December 2014 & January 2015
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:
January is Cervical Cancer Awareness Month All women are at risk for cervical cancer. It occurs most often in women over age 30. According to the Centers for Disease Control and Prevention (CDC), approximately 12,000 women in the United States are diagnosed with cervical cancer each year. In Florida, there were 857 new cases and 324 deaths from cervical cancer in 2010 and 2011 (Florida Cancer Data System). Women who are minority, low income and underinsured remain at a higher risk of being diagnosed with, and dying from, cervical cancer. This disparity is largely due to the lower rates of routine screening and timely follow up for detected abnormalities. The good news is that cervical cancer is highly preventable because of the Pap test and human papilloma virus (HPV) vaccine. Nearly all of cervical cancers are caused by HPV. HPV is a common virus that is passed from one person to another during sexual activity. The HPV vaccination is a three shot series that can help prevent multiple cancers, including cervical cancer. The Advisory Committee for Immunization Practices recommends vaccinating boys and girls, ages 11 to 12 years old. The HPV vaccine may be given starting at 9 years of age and through the age of 26 for those who did not get any or all of the shots when they were younger. Tests for specific HPV strains can also support earlier diagnosis of cervical cancer. When found early, it is highly treatable and associated with long survival and good quality of life. Since the vaccine was introduced in 2006, CDC reports that the rates of HPV strains related to genital warts and some cancers have decreased 56 percent among American teen girls. Medical providers are encouraged to visit the CDC’s Preteen and Teen Vaccines website which includes useful information and patient handouts: HPV Vaccine is Cancer Prevention. In addition, parents and young adults are also encouraged to visit this site at Diseases and the Vaccines that Prevent Them to learn more about vaccinepreventable diseases and recommendations. For more information on cervical cancer go to www.cdc.gov/cancer.
State Update, 2 Cancer in the News, 4 Cancer Survivor Tips, 3 Tools & Resources, 5 Funding Opportunities, 6 Collaboratives, 7 Events, 7
The Florida Breast and Cervical Cancer Early Detection Program offers free Pap tests to women who are: • Ages 50-64 • Low income • With no health insurance Call the Florida Department of Health local office for information on the HPV vaccination series availability or visit the Department’s website. According to the CDC, to reduce risk or prevent cervical cancer: • Get the HPV vaccine • Women between 21 and 65 years old should see their doctor regularly for a Pap test • Do not smoke • Limit the number of sexual partners
December 2014 & January 2015 Cancer Stakeholder
With a new year comes the opportunity to set new health goals and stick with them. For many, it is a chance to quit tobacco. In fact, more than 1.7 million Florida adults who smoke report that they want to quit completely.1,2,3 Fortunately, Tobacco Free Florida is here to help and encourages tobacco users to: “Trust the Quitter in You.”
State Update On October 28-29, 2014, the Florida Comprehensive Cancer Control (CCC) Program hosted “Building on the Foundation of a Florida Cancer Network,” a planning meeting held in Tallahassee Florida. This was the first meeting in a series of planning discussions with statewide partners to discuss the framework for developing a plan of action to reduce the burden of cancer. Participants were surveyed before and after the meeting to assess their knowledge on: the 2010 Florida Cancer Plan and its goals; the State’s Health Improvement Plan; Healthy People 2020; and the state’s regional cancer control efforts. The facilitator utilized the CDC Cancer Plan Self-Assessment tool to lead a discussion which assessed the state’s priorities and identifying the core elements needed for a state structure. One key issue determined in the meeting was that the plan format will follow a continuum of care structure which aligns with the 2010 Florida Cancer Plan Goals which are: Goal I: A coordinated approach among public and private cancer control stakeholders to implement cancer activities statewide
There are plenty of reasons to quit smoking. Smoking is responsible for one in every three cancer deaths in the United States. In fact, smoking can cause cancer almost anywhere in your body and also blocks your body from fighting it.4,5 But, the good news is that if you quit now you can help reverse the damage: Within five years of quitting:6 n Your risk of cancer of the mouth, throat, esophagus and bladder is cut in half. n Female smokers’ risk of cervical cancer falls to that of a non-smoker. After ten years of quitting:6 n Your risk of dying from lung cancer drops by half. n 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 quit resources that can aid in making a quit plan and seeing it through. Floridians are encouraged to make a positive choice for their future and join former smokers in quitting, as they
