1. 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

2. Leading Causes of Death Percentage of all Deaths, Monroe County 2004-2006 2007-2009 Source: Vital Records, MCDPH

3. Cancer and Heart Disease: Number of Deaths Monroe County, 1994-2010 Source: Vital Records, MCDPH

4. Cancer Mortality 5 Year Average Annual Age Adjusted Rates Monroe County 1976-2009 Source: Cancer Registry, 2005-2009, NYSDOH

5. Cancer Incidence 5 Year Average Annual Age Adjusted Rates Monroe County 1976-2009 Source: Cancer Registry, 2005-2009, NYSDOH

6. Deaths Due to Cancer & New Cancer Diagnoses Average Annual Numbers Monroe County, 2005-2009 1,504 deaths 4,252 new cases Source: Cancer Registry, 2005-2009, NYSDOH

7. Leading Causes of Cancer Deaths Average annual Number of deaths, 2005-2009 Lung - 416 Colorectal – 132 Pancreatic – 104 Breast – 103 Prostate - 69 Source: Cancer Registry, 2005-2009, NYSDOH

9. Premature Death from Cancer: Years of Potential Life Lost Before Age 75 (YPLL) Monroe County, 2007-2009 Source: Vital Records, MCDPH

10. Cancer Risk Behaviors and Screening Monroe 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

11. Mammography Rates Managed 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.

12. Pap Smear Managed 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

13. Colorectal Cancer Screening Managed Care, 2011 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.

14. We can reduce the burden of Cancer in Monroe County!

15. 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

16. 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

17. 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

18. 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

19. Screening Identify best strategies to increase colorectal cancer screening rates. **Reasons: – Colorectal cancer 2 nd leading cause of cancer deaths – If everyone were screened, could prevent 60% of deaths due to CRC (CDC)

20. 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

21. 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.