1. C OLON C ANCER S CREENING Noel Pingatore, B.S. CPH Inter-Tribal Council of Michigan

2. O VERVIEW OF C OLON C ANCER AMONG M ICHIGAN N ATIVE A MERICANS The Michigan Native American population has the lowest screening rate at 38.6 for men and women age 50 and over, compared to 54.7 for the general population; 55.0 for the African American population; 43.7 for the Hispanic population; and 40.5 for the Arab Population ( MCC 2008) The Bemidji area age adjusted Colon Cancer death rate is 28.1 per 100,000 population compared to and I.H.S. all areas rate of 12.6 and the U.S. all races rate of 12.6 per 100,000 population. (I.H.S. 2003)

3. P ROJECT P ARTNERS : Michigan Department of Community Health Prevent Cancer Foundation American Cancer Society Keweenaw Bay Indian Community Gun Lake Indian Community Saginaw Chippewa Indian Tribe Sault Ste. Marie Tribe of Chippewa Indians Inter-Tribal Council of Michigan

4. U SE OF E VIDENCE B ASED A PPROACHES Patient Reminders Provider Reminders Clinical Guidelines Community Educational Media The Giant Colon Exhibit

5. R ESULTS OF THE EVENTS : Over 1,000 community members toured the Giant Colon Exhibit Media Coverage included Radio, Television, Newspapers, as well as Fact Sheets and Flyers We reached our target age group: 50+

6. R ESULTS OF THE S URVEY : Did touring the Exhibit increase your knowledge of colon cancer? Do you intend to make any lifestyle changes?

7. R ESULTS OF SURVEY Do you intend to get screened at age 50? Do you believe that Colon Cancer Can Be Prevented?

8. S URVEY R ESULTS : Did you know that a family history of colon cancer can increase your risk? Would you recommend this Exhibit to others?

9. K UDOS !