Florida Department of Health, Comprehensive Cancer Control Program

December 2014 & January 2015

CancerStakeholder

State Update, 2

Cancer in the News, 4

Cancer Survivor Tips, 3

Tools & Resources, 5

Funding Opportunities, 6

Collaboratives, 7

Events, 7

>>The Cancer Stakeholder has expanded toinclude a new section to provide resourcesand information for cancer survivors, caregivers and health professionals entitledCancer Survivor Tips. Content for the newsection will be based on the latest studiesand research.

Medical providers are encouraged to visit the CDC’s Preteen and TeenVaccines website which includes useful information and patient handouts:HPV Vaccine is Cancer Prevention.

In addition, parents and young adults are also encouraged to visit this siteat Diseases and the Vaccines that Prevent Them to learn more about vaccine-preventable diseases and recommendations. For more information oncervical cancer go to www.cdc.gov/cancer.

PROGRAM SPOTLIGHT:

January is Cervical CancerAwareness MonthAll women are at risk for cervical cancer.It occurs most often in women over age 30. According to the Centers forDisease Control and Prevention (CDC), approximately 12,000 women in theUnited States are diagnosed with cervical cancer each year. In Florida, therewere 857 new cases and 324 deaths from cervical cancer in 2010 and 2011(Florida Cancer Data System). Women who are minority, low income andunderinsured remain at a higher risk of being diagnosed with, and dyingfrom, cervical cancer. This disparity is largely due to the lower rates of routinescreening and timely follow up for detected abnormalities.

The good news is that cervical cancer is highly preventable because of thePap test and human papilloma virus (HPV) vaccine. Nearly all of cervicalcancers are caused by HPV. HPV is a common virus that is passed from oneperson to another during sexual activity. The HPV vaccination is a three shotseries that can help prevent multiple cancers, including cervical cancer. TheAdvisory Committee for Immunization Practices recommends vaccinatingboys and girls, ages 11 to 12 years old. The HPV vaccine may be given startingat 9 years of age and through the age of 26 for those who did not get any orall of the shots when they were younger.

Tests for specific HPV strains can also support earlier diagnosis of cervicalcancer. When found early, it is highly treatable and associated with longsurvival and good quality of life. Since the vaccine was introduced in 2006,CDC reports that the rates of HPV strains related to genital warts and somecancers have decreased 56 percent among American teen girls.

The Florida Breast and Cervical Cancer EarlyDetection Program offers free Pap tests towomen who are:

• Ages 50-64• Low income• With no health insuranceCall the Florida Department of Health localoffice for information on the HPV vaccinationseries availability or visit the Department’swebsite.According to the CDC, to reduce risk or preventcervical cancer:

• Get the HPV vaccine • Women between 21 and 65 years old shouldsee their doctor regularly for a Pap test • Do not smoke• Limit the number of sexual partners

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There are plenty of reasons to quitsmoking. Smoking is responsible forone in every three cancer deaths inthe United States. In fact, smokingcan cause cancer almost anywherein your body and also blocks yourbody from fighting it.4,5 But, thegood news is that if you quit nowyou can help reverse the damage:Within five years of quitting:6

n Your risk of cancer of the mouth,throat, esophagus and bladder is cutin half.

n Female smokers’ risk of cervicalcancer falls to that of a non-smoker.After ten years of quitting:6

n Your risk of dying from lungcancer drops by half.

n The risk of cancer of the larynx andpancreas decreases.While quitting tobacco may bedifficult, it is not impossible. Thestate of Florida offers residentsaccess to FREE quit resources thatcan aid in making a quit plan andseeing it through. Floridians areencouraged to make a positivechoice for their future and joinformer smokers in quitting, as they

now outnumber the amount ofcurrent smokers in the state.Those who have tried to quit buthave relapsed are encouraged to tryagain as most former smokers makeseveral attempts before quittingpermanently. Make a quit plan inorder to start the New Year off right. Having a comprehensive andpersonalized quit plan increases thechance of success. We are here tohelp you and your friends andfamily!Tobacco Free Florida offers 3 Free & EasyWays to Quit:CALL: Call the Florida Quitline at 1-877-U-CAN-NOW to speak with aQuit Coach® who will help you assessyour addiction and help you create apersonalized quit plan.CLICK: Tobacco Free Florida’s onlinecessation tool can be accessed attobaccofreeflorida.com/webcoach.COME IN: Local face-to-face help isavailable with the help of AreaHealth Education Centers, find onenear you attobaccofreeflorida.com/ahec.

