October & November 2015
Cancer Stakeholder
State Update, 2 Tobaccco Free Florida, 2 Cancer Survivorship Care Plan, 3 Healthiest Weight, Tobacco Free Florida, 4 Cancer in the News, 5 Funding Opportunities, 6 Tools & Resources, 7 Collaboratives, 8 Events, 8
Florida Department of Health, Comprehensive Cancer Control Program
PROGRAM SPOTLIGHT:
Breast Cancer Awarewness
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ctober is Breast Cancer Awareness Month. Breast cancer is the most common and second leading cause of cancer deaths among women in Florida. According to the Florida Cancer Data System, between 2011–2013, a total of 43,090 women in the state were diagnosed and 8,346 died. The good news is that since 2000, the mortality rate of breast cancer in Florida has been declining most significantly in those aged 65 and older. A mammogram is the best screening test used for finding breast cancer in earlier stages (before it grows and spreads) whereas chances of survival are higher. Treatment is more effective when the disease is found early. Breast cancer typically does not show symptoms; however, there are signs to look for to prompt a mammogram. Signs may include:
■ A new lump in the breast ■ A change in the size or shape of the breast ■ Pain in the breast or nipple that does not subside ■ Flaky, red, or swollen skin anywhere on the breast ■ Blood or any other type of fluid coming from the nipple that is not milk when nursing a baby Several breast cancer screening resources are available to Florida women. ■ Medicare insurance (1-800-633-4277) provides mammograms to women age 65 and older without co-pay
■ Breast and Cervical Cancer Early Detection Program offers a limited number of screenings to uninsured, low-income women who qualify. For more information call the Florida Department of Health in your county, the American Cancer Society National Hotline (1-800-227-2345), or visit the website. ■ The American Cancer Society National Hotline (1-800-2272345) can help locate screening resources ■Susan G. Komen for the Cure (1-877-465-6636) provides mammograms for low-income women under age 50 in some parts of the state
PROGRAM SPOTLIGHT:
November is Lung Cancer Awareness Month
In Florida, lung cancer has the highest cancer incidence and mortality rate of all cancers. Florida Cancer Data System (FCDS) reported 16,429 new cases of lung and bronchus cancer and 11,981 deaths from lung cancer in 2012. The main cause of lung cancer is smoking tobacco. Smoking cessation can dramatically reduce lung cancer risk. Tobacco Free Florida offers 3 Free & Easy Ways to Quit. Read more about tobacco related initiatives and cessation resources on page 4 of this newsletter. Radon is the second leading cause of lung cancer in the U.S. after smoking, and the leading cause of lung cancer among non-smokers. Radon is a naturally occurring, odorless, colorless, tasteless, radioactive gas produced from the radioactive decay of radium, found in most soils and earthen construction materials. Data collected by the Department of Health indicates 1 in 5 Florida residences tested has elevated radon levels. The only way to know the radon levels in your home is to test. For more information, visit Department of Health Radon and Indoor Program website or call 1-800-543-8279... continued on page 2
October–November 2015 Cancer Stakeholder
Reach and Connect Project
November is Lung Cancer Awareness Month continued from page 1
The US Preventive Services Task Force recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults ages 55 to 80 years who have been heavy smokers. Individuals should talk with their doctor about screening if they are:
State Update The Florida Breast and Cervical Cancer Program (BCCEDP) announces the Reach and Connect Project for 2015-2016 fiscal year. In Florida, 33.9 percent of the breast cancer cases and 55.2 percent of the cervical cancer cases are diagnosed at late stage (FCDS 2012). In 2014-2015, the Reach and Connect Project funded full-time and part-time community health workers (CHWs) to provide outreach, education, and breast and cervical cancer screenings. CHWs as trusted members of their communities guide women through the screening process and continue follow-up outside of the traditional health system. The project focused on areas with high late-stage breast and cervical cancer incidence and women who carry the greatest burden of the disease. Outcomes include: ■ Over 4,000 adult women were educated on recommendations for breast and cervical cancer screenings in adults and human papilloma virus vaccination, recommended as early as 9 years old and as late as 26 years old, to better inform the health decisions of their family and loved ones ■ Over 300 women received screening services in the involved counties ■ Over 2,000 women were referred to the BCCEDP and 396 received referrals to other resources for services The BCCEDP was awarded funding for 2015-2016 to continue efforts educating all women about the importance of screening and how to access screening services. Funding was offered to all lead Local Health Office BCCEDP sites. The Reach and Connect Project for 2015-2016 will impact 41 Florida counties. Lead sites expanded this year to Broward, Duval, Escambia, Gadsden, Hillsborough, Jackson, Leon, Manatee, Miami-Dade, Pasco, Pinellas, Putnam, Seminole and Volusia. The project will continue its focus on regions with high late-stage breast and cervical cancer incidence and greater emphasis will be placed on population-based activities such as forming partnerships with Federally Qualified Health Centers to increase mammography and Pap test screening rates.
