21 New Jersey Counties Cancer Needs and Capacity Assessment Reports – March 2005 Update March 29, 2005 Camden County Cancer Coalition Jean F. Mouch, MD, MPH Community Health Consultant with Cancer Education and Early Detection Programs (CEED)

Scope of Work for Camden County Cancer Plan Complete a Needs and Capacity Assessment to Implement the State Plan at the county level Network with individuals/agencies to identify resources/gaps Work with Local CEED Coordinators to build a coalition to implement identified strategies Work closely with Local Health Departments to integrate the Cancer planning process into the county level implementation of the Public Health Standards Act of February 2003.

NJCCCP, ACS & NJ CEED Priority Areas NJCCCPACSCEED 1. BREASTYYY 2. CERVICALYNOY 3. COLORECTALYYY 4. LUNGYYNO 5. MELANOMAYNO 6. ORAL/O-PYNO 7. PROSTATEYYY

Cancer Deaths in New Jersey by Race

Cancer Death Rate for Camden County and New Jersey by Race and Ethnicity Race and EthnicityWhiteBlackAsianHispanic Ethnicity Camden County All Men Females New Jersey All Men Females Rates are per 100,000 age adjusted, Census 2000 Source:

Cancer Incidence Rate for Camden County and New Jersey by Race and Ethnicity WhiteBlackAll RacesHispanic Ethnicity Camden County Male Females New Jersey Males Females Rates are per 100,000 age adjusted, Census 2000 Source: NJ Cancer Registry, August 2003

Top three cancers for Men in Camden County By Race and Ethnicity Prostate CancerLung CancerColorectal Cancer Incidnc Rate Percent of Distant / Regional Stage at diagnosis Death Rate Incidnc Rate Death Rate Incidnc Rate Percent of Distant / Regional Stage at diagnosis Death Rate Total Men % %30.5 White % %30.8 Black % %33.1 Hisp % * %* Rates are per 100,000 age adjusted, Census 2000 Source: NJ Cancer Registry, August 2003

Top 3 Cancers for Women in Camden County By Race and Ethnicity Breast CancerLung CancerColorectal Cancer Incidence Rate Percent Distant / Regional Stage at diagnosis Death Rate Incidence Rate Death Rate Incidence Rate Percent Distant / Regional Stage at diagnosis Death Rate Total Women % %19.7 White % %20.0 Black % %18.5 Hisp %* 44.7* %* Rates are per 100,000 age adjusted, Census 2000 Source: NJ Cancer Registry, August 2003

Lung Cancer in Camden County Lung and Bronchus cancers kill more people than the top three cancers of Prostate, Breast and Colorectal Cancers 87% of Lung and Bronchus Cancers are attributed to smoking Over 60% of Lung and Bronchus Cancers are detected in late stages of the disease

Lung/Bronchus Cancer Death Rates in Camden County by Race/Ethn Camden CountyNew JerseyUnited States Race and Ethnicity Both Sexes MaleFemale Both Sexes MaleFemale Both Sexes MaleFemale All Races White Black Hispanic ** Asian 31.1** Death Rates are per 100,000 age adjusted, 2000Census Source:

Survivorship – Living with Cancer U.S. study on those living with cancer since the SEER-CA-registry began 25 years ago 9.6 million men and women As of January 2000 – 5.3 million women and 4.2 million men

Estimated # of Persons Alive in U.S. with invasive cancer cases only

Percentages of Cancer Survivorship in Men

Percentages of Cancer Survivorship in Women

Discussion, Analysis, and Recommendations For County and Local Priorities For Statewide Priorities For Evidence-based Interventions

Recommendations for County and Local Priorities Concentrate on the top 4 Cancers Follow the NJ-CCCP strategies for County Two principles of implementation: (1) all general awareness, education, and screening strategies reach out to adults, 18+, and health care providers (2) primary prevention strategies provided for all school age children and youth

…for County and Local Priorities General Awareness and Education for NJCCCP via coalitions and ACS activities; via presentations to major health care provider groups; via work with CCDHHS on their CHIP Research Study on Primary Care Providers and Cancer Prevention, Screening, and Treatment Continue to strengthen coalition work for Cancer Plan at local levels e.g. directory; larger membership on Camden County Cancer Coalition

Capacity Assessment Process Cancer Resources of NJ Database Facility Type/Program offering Services to Camden County Residents Total Number of 309 Respondents American Cancer Society Activities14 Breast Oncologist1 Cancer Center1 Complementary and Alternative Medicine Centers 2 FQHC 5 different Sites*5 Free Standing Clinics5 Dentist4 Dermatologist11 Employer4 Faith Based19 Gynecology. Oncologist1 Hematology/Oncology*3

Hospital*8 Non-Profit6 Obstetrician/Gynecologist1 Palliative Care* Program of Palliative Care Program 9999 Primary Care Provider18 Pediatric Oncology1 Programs/Activities from Virtua Fox Chase Cancer Center17 Program of Hospital3 Radiation and Chemotherapy*2 Radiology*17 Schools132 Screening Program Other Programs with Screening Activities 4646 Surgery Center5 Total309 * Indicates that 100% of that service has participated

…. for Evidenced- based Interventions to address Camden County cancer problems Prevention of Cancer (1) Physical Activity / Weight Management (2) Smoking Cessation Programs –adult and youth (3) Never start smoking programs for children and youth (4) Fruits and Vegetables Cancer Screening by CEED programs (1) Minority groups - Black, Hispanic, and Vietnamese in six largest municipalities in Camden County with 64% of total pop. (2) Poverty areas – there are 12 municipalities with >10% poverty rates in Camden County (3) Use the NCIS medically underserved populations information for programs, media, and outreach strategies

…. for Evidenced- based Interventions to address Camden County cancer problems Multi-media campaign with South Jersey County Cancer Coalitions that have proven themselves via research tested materials Development of a Website for South Jersey County Cancer Coalitions to increase collaborations CEED be part of an event / education project to promote CEED program with primary care providers in Camden County Tri County CEED Phone Numbers Burlington County (609) ext Camden County Toll Free (888) VIRTUA-3 (Virtua Camden) (856) (Cooper Hospital) Gloucester County (856)

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