December 2014 & January 2015

Cancer Stakeholder

With a new year comes the opportunity to set new health goals and stick withthem. For many, it is a chance to quit tobacco. In fact, more than 1.7 millionFlorida adults who smoke report that they want to quit completely.1,2,3

Fortunately, Tobacco Free Florida is here to help and encourages tobacco usersto: “Trust the Quitter in You.”

State UpdateOn October 28-29, 2014, the FloridaComprehensive Cancer Control (CCC) Programhosted “Building on the Foundation of a FloridaCancer Network,” a planning meeting held inTallahassee Florida. This was the first meeting ina series of planning discussions with statewidepartners to discuss the framework fordeveloping a plan of action to reduce theburden of cancer. Participants were surveyedbefore and after the meeting to assess theirknowledge on: the 2010 Florida Cancer Planand its goals; the State’s Health ImprovementPlan; Healthy People 2020; and the state’sregional cancer control efforts. The facilitatorutilized the CDC Cancer Plan Self-Assessmenttool to lead a discussion which assessed thestate’s priorities and identifying the coreelements needed for a state structure. One keyissue determined in the meeting was that theplan format will follow a continuum of carestructure which aligns with the 2010 FloridaCancer Plan Goals which are:

Goal I: A coordinated approach among publicand private cancer control stakeholders toimplement cancer activities statewide

Goal 2: Floridians practice the healthybehaviors associated with prevention of canceror to reduce risk

Goal 3: Floridians have access to appropriatehealth information and effective health servicesfor the timely detection, diagnosis, andtreatment of cancer.

Goal 4: Floridians affected by cancer are awareof and have access to quality, appropriateservices for quality of life, palliative care, andsurvivorshipThis planning process will continue to invitenew ideas. To learn more about this event orget involved please emailcancer@flhealth.gov.

For more information, please visit: www.tobaccofreeflorida.com

115,524,970 Florida adults: Florida QuickStats. U.S. Census Bureau. U.S. Department of Commerce http://quickfacts.census.gov/qfd/states/12000.html 116.8 percent (or 2,608,195) Florida adults smoke were current cigarettes: Centers for Disease Control and Prevention (CDC). Behavioral Risk FactorSurveillance System Prevalence and Trends Data, 2013. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control andPrevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.168.8 percent (1,794,438) report they want to quit: Centers for Disease Control and Prevention. Quitting Smoking Among Adults—United States, 2001–2010. Morbidity and Mortality Weekly Report 2011;60(44):1513–191U.S. Department of Health and Human Services. A Report of the Surgeon General. How Tobacco Smoke Causes Disease: What It Means to You. Atlanta:U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention andHealth Promotion, Office on Smoking and Health, 2010.1U.S. Department of Health and Human Services. Let's Make the Next Generation Tobacco-Free: Your Guide to the 50th Anniversary Surgeon General'sReport on Smoking and Health. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Centerfor Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014.1A Report of the Surgeon General: How Tobacco Smoke Causes Disease - The Biology and Behavioral Basis for Smoking-Attributable Disease FactSheet, 2010; and Tobacco Control: Reversal of Risk After Quitting Smoking. IARC Handbooks of Cancer Prevention, Vol. 11. 2007, p. 341.

Cancer Stakeholder

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Holidays and social events can pose unique communication challenges forcancer survivors. The National Cancer Institute (NCI) has compiledrecommendations on how to relate to family, friends and coworkers after a

diagnosis. As they state, “having cancer can change relationships with the people inyour life. It's normal to notice changes in the way you relate to family, friends, and otherpeople that you are around every day—and the way they relate to you.” A featuredarticle titled ”When a Grandparent has Cancer” has special considerations for helping achild cope with a grandparent’s cancer.

The Cancer Stakeholder

has expanded to include a

new section to provide

resources and information

for cancer survivors, care

givers and health

professionals entitled

Cancer Survivor Tips.

