October 2017 & November 2017
Cancer Stakeholder Florida Department of Health, Comprehensive Cancer Control Program
PROGRAM SPOTLIGHT:
Breast cancer is the most common and second leading cause of cancer deaths among women in Florida. OCTOBER IS BREAST CANCER AWARENESS MONTH
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ccording to the Florida Cancer Data System (FCDS), 15,570 women in the state were diagnosed and 2,845 died in 2014 (the most recent year for which data are available). Since 2000, the overall mortality rate of breast cancer in Florida has been declining and most significantly reduced in those aged 65 and older. Treatment is more effective when the disease is found early. A mammogram is the best screening test used for finding breast cancer in earlier stages (before it grows and spreads) when chances of survival are higher. Breast cancer typically does not show symptoms; however, there are signs that can prompt a mammogram, which 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 breast milk 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 (contact the local County Health Department) offers free or low cost screenings to uninsured, low-income women who qualify ■ The American Cancer Society National Hotline (1-800-227-2345) 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
November is Lung Cancer Awareness Month In Florida, lung cancer has the highest cancer incidence and mortality rate of all cancers. FCDS reported 16,302 new cases of lung and bronchus cancer and 11,447 deaths from lung cancer in 2014. The main cause of lung cancer is smoking tobacco. Smoking cessation can dramatically reduce lung cancer risk. Tobacco Free Florida offers free tools and resources to help individuals quit tobacco. Read more about tobacco related initiatives and cessation resources on page 2 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 Florida Department of Health indicate one in five Florida residences tested have elevated radon levels. The only way to know if a building has elevated radon levels is to test. A self-test kit is readily available and affordable from hardware stores. For more information, visit the Florida Department of Health Radon and Indoor Program website or call the 1-800-543-8279. The US Preventive Services Task Force (USPSTF) 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: ■ 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 a 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 2017 & November 2017 Cancer Stakeholder
State Update Health Systems Change
Great American Smokeout Returns Nov. 16 Thursday, Nov. 16 is the annual Great American Smokeout, an American Cancer Society observance designed to raise awareness of the serious health risks of smoking and highlight the many effective resources available to successfully quit. Tobacco Free Florida encourages users to see the occasion as an opportunity to make a plan to quit, as thousands of others take this important first step. While great strides have been made since the first national Great American Smokeout in 1977, the need to raise awareness and support quitting continues to this day. Smoking remains the leading cause of preventable disease and death in Florida and the United States.1 About 30 percent of cancer deaths in Florida are caused by cigarette smoking.2 Lung cancer is among the many health risks associated with smoking, with nine out of 10 lung cancer deaths caused by smoking.3,4 Today, lung cancer is the leading cause of cancer deaths in both men and women.5 Worldwide, tobacco use kills more than 7 million people each year, according to a report from the World Health Organization.6 Tobacco Free Florida’s Quit Your Way program offers free and proven-effective tools and services specifically designed to help Floridians quit smoking. As part of the Great American Smokeout, Tobacco Free Florida is
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encouraging tobacco users to use November 16 as the day to make a quit plan or to plan in advance to quit smoking on that day. Anyone across Florida interested in quitting or helping a loved one quit is encouraged to visit www.tobaccofreeflorida.com or contact 1-877-U-CAN-NOW (1877-822-6669) at any time.
Visit tobaccofreeflorida.com to learn more. 1. U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. 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. 2. Lortet-Tieulent J, Goding Sauer A, Siegel RL, Miller KD, Islami F, Fedewa SA, Jacobs EJ, Jemal A. StateLevel Cancer Mortality Attributable to Cigarette Smoking in the United States. JAMA Intern Med. 2016;176(12):1792-1798. doi:10.1001/jamainternmed.2016.6530. 3. U.S. Department of Health and Human Services.The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. 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 4 .U.S. Department of Health and Human Services. 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. The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: 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. Printed with corrections, January 2014. 6. World Health Organization. World No Tobacco Day 2017: Beating Tobacco for Health, Prosperity, the Environment and National Development. World No Tobacco Day 2017: Beating Tobacco for Health, Prosperity, the Environment and National Development. World Health Organization, 30 May 2017. Web. 30 June 2017.
State and national groups look to coordinated efforts and messaging to reduce the cancer incidence and mortality curve through increased screening and vaccination efforts. The National Colorectal Cancer Roundtable has set 2018 as a milestone year for colorectal cancer screening. Unified strategies have been developed and leveraged by groups across the nation to increase screening using the latest research and tailored messaging like the Companion Guide for Hispanic/Latinos and the Companion Guide for Asian Americans. Similarly, the National Human Papillomavirus (HPV) Roundtable has developed materials free to access and use to increase vaccination efforts. Materials and resources for starting or growing initiatives are housed on their website including contact list and toolkits. Other national groups have initiated individual campaigns to further drive improvements. The American Lung Association has started a campaign to increase awareness of lung cancer screening called Saved By The Scan.
