January is Cervical Cancer Awareness Month. For more information, click here https://www.cdc.gov/cancer/dcpc/resources/features/cervicalcancer/index.htm
- Being Somebody’s Hero
- Be Somebody’s Hero
- Happy Father’s Day!
- Heart Disease: The #1 Killer for Men
- Gender Differences and Tobacco
- All Gave Some. Some Gave All
- Let’s Celebrate Something Today!
- 2016 OSTAH Partnership Update Satisfaction Survey Results
- Tobacco Cessation Training 2016
- Tobacco Dependence Treatment Summit
- Smoking Can Also Cause Strokes
- Cherokee Nation Healthy Nation: Striving for Perfection
- What’s Love Got to do with Smoking?
- Facts about Smoking
- Depression and Smoking
- Quitting Smoking: The Real Marathon
- What can survivors and families do to advance 80% by 2018?
- Healing and Hope July 2015 Newsletter
- Investing in the Future Generations
- Screen For Life: National Colorectal Cancer Action Campaign (More information below)
- E-cigarettes – Not a Safe Alternative
- E-cigarettes and Health Care
- E-cigarettes and Clinical Responses
- E-cigarettes and Labor Laws
- Electronic Nicotine Delivery Systems: Key Facts
Screen For Life Information
A Note from Cindy Gelb, Screen For Life Campaign Director:
Dear Screen for Life Partner,
As we get ready for National Colorectal Cancer Awareness Month in March, I want to thank you for being part of the Screen for Life campaign family and provide an update on what the campaign is doing and how you may want to use Screen for Life resources. So please read on!
We hope you will be part of this event, and that you will share this save-the-date graphic with your colleagues, friends, and partners, by copying and pasting it or saving it to embed on your social media channels, newsletters, and e-newsletters/e-blasts.
FREE PSAs and Educational Resources
Screen for Life TV, radio, and print public service announcements (PSAs) are available for you to use throughout the year. All of the Screen for Life TV PSAs are localized for you – when they were first distributed, we added local tags for our campaign partners. (‘Tags’ are special graphics appearing towards the end of TV PSAs and provide local contact information, which we obtained from your program.) Print PSAs and other print materials (fact sheets, posters, and postcards) are also designed for you to localize.
To download or order print materials, please visit our web site. For printer-ready files that you can localize with program-specific information, or for technical assistance, please contact Karen Costa. For CRCCP grantees, localizable Screen for Lifematerials are available at www.crccp.org.
Three particularly effective materials to consider using this year are:
- Katie Couric – Really? (print PSAs and posters)
- Terrence Howard – This is Personal (TV, radio, print PSAs, and posters)
- No Excuses/No Hay Excuses (Posters and TV and print PSAs in English and Spanish)
How are you promoting colorectal cancer screening in March (and throughout the year)? Here are some ideas to consider:
- Ask TV and radio stations and newspapers to use Screen for Life PSAs.
- Send e-cards and postcards promoting colorectal cancer screening.
- Display posters in public buildings, wherever people gather.
- Ask community and religious groups and businesses to provide brochures or fact sheets to members or employees. See if they will include a Screen for Life ad in their print and online newsletters.
- Offer experts for local media interviews, using public health messages from the Screen for Life campaign. Experts can be doctors, nurses, public health experts, colorectal cancer survivors or their families/friends – anyone with a compelling story to tell.
- Use digital badges by copying and pasting them to embed on your Web site and social media channels.
- Include screening information, first-person survivor and/or screening stories, Screen for Life posters, digital badges, and TV and radio PSAs on your Twitter, Facebook, and YouTube pages.
- Follow @CDC_Cancer and retweet our tweets about colorectal cancer.
- Use our collection of colorectal cancer tweets. Visit our Twitter page for instructions on how to embed the collection on your web page.
- Visit the Colorectal Cancer Awareness feature, available in English and Spanish. It features a variety of shareable resources.
- Visit our Colorectal Cancer Disease of the Week page throughout the month.
- Check out this CDC-funded Colorectal Cancer Awareness Month Social Media Toolkit, developed by the George Washington University (GW) Cancer Institute. It’s designed to help public health professionals and others establish an effective social media presence to raise awareness about colorectal cancer.
Moving Forward TOGETHER
How can Screen for Life help you achieve your colorectal cancer screening goals? We would love to hear your thoughts about materials and resources that would be useful for you. Please don’t hesitate to contact me with questions, comments, or ideas.
Cynthia A. Gelb
Health Communication Specialist | Director of:
CDC | NCCDPHP | DCPC | Office of Communication | email@example.com | 770-488-4708
Cervical Cancer Awareness
Cervical Cancer is a silent killer with signs and symptoms the can often be very subtle and misdiagnosed. To help a crop of future nurses better understand this terrible disease WW Hastings Indian Hospital Staff Physician and OBGYN Dr. David Gahn shared his knowledge with the students at the Indian Capital Technology Center in Tahlequah.