Content for the new

section will be based on

the latest studies and

research.

Cancer Survivor Tips

December 2014 & January 2015

Resources have also been developed on how to effectively communicate with yourhealth care team. Both NCI and LiveSTRONG have information for survivors on how tolearn more about their diagnosis and treatment process. CancerCare has a simple andconcise factsheet with specific questions and tips to make the most of health visits.Coping with Cancer has a great article on communicating with your doctor. Althoughthe article addresses issues specific to ovarian cancer, many of these concepts areuniversal.

Some cancer survivors can experience physical limitations with their speech as aresult of treatment. Coping with Cancer has included recommendations on reducingcomplications from head and neck cancers, which include cancers from HPV.

If a cancer survivor would like additional help withcommunicating, they can consider joining a support group

such as those with LiveSTRONG website and CancerCarethrough 1-800-813-HOPE (4673).

Communication Challenges

Cancer Stakeholder

December 2014 & January 2015

Cancer In the NewsUrine-based HPV test “feasiblealternative for cervical cancerscreening”—Medical News Today (MNT),Sept. 17, 2014

E-cigarettes “not helping cancerpatients to quit smoking”—MNT, Sept.22, 2014

Human papilloma virus vaccinationprovides long-term protection—ScienceDaily, Sept. 25, 2014

HPV vaccine rates not linked toknowledge about it—MNT, Sept. 25, 2014

Breast cancer: are men the forgottenvictims?—MNT, Oct. 1, 2014

How Can Drinking Tea Boost My Health?—American Institute for Cancer Research(AICR), Oct. 2, 2014

Your Questions on Soy and BreastCancer Answered—AICR, Oct. 2, 2014

Lung cancer can lie dormant for over 20years—MNT, Oct. 10, 2014

Alcohol control efforts incomprehensive cancer control plans andalcohol use among adults in the USA—National Comprehensive Cancer ControlProgram, Oct. 13, 2014

Nationality at birth plays role in U.S.adult vaccination rates—Science Daily,Oct. 14, 2014

“Approximately 14 million majormedical conditions in US due tosmoking”—MNT, Oct. 14, 2014

Treatments, survival benefits for early-stage lung cancer compared in study—Science Daily, Oct. 15, 2014

Good diet before diagnosis is linkedwith lower mortality among ovariancancer survivors—Science Daily, Oct. 16,2014

Why early-stage breast cancer survivorsopt for mastectomy—Science Daily, Oct.16, 2014

Cancer medicine: New, improved,expensive and exploited?—MNT, Oct. 18,2014

New report highlights potential linksbetween weight, physical activity andbreast cancer survival—MNT, Oct. 20,2014

New drug could help in battle againstcervical cancer—Science Daily, Oct. 23,2014

Relationship between diet,inflammation and cancer: Key factorfound—Science Daily, Oct. 28, 2014

Tea, citrus products could lower ovariancancer risk, new research finds—ScienceDaily, Oct. 28, 2014

Most Internet sources on prostatecancer disagree with expert panel'srecommendation—Science Daily, Oct. 28,2014

First detailed picture of cancer-relatedcell enzyme in action on chromosomeunit—Science Daily, Oct. 29, 2014

Decades of research: Effectiveness ofphone counseling for cancer patientsstill unknown—Science Daily, Oct. 29,2014

Oxygen-deprived RNA molecules leadto tumor progression, study finds—Science Daily, Oct. 29, 2014

Study examines availability of tanningbeds on and near college campuses—MNT, Oct. 29, 2014

Viewing cancer on the move: Newdevice yields close-up look atmetastasis—Science Daily, Oct. 31, 2014

Attention to Nutrition and Exercise Vitalfor Breast Cancer Survivors—AmericanInstitute for Cancer Research, Nov. 3, 2014

Single blood test that screens forseveral cancers steps closer—MNT, Nov.3, 2014

AHCC, Japanese mushroom extract,eradicates HPV infections in women—MNT, Nov. 3, 2014

Scientists uncover potential drug totackle “undruggable” fault in third ofcancers—Science Daily, Nov. 4, 2014

Hot flashes going unrecognized, leavingwomen vulnerable—Science Daily, Nov. 4,2014