October 2017 & November 2017 Cancer Stakeholder
Cancer Survivor Tips
Plans are Essential: Air Travel After breast cancer surgery, whether recently or a long time ago, patients may not be aware that when travelling by air, pressure may trigger swelling of the arm on the side of surgery called lymphedema. Whether the surgery was a lumpectomy with lymph nodes biopsied or a mastectomy with lymph nodes dissected, patients may be at increased risk for lymphedema. Patients should talk to their 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: ■ Obtain a well-fitted compression sleeve for air travel. ■ Obtain in advance of the trip and wear it several times to ensure proper fit and comfort. ■ A hand piece, either a glove or a gauntlet, should be worn with the compression sleeve if recommended. ■ Place the garment on before take-off. ■ Leave garment on for 1-3 hours after deplaning to allow tissue to return to normal before removing. Learn more about compression sleeve: http://ymphnet.org/pdfDocs/ nlnairtravel.pdf.
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October 2017 & November 2017 Cancer Stakeholder
Small Steps to Living Healthy ealthiest Weight Florida encourages Floridians to learn more about prediabetes and diabetes prevention and management. The Florida Department of Health provides strategies and resources to help Floridians reduce their risk of developing prediabetes and type 2 diabetes. People with prediabetes have a blood sugar level higher than normal, and are at risk for developing type 2 diabetes. People with type 2 diabetes are not able to use insulin properly. Insulin regulates how much sugar is distributed to cells in the body for energy. When the body becomes resistant to insulin and fails to distribute sugar to cells, it begins to draw energy from alternative sources such as tissues, muscles, and organs.
H Healthiest Weight Florida is a public-private collaboration bringing together agencies, institutions, organizations and communities to help Floridians make more informed choices about active lifestyles and healthy eating.
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Surprisingly, nine out of 10 people do not know they have prediabetes. If left untreated, prediabetes can progress into type 2 diabetes, which can increase the risk of serious health complications such as high blood pressure, heart disease and nerve damage. Fortunately, people diagnosed with prediabetes can prevent
or delay type 2 diabetes by losing weight, eating a healthy diet, and engaging in physical activity. The Diabetes Prevention Program (DPP) can help those with prediabetes reduce their risk type 2 diabetes through weight loss and other lifestyle changes. To ďŹ nd a local DPP, visit this website: Florida DPP Registry. Set a goal to get tested. Take the prediabetes test to see if you are at risk of developing prediabetes. Start practicing healthy habits such as staying physically active and eating a balanced diet! Healthiest Weight Florida encourages Floridians with type 2 diabetes to talk to their doctors about Diabetes SelfManagement Education (DSME). Individuals diagnosed with type 2 diabetes can enroll in DSME classes either online or in-person to learn how to properly manage the condition. Be sure to visit the Florida Department of Health or Healthiest Weight Florida websites for more information about preventing and managing prediabetes and diabetes.
October 2017 & November 2017 Cancer Stakeholder
Cancer In the News General Cancer Related Articles Cancer Death Rates Decline But Increases in New Cases and Challenges—American
Institute for Cancer Research (AICR), Sept. 20, 2017
Cancer: 40 percent of all cases related to obesity, overweight—MNT, Oct. 4, 2017 Weight loss surgery reduces cancer risk by 33 percent in women—MNT, Oct. 6, 2017
Closing Gaps in Ovarian Cancer—CDC,
Discovery of Peripheral Neuropathy Cause Suggests Potential Preventive Measures—
Sept. 25, 2017
Science Daily, Oct. 11, 2017
Cancer and obesity—CDC, October 2017
3, 2017
Final Research Plan: Primary Care Interventions to Prevent Tobacco and Nicotine Use in Children and Adolescents—USPSTF, October 12, 2017
Computer Program Detects Differences Between Human Cells—Science Daily, Oct.
Cholesterol Byproduct Hijacks Immune Cells, Lets Breast Cancer Spread—Science
U.S. Breast Cancer Death Rates Dropped 39 Percent Between 1989 and 2015—Oct.
