1.  The Breast and Cervical Cancer Control Program N.C. Cancer Prevention and Control Branch Brittney M. Sala, BS, MPHN Candidate

2.  Offer Screening, Outreach, Education Services addressing 6 priority cancers.  A part of N.C. DHHS: Division of Public Health - Chronic Disease and Injury Section.  Through the N.C. State Comprehensive Cancer Control Plan we work to ensure a comprehensive and collaborative approach to address the state ’ s cancer burden.  Through Partnerships: o Promote healthy lifestyles, early detection o Educate about cancer symptoms o Increase access to treatment and care o Enhance cancer survivors' quality of life

3.  Provide free and or low ‐ cost breast and cervical cancer screenings and follow ‐ up to eligible women in N.C.  The BCCCP services are offered through: o Local Health Departments o Community Health Centers o Hospitals/Private physicians’offices  Reach over 12,000 women annually

4. Women Men

6.  Cervical Cancer is the most common HPV-associated cancer among women. o 500,000+ new cases and 275,000 attributable deaths world-wide in 2008. o 11,000+ new cases and 4,000 attributable deaths in 2011 in the U.S.  37% of cervical cancers occur in women who are between the ages of 20 to 44. o 13% (or nearly 1 in 8) between 20 and 34 o 24% (or nearly 1 in 4) between 35 and 44 CDC. HPV-associated cancers – US, 2004-2008. MMWR 2012;61(15):258-261. Cervical Cancer Counts by Age. US Cancer Statistics Data from 2010, CDC.gov

7.  Screenings: o Pap Test Women ages 21 through 29 should be screened with a Pap test every 3 years. o Co-Test Women ages 30 through 65 can then be screened every 5 years with Pap and HPV co-testing or every 3 years with a Pap test alone. HPV testing is used to look for the presence of high-risk HPV types in cervical cells.

8.  Age o Routine vaccination at age 11 or 12 years* o Vaccination recommended through age 26 for females and age 21 for males not previously vaccinated.  Formulation by gender (assuming availability): *Vaccination series can be started at 9 years of age. MMWR 2015:64:300-4

10. Discuss the following with your patients and their families: HPV is safe and effective Identify clear and concise resources Benefits of getting screened and early detection Health concerns or myths regarding HPV and Cervical Cancer. Talk to them about the BCCCP Program. Work with your local BCCCP organization To connect individuals to low cost/free screening services Increase education and outreach regarding HPV and Cervical Cancer within your communities. Other Awareness Opportunities: Promote reminder-recall systems for screening and HPV vaccinations. Help women understand which screening tests are right for them.

11.  Provide Cervical Cancer and HPV Infographics and Pamphlets  Host a “Teal Ribbon Campaign”

12. Brittney M. Sala, BS, MPHN Candidate BCCCP Program Consultant, Cancer Prevention and Control Branch North Carolina Department of Health and Human Services 919-707-5330 Office 919 -870-4812 Fax Brittney.Wooten@dhhs.nc.gov 5601 Six Forks Road Raleigh, NC, 27609 http://bcccp.ncdhhs.gov/