Summer Time and Tanning
A Base Tan Is Not a Safe Tan. There is a common misconception that a tan acts as the body’s natural protection against sunburn. The Burning Truth: A tan is the body’s response to injury from UV rays, showing that damage has been done. A “base tan” only provides a sun protection factor (SPF) of about 3 or less, which does little to protect you from future UV exposure.
Colon Cancer Prevention and Screening
Colon cancer rates drop sharply due to screenings
Colon cancer rates have dropped by 30% over the past decade for those over 50, and colonoscopies are getting much of the credit.
Doctors recommend that people at average risk begin getting screened for colon cancer at age 50.
Screening rates have climbed in recent years. The number of Americans ages 50 to 64 who have had a colonoscopy — which allow doctors to detect and remove polyps before they turn malignant — has nearly tripled, growing from 19% in 2000 to 55% in 2010. Use of colonoscopy also rose among those age 65 and over, growing from 55% in 2000 to 64% in 2010, according to the new report. To further reduce colon cancer cases and deaths, the American Cancer Society has set a goal of screening 80% of eligible people by 2018.
Colorectal cancer is the third leading cause of cancer death in the USA. The cancer society estimates that 136,830 Americans will be diagnosed with the disease this year and that 50,310 will die from it.
“We hope that we get the number much closer to zero by getting the at-risk population access to colorectal cancer screening,” says Arun Swaminath, a gastroenterologist and director of inflammatory bowel disease at New York’s Lenox Hill Hospital, who wasn’t involved in the new study.
Death rates from colon cancer also have fallen, declining at a rate of about 3% a year over the past decade, the report found. Colonoscopies can reduce mortality by allowing doctors to find tumors when they’re smaller and more curable.
“It’s really reassuring that we are making progress,” says Charles Fuchs, chief of gastrointestinal oncology at Boston’s Dana-Farber Cancer Institute, who wasn’t involved in the new study.
The biggest declines in colon cancer incidence were in people over age 65, who qualify for Medicare, which makes colon cancer screenings available for free. Those who have other forms of insurance also can get free colon cancer screenings and other preventive services, due to the Affordable Care Act.
Declines in colon cancer rates became more dramatic in more recent years, falling at an annual rate of 7.2% a year from 2008 to 2010.
Falling rates of colon cancer in older Americans are particularly striking considering that rates of the disease are actually rising slightly in younger people, most likely due to obesity and poor diet, the report says. Colon cancer rates increased by about 1.1% a year in Americans younger than 50. Authors noted that the types of colon cancers found in people under 50 were often those linked to obesity.
About 70% of colorectal cancers are related to lifestyle issues, such as obesity, lack of exercise and eating a lot of red or processed meat, Fuchs says. “Beyond telling people to get a colonoscopy, we need to counsel people to eat a balanced diet and exercise,” Fuchs says.
Americans aren’t benefiting equally, Fuchs says. While colon cancer incidence dropped among all racial groups, the declines were higher in whites than among minorities. And death rates from the disease were 50% higher among blacks than whites, probably because blacks often have less access to healthcare than whites, he says.
Cherokee Nation Breast and Cervical Cancer Early Detection Program
To improve access to screening, Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990 (PL-101-354), which guided the Centers for Disease Control & Prevention (CDC) in creating the National Breast & Cervical Cancer Early Detection Program (NBCCEDP).
Currently, the NBCCEDP funds all 50 states, The District of Columbia, 5 U.S. Territories and 12 American Indian / Alaska Native tribes including the Cherokee Nation, (see fig. 1.), to provide screening services for breast and cervical cancer.
The program helps low-income, uninsured, and underinsured women gain access to breast and cervical cancer screening and diagnostic services, which include—
- Clinical breast exams
- Pap tests
- Pelvic exams
- Diagnostic testing if results are abnormal Referrals to treatment
In 2000, Congress passed the Breast and Cervical Cancer Prevention and Treatment Act of 2000 (Public Law 106-354). This Act gives states the option to provide medical assistance through Medicaid to eligible women who were screened for and found to have breast or cervical cancer, including precancerous conditions, through the National Breast and Cervical Cancer Early Detection Program.
In 2002, title XIX of the Social Security Act was amended and President Bush signed the Native American Breast and Cervical Cancer Treatment Technical Amendment Act of 2001 (Public Law No. 107-121). This amended bill clarified that Indian women with breast or cervical cancer who are eligible for health services provided under a medical care program of the Indian Health Service (IHS) or of a tribal organization are included in the optional Medicaid eligibility category of breast or cervical cancer patients added by the Breast and Cervical Cancer Prevention and Treatment Act of 2000.
From this the ‘Oklahoma CARES Program’ was implemented January 1, 2005. The overarching objective of the program is that any low income, uninsured woman under age 65, who is identified through the National Breast & Cervical Cancer Early Detection Program (NBCCEDP) and is in need of treatment for breast or cervical cancer (including pre- cancerous conditions and early stage cancer) will be able to receive Medicaid benefits to have her diagnostic and/or treatment procedures paid for.
