August & September 2015
Cancer Stakeholder
State Spotlight, Tobaccco Free Florida, 2 Cancer Survivor Tips, 3 Healthiest Weight, 4 Cancer in the News, 5 Cancer Survivor Tips, 3 Tools & Resources, 6 Funding Opportunities, 7 Collaboratives, 8 Events, 8
Florida Department of Health, Comprehensive Cancer Control Program
PROGRAM SPOTLIGHT:
August is National Immunization Awareness Month Multiple strains of Human Papillomavirus (HPV) are known to cause cancer. The Centers for Disease Control and Prevention (CDC) estimates approximately 26,800 new cancers in the United States will be attributed to HPV each year: 17,500 among females and 9,300 among males. Pre-exposure vaccination is one of the most effective methods for preventing transmission of HPV. Vaccine guidelines recommend bivalent, quadrivalent, or 9-valent HPV vaccine for girls and women age 11–26 and quadrivalent or 9-valent HPV vaccine for boys and men age 11–21. Unlike many vaccines, HPV requires three doses.1,2 The CDC has made increasing HPV immunization rates a top priority for 2015 reminding individuals that the “HPV vaccination is cancer prevention.” The number of cancers from HPV in the US by anatomic site (probable average annual incidence, 2006–2010)2:
nCervical cancer:
10,400 (91% of cervical cancers attributable to HPV) nOropharyngeal cancers: 9,000, both male and female (72% of oropharyngeal cancers attributable to HPV) nAnal cancer: 4,000, both male and female (91% of anal cancers attributable to HPV) nVulvar cancer: 2,200 (69% of vulvar cancers attributable toHPV) nPenile cancer : 700 (63% of penial cancers attributable to HPV) nVaginal cancer: 600 (75% of vaginal cancers attributable to HPV) HPV tends to not cause health problems and thought to be cleared by the immune system naturally within two years. It is only when certain types of HPV do not go away over years that it
can cause these cancers. It is not known why HPV goes away in most, but not all cases. There is no way to know which people will go on to develop cancer or other health problems. The latest information on vaccine recommendations, awareness toolkits and media tools can be found on the CDC website. Health care providers can utilize the adolescent toolkit for materials when discussing vaccines with their patients. Patients and parents should talk with their healthcare provider to determine if other recommended vaccines are needed.
OVARIAN CANCER AWARENESS MONTH
PROSTATE CANCER AWARENESS MONTH
Ovarian Cancer is the eighth most common cancer among women and will be diagnosed in an estimated 21,980 women in the United States this year. In 2011 Florida had over 1,467 new incidences of ovarian cancer (age-adjusted). The United States Preventive Services Task Force (USPSTF) recommends against routine screening for ovarian cancer unless one is in a high risk group, so education and awareness are the best defense. High risk groups for ovarian cancer include women with BRCA1 and BRCA2 genetic mutations, Lynch syndrome or a family history of ovarian cancer. The CDC’s Inside Knowledge campaign hasexcellent resources to help raise awareness of the signs and symptoms of ovarian cancer. For more resources, visit the NCI website.
Prostate cancer is the second most common cancer in Florida, with over 13,000 new cases of prostate cancer annually since 2005 (age-adjusted).1 The National Cancer Institute (NCI) estimates there will be 220,000 new cases of prostate cancer in the US in 2015. The USPSTF recommends against Prostate Specific Antigen (PSA) based screening for prostate cancer. The American Cancer Society (ACS) recommendation states that “the discussion about screening should take place at age 50 for men who are at average risk…” For more information on prostate cancer including considerations for screening, visit the ACS and NCI websites.
1. CDC, Morbidity and Mortality Weekly Report. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6403a1.htm . 2. CDC, HPV and Cancer. Retrieved from http://www.cdc.gov/cancer/hpv/statistics/cases.htm. 3. Florida Department of Health, Florida Cancer Data System. Retrieved from http://www.floridacharts.com/.
