HomeMy WebLinkAboutMINUTES - 03011988 - IO.2 TO BOARD OF SUPERVISORS
FRCM; ��.Contra
INTERNAL OPERATIONS COMMITTEE Costa
DATE; February 22, 1988
Coirty
SUBJECT:
Planning for Cancer Summit
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
1. Reaffirm the Board' s support for the Bay Area Cancer
Prevention Summit, tentatively planned for May 18-19, 1988 .
2 . Request the Health Services Director to insure that
appropriate environmental organizations, industry
representatives and homeowners ' organizations are invited to
the Cancer Prevention Summit.
3 . Request the Health Services Director to report to our
Committee again on April 11, 1988, providing details on
final plans for the Cancer Prevention Summit.
4 . Leave this item on referral to our Committee.
BACKGROUND:
Our Committee has had on referral for some time planning for a
Bay Area Cancer Prevention Summit which would bring together both
regional leaders and national experts in the field of cancer
prevention in an effort to work together more closely in planning
regional strategies for addressing what is still one of the
principal causes of death.
On February 22, Wendel Brunner, M.D. , Director of Public Health,
shared the attached report with our Committee.
We were' particularly pleased to hear that there has been such a
high level of "buy-in" from both public and private agencies in
the Bay Area. The Summit is being co-sponsored by six of the
counties in the Bay Area, the State Department of Health
Services, the American Cancer Society, the California Public
Health Foundation, the Stanford School of Medicine and the U. C.
Berkeley School of Public Health. The Board of Supervisors of
most of. the sponsoring counties have also endorsed this Summit.
In addition, the Marin County Health Officer is cooperating in
the planning for the Summit and the Napa County Board ' of
Supervisors has also endorsed the Summit.
CONTINUED ON ATTACHMENT: _X YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR X RECOMMENDATION OF BOARD COMMITTEE
APPR E; yt��/V OTHER
SIGNATURE(S): Sunne W. McPeak r� Tom Torlakson
ACTION OF BOARD ON March 1 , 1(1780_ APPROVED AS REC'_:MMr NDEO X OTHER X
APPROVED as amended to include a prospective epedemiological cancer study as an
objective of thec_Cancer Summit.
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ABSENT ) 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: County Administrator ATTESTED
Health Services Director
Wendel Brunner, M.D. , PHIL BATCHELOR, CLERK OF THE BOARD OF
Public Health Director SUPERVISORS AND COUNTY ADMINISTRATOR
BY
M382/7-83 -,DEPUTY
Page 2
Dr. Brunner emphasized that these are not simply paper
endorsements. Each of these agencies is fully committed to the
Summit and is providing staff and other in-kind resources to the
effort. Although initially planned for 35 participants, Dr.
Brunner expects that attendance will probably be closer to 100.
The planning committee for the Summit has outlined two goals for
the conference:
o To educate ourselves and develop a shared perspective
and a common language as to causes of cancer and
possible intervention strategies.
o To build a framework for regional cooperation in cancer
prevention.
In addition, the following six objectives have been identified:
1. To analyze and reformulate Bay Area cancer data
to assess incidence trends, socio-economic status, and
risk factors.
2 . To identify public policy interventions for cancer
prevention.
3 . To identify actions at the local level that are needed
for cancer prevention.
4 . To identify needs and opportunities for organizational
change.
5 . To develop accessible public information.
6 . To develop a regional coalition for program and policy
development that will focus on cancer prevention.
We have asked that this County' s efforts to undertake a
prospective epidemiological study of cancer be included in the
workshops. In addition, we have asked that the Summit planners
insure that appropriate environmental groups, industry
representatives, and homeowners ' organizations be included.
We are very pleased with the progress being made for the Bay Area -
Cancer Prevention Summit and particularly with the cooperation
and commitment that is being demonstrated by so many public and
private agencies in the Bay Area. We are asking that .a further
report be presented to our Committee on April 11 to detail
planning for the Summit. We will report back to the Board
following that report.
f - CONTRA COSTA COUNTY
HEALTH SERVICES DEPARTMENT
Supervisor Sunne Wright McPeak
Supervisor Tom Torlakson February 22, 1988
To: Internal Operations Committee Date:
Wendel Brunner, M.D. Status Report on Cancer
From: Director of Public Health Subject: Prevention Summit Initiative
The Bay Area Cancer Prevention Summit is scheduled for May 18th and 19th pending
confirmation of the site location and efforts to coordinate the schedules of
several out of state presenters. The summit will be co-sponsored by the health
departments of at least Contra Costa County, Alameda, Santa Clara, San Mateo,
San Francisco, and Solano Counties, the State Department of Health Services, the
American Cancer Society, the California Public Health Foundation, Health
Promotion Resource Center of the Stanford School of Medicine, and the 1.). C.
Berkeley School of Public Health. The Boards of Supervisors of most of the par-
ticipating counties have also endorsed the Summit initiative.
The Cancer Prevention Summit will draw on public health expertise from a variety
of disciplines including epidemiology, health education, nutrition, and public
policy and planning to attempt to reformulate the way cancer is looked at in the
Bay Area. Instead of treating cancer as county by county statistics, we will
endeavor to identify broad trends and common determinants for important cancers
in the Bay Area so that effective regional approaches focusing on public policy
initiatives and community interventions can be developed.
There is a strong commitment among the participating organizations that the
actual Cancer Summit will be neither the beginning nor the end, but rather part
of an already ongoing process to develop regional approaches to cancer. The
meeting and planning for the Summit have already influenced the thinking and
strategies of the participating organizations, and we intend to continue working
together after the conference. The leadership of the American Cancer Society,
for example, is interested in usinq the Cancer Summit to help direct the activi-
ties of their local chapters.
