nThe risk of cancer of the mouth, throat, esophagus andbladder is cut in half. nFemale smokers risk of cervical cancer falls to that of anon-smoker.After ten years of quitting:7nThe risk of dying from lung cancer drops by half. The risk of cancer of the larynx and pancreas decreases.

While quitting tobacco may be difficult, it is not impossible.The state of Florida offers residents access to FREE quitresources that can aid in making a quit plan and seeing itthrough. Floridians are encouraged to make a positivechoice for their future and join former smokers in quitting,as they now outnumber the amount of current smokers inthe state.8

Those who have tried to quit but have relapsed areencouraged to try again as most former smokers makeseveral attempts before quitting permanently. Acomprehensive and personalized quit plan increases thechance of success. Tobacco Free Florida is here to help. Tobacco Free Floridas resources are free and easy to access:nCALL: Call the Florida Quitline at 1-877-U-CAN-NOW tospeak with a Quit Coach who will help assess addiction andhelp create a personalized quit plan.

nCLICK: Tobacco Free Floridas online cessation tool can beaccessed at tobaccofreeflorida.com/webcoach.

nCOME IN: Local face-to-face help is available with the help ofArea Health Education Centers, find one near you attobaccofreeflorida.com/ahec.

For more information, please visit, www.tobaccofreeflorida.com.

More than 126,000 Floridians have already successfully quitusing one of Tobacco Free Floridas cessation resources. Formersmokers that have used Tobacco Free Florida to quit areencouraged to share their story to inspire others looking to quit.Visit www.tobaccofreeflorida.com/quitandtell.

State Update

1 15,524,970 Florida adults: Florida QuickStats. U.S. Census Bureau. U.S. Department of Commercehttp://quickfacts.census.gov/qfd/states/12000.html2 Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance SystemPrevalence and Trends Data, 2014. Atlanta: U.S. Department of Health and Human Services, Centers forDisease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion,Office on Smoking and Health.3 68.8 percent (1,794,438) report they want to quit: Centers for Disease Control and Prevention. QuittingSmoking Among AdultsUnited States, 20012010. Morbidity and Mortality Weekly Report2011;60(44):1513194 U.S. Department of Health and Human Services. A Report of the Surgeon General. How Tobacco SmokeCauses Disease: What It Means to You. Atlanta: U.S. Department of Health and Human Services, Centersfor Disease Control and Prevention, National Center for Chronic Disease Prevention and HealthPromotion, Office on Smoking and Health, 2010.5 U.S. Department of Health and Human Services. Let's Make the Next Generation Tobacco-Free: YourGuide to the 50th Anniversary Surgeon General's Report on Smoking and Health. Atlanta: U.S.Department of Health and Human Services, Centers for Disease Control and Prevention, National Centerfor Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014.6 A Report of the Surgeon General: How Tobacco Smoke Causes Disease - The Biology and BehavioralBasis for Smoking-Attributable Disease Fact Sheet, 2010; and Tobacco Control: Reversal of Risk AfterQuitting Smoking.IARC Handbooks of Cancer Prevention, Vol. 11. 2007, p. 341.7 A Report of the Surgeon General: How Tobacco Smoke Causes Disease - The Biology and BehavioralBasis for Smoking-Attributable Disease Fact Sheet, 2010; and US Surgeon Generals Report, 1990, pp. vi,155, 1658 Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance SystemPrevalence and Trends Data, 2013. Atlanta: U.S. Department of Health and Human Services, Centers forDisease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion,Office on Smoking and Health.