August & September 2015
State Update The Florida Department of Health announced more than $18 million in research grant dollars awarded to fund 14 research projects , at cancer centers, universities and research institutes across the state. The awards will improve research aimed at the cure of cancers and tobacco-related diseases. The BankheadColey Cancer Research Program and the James and Esther King Biomedical Research Program provide funding for the awards through a competitive process. The funded projects include a wide range of novel projects on cancer and tobacco-related disease prevention and treatment, screening, treatment-related morbidities, tobacco use and health disparities. The research covers the most common types of cancers such as breast, lung and prostate cancers and includes research on melanoma and leukemia. Organizations received funding for the following projects: H. Lee Moffitt Cancer Center An integrated computational and biological approach to curing prostate to bone metastases nElucidating the role of R-Ras activation in melanoma tumorigenesis nExpanding the reach of a validated smoking-cessation intervention: A Spanish-language clinical trial nProliferative signatures to predict the benefit of adjuvant chemotherapy in early-stage non-small cell lung cancer nSignaling-associated protein complexes for the molecular annotation of therapeutic vulnerabilities, resistance-associated signaling & tumor heterogeneity in lung cancer Mayo Clinic Jacksonville nDevelopment of assays for individualized breast cancer risk prediction Sanford-Burnham Medical Research Institute nThe expansion and upgrade of the analytical genomics core infrastructure at Sanford-Burnham Medical Research Institute University of Florida nFirst-of-its-kind intralesional delivery of oncolytic therapy for limited stage small cell lung cancer nMolecular regulation of CNS leukemia development nNovel agents that simultaneously target HER2, EGFR, and HER3 for treating breast cancer and overcoming therapeutic resistance nNovel small molecules for alpha-1 antitrypsin deficiency University of Miami nAddressing racial/ethnic tobacco health disparities via group intervention nAdverse airway effects of inhaled nicotine from tobacco and e-cigarettes nImpact of etiology-driven precision medicine on reducing breast cancer disparities
More on the public health research funding can be found on the Florida Department of Health website.
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Cancer Stakeholder
Tobacco Free Florida launched a new initiative called Quit and Tell, which celebrates Floridians who have quit tobacco and encourages them to share their story to inspire others to join them. In fact, there are more former smokers than current smokers in Florida. Floridians can Quit and Tell at tobaccofreeflorida.com/quitandtell and join the conversation on social media using the hashtag #QuitAndTell. The Quit and Tell initiative also encourages tobacco users who are trying to quit to make a plan and tell Tobacco Free Florida or their health care provider that they need help. More than 126,000 Floridians have successfully quit using one of Tobacco Free Florida’s 3 Free & Easy Ways to Quit. Tobacco Free Florida’s 3 Ways to Quit are proven-effective services that can double a tobacco user’s chances of quitting. These free services help tobacco users create comprehensive and personalized quit plans. Free nicotine replacement therapy, like the patch or a combination of the patch and nicotine gum, is available while supplies last and if medically appropriate.
Tobacco Free Florida’s 3 Ways to Quit include: nCALL: Call the Florida Quitline at 1-877-U-CAN-NOW to speak with a Quit Coach® who will help assess addiction and help create a personalized quit plan. nCLICK: Tobacco Free Florida’s online cessation tool can be accessed at tobaccofreeflorida.com/webcoach. nCOME IN: Local face-to-face help is available with the help of Area Health Education Centers, find one near you at tobaccofreeflorida.com/ahec. For more information, please visit www.tobaccofreeflorida.com.
August & September 2015 Cancer Stakeholder
Clinical Trials Are Essential
Cancer Survivor Tips linical trials are essential to developing new methods of preventing, diagnosing and treating cancer and involve the testing of drugs, medical devices, screening approaches, behavioral modifications and other interventions. Trials are available for all stages of cancer and can determine whether new treatments are safe and effective and work better than current treatments. The National Cancer Institute (NCI) announced a nationwide precision medicine trial, NCI-MATCH: Molecular Analysis for Therapy Choice, which links targeted cancer drugs to gene abnormalities to determine whether targeted therapies for people whose tumors have specific gene mutations will be effective regardless of their cancer type. Patient enrollment began in July and incorporated more than 20 different study drugs or drug combinations, matching each patient with a therapy that targets a molecular abnormality in their tumor. About Clinical Trials is an online resource that features stories and information that can be shared with patients to help facilitate discussions on the importance of clinical trials. The videos include: Why should I consider a cancer clinical trial?, How will I know if a clinical trial is right for me?, How should I prepare for discussions with my doctor?, What standards are in place to safeguard trial participants? What is informed consent? and Where can I turn for information and support?
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More information on clinical trials can be found at: About Clinical Trials
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August & September 2015 Cancer Stakeholder
Healthiest Weight Florida Initiatives Healthiest Weight Florida is a public-private collaboration bringing together agencies, institutions, organizations and communities to help Floridians make more informed choices about active lifestyles and healthy eating. his year, Healthiest Weight Florida plans to focus on practice and evidence-based interventions in five key focus areas: physical activity, nutrition, schools, worksites and marketing/community outreach. Local health offices will play a major role by promoting selected interventions in their counties.
