1. Eliminating Health Disparities Workgroup for Camden County Cancer Coalition Camden County Cancer Coalition Meeting June 29, 2005 Cooper Hospital, Camden NJ Presented by Jean F. Mouch, MD, MPH

2. CEED in Camden County – since 1996 Federal and State Program for early detection of cancer and education for prevention Screening for Breast Cancer & Cervical Cancer in women; Prostate Cancer in men; & Colorectal Cancer Entitlement program: less than 250% of poverty level by income; no health insurance or underinsured for health

3. Meeting the gaps in Cancer Services – Eliminate Health Disparities CEED meets the need of working people with no health insurance for early detection and screening Estimate of the number of eligible women <250% of poverty level for income = 7,033 who are 40-64 years of age but do not have an estimate for men. Women diagnosed with Breast Cancer or Cervical Cancer – are Medicaid eligible for treatment phase Do not have Medicaid eligibility for men diagnosed with prostate cancer nor for colorectal cancer

4. Progress since 2003 The funding to screen only covered 18% of the eligible population. (12% Federal and 6% additional from State) In 2004 report, Camden County CEED met this goal, covering 18% of the eligible Women. McGreevey doubled the State funding in 2004 Thus 24-30% of the eligible population should be getting services in 2005.

5. Background to Camden County CEED program Camden County has two Cancer Education and Early Detection Programs (CEED) – Cooper Hospital, since 1996, and Virtua Health - Voorhees, 2001. Both have met their targeted number of enrollments of women but have struggled to reach their targeted number of men How well do they reach the eligible population of working people with incomes <250% of poverty with no health insurance?

6. Data on Camden County CEED clients December 2003 - June 2005 Race / Ethnicity of Women served WhiteBlackAsian Asian or Pacific Islander OtherHispanic Virtua Health CEED 56.3%25.0%5.4%2.6%1.0%9.7% Cooper Hospital CEED 36.3%31.0%1.3%3.0%2.0%26.4% Total County CEED = 4,195 2,591 61.7% 1,281 30.5% 79 1.9% 125 2.97% 14 0.33% 1,011 24% GREAT! 47.2% of eligible women in ages 40-64 are screened at least once!! who are <250% of Poverty Level with no Health Insurance

7. Age Groups of Women in CEED Camden County New Jersey Age groups of Women <20 years 20-29 yrs 30-39 yrs 40-49 yrs 50-64 yrs 65+ years Virtua Health CEED 18102841831881 Cooper Hospital CEED 231333951,5171,429125 Total = 4,195 412354791,7001,617126 % of Eligible Women 18-64 years of age and uninsured for health = 14,322 women 28.4% - screened 40-64 years of age and uninsured women = 7,033 <250% of Poverty 47.2% - screened

8. Colorectal and Prostate Cancer Screening through CEED Eligible men for CEED not known 65+ census in Camden County showed almost 5,000 (9.6%) living below the poverty line Women 65+ = 9% and Men 65+ = 4.7% 8 municipalities have >10% of individuals living below the poverty line No Health Insurance: 7.6% White; 16.9% Black; 38.2% Hispanic

9. In 2004-2005 CEED Clients Colorectal Cancer Screening in women= 216 men = 69 Prostate Cancer Screening in Men = 68 Issues for increasing these two Cancer Screenings - estimating the target group - planning the intervention - education, more education

10. Information from NCIS Health Consumer Profiles Regional Health Consumer Profile for Burlington, Camden, and Gloucester County Medically Underserved Population Tri-County = 230,385 Information by race, gender, and ethnicity Prostate Cancer Screening target, men > 50+ years of age= 19,669 Colorectal Cancer Screening target population: women= 28,496 men= 22,591

11. Join our Eliminating Health Disparities Workgroup!! Sign up on the Workgroup sheet being passed around Contact: Evelyn Robles-Rodriguez 856-968-7315 Joan Lombardi 856-355-6177