Cancer Survivor Tips

More informationon Healthy Living

Habits:American Institute

for Cancer Research

Cancers like most chronic diseases have long been moving from a poorprognosis to managed care and increased longevity by adopting healthybehaviors. Health science has shown that changing certain habits candramatically improve a cancer survivors recovery after diagnosis and treatment.Numerous studies are reporting on how behaviors typically associated withpreventing cancer have also shown to be effective at increasing survival rates.For example, yoga was shown to improve breast cancer recovery and walkingregularly improved colorectal cancer survival rates. The American Institute forCancer Research (AICR) helps draw a connection between well-known healthhabits for cancer prevention and improved survivorship after diagnosis. TheNational Cancer Institute highlights the importance of tobacco cessation, as itsuse is linked to poor treatment response and increased risk for secondmalignancy in patients with a range of cancers including head and neck,leukemia, prostate and lung.

In contrast to a need for healthy behaviors in cancer survivors, a study published in the journalCancer found cancer survivors less likely to eat healthfully compared to the general population.The study included the diets of 1,500 adult cancer survivors and 3,000 non-cancer survivors andfound recommended foods, such as vegetables and whole grains, were eaten less in the cancersurvivor group. NCIs summary report also identified challenges with tobacco cessation in cancersurvivors despite high quit attempt rates.

To learn more about how to improve these trends, visit the websites of partners that havestepped up to support adoption of healthy behaviors in cancer survivors:American Cancer Societyprovides resources for cancer survivors on nutrition and staying active. American American Society of Clinical Oncologyprovides recommendations for cancersurvivors on healthy living.

LIVESTRONG at the YMCAoffers a no cost 12 week fitness program for cancer survivors with aphysicians clearance.

National National Cancer Survivorship Resource Centerdeveloped a free learning module forprimary care providers on empowering survivors to live well (continuing education unitsavailable).

Tobacco Cessation for Cancer Survivors Workgroupdeveloped tools for health professionals toimprove quit rates.

University of Alabama Studydemonstrated how a gardening intervention can increase healthyexercise and eating habits in breast cancer survivors. 3


Cancer Stakeholder

Healthy Living HabitsEssential

Rather than focusing on trying tolose weight, the FREE seven-weekchallenge provides participantswith tips, tricks, and ideas to helpmaintain their weight throughout theholiday season.

Features of the Holliday Challengeinclude:nSeven weekly newsletters delivered toyour inbox with tips to

nManage holiday stress

nFit physical activity into your busy day

nSurvive a holiday party

nDaily Tips

nMid-week Challenges

nHealthy holiday recipes

nMotivation and support from otherparticipants

The 2014 Holiday Challenge saw realmeaningful change:

nOver 1,700 Floridians received helpfuladvice on enjoying the holidays in amore healthy way

nTwo out of three (67%) participantsmaintained their weight and one in four(26%) lost at least three pounds

Tips this year will include choosing freshfruit as a festive and sweet substitute forcandy, limiting fats, salt and sugary foodsand finding fun ways to stay active, suchas dancing to their favorite holidaymusic. Being active for at least two andhalf hours a week and helping kids andteens be active for at least one hour a dayalso adds healthy balance to the season.

With balance and moderation, you canenjoy the holidays the healthy way. Tolearn more about other exciting eventsand programs visitwww.healthiestweightflorida.com/

Maintain, Dont Gain! Holiday Challenge 2015Americans can gain on average between 1 and 5 pounds each holiday season. Whileit might not sound like much, most people never manage to lose those extra pounds.To change this trend, the Florida Department of Health teamed up with NorthCarolina State University to offer the Maintain, Dont Gain! Holiday Challenge.

To learn more aboutthese excitingevents andprograms visitwww.healthiestweightflorida.com/

4

Healthiest Weight Florida Initiatives

Find fun ways to stay active, such as

dancing to your favorite holiday

music.