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Complete Streets and Shared Use Agreements will be promoted for the physical activity strategy area. Complete Streets are policies that can be adopted by local communities to provide safe and convenient travel for all users (i.e., pedestrians, bicyclists, and motorists). Local Health Offices will identify complete streets policies in their counties and make sure they are listed on Smart Growth America’s Complete Street Atlas. Shared use agreements are formal agreements between schools and government entities that open up school facilities for community members to use
To learn more about these exciting events and programs visit www.healthiest weightflorida.com/
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during the hours the school is not in session. This allows communities to have safe, accessible and affordable places for families to exercise and play. Local Health Offices will keep track of all shared use agreements in their communities. Breastfeeding promotion will be the main focus of the nutrition focus area. Local Health Offices will collaborate with local WIC offices and community stakeholders to promote breastfeeding during August, which is Breastfeeding Awareness Month. Local Health Offices will also be conducting analyses of current breastfeeding activities in their counties.
The school strategy area will focus on school health as well as nutrition and physical activity standards in early care and education (ECE) settings. Local Health Offices will work with local elementary schools to host Every Kid Healthy Week events in April 2016. These events celebrate health and wellness
achievements in schools. In addition, the Healthiest Weight contacts at each Local Health Office will also regularly attend their school district’s School Health Advisory (SHAC) meetings to discuss best practices related to the Coordinated School Health Model. Local Health Office staff. The CDC Worksite Health ScoreCard will be the main focus of the worksite strategy area. The CDC Worksite Health ScoreCard is designed to help employers assess whether they have implemented evidence-based health promotion in their worksites.
Healthiest Weight contacts at each Local Health Office will also regularly attend their school district’s School Health Advisory (SHAC) meetings.
August & September 2015 Cancer Stakeholder
Cancer In the News General Cancer Related Articles Vital Signs: Melanoma Incidence and Mortality Trends and Projections— United States, 1982–2030—CDC, June 2, 2015
Prevention Related Articles Two large trials provide further evidence that one dose of HPV vaccine could prevent the majority of cervical cancers—Science Daily, June 9, 2015
Men are 50 percent more likely to get esophageal cancer than 30 years ago— Science Daily, June 6, 2015
Use your bathroom scale and simple goals to lose weight—American Institute for Cancer Research (AICR), June 19, 2015
Fusion of normal cells may trigger genetic changes leading to cancer— Medical News Today (MNT), June 8, 2015
Needle biopsy underused in breast cancer diagnosis, negatively impacting diagnosis and care—Science Daily, June 9, 2014
Study redefines role of estrogen in cervical cancer—Science Daily, June 9, 2015 Mapping genetic mutations in skin cancer—Science Daily, June 18, 2015 Restoring natural immunity against cancers—MNT, June 18, 2015 Colorectal cancer cells reverted to normal functioning cells in lab—MNT, June 19, 2015 Study identifies multiple genetic changes linked to increased pancreatic cancer risk—Science Daily, June 23, 2015 Current blood cancer drug prices not justified, study finds—Science Daily, June 23, 2015
“Fasting-mimicking diet” may promote health and longevity —MNT, June 21, 2015 Move, Stand at Work, New Recommendations—AICR, June 24, 2015 Indoor tanning rates drop among US adults—Science Daily, July 1, 2015 Access to Care Related Articles PET/CT captures hidden source of neuroendocrine cancer—Science Daily, June 8, 2015 PET detects more prostate cancer than conventional imaging—Science Daily, June 8, 2015
Study finds significant drop in new prostate cancer diagnoses—Science Daily, June 18, 2015 Researchers develop new breath test to diagnose esophageal, gastric cancer— Science Daily, June 23, 2015 Survivorship Related Articles Cancer: Economic benefits of early palliative care intervention—Science Daily, June 8, 2015 Comorbid conditions associated with worse lung cancer survival—Science Daily, June 11, 2015 New tool on horizon for surgeons treating cancer patients—Science Daily, June 18, 2015 Discovery promises new treatments to thwart colon cancer—MNT, June 19, 2015 Stress hormones could undermine breast cancer therapy—Science Daily, June 22, 2015 Thin colorectal cancer patients have shorter survival than obese patients— —Science Daily, July 1, 2015
