21 New Jersey Counties Cancer Needs and Capacity Assessment Reports – March 2005 Update
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Transcript of 21 New Jersey Counties Cancer Needs and Capacity Assessment Reports – March 2005 Update
21 New Jersey Counties Cancer Needs and Capacity Assessment
Reports – March 2005 Update
March 29, 2005
Camden County Cancer Coalition
Jean F. Mouch, MD, MPH
Community Health Consultant withCancer Education and Early Detection Programs (CEED)
Scope of Work for Camden County Cancer Plan
Complete a Needs and Capacity Assessment to Implement the State Plan at the county level
Network with individuals/agencies to identify resources/gaps
Work with Local CEED Coordinators to build a coalition to implement identified strategies
Work closely with Local Health Departments to integrate the Cancer planning process into the county level implementation of the Public Health Standards Act of February 2003.
NJCCCP, ACS & NJ CEED Priority Areas
NJCCCP ACS CEED
1. BREAST Y Y Y
2. CERVICAL Y NO Y
3. COLORECTAL Y Y Y
4. LUNG Y Y NO
5. MELANOMA Y NO NO
6. ORAL/O-P Y NO NO
7. PROSTATE Y Y Y
Cancer Deaths in New Jersey by Race 1976-2000
http://cancercontrolplanet.cancer.govhttp://cancercontrolplanet.cancer.gov
Cancer Death Rate for Camden County and New Jersey by Race and Ethnicity
Race and Ethnicity White Black Asian Hispanic Ethnicity
Camden County
All 225.7 259.7 103.0 153.7
Men 277.2 342.6 145.9 212.3
Females 195.1 208.2 73.8 120.7
New Jersey
All 209.9 257.1 95.6 114.7
Men 245.6 348.7 101.3 161.3
Females 179.5 196.7 82.8 99.5
Rates are per 100,000 age adjusted, Census 2000
Source: http://cancercontrolplanet.cancer.gov
Cancer Incidence Rate for Camden County and New Jersey by Race and Ethnicity
White Black All Races Hispanic Ethnicity
Camden County
Male 622.4 699.0 626.8 645.0
Females 459.0 417.8 447.9 421.5
New Jersey
Males 625.2 716.5 628.7 539.1
Females 464.9 414.2 453.7 363.8
Rates are per 100,000 age adjusted, Census 2000Source: NJ Cancer Registry, August 2003
Top three cancers for Men in Camden CountyBy Race and Ethnicity
Prostate Cancer Lung Cancer Colorectal Cancer
Incidnc Rate
Percent of Distant / Regional Stage at
diagnosis
Death Rate
IncidncRate
Death Rate
Incidnc Rate
Percent of Distant / Regional Stage at
diagnosis
Death Rate
Total Men
172.0 12.3% 33.6 107.0 87.5 81.1 47.8% 30.5
White 162.1 11.5% 30.9 105.5 86.0 83.3 48.1% 30.8
Black 242.7 14.6% 59.8 123.1 99.9 75.4 48.5% 33.1
Hisp. 206.2 13.5% * 85.3 41.4 78.5 67.6% *
Rates are per 100,000 age adjusted, Census 2000Source: NJ Cancer Registry, August 2003
Top 3 Cancers for Women in Camden CountyBy Race and Ethnicity
Breast Cancer Lung Cancer Colorectal Cancer
Incidence Rate
Percent Distant /
Regional Stage at
diagnosis
Death Rate
Incidence Rate
Death Rate
IncidenceRate
PercentDistant /
Regional Stage at
diagnosis
Death Rate
Total Women
128.0 29.3% 34.6 60.1 47.5 59.9 52.2% 19.7
White 131.2 28.4% 34.662.0 47.7
59.9 51.9% 20.0
Black 118.5 36.1% 38.356.4 52.5
64.2 54.3% 18.5
Hisp. 89.2 28.8% * 44.7 *
71.5 62.8% *
Rates are per 100,000 age adjusted, Census 2000Source: NJ Cancer Registry, August 2003
Lung Cancer in Camden County
Lung and Bronchus cancers kill more people than the top three cancers of Prostate, Breast and Colorectal Cancers
87% of Lung and Bronchus Cancers are attributed to smoking
Over 60% of Lung and Bronchus Cancers are detected in late stages of the disease
Lung/Bronchus Cancer Death Rates in Camden County by Race/Ethn
Camden County New Jersey United States
Raceand Ethnicity
BothSexes Male Female Both
Sexes Male Female Both Sexes Male Female
All Races 63.3 87.5 47.5 54.9 74.9 41.6 56.8 79.5 40.7
White 62.6 86.0 47.7 53.6 73.8 42.5 56.2 78.1 41.5
Black 72.3 99.9 52.5 61.6 100.0 41.8 64.2 107.0 40.0
