August & September 2014
Cancer Stakeholder
>>The Cancer Stakeholder has expanded to include a new section to provide resources and information for cancer survivors, care givers and health professionals entitled Cancer Survivor Tips. Content for the new section will be based on the latest studies and research.
Florida Department of Health, Comprehensive Cancer Control Program
PROGRAM SPOTLIGHT:
August is National Immunization Awareness Month Vaccines are available to prevent the Human Papillomavirus (HPV) types that cause cervical and other cancers. According to the Centers for Disease Control and Prevention (CDC), the HPV vaccine is routinely recommended for girls and boys, 11 and 12 years of age. The vaccine is also recommended for girls and women age 13–26 and boys age 13–21 who did not receive it when they were younger. Unlike many vaccines, HPV requires three doses. The CDC has made increasing HPV immunization rates a top priority for 2014 reminding us that “HPV vaccination is cancer prevention.” Several types of cancer are associated with HPV: nCervical cancer: The most common HPV-associated cancer. Almost all cervical cancer is caused by HPV. nVulvar cancer: About 50% are linked to HPV. nVaginal cancer: About 65% are linked to HPV. nPenile cancer : About 35% are linked to HPV. nAnal cancer : About 95% are linked to HPV. nOropharyngeal cancers (cancers of the back of the throat, including the base of the tongue and tonsils): About 60% are linked to HPV. [Note: Many of these cancers may be related to tobacco and alcohol use]
Ovarian Cancer Awareness Month Ovarian Cancer is
oral cancer is on the rise Most of the time, HPV goes away by itself within two years and does not cause health problems. It is thought that the immune system fights off HPV naturally. 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. Patients and parents should talk with their health care provider to determine if other recommended vaccines are needed. Health care providers can utilize the adolescent toolkit for materials to use when discussing vaccines with their patients.
excellent resources to help raise awareness of the signs and symptoms of ovarian cancer. For more resources, visit the NCI the eighth most common cancer among women and will be website. diagnosed in an estimated 21,980 women in the United States this year. In 2010 Florida had over 1,400 new cases of Prostate Cancer Awareness Month Prostate cancer is ovarian cancer (age-adjusted).1 The United States Preventive the second most common cancer in Florida, with over 13,000 Services Task Force (USPSTF) recommends against routine new cases of prostate cancer annually since 2005 (agescreening for ovarian cancer unless one is in a high risk group, adjusted).1 The National Cancer Institute (NCI) estimates there so education and awareness are the best defense. High risk will be 233,000 new cases of prostate cancer in the US in 2014. groups for ovarian cancer The USPSTF recommends against Prostate Specific Antigen include women with State Update, 2 (PSA) based screening for prostate cancer. The American BRCA1 and BRCA2 genetic Cancer in the News, 3 Cancer Society (ACS) recommendation states that “the mutations, Lynch discussion about screening should take place at age 50 for men Cancer Survivor Tips, 4 syndrome or a family who are at average risk…” For more information on prostate Tools & Resources, 5 history of ovarian cancer. cancer including considerations for screening, visit the ACS and Funding Opportunities, 6 The CDC’s Inside NCI websites. Collaboratives, 7 Knowledge campaign has Events, 7 1. Florida Department of Health, Florida Cancer Data System. Retrieved from http://www.floridacharts.com/.
August & September 2014 Cancer Stakeholder
With the right help, resources and support, you can have the best chance to quit. Tobacco Free Florida’s (TFF) quit services can double your chances of quitting any form of tobacco for good. Each person is different and so is their nicotine addiction. TFF can help you choose a path to quitting that works for you! With TFF you can Call, Click, or Come in.
