The Burden of Cancer and an Action Plan for Change in Monroe County January 2013 Byron Kennedy, MD,...
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The Burden of Cancer and an Action Plan for Change in Monroe County January 2013 Byron Kennedy, MD, PhD, MPH Deputy Director of Health Monroe County, NY 1
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Transcript of The Burden of Cancer and an Action Plan for Change in Monroe County January 2013 Byron Kennedy, MD,...
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The Burden of Cancer and an Action Plan for Change in
Monroe County
January 2013Byron Kennedy, MD, PhD, MPH
Deputy Director of HealthMonroe County, NY
Leading Causes of DeathPercentage of all Deaths, Monroe County
UNINTENTIONAL INJURIES
PNEUMONIA/FLU
ALZHEIMER'S
CHR LOWER RESPIRATORY DIS
STROKE
CANCER
HEART
0 10 20 30 40 50
2.9
3.2
3.6
4.3
6.2
24.3
25.3
% of all deaths
ALZHEIMER'S
PNEUMONIA/FLU
UNINTENTIONAL INJURIES
CHR LOWER RESPIRATORY DIS
STROKE
HEART
CANCER
0 10 20 30 40 50
2.8
3
3.1
4.3
5.2
23.8
24.3
% of all deaths
2004-2006 2007-2009
Source: Vital Records, MCDPH
Cancer and Heart Disease: Number of DeathsMonroe County, 1994-2010
19941995
19961997
19981999
20002001
20022003
20042005
20062007
20082009
20100
500
1000
1500
2000
2500
Cancer Heart
Num
ber o
f Dea
ths
Source: Vital Records, MCDPH
Cancer Mortality5 Year Average Annual Age Adjusted Rates
Monroe County 1976-2009
1976-1979 1980-1984 1985-1989 1990-1994 1995-1999 2000-2004 2005-20090
50
100
150
200
250
300
350
Females Males
Rate
per
100
,000
Source: Cancer Registry, 2005-2009, NYSDOH
Cancer Incidence5 Year Average Annual Age Adjusted Rates
Monroe County 1976-2009
1976-1979 1980-1984 1985-1989 1990-1994 1995-1999 2000-2004 2005-20090
100
200
300
400
500
600
700
Females Males
Rate
per
100
,000
Source: Cancer Registry, 2005-2009, NYSDOH
Deaths Due to Cancer & New Cancer DiagnosesAverage Annual Numbers
Monroe County, 2005-2009
• 1,504 deaths• 4,252 new cases
Source: Cancer Registry, 2005-2009, NYSDOH
Leading Causes of Cancer DeathsAverage annual Number of deaths, 2005-2009
• Lung - 416• Colorectal – 132• Pancreatic – 104• Breast – 103• Prostate - 69
Source: Cancer Registry, 2005-2009, NYSDOH
1461314604 and 14614
146191460514546146081442814464144671446814620146111462114559144721461514609146251462314586146061444514607145261454314420146171462414626144501451414612145341458014616146221461014618
Monroe County
0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0
12.9412.5
11.42511
10.777777777777810.1851851851852
8.933333333333338.724137931034488.72340425531915
8.567567567567578.385093167701868.32432432432433
8.176470588235298.118.07317073170732
7.97.80442804428044
7.717948717948727.42735042735043
7.185185185185197.153439153439157.147540983606567.12987012987013
7.0156256.92307692307692
6.56.49032258064516
6.306722689075636.255905511811026.240663900414946.26.16129032258065
5.994845360824745.971428571428575.92272727272727
5.796460176991154.95744680851064
4.03921568627451
7.09533333333333
Premature Death from Cancer:Years of Potential Life Lost
Before Age 75 (YPLL)By Zip Code, 2007-2009
Source: Vital Records, MCDPH
Premature Death from Cancer:Years of Potential Life Lost Before Age 75 (YPLL)
Monroe County, 2007-2009
White African American/Black Hispanic0
2
4
6
8
10
12
14
6.3
12.3 11.9
Source: Vital Records, MCDPH
Cancer Risk Behaviors and ScreeningMonroe County, 2006
Monroe County
White African American
Latino
Current Smoker 18% 16% 27% 34%
Obesity 27% 24% 39% 37%
<5 fruits/vegetables per day 80% 78% 88% 90%
No leisure-time physical activity in the past month
15% 11% 33% 36%
Source: Monroe County Adult Health Survey, 2006
Mammography RatesManaged Care, 2011
Source: Managed Care Performance Report, 2012, , data from 2011
The percentage of women between the ages of 40 and 69 who had a mammogram during the measurement year or the year prior.
Pap SmearManaged Care, 2011
Source: Managed Care Performance Report, 2012, , data from 2011
The percentage of women between the ages of 24 and 64 who had a Pap test within the measurement year or the two years prior
Colorectal Cancer ScreeningManaged Care, 2011
Excellu
s Medica
id
MVP M
edicaid
NYS Medica
id
Excellu
s Commer...
MVP Commerci
al
NYS Commerci
al0
25
50
75
100
49 46 53
70 68 65
Perc
ent
Source: Managed Care Performance Report, 2012, , data from 2011
The percentage of adults, ages 50 to 75 years, who had appropriate screening for colorectal cancer.
We can reduce the burden of Cancer in Monroe County!
There is no limit to what
we can accomplish as long as no one
gets the
credit.
Action Plan To Reduce the Burden of Cancer
in Monroe County
About the Plan
• Started with NYS Cancer Control Plan as the Foundation
• Committee identified priority areas
• The plan is a starting point for addressing cancer burden
• Four focus areas:• Awareness• Prevention• Screening• Support Services
Awareness
• Media and events during national cancer months• Focus on cancers in which there is good evidence
about prevention and screening• Breast - October• Lung - November• Cervical - January• Colorectal - March• Skin - May
• Build upon efforts underway
Prevention
• Promote smoke free policies – Workplaces grounds– College campuses– Municipalities
**Reasons: – Lung cancer is the leading cause of cancer deaths– 90% of lung cancers are smoking related
Screening
• Identify best strategies to increase colorectal cancer screening rates.
**Reasons: – Colorectal cancer 2nd leading cause of cancer deaths– If everyone were screened, could prevent 60% of
deaths due to CRC (CDC)
Support Services for those with Cancer
• Determine if existing services meeting the needs of patients, especially African American and Latino residents.
• Develop a plan to best meet needs
**Reasons:– Financial, social/emotional, burdens of cancer– Some face transportation issues
Next Steps
• Multiple cancer awareness and media events will occur throughout the calendar year to reinforce key messages.
• A colorectal cancer screening committee will be formed to assess community needs.
• A cancer support services committee will be formed to assess community needs.