Hispanic 25.2 41.4 ** 23.7 35.6 10.9 25.3 40.7 15.1
Asian 31.1 ** ** 17.0 23.4 13.7 28.1 40.9 19.1
Death Rates are per 100,000 age adjusted, 2000Census
Source: http://cancercontrolplanet.cancer.gov
Survivorship – Living with Cancer
U.S. study on those living with cancer since the SEER-CA-registry began 25 years ago
9.6 million men and womenAs of January 2000 – 5.3 million women
and 4.2 million men
Estimated # of Persons Alive in U.S. with invasive cancer cases only
http://seer.cancer.gov/faststats/html/inc_all.html
Percentages of Cancer Survivorship in Men
http://seer.cancer.gov/faststats/html/inc_all.html
Percentages of Cancer Survivorship in Women
http://seer.cancer.gov/faststats/html/inc_all.html
Discussion, Analysis, and Recommendations
For County and Local PrioritiesFor Statewide PrioritiesFor Evidence-based
Interventions
Recommendations for County and Local Priorities
Concentrate on the top 4 CancersFollow the NJ-CCCP strategies for CountyTwo principles of implementation:
(1) all general awareness, education, and screening strategies reach out to adults, 18+, and health care providers
(2) primary prevention strategies provided for all school age children and youth
…for County and Local Priorities
General Awareness and Education for NJCCCP via coalitions and ACS activities; via presentations to major health care provider groups; via work with CCDHHS on their CHIP
Research Study on Primary Care Providers and Cancer Prevention, Screening, and Treatment
Continue to strengthen coalition work for Cancer Plan at local levels e.g. directory; larger membership on Camden County Cancer Coalition
Capacity Assessment Process 2004 -Cancer Resources of NJ Database
Facility Type/Program offering Services to Camden County Residents
Total Number of 309 Respondents
American Cancer Society Activities 14
Breast Oncologist 1
Cancer Center 1
Complementary and Alternative Medicine Centers
2
FQHC 5 different Sites* 5
Free Standing Clinics 5
Dentist 4
Dermatologist 11
Employer 4
Faith Based 19
Gynecology . Oncologist 1
Hematology/Oncology* 3
Hospital* 8
Non-Profit 6
Obstetrician/Gynecologist 1
Palliative Care* Program of Palliative Care Program
99
Primary Care Provider 18
Pediatric Oncology 1
Programs/Activities from Virtua Fox Chase Cancer Center
17
Program of Hospital 3
Radiation and Chemotherapy* 2
Radiology* 17
Schools 132
Screening Program Other Programs with Screening Activities
46
Surgery Center 5
Total 309
* Indicates that 100% of that service has participated
….for Evidenced- based Interventions to address Camden County cancer problems
Prevention of Cancer(1) Physical Activity / Weight Management(2) Smoking Cessation Programs –adult and youth (3) “Never start smoking” programs for children and youth(4) Fruits and Vegetables
Cancer Screening by CEED programs(1) Minority groups - Black, Hispanic, and Vietnamese in six largest municipalities in Camden County with 64% of total pop.(2) Poverty areas – there are 12 municipalities with >10% poverty rates in Camden County(3) Use the NCIS medically underserved populations information for programs, media, and outreach strategies
….for Evidenced- based Interventions to address Camden County cancer problems
Multi-media campaign with South Jersey County Cancer Coalitions that have proven themselves via research tested materialsDevelopment of a Website for South Jersey County Cancer Coalitions to increase collaborationsCEED be part of an event / education project to promote CEED program with primary care providers in Camden County Tri County CEED Phone Numbers
Burlington County (609) 267-1950 ext.42881Camden County Toll Free (888) VIRTUA-3 (Virtua
Camden) (856) 968-7308 (Cooper Hospital)
Gloucester County (856) 686-5036
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