An Introduction to Dutchess County Comprehensive Cancer Control Initiative

Tom Kean, MPH C-Change

Ena Wanliss, MSCenters for Disease Control and Prevention

David Momrow, MPHAmerican Cancer Society

Kristen Admiraal, MSWNew York State Department of Health

An Introduction to Dutchess County Comprehensive Cancer Control Initiative

Dutchess County Demographics - Population Growth

• 8% growth from 1990 to 2000 • 5% growth from 2000 to 2005

Census, ACS

1990 Census

2000 Census

2005Estimate

259,462 280,150 294,849

Dutchess County Demographics - Population Characteristics (2005)

Age Race & Ethnicity

Under 20 26.5% White(non-Hispanic)

79.1%

20-44 34.3% Black(non-Hispanic)

8.5%

45-64 27.1% Asian(non-Hispanic)

3.4%

65-84 11.0% Hispanic(of any race)

7.7%

85+ 1.1% Sex

Median age 39.1 MaleFemale

49.3%50.7%

ACS

Dutchess County Demographics - Births and Deaths

Dutchess County averages

• 3,200 births per year (2001-2004)

• 2,200 deaths per year (2000-2003)

NYSDOH

Dutchess County Leading Causes of Death - (2001-2003)

1. Diseases of the Heart

2. Malignant Cancers *

Average 1,259 deaths per year

Account for more than half of all deaths (57%)

551 cancer related deaths (25% of all deaths)

3. Cerebrovascular Disease3. Cerebrovascular Disease

4. Chronic Lower Respiratory 4. Chronic Lower Respiratory DiseaseDisease

Average 255 deaths per year

* 1999-2003 NYSDOH

Dutchess County Malignant Cancer Incidence Over Time (1976-2003)

0

100

200

300

400

500

600

700

1976-1981 1982-1987 1988-1993 1994-1998 1999-2003

age

adju

sted

rat

e pe

r 10

0,00

0

Dutchess-Female Dutchess-Male

NYSDOH

Dutchess County Malignant Cancer Mortality Over Time (1976-2003)

0

50

100

150

200

250

300

1976-1981 1982-1987 1988-1993 1994-1998 1999-2003

age-

adju

sted

rat

e pe

r 10

0,00

0

Dutchess-Female Dutchess-Male HP 2010

NYSDOH

Malignant Cancer Incidence Rates, By Site (1999-2003)

0 50 100 150 200

age-adjusted rate per 100,000

Colorectal

Lung/Bronchus

Breast (female)

Prostate (male)

Upstate New YorkDutchess County

NYSDOH

Malignant Cancer Mortality Rates, By Site (1999-2003)

0 10 20 30 40 50 60

age-adjusted rate per 100,000

Colorectal

Lung/Bronchus

Breast (female)

Prostate (male)HP 2010Upstate New YorkDutchess County

NYSDOH

Malignant Cancer Rates, All Cancers(1999-2003)

0 100 200 300 400 500

age-adjusted rate per 100,000

Incidence Rate

Mortality Rate

HP 2010New York StateDutchess County

NYSDOH

Dutchess County Malignant Cancer Average Annual New Cases (1999-2003)

New Cases

N = 1,425

Colorectal234

NYSDOH

Lung & Bronchus

204

All Other

610

Prostate (male)234

Breast (female)

216

Dutchess County Malignant Cancer Average Annual Deaths (1999-2003)

DeathsN = 551

Colorectal60

NYSDOH

Lung & Bronchus

151

All Other

236

Prostate (male)60

Breast (female)

44

Prevention of Cancer

• Tobacco Control

• Healthy lifestyles

• Regular screenings

• Reduction of exposure to high risk environmental factors

• Increased knowledge of cancer genetics

Many cancer deathsare preventable

Preventive Care

0 20 40 60 80 100

Routine physical

FOBT

Colonoscopy

Mammogram

age-adjusted rate per 100,000

HP 2010New York StateDutchess County

BRFSS

Mammogram in past 2 yrs, ages 40+

Sigmoidoscopy or colonoscopy ever,

ages 50+

Fecal occult blood test in past 2 yrs,

ages 50+

Routine physical in past 2 yrs, ages 18+

Lifestyles that Enhance Health

0

10

20

30

40

50

60

70

80

perc

ent

Leisure time physicalactivity

5+ Fruit/vegetables perday

Dutchess County

New York State

BRFSS

Lifestyles that Pose Health Risks

0

10

20

30

40

50

60

per

cen

t

Overweight/obeseyouth

Overweight/obeseadults

Current youthsmoker

Current adultsmoker

Dutchess CountyNew York State

BRFSS, Expanded BRFSS, YRBSS, DC Youth Tobacco Survey, DCDOH/CSC Childhood Obesity Study

Dutchess County’s Commitment to Comprehensive Cancer Control

• C-Change

• NYS Comprehensive Cancer Control Plan

• County Executive William R. Steinhaus initiative

• New York State’s only locally funded cancer initiative

DCDOH leads Comprehensive Cancer Control Process

• Identify key community partners

• Establish core workgroup

• Introduce concept of comprehensive cancer control

• Develop elements of community needs assessment

Dutchess County’s Comprehensive Cancer Control Core Workgroup

• American Cancer Society

• Dutchess County Department of Health

• Dutchess Health 2000

• Healthy Women’s Partnership

• Hospice of Dutchess and Ulster Counties

• Hudson River Healthcare

• NY State Rural Health Association

• St. Francis Hospital

• Vassar Brothers Medical Center

Short-Term Goals

• Share cancer services information

• Assist in the development of a community needs assessment

• Create a plan which will address local cancer control issues

Needs Assessment

Review of community’s care system

Quantitative & Qualitative Data Collection

Review of epidemiological dataQualitative information will

provide a rich understanding of our circumstances

Relies on community input

Needs Assessment

Description

A snapshot of cancer, cancer

services, and cancer survivors in

our community

Needs Assessment

Elements

• An Epidemiologic Profile

• Identification and Evaluation of:

Service Needs Among Affected Populations

Clinical Cancer Providers

Local Supportive Service Cancer Providers

Needs Assessment

Product

• What trends and issues were identified in the assessment?