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■ Between 55 and 80 years of age; and ■ Have smoked cigarettes for “30-pack years”, which is roughly smoking a pack a day for 30 years, 2 packs a day for 15 years, or 3 packs a day for 10 years; and ■ Has quit smoking within 15 years or is still smoking. Screening using an LDCT scan of the lungs in high-risk persons can prevent a substantial number of lung cancer– related deaths. Chest X-rays are not effective in screening for lung cancer. Insurance may pay for the screening if an individual meets the screening guidelines. Lung cancer symptoms include: ■ Persistent cough ■ Chest, shoulder or back pain unrelated to coughing ■ Changes in the color or amount of sputum, coughing up more sputum or sputum tinged with blood ■ Shortness of breath ■ Developing hoarseness or other changes in the voice ■ Audible, raspy sounds with breathing ■ Frequent lung problems such as bronchitis or pneumonia ■ Loss of appetite or unexplained weight loss ■ General weakness or fatigue Symptoms of lung cancer often take years to develop, and usually there are no signs during early stages of lung cancer. If you have any of the above symptoms, see your health care provider.
October – November 2015 Cancer Stakeholder
Cancer Survivor Tips: Survivorship Care Plan Pilot Project
Orlando and Pensacola Physicians Participate in a Pilot Project Creating Survivorship Care Plans
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hysicians from the Orlando and Pensacola areas were recruited to participate in an exciting pilot project to generate high quality survivorship care plans without an undue burden on the health care staff.
What are the Benefits?
The end goal is to generate an electronic summary of a cancer patient’s treatments (diagnosis, medications, surgeries, anesthesia, etc.) and a survivorship care plan to guide the patient on next steps in their care. No system currently exists in Florida that would enable a health care professional to easily compile a comprehensive summary of a cancer patient's treatments in a non-laborious or time-consuming way. For optimal oversight and care, a doctor would need to consult multiple data sources to obtain the diagnostic tests performed, tumor characteristics, treatment dates, treatment modalities, psychosocial services and healthcare contact information. This pilot project aims to develop a new stream-lined system that works in any setting and supports survivors through their treatment. The Florida Department of Health's Comprehensive Cancer Control Program partnered with the Agency for Health Care Administration (AHCA) to develop a mechanism to collect cancer treatment data. Consulting with Strategic Health Intelligence (SHI), a Pensacolabased company, a coding program was designed to generate a survivorship care plan within any electronic health record system using AHCA's Health Information Exchange (HIE) Patient Look Up (PLU) program. The PLU facilitates sharing of electronic medical records confidentially and SHI’s Direct Messaging Service allows provider to provider messaging and follow up.
Physicians: Physicians who participate should have at least two patients who have survived cancer. Physician participants in this pilot will receive: ■ Free subscription to Direct Messaging and a free Graphic User Interface system ■ SHI will provide software, an e-mail address and internet interface ■ Free hour of training for a staff member in making the query to generate the summary ■ Opportunity to optimize cancer care for patients and advance survivor care
Cancer Survivors: Cancer survivors get a record of their entire treatment they can share and refer to in the future. They will also receive a care plan with basic health and specific information about their particular cancer.