Oklahoma Cares was designed and implemented cooperatively by five Oklahoma agencies through an interagency agreement. The Cherokee Nation, Kaw Nation, OK State Department of Health, OK Health Care Authority (Medicaid Agency) and the OK Department of Human Services. All five agencies have continued to work collaboratively, since the program’s inception, meeting quarterly, addressing issues and recommending changes as needed.
It was quite an accomplishment for tribes and state agencies to be able to collaborate successfully on such a large project and has proven to be an additional source of reimbursement
for our Cherokee Nation clinics allowing our CNBCCED program to direct more of our program dollars to screening services.
Since beginning in 1996, the Cherokee Nation Breast & Cervical Cancer Early Detection Program has been able to serve over 20,400 women, reimburse for almost 29,000 Pap tests and more than 30,700 Mammograms. Breast cancer is the most commonly diagnosed cancer among women in the Cherokee Nation.
Cherokee Nation BCCEDP Eligibility Criteria is as follows:
- Proof of Indian descent of a federally recognized tribe, most usually a Certificate Degree of Indian Blood (CDIB) card also referred to as a ‘White Card’.
- Household gross income not more than 250% above the Federal poverty level.
- A 2-family household can earn as much as $39,325 annually and still qualify for service reimbursement.
- Oklahoma residency is not required to be eligible for breast and cervical cancer screening services at any Cherokee Nation Health Facility.
- Non-OK residents diagnosed with breast and/or cervical cancer, are assured assistance in transitioning to her home state’s Breast and Cervical Cancer Prevention Treatment Act Program with the assistance of a Women’s Health Case Manager.
- 21-39 years old with history of a bilateral tubal ligation (BTL) or age 40-64 with or without history of a BTL for a Pap test.
- 40-64 years old for a mammogram.
In addition to the previously mentioned services covered by the CNBCCEDP, patients also receive one-to-one, real-time Case Management when diagnostic follow-up becomes necessary or if cancer treatment is required.
- Case management plays an integral role in coordinating sometimes many and varied appointments, contacting and educating each patient regarding her appointment, the referral process, and any pre-appointment preparations and provides resource assistance to overcome barriers that may prevent or delay the keeping of an appointment.
- Assists patient and helps along with the clinic Patient Benefits Advocate (PBA) for an easy transition process into the OK Cares Program for treatment coverage and case management if diagnosed with breast and/or cervical cancer attempting to keep patient’s care timely and as seamless as possible throughout their journey.
- All Women’s Health Patients receive the same level of care and case management services regardless of CNBCCEDP reimbursement ‘eligibility’. The only difference between a CNBCCEDP-Eligible and a non-CNBCCEDP-eligible patient is payer source.
- Patients also receive direct patient education from a Health Promotion/Disease Prevention educator during Mobile Mammography Screening Clinics.
CNBCCEDP partners with other Cherokee Nation Health and Cherokee Nation programs:
- Outreach through a unified message to limit service duplication
- Maximize outreach efforts to patients who have not accessed the health system within at least the previous 5 years
- Provide outreach or participate in outreach or in-reach in collaboration with the Program Health Promotion/Disease Prevention educator at Cherokee Nation health facilities, various community events and other activities.
- Partner and participate in Sequoyah Schools ‘Pink Game’ held in February annually, providing educational outreach to all event attendees and co-hosting a Survivor’s reception and recognition ceremony between games where SHS basketball players and cheer squad present each survivor with a flower and escort them to center court.
Please feel free to call any Cherokee Nation Health Facility, most toll-free, and ask to speak with a Women’s Health Case Manager for more information about the Cherokee Nation Breast & Cervical Cancer Early Detection Program services, assistance in determining eligibility and making an appointment.
Cherokee Nation Health Facilities
Sam Hider Health Center – Jay, OK: 1-877-293-4271
Three Rivers Health Center- Muskogee, OK: 1-918-781-6500
A-MO Salina Health Center- Salina, OK: 1-877-434-8500
Redbird Smith Health Center- Sallisaw, OK: 1-877-797-9159
Wilma P. Mankiller Health Center- Stilwell, OK: 1-877-747-8800
Will Rogers Health Center- Nowata, OK: 1-877-373-0192
Bartlesville Health Center- Bartlesville, OK: 1-918-336-0823
Vinita Health Center- Vinita, OK: 1-918-323-0194
W. W. Hastings Hospital- Tahlequah, OK: 1-877-838-3100 (OK-only) or 1-918-453-3100
Other Contact Information
Angela Leach, RN, Program Manager
Cherokee Nation Breast & Cervical Cancer Early Detection Program
Contact number: (918) 453-5756 (office) / (918) 453-8582 (mobile) firstname.lastname@example.org
Connie Davis, RN, MSN, Executive Director
Cherokee Nation Health Services
(918) 453-5000 email@example.com