December 2015 & January 2016
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:
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 817 new cases and 345 deaths from cervical cancer in 2013 (Florida Cancer Data System). Most cases of cervical cancer occur in women who have never been screened with a Pap test or who have not been screened in the past five years. Talk to your doctor about when a Pap test is most appropriate for you. Tests for specific human papilloma virus (HPV) strains can 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. Nearly all cervical cancers are caused by HPV. HPV is a common virus that is passed from one person to another during sexual activity. The three dose HPV vaccination series can help prevent multiple cancers, including cervical cancer and cancer of the mouth and throat. 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. The new Gardasil HPV 9 vaccine offers protection from more types of HPV. Those males and females who have completed a HPV vaccination series do not need vaccination with the new vaccine. HPV 9 may be used to complete a series started
with one of the other HPV vaccines. The Florida Breast and Cervical Cancer Early Detection Program offers free Pap tests to women who are: n Ages 50-64; and n Low income; and n With no health insurance.
To learn more about HPV vaccination series or Pap testing call your Florida Department of Health local office or visit the Department’s website. According to the CDC, to reduce risk or prevent cervical cancer: n Get the HPV vaccine n Women between 21 and 65 years old
should see their doctor regularly for a Pap test
n Do not smoke n Limit the number of sexual partners
Parents and young adults are encouraged to visit this site at Diseases and the Vaccines that Prevent Them to learn more about vaccine-preventable diseases and recommendations. 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 For more information on cervical cancer go to www.cdc.gov/cancer.
December 2015 & January 2016
State Update Florida Cancer Planning Efforts–Coalitions Develop Plans to Move Florida Forward! Over 50 cancer partners convened over a few months to develop the next phase of coordinated cancer planning efforts and have released plans for moving Florida closer to a cancer free state. Five committees were convened which identified 12 actionable objectives and strategies to reduce the burden of cancer in the state. The following summaries highlight the overall focus of the objectives: Increasing Sun Safety in Schools and Public Areas Expand Florida school district policies to include or increase sun safe measures which protect students and staff from exposure to the sun; promote simplified, collaborative based models for increasing access to sun protective factors, such as sunscreen, in public areas. Expand Human Papilloma Virus Vaccination (HPV) through Health Providers Develop and coordinate an outreach campaign to educate health care providers on the importance of physician referral for HPV vaccination adoption. Limit Tobacco Risk through School, Work and Sale Policies Reduce tobacco related cancers through the development of policies that prevent and reduce tobacco use among young adults including K-12 Comprehensive Tobacco Free School Policy, tobacco free worksites and tobacco product marketing. Improve Access to Cancer Screenings Using Data Driven Interventions Identify high need regions for the top six screenable cancers; provide tailored support to health care practitioners and patient navigators within these regions on recommended cancer screening guidelines, evidence based practices to increase screening and resources on overcoming barriers to care. Support Cancer Survivors by Expanding Access to Quality Care Plans and Assisting Providers Expand access to high quality survivorship cancer plans by enhancing electronic health record systems and assisting community partners and health care champions through promotion and support of efforts. Objectives and strategies will be implemented January 2016 and an invitation remains open to interested individuals and groups to become involved. To learn more about ongoing cancer control efforts contact cancer@flhealth.gov. Let’s move Florida forward! 1
15,524,970 Florida adults: Florida QuickStats. U.S. Census Bureau. U.S. Department of Commerce http://quickfacts.census.gov/qfd/states/12000.html Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Prevalence and Trends Data, 2014. 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. 3 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 4 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. 5 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. 6 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. 7 A Report of the Surgeon General: How Tobacco Smoke Causes Disease - The Biology and Behavioral Basis for Smoking-Attributable Disease Fact Sheet, 2010; and US Surgeon General’s Report, 1990, pp. vi, 155, 165 8 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. 2
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Cancer Stakeholder
Bring in the New Year Tobacco Free with Tobacco Free Florida With a new year comes an 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 offers free help and encourages tobacco users to make a plan to quit. 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 the body and also blocks the body from fighting it.4,5 But, the good news is that it’s possible to quit now and reverse the damage: Within five years of quitting:6 nThe risk for stroke could fall to about the same as a nonsmoker’s. nThe risk of cancer of the mouth, throat, esophagus and bladder is cut in half. nFemale smokers’ risk of cervical cancer falls to that of a non-smoker. After ten years of quitting:7 nThe 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 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.8 Those who have tried to quit but have relapsed are encouraged to try again as most former smokers make several attempts before quitting permanently. A comprehensive and personalized quit plan increases the chance of success. Tobacco Free Florida is here to help. Tobacco Free Florida’s resources are free and easy to access: 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. More than 126,000 Floridians have already successfully quit using one of Tobacco Free Florida’s cessation resources. Former smokers that have used Tobacco Free Florida to quit are encouraged to share their story to inspire others looking to quit. Visit www.tobaccofreeflorida.com/quitandtell.