Survivorship Related Articles Cost of Cancer-Related Neutropenia or Fever Hospitalizations—CDC, Sept. 6, 2017 Treatment-resistant melanoma may be vulnerable to a drug holiday, study finds—Science Daily, Sept. 18, 2017 Brain powered: Increased physical activity among breast cancer survivors boosts cognition—Science Daily, Sept. 19, 2017 Brain cancer growth halted by absence of protein—Science Daily, Sept. 20, 2017 Researchers identify new target, develop new drug for cancer therapies—Science
10, 2017
Daily, Oct. 12, 2017
Daily, Sept. 20, 2017
World's 'Better' Countries Have Higher Rates of Cancer—Science Daily, Oct. 11,
Scientists Reveal the Relationship Between Sugar, Cancer—Science Daily, Oct.
Poliovirus kills off cancer cells, stops tumor regrowth—MNT, Sept. 21, 2017
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Access to Care Related Articles Prevention Related Articles Managing negative emotions can help pregnant smokers quit—Science Daily,
Sept. 19, 2017 One e-cigarette with nicotine leads to adrenaline changes in nonsmokers' hearts —Science Daily, Sept. 19, 2017 Smokers who quit have metabolite levels that resemble those of nonsmokers—
Some Older Women Are Not Getting Recommended Cervical Cancer Screenings—CDC, Sept. 6, 2017 Screening for cervical abnormalities in women offered HPV vaccination—Science
Daily, Sept. 19, 2017 Non-Invasive Imaging Predicts Cancer Malignancy—Science Daily, Oct. 3, 2017
Science Daily, Sept. 19, 2017
How the new nutrition facts label can help you lower cancer risk.—AICR, Oct. 5, 2107
Processed Meats Increase Colorectal Cancer Risk, New Report—AICR, Sept. 20,
Genetic Drivers of Most Common Form of Lymphoma Identified—Science Daily, Oct.
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Cancer Prevention During Early Adulthood—CDC, Sept. 27, 2017
Breast Cancer Linked to Bacterial Imbalances—Science Daily, Oct. 6, 2017 Public Comment on Draft Recommendation Statement and Draft Evidence Review: Behavioral Counseling to Prevent Skin Cancer—USPSTF, October
Zinc Can Halt the Growth of Cancer Cells, Study Says—Science Daily, Sept. 28, 2017 Pesticide Use During Pregnancy Linked to Increased Risk of Childhood Brain Tumors—Science Daily, Oct. 3, 2017 Study: Plant Foods, Following AICR Recommendations Lowers Colorectal Cancer Risk—AICR, Oct. 4, 2017 Breastfeeding Protects Moms From Breast Cancer—AICR, Oct. 4, 2017
Drug Combo Gangs Up to Take on TripleNegative Breast Cancer—Science Daily,
Sept. 26, 2017 Doctors Define 'Safe and Effective' Margins for 'One and Done' Skin Removal Around Suspicious Moles—Science Daily,
Oct. 2, 2017 Do New Cancer Drugs Extend or Improve Life?—Science Daily, Oct. 4, 2017 Study Challenges Long-Standing Concept in Cancer Metabolism—Science Daily, Oct.
5, 2017 New compound kills cancer without harming healthy cells—MNT, Oct. 9, 2017 DIEP flap breast reconstruction: Procedure and recovery—MNT, Oct. 10, 2017 New Breast Cancer Drug Defeats the Ras Genes Notorious for Causing Many Types of Cancer—Science Daily, Oct. 10, 2017 Researchers reveal biomarker for guiding prostate cancer treatment—Science Daily,
10, 2017
Oct. 12, 2017
USPSTF Update: Screening for Cervical Cancer Public Comment Period Extended—USPSTF, Oct. 10, 2017
Cribriform breast cancer: What to know—
MNT, Oct. 15, 2017
Timing of Melanoma Diagnosis, Treatment Critical to Survival—Science
Daily, Oct. 17, 2017
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October 2017 & November 2017
Tools & Resources The National Comprehensive Cancer Network’s (NCCN) Continuing Education Program seeks to improve patient outcomes in oncology by educating clinicians on the application of evidence-based medicine. Their 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. 23: 2017 NCCN Oncology Case Manager and Medical Director Program™: Updates in the Diagnosis and Treatment of B-cell NonHodgkin’s Lymphoma Oct. 31: NCCN 2017 Congress Webinar Series™: Lung Cancer - New Strategies to Improve the Accuracy of Lung Cancer Screening Nov. 1: 2017 NCCN Oncology Case Manager and Medical Director
Program™: Updates in the Diagnosis and Treatment of Colon Cancer Nov. 3: NCCN 2017 Congress Webinar Series™: Biomarkers 101 What Are Biomarker Tests and How Are They Approved? Nov. 7: 2017 NCCN Oncology Case Manager and Medical Director
Program™: Updates in the Diagnosis and Treatment of Lung Cancer Nov. 9: NCCN 2017 Congress Webinar Series™: Biomarkers 101 -
How Is Biomarker Testing Enriching Patient Populations for Clinical Trials & Impacting Drug Development? Nov. 27: Monthly Oncology Tumor Boards: A Multidisciplinary
Approach to Individualized Patient Care - Multiple Myeloma Nov. 30: 2017 NCCN Oncology Case Manager and Medical Director
