21 New Jersey Counties Cancer Needs and Capacity Assessment

Reports – March 2005 Update

March 29, 2005

Camden County Cancer Coalition

Jean F. Mouch, MD, MPH

Community Health Consultant withCancer Education and Early Detection Programs (CEED)

Scope of Work for Camden County Cancer Plan

Complete a Needs and Capacity Assessment to Implement the State Plan at the county level

Network with individuals/agencies to identify resources/gaps

Work with Local CEED Coordinators to build a coalition to implement identified strategies

Work closely with Local Health Departments to integrate the Cancer planning process into the county level implementation of the Public Health Standards Act of February 2003.

NJCCCP, ACS & NJ CEED Priority Areas

NJCCCP ACS CEED

1. BREAST Y Y Y

2. CERVICAL Y NO Y

3. COLORECTAL Y Y Y

4. LUNG Y Y NO

5. MELANOMA Y NO NO

6. ORAL/O-P Y NO NO

7. PROSTATE Y Y Y

Cancer Deaths in New Jersey by Race 1976-2000

http://cancercontrolplanet.cancer.govhttp://cancercontrolplanet.cancer.gov

Cancer Death Rate for Camden County and New Jersey by Race and Ethnicity

Race and Ethnicity White Black Asian Hispanic Ethnicity

Camden County

All 225.7 259.7 103.0 153.7

Men 277.2 342.6 145.9 212.3

Females 195.1 208.2 73.8 120.7

New Jersey

All 209.9 257.1 95.6 114.7

Men 245.6 348.7 101.3 161.3

Females 179.5 196.7 82.8 99.5

Rates are per 100,000 age adjusted, Census 2000

Source: http://cancercontrolplanet.cancer.gov

Cancer Incidence Rate for Camden County and New Jersey by Race and Ethnicity

White Black All Races Hispanic Ethnicity

Camden County

Male 622.4 699.0 626.8 645.0

Females 459.0 417.8 447.9 421.5

New Jersey

Males 625.2 716.5 628.7 539.1

Females 464.9 414.2 453.7 363.8

Rates are per 100,000 age adjusted, Census 2000Source: NJ Cancer Registry, August 2003

Top three cancers for Men in Camden CountyBy Race and Ethnicity

Prostate Cancer Lung Cancer Colorectal Cancer

Incidnc Rate

Percent of Distant / Regional Stage at

diagnosis

Death Rate

IncidncRate

Death Rate

Incidnc Rate

Percent of Distant / Regional Stage at

diagnosis

Death Rate

Total Men

172.0 12.3% 33.6 107.0 87.5 81.1 47.8% 30.5

White 162.1 11.5% 30.9 105.5 86.0 83.3 48.1% 30.8

Black 242.7 14.6% 59.8 123.1 99.9 75.4 48.5% 33.1

Hisp. 206.2 13.5% * 85.3 41.4 78.5 67.6% *

Rates are per 100,000 age adjusted, Census 2000Source: NJ Cancer Registry, August 2003

Top 3 Cancers for Women in Camden CountyBy Race and Ethnicity

Breast Cancer Lung Cancer Colorectal Cancer

Incidence Rate

Percent Distant /

Regional Stage at

diagnosis

Death Rate

Incidence Rate

Death Rate

IncidenceRate

PercentDistant /

Regional Stage at

diagnosis

Death Rate

Total Women

128.0 29.3% 34.6 60.1 47.5 59.9 52.2% 19.7

White 131.2 28.4% 34.662.0 47.7

59.9 51.9% 20.0

Black 118.5 36.1% 38.356.4 52.5

64.2 54.3% 18.5

Hisp. 89.2 28.8% * 44.7 *

71.5 62.8% *

Rates are per 100,000 age adjusted, Census 2000Source: NJ Cancer Registry, August 2003

Lung Cancer in Camden County

Lung and Bronchus cancers kill more people than the top three cancers of Prostate, Breast and Colorectal Cancers

