The National Comprehensive Cancer The National Comprehensive Cancer Control Program (NCCCP): Control Program (NCCCP):

Current Progress and Future ActionCurrent Progress and Future Action

Temeika L. Fairley, EpidemiologistComprehensive Cancer Control Branch

Centers for Disease Control and Prevention Atlanta, GeorgiaOctober 16, 2009

COMPREHENSIVE CANCER CONTROL:

COMPREHENSIVE CANCER CONTROL: COMPREHENSIVE CANCER CONTROL: DefinitionDefinition

Comprehensive Cancer Control is a collaborative process through which a community pools resources to reduce the burden of cancer that results in

• Risk reduction• Early detection• Better treatment• Enhanced survivorship• Reduce Disparities

National Cancer Institute

National Association of County and City

Health Officials

Intercultural CancerCouncil

Lance ArmstrongFoundation

Chronic DiseaseDirectors

American College of Surgeons, Commission

on Cancer

North American Association of Central Cancer

Registries

C-Change

Centers for DiseaseControl and Prevention

American CancerSociety

COMPREHENSIVE CANCER CONTROL:

It Takes Collaboration to Reduce It Takes Collaboration to Reduce Cancer BurdenCancer Burden

COMPREHENSIVE CANCER CONTROL:

The National Comprehensive Cancer Control Program

• 65 programs have been funded– 50 States– District of Columbia– 7 Tribes/Tribal Organizations– 7 U.S. Territories/Pacific Island Jurisdictions

• 64 plans have been completed and released

The Cancer Control ContinuumThe Cancer Control Continuum

Goals and Objectives• Nationwide, programs reported addressing a total of

2,031 plan objectives– Programs reported addressing an average

(mean) of 36 plan objectives

• Nationwide, programs reported implementing a total of 889 evidence-based interventions.– Programs reported implementing an average of

21 evidence-based interventions

COMPREHENSIVE CANCER CONTROL:COMPREHENSIVE CANCER CONTROL:

The National Comprehensive The National Comprehensive Cancer Control Program TodayCancer Control Program Today

Coalitions and Partnerships• 5742 organizations with diverse resources and

expertise come to the “table” – partners working towards the same goals.– 11437 individuals in partnerships across programs

• CCC coalitions success: – advocacy, effecting policy change, program

development and expansion to support prevention, early detection, treatment, survivorship, and end-of-life care.

COMPREHENSIVE CANCER CONTROL:COMPREHENSIVE CANCER CONTROL:

The National Comprehensive Cancer Control Program Today

Effecting Policy ChangeEffecting Policy Change• 75% have at least one enacted policy

• The total number of policies submitted by all programs is 297

• Total number of policies enacted =240

• Total number of policies pending =20

COMPREHENSIVE CANCER CONTROL:COMPREHENSIVE CANCER CONTROL:

The National Comprehensive Cancer The National Comprehensive Cancer Control Program TodayControl Program Today

Examples of CCC Coalition Accomplishments

(Policy Change)• Freedom to Breathe: Advocates Join Forces to

Help Minnesotans Breathe Easier • Texas: Advocating for Prevention and Funding of

Cancer Control Efforts • Tennessee: Smoking Rates Fall Due to Coalition

Efforts

COMPREHENSIVE CANCER CONTROL:COMPREHENSIVE CANCER CONTROL:

The National Comprehensive Cancer The National Comprehensive Cancer Control Program TodayControl Program Today

COMPREHENSIVE CANCER CONTROL:COMPREHENSIVE CANCER CONTROL: The National Comprehensive The National Comprehensive Cancer Control Program TodayCancer Control Program TodayVermont: Prevention Activities• Strategic Priority: Prevent future cancers by

reducing exposure to known risk factors

• Goal: Reduce tobacco usage and exposure to second hand smoke

• Objectives:– Reduce prevalence of smoking in past month among

youth in grades 8-12 from 20% in 2003 to 16% by 2010.– Reduce prevalence of adult smoking from 20% in 2004

to 12% by 2010.– Increase percentage of Vermont smokers with children

who prohibit smoking in their homes from 58% in 2004 to 65% in 2010.

COMPREHENSIVE CANCER CONTROL:COMPREHENSIVE CANCER CONTROL: Vermont: Cancer Plan Status ReportVermont: Cancer Plan Status Report

State Cancer Plan Objective:

2003Baseline

2006 Data

2010Goal

Reduce prevalence of smoking in past month among youth in grades 8-12

20% 16% 16%

Reduce prevalence of adult smoking 20% 18% 12%

Increase percentage of Vermont smokers with children who prohibit smoking in their homes

58% 63% 65%

COMPREHENSIVE CANCER CONTROL:COMPREHENSIVE CANCER CONTROL: The National Comprehensive Cancer The National Comprehensive Cancer Control Program TodayControl Program TodayUtah: Early Detection Activities• Goal: Promote, increase, and optimize the appropriate

utilization of quality colorectal cancer screening and follow-up services.

• Objective: Increase the number of men and women 50 and older who received a Sigmoidoscopy or colonoscopy in the past five years to 65% by 2010 (HP 2010 Objective)

• Strategies:– Educate the public and health care providers– Continue to support public health campaigns– Pursue grants to screen uninsured and

underinsured populations.

COMPREHENSIVE CANCER CONTROL:COMPREHENSIVE CANCER CONTROL: Utah Cancer Plan Status ReportUtah Cancer Plan Status Report

State Cancer Plan Objective 2000Baseline

2004/2005 Data

2010Goal

Sigmoidoscopy/colonoscopy among adults >= 50 years in the past 5 years

32.1% 51.9% 65%

Mammography use among women aged >= 40 years in the past 2 years

72.6% 66.4% 80%

Papanicolaou smear use among adult women aged >= 18 years in the past 3 years

81.9% 79.0% 90%

FutureFuture Priorities and Priorities and DirectionsDirections…

CDC Initiatives and ProjectsCDC Initiatives and Projects

• Communication and Training Activities– Success Story Publication– Cancer Information Channel

– MIS– Guidance documents for

Implementation

• Evaluation Studies and Evaluation Capacity Building Efforts– Evaluation Toolkit– Cancer Plan Study– Menu of CCC Outcomes– Performance Measures

CDC Initiatives and Projects CDC Initiatives and Projects (continued)(continued)

Public Health Translation Research• Across the cancer continuum and cancer sites:

• Ovarian cancer treatment patterns and outcomes

• Feasibility of using cancer registries and multiple data sources to track measures of quality care in colorectal and breast cancer

• Cancer Survivorship Data Collection: BRFSS 2009 and 2010

Evaluation Resource development Capacity building for programs

Implementation of evidence based interventions

Expand use of public health surveillance data

Risk Reduction and Early Detection Increase prevention and screening efforts for

colorectal cancer Expand efforts around physical activity and nutrition

Continue to implement public health strategies to address survivorship in underserved populations

CDC Program Priorities/NeedsCDC Program Priorities/Needs

Thank you

For more information contact:

Temeika Fairley tfairley@cdc.gov