1. An Introduction to Dutchess County Comprehensive Cancer Control Initiative

2. Tom Kean, MPH C-Change

3. Ena Wanliss, MS Centers for Disease Control and Prevention

4. David Momrow, MPH American Cancer Society

5. Kristen Admiraal, MSW New York State Department of Health

6. An Introduction to Dutchess County Comprehensive Cancer Control Initiative

7. Dutchess County Demographics - Population Growth 8% growth from 1990 to 2000 5% growth from 2000 to 2005 Census, ACS 1990 Census 2000 Census 2005 Estimate 259,462280,150294,849

8. Dutchess County Demographics - Population Characteristics (2005) AgeRace & Ethnicity Under 2026.5%White (non-Hispanic) 79.1% 20-4434.3%Black (non-Hispanic) 8.5% 45-6427.1%Asian (non-Hispanic) 3.4% 65-8411.0%Hispanic (of any race) 7.7% 85+1.1% Sex Median age39.1Male Female 49.3% 50.7% ACS

9. Dutchess County Demographics - Births and Deaths Dutchess County averages 3,200 births per year (2001-2004) 2,200 deaths per year (2000-2003) NYSDOH

10. Dutchess County Leading Causes of Death - (2001-2003) 1. Diseases of the Heart 2. Malignant Cancers *  Average 1,259 deaths per year  Account for more than half of all deaths (57%)  551 cancer related deaths (25% of all deaths) 3. Cerebrovascular Disease 4. Chronic Lower Respiratory Disease  Average 255 deaths per year * 1999-2003 NYSDOH

11. Dutchess County Malignant Cancer Incidence Over Time (1976-2003) NYSDOH

12. Dutchess County Malignant Cancer Mortality Over Time (1976-2003) NYSDOH

13. Malignant Cancer Incidence Rates, By Site (1999-2003) NYSDOH

14. Malignant Cancer Mortality Rates, By Site (1999-2003) NYSDOH

15. Malignant Cancer Rates, All Cancers (1999-2003) NYSDOH

16. Dutchess County Malignant Cancer Average Annual New Cases (1999-2003) New Cases M = 740 F = 685 Colorectal M = 80 F = 81 NYSDOH Lung & Bronchus M = 112 F = 92 Prostate (male) 234 Breast (female) 216 Revised 6/29/07

17. Dutchess County Malignant Cancer Average Annual Deaths (1999-2003) Deaths M = 282 F = 269 Colorectal M = 27 F = 33 NYSDOH Lung & Bronchus M = 85 F = 66 Prostate (male) 30 Breast (female) 44 Revised 6/29/07

18. Prevention of Cancer Tobacco Control Healthy lifestyles Regular screenings Reduction of exposure to high risk environmental factors Increased knowledge of cancer genetics Many cancer deaths are preventable

19. Preventive Care BRFSS Mammogram in past 2 yrs, ages 40+ Sigmoidoscopy or colonoscopy ever, ages 50+ Fecal occult blood test in past 2 yrs, ages 50+ Routine physical in past 2 yrs, ages 18+

20. Lifestyles that Enhance Health BRFSS

21. Lifestyles that Pose Health Risks BRFSS, Expanded BRFSS, YRBSS, DC Youth Tobacco Survey, DCDOH/CSC Childhood Obesity Study

22. Dutchess County’s Commitment to Comprehensive Cancer Control C-Change NYS Comprehensive Cancer Control Plan County Executive William R. Steinhaus initiative New York State’s only locally funded cancer initiative

23. DCDOH leads Comprehensive Cancer Control Process Identify key community partners Establish core workgroup Introduce concept of comprehensive cancer control Develop elements of community needs assessment

24. Dutchess County’s Comprehensive Cancer Control Core Workgroup American Cancer Society Dutchess County Department of Health Dutchess Health 2000 Healthy Women’s Partnership Hospice of Dutchess and Ulster Counties Hudson River Healthcare NY State Rural Health Association St. Francis Hospital Vassar Brothers Medical Center

25. Short-Term Goals Share cancer services information Assist in the development of a community needs assessment Create a plan which will address local cancer control issues