Immune booster combined withcheckpoint blocker improves survival inmetastatic melanoma—Science Daily,Nov. 4, 2014

Swallowing a sponge on a string couldreplace endoscopy as pre-cancer test—MNT, Nov. 5, 2014

Breast cancer recurrence: Studyprovides insight—Science Daily, Nov. 5,2014

Millions of US women are not gettingscreened for cervical cancer—MNT, Nov.6, 2014

Lactose-intolerant people have lowerrisk of certain cancers - but why?—MNT,Nov. 7, 2014

Physicians “vital” in explaining smokingand bladder cancer link—MNT, Nov. 10,2014

Proposed Decision Memo for Screeningfor Lung Cancer with Low DoseComputed Tomography—Centers forMedicare and Medicaid Services

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December 2014 & January 2015

Tools & Resources> Healthy People is conducting a Progress Review webinar

featuring the Environmental Health and Tobacco Use topicareas. Progress Review webinars are focused on trackingand measuring the progress of select Healthy People 2020objectives. Dec 5: Reducing Exposure: A Healthy People 2020 ProgressReview Featuring Environmental Health and Tobacco Use,12:30 p.m. EST.

> Debbie’s Dream Foundation is hosting two consecutive webinarsfor cancer survivors, caregivers and health providers thatsupport survivors.Dec 10: Nutrition forCancer Patients, 7:00 p.m. EST,

Dec 10: De-Mystifying Clinical Trials, 7:45 p.m. EST

> NCCN Continuing Education Program—The National Comprehensive Cancer Network’s (NCCN) Continuing Education Program seeks to improve patient outcomes in oncology by educating clinicians on the application of evidence-based medicine. Our accredited educational activities are designed for oncologists (in both community and academic settings), nurses, pharmacists, case managers, and other health care professionals involved in the care of patients with cancer.Dec 10: Monthly Oncology Tumor Boards: A Multidisciplinary Approach to Individualized Patient Care - Lung Cancer: Biomarker Driven Advanced Disease, 10:00 - 11:00 a.m. EDT (may not be accessible through Internet Explorer)Sessions are approved for AMA PRA Category 1 Credit(s)™ as identified.

> CancerCare presents the following free Connect® Education Workshops (all are from 1:30—2:30 p.m. EST): All sessions are free and pre-registration is requiredDec. 16: Overview of Myelofibrosis, Current Treatment

Options and Quality of Life Concerns 2,3

Dec. 17: Update on Lymphoma from the 2014 American Society of Hematology Annual Meeting 1

Jan. 7, 2015: Medical Update on Pancreatic Cancer 2,3

Jan. 14: Coping with the Stress of Caregiving When Your LovedOne Has Myelofibrosis 2,3

Jan. 28: The Latest Developments Reported at the 37th Annual San Antonio Breast Cancer Symposium 2,3

Feb 4: Managing the Costs of Living with Cancer 2,3

1. Approved for one Contact Hour to Social Workers

2. Submitted for approval for one Continuing Professional Education Unit for Registered Dietitians

3. Submitted for one Contact Hour to Social Workers

You can participate by listening to this workshop on the telephone or via live streaming through the Internet. For more information or to register online, visit CancerCare online or call 1-800-813-HOPE (4673). Past workshops are archived here.Missed a Connect Education Workshop? Listen to pastworkshops as podcasts through CancerCare's website.

> The Florida Department of Health—in collaboration with theFlorida Medical Association, has produced a complimentary,two-credit Continuing Medical Education (CME) course,Healthiest Weight Florida: A Life Course Approach. This CMEcourse is available free of charge to all physicians who arelicensed in the state of Florida and underscores theimportance of clinicians providing guidance about healthyliving to patients and families during all stages of life. Threecontinuing education credits are also available for Floridanurses, dietitians and nutritionists through a similar courseon Florida TRAIN. Just search “FDOH Healthiest Weight: A LifeCourse Approach” on FL.TRAIN.org or call 850-245-4444 ext.2166 for more details.

> The George Washington University Cancer Institute’s —Cancer Control Technical Assistance Portal is a centralizedwebsite that pulls together existing and new technicalassistance for cancer control professionals. Features includewebinars, resource repository, TAP eNewsletter and anonline academy.

