HomeMy WebLinkAboutMINUTES - 08211990 - IO.5 I .O.-5
TO: BOARD OF SUPERVISORS Contra
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FROM: INTERNAL OPERATIONS COMMITTEE / f Costa
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County
DATE:
August 13 , 1990
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REPORT ON THE STATUS OF THE STUDY OF THE INCIDENCE OF CANCER
SUBJECT: IN CONTRA COSTA COUNTY
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
1 . Express the Board of Supervisors' deep appreciation for the
dedication and commitment on the part of the following
employees of the Public Health Division, Health Services
Department in putting in the considerable amount of extra
time which was required in order to submit the grant
applications to , the National Cancer Institute and the
Centers for Disease Control which, if funded, will
substantially further the work within this County in the
areas of cancer epidemiology, cancer prevention, health
promotion and disease prevention programs:
* Nancy Warren, PHN - AIDS Program
* Beverly Jacobs, PHN - Teenage Program (TAP)
* Ilana Schatz - Prevention Program
* Kim. Ammann, Prevention Program
* Pam Satterwhite, Prevention Program
2. Authorize the Health Services Director and Public Health
Director to request Chevron, USA and other appropriate
industries to assist in funding a health promotion and
lifestyle study which would focus on factors which may
contribute to the incidence of cancer in Contra Costa
County.
3 . Request the Health Services Director and Public Health
Director to return to the Internal Operations Committee on
CONTINUED ON ATTACHMENT:YeS YES SIGNATURE:
—RECOMMENDATION OF COUNTY ADMINISTRATOR —RECOMMENDATION OF BOARD COMM EE
_APPROVE ,�OT/HfE'RJ-'(�/Ab�- —
SIGNATURE(S): SUNNE WRIGHT McPEAK T M ERS
ACTION OF BOARD ON August 21, 1990 APPROVED AS RECOMMENDED X OTHER _
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS(ABSENT III, IV ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
CC: ATTESTED ^^"`" 0?/• /990
PHIL BAT ELOR,CLERK OF THE BOARD OF
County Administrator SUPERVISORS AND COUNTY ADMINISTRATOR
Health Services Director
Public Health Director
BY DEPUTY
M382 (10/88)
December 10, 1990 with specific information on the scope and
nature of a grant application to the federal government and
other funding sources which could finance a prospective
study of the incidence of cancer in Contra Costa County,
including the data 'outlined in our Committee' s report on
this subject which was approved by the Board of Supervisors
on May 22, 1990. This report should include the status of
discussions with Chevron and other industries pursuant to
recommendation # 2 above.
BACKGROUND:
On May 22, 1990 the Board .of Supervisors adopted recommendations
from our Committee calling on the Health Services Director and
Public Health Director to design a comprehensive prospective
epidemiological study of each individual in Contra Costa County
for whom a tumor is reported to the Tumor Registry to include
certain specific data.
On August 13 , 1990 our Committee met with Wendel Brunner, M.D. ,
Public Health Director and reviewed the attached report with him.
While this report does not meet the scope of the grant
application outlined to the Board of Supervisors May 22, 1990 it
does reflect the fact that the Department has spent a great deal
of time over the past two months preparing grant applications to
the National Cancer Institute and Centers for Disease Control as
outlined in Dr. Brunner' s report. Dr. Brunner particularly noted
that several members of his staff had spent considerable amounts
of their own time in the evenings and weekends preparing the
grant applications. As a result, we are recommending that the
Board of Supervisors specifically call attention to these
individuals and express the Board' s appreciation for their
special dedication.
We believe that as a part of its pending remodeling and
expansion, Chevron in Richmond should be asked to assist the
community by funding a prospective study of the occupational
factors which may be associated with the incidence of cancer in
the County. Other industries should also be approached to join
in the funding. By contributing to the funding of a study which
reviews occupational and lifestyle factors in individuals who
have contracted various types of cancers, industries may be able
to contribute to the clarification of the extent to which the
mere presence of such industries contributes to the incidence of
cancer in the surrounding area.
Finally, regardless of the success with recommendation # 2, we
still believe that the Health Services Director and Public Health
Director need to respond to the recommendation which the Board of
Supervisors approved in May. We are, therefore, asking for
another report on this subject in December which will address the
outlines of such a prospective study of the incidence of cancer
in Contra Costa County.
CONTRA COSTA COUNTY
HEALTH SERVICES DEPARTMENT
PUBLIC HEALTH DIVISION
August 13, 1990
To: 1 . O. Committee
Supervisor Sunne McPeak, District 4
Supervisor Tom Powers, District 1
From: Wendel Brunner, M.D. (�
Director of Public Health
Re: Report on Efforts to Develop and Fund Cancer
Control and Epidemiology Programs
Over the last sixty days the Public Health Division has
concentrated on resource development in the cancer control and
epidemiology fields that would help offset the anticipated
reductions in local and state funding. I and staff in the Public
Health Division have worked with the Bay Area Cancer Coalition and
the University of California School of Public Health to submit
major funding proposals to the National Cancer Institute and the
Centers for Disease Control for cancer epidemiology, cancer
prevention, and health promotion and disease prevention programs
that would benefit Contra Costa County.
Bay Area Cancer Coalition Breast and Cervical Cancer Screening
Proposal.
The Bay Area Cancer Coalition submitted a proposal to the National
Cancer Institute in December, 1989 on breast and cervical cancer
screening interventions . The proposal, while receiving a favorable
rating, was not funded, but the NCI suggested that we respond to
a second, more comprehensive RFA which they were issuing in a
related area. This RFA calls for not only a breast and cervical
cancer screening program, but an identification and promotion of
a cancer health care continuum that would be available to low
income populations in the target areas. The Northern California
Cancer Center in BACC is taking the lead on this proposal, along
with the San Francisco Health Department, University of California
at Berkeley, UCSF School of Medicine, and Contra Costa County
Health Services Department. If funded, there will be a major
health promotion effort around cancer screening, early detection,
and treatment in the Richmond and Pittsburg areas . This
application involved considerable effort from staff in the Public
Health Division as well as assistance from the Hospital and Clinics
Division. That application was completed and submitted August 7 .
Centers for Disease Control Health' Promotion and Disease Prevention
Center - U. C. Berkeley School of Public Health
Dr. Joyce Lashof and staff from the U. C. Berkeley School of Public
Health in conjunction with staff from the Public Health Division
prepared a response to the Centers for Disease Control RFA for a
regional Health Promotion and Disease Prevention Center based at
the School of Public Health in Berkeley. This center would have
a major demonstration project in Contra Costa County with our
Health Services Department, and serve as a resource and
consultation center for the rest of the Bay Area counties . If
funded, this program would bring approximately $200,000 per year
into the county and strengthen several existing Public Health
programs whose current funding base is in question. That
application was submitted June 18 .
The Public Health Division will continue to work to develop cancer
epidemiology and control programs both in Contra Costa County and
throughout the Bay Area. These programs are a high priority in our
efforts to prevent and control chronic disease, an increasingly
important Public Health function.
WB:rm
cc: Mark Finucane
Health Services Director
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