now outnumber the amount of current smokers in the state. Those who have tried to quit but have relapsed are encouraged to try again as most former smokers make several attempts before quitting permanently. Make a quit plan in order to start the New Year off right. Having a comprehensive and personalized quit plan increases the chance of success. We are here to help you and your friends and family! Tobacco Free Florida offers 3 Free & Easy Ways to Quit: CALL: Call the Florida Quitline at 1877-U-CAN-NOW to speak with a Quit Coach® who will help you assess your addiction and help you create a personalized quit plan. CLICK: Tobacco Free Florida’s online cessation tool can be accessed at tobaccofreeflorida.com/webcoach. COME 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
Goal 2: Floridians practice the healthy behaviors associated with prevention of cancer or to reduce risk Goal 3: Floridians have access to appropriate health information and effective health services for the timely detection, diagnosis, and treatment of cancer.
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Goal 4: Floridians affected by cancer are aware of and have access to quality, appropriate services for quality of life, palliative care, and survivorship This planning process will continue to invite new ideas. To learn more about this event or get involved please email cancer@flhealth.gov.
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15,524,970 Florida adults: Florida QuickStats. U.S. Census Bureau. U.S. Department of Commerce http://quickfacts.census.gov/qfd/states/12000.html 1 16.8 percent (or 2,608,195) Florida adults smoke were current cigarettes: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Prevalence and Trends Data, 2013. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 1 68.8 percent (1,794,438) report they want to quit: Centers for Disease Control and Prevention. Quitting Smoking Among Adults—United States, 2001– 2010. Morbidity and Mortality Weekly Report 2011;60(44):1513–19 1 U.S. Department of Health and Human Services. A Report of the Surgeon General. How Tobacco Smoke Causes Disease: What It Means to You. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2010. 1 U.S. Department of Health and Human Services. Let's Make the Next Generation Tobacco-Free: Your Guide 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 Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. 1 A Report of the Surgeon General: How Tobacco Smoke Causes Disease - The Biology and Behavioral Basis for Smoking-Attributable Disease Fact Sheet, 2010; and Tobacco Control: Reversal of Risk After Quitting Smoking. IARC Handbooks of Cancer Prevention, Vol. 11. 2007, p. 341.
December 2014 & January 2015 Cancer Stakeholder
Communication Challenges
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.
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olidays and social events can pose unique communication challenges for cancer survivors. The National Cancer Institute (NCI) has compiled recommendations on how to relate to family, friends and coworkers after a diagnosis. As they state, “having cancer can change relationships with the people in your life. It's normal to notice changes in the way you relate to family, friends, and other people that you are around every day—and the way they relate to you.” A featured article titled ”When a Grandparent has Cancer” has special considerations for helping a child cope with a grandparent’s cancer. Resources have also been developed on how to effectively communicate with your health care team. Both NCI and LiveSTRONG have information for survivors on how to learn more about their diagnosis and treatment process. CancerCare has a simple and concise factsheet with specific questions and tips to make the most of health visits. Coping with Cancer has a great article on communicating with your doctor. Although the article addresses issues specific to ovarian cancer, many of these concepts are universal. Some cancer survivors can experience physical limitations with their speech as a result of treatment. Coping with Cancer has included recommendations on reducing complications from head and neck cancers, which include cancers from HPV.
If a cancer survivor would like additional help with communicating, they can consider joining a support group such as those with LiveSTRONG website and CancerCare through 1-800-813-HOPE (4673).