Cancer Stakeholder

Cancer In the NewsGeneral Cancer Related Articles2014 National Healthcare Quality &Disparities ReportAugust 2015

Breast cancer: Research identifiedobstacles to care in Appalachia Science Daily, Nov. 2, 2015

Prevention Related ArticlesTrial Shows Vitamin D, CalciumSupplements Dont Reduce ColorectalCancer RiskAmerican Institute forCancer Research (AICR), Oct. 16, 2015

Lathering up with sunscreen mayprotect against cancerkilling coralreefs worldwideScience Daily, Oct. 20,2015

Alcohol intake increases the risk ofbreast cancerScience Daily, Oct. 21,2015

Many U.S. Physicians Communicate WithParents in Ways That May DiscourageHPV VaccinationAmerican Associationof Cancer Research, Oct. 22, 2015

Association between breastfeeding,reduced risk of aggressive breastcancerScience Daily, Oct. 28, 2015

Human Papillomavirus VaccinationCoverage Among Female Adolescents inManaged Care PlansCenters for DiseaseControl and Prevention (CDC), Oct. 30,2015

CDC measures success of tips campaignadsMNT, Nov. 5, 2015

First precision medicine trial in cancerprevention identifies molecular-basedchemoprevention strategyScienceDaily, Nov. 5, 2015

75 percent of first-time moms plan tofollow vaccine schedule, study findsScience Daily, Nov. 5, 2015

Top Fall Spices for Cancer PreventionAmerican Institute for Cancer Research(AICR), Nov. 5, 2015

Access to Care Related ArticlesU.S. cervical cancer screening practicesshow room for improvementMNT,Sept. 29, 2015

More than 11 moles on your arm couldindicate higher risk of melanomaScience Daily, Oct. 19, 2015

Outreach increases completion of HPVvaccination series by adolescent girlsScience Daily, Oct. 19, 2015

Study: Only 1 in 5 US pancreatic cancerpatients get this key blood test atdiagnosisMNT, Nov. 4, 2015

Ovarian cancer risk depends onreproductive factorsrMNT, Nov. 4,2015

Survivorship Related ArticlesNew test could make chemounnecessary for many with testicularcancerMNT, Oct. 19, 2015

A new way to starve lung cancer?Science Daily, Oct. 20, 2015

Test could predict whether breastcancer will spread to the brainScienceDaily, Oct. 21, 2015

Patients with Advanced Cancer MayBenefit from Discussing Prognosis withPhysiciansNational Cancer Institute,Oct. 30, 2015

Predicting cancer's growth from fewcluesScience Daily, Nov. 2, 2015

Simple test predicts response tochemotherapy in lung cancer patientsScience, 2015 Daily, Nov. 3

Changes urged to radiotherapy practicethat could save NHS tens of millions peryearMNT, Nov. 3, 2015

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Cancer Stakeholder

> CancerCare presents the following free Connect EducationWorkshops (all are from 1:302:30 p.m. ET): All sessions arefree and pre-registration is required.: Dec. 4: Update on Thyroid Cancer1,2

Dec. 9: Coping with Holidays and Special OccasionsDec. 10: : Cancer and the Workplace: Knowing Your LegalRights1,2

Dec. 14: Update on Lymphoma from the 2015 AmericanSociety of Hematology (ASH) Annual Meeting1,2

Jan. 14: Update from the 2015 American Society ofHematology (ASH) Annual Meeting1,2

Jan. 27: The Latest Developments Reported at the 38thAnnual San Antonio Breast Cancer Symposium1,2

Jan. 28: Living with Gastrointestinal Stromal Tumors (GIST) 1,2

Feb. 1: Nutrition and Healthy Eating Tips During and AfterCancer Treatments1,2

Feb. 11: Update on Chronic Lymphocytic Leukemia (CLL) 1,21 Submitted for approval for one Continuing Professional

Education Unit for Registered Dietitians2 Submitted for one Contact Hour to Social Workers3 Approved for one Contact Hour to Social WorkersYou can participate by listening to this workshop on the telephone or via live streaming through the Internet. Formore information or to register online, visit CancerCare onlineor call 1-800-813-HOPE (4673). Listen to past ConnectEducation Workshop as podcasts through CancerCare'swebsite.

