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Advancing Cancer Prevention and Control Worldwide


Academic year: 2022

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Advancing Cancer Prevention and

Control Worldwide


Division of Cancer Prevention and Control Reliable. Trusted. Scientific.


Global Noncommunicable Disease Burden

Source: CDC, Global Noncommunicable Diseases


Barriers to Screening and Preventive Care in the United States

• Low SES

• Transportation

• Lack of knowledge/awareness

• Stigma

• Culture/religion

Source: Barriers and facilitators to preventive cancer screening in Limited English


Division of Cancer Prevention and Control Reliable. Trusted. Scientific.


Broadening our Reach Through Partnerships


Supporting Sustainable Health System Change

Data reporting Assessment and

implementation support



Sustained EBI implementation

EHR improvements

Primary Care Clinic

Increased screening


Source: Colorectal Cancer Control Program


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Evidence-based Interventions and Supporting Activities to increase Cancer Screening

Patient reminders Provider reminders

Provider assessment and feedback

Reducing Structural barriers

Small media

Patient navigation

Community health workers Provider education

Evidence-based Interventions* Supporting Activities

*The Community Guide



On the Frontline: Community Health Workers

CHWs vital to State and Local Service Delivery and Response

Community Health Workers

Educates and informs Community

Builds Trust

Provides critical links to health/social services

Culturally competent service delivery

Facilitates access

Extends health promotion/disease prevention capacity

Source: American Public Health Association


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PN/CHW Colorectal Cancer Impact

Parameters Patient Navigation


Usual Care N=75 Screening completion through 1



90.1 53.3

Screening Completion through 2



94.7 65.3

Screening Completion through 3



96.2 69.3

Incomplete at end of cycle 3.8 30.6

Source: Rice K, Sharma K, Li C, Butterly L, Gersten J, DeGroff A. Cost-effectiveness of a patient navigation intervention to increase colonoscopy screening among low- income adults in New Hampshire. Cancer. 2019;125(4):601-609. doi:10.1002/cncr.31864


Multiple EBIs Improve Indiana Clinic’s Cervical Cancer Screening Rates During Pandemic

Provider Reminder System Staff reviewed

medical records for all women with scheduled

appointment who were due for cancer screening

Reducing Structural Barriers Cancer screening

integrated into routine care

Patient Reminders Phone follow up to schedule


Cervical Cancer Screening Rates

increased 34%

from 65% to 87%

Source: cdc.gov/cancer/nbccedp/success/screening-reminders-indiana.htm

This project has changed the way I practice

April Fife, Nurse Practitioner


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Guam’s Patient-Centered Process Improves Enrollment;

Screening During Pandemic

• One location for program

enrollment and clinical services

• Same-day service

• 110 women enrolled and screened

Removing Structural Barriers to Screening

Source: cdc.gov/screenoutcancer/success/guam-makes-enrollment-easier.htm


Improving Knowledge and Awareness:

• CDC led a collaboration to get the word out o American Cancer Society

o National Comprehensive Cancer Network

o National Association of Chronic Disease Directors

• Satellite Media Tour

o 33 interviews January 2021

o Cumulative reach 90 million (radio, TV, online)

• Public Service Announcements o 600 stations nationwide

o Aired 8.633 times, cumulative reach

62,805,260 with an ad value of $1,611,250

Reengaging the Public in Screening and Preventive Care



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Role of Cancer Surveillance Data

• Identify needs

• Focus resources

• Evaluate progress

• Improve survivor health and wellbeing

Tangka, Florence et al, Resource requirements for cancer registration in areas with limited resources: Analysis of cost data from four low- and middle-income countries, Cancer Epidemiology 45 (2016) S50–S58.


Establishing a Cancer Registry

Basic Principles:

• Access to medical facilities

• System for reporting clinical and pathological data

• Cooperation from the medical community

• Adequate budget

Planning and Developing Population-Based Cancer Registration in Low- and Middle- Income Settings


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Registry Budget Considerations

Overhead (indirect)

• Administration/Management

• Registry space/utilities

Recurring costs


• Registry staff

• Contractors/other personnel

Running costs

• Computers

• Other materials

• Software licensing

• Training

• Travel expenses

Tangka, Florence at al, Cost of Operating Population-Based Cancer Registries: Results from 4 Sub-Saharan African Countries, J Registry Manag. 2019 ; 46(4): 114–119

Distribution of Core Registry Activities


Cancer Registry Costs

Cost per Case by Budgetary Category, US Dollars

^ ranges less than US 1¢-17¢ annually per resident

Tangka, Florence et al, Cost of Operating Population-Based Cancer Registries: Results from 4 Sub-Saharan African Countries, J Registry Manag. 2019 ; 46(4): 114–119.


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Understanding the Short-and-Long Term Impacts of COVID-19 on Arkansans with Cancer


• 390,885 cancer incidence records (1996 – 2020)

• 343,269 COVID records

• 13,427 matches identified


• First name

• Last name

• Sex

Cancer Patients Diagnosed with COVID-19 by Cancer Type, Arkansas, 1996 - 2020 .

• Race

• Birthdate

• Telephone

• Address


Visit the official federal source of cancer prevention information:


Division of Cancer Prevention and Control

Reliable. Trusted. Scientific .

Thank you!


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