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December 2014 & January 2015 Cancer Stakeholder
Cancer In the News Urine-based HPV test “feasible alternative for cervical cancer screening”—Medical News Today (MNT), Sept. 17, 2014
E-cigarettes “not helping cancer patients to quit smoking”—MNT, Sept. 22, 2014 Human papilloma virus vaccination provides long-term protection—Science Daily, Sept. 25, 2014 HPV vaccine rates not linked to knowledge about it—MNT, Sept. 25, 2014 Breast cancer: are men the forgotten victims?—MNT, Oct. 1, 2014 How Can Drinking Tea Boost My Health? —American Institute for Cancer Research (AICR), Oct. 2, 2014 Your Questions on Soy and Breast Cancer Answered—AICR, Oct. 2, 2014 Lung cancer can lie dormant for over 20 years—MNT, Oct. 10, 2014 Alcohol control efforts in comprehensive cancer control plans and alcohol use among adults in the USA— National Comprehensive Cancer Control Program, Oct. 13, 2014 Nationality at birth plays role in U.S. adult vaccination rates—Science Daily, Oct. 14, 2014 “Approximately 14 million major medical conditions in US due to smoking”—MNT, Oct. 14, 2014 Treatments, survival benefits for earlystage lung cancer compared in study— Science Daily, Oct. 15, 2014 Good diet before diagnosis is linked with lower mortality among ovarian cancer survivors—Science Daily, Oct. 16, 2014
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Why early-stage breast cancer survivors opt for mastectomy—Science Daily, Oct. 16, 2014
Attention to Nutrition and Exercise Vital for Breast Cancer Survivors—American Institute for Cancer Research, Nov. 3, 2014
Cancer medicine: New, improved, expensive and exploited?—MNT, Oct. 18, 2014
Single blood test that screens for several cancers steps closer—MNT, Nov. 3, 2014
New report highlights potential links between weight, physical activity and breast cancer survival—MNT, Oct. 20, 2014
AHCC, Japanese mushroom extract, eradicates HPV infections in women— MNT, Nov. 3, 2014
New drug could help in battle against cervical cancer—Science Daily, Oct. 23, 2014 Relationship between diet, inflammation and cancer: Key factor found—Science Daily, Oct. 28, 2014 Tea, citrus products could lower ovarian cancer risk, new research finds—Science Daily, Oct. 28, 2014 Most Internet sources on prostate cancer disagree with expert panel's recommendation—Science Daily, Oct. 28, 2014 First detailed picture of cancer-related cell enzyme in action on chromosome unit—Science Daily, Oct. 29, 2014 Decades of research: Effectiveness of phone counseling for cancer patients still unknown—Science Daily, Oct. 29, 2014 Oxygen-deprived RNA molecules lead to tumor progression, study finds— Science Daily, Oct. 29, 2014 Study examines availability of tanning beds on and near college campuses— MNT, Oct. 29, 2014 Viewing cancer on the move: New device yields close-up look at metastasis—Science Daily, Oct. 31, 2014
Scientists uncover potential drug to tackle “undruggable” fault in third of cancers—Science Daily, Nov. 4, 2014 Hot flashes going unrecognized, leaving women vulnerable—Science Daily, Nov. 4, 2014 Immune booster combined with checkpoint blocker improves survival in metastatic melanoma—Science Daily, Nov. 4, 2014 Swallowing a sponge on a string could replace endoscopy as pre-cancer test— MNT, Nov. 5, 2014 Breast cancer recurrence: Study provides insight—Science Daily, Nov. 5, 2014 Millions of US women are not getting screened for cervical cancer—MNT, Nov. 6, 2014 Lactose-intolerant people have lower risk of certain cancers - but why?—MNT, Nov. 7, 2014 Physicians “vital” in explaining smoking and bladder cancer link—MNT, Nov. 10, 2014 Proposed Decision Memo for Screening for Lung Cancer with Low Dose Computed Tomography—Centers for Medicare and Medicaid Services
December 2014 & January 2015 Cancer Stakeholder
Tools & Resources > Healthy People is conducting a Progress Review webinar featuring the Environmental Health and Tobacco Use topic areas. Progress Review webinars are focused on tracking and measuring the progress of select Healthy People 2020 objectives.