Physicians with cancer patients can still participate in the program. If you are interested in participating or for more information about the project, please contact Marion Banzhaf, Marion.Banzhaf@flhealth.gov or 850-245-4330, or Craig Dalton, craigdalton@the-hie.com.
Physicians with at least two cancer patients who have survived, can still participate in the Survivorship Care Plan Pilot Project.
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Healthiest Weight Florida Initiatives
Eat Smart, Move More
October–November 2015 Cancer Stakeholder
small steps to Living Healthy Healthiest Weight Florida would like to invite you to join us in taking Small Steps to Living Healthy! This email-based program allows participants to sign up for quick weekly tips and tricks to achieve and maintain their healthiest weight. Information is clear, concise and there to help you take those difficult first steps to living healthy in Florida. Each week of the month highlights a designated topic area: ■ Set Goals. At the beginning of each month, a challenge and health tip will be emailed. Examples of challenges include replacing sugar-sweetened beverages with water or taking the stairs instead of the elevator. ■ Move More. During the second week of the month, physical activity will be the highlighted. Participants will be introduced to different styles of exercise and the benefits of each, including options for persons with disabilities. ■ Be in the Know. Week three “fun fact” emails will provide facts on other aspects of healthy living related to healthy weight such as stress, depression and time use. ■ Eat Smart. The focus of this week’s email will be nutrition. Florida fruits and vegetables of the month, as well as recipes, will be offered through the Living Healthy in Florida Campaign. Emails will continue throughout the year, but will never be sent more than once a week. We are excited for the continued growth of this program, and encourage you to register through the online system. You may opt out at any time.
To learn more about other Healthiest Weight Florida programs visit www.healthiestweightflorida.com/.
November: The Perfect Time to Raise Awareness about Lung Cancer and Quit Smoking
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Cigarette smoking is the number one risk factor for lung cancer.1 In fact, nine out of ten lung cancers are caused by smoking. The more you smoke, the more your risk goes up. But the good news is quitting can lower your risk of lung cancer and other smokingrelated diseases. Ten years after quitting smoking, risk of dying from lung cancer is about half that of a person who is still smoking.2 November is Lung Cancer Awareness Month, a great opportunity to educate friends and family about the risks of smoking and the benefits of quitting. You can help reverse the damage and the sooner you quit the better. The 40th annual Great American Smokeout on Nov. 19 is the perfect time to quit or to create a quit plan. This observance, sponsored by the American Cancer Society, raises awareness about the dangers of smoking and the many effective resources available to successfully quit. Tobacco Free Florida’s 3 Free & Easy Ways to Quit are proven-effective services that can double your chances of quitting. These free services help
you create a comprehensive and personalized quit plan. Free nicotine replacement therapy (NRT), 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: ■ CALL: Talk to a Quit Coach who can help you quit tobacco. Call 1877-U-CAN-NOW (1-877-822-6669). ■ CLICK: Online help quitting tobacco is only a few clicks away. Visit tobaccofreeflorida.com/webcoach. ■ COME IN: Looking for local face-to-face help? Find classes near you at tobaccofreeflorida.com/ahec or call 1-877-848-6696. For more information, please visit www.tobaccofreeflorida.com.
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 2. 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.