> The Lucile Packard Foundation for Children's Healthisholding a national symposium, Designing Systems that Workfor Children with Complex Health Care Needs, on December7-8, 2015 that will identify and discuss issues on the care ofchildren with complex health problems. It will provide aforum to learn from experts in child and adult health onprogress toward improving systems, services and supports forthis population of children. Register to watch the live webcastof the symposium here.

> Cancer and Careersis hosting an Educational Series forHealthcare Professionals (all are from: 12:00-1:00 p.m. ET)which covers practical and legal issues concerning balancingwork and cancer. All sessions are free and pre-registration isrequired. One continuing education credit will be providedfree of charge to eligible oncology nurses and social workersupon approval from listed agencies.Dec. 9: Balancing Work & Cancer Webinar: Job-Search

> Suwannee River Area Health Education Centeris providinga free, one-hour CE course on HPV vaccination called You arethe Key to HPV Prevention. Christopher Balamucki, MD, willprovide a comprehensive look at HPV, the benefits of thevaccine and best practices for using the "Same Day, SameWay" approach to recommending the vaccine to parents. This

is certified for CE/CME and will be available until Sept. 4,2017.

>Pain Assessment and Management Initiativeis a free E-Learning and patient safety educational project, approved forup to 10.0 hrs of APA PRA Category 1 credit. The overall goal isto improve the safety of patients of all ages by developingtools for health care providers to recognize, assess, andmanage acute and chronic pain in acute care settings. HPV can cause cancer not only in the cervix, but also in theoropharynx, which is an area in back of the throat. To learnmore about HPV and oropharyngeal cancer the CDC hascreated a HPV and Oropharyngeal Cancer Fact Sheet andinfographic on cervical cancer prevention.

>CancerCarealso released a treatment update on Oral andHead and Neck Cancer, which has information on the latesttreatments, managing side effects and coping with cancer inan easy-to-read format. Order a free copy here.When gynecologic cancers are found early, treatment is mosteffective. Inside Knowledge About Gynecologic Cancerprovides the facts about the signs, symptoms, and risk factorsof gynecologic cancers.

>National Cancer Survivorship Resource Centerhas added anew module to the Cancer Survivorship E-Learning Series oncolorectal cancer survivorship. Other learning modulesinclude role of primary care providers, effects of cancer,survivor health promotion, care coordination, recovery andprostate cancer.

>Agency for Healthcare Research and Quality (AHRQ) offersCE activities for nurses to increase awareness and ongoing useof patient safety and quality resources, including:nIntegrating AHRQ Evidence-Based Resources Into Course Curricula

nA Review on How to Access and Implement AHRQ's Evidence-Based Resources To Inform Your Clinical Practice

>The National Institutes of Health (NIH)launched a mobile-friendly, Spanish-language health information website, Portalde Informacin de Salud de NIH. The website offers free,evidence-based health information and special featurecolumns on topics ranging from child health to agingincluding cancer.

Tools & Resources

6


Cancer Stakeholder

Health Resources and ServicesAdministration eleased multipleFunding Opportunity Announcement(FOA) for regions in Florida. The PrimaryCare Training and EnhancementProgram will support projects thatstrengthen the primary care workforceby supporting enhanced training forfuture primary care professionals. Clickhere to apply. Closing date 12/16/15.The Service Area Competition Programwill support projects that providecomprehensive primary health careservices to an underserved area orpopulation, including low-incomepersons, public housing residents andhomeless or migrant farmworkers. Clickhere to apply. Closing date 1/6/16..

The U.S. Department of Health andHuman Services released FOAs forprojects related to access to rural healthcare and physical activity. The RuralHealth Network Development PlanningProgram will support expanded accessto coordinate and improve essentialhealth care services and delivery ofhealth care in rural areas. Click here toapply. Closing date 1/8/16.Interventions for Health-EnhancingPhysical Activity will support highlyinnovative and promising research thattests multi-level intervention programsof one to two years in length that aredesigned to increase health-enhancingphysical activity. Click here to apply.Closing dates 2/5/16, 10/5/16 and 6/5/

Behavioral Interventions to AddressMultiple Chronic Health Conditions inPrimary Care is a FOA which seeksproposals that use a multi-disease caremanagement approach to behavioralinterventions with high potential impactto improve patient-level healthoutcomes for individuals with three ormore chronic health conditions. Clickhere to apply. Closing date 5/8/1.