State Update The Florida Breast and Cervical Cancer Early Detection Program has been funded by the Centers for Disease Control and Prevention (CDC) since 1994. The Program was recently awarded a grant of $4,983,334 for Fiscal Year 2014–2015, which is a five percent increase over last year’s award. The additional funding is being used to increase breast and cervical cancer screening rates among underserved women statewide. Currently, the program serves just fewer than six percent of the eligible priority population in Florida. During the period between July 2012 and June 2013, 35,315 breast and cervical cancer screenings and diagnostic tests were provided to 18,006 women through a network of over 750 healthcare providers statewide; 316 women were diagnosed with breast cancer and 49 women were diagnosed with cervical cancer or pre-cancers. Since program inception in 1994, 513,550 breast and cervical cancer screenings and diagnostic tests were provided; 3,232 breast cancers and cervical cancers and pre-cancers have been detected. The program has received a state general revenue allocation for the past three years. During the recent legislative session, $1.8 million was allocated to the Program, which included $300,000 in recurring funding. General revenue funds help increase access to clinical and community resources. The Program has initiated a population-based screening promotion and provision project in areas of the state with high rates of late stage breast and cervical cancer. In Florida, half of cervical cancer cases and over one-third of breast cancer cases are diagnosed at a late stage of disease when survival rates are lowest, and treatment is more extensive and costly.
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Call: Phone 1-877-U-CAN-NOW (1877-822-6669) to speak with a Quit Coach who will help you assess your addiction and help you create a personalized quit plan. Quit coaches are available 7 days a week, 24 hours a day and available for tobacco users age 11 and older. Nicotine Replacement Therapy (NRT) is available free of charge to age 18 and older, if medically appropriate. Text2Quit is a free service that sends up to 300 motivational texts before, during and after your quit. Click: Enroll in Web Coach, an online program for tobacco users age 13 and older, which helps you create a personalized web-based quit plan that you follow at your own pace and in private. Motivational and educational emails will be sent to you throughout your quit plan. NRT is available free of charge to age 18 and older, if medically appropriate. Text2Quit is a free service that sends up to 300 motivational texts before, during and after your quit. Come In: Visit the Area Health Education Centers (AHEC) Network’s website to find and sign up for inperson tobacco cessation provided in a group format throughout Florida. Courses are held in local community locations, vary in length, and are taught by trained tobacco cessation specialists who provide the information and tools needed to become tobacco free. NRT is available free of charge to age 18 and older, if medically appropriate. AHEC courses are available during the Monday–Friday 8:00 a.m. to 5:00 p.m. workday and several classes are scheduled.
ABOVE: Team Up to Quit campaign poster.
Let’s Team Up to Quit! Quitting smoking is hard, but having professional support can make it easier. In fact, when patients work with their health care providers they are more successful in their quit attempts. A number of referral resources exist in Florida to support providers and their patients. Patients can also be referred directly to TFF for free help. Providers interested in referring patients, can download and complete the fax referral form located here and fax it to: 1-866-6887577. Once patients are in the system, Tobacco Free Florida can follow up with them and help them overcome their nicotine addiction as a team.
For more information on how health care providers can help their patients quit smoking, visit www.TobaccoFreeFlorida.com/ healthcare.
August & September 2014 Cancer Stakeholder
Cancer In the News Tough-to-Treat Breast Cancer Nearly Twice as Common in Black Women: Study—MedlinePlus, May 16, 2014
Gardening for Health, Survivors and All—American Institute of Cancer Research (AICR), June 5, 2014
Cancer-killing virus therapy may be improved by low dose of targeted drug—MNT, June 19, 2014
Surgery Isn't Only Option for Women with Ovarian Cancer Genes—HealthDay, May 16, 2014
Seemingly invincible cancer stem cells reveal a weakness—Science Daily,, June 5, 2014
Treatment helps young women preserve their fertility during breast cancer chemotherapy—National Cancer Institute (NCI), May 30, 2014
Our own treacherous immune genes can cause cancer after viral infection—MNT, June 6, 2014