Cervical cancer screening: review calls for urgent screening changes—MNT, June 16, 2015
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August & September 2015 Cancer Stakeholder
Tools & Resources > The National Comprehensive Cancer Network’s (NCCN)— Continuing Education Program seeks to improve patient outcomes in oncology by educating clinicians on the application of evidence-based medicine. Our accredited educational activities are designed for oncologists (in both community and academic settings), nurses, pharmacists, case managers and other health care professionals involved in the care of patients with cancer. Aug. 7: Patient Centered Care in Chronic Phase CML: A Multidisciplinary Approach, 12:00–1:15 p.m. ET Aug. 12: Monthly Oncology Tumor Boards: A Multidisciplinary Approach to Individualized Patient Care—Breast Cancer— Advanced Disease Tumor Board, 4:00–5:00 p.m. ET Sessions are approved for AMA PRA Category 1 Credit(s)™ as identified. > County Health Rankings—will host a webinar on Rankings in Action, which uses population health data to improve communities. Aug. 4: Telling Your Story, 3:00 p.m. ET Sept. 10: 2016 Robert Wood Johnson Foundation Culture of Health Prize Phase I Informational Webinar, 3:00 p.m. > CancerCare—presents the following free Connect® Education Workshops (all are from 1:30–2:30 p.m. ET): All sessions are free and pre-registration is required. Sept. 2: Approved for one Contact Hour to Social Workers Sept 10: Progress in the Treatment of Multiple Myeloma1,2 Sept 17: Coping with the Stresses of Caregiving When Your Loved One Has Multiple Myeloma1,2 1–Submitted for approval for one Continuing Professional Education Unit for Registered Dietitians 2–Submitted for one Contact Hour to Social Workers 3–Approved for one Contact Hour to Social Workers You can participate by listening to this workshop on the telephone or via live streaming through the Internet. For more information or to register online, visit CancerCare online or call 1-800-813-HOPE (4673). Past workshops are archived here. Missed a Connect Education Workshop? Listen to past workshops as podcasts through CancerCare's website.
> Patient Advocate Foundation—will host a patient empowerment webinar series to build patients’ skills and increase access health care. Aug. 20: Your Options for Accessing Second Options, 12:00–1:00 p.m. ET Aug 20: Your Options for Accessing Second Options, 3:00–4:00 p.m. ET Sept. 17: Insurance Denials—How to Construct your Appeal Submission, 12:00–1:00 p.m. ET
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Sept. 17: Insurance Denials—How to Construct your Appeal Submission, 3:00–4:00 p.m. ET Oct. 15: Preparing for Open Enrollment—Changing Plans and/or Enrolling in New Insurance, 12:00–1:00 p.m. ET Oct. 15: Preparing for Open Enrollment—Changing Plans and/or Enrolling in New Insurance, 3:00–4:00 p.m. ET > Agency for Healthcare Research and Quality—created Resources for Primary Care Research and Evaluation which contains searchable databases in Measuring Care Coordination, Clinical-Community Relationships, Team-Based Care, and Integrated Behavioral Health Care. The tool includes instruments and measures to study and evaluate interventions to improve primary care. >Association of Community Cancer Centers—Released 2015 Patient Assistance and Reimbursement Guide which provides financial assistance information on cancer drugs and tools to assist patients paying for cancer treatment. >CDC’s—continuing education course Investigating Suspected Cancer Clusters and Responding to Community Concerns: Guidelines from CDC and the Council of State and Territorial Epidemiologists is available on their website for a limited time. The course provides guidance to state and local health departments for using a systematic approach to responding to cancer cluster concerns in communities. Expiration date 9/27/15. >George Washington Cancer Institute—has released a free online training on Core Competencies for Patient Navigators as well as a State Cancer Plans Priority Alignment Resource Guide & Tool that summarizes top priorities and can be used as a guide for goal setting at the state and local levels. >LIVESTRONG’s—Fertility for Health Care Professionals is a series of informational training videos, slideshows and charts to help health care professionals talk to patients about their fertility questions and options. Training resources include: nTraining Programs nTemplates and Documents nPresentations
>My Family Health Portrait—The U.S. Surgeon General released the My Family Health Portrait tool to help individuals track their family health history, share with family members and learn about their risk for health conditions.
