1. Proposal to Reduce Cancer in West Virginia Ashley Werner Brandon Ault Evelyn Ponce Kortney Stevenson- Homer

2. Background & Needs In 2007... ◦ The overall cancer mortality rate was 17% higher ◦ Men had higher rates of death from lung and colorectal cancer ◦ Women had higher rates of death from lung cancer

3. Demographics More elderly citizens Ranked last for obtaining a bachelor’s degree Average income of $37,989

4. Results and Rankings of Basic Priority Rating Cancer Type Size (A) Seriousness (B) Effectivenessof Interventions (C) PEARL (D) TOTALBPR SCORE (A+B)CXD 3 RankRank Lung Cancer 7188166.671 Female Breast Cancer 6168158.672 Colorectal Cancer 514.55132.54 Prostate Cancer 6971353 Pancreas Cancer1.56.5215.335

5. Cancer Priority & Target Market Lung cancer in West Virginia ◦ Smoking tobacco is the greatest risk factor ◦ 26% of adults smoke ◦ 22% of adolescents grades 9-12 smoke ◦ More males die from lung cancer than females ◦ Southwestern counties have a higher mortality rate

6. Decrease Smoking Prevalence Among Adolescent Males Youth test purchase attempts Increase tobacco tax Mass Media Campaign

7. Youth Test Purchase Attempts 9 studies Reduce retailers' willingness to sell cigarettes to minors by 34%

8. Increase Tobacco Tax WV = $0.55 National average = $1.46

9. Research Executive for Phillip Morris "It is clear that price has a pronounced effect on the smoking prevalence of teenagers, and that the goals of reducing teenage smoking... would be served by increasing the Federal excise tax on cigarettes."

10. Decrease Smoking Prevalence Among Adult Males Reduced-cost or free cessation therapies Worksite incentives Provider reminder systems

11. Reduced-cost or free cessation therapies Nicotine replacement therapy ◦ 132 trials with 40,000+ participants ◦ Improve success by 50% to 70%

12. Decrease secondhand smoke exposure o Statewide indoor smoking bans o North Carolina, Kentucky, and California o Smoking bans near worksites o California, Texas, Oregon, and Missouri o Outdoor smoking bans o Hawaii, Iowa, Louisiana, Minnesota, Missouri, New York, Ohio, and Texas.

15. Partnerships West Virginia Comprehensive Cancer Program Office of Epidemiology and Health Promotion West Virginia Cancer Registry Wellness Council of West Virginia Cabell-Huntington Health Department Smoke-Free Initiative of West Virginia

16. Marketing Schools, television, shopping centers, restaurants, and entertainment venues. Television advertisement Courthouses, health departments, and other government or public buildings. Educational booths

17. Formative Evaluations Media campaign focus groups Expert panel reviews for legislative programs

18. Summative Evaluations Lung cancer mortality changes ◦ Mortality rate comparison Risk behavior changes ◦ BRFSS

19. Budget Summary We need $646,792 to effectively carry out interventions 63% for personell costs $37% for non-personell costs

20. Budget Justification Personnel and supplies $150,000 for media campaign $22,000 for therapy treatments