1. Lydia N Collins Consumer Health Coordinator LYDIA@PITT.EDU Cervical Cancer and HPV Awareness

2. Introduction What is Cancer? Statistics Overview Cervical Cancer Prevention Treatment Survivor Story Overview Human papillomavirus (HPV) Prevention Treatment Survivor Story Freely available ‘reliable’ health resources Agenda

3. Cancer begins in your cells, which are the building blocks of your body. Normally, your body forms new cells as you need them, replacing old cells that die. Sometimes this process goes wrong. Most cancers are named for where they start. For example, cervical cancer starts in the cervix, and breast cancer starts in the breast. What is cancer?

4. What is Cervical Cancer? Cervical cancer begins in the cervix. The cervix is the lower part of the womb, called the uterus. Cervical cancer was once the number-one cause of death from cancer in women. The cervix has 2 parts (outer and inner), Where these 2 parts meet is where most cervical cancers start. Cervical cancer is caused by a virus called HPV.HPV The virus spreads through sexual contact

5. A woman shares her story about being a survivor of Cervical Cancer.story Women’s Cancer Network: Life Stories Cervical Cancer Survivor: Life Story

6. Human papillomaviruses (HPV) are common viruses that can cause warts. There are more than 100 types of HPV, classified as low-risk or high-risk. Most are harmless, but about 30 types put you at risk for cancer. High-risk HPV can lead to cancers of the cervix, vulva, vagina, and anus in women. In men, it can lead to cancers of the anus and penis.cervix What is HPV?

7. A young woman shares her story about being diagnosed with HPV.story Women’s Cancer Network: Life Stories HPV: Life Story

8. The use of male/female condoms reduce your risk, and should be used at all times. Limit the number of sexual partners and avoid partners who participate in high-risk sexual activities. Cigarette smoking is associated with an increased risk of cervical cancer. Cervical Cancer: Screening and Prevention

9. Two vaccines are available The vaccines protect against 4 types of HPV that may lead to cervical cancer Recommended for girls and women ages 9-26 Vaccines to prevent Cervical Cancer

10. The American Cancer Society's estimates for cervical cancer in the United States are for 2013: About 12,340 new cases of invasive cervical cancer will be diagnosed. About 4,030 women will die from cervical cancer. African-Americans are the second highest ethnic group most likely to get cervical cancer. Statistics about Cervical Cancer

11. Human papilloma virus infection (HPV) Smoking Immunosuppression (HIV) Chlamydia infection Diet Oral contraceptives Intrauterine Device Use (IUD) Multiple full-term pregnancies Young age at the first full-term pregnancy Poverty Diethylstilbestrol (DES) Family history of cervical cancer Cervical Cancer Risk Factors A risk factor is anything that changes your chance of getting a disease. Different types of diseases have different risk factors When reviewing risk factors, focus on the things that you can change or control. What are risk factors? Risk Factors and Cervical Cancer

12. Risk factors have been identified that determine those most likely to get cervical cancer. Scientists are studying DNA to learn more. HPV is a factor but not a determinant. NIH- National Cancer Institute Lifelines: Cervical Cancer AwarenessLifelines: Cervical Cancer Awareness What causes cervical cancer?

13. Begin cervical cancer testing (screening) at age 21.screening Women aged 21 to 29, should have a Pap test every 3 years. Beginning at age 30, the preferred way to screen is with a Pap test combined with an HPV test every 5 years. This should continue until age 65. Women 30 to 65 is to get tested every 3 years with just the Pap test. Women of any age should NOT be screened every year by any screening method. Women who have had a total hysterectomy (removal of the uterus and cervix) should stop screening (such as Pap tests and HPV tests), unless the hysterectomy was done as a treatment for cervical pre-cancer (or cancer). Women who have had a hysterectomy without removal of the cervix (called a supra-cervical hysterectomy) should continue cervical cancer screening according to the guidelines above. Women who have been vaccinated against HPV should still follow these guidelines Can Cervical Cancer be Prevented?

14. Questions

15. Where to find health information you can trust… Health Information Resources

16. MedlinePlus

17. MedlinePlus is the National Institutes of Health's Web site for patients and their families and friends. MedlinePlus: Your Medical Google

18. Read about symptoms, causes, treatment and prevention for over 900 diseases, illnesses, health conditions and wellness issues. Body Locations/Systems Disorders and Conditions Diagnosis and Therapy Demographic Groups Health and Wellness MedlinePlus: Health Topics