> Inside Knowledge About Gynecologic Cancer - Get the facts about the signs, symptoms, and risk factors of gynecologic cancers. When gynecologic cancers are found early, treatment is most effective.

> The CDC has created an infographic to explain how you can help prevent cervical cancer with the right test at the right time.

> HPV can cause cancer not only in the cervix, but also in the “oropharynx,” which is an area in back of the throat. To learn more about HPV and oropharyngeal cancer the CDC has created a webpage and fact sheet, HPV and Oropharyngeal Cancer Fact Sheet. CancerCare also released a treatment update on “Oral and Head and Neck Cancer,” which has information on the latest treatments, managing side effects and coping with cancer in an easy-to-read format. Order a free copy here.

> Healthiest Weight Florida is pleased to announce a new tool to help you and your clients make healthier choices this holiday season: Maintain, Don’t Gain! Holiday Challenge.This FREE online seven week challenge provides participants tips, tricks, and ideas to help maintain a healthy weight throughout the holiday season.

The Jay Weiss Institute for HealthEquity at Sylvester ComprehensiveCancer Center announced a grantopportunity for not-for-profitcommunity organizations in Miami-Dade,Broward, Palm Beach counties. Fundscan be used for cancer prevention,education or other programs thatsupport cancer control efforts to reducecancer disparities. Click here to apply.Closing date 12/12/14.

Health Resources and ServicesAdministration has released a fundingopportunity announcement (FOA) forfiscal year 2015. The grant program willsupport providing information,education, technical assistance, and peersupport to families of children and youthwith special health care needs andprofessionals who serve such families.Click here for more information.Closing date 12/16/14.

Centers for Medicare & MedicaidServices has released a FOA to supporttechnical assistance designs that enabletransformation of clinician practices todeliver better care and result in betterhealth outcomes at lower costs forMedicare, Medicaid, and Children’sHealth Insurance Program enrollees.Click here for more information. Clickhere for more information.Closing date1/6/15.Click here for more information.

Rural Health Network DevelopmentPlanning Program are requestingapplications for grants to expand accessto, coordinate and improve the quality ofessential health care services andenhance the delivery of health care, inrural areas through planning activities.Click here to apply. Closing date 1/9/15.

Cancer Center Support Grants for NCI-designated Cancer Centers to capitalizeon all institutional cancer researchcapabilities, integrating meritoriousprograms in laboratory, clinical, andpopulation research into a singletransdisciplinary research enterpriseacross all institutional boundaries. Clickhere to apply. Closing date 1/18/17.

Health Trust makes grants for projectsthat advance healthy living, healthyeating and healthy aging and place astrategic focus on health promotion anddisease prevention, and closely alignwith grant criteria. Click here to apply.Closing dates 1/20/15 and 4/27/15.

Agency for Healthcare Research andQuality awards grants on a cycle basisbased on the following priority areas:improve health care quality byaccelerating implementation of PatientCentered Outcomes Research, makehealth care safer, increase accessibilityby evaluating expansions of insurancecoverage and improve health careaffordability, efficiency and cost

transparency Click here to learn more.Cycle deadlines are Feb. 5, June 5, Oct. 5.

The Department of Health and HumanServices FOA will support highlyinnovative and promising research thattests multi-level intervention programsof 1 to 2 years in length that aredesigned to increase health-enhancingphysical activity. Click here to apply.Closing dates 2/15/15, 7/5/15 and11/5/16.

Behavioral Interventions to AddressMultiple Chronic Health Conditions inPrimary Care is a FOA which seeksproposal that use a multi-disease caremanagement approach to behavioralinterventions with high potential impactto improve patient-level healthoutcomes for individuals with three ormore chronic health conditions. Clickhere to apply. Closing date 5/8/17.

Changes in Health Care Financing andOrganization is a call for proposal fromthe Robert Wood Johnston Foundationwhich supports research, policy analysisand evaluation projects that providepolicy leaders timely information onhealth care policy, financing andorganization issues. For proposals of$100,000 or less click here and forproposals more than$100,000 click here.$100,000 Grants awarded on rollingbasis.