August & September 2015 Cancer Stakeholder
Funding Opportunities U.S. Health Resources and Services Administration released a Funding Opportunity Announcement (FOA) for 2016 Service Area Competition to support programs that improve the health of underserved communities and vulnerable populations by ensuring continued access to comprehensive, culturally competent, quality primary health care services. Click here to apply. Closing date 8/18/15. ACS in parallel with the National Palliative Care Research Center, is soliciting applications for pilot/exploratory research grants in palliative care of cancer patients and their families. These grants will generate the pilot data necessary to maximize an investigator's chances of competing successfully for larger grants. Click here to apply. Closing date 10/15/15. ACS is soliciting applications for research, which evaluates the impact of changes occurring in the health care system with a particular focus on cancer prevention, control and treatment. Research to be funded should focus on the changes in policy and the response to these changes by health care systems, insurers, payers, communities, practices and patients. Click here to apply. Closing date 10/15/15. Agency for Healthcare Research and Quality provides grant awards on a cyclical basis based on the following priority areas: improve health care quality by accelerating implementation of patient centered outcomes research; make health care safer; increase accessibility by evaluating expansions of insurance coverage and improve health care affordability, efficiency and cost transparency. Click here to learn more. Closing deadline 10/5/15.
The National Institute of Health released a funding opportunity announcement (FOA) titled Tobacco Regulatory Science Small Grant Program for New Investigators, to support new investigators in the biomedical, behavioral and social sciences who are in the early stages of establishing independent careers in tobacco regulatory research. Supported projects include pilot and feasibility studies; secondary analysis of existing data; small, self-contained research projects; development of research methodology; and development of new research technology. Click here to apply. Closing date for Letter of Intent 1/4/16, 6/30/16, 1/5/17 and Applications 2/23/16, 7/20/16, 2/23/17.
The U.S. Department of Health and Human Services released a FOA which will support highly innovative and promising research that tests multi-level intervention programs of one to two years in length that are designed to increase health-enhancing physical activity. Click here to apply. Closing date 2/5/16.
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August & September 2015 Cancer Stakeholder
About the Cancer Stakeholder
Collaboratives Events Eighth Annual Community Health Worker Conference in Grand Rapids, Mich. on Aug. 19, 2015 Lung Force Expos in Davie, Fla. on Aug. 28, 2015 Accreditation 101: Learning the Basics of Commission on Cancer Accreditation and Standards in Baltimore, Md. on Sept. 11, 2015 Breast Cancer Symposium in San Francisco, Ca. on Sept. 25–27, 2015 Palliative Care in Oncology Symposium in Boston, Mass. on Oct. 9–10, 2015 NCCN 10th Annual Congress: Hematologic Malignancies™ in San Francisco, Calif. on Oct. 16–17, 2015 2015 International Cancer Education Conference in Tucson, Ariz. on Oct. 21–23, 2015 13th Annual School of Breast Oncology® in Atlanta, Ga. on Nov. 5–7, 2015 Sixth Annual Academy of Oncology Nurse and Patient Navigators Conference in Atlanta, Ga. on Oct. 1–4, 2015 2016 Genitourinary Cancers Symposium in San Francisco, Calif. on Jan. 7–9, 2016 2016 Gastrointestinal Cancers Symposium in San Francisco, Calif. on Jan. 21–23, 2016
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egional Cancer Control Collaboratives exist across the state and work to bring public and private partners together to reduce the burden of cancer. For information about what your regional collaborative in your area is doing, visit their websites listed below. > Northwest Florida Cancer Control Collaborative > Northeast Florida Cancer Control Collaborative > North Central Florida Cancer Control Collaborative > East Central Florida Cancer Control Collaborative > Southeast Florida Cancer Control Collaborative Facebook: SoFla Fighting Cancer > Southwest Florida Cancer Control Collaborative > The Southeast American Indian Council (SEAIC) focuses on needs assessments, preventive education and quality of life for American Indians. Membership is open to anyone of American Indian heritage. Email Dewey Painter or call him at (904) 208-0857 for an application or for more information. To be added to the contact list for any of these collaboratives, send an email request to Cancer@flhealth.gov.
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The Cancer Stakeholder is an e-newsletter, which includes the DOH cancer updates, cancer tools and resources, funding opportunities, events, research, and other information about cancer. The opinions expressed in the Cancer Stakeholder do not necessarily reflect the views of the Department or its staff. Please direct questions, comments and suggestions to the Comprehensive Cancer Control Program at cancer@flhealth.gov. If you would like to be removed from this distribution list, please send an email with “Unsubscribe” written in the subject line to cancer@flhealth.gov. Please type in the body of the email the county where you reside. Please understand that unsubscribing from the Cancer Stakeholder will unsubscribe you from receiving future emails related to the Comprehensive Cancer Control Program, the Regional Cancer Control Collaboratives and the associated local and statewide cancer activities. This electronic newsletter was funded by Cooperative Agreement U58/DP003872 from the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention. For any questions or concerns regarding this newsletter or to include your information in a future issue: Sam.Mooneyhan@ flhealth.gov (850) 245-4444, ext. 3857.