CDC’s National Comprehensive Cancer Control Program Activities Ena Wanliss, MS Public Health Advisor Division of Cancer Prevention and Control Centers for Disease Control and Prevention

Comprehensive Cancer Control...is a collaborative process through which a community pools resources to reduce the burden of cancer that results in: Risk reduction Early detection Better treatment Enhanced survivorship

Comprehensive Cancer Control Plans Data driven and evidence-based Represent state/tribe/territory needs and resources Created by a wide variety of partners Express priorities with rationale Blueprints for action

CDC’s National Comprehensive Cancer Control Program Program recipients –State, tribal, territory health departments Program types –Planning –Implementation

2006 National Comprehensive Cancer Control Program CA ID WA MT WY UT CO NM TX OK KS NE SD ND MN WI IA IL OH IN KY VA NC GA FL AL MS MO AR LA NV MI PA NJ NY CT MA VT NH ME TN SC MD DE RI AZ OR WV DC South Puget Intertribal Planning Agency Northwest Portland Area Indian Health Board Cherokee Nation Fond Du Lac Reservation Aberdeen Tribal Chairmen’s Health Board AK HI National Comprehensive Cancer Control Program Division of Cancer Prevention and Control National Center for Chronic Disease Prevention and Health Promotion Coordinating Center for Health Promotion June 2006 Capacity building Basic implementation AMERICAN SAMOA* COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS* FEDERATED STATES OF MICRONESIA* GUAM* REPUBLIC OF THE MARSHALL ISLANDS* REPUBLIC OF PALAU Alaska Native Tribal Health Consortium *Funded through a cooperative agreement with the University of Hawaii

CDC’s National Comprehensive Cancer Control Program CDC funding supports –Staff –Program infrastructure –Consultants/contracts –Evaluation –Special projects to support CCC planning or implementation

CDC’s National Comprehensive Cancer Control Program Additional funding supports implementation of cancer plan strategies: –Colorectal –Prostate –Ovarian –Skin

CDC’s Support for CCC $15 million/year Facilitate program learning/networking CCC Leadership Institutes cancerplan.org and Cancer Control PLANET Evaluation activities CCC promotional toolkit Facilitating national partners’ support International CCC efforts Other cross-cutting and specific cancer programs Expertise: 30+ CDC staff

CCCB NCCCP Assignments CA ID MT WY UT CO NM TX OK KS NE SD ND MN WI IA IL OH IN KY VA NC GA FL AL MS MO AR LA NV MI PA NJ NY CT MA VT NH ME TN SC AZ OR WV DC WA AK DE RI MD South Puget Intertribal Planning Agency Northwest Portland Area Indian Health Board Aberdeen Tribal Chairmen’s Health Board American Samoa Commonwealth of Northern Mariana Islands Federated States of Micronesia Guam Republic of the Marshall Islands Fond Du Lac Reservation Republic of Palau Alaska Native Tribal Health Consortium Cherokee Nation 08/04/06 Chris T. Laura Z. Anne M. Sara Ena Paran Susan D. Annette HI Ann L. Susan W. Jamila Temeika Barbara

CDC Comprehensive Cancer Control Field Staff Regions CA ID MT WY UT CO NM TX OK KS NE SD ND MN WI IA IL OH IN KY VA NC GA FL AL MS MO AR LA NV MI PA NJ NY CT MA VT NH ME TN SC AZ OR WV DC WA AK DE RI MD South Puget Intertribal Planning Agency Northwest Portland Area Indian Health Board Aberdeen Tribal Chairmen’s Health Board American Samoa Commonwealth of Northern Mariana Islands Federated States of Micronesia Guam Republic of the Marshall Islands Republic of Palau Fond Du Lac Reservation Alaska Native Tribal Health Consortium Cherokee Nation 05/08/06 Final Anita Ruff Tina Gill Dana White Danny Kenneweg Garry Lowry HI Puerto Rico Virgin Islands Lorrie Graaf

American Cancer Society Centers for Disease Control and Prevention C-Change North American Association of Central Cancer Registries American College of Surgeons, Commission on Cancer Chronic Disease Directors Lance Armstrong Foundation Intercultural Cancer Council National Association of County and City Health Officials National Cancer Institute National CCC Partners

Leadership Institutes (CCCLI) Bring together key partners in the states, tribes/tribal organizations, and territories to focus on topics of interest to CCC and actions that can be taken to reduce the burden of cancer. Phases –Phase I focused on building partnerships, getting organized and planning to plan. –Phase II focused on completing plans, sustaining a CCC effort and transitioning from planning to implementation

Leadership Institutes (CCCLI) Phase II-Continued –Customized CCCLI for American Indians and Alaskan Natives September 2005, Tucson AZ –Customized CCCLI for Puerto Rico 2004 & 2005 –Customized CCCLI for Pacific Island Jurisdictions March 2005, Hawaii

Leadership Institutes (CCCLI) Phase III Addresses high priority topics of many CCC partnerships –Colorectal cancer –Tobacco control –Palliation –Survivorship –Clinical trials –Workforce development

Interactive Websites & Resources for CCC CancerPlan.org enables State and Community Cancer Control Planners to share resources and tools to effectively develop, implement, and evaluate Comprehensive Cancer Control (CCC) Plans: CancerPLANET offers links to comprehensive cancer control resources for public health professionals: CDC National Comprehensive Cancer Control Program website:

Leadership Support Teams (LST) Coordinated and integrated technical support for the cancer control leaders in the states, tribes, and territories Communicate creative and innovative strategies to leaders and national partners Provided by a core team of ACS, NCI/CIS, CDC, and ICC staff/field representatives

Leadership Support Team Regions

The Challenges Ahead Making better use of data and science for decision making Integrating our work in CCC with that of others that address issues of mutual interests Becoming more influential with the public and decision makers on cancer control issues Demonstrating that we are achieving what we set out to do and that we are making a meaningful difference

The Future of CCC Continue to expand Comprehensive Cancer Control at a national and state level Finalize a framework for evaluating national and state CCC efforts Conduct implementation program case studies and capacity assessment Assist programs with tools to find resources for plan implementation Bring CCC plan implementation from the state to the local level

Thank You!