Conclusive evidence that sunscreen use in childhood prevents development of malignant melanoma in adults—Science Daily, June 19, 2014
Cancer Treatment & Survivorship Facts & Figures—American Cancer Society (ACS), June 1, 2014
Needle biopsy underused in breast cancer diagnosis, negatively impacting diagnosis and care—Science Daily, June 9, 2014
Smokers with gene defect have one in four chance of developing lung cancer—Science Daily, June 1, 2014
Guidelines address long-term needs of prostate cancer survivors—Science Daily, June 10, 2014
Increasing sensitivity of HPV detection in cancer with new test—Science Daily, June 1, 2014
Moles linked to risk for breast cancer— Science Daily, June 10, 2014
Tale of two prognoses in pediatric brain tumor, pilocytic astrocytoma—Science Daily, June 2, 2014 A brief overview on research in women's cancers—NCI, June 2, 2014 Why colon cancer metastasis always follows the same invasive pattern— Science Daily, June 2, 2014 Many breast cancer patients don’t get treatment for heart problems— American Heart Association, June 3, 2014 More patients with ovarian cancer are receiving chemotherapy before surgery—Medical News Today (MNT), June 3, 2014
Long-term Care Guidelines for Prostate Cancer Survivors—ACS, June 10, 2014 Gardens help cancer survivors cope, heal and grow—Science Daily, June 16, 2014 Breathalyzer test may detect deadliest cancer—Science Daily, June 18, 2014 Risk for colon, endometrial and lung cancers increased by sedentary behavior—MNT, June 18, 2014 Study links vitamin D deficiency to 'allcause mortality and cancer prognosis’— MNT, June 18, 2014 African American women with breast cancer less likely to have newer, recommended surgical procedure— Science Daily, June 19, 2014
Feel-good hormones could cause UV addiction—Science Daily,, June 19, 2014 Finding the Achilles' heel of ovarian tumor growth—Science Daily, June 19, 2014 Study finds stronger nicotine dependency associated with higher risk of lung cancer—NCI, June 19, 2014 BPA exposure during fetal development raises risk of precancerous prostate lesions later in life—Science Daily, June 23, 2014 Racial disparity in colon cancer: New study sheds light—Science Daily, June 23, 2014 To advance care for patients with brain metastases: Reject five myths—Science Daily, June 24, 2014 Inactivity and Cancer Risk: The Latest Research—AIRC, June 25, 2014 Bright, new future for prostate cancer— Science Daily, June 25, 2014 No link between fertility drugs and breast, ovarian, uterine cancers, study finds—Science Daily, June 30, 2014
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August & September 2014 Cancer Stakeholder
Post-Breast Cancer Air Travel
Cancer Survivor Tips The Cancer Stakeholder has expanded to include a new section to provide resources and information for cancer survivors, care givers and health professionals entitled Cancer Survivor Tips. Content for the new section will be based on the latest studies and research.
f you have had breast cancer surgery, whether recently or a long time ago, you may not be aware that when you travel by air, pressure may trigger swelling of the arm on the side of surgery called lymphedema. Whether you had a lumpectomy with lymph nodes biopsied or a mastectomy with lymph nodes dissected, you may be at increased risk for lymphedema. Talk to your doctor about a medical compression sleeve. It should be recommended and sized by a health care practitioner who is experienced in garment fitting. Compression sleeve identification and use according to the National Lymphedema Network: nObtain a well-fitted compression sleeve for air travel. nObtain in advance of the trip and wear it several times to ensure proper fit and comfort. nA hand piece, either a glove or a gauntlet, should be worn with the compression sleeve if recommended. nPlace the garment on before take-off. nLeave garment on for 1–3 hours after deplaning to allow tissue pressures to equilibrate.
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More information on compression sleeves can be found at: lymphnet.org/pdfDocs/nlnairtravel.pdf.
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August & September 2014 Cancer Stakeholder
Tools & Resources > Florida Department of Health is hosting a free webinar titled “Exploring the Connection between Overweight, Obesity and Cancer” on Aug 28, 2014, at 1 p.m. EST. Featured Speakers: Dr. Tanya Agurs-Collins, Program Director/Nutritionist, National Cancer Institute and Dr. Catherine Howard, Coordinator, Healthiest Weight Florida, Florida Department of Health. To join the online meeting, click here. To join the teleconference, call 1-888-670-3525 and use passcode: 297-003-0833#
In addition, if you would like to see any of our past webinars for the Cancer-Free series, please visit: http://www.fconn.org/ education/webinars/.
