An Introduction to Dutchess County Comprehensive Cancer Control Initiative.
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Transcript of An Introduction to Dutchess County Comprehensive Cancer Control Initiative.
Dutchess County Demographics - Population Growth
• 8% growth from 1990 to 2000 • 5% growth from 2000 to 2005
Census, ACS
1990 Census
2000 Census
2005Estimate
259,462 280,150 294,849
Dutchess County Demographics - Population Characteristics (2005)
Age Race & Ethnicity
Under 20 26.5% White(non-Hispanic)
79.1%
20-44 34.3% Black(non-Hispanic)
8.5%
45-64 27.1% Asian(non-Hispanic)
3.4%
65-84 11.0% Hispanic(of any race)
7.7%
85+ 1.1% Sex
Median age 39.1 MaleFemale
49.3%50.7%
ACS
Dutchess County Demographics - Births and Deaths
Dutchess County averages
• 3,200 births per year (2001-2004)
• 2,200 deaths per year (2000-2003)
NYSDOH
Dutchess County Leading Causes of Death - (2001-2003)
1. Diseases of the Heart
2. Malignant Cancers *
Average 1,259 deaths per year
Account for more than half of all deaths (57%)
551 cancer related deaths (25% of all deaths)
3. Cerebrovascular Disease3. Cerebrovascular Disease
4. Chronic Lower Respiratory 4. Chronic Lower Respiratory DiseaseDisease
Average 255 deaths per year
* 1999-2003 NYSDOH
Dutchess County Malignant Cancer Incidence Over Time (1976-2003)
0
100
200
300
400
500
600
700
1976-1981 1982-1987 1988-1993 1994-1998 1999-2003
age
adju
sted
rat
e pe
r 10
0,00
0
Dutchess-Female Dutchess-Male
NYSDOH
Dutchess County Malignant Cancer Mortality Over Time (1976-2003)
0
50
100
150
200
250
300
1976-1981 1982-1987 1988-1993 1994-1998 1999-2003
age-
adju
sted
rat
e pe
r 10
0,00
0
Dutchess-Female Dutchess-Male HP 2010
NYSDOH
Malignant Cancer Incidence Rates, By Site (1999-2003)
0 50 100 150 200
age-adjusted rate per 100,000
Colorectal
Lung/Bronchus
Breast (female)
Prostate (male)
Upstate New YorkDutchess County
NYSDOH
Malignant Cancer Mortality Rates, By Site (1999-2003)
0 10 20 30 40 50 60
age-adjusted rate per 100,000
Colorectal
Lung/Bronchus
Breast (female)
Prostate (male)HP 2010Upstate New YorkDutchess County
NYSDOH
Malignant Cancer Rates, All Cancers(1999-2003)
0 100 200 300 400 500
age-adjusted rate per 100,000
Incidence Rate
Mortality Rate
HP 2010New York StateDutchess County
NYSDOH
Dutchess County Malignant Cancer Average Annual New Cases (1999-2003)
New Cases
M = 740 F = 685Colorectal
M = 80 F = 81
NYSDOH
Lung & Bronchus
M = 112 F = 92
Prostate (male)234
Breast (female)
216
Revised 6/29/07
Dutchess County Malignant Cancer Average Annual Deaths (1999-2003)
DeathsM = 282 F = 269
ColorectalM = 27 F = 33
NYSDOH
Lung & Bronchus
M = 85 F = 66
Prostate (male)30
Breast (female)
44
Revised 6/29/07
Prevention of Cancer
• Tobacco Control
• Healthy lifestyles
• Regular screenings
• Reduction of exposure to high risk environmental factors
• Increased knowledge of cancer genetics
Many cancer deathsare preventable
Preventive Care
0 20 40 60 80 100
Routine physical
FOBT
Colonoscopy
Mammogram
age-adjusted rate per 100,000
HP 2010New York StateDutchess County
BRFSS
Mammogram in past 2 yrs, ages 40+
Sigmoidoscopy or colonoscopy ever,
ages 50+
Fecal occult blood test in past 2 yrs,
ages 50+
Routine physical in past 2 yrs, ages 18+
Lifestyles that Enhance Health
0
10
20
30
40
50
60
70
80
perc
ent
Leisure time physicalactivity
5+ Fruit/vegetables perday
Dutchess County
New York State
BRFSS
Lifestyles that Pose Health Risks
0
10
20
30
40
50
60
per
cen
t
Overweight/obeseyouth
Overweight/obeseadults
Current youthsmoker
Current adultsmoker
Dutchess CountyNew York State
BRFSS, Expanded BRFSS, YRBSS, DC Youth Tobacco Survey, DCDOH/CSC Childhood Obesity Study
Dutchess County’s Commitment to Comprehensive Cancer Control
• C-Change
• NYS Comprehensive Cancer Control Plan
• County Executive William R. Steinhaus initiative
• New York State’s only locally funded cancer initiative
DCDOH leads Comprehensive Cancer Control Process
• Identify key community partners
• Establish core workgroup
• Introduce concept of comprehensive cancer control
• Develop elements of community needs assessment
Dutchess County’s Comprehensive Cancer Control Core Workgroup
• American Cancer Society
• Dutchess County Department of Health
• Dutchess Health 2000
• Healthy Women’s Partnership
• Hospice of Dutchess and Ulster Counties
• Hudson River Healthcare
• NY State Rural Health Association
• St. Francis Hospital
• Vassar Brothers Medical Center
Short-Term Goals
• Share cancer services information
• Assist in the development of a community needs assessment
• Create a plan which will address local cancer control issues
Needs Assessment
Review of community’s care system
Quantitative & Qualitative Data Collection
Review of epidemiological dataQualitative information will
provide a rich understanding of our circumstances
Relies on community input
Needs Assessment
Description
A snapshot of cancer, cancer
services, and cancer survivors in
our community
Needs Assessment
Elements
• An Epidemiologic Profile
• Identification and Evaluation of:
Service Needs Among Affected Populations
Clinical Cancer Providers
Local Supportive Service Cancer Providers
Needs Assessment
Product
• What trends and issues were identified in the assessment?