26. Needs Assessment  Review of community’s care system Quantitative & Qualitative Data Collection  Review of epidemiological data  Qualitative information will provide a rich understanding of our circumstances Relies on community input

27. Needs Assessment Description A snapshot of cancer, cancer services, and cancer survivors in our community

28. Needs Assessment Elements An Epidemiologic Profile Identification and Evaluation of:  Service Needs Among Affected Populations  Clinical Cancer Providers  Local Supportive Service Cancer Providers

29. Needs Assessment Product What trends and issues were identified in the assessment?  What trends and issues should be considered for potential planning? Where are we now? How will we monitor our progress? Develop a Plan of Action

30. Next Steps

31. Who is here today...  AG Edwards  American Cancer Society  Benedictine Hospital  Cancer Awareness Coalition  Cancer Information Services – NCI Memorial Sloan Kettering  Catharine Street Community Center  Centers for Disease Control and Prevention  Children’s Media Project  City of Poughkeepsie  Dutchess County Executive  Dutchess County Department of Health  Dutchess County Office for the Aging  Dutchess Health 2000  Dutchess Outreach  Healthy Women’s Partnership  Hospice of Dutchess and Ulster  Hudson River Healthcare  Hudson Valley Business Journal  Leukemia and Lymphoma Society  MD Imaging  Miles of Hope Foundation  NACCHO  New York State Breast Cancer Network  NY State Rural Health Association  Planned Parenthood  Poughkeepsie Journal  St. Francis Hospital  The Community Foundation of Dutchess County  Vassar Brothers Medical Center  Vassar College

32. 97% had cancer impact your life in some way 29% were familiar with CCCP process 99% indicated interest in participating in this initiative Survey Results

33. How You Can Participate in the Dutchess County Comprehensive Cancer Control Initiative  Community Based Organizations  Businesses / Employers  Fraternal Organizations  Health Care Providers  Academia

34. Traditional Partners

35. Non-Traditional Partners

37. CEO Gold Standard Focuses on five critical areas, known as The Five Pillars: 1.Tobacco Use Prevention and Reduction 2.Diet and Nutrition 3.Physical Activity 4.Screening and Early Detection 5.Access to Quality Treatment and Clinical Trials www.cancergoldstandard.org

38. Non-Traditional Partners

44. Please complete the Evaluation and Contact form in your packet – Thank You!

45. Dutchess County Comprehensive Cancer Control website www.cancerfreedutchess.net

46. THANK YOU!!! For attending the 2006 Dutchess County Comprehensive Cancer Control Kick Off Event!!! For More Information, Contact: Lisa Cardinale, LMSW Sr. Public Health Educator 845.486.3565 cancerfreedutchess.net lcardinale@co.dutchess.ny.us

47. 2006 Dutchess County Comprehensive Cancer Control Introduction Event Lunch is Served – Enjoy!!!

