1. Avon Breast Cancer Crusade $500 million since 1992 Research Access to Care

2. Where The Funds Come From Avon Walk for Breast Cancer Avon Pink Ribbon Products Avon Foundation Annual Gala Donations from Avon Products, Inc. Private donors/Fundraising events

3. Recent Grant Summary 2004200520062007* Access to Care $16M$17M$20M$22.5M Research$3M$8M$20M$22.5M Total$19M$25M$40M$45M *Estimates

4. Avon Foundation Breast Care Fund: 125 Community-Based Organizations AK 4 HI 2 3 2 10 2 1 3 1 2 6 2 1 2 3 23 2 1 2 1 1 1 2 1 3 2 4 1 2 2 123 4 2 8 1 2 3 2 2 21 1 1 2 7 2

5. Community Outreach

6. Avon Foundation Breast Care Fund Services Provided Year#CBO # Mammograms / CBE's Educational Encounters 20008036,119300,000 20018165,2331,628,064 2002116105,4371,809,331 2003137112,0911,448,058 200410694,4671,499,896 2005124104,3452,935,818 2006117111,801594,526 2007**125100,000**500,000** Total883729,49310,715,693

7. AFBCF CIF Available in multiple languages English Arabic Chinese Korean Portuguese Spanish Vietnamese Creole IRB reviewed and approved

8. AFBCF CIF Data 2004-2005 Distribution by Race/Ethnicity Total number of records (N = 181,096)

9. AFBCF CIF Data 2004-2005 Distribution by Age in Years Average Age = 50 yrs

10. What happens when a woman has an abnormal mammogram? How does a woman access treatment?

11. Avon Foundation “Safety Net” Programs

12. Stroger Hospital Mount Sinai Hospital YWCAs C.A.S.L. Trinity Hospital Erie Family Health Mercy Hospital

13. Avon Foundation “Safety Net” Programs 78 Hospitals since 2004 58 Patient navigation and community outreach programs 20 Equipment upgrades NCI Patient Navigation Research Program Boston University study “What makes a patient navigation effective”?

14. 2007 Safety Net Data 6-months: January through June 7,500 additional mammography views 11,000 diagnostic ultrasounds 3,000 biopsies 1,800 surgical consults 1,384 diagnosed with cancer

15. Outcomes of Avon Foundation Programs

16. Atlanta Example: Avon Community Health Advocates and Navigators “The Ladies in the Pink” 200+ trained/140 active Community Health Advocates (CHAs) - since 2001 24 Navigators since 2003

17. Effects of Avon Outreach and Navigation Program on Breast Cancer Diagnosis History  In 2001: 125 CHAs/20 Navigators trained  1,148 community intervention programs and over 10,000 participants Study  Cross sectional study: 2001- 2004  487 breast cancer cases in registries  89% AA, 5% Caucasian, 2% Hispanic, 4% other Gabram SGA, Lund MJ et al: Br Can Res Treat 2006;100 suppl 1 S97 Thank you AVON CHAs & Navigators !

18. Breast Cancer Research

19. Screening mammography1,000 Diagnostics –Diagnostic mammography 100 –Ultrasound 50 –Biopsy 10 Ultrasound-guided, stereotactic, needle localization Diagnosed3-4 women Millions of women in the world cannot access expensive mammography! (~$95/test) 2007 Avon Prevention Research Initiative Develop Diagnostic/Monitoring Test

20. $7.6-million for 12 projects Rapid, managed, 2-year timeframe Develop new, inexpensive, minimally invasive diagnostic tool Develop an test that detects early changes in healthy breast. Supplement mammography, interval screening, or exposure screening.

21. China Hungary Portugal New York Mexico Avon Walk Around the World for Breast Cancer