Cancer Stakeholder

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December 2014 & January 2015

Funding Opportunities

About the CancerStakeholderThe Cancer Stakeholder is ane-newsletter, which includesthe DOH cancer updates,cancer tools and resources,funding opportunities,events, research, and otherinformation about cancer.The opinions expressed inthe Cancer Stakeholder donot necessarily reflect theviews of the Department orits staff. Please directquestions, comments andsuggestions to theComprehensive CancerControl Program atcancer@flhealth.gov.

If you would like to beremoved from thisdistribution list, please sendan email with “Unsubscribe”written in the subject line tocancer@flhealth.gov. Pleasetype in the body of the emailthe county where you reside.Please understand thatunsubscribing from theCancer Stakeholder willunsubscribe you fromreceiving future emailsrelated to theComprehensive CancerControl Program, theRegional Cancer ControlCollaboratives andassociated local andstatewide cancer activities.

This electronic newsletterwas funded by CooperativeAgreement U58/DP003872from the Centers for DiseaseControl and Prevention. Itscontents are solely theresponsibility of the authorsand do not necessarilyrepresent the views of theCenters for Disease Controland Prevention.

For any questions orconcerns regarding thisnewsletter or to include yourinformation in a future issue:Sam.Mooneyhan@flhealth.gov(850) 245-4444, EXT 3857.

Events

Cancer Stakeholder

CollaborativesMiami 2014 Fearless Caregiver Conference on Dec. 3, 2014.

Moffitt Cancer Center: Advances in Cancer Immunotherapy™ inTampa, Fla. on Dec. 5, 2014.

Financial Advocacy Network 2014 Regional Meeting in Seattle,Wash. on Dec. 9, 2014.

Gastrointestinal Cancers Symposium in San Francisco, Calif.on Jan. 15-17, 2015.

12th Annual Miami Cancer Meeting in Jan. 23-25, 2015.

2015 Winter Oncology Symposium on Jan. 24, 2015.

12th Annual Mayo Clinic Hematology Review in Minneapolis,Minn. on Jan. 25, 2015.

20th Annual Multidisciplinary Symposium on Breast Disease inAmelia Island, Fla. on Feb. 12-15, 2015.

Mayo Advances in Systemic Therapies for Breast Cancer inJacksonville, Fla. on Feb. 13-14, 2015.

9th Evidence-based Complementary & Alternative CancerTherapies conference in West Palm Beach, Fla. on Feb. 26-28,2015.

Genitourinary Cancers Symposium in Orlando, Fla. on Feb. 26-27, 2015.

Ingalls 8th Annual Prostate Health and Cancer Seminar inJupiter, Fla. on March 7, 2015.

2015 NCCN Nursing Program: Advancing Oncology Nursing inHollywood, Fla. on March 11, 2015 (may not be accessiblethrough Internet Explorer).

NCCN 20th Annual Conference: Advancing the Standard of CancerCare™ in Hollywood, Fla. on March 12-14, 2015.

Implementing Comprehensive Biopsychosocial Screening inDuarte, Calif. on March 19-20, 2015.

2015 March Population Management Executive DevelopmentProgram in Atlanta, Ga. on March 30-April 1, 2015.

2014 Business of Oncology Summit in Orlando, Fla. on April10-11, 2015.

Hematologic Malignancies: New Therapies and the Evolving Roleof Transplant in Chicago, Ill. on April 10-11, 2015.n

Regional Cancer ControlCollaboratives exist acrossthe state and work to

bring public and private partnerstogether to reduce the burden ofcancer. For information aboutwhat your regional collaborativein your area is doing, visit theirwebsites listed below.> Northwest Florida Cancer

Control Collaborative> Northeast Florida Cancer

Control Collaborative> North Central Florida Cancer

Control Collaborative> East Central Florida Cancer

Control Collaborative> Southeast Florida Cancer

Control CollaborativeFacebook: SoFla FightingCancer

> Southwest Florida CancerControl Collaborative

> The Southeast AmericanIndian Council (SEAIC) focuseson needs assessments,preventive education andquality of life for AmericanIndians. Membership is opento anyone of American Indianheritage. Email Dewey Painteror call him at (904) 208-0857for an application or for moreinformation.

To be added to the contact listfor any of these collaboratives,send an email request toCancer@flhealth.gov.

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December 2014 & January 2015