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HomeMy WebLinkAboutMINUTES - 06161992 - IO.9 TO: - BOARD OF SUPERVISORS L.O'- w > 1: so�. Contra FROM: INTERNAL OPERATIONS COMMITTEE o Costa County DATE: June 8, 1992 Mfr ` q couKt' SUBJECT: STATUS REPORT ON A PROSPECTIVE STUDY OF THE INCIDENCE' OF CANCER IN CONTRA COSTA COUNTY , SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1 . Acknowledge receipt of the attached report from Dr. Wendel Brunner, updating our Committee on the status of cancer control and epidemiology activities . 2 . Request -Dr. Brunner to provide an additional status report to our Committee on these'. activities on November 23, 1992 at 10 : 00 A.M. BACKGROUND: Our Committee has been providing oversight to the efforts being made by . the Health Services Department to design and fund a prospective study of the incidence of cancer in Contra Costa County. Attached is the most recent report from the Health Services Department in response to our continuing- interest in this subject. We. were disappointed to hear that our application to "the National Cancer. Institute was not ranked high enough to be funded. We are hopeful that some additional sources for funding can be identified. in the future.. We. are, however, pleased to see that the work of the Bay Area Cancer Coalition Breast and Cervical Cancer Intervention Study. (BACCIS) is underway. Dr. Brunner highlighted the .fact that while breast cancer occurs less often in African-American women, it is more often . fatal because of a lack of early screening and detection. The study will attempt to reduce morbidity and mortality from breast and cervical cancer by encouraging regular screening. Dr. Brunner noted the frightening statistic that 1 in 9 women will contract breast cancer at sometime during their life. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY AD RECOMMENDATION OF BOARD COMMITTEE APPROVE O R SIGNATURES - ACTION OF BOARD ON ,June 16 1999 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS THE DATE SHOWN. CC: County Administrator ATTESTEo Health Services Director PHi ATCHELOR,CLERK OF THE BOARD OF Director .of Public Health SUPERVISORS AND COUNTY ADMINISTRATOR M382 (10/88) 8Y DEPUTY .w I .O.-9 -2- We are also pleased to see that planning has begun on a Third Bay Area Cancer Summit for the Spring of 1993. The outline of the subjects which will be covered are contained in Dr. Brunner's memo. We are asking that Dr. Brunner return to our Committee on November 23, 1992 with a further status report on each of these subjects . SE _L Contra Costa County - ',• Health Services Department PUBLIC HEALTH DIVISION O. . : :a1111111L _F:ti 4 Administrative Offices 597 Center Avenue 7 — _ ti~ Suitte 200 �'O = -. • Martinez,California 94553 sp'q,COUK� TO: Supervisor Robert I. Schroder Supervisor Sunne Wright McPeak INTERNAL OPERATIONS COMMITTEE - FROM: Wendel Brunner, M.D. s Assistant Health Services Director for Public Health DATE: June 8, 1992 SUBJECT: UPDATE ON CANCER CONTROL AND EPIDEMIOLOGY ACTIVITIES APPLICATION TO THE NATIONAL CANCER INSTITUTE FOR THE BAY ARE CANCER EPIDEMIOLOGY PROJECT Approval was recommended for the application to coordinate regional resources available in Contra Costa County and the San Francisco Bay Area to develop a plan for epidemiology studies. However, the application was not ranked high enough to be funded. The reviewers noted the set of 'circumstances in the Bay Area with strong potential for stimulating useful research in the area of environmental and occupational epidemiology. They also noted the commitment on the part of Coalition members and others to develop epidemiologic projects in Contra Costa County. BAY AREA CANCER COALITION BREAST AND CERVICAL CANCER INTERVENTION STUDY (BACCIS) The Breast and Cervical Cancer Intervention Study has begun its ' first year of implementation with a planning phase in Contra Costa County. The BACCIS Project will provide a community survey of knowledge and attitudes of women about breast and cervical cancer screening in both East and West County. A three-year community intervention program will then be implemented in West County to encourage women to get screening for breast and cervical cancer. The target population for this project is women over 40, particularly minority women. The BACCIS Project has a component that is working with Merrithew Memorial Hospital and Clinics to assist in tracking women who need screening or have abnormal test results, and to evaluate strategies for ensuring that women come in and complete follow up for breast and cervical cancer screening. A372 (7i91) The BACCIS Project is aimed at reducing morbidity and mortality from breast and cervical cancer by encouraging regular screening. . Data from the Bay Area, as well . as the nation, have shown that enhanced screening, particularly among women over 40 and minority women, could reduce cancer mortality significantly. African- American women, for example, have a lower incidence of breast cancer than White women, but African-American women have a higher mortality from breast cancer. This higher mortality is due to lack of access to early screening and medical care, so that breast cancers among African-American women are often diagnosed at a later stage, when they are more difficult to cure. The BACCIS Project is intended to evaluate strategies to reverse this trend. BAY AREA CANCER COALITION THIRD CANCER SUMMIT BACC is planning a Third Cancer Summit for the Bay Area, probably next Spring. This summit will have two major components. One component will be an epidemiologic evaluation of cancer trends in the Bay Area. We will try to answer questions such as "Is there currently a breast cancer epidemic? and "What are the major preventable cancers we should focus on?" . The second component will be to develop and advocate community-based public health- oriented strategies to reduce the morbidity and mortality from cancer in our communities. This Third Cancer Summit will build on the five years of experience and success of the Bay .Area Cancer Coalition. The epidemiologic component will draw on BACC's expanded ties with the Northern Cancer Center, the State Health Services Department Cancer Section, the State Health Services Department Chronic Disease Control Section, and the University of California. The intervention and public health component will draw extensively from BACC's three years experience in regional tobacco control programs. The Bay Area Cancer Coalition has been the model for the State Tobacco Control Program's efforts to develop regional tobacco control activities throughout the state. -In this Cancer Summit we will involve the ethnic networks and other tobacco control organizations. Over the next two years, as specific tobacco control activities decline, we want to enhance public health cancer prevention programs throughout the Bay Area. WB:ah cc: Mark Finucane, Health Services Director