Initial funding for the Cancer Summit is being contributed from the local health
departments out of their existing allocations and also by the State Health
Services Department. While this funding will be adequate to put on the con-
ference, the ongoing regional prevention activities will require substantial
funding. The National Cancer Institute is very interested in this regional
approach, and to their knowledge it has never been tried before anywhere in the
country. The sponsoring agencies will be applying to the National Cancer
Institute in August for major funding to carry out regional prevention activities. -
A-41 3/81
Internal Operations Committee -2- February 22, 1988
Attached is the Planning Subcommittee report outlining the goals and objectives
of the Cancer Summit and the revised Cancer Summit conference format that was
adopted at the last regular planning meeting on February 17th. The Planning
Subcommittee is contacting outside experts, as well as those in the Bay Area,
and is arranging the final conference format.
WB:rm
Attachment
REVISED CANCER SUMMIT CONFERENCE FORMAT
Target Audience: Health Department staff from participating
counties, the State, and American Cancer Society.
Approximately 35 people.
Conference Goals:
1. To educate ourselves and develop a shared
perspective, a common language, as to causes of
cancer and possible intervention strategies.
A. To define the problem: What are the significant
causative influences on cancer incidence and
mortal i ty?- ` What are the different levels of
of factors, from individual behavior to larger
social structures? Which factors are amenable
to interventions?
B. To identify appropriate intervention levels for
different factors or problems. Which problems
are most amenable to local interventions?
Which problems lend themselves to regional
solutions?
C. To identify "state of the art" intervention
approaches and strategies in the areas of
community-based health promotion, public policy
and advocacy, community mobilization, public
information, and organizational change.
?. To build a framework for regional cooperation in
cancer prevention.
A. To identify and prioritize regional approaches
to prevention.
B. To assess the potential contributions of
participating agencies: what are current
resources, programs, expertise? What are
agencies willing and able to commit?
- C. To develop a framework for collaboration and
cooperation among jurisdictions on a regional
basis.
Conference Format
2-day conference May 18-14.
Day 1: Primarily didactic, bringing in local and
national experts to help in formulating
conception of the problem and intervention
principles and strategies.
Day 2: Primarily process, using the expertise of the
Center for Health Promotion and Disease
Prevention to develop framework for regional
cooperation. Work in small groups. Develop
Problem X Solution X Agency Matrices. Use
these as basis for identifying possibilities
and problems for regional collaboration and
cooperation.
Follow-Up
1. Individual agencies assess ability to commit to
regional strategies and framework identified at Conference.
Bay Area Cancer Prevention Summit group continues
as central coordinating body with more formalized member-
ship, MoUs defining participation.
3. Grant proposals prepared to seek regional funding.
4. Initiate planning for larger conference to involve
other participants, including researchers, community
leaders, policy-makers, etc.
2/17/BB
2
Bay Area Cancer Prevention Summit
Planning Subcommittee Report
Goal : To convene state and local public health leadership in
order to initiate regional cancer prevention planning and
activity.
Objectives :
1 . To analyze and reformulate Bay Area --ancer data to
assess :
* incidence trends on a regional level
* socio-economic status and risk factors
* what are mediating factors to explain social variations
* what are individual behavior change versus social
change indicators?
2 . To identify public pclicy interventions for cancer
prevention:
* what is the role of of public health professionals in
negotiating =or cancer prevention activities
* what policy efforts have been successful at the local
level?
* what policy efforts are needed locally/regionally/
state-wide9
* what are the mechanisms for policy implementation?
*
3 . To identify actions at the local level that are needed
for cancer prevention:
* who are the primary interest groups , what is their role
in cancer prevention?
* how do we mobilize "community outrage" for cancer
prevention?
* how do we build community coalitions for cancer
prevention?
*
*
4 . To identify needs and opportunities for organizational
change:
* how can health care systems better address prevention?
* can worksites be mobilized towards prevention?
* . how do we influence fiscal priorities and funding
mechanisms towards cancer prevention?
*
*
5. To develop accessible public information-
* :low can we impact the media on cancer issues
* how is cancer prevention information sensitive to
cultural belief systems and practices?
*
*
6 . To develop a regicnal coalition for program and policy
development that will focus on cancer prevention:
* how can regional activity enhance local efforts
* what are the opportunities for regional cancer
prevention activity?
* can regional information exchange lead to effective
program replicability in other counties?
* how can voluntary health agencies better intersect with
local health departments?
* what is the role of academia and research institutions?
*
*
..r
DRAFT CONFERENCE FORMAT
9 : 00 am Welcome : history of summit ( Sunne McPeak? )
context : social change
reformulation of data
etc .
9 : 15 an Key Note Address : (VIP)
social forces that effect health
public health/social change theory
limits of behavioral change theory
outline of strategies :
* public policy
* community mobilization
* organizational change
* public information
10 : 00 am Epidemiological Data Presentation (Don Austin)
10 : 30 am FREAK
10 : 45 am Workshops*
12 : 15 pm LUNCH
1 : 30 pm Workshops*
3 : 00 pm Reports from workshops
3 : 45 pm Reaction Panel of Health Officers, funders , VIPs
4 : 30 pm Wine and Cheese ( soda and vegies )
5 : 15 pm Dinner Reception
* Workshops : 2 in am; 2 in pm sessions
Strategy panels : public policy
community mobilization
organizational change
public information
expert panelist( s ) make short presentation/case
study
facilitator leads discussion
outcome is action steps/strategy on:
Smoking
Nutrition
Access to Care
Other -eo
•f