48. Dutchess County Department of Health We are connected to our Community

49. All photos used in this presentation were taken from google – images, All photos were selected to be illustrative and were not to be specific to an individual, group, agency or any other format. Below are their perspective addresses:  http://www.bkr.com/Images/public/Stock/BusinessMan_Folder2.jpg http://www.bkr.com/Images/public/Stock/BusinessMan_Folder2.jpg  http://www.sosindonesia.com/Portals/0/business%20man%20in%20the%20meeting.jpg http://www.sosindonesia.com/Portals/0/business%20man%20in%20the%20meeting.jpg  http://www.1stmarinerbank.com/images/Common/Business%20Man%20with%20computer%20presentation.JPG http://www.1stmarinerbank.com/images/Common/Business%20Man%20with%20computer%20presentation.JPG  http://www.vanguard.edu/uploadedImages/MBA/business_woman.jpg http://www.vanguard.edu/uploadedImages/MBA/business_woman.jpg  http://www.breastcancernegligence.com/mammogram2.jpg http://www.breastcancernegligence.com/mammogram2.jpg  http://www.photo.net/photo/pcd1251/taxi-driver-9.4.jpg http://www.photo.net/photo/pcd1251/taxi-driver-9.4.jpg  http://www.independencecomm.com/images/photos/limo_driver.jpg  http://www.tifaexpress.com/images/limo-driver.jpg  http://www.nea.gov/features/stories/12-04images/irco2.jpg http://www.nea.gov/features/stories/12-04images/irco2.jpg  http://www.answerthecall.net/atf/cf/%7B9312E0F5-8AA1-47D4-9199-569C3DF089BE%7D/Food_pantry.jpg http://www.answerthecall.net/atf/cf/%7B9312E0F5-8AA1-47D4-9199-569C3DF089BE%7D/Food_pantry.jpg  http://www.marthastewart.com/images/content/feature/0406_edf_weekend_dinner.jpg http://www.marthastewart.com/images/content/feature/0406_edf_weekend_dinner.jpg  http://www1.istockphoto.com/file_thumbview_approve/557862/2/istockphoto_557862_pasta_dinner.jpg http://www1.istockphoto.com/file_thumbview_approve/557862/2/istockphoto_557862_pasta_dinner.jpg  http://us.inmagine.com/168nwm/photodisc/pdeo003/pdeo003059.jpg http://us.inmagine.com/168nwm/photodisc/pdeo003/pdeo003059.jpg  http://www.edgehill.ac.uk/Shared/images/img_childcare.jpg http://www.edgehill.ac.uk/Shared/images/img_childcare.jpg  http://members.shaw.ca/calgaryselfhelp/Images/hairdresser.jpg http://members.shaw.ca/calgaryselfhelp/Images/hairdresser.jpg  http://www.smgsi.com/internet/home/goodsam.nsf/(Images)/19694E0AD281AED386257058005A5D8D/$FILE/makeup.jpg http://www.smgsi.com/internet/home/goodsam.nsf/(Images)/19694E0AD281AED386257058005A5D8D/$FILE/makeup.jpg  http://www.bhsala.com/princeton/programsAndServices/cancerServices/images/lookGood.jpg http://www.bhsala.com/princeton/programsAndServices/cancerServices/images/lookGood.jpg  http://www.mobile-review.com/articles/2002/image/plane/airplane.jpg http://www.mobile-review.com/articles/2002/image/plane/airplane.jpg  http://www.coppermine.luchtzak.be/albums/userpics/10001/normal_FOTO_WAW.jpg  http://www.kingstonregionalhealth.org/kingston_hospital/images/clip_image002_001.jpg http://www.kingstonregionalhealth.org/kingston_hospital/images/clip_image002_001.jpg  http://doctor.website2go.com/images/59141.JPG?s=935790689  http://www.fdrlibrary.marist.edu/images/wcstat.gif http://www.fdrlibrary.marist.edu/images/wcstat.gif  http://www.vibride.com/images/article/PM/groom%20close%20up%20hiding%20face.jpg http://www.vibride.com/images/article/PM/groom%20close%20up%20hiding%20face.jpg  http://us.inmagine.com/168nwm/itstock/itf089/itf089063.jpg http://us.inmagine.com/168nwm/itstock/itf089/itf089063.jpg  http://naturallycurly2.com/images/reader/1085299272terry-smiling-with-hair-in-face-close-up.JPG http://naturallycurly2.com/images/reader/1085299272terry-smiling-with-hair-in-face-close-up.JPG  http://us.inmagine.com/168nwm/photoalto/paa106/paa106000064.jpg http://us.inmagine.com/168nwm/photoalto/paa106/paa106000064.jpg  http://images.acclaimimages.com/_gallery/_TN/0106-0509-2219-4139_TN.jpg http://images.acclaimimages.com/_gallery/_TN/0106-0509-2219-4139_TN.jpg  http://images.jupiterimages.com/common/detail/31/50/23245031.jpg http://images.jupiterimages.com/common/detail/31/50/23245031.jpg  http://turing.cs.pub.ro/cec-wys/image/Teenager.jpg

50. Data Sources  U.S. Census Bureau Decennial Census 1990, 2000 American Community Survey 2005 Population Estimates 2005  New York State Department of Health, Bureau of Biometrics  Behavioral Risk Factor Surveillance System BRFSS 2003 Expanded BRFSS 2003  Youth Risk Behavior Surveillance System (YRBSS) 2003  Dutchess County Youth Tobacco Survey 2003, Children’s Services Council  Childhood Obesity Study 2004, Dutchess County Department of Health & Children’s Services Council