Dec 5: Reducing Exposure: A Healthy People 2020 Progress Review Featuring Environmental Health and Tobacco Use, 12:30 p.m. EST. > Debbie’s Dream Foundation is hosting two consecutive webinars for cancer survivors, caregivers and health providers that support survivors. Dec 10: Nutrition forCancer Patients, 7:00 p.m. EST, Dec 10: De-Mystifying Clinical Trials, 7:45 p.m. EST
> NCCN Continuing Education Program—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. Dec 10: Monthly Oncology Tumor Boards: A Multidisciplinary Approach to Individualized Patient Care - Lung Cancer: Biomarker Driven Advanced Disease, 10:00 - 11:00 a.m. EDT (may not be accessible through Internet Explorer) Sessions are approved for AMA PRA Category 1 Credit(s)™ as identified.
> 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
Dec. 16: Overview of Myelofibrosis, Current Treatment Options and Quality of Life Concerns 2,3 Dec. 17: Update on Lymphoma from the 2014 American Society of Hematology Annual Meeting 1 Jan. 7, 2015: Medical Update on Pancreatic Cancer 2,3 Jan. 14: Coping with the Stress of Caregiving When Your Loved One Has Myelofibrosis 2,3 Jan. 28: The Latest Developments Reported at the 37th Annual San Antonio Breast Cancer Symposium 2,3 Feb 4: Managing the Costs of Living with Cancer 2,3 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.
> The Florida Department of Health—in collaboration with the Florida Medical Association, has produced a complimentary, two-credit Continuing Medical Education (CME) course, Healthiest Weight Florida: A Life Course Approach. This CME course is available free of charge to all physicians who are licensed in the state of Florida and underscores the importance of clinicians providing guidance about healthy living to patients and families during all stages of life. Three continuing education credits are also available for Florida nurses, dietitians and nutritionists through a similar course on Florida TRAIN. Just search “FDOH Healthiest Weight: A Life Course Approach” on FL.TRAIN.org or call 850-245-4444 ext. 2166 for more details.
> The George Washington University Cancer Institute’s — Cancer Control Technical Assistance Portal is a centralized website that pulls together existing and new technical assistance for cancer control professionals. Features include webinars, resource repository, TAP eNewsletter and an online academy.
> Inside Knowledge About Gynecologic Cancer - Get the facts about the signs, symptoms, and risk factors of gynecologic cancers. When gynecologic cancers are found early, treatment is most effective. > The CDC has created an infographic to explain how you can help prevent cervical cancer with the right test at the right time. > HPV can cause cancer not only in the cervix, but also in the “oropharynx,” which is an area in back of the throat. To learn more about HPV and oropharyngeal cancer the CDC has created a webpage and fact sheet, HPV and Oropharyngeal Cancer Fact Sheet. CancerCare also released a treatment update on “Oral and Head and Neck Cancer,” which has information on the latest treatments, managing side effects and coping with cancer in an easy-to-read format. Order a free copy here.
> Healthiest Weight Florida is pleased to announce a new tool to help you and your clients make healthier choices this holiday season: Maintain, Don’t Gain! Holiday Challenge. This FREE online seven week challenge provides participants tips, tricks, and ideas to help maintain a healthy weight throughout the holiday season.
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December 2014 & January 2015 Cancer Stakeholder
Funding Opportunities
The Jay Weiss Institute for Health Equity at Sylvester Comprehensive Cancer Center announced a grant opportunity for not-for-profit community organizations in Miami-Dade, Broward, Palm Beach counties. Funds can be used for cancer prevention, education or other programs that support cancer control efforts to reduce cancer disparities. Click here to apply. Closing date 12/12/14. Health Resources and Services Administration has released a funding opportunity announcement (FOA) for fiscal year 2015. The grant program will support providing information, education, technical assistance, and peer support to families of children and youth with special health care needs and professionals who serve such families. Click here for more information. Closing date 12/16/14. Centers for Medicare & Medicaid Services has released a FOA to support technical assistance designs that enable transformation of clinician practices to deliver better care and result in better health outcomes at lower costs for Medicare, Medicaid, and Children’s Health Insurance Program enrollees. Click here for more information. Click here for more information.Closing date 1/6/15.Click here for more information.