87% of Lung and Bronchus Cancers are attributed to smoking

Over 60% of Lung and Bronchus Cancers are detected in late stages of the disease

Lung/Bronchus Cancer Death Rates in Camden County by Race/Ethn

Camden County New Jersey United States

Raceand Ethnicity

BothSexes Male Female Both

Sexes Male Female Both Sexes Male Female

All Races 63.3 87.5 47.5 54.9 74.9 41.6 56.8 79.5 40.7

White 62.6 86.0 47.7 53.6 73.8 42.5 56.2 78.1 41.5

Black 72.3 99.9 52.5 61.6 100.0 41.8 64.2 107.0 40.0

Hispanic 25.2 41.4 ** 23.7 35.6 10.9 25.3 40.7 15.1

Asian 31.1 ** ** 17.0 23.4 13.7 28.1 40.9 19.1

Death Rates are per 100,000 age adjusted, 2000Census

Source: http://cancercontrolplanet.cancer.gov

Survivorship – Living with Cancer

U.S. study on those living with cancer since the SEER-CA-registry began 25 years ago

9.6 million men and womenAs of January 2000 – 5.3 million women

and 4.2 million men

Estimated # of Persons Alive in U.S. with invasive cancer cases only

http://seer.cancer.gov/faststats/html/inc_all.html

Percentages of Cancer Survivorship in Men

http://seer.cancer.gov/faststats/html/inc_all.html

Percentages of Cancer Survivorship in Women

http://seer.cancer.gov/faststats/html/inc_all.html

Discussion, Analysis, and Recommendations

For County and Local PrioritiesFor Statewide PrioritiesFor Evidence-based

Interventions

Recommendations for County and Local Priorities

Concentrate on the top 4 CancersFollow the NJ-CCCP strategies for CountyTwo principles of implementation:

(1) all general awareness, education, and screening strategies reach out to adults, 18+, and health care providers

(2) primary prevention strategies provided for all school age children and youth

…for County and Local Priorities

General Awareness and Education for NJCCCP via coalitions and ACS activities; via presentations to major health care provider groups; via work with CCDHHS on their CHIP

Research Study on Primary Care Providers and Cancer Prevention, Screening, and Treatment

Continue to strengthen coalition work for Cancer Plan at local levels e.g. directory; larger membership on Camden County Cancer Coalition

Capacity Assessment Process 2004 -Cancer Resources of NJ Database

Facility Type/Program offering Services to Camden County Residents

Total Number of 309 Respondents

American Cancer Society Activities 14

Breast Oncologist 1

Cancer Center 1

Complementary and Alternative Medicine Centers

2

FQHC 5 different Sites* 5

Free Standing Clinics 5

Dentist 4

Dermatologist 11

Employer 4

Faith Based 19

Gynecology . Oncologist 1

Hematology/Oncology* 3

Hospital* 8

Non-Profit 6

Obstetrician/Gynecologist 1

Palliative Care* Program of Palliative Care Program

99

Primary Care Provider 18

Pediatric Oncology 1

Programs/Activities from Virtua Fox Chase Cancer Center

17

Program of Hospital 3

Radiation and Chemotherapy* 2

Radiology* 17

Schools 132

Screening Program Other Programs with Screening Activities

46

Surgery Center 5

Total 309

* Indicates that 100% of that service has participated

….for Evidenced- based Interventions to address Camden County cancer problems

Prevention of Cancer(1) Physical Activity / Weight Management(2) Smoking Cessation Programs –adult and youth (3) “Never start smoking” programs for children and youth(4) Fruits and Vegetables

Cancer Screening by CEED programs(1) Minority groups - Black, Hispanic, and Vietnamese in six largest municipalities in Camden County with 64% of total pop.(2) Poverty areas – there are 12 municipalities with >10% poverty rates in Camden County(3) Use the NCIS medically underserved populations information for programs, media, and outreach strategies

….for Evidenced- based Interventions to address Camden County cancer problems

Multi-media campaign with South Jersey County Cancer Coalitions that have proven themselves via research tested materialsDevelopment of a Website for South Jersey County Cancer Coalitions to increase collaborationsCEED be part of an event / education project to promote CEED program with primary care providers in Camden County Tri County CEED Phone Numbers

Burlington County (609) 267-1950 ext.42881Camden County Toll Free (888) VIRTUA-3 (Virtua

Camden) (856) 968-7308 (Cooper Hospital)

Gloucester County (856) 686-5036

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