December 2015 & January 2016 Cancer Stakeholder
Healthy Living Habits–Essential
Cancer Survivor Tips ancers like most chronic diseases have long been moving from a poor prognosis to managed care and increased longevity by adopting healthy behaviors. Health science has shown that changing certain habits can dramatically improve a cancer survivor’s recovery after diagnosis and treatment. Numerous studies are reporting on how behaviors typically associated with preventing cancer have also shown to be effective at increasing survival rates. For example, yoga was shown to improve breast cancer recovery and walking regularly improved colorectal cancer survival rates. The American Institute for Cancer Research (AICR) helps draw a connection between well-known health habits for cancer prevention and improved survivorship after diagnosis. The National Cancer Institute highlights the importance of tobacco cessation, as its use is linked to poor treatment response and increased risk for second malignancy in patients with a range of cancers including head and neck, leukemia, prostate and lung.
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More information on Healthy Living Habits: American Institute for Cancer Research
In contrast to a need for healthy behaviors in cancer survivors, a study published in the journal Cancer 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 and found recommended foods, such as vegetables and whole grains, were eaten less in the cancer survivor group. NCI’s summary report also identified challenges with tobacco cessation in cancer survivors despite high quit attempt rates. To learn more about how to improve these trends, visit the websites of partners that have stepped up to support adoption of healthy behaviors in cancer survivors: American Cancer Society–provides resources for cancer survivors on nutrition and staying active. American American Society of Clinical Oncology–provides recommendations for cancer survivors on healthy living. LIVESTRONG at the YMCA–offers a no cost 12 week fitness program for cancer survivors with a physician’s clearance. National National Cancer Survivorship Resource Center–developed a free learning module for primary care providers on empowering survivors to live well (continuing education units available). Tobacco Cessation for Cancer Survivors Workgroup–developed tools for health professionals to improve quit rates. University of Alabama Study–demonstrated how a gardening intervention can increase healthy exercise and eating habits in breast cancer survivors.
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December 2015 & January 2016 Cancer Stakeholder
Healthiest Weight Florida Initiatives Maintain, Don’t Gain! Holiday Challenge 2015 Americans can gain on average between 1 and 5 pounds each holiday season. While it 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 North Carolina State University to offer the Maintain, Don’t Gain! Holiday Challenge. ather than focusing on trying to lose weight, the FREE seven-week challenge provides participants with tips, tricks, and ideas to help maintain their weight throughout the holiday season.
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Features of the Holliday Challenge include: nSeven weekly newsletters delivered to your 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 other participants
To learn more about these exciting events and programs visit www.healthiest weightflorida.com/
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The 2014 Holiday Challenge saw real meaningful change:
nOver 1,700 Floridians received helpful advice on enjoying the holidays in a more healthy way nTwo out of three (67%) participants maintained their weight and one in four (26%) lost at least three pounds Tips this year will include choosing fresh fruit as a festive and sweet substitute for candy, limiting fats, salt and sugary foods and finding fun ways to stay active, such as dancing to their favorite holiday music. Being active for at least two and half hours a week and helping kids and teens be active for at least one hour a day also adds healthy balance to the season.