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Rural Health Network Development Planning Program are requesting applications for grants to expand access to, coordinate and improve the quality of essential health care services and enhance the delivery of health care, in rural areas through planning activities. Click here to apply. Closing date 1/9/15. 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. Health Trust makes grants for projects that advance healthy living, healthy eating and healthy aging and place a strategic focus on health promotion and disease prevention, and closely align with grant criteria. Click here to apply. Closing dates 1/20/15 and 4/27/15. Agency for Healthcare Research and Quality awards grants on a cycle 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. Cycle deadlines are Feb. 5, June 5, Oct. 5. The Department of Health and Human Services FOA will support highly innovative and promising research that tests multi-level intervention programs of 1 to 2 years in length that are designed to increase health-enhancing physical activity. Click here to apply. Closing dates 2/15/15, 7/5/15 and 11/5/16. Behavioral Interventions to Address Multiple Chronic Health Conditions in Primary Care is a FOA which seeks proposal that use a multi-disease care management approach to behavioral interventions with high potential impact to improve patient-level health outcomes for individuals with three or more chronic health conditions. Click here to apply. Closing date 5/8/17. Changes in Health Care Financing and Organization is a call for proposal from the Robert Wood Johnston Foundation which supports research, policy analysis and evaluation projects that provide policy leaders timely information on health care policy, financing and organization issues. For proposals of $100,000 or less click here and for proposals more than$100,000 click here. $100,000 Grants awarded on rolling basis.
December 2014 & January 2015 Cancer Stakeholder
About the Cancer Stakeholder
Events Miami 2014 Fearless Caregiver Conference on Dec. 3, 2014. Moffitt Cancer Center: Advances in Cancer Immunotherapy™ in Tampa, Fla. on Dec. 5, 2014. Financial Advocacy Network 2014 Regional Meeting in Seattle, Wash. on Dec. 9, 2014. Gastrointestinal Cancers Symposium in San Francisco, Calif. on Jan. 15-17, 2015. 12th Annual Miami Cancer Meeting in Jan. 23-25, 2015. 2015 Winter Oncology Symposium on Jan. 24, 2015. 12th Annual Mayo Clinic Hematology Review in Minneapolis, Minn. on Jan. 25, 2015. 20th Annual Multidisciplinary Symposium on Breast Disease in Amelia Island, Fla. on Feb. 12-15, 2015. Mayo Advances in Systemic Therapies for Breast Cancer in Jacksonville, Fla. on Feb. 13-14, 2015. 9th Evidence-based Complementary & Alternative Cancer Therapies conference in West Palm Beach, Fla. on Feb. 26-28, 2015. Genitourinary Cancers Symposium in Orlando, Fla. on Feb. 2627, 2015. Ingalls 8th Annual Prostate Health and Cancer Seminar in Jupiter, Fla. on March 7, 2015. 2015 NCCN Nursing Program: Advancing Oncology Nursing in Hollywood, Fla. on March 11, 2015 (may not be accessible through Internet Explorer). NCCN 20th Annual Conference: Advancing the Standard of Cancer Care™ in Hollywood, Fla. on March 12-14, 2015. Implementing Comprehensive Biopsychosocial Screening in Duarte, Calif. on March 19-20, 2015. 2015 March Population Management Executive Development Program in Atlanta, Ga. on March 30-April 1, 2015.
Collaboratives
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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.
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 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.
2014 Business of Oncology Summit in Orlando, Fla. on April 10-11, 2015. Hematologic Malignancies: New Therapies and the Evolving Role of Transplant in Chicago, Ill. on April 10-11, 2015.n
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