2004 Camden County Cancer Capacity and Needs Assessment: The Next Steps

1
2004 Camden County Cancer Capacity and Needs
Assessment The Next Steps

• Jean F. Mouch, MD, MPH
• Camden County Coalition Coordinator
• April 6, 2005

2
2002 NJ Comprehensive Cancer Control Plan
NJCCCP History
The CDC defines Comprehensive Cancer Control as
an integrated and coordinated approach to reduce
the incidence, morbidity and mortality of cancer
through prevention, early detection, treatment,
rehabilitation and palliation. Office for
Cancer Control and Prevention with the NJ-CEED --
first ever statewide capacity and needs
assessment for each county from May 2003-Dec. 2004
3
2004 Camden County Cancer Capacity and Needs
Assessment
Section 1 Demographic Profile Section 2
Overview of Overarching Issues Section 3
Cancer Burden Section 4 Discussion, Analysis
and Recommendations.
4
Findings at the Camden County Level

• Top four cancers Breast, Prostate, Lung and
  Colorectal Cancers 55.3 of new cancers in
  women and 57.4 of new cancers in men
• The Seven Priority Cancers of NJCCCP cover 62.5
  of new cancers in men and 60.7 of new cancers
  in women with a total number of survivors
  11,555 as of Jan. 2000.
• Disparities in cancer rates and of late stage
  at time of diagnosis, involve minority groups of
  African Americans, Hispanics, residents living
  below the poverty level, and uninsured

5
continuing the major findings..

• Services for diagnosis, treatment, and care of
  those with cancer are good in the county
• Screening and prevention strategies for cancer
  need greater support and expansion e.g. Cancer
  Education and Early Detection.
• Cancer Resource Database of New Jersey has been
  created 309 county participants in the survey
  work to identify programs, services, and extent
  of access to healthcare.
• Though we have a good baseline of cancer
  incidence/mortality rates and staging, the
  baseline for screening, prevention, and education
  is over 10 years old.

6
Recommendations..

• Concentrate on the top 4 Cancers
• Follow the NJ-CCCP strategies for County
• Two 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 e.g. not
  starting to smoke and smoking cessation.

7
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

8
Regional approach in Burlington, Camden, and
Gloucester Counties
9
Camden County Cancer Coalition March 29, 2005
The Mission of the Camden County Cancer Coalition
is to effectively and efficiently support cancer
prevention, education, early detection and
advocacy for all residents in the county to help
reduce the cancer burden.
10
Provisional Goal 1 The Camden County Cancer
Coalition will serve as a forum to bring together
information sharing and project/program
collaboration on cancer care efforts of both
public and private agencies and health providers
in the county in order to reduce the cancer
burden by implementing the 2004 Camden County
Capacity and Needs Assessment recommendations. O
bjective 1.1 Coordinator Role to help facilitate
the Camden County Cancer Coalition Objective 1.2
Have working groups to assist in planning and
implementing the yearly plan see plan on next
slide Objective 1.3 Design a website for the
Cancer Coalitions in South Jersey to share
information and activities.
11
Provisional Goal 2 The Camden County Cancer
Coalition will identify priorities from the
Camden Cancer Capacity and Needs Assessment
Report for 2005, and set a yearly plan to
implement the recommendations of the
report. Objective 2.1 Each quarter increase
the screening for prostate, breast, and
colorectal among minority groups, uninsured, and
low income groups, especially working with
CEED. Objective 2.2 As a Cancer Coalition, work
with the Communities Against Tobacco and
R.E.B.E.L. groups to decrease the number of
residents who smoke, on one joint project a
year. Objective 2.3 Host a tri-county Cancer
Information Event with hospitals, cancer centers,
hospices, mammography centers, insurance
companies, HMOs, primary care physicians and
practitioners to promote the NJCCCP/County
strategies.
12
References and Data Sources

• New Jersey Cancer Control Plan, New Jersey
  Department of Health and Senior Services
  (NJDHSS), July 2002
• New Jersey State Cancer Registry, New Jersey
  Department of Health and Senior Services
  (NJDHSS), August 2003
• Center for Health Statistics, New Jersey
  Department of Health and Senior Services
  (NJDHSS), www.state.nj.us/health/chs, 2004
• National Cancer Institute, www.statecancerprofiles
  .cancer.gov, 2003/2004
• American Cancer Society (ACS), www.cancer.org,
  2003/2004
• US Census Bureau, Census 2000, www.census.gov,
  2003/2004
• Behavioral Risk Factor Surveillance System
  (BRFSS), Centers for Disease Control (CDC),
  http//apps.nccd.cdc.gov/brfss/index.asp,
  2003/2004
• SEER Database for National Cancer Registries
  http//seer.cancer.gov/faststats/html/inc_all.html