A novel approach to community outreach to at risk communities.

 Cancer incidence and mortality in Washington, DC  Risk in Ward 5  Health disparities in cancer screening as it relates to cancer incidence and mortality.  Community outreach strategies/interventions  Community resources  Prevention strategies

High cancer incidence rate for the “big four” screenable cancers. Prostate, Breast, Cervical, Colon High cancer mortality rate: Death rate total DC per 100,000 US per 100,000  High cancer incidence rate: Incidence rate total DC per 100,000 US per 100,00

 Incidence Rate: DC per 100,000 (all races) US per 100,000 DC (Caucasian) DC (African American)  Mortality Rate: DC 41.7 per 100,000 (all races) US 24.4 per 100,000 DC 11.7 (Caucasian) DC 41.1 (African American)

 Incidence Rate: DC126.7 per 100,000 US121.0 per 100,000 DC130.0 (Caucasian) DC120.9 (African American)  Mortality Rate: DC27.6 per 100,000 US23.5 per 100,000 DC 15.8 (Caucasian) DC33.3 (African American)

 Incidence Rate: DC10.9 per 100,000 (all races) US8.1 per 100,000 DC7.1 (Caucasian) DC11.5 (African American)  Mortality Rate: DC3.2 per 100,000 (all races) US2.4 per 100,000 DCData suppressed (Caucasian) DC4.5 (African American)

 Incidence Rate: DC47.6 per 100,000 (all races) US47.6 per 100,000 DC32.4 (Caucasian) DC54.5 (African American)  Mortality Rate: DC 20.1 per 100,000 (all races) US17.1 per 100,000 DC15.8 (Caucasian) DC22.2 (African American)

US Census Bureau

Chart 6. Top Ten Causes of Death, 2004, Ward 5 Source: DOH, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

 Race  Sex  Language  Age  Income  Access

 Government distrust  History of deception Tuskegee 1940’s-1970’s Guatemala 1940’s  Misconceptions

 Advantage of Medical Center Access to test/procedure Presence of medical professionals Follow-up/referrals  Advantage of Community Centers Going where the need is Reaching populations that may not have access to medical care Less intimidating environment

 Community Adult GED center  Located in Ward 5  Non-health care provider/center  “Lunch Brunch” opportunities

STUDENT STATISTICSHOUSEHOLD STATISTICS  Female: 51%  Male: 49%  African-American: 75%  African: 12%  Asian: 2%  Caribbean: 4 %  Latino: 7%  Caucasian:.5%  Household Income  Less than $9,999: 46%  $10,000 - $14,999:12%  $15,000 to $29,999: 32%  $30,000 or more: 10% d/80/Default.aspx

 What is cancer  Why is it important to talk about  The four screening cancers  Public assistance programs for screening  Prevention Tobacco sensation Safe-sex Diet Exercise

 Prostate PSA levels/DRE Men take Ten-Howard University every 3 rd Wednesday  Breast Mammograms/CBE NBCCEDP (National Breast and Cervical Early Detection Program)  Cervical Pap Smears (NBCCEDP) Guardesil  Colon/Rectal Colonoscopy Screen for Life

 Tobacco Cessation  Safe Sex  Diet  Exercise

Source: DOH, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

 High incidence/mortality in DC  Screening Cancers  Health risk behaviors in DC and Ward 5  Community outreach/intervention  Prevention  Disparities abound  Questions?