> CancerCare presents the following free Connect® Education Workshops (all are from 1:30–2:30 p.m. EST): All sessions are free and pre-registration is required. July 22: Living with Gastrointestinal Stromal Tumors (GIST): Treatment Update2,3 July 30: Updates in the Treatment of HER2 Positive Breast Cancer Aug 20: Treatment of Estrogen Receptor (ER) Positive & Progesterone Receptor (PR) Positive Breast Cancer & Triple Negative Breast Cancer2,3 1—Approved for one Contact Hour to Social Workers 2—Submitted for approval for one Continuing Professional Education Unit for Registered Dietitians 3—Submitted 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.
> Tools and Policies to Prevent Skin Cancer Through Reduction of UV Exposure—The Research to Reality cyberseminar will explore the cancer control issue of ultraviolet (UV) exposure and skin cancer prevention. This webinar will highlight recent research and resources designed to better identify levels of UV exposure and how one state built upon a strong educational program to a policy and systems approach to address sun safety. Speakers: Zaria Tatalovich, Acting Chief of Surveillance Systems Branch, National Cancer Institute and Beth Pinkerton, Manager, New Mexico Department of Health
> Case Manager and Medical Director Program Live Webinar Series—This National Comprehensive Cancer Network (NCCN) educational series is designed to help case managers and medical directors that are interested in learning more about the current state of the art in oncology care manage patients with cancer based on evidence and according to the recommendations in the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®). July 31: New Developments in the Treatment of Breast Cancer, 12–1:30 p.m. EDT Aug 20: Cancer Survivorship, 12:30–2 p.m. EDT Sept 23: Overview of Pancreatic Cancer, 12:30–2 p.m. EDT Oct 9: Challenges in Assessing and Using Biomarkers in Oncology Care, 1:30–3 p.m. EDT All sessions are approved for AMA PRA Category 1 Credit(s)™. This program has been pre-approved by the Commission for Case Manager Certification to provide continuing education credit to Certified Case Managers (CCMs) and nursing credits are provided as well.
> Cancer Survivorship E-Learning Series—Made available through collaboration between the American Cancer Society and the George Washington University Cancer Institute, this series is a free continuing education program that provides a forum to educate primary care providers (e.g., general medicine physicians, physician assistants, nurses) who may have cancer survivors patients about how to better understand and care for survivors. No cost continuing education credits are available for each 1-hour module. The audience will learn about caring for survivors of adultonset cancers, including: Module 1: The Current State of Survivorship Care and the Role of Primary Care Providers Module 2: Late Effects of Cancer and its Treatments: Managing Comorbidities and Coordinating with Specialty Providers Module 3: Late Effects of Cancer and its Treatment: Meeting the Psychosocial Health Care Needs of Survivors Module 4: The Importance of Prevention in Cancer Survivorship: Empowering Survivors to Live Well Module 5: A Team Approach: Survivorship Care Coordination
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August & September 2014 Cancer Stakeholder
Funding Opportunities
Agency for Healthcare Research and Quality is interested in funding a diverse set of projects that develop, test and evaluate various simulation approaches for the purpose of improving the safe delivery of health care. Applications that address a variety of simulation techniques, clinical settings, provider groups, priority populations, patient conditions and threats to safety are welcomed. Click here to apply. Cycle dates for Jan, May, Sept. Expires 9/26/16. Smart and Connected Health Program is funding projects which accelerate the development and use of innovative approaches that would support the much needed transformation of healthcare from reactive and hospitalcentered to preventive, proactive, evidence-based, person-centered and focused on well-being rather than disease. Click here to apply. Proposal deadline 10/10/14. American Cancer Society (ACS) released a RFA for Pilot and Exploratory Projects in Palliative Care of Cancer Patients and Their Families. This RFA provides funding for investigators performing pilot and exploratory research studies whose purpose is to test interventions, develop research methodologies, and explore novel areas of research in palliative care of cancer patients and their families. A condition of funding is a clearly defined plan as to how the investigator will use the results of the project to develop larger, extramurally funded research projects. Click here for more information. Closing date 10/15/14.
