HomeMy WebLinkAboutMINUTES - 05071991 - IO.5 TO: BOARD OF SUPERVISORS Contra
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FROM: INTERNAL OPERATIONS COMMITTEE Costa
April 22, 1991 County
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DATE: rTq_CUU
STATUS REPORT ON THE PROSPECTIVE STUDY OF THE INCIDENCE OF
SUBJECT: CANCER IN CONTRA COSTA COUN'T'Y
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
1 . Acknowledge receipt of the Public Health Director' s report
to our Committee dated April 22, 1991 and express the
Board' s appreciation to Dr. Brunner and his staff for the
progress which is being made in identifying funding for a
cancer study in the Bay Area.
2. Request the Public Health Director to forward to the members
of this Committee a copy of the National Cancer Institute
Planning Grant before it is submitted to the National Cancer
Institute.
3 . Request the Public Health Director to seek the endorsement
of the Board of Supervisors on May 21, 1991 for the grant
application to the National Cancer Institute for the
Planning Grant.
4. Request the Public Health Director to report again to our
Committee on September 23, 1991 on the progress of the Bay
Area Cancer Coalition Epidemiology Initiatives, Bay Area
Cancer Coalition and Health Services Department Grant
Funding Efforts, Tobacco Grant, Breast & Cervical Cancer
Intervention Study and National Cancer Institute Planning
Grant, along with any other current activities in the area
of studies of cancer incidence in the Bay Area.
CONTINUED ON ATTACHMENTYeS YES SIGNATURE:
RECOMMENDATION OF COUNT A OR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OT p /�
SIGNATURE(S): R SUNNE WRIGHT MCPEAK
ACTION OF BOARD ON May 7, 1991 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
1 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 TyH�E DATE SHOWN.
CC: ATTESTED " ''f'a'd/' 7, /fe/
PHIL BATCHEL ,CLERK OF THE BOARD OF
County Administrator SUPERVISORS AND COUNTY ADMINISTRATOR
Health Services Director
Public Health Director
BY od,, � ,DEPUTY
M382 (10/88) 61
Contra Costa County
•-' Health Services Department
PUBLIC HEALTH DIVISION
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Administrative Offices
1111 Ward Street
Martinez,California 94553
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DAZE: April 22, 1991
TO: Internal Operations Committee
FRCM: Wendel Brunner, M.D. , Director of Public Health
SUBJECT: Cancer Control Initiatives and Cancer Epidemiology Programs
We were asked to report on funding efforts of the Bay Area Cancer Coalition for
a regional media program in the Bay Area directed against tobacco usage in all
nine Bay Area counties. We were also asked to provide an update on the Health
Services Department's application to the National Cancer Institute, Division of
Cancer Etiology for the purpose of defraying a portion of the costs of planning
for a prospective study of the incidence of cancer. We would also like to
report on additional cancer epidemiology efforts in conjunction with the Bay
Area Cancer Coalition and the State Health Services Department.
Bay Area Cancer Coalition Epidemiology Initiatives
The State Health Services Department has released preliminary 1988 cancer
incidence data from the California State Regional Tumor.Registries, including
the three registries which cover the nine Bay Area counties involved in the Bay
Area Cancer Coalition. These data show the rates of various kinds of cancer
for men and women by county. These data vary from year to year, and must be
analyzed for trends. In 1988, Marin County surprisingly had the highest rate
of cancer in the five-county Bay Area Region, with 408 cases per 100,000
population.
In Contra Costa County, for example, the 1988 age-adjusted incidence rate for
all sites combined was 380 per 100,000 population, compared to the rate of 341
per 100,000 for the state of California and 374 per 100,000 for the U.S. as a
whole. The most common cancers in Contra Costa, as well as the state and
nation, are breast, prostate, lung, and colon. The lung cancer rate among men
in Contra Costa is lower than the rate in the state as a whole (67 per 100,000
vs. 73 per 100,000) , but the rate of lung cancer among women in the county
compared to the state is much higher (50 per 100,000 vs. 40 per 100,000) . Any
contribution to lung cancer from air pollution should impact both men and
women; the particularly high rates among Contra Costa women are largely
attributable to smoking.
None of this data has been broken down by racial/ethnic. groups. The Bay Area
Cancer Coalition Data Group will be working with the State Health Services
Department to analyze these county-by-county data to develop regional and
ethnic trends, so that regional and targeted intervention strategies can be
implemented to lower the incidence and morbidity of cancers.
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