What trends and issues should be considered for potential planning?

• Where are we now?

• How will we monitor our progress?

• Develop a Plan of Action

Next Steps

Who is here today . . .

AG Edwards

American Cancer Society

Benedictine Hospital

Cancer Awareness Coalition

Cancer Information Services – NCI Memorial

Sloan Kettering

Catharine Street Community Center

Centers for Disease Control and Prevention

Children’s Media Project

City of Poughkeepsie

Dutchess County Executive

Dutchess County Department of Health

Dutchess County Office for the Aging

Dutchess Health 2000

Dutchess Outreach

Healthy Women’s Partnership

Hospice of Dutchess and Ulster

Hudson River Healthcare

Hudson Valley Business Journal

Leukemia and Lymphoma Society

MD Imaging

Miles of Hope Foundation

NACCHO

New York State Breast Cancer Network

NY State Rural Health Association

Planned Parenthood

Poughkeepsie Journal

St. Francis Hospital

The Community Foundation of Dutchess

County

Vassar Brothers Medical Center

Vassar College

97% had cancer impact your life in some way

29% were familiar with CCCP process

99% indicated interest in participating in this initiative

Survey Results

Traditional Partners

Non-Traditional Partners

Non-Traditional Partners

CEO Gold Standard

Focuses on five critical areas, known as The Five Pillars:

1. Tobacco Use Prevention and Reduction  

2. Diet and Nutrition3. Physical Activity4. Screening and Early Detection5. Access to Quality Treatment

and Clinical Trials

www.cancergoldstandard.org

Non-Traditional Partners

Non-Traditional Partners

Non-Traditional Partners

Non-Traditional Partners

Non-Traditional Partners

Non-Traditional Partners

Please complete the Evaluation and Contact form in your packet – Thank You!

Dutchess County Comprehensive Cancer Control website

www.cancerfreedutchess.net

THANK YOU!!!For attending the

2006 Dutchess County Comprehensive Cancer Control Kick Off Event!!!

For More Information, Contact:Lisa Cardinale, LMSW

Sr. Public Health Educator845.486.3565

cancerfreedutchess.netlcardinale@co.dutchess.ny.us

2006 Dutchess County Comprehensive Cancer Control Introduction Event

Lunch is Served – Enjoy!!!

Dutchess County Department of Health

We are connected to our Community

All photos used in this presentation were taken from google – images, All photos were selected to be illustrative and were not to be specific to an individual, group, agency or any other format. Below are their perspective addresses:

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http://www.answerthecall.net/atf/cf/%7B9312E0F5-8AA1-47D4-9199-569C3DF089BE%7D/Food_pantry.jpg http://www.marthastewart.com/images/content/feature/0406_edf_weekend_dinner.jpg http://www1.istockphoto.com/file_thumbview_approve/557862/2/istockphoto_557862_pasta_dinner.jpg http://us.inmagine.com/168nwm/photodisc/pdeo003/pdeo003059.jpg http://www.edgehill.ac.uk/Shared/images/img_childcare.jpg

http://members.shaw.ca/calgaryselfhelp/Images/hairdresser.jpg http://www.smgsi.com/internet/home/goodsam.nsf/(Images)/19694E0AD281AED386257058005A5D8D/$FILE/makeup.jpg http://www.bhsala.com/princeton/programsAndServices/cancerServices/images/lookGood.jpg http://www.mobile-review.com/articles/2002/image/plane/airplane.jpg http://www.coppermine.luchtzak.be/albums/userpics/10001/normal_FOTO_WAW.jpg http://www.kingstonregionalhealth.org/kingston_hospital/images/clip_image002_001.jpg http://doctor.website2go.com/images/59141.JPG?s=935790689 http://www.fdrlibrary.marist.edu/images/wcstat.gif http://www.vibride.com/images/article/PM/groom%20close%20up%20hiding%20face.jpg http://us.inmagine.com/168nwm/itstock/itf089/itf089063.jpg http://naturallycurly2.com/images/reader/1085299272terry-smiling-with-hair-in-face-close-up.JPG http://us.inmagine.com/168nwm/photoalto/paa106/paa106000064.jpg http://images.acclaimimages.com/_gallery/_TN/0106-0509-2219-4139_TN.jpg http://images.jupiterimages.com/common/detail/31/50/23245031.jpg http://turing.cs.pub.ro/cec-wys/image/Teenager.jpg

Data Sources

U.S. Census Bureau Decennial Census 1990, 2000 American Community Survey 2005 Population Estimates 2005

New York State Department of Health, Bureau of Biometrics

Behavioral Risk Factor Surveillance System BRFSS 2003 Expanded BRFSS 2003

Youth Risk Behavior Surveillance System (YRBSS) 2003 Dutchess County Youth Tobacco Survey 2003, Children’s

Services Council Childhood Obesity Study 2004, Dutchess County

Department of Health & Children’s Services Council