What trends and issues should be considered for potential planning?
• Where are we now?
• How will we monitor our progress?
• Develop a Plan of Action
Who is here today . . .
AG Edwards
American Cancer Society
Benedictine Hospital
Cancer Awareness Coalition
Cancer Information Services – NCI Memorial
Sloan Kettering
Catharine Street Community Center
Centers for Disease Control and Prevention
Children’s Media Project
City of Poughkeepsie
Dutchess County Executive
Dutchess County Department of Health
Dutchess County Office for the Aging
Dutchess Health 2000
Dutchess Outreach
Healthy Women’s Partnership
Hospice of Dutchess and Ulster
Hudson River Healthcare
Hudson Valley Business Journal
Leukemia and Lymphoma Society
MD Imaging
Miles of Hope Foundation
NACCHO
New York State Breast Cancer Network
NY State Rural Health Association
Planned Parenthood
Poughkeepsie Journal
St. Francis Hospital
The Community Foundation of Dutchess
County
Vassar Brothers Medical Center
Vassar College
97% had cancer impact your life in some way
29% were familiar with CCCP process
99% indicated interest in participating in this initiative
Survey Results
CEO Gold Standard
Focuses on five critical areas, known as The Five Pillars:
1. Tobacco Use Prevention and Reduction
2. Diet and Nutrition3. Physical Activity4. Screening and Early Detection5. Access to Quality Treatment
and Clinical Trials
www.cancergoldstandard.org
THANK YOU!!!For attending the
2006 Dutchess County Comprehensive Cancer Control Kick Off Event!!!
For More Information, Contact:Lisa Cardinale, LMSW
Sr. Public Health Educator845.486.3565
All photos used in this presentation were taken from google – images, All photos were selected to be illustrative and were not to be specific to an individual, group, agency or any other format. Below are their perspective addresses:
http://www.bkr.com/Images/public/Stock/BusinessMan_Folder2.jpg http://www.sosindonesia.com/Portals/0/business%20man%20in%20the%20meeting.jpg http://www.1stmarinerbank.com/images/Common/Business%20Man%20with%20computer%20presentation.JPG http://www.vanguard.edu/uploadedImages/MBA/business_woman.jpg http://www.breastcancernegligence.com/mammogram2.jpg http://www.photo.net/photo/pcd1251/taxi-driver-9.4.jpg http://www.independencecomm.com/images/photos/limo_driver.jpg http://www.tifaexpress.com/images/limo-driver.jpg http://www.nea.gov/features/stories/12-04images/irco2.jpg
http://www.answerthecall.net/atf/cf/%7B9312E0F5-8AA1-47D4-9199-569C3DF089BE%7D/Food_pantry.jpg http://www.marthastewart.com/images/content/feature/0406_edf_weekend_dinner.jpg http://www1.istockphoto.com/file_thumbview_approve/557862/2/istockphoto_557862_pasta_dinner.jpg http://us.inmagine.com/168nwm/photodisc/pdeo003/pdeo003059.jpg http://www.edgehill.ac.uk/Shared/images/img_childcare.jpg
http://members.shaw.ca/calgaryselfhelp/Images/hairdresser.jpg http://www.smgsi.com/internet/home/goodsam.nsf/(Images)/19694E0AD281AED386257058005A5D8D/$FILE/makeup.jpg http://www.bhsala.com/princeton/programsAndServices/cancerServices/images/lookGood.jpg http://www.mobile-review.com/articles/2002/image/plane/airplane.jpg http://www.coppermine.luchtzak.be/albums/userpics/10001/normal_FOTO_WAW.jpg http://www.kingstonregionalhealth.org/kingston_hospital/images/clip_image002_001.jpg http://doctor.website2go.com/images/59141.JPG?s=935790689 http://www.fdrlibrary.marist.edu/images/wcstat.gif http://www.vibride.com/images/article/PM/groom%20close%20up%20hiding%20face.jpg http://us.inmagine.com/168nwm/itstock/itf089/itf089063.jpg http://naturallycurly2.com/images/reader/1085299272terry-smiling-with-hair-in-face-close-up.JPG http://us.inmagine.com/168nwm/photoalto/paa106/paa106000064.jpg http://images.acclaimimages.com/_gallery/_TN/0106-0509-2219-4139_TN.jpg http://images.jupiterimages.com/common/detail/31/50/23245031.jpg http://turing.cs.pub.ro/cec-wys/image/Teenager.jpg
Data Sources
U.S. Census Bureau Decennial Census 1990, 2000 American Community Survey 2005 Population Estimates 2005
New York State Department of Health, Bureau of Biometrics
Behavioral Risk Factor Surveillance System BRFSS 2003 Expanded BRFSS 2003
Youth Risk Behavior Surveillance System (YRBSS) 2003 Dutchess County Youth Tobacco Survey 2003, Children’s
Services Council Childhood Obesity Study 2004, Dutchess County
Department of Health & Children’s Services Council