With balance and moderation, you can enjoy the holidays the healthy way. To learn more about other exciting events and programs visit www.healthiestweightflorida.com/
Find fun ways to stay active, such as dancing to your favorite holiday music.
December 2015 & January 2016 Cancer Stakeholder
Cancer In the News General Cancer Related Articles 2014 National Healthcare Quality & Disparities Report—August 2015 Breast cancer: Research identified obstacles to care in Appalachia —Science Daily, Nov. 2, 2015 Prevention Related Articles Trial Shows Vitamin D, Calcium Supplements Don’t Reduce Colorectal Cancer Risk—American Institute for Cancer Research (AICR), Oct. 16, 2015 Lathering up with sunscreen may protect against cancer—killing coral reefs worldwide—Science Daily, Oct. 20, 2015 Alcohol intake increases the risk of breast cancer—Science Daily, Oct. 21, 2015 Many U.S. Physicians Communicate With Parents in Ways That May Discourage HPV Vaccination—American Association of Cancer Research, Oct. 22, 2015 Association between breastfeeding, reduced risk of aggressive breast cancer—Science Daily, Oct. 28, 2015 Human Papillomavirus Vaccination Coverage Among Female Adolescents in Managed Care Plans—Centers for Disease Control and Prevention (CDC), Oct. 30, 2015
CDC measures success of tips campaign ads—MNT, Nov. 5, 2015 First precision medicine trial in cancer prevention identifies molecular-based chemoprevention strategy—Science Daily, Nov. 5, 2015
Survivorship Related Articles New test could make chemo unnecessary for many with testicular cancer—MNT, Oct. 19, 2015 A new way to starve lung cancer?— Science Daily, Oct. 20, 2015
75 percent of first-time moms plan to follow vaccine schedule, study finds— Science Daily, Nov. 5, 2015
Test could predict whether breast cancer will spread to the brain—Science Daily, Oct. 21, 2015
Top Fall Spices for Cancer Prevention— American Institute for Cancer Research (AICR), Nov. 5, 2015
Patients with Advanced Cancer May Benefit from Discussing Prognosis with Physicians—National Cancer Institute, Oct. 30, 2015
Access to Care Related Articles U.S. cervical cancer screening practices show room for improvement—MNT, Sept. 29, 2015 More than 11 moles on your arm could indicate higher risk of melanoma— Science Daily, Oct. 19, 2015 Outreach increases completion of HPV vaccination series by adolescent girls— Science Daily, Oct. 19, 2015
Predicting cancer's growth from few clues—Science Daily, Nov. 2, 2015 Simple test predicts response to chemotherapy in lung cancer patients— Science, 2015 Daily, Nov. 3 Changes urged to radiotherapy practice that could save NHS tens of millions per year—MNT, Nov. 3, 2015
Study: Only 1 in 5 US pancreatic cancer patients get this key blood test at diagnosis—MNT, Nov. 4, 2015 Ovarian cancer risk depends on reproductive factorsr—MNT, Nov. 4, 2015
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December 2015 & January 2016 Cancer Stakeholder
Tools & Resources > 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.:
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Dec. 4: Update on Thyroid Cancer1,2 Dec. 9: Coping with Holidays and Special Occasions Dec. 10: : Cancer and the Workplace: Knowing Your Legal Rights1,2 Dec. 14: Update on Lymphoma from the 2015 American Society of Hematology (ASH) Annual Meeting1,2 Jan. 14: Update from the 2015 American Society of Hematology (ASH) Annual Meeting1,2 Jan. 27: The Latest Developments Reported at the 38th Annual 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 After Cancer Treatments1,2 Feb. 11: Update on Chronic Lymphocytic Leukemia (CLL) 1,2 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). Listen to past Connect Education Workshop as podcasts through CancerCare's website. > The Lucile Packard Foundation for Children's Health—is holding a national symposium, Designing Systems that Work for Children with Complex Health Care Needs, on December 7-8, 2015 that will identify and discuss issues on the care of children with complex health problems. It will provide a forum to learn from experts in child and adult health on progress toward improving systems, services and supports for this population of children. Register to watch the live webcast of the symposium here. > Cancer and Careers—is hosting an Educational Series for Healthcare Professionals (all are from: 