October– November 2015 Cancer Stakeholder
Cancer in the News GENERAL CANCER RELATED ARTICLES Age-Adjusted Death Rates from Cancer by U.S. Census Region and Year—Centers for Disease Control and Prevention (CDC), July 24, 2015 2014 National Healthcare Quality & Disparities Report —Agency for Healthcare Research and Quality, August 2015 Research You May Have Missed this Summer— American Institute for Cancer Research (AICR), Aug. 5, 2015 Cancer markers may be present early during human development— Science Daily, Aug. 5, 2015 1999–2012 Cancer Incidence and Mortality Data—CDC, Aug. 24, 2015 2012 State Cancer Facts— CDC, Aug. 24, 2015 Capturing cancer: 3-D model of solid tumors explains cancer evolution—Science Daily, Aug. 26, 2015 PREVENTION RELATED ARTICLES Additional Guidance Online for Providers Regarding 9-Valent HPV Vaccine Use Among Persons Who Previously Received HPV Vaccination— CDC, July 31, 2015 Yo-yo dieting not associated with increased cancer risk—Science Daily, Aug. 3, 2015 Urine test for early stage pancreatic cancer possible after biomarker discovery—Science Daily, Aug. 3, 2015
Creating Colorful Veggies for Good Health, Lower Cancer Risk— MNT, Aug. 5, 2015 Does flaxseed increase my breast cancer risk?—AICR, Aug. 6, 2015 Light/moderate drinking linked to increased risk of some cancers in women, male smokers—Science Daily, Aug. 19, 2015 The first steps of sun protection: How to keep your baby safe—Science Daily, Aug. 20, 2015 Sobering Statistics on Physical Inactivity in the U.S. —Science Daily, Aug. 26, 2015 More Americans Eating Whole Grains, Health Benefits Key—AICR, Sept. 2, 2015 Drinking Water Before Meals May Boost Weight Loss—AICR, Sept. 2, 2015 ACCESS TO RELATED ARTICLES New Research: Using Lung Cancer Screening As An Opportunity to Help Smokers Quit—National Cancer Institute, July 29, 2015 Combination therapy may be more effective against the most common ovarian cancer—Science Daily, Aug. 3, 2015 Colorectal Cancer Screening Among Adults Aged 50–75 Years, by Race and Hispanic Origin— CDC, Aug. 7, 2015 Organ transplantation linked to greater risk of aggressive melanoma— MNT, Aug. 16, 2015
Fewer moles may mean more aggressive melanoma— Science Daily, Aug. 20, 2015 Young black women have a higher frequency of BRCA mutations than previously reported—Science Daily, Aug. 25, 2015 Screening all women for BRCA gene mutations “worthless”—MNT, Sept. 4, 2015
Prostate cancer: should PSA screening be routine?—MNT, Sept. 4, 2015 New risk score for colorectal cancer could guide screening test selection—MNT, Sept. 8, 2015 SURVIVORSHIP RELATED ARTICLES Modified DNA building blocks are cancer's Achilles heel—MNT, July 23, 2015 Biomarker discovery offers 'glimmer of hope' for women with aggressive breast cancer—MNT, Aug. 3, 2015 Real-time data for cancer therapy—Science Daily, Aug. 4, 2015
biopsies—Science Daily, Aug. 17, 2015 Study examines breast cancer mortality after ductal carcinoma in situ diagnosis—Science Daily, Aug. 20, 2015 Reprogramming cancer cells back to normal looks feasible, study shows—MNT, Aug. 24, 2015 Relapse, poor survival in leukemia linked to genetic mutations that persist in remission—Science Daily, Aug. 25, 2015 Framework for value-based pricing of cancer drugs— Science Daily, Aug. 27, 2015 Deadly melanoma discovery supports immunotherapy treatment for cancer—MNT, Sept. 8, 2015 Rutgers Cancer Institute of New Jersey offers immunotherapy clinical trial targeting leukemia/lymphoma—MNT, Sept. 8, 2015
Implantable biosensor could monitor progress of cancer therapy— MNT, Aug. 5, 2015 Ovarian cancer not as fatal as previously thought, study finds—MNT, Aug. 6, 2015 Delay in treatment, missed diagnostic testing found among lung cancer patients —MNT, Aug. 6, 2015 Older breast cancer patients less likely to benefit from chemo—Science Daily, Aug. 12, 2015 First-of-its-kind study finds music therapy lowers anxiety during surgical breast
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October–November 2015 Cancer Stakeholder
Funding Opportunities
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. 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 10/13/15. 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.