19. MedlinePlus Health Topics continued

20. MedlinePlus Cervical Cancer PageCervical Cancer MedlinePlus Cervical Cancer

21. MedlinePlus Cervical Cancer Topic Cervical Cancer continued

22. MedlinePlus Cervical CancerCervical Cancer MedlinePlus Cervical Cancer Page

23. MedlinePlus HPV pageHPV MedlinePlus HPV Topic Page

24. MedlinePlus Drugs and Supplements links to DailyMed and provides a listing of Related Topics. MedlinePlus Drugs and Supplements DailyMed MedlinePlus: Drugs and Supplements

25. MedlinePlus Cancer Alternative Therapies PageCancer Alternative Therapies MedlinePlus: Cancer and Alternative Therapies

26. MedlinePlus Cancer Chemotherapy PageCancer Chemotherapy MedlinePlus Cancer Chemotherapy

27. There are many interactive resources within the videos and cool tools section of MedlinePlus videos and cool tools Included are: Calculators and Quizzes Games Understanding Medical Words Evaluating Health Information Director’s Comments Podcasts NIHSeniorHealth Videos MedlinePlus: Videos and Cool Tools

28. The Federal Trade Commission (FTC) provides videos, such as Anatomy of A Cancer Treatment Scam and other educational materials for consumers to be aware of scams in regards to treatments of various diseases.Anatomy of A Cancer Treatment Scam Anatomy of A Cancer Treatment

29. Interactive Health Tutorials Categories: Diseases and Conditions Tests and Diagnostic Procedures Surgery and Treatment Procedures Prevention and Wellness Diseases and ConditionsTests and Diagnostic Procedures Ovarian CancerPap Smear Ovarian CystsBreast Cancer Uterine Fibroids Surgery and Treatment Procedures Sexually Transmitted DiseasesHysterectomy MedlinePlus: Interactive Tutorials

30. MedlinePlus Evaluating Health Information PageEvaluating Health Information

31. A tutorial from the National Library Medicine that teaches you about medical words.tutorial A National Library of Medicine tutorial that teaches you how to evaluate health information on the web.tutorial Donald A.B. Lindberg, M.D., Director of the National Library of Medicine, highlights health news and information from MedlinePlus in these podcasts.podcasts Videos from within NIHSeniorHealth focused on aging population health topics.Videos Additional Videos and Cool Tools Features

32. Personal health records Health Statistics Health Fraud High Blood Pressure Asthma Breast Cancer Environmental Health Heart Disease Epilepsy Glaucoma Mental Health Lung Cancer Nutrition Prostate Cancer HIV Testing and more Topics of Interest African American Family Health Diabetes Careers/health occupations Drug/Substance Abuse Children’s Page Sickle Cell Anemia Health Insurance Patient Rights MedlinePlus: Topics of Interest

33. Any questions?

34. The American Cancer Institute offers questions to ask your provider.questions ACS: Talking to Your Health Provider

35. Directories MedlinePlus provides links to directories to help you find libraries, health professionals, services and facilities.directories Organizations A collection of organizations providing health information. Also available arranged by topic.topic Medical Encyclopedia The A.D.A.M. Medical Encyclopedia includes over 4,000 articles about diseases, tests, symptoms, injuries, and surgeries. It also contains an extensive library of medical photographs and illustrations.Medical Encyclopedia Multiple Languages Browse health information in different languages by topic or language in the MedlinePlus multiple languages section, which includes a link to the Refugee Health Information Network (RHIN). multiple languages Refugee Health Information Network Training Resources MedlinePlus provides training resources for those teaching classes or exhibiting at health fairs on the Information for Librarians and Trainers page and search tips.Information for Librarians and Trainers search tips MedlinePlus: Additional Resources

36. Additional Resources National Cancer Institute (NCI) Fact Sheet on Pap and HPV TestingFact Sheet Centers for Disease Control and Prevention (CDC) HPV and Men – Fact SheetFact Sheet Centers for Disease Control and Prevention (CDC) HPV Vaccine for boys and girls Fact SheetFact Sheet National Cancer Institute (NCI) Understanding Cervical Changes – BookletBooklet Lifelines from the National Cancer Institute (NCI) – Cancer Fact or Fiction: Separating Myths from Good Information Lifelines Siteman Cancer Center – Cervical Cancer Risk AssessmentCervical Cancer Risk Assessment American Cancer Institute – Cervical Cancer InformationCervical Cancer (Stay healthy video)video

37. Developed by NN/LM staff. This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00003-C with the University of Pittsburgh-Health Sciences Library System. E-mail: nnlmmar@pitt.edunnlmmar@pitt.edu To Join our Free Membership: http://nnlm.gov/mar/services/Membership Visit the NN/LM MAR Training Web site: http://nnlm.gov/mar/training/Training Web site: http://nnlm.gov/mar Phone: 1.800.338.7657 1.412.648.2065 Serving Delaware, New Jersey, New York and Pennsylvania How to Reach Us (NN/LM MAR)