Program™: Updates in the Management of Breast Cancer Dec. 5: NCCN 2017 Congress Webinar Series™: Biomarkers 101 Which Biomarker Test Should I Use? Dec. 13: 2017 NCCN Oncology Case Manager and Medical Director
Program™: Transitioning from Patient with Cancer to Cancer Survivor Sessions are approved for AMA PRA Category 1 Credit(s)™ as identified. CancerCare presents the following Connect® Education Workshops (all are from 1:30–2:30 p.m. ET): All sessions are free and preregistration is required. Nov. 1: Update on the Treatment of Pancreatic Cancer Nov. 8: Advances in the Treatment of HER2 Positive Breast Cancer Nov. 14: Update on Mantle Cell Lymphoma Nov. 15: Mind Body Techniques to Cope with the Stresses of Cancer Dec. 14: Update on Chronic Lymphocytic Leukemia (CLL) Jan. 11: Update on Glioblastoma Jan. 23: Update on Lymphoma from the 2017 American Society of Hematology (ASH) Annual Meeting Participate by listening to these workshops 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 Workshops as podcasts through CancerCare's website.
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Cancer Stakeholder
Cancer and Careers is hosting an educational series for health care professionals (all are from: 1:00–2:00 p.m. ET unless otherwise noted) that 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. Nov. 16: Educational Series for Healthcare Professionals: Health Insurance Options Dec. 13: Balancing Work & Cancer Webinar: Body Confidence, SelfConfidence in the Workplace CDC and National Cancer Institute (NCI) used state and federal statistics on cancer incidence and deaths to develop a data visualization website. Data can be viewed under a variety of filters including demographics, cancer trends, state overview, state rankings and more. In addition, CDC’s Division of Nutrition, Physical Activity, and Obesity has updated their data, trends and maps database. Data on weight status, food and beverage consumption and healthy habits can be downloaded to create datasets, maps, graphs and other visuals. The CDC released Collection of Online Resources & Inventory Database: Organized and Readily accessible (CORIDOR), an online portal which provides easy access to credible, evidence-based and practical chronic disease prevention tools including practice-based resources to address chronic diseases and support planning, implementation and evaluation of prevention and health promotion initiatives. The CDC released a Vital Signs report of on cancer and obesity including a series of infographics, data reports, videos,and other resources. Materials are free to use and designed for sharing with patients. The NCI in collaboration with the American Cancer Society, the CDC and the North American Association of Central Cancer Registries released a series of digital resources and materials from their Annual Report to the Nation, which include downloadable graphics and social media messages. The USPSTF released a final research plan for interventions to prevent tobacco and nicotine use and public comment periods were recently open for behavioral counseling to prevent skin cancer and screening for cervical cancer.
October 2017 & November 2017 Cancer Stakeholder
About the Cancer Stakeholder
Events NCCN Patient Advocacy Summit: Addressing Survivorship in Cancer Care in Washington, D.C. on Dec. 1, 2017. Annual Conference on the Science of Dissemination and Implementation in Health in Arlington, Va. on Dec. 4-6, 2017. Methods for Evaluating Natural Experiments in Obesity in Bethesda, Md. on Dec. 5-6, 2017.
Funding Opportunities Susan G. Komen® Miami/Ft. Lauderdale announces funding opportunities to support efforts to reduce breast cancer disparities in Miami-Dade, Broward and Monroe Counties. Funding will prioritize efforts in reducing barriers to care and breast cancer education. Applicants may apply for the Community Grant Program which funds local breast cancer-related programs that are $10,000 or more. To apply email Patricia Sanchez. Closing date is 12/8/17. National Institutes of Health released funding opportunity announcements (FOAs) for a variety of cancer related research projects:
Dissemination and Implementation Research in Health is a FOA to support innovative approaches to identifying, developing, testing, evaluating and/or refining strategies to disseminate and implement evidence-based practices into public health, clinical practice and community settings. For more information visit R01 (PAR-16-238), R21 (PAR-16-236) and R03 (PAR-16-237). Closing dates vary.
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 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) 2080857 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 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
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