Changes in Health Care Financing andOrganization is a call for proposals fromthe Robert Wood Johnston Foundationwhich supports research, policy analysisand evaluation projects that providepolicy leaders timely information onhealth care policy, financing andorganization issues. For proposals of$100,000 or less click here and forproposals more than $100,000 click


Cancer Stakeholder

7

FundingOpportunities

8About the CancerStakeholderThe Cancer Stakeholder isan e-newsletter, whichincludes the DOH cancerupdates, cancer tools andresources, fundingopportunities, events,research, and otherinformation about cancer.The opinions expressed inthe Cancer Stakeholder donot necessarily reflect theviews of the Departmentor its staff. Please directquestions, comments andsuggestions to theComprehensive CancerControl Program [email protected].

If you would like to beremoved from thisdistribution list, pleasesend an email withUnsubscribe written inthe subject line [email protected] type in the body ofthe email the countywhere you reside. Pleaseunderstand thatunsubscribing from theCancer Stakeholder willunsubscribe you fromreceiving future emailsrelated to theComprehensive CancerControl Program, theRegional Cancer ControlCollaboratives and theassociated local andstatewide canceractivities.

This electronicnewsletter was funded byCooperative AgreementU58/DP003872 from theCenters for DiseaseControl and Prevention. Itscontents are solely theresponsibility of theauthors and do notnecessarily represent theviews of the Centers forDisease Control andPrevention.

For any questions orconcerns regarding thisnewsletter or to includeyour information in afuture issue:[email protected] (850) 245-4444, ext.3857.

Events

Regional Cancer ControlCollaboratives exist acrossthe state and work tobring public and privatepartners together to reduce theburden of cancer. Forinformation about what yourregional collaborative in yourarea is doing, visit their websiteslisted below.

> Northwest Florida CancerControl Collaborative

> Northeast Florida CancerControl CollaborativeFacebook: NEFCCC

> North Central Florida CancerControl Collaborative

> East Central Florida CancerControl Collaborative

> Southeast Florida CancerControl CollaborativeFacebook: SoFla FightingCancer

> Southwest Florida CancerControl Collaborative

> The Southeast AmericanIndian Council (SEAIC)focuses on needsassessments, preventiveeducation and quality of lifefor American Indians.Membership is open toanyone of American Indianheritage. Email DeweyPainter or call him at (904)208-0857 for an applicationor for more information.

To be added to the contact listfor any of these collaboratives,send an email request [email protected].

Frontline Skin Cancer Education Conference in Tallahassee, Fla. on Dec.5, 2016.

2016 Genitourinary Cancers Symposium in San Francisco, Calif. on Jan.7-9, 2016.

2016 Gastrointestinal Cancers Symposium in San Francisco, Calif. onJan. 21-23, 2016

2016 NCCN Nursing Program: Advancing Oncology Nursing in Hollywood,Fla. on March 30, 2016.

NCCN Academy for Excellence and Leadership in Oncology in Hollywood,Fla. on March 30, 2016.

NCCN Annual Conference: Advancing the Standard of Cancer CareTM inHollywood, Fla. on March 30, 2016.

26th Annual Interdisciplinary Breast Center Conference in Las Vegas onApril 9-13, 2016.


Cancer Stakeholder

Collaboratives

December 2015-January 2016 Cancer Stakeholderdec 2015cancer stakeholder qxp_8-2015December 2015-January 2016 Cancer Stakeholder

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Cancer Stakeholder - December 2015/January 2016