12:00-1:00 p.m. ET) which covers practical and legal issues concerning balancing work and cancer. All sessions are free and pre-registration is required. One continuing education credit will be provided free of charge to eligible oncology nurses and social workers upon approval from listed agencies. Dec. 9: Balancing Work & Cancer Webinar: Job-Search > Suwannee River Area Health Education Center—is providing a free, one-hour CE course on HPV vaccination called You are the Key to HPV Prevention. Christopher Balamucki, MD, will provide a comprehensive look at HPV, the benefits of the vaccine and best practices for using the "Same Day, Same Way" 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 Initiative—is a free ELearning and patient safety educational project, approved for up to 10.0 hrs of APA PRA Category 1 credit. The overall goal is to improve the safety of patients of all ages by developing tools for health care providers to recognize, assess, and manage acute and chronic pain in acute care settings. 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 HPV and Oropharyngeal Cancer Fact Sheet and infographic on cervical cancer prevention. >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. When gynecologic cancers are found early, treatment is most effective. Inside Knowledge About Gynecologic Cancer provides the facts about the signs, symptoms, and risk factors of gynecologic cancers. >National Cancer Survivorship Resource Center—has added a new module to the Cancer Survivorship E-Learning Series on colorectal cancer survivorship. Other learning modules include role of primary care providers, effects of cancer, survivor health promotion, care coordination, recovery and prostate cancer. >Agency for Healthcare Research and Quality (AHRQ) —offers CE activities for nurses to increase awareness and ongoing use of 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 mobilefriendly, Spanish-language health information website, Portal de Información de Salud de NIH. The website offers free, evidence-based health information and special feature columns on topics ranging from child health to aging including cancer.
December 2015 & January 2016 Cancer Stakeholder
Funding Opportunities
Health Resources and Services Administration eleased multiple Funding Opportunity Announcement (FOA) for regions in Florida. The Primary Care Training and Enhancement Program will support projects that strengthen the primary care workforce by supporting enhanced training for future primary care professionals. Click here to apply. Closing date 12/16/15. The Service Area Competition Program will support projects that provide comprehensive primary health care services to an underserved area or population, including low-income persons, public housing residents and homeless or migrant farmworkers. Click here to apply. Closing date 1/6/16.. The U.S. Department of Health and Human Services released FOAs for projects related to access to rural health care and physical activity. The Rural Health Network Development Planning Program will support expanded access to coordinate and improve essential health care services and delivery of health care in rural areas. Click here to apply. Closing date 1/8/16. Interventions for Health-Enhancing Physical Activity 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 dates 2/5/16, 10/5/16 and 6/5/
Behavioral Interventions to Address Multiple Chronic Health Conditions in Primary Care is a FOA which seeks proposals 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 5/8/1.
Changes in Health Care Financing and Organization is a call for proposals 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
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December 2015 & January 2016 Cancer Stakeholder
About the Cancer Stakeholder
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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Events
> Northwest Florida Cancer 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. on Jan. 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 in Hollywood, Fla. on March 30, 2016. 26th Annual Interdisciplinary Breast Center Conference in Las Vegas on April 9-13, 2016.
Control Collaborative
> Northeast Florida Cancer Control Collaborative Facebook: NEFCCC
> 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.