Improving Women s Health Through the Prevention and Control of Chronic Disease Pamela Protzel Berman, MPH, Doctoral Candidate Deputy Director Division of Cancer Prevention and Control, CDC December 10, 2009
Overview Highlights of CDC-supported state chronic disease efforts American Recovery and Reinvestment Act of 2009 Impact of health reform on chronic disease Impact of health reform on chronic disease prevention
Leading Causes of Death, Women United States, 2006 Disease Number of Deaths 1. Heart Disease 315,930 2. Cancer 269,819 3. Stroke 82,595 4. Chronic Respiratory Disease 65,323 5. Alzheimer s Disease 51,281 6. Unintentional Injuries 42, 658 7. Diabetes 36,443 8. Influenza and Pneumonia 30,676 9. Inflammatory Kidney Disease 23,250 10. Septicemia 18,712
Opportunities to Impact Women s Health Cancer Prevention and Control Programs Heart Disease Prevention -- WISEWOMAN program Community Wellness Programs
Women s Health Cancer Prevention Provide breast and cervical cancer screening to low income, under- and uninsured women Reduce health disparities in breast and cervical cancer screening Facilitate access to treatment, when needed, through the Medicaid Program or another source of care
National Breast and Cervical Cancer Early Detection Program $186 million in grants to all 50 states, DC, 12 tribes and 4 territories Since 1991, the Program served over 3.3 million low- income, uninsured, and underinsured women Over 8.0 million screening exams Diagnosed 37,117 breast cancers Over 100,000 life years saved
Colorectal Cancer Control Program $22 million in grants to 26 states and tribal organizations Increase high-quality CRC screening among persons 50 years and older to 80% nationwide by 2014 Reduce disparities in CRC burden, screening and access to care CRCCP
National Comprehensive Cancer Control Program Integrated and coordinated approach to cancer looks across the continuum to address cancer from prevention through treatment and survivorship $22 million in grants to all 50 States, DC, 7 territories, 7 tribal organizations. Assess burden of cancer Set priorities Develop and implement cancer plans Statewide coalitions involve hundreds of organizations
Implementing Policies for Comprehensive Cancer Control Improving the health of women through policy change: State support for breast, cervical and colorectal cancer screening for low-income, underserved d women Support for tobacco cessation activities Develop nutrition, physical activity, tobacco control and sun safety policies in schools/workplaces Support systems change to include preventive screenings in health insurance policies
Collaborating for results Success at the state and local level occurs through coalition building Policy, programs and practices reflect the best available science Practice must inform research Focus on what works to improve health use of evidence-based interventions and guidelines from the Guide to Community Preventive Services and other sources
Heart Disease Prevention A Comprehensive Approach through the WISEWOMAN Program Focus on helping women reduce their risk for heart disease and improve their health Opportunities to improve diet, physical activity, and other lifestyle behaviors to prevent, delay and control cardiovascular and other chronic diseases Provide comprehensive preventiative services to Provide comprehensive preventiative services to women enrolled in the National Breast and Cervical Early Detection Program
Estimated Hidden Conditions in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) 59,400 55,800 14,000 Source: Estimated using WISEWOMAN Minimum Data Elements October 2005
The American Recovery and Reinvestment Act (ARRA) of 2009 $1 billion for a prevention and wellness fund: $650 million for community-based prevention and wellness programs $50 million for Healthcare-Associated Infections $300 million for expanding the Section 317 immunization program to help ensure more under- insured children and adults receive recommended vaccines
ARRA -- Communities Putting Prevention to Work Reduce risk factors and prevent/delay chronic disease while promoting wellness in both children and adults. Four components: Community Cooperative Agreements States and Territories Policy and Environmental Change Funding States Chronic Disease Self-Management Initiative National Prevention Media and National Organizations Initiative On September 17 th, Secretary Kathleen Sebelius and CDC Director Thomas Frieden publicly announced the community component of the Communities Putting Prevention to Work program. Proposals were due to CDC on December 1 currently under review
Health Reform, Women s Health and Prevention National Prevention and Wellness Strategy Grants to invest in prevention research and community initiatives Funding for strengthening public health workforce and infrastructure
Options for Action Continue to support programs and research that t seek to improve public health including the prevention of cancer and other chronic conditions Ensure policies in all sectors (e.g. transportation, education, business) promote public health and prevent chronic diseases Ensure that communities are designed and maintained to facilitate healthy behaviors
Resources on Women s Health and Chronic wcdc.gov/cancer Disease: wcdc.gov/wisewoman wcdc.gov/dhdsp/state_program/index.htm wwomenshealth.gov wcdc.gov/nccdphp/recovery The findings and conclusions in this presentation are those of the presenter and do not necessarily represent the views of the Centers for Disease Control and Prevention.