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ACS Professional Development Grants to support pursuit of doctoral degree in Cancer Nursing and career development for primary care physicians. Initial awards for graduate students pursuing doctoral study are made for up to two years with the possibility of a two-year renewal. There is a stipend of $15,000 per year. Click here to apply. The primary care physician award is made to support pursuing an academic career with an emphasis on cancer control. Awards are for three years and for up to $100,000 per year. Click here to apply. Closing date 10/15/14. Small Grants Program for Cancer Epidemiology is an FOA that provides support for pilot projects, testing of new techniques, secondary analyses of existing data, development and validation of measurement methods, linkage of genetic polymorphisms with other variables related to cancer risk and development of innovative projects for more comprehensive research in cancer etiology and epidemiology. Click here to apply. Closing date 11/16/14. Basic Cancer Research in Cancer Health Disparities invites applications from investigators interested in conducting basic, mechanistic research into the biologic/genetic causes of cancer health disparities. These cooperative agreement research awards (U01) will support innovative studies designed to investigate biological/genetic bases of cancer disparities. Click here to apply. Closing date 11/20/14. Exploratory Grant Award to Promote Workforce Diversity in Basic Cancer Research invites applications by
investigators from diverse backgrounds underrepresented in basic and biomedical cancer research. The National Institute of Health (NIH) recognizes a unique and compelling need to promote diversity in the NIH-funded research workforce. Click here to apply. Closing date 11/20/14. National Cancer Institute (NCI) Funding Opportunities: Exploratory and Developmental Grant to Improve Health Care Quality through Health Information Technology (IT) is to fund exploratory and developmental research grants that will contribute to the evidence base of how health IT improves health care quality. The funds support the use of a wide variety of research designs in order to generate information regarding the design and development, implementation, use, or impact of health IT on quality. Depending on the research design and intent of the project, applicants may receive support for: (1) pilot and feasibility or self-contained health IT research projects; (2) secondary data analysis of health IT research; or (3) economic (prospective or retrospective) analyses of a health IT project. Click here to apply. Closing date 11/17/16. Cancer Center Support Grants for NCIdesignated Cancer Centers to capitalize on all institutional cancer research capabilities, integrating meritorious programs in laboratory, clinical, and population research into a single transdisciplinary research enterprise across all institutional boundaries. Click here to apply. Closing date 1/18/17.
August & September 2014 Cancer Stakeholder
Events The Twenty-Fourth Annual Living with Cancer Conference in Bronx, NY on Aug. 2, 2014.
About the Cancer Stakeholder
24th Annual Mayo Clinic Hematology/Oncology Reviews is in Amelia Island, Fla. on Aug. 6–9, 2014. Hematology and Medical Oncology Best Practices is in Arlington, Va. on Aug. 14–21, 2014. Rivkin Center and American Association for Cancer Research present the Ovarian Cancer Research Symposium in Seattle, Wash. on Sept. 8–9, 2014.
ASTRO’s 56th Annual Meeting Targeting Cancer: Technology and Biology in San Francisco, Calif. on Sept. 14–17, 2014. Cancer Survivor Day and Health Expo in Ocala, Fla. on Sept. 20, 2014 Hematologic Malignancies: Translating Discoveries to Novel Therapies in Philadelphia, Pa. on Sept. 20–23, 2014. Advances in Melanoma: From Biology to Therapy in Philadelphia, Pa. on Sept. 20–23, 2014. Association of Community Cancer Centers National Oncology Conference in San Diego, Calif. on Oct. 8–10, 2014. Symposia on Cancer Research 2014 in Houston, Texas on Oct. 9–10, 2014. Oncology Symposium: Management Best Practices, Trends and Opportunities in Orlando, Fla. on Oct. 21, 2014 Florida Society of Oncology Social Workers 2014 Annual Conference in St. Petersburg, Fla. on Oct. 22–24, 2014.
Collaboratives 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.
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> 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
Society for Integrative Oncology in Houston, Texas on Oct. 26–28, 2014.
> Southwest Florida Cancer
AICR Annual Research Conference in the District of Columbia on Oct. 29–31, 2014. The deadline to submit a poster abstract is Sept. 5, 2014.
> The Southeast American
2014 Chicago Multidisciplinary Symposium in Thoracic Oncology in Chicago, Ill. on Oct. 30–Nov. 1, 2014.
Control Collaborative 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.
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.
To be added to the contact list for any of these collaboratives, send an email request to Cancer@flhealth.gov.
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