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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. Health Center Program released a funding opportunity announcement (FOA) for Service Area Competition which supports patient-directed public and private nonprofit organizations in ensuring continued access to comprehensive, culturally competent, quality primary health care services for communities and vulnerable populations. Click here to apply. Closing date 11/15/15. National Institutes of Health released a FOAs for a variety of cancer related research projects:
Basic Cancer Research in Cancer Health Disparities is a FOA for conducting basic, mechanistic research for innovative studies into biological/genetic causes of cancer health disparities. Click here to apply. Closing dates 11/17/15, 6/17/16, 11/17/16, 6/19/17, 11/17/17. Development of Innovative Informatics Methods and Algorithms for Cancer Research and Management is a FOA for the development of innovative methods and algorithms in biomedical computing, informatics, and data science addressing priority needs across the cancer research continuum, including cancer biology, cancer treatment and diagnosis, cancer prevention, cancer control and epidemiology, and/or cancer health disparities. Click here to apply. Closing dates 11/20/15, 6/14/16, 11/21/16, 6/14/17, 11/21/17.
Tobacco Regulatory Science Small Grant Program is a FOA 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. Cancer Research Education Grants Program–Research Experiences is an exploratory/developmental research grant to support educational activities that complement and/or enhance the training of a workforce to meet the nation’s biomedical, behavioral and clinical research needs. Click here to apply. Closing dates vary. 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.
October–November 2015 Cancer Stakeholder
Tools & Resources
Cancer and Careersis hosting 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. Oct. 22 Returning to Work
Nov. 12: Health Insurance Options 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. Oct. 2: : 2015 NCCN Immuno-oncology Webinar Series for Pharmacists: The Role of the Immune System in Cancer, 12:00– 1:00 p.m. ET Oct. 9: 2015 NCCN Case Manager and Medical Director Program Live Webinar Series–Management of Cancer in Older Patients with Comorbidities, 12:00–1:30 p.m. ET Nov. 3: Case Manager Techniques–Managing Symptoms and Reducing Complications, 12:00–1:30 p.m. ET Nov. 4: Immuno-oncologic Therapy: Efficacy Measures and Outcomes, 12:00–1:00 p.m. ET Nov. 17: Identification and Management of Toxicities with Immunooncologic Therapy, 2:00–3:00 p.m. ET 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. ET): All sessions are free and pre-registration is required. Oct. 7: Living with Metatstatic Breast Cancer1,2
Oct. 28: Update on Triple Negative Breast Cancer1,2 Oct. 29: Update on Mantle Cell Lymphoma1,2 Oct. 30: What’s New in the Management of Blood Clots During Cancer Treatments1,2 Nov. 3: Medical Update on the Treatment of Lung Cancer in the Asian Community1,2 Nov. 4: Transplantation as a Lymphoma Treatment Option1,2 Dec. 10: Cancer and the Workplace: Knowing Your Legal Rights1, 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 1800-813-HOPE (4673). Listen to past Connect Education Workshop as podcasts through CancerCare's website. The Patient Advocate Foundation host patient empowerment webinar series to build patients’ skills and increase access health care. Oct. 7: Dealing with a Metastatic Breast Cancer Diagnosis 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 The 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. The Association of Community Cancer Centers released 2015 Patient Assistance and Reimbursement Guide which provides financial assistance information on cancer drugs and tools 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
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October-November 2015 Cancer Stakeholder
Events About the Cancer Stakeholder
6th Annual Navigation and Survivorship Conference in Atlanta, Ga. on Oct. 1-4, 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. NCCN 10th Annual Congress: Hematologic Malignancies™ in San Francisco, Calif. on Oct. 16-17, 2015. Lung Force Expo in Orlando, Fla. on Nov. 13, 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. 26th Annual Interdisciplinary Breast Center Conference in Las Vegas on April 9-13, 2016.
Collaboratives R 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 Facebook: NEFCCC
> North Central Florida Cancer Control Collaborative > East Central Florida Cancer Control Collaborative
> Southeast Florida Cancer Control Collaborative Facebook: SoFla Fighting Cancer
> 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.
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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 Department of Health (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 DOH 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.