Edolem Ikerdeu, CCPI Director, Republic of Palau
57th PIHOA Executive Board meetingPalau, March 10, 2015
Contents:Brief recap of the development of the CCPI and
Pacific Cancer Control Programs & PartnersDistribution of cancers in the USAPIHighlights of the:
Regional CCC ProgramRegional Cancer RegistryREACH Community Health Intervention Project
Success stories (2002-2015)CCPI Priorities relevant to PIHOACCPI Officers and Directors
CCPI Regional efforts started in 2002 with funding from the National Cancer
Institute. CDC funding since 2004. PIHOA Affiliate since 2008 Two representatives designated by their Senior ranking health official:
clinical and public health Should be in a position to positively influence the health systems that impact
prevention and control of cancer CCPI oversees all of the Pacific Regional Cancer Programs
Administered by the University of Hawaii (Palafox, Buenconsejo-Lum & team) Regional focus: cross-cutting issues that are necessary to improve
jurisdiction and regional capacity for cancer and NCD control Human resources for health development (HRH) Surveillance (cancer) and mortality reporting Training in certain areas (public health and clinical), including evaluation Prevention: policies and messages in congruence with other NCD Screening: working to ensure minimum standards Treatment: palliative care / survivorship
Cancer Council of the Pacific Islands
(Advisory Board)
Pacific Cancer
CoalitionUniversity of
HawaiiCancer Center
(technical assistance)
• U54 MI/CCP Partnership with
University of Guam• Hawaii Tumor
Registry• Pacific Cancer
Research Group
International Partners with PIHOA
(SPC, WHO)
U.S. CCC National
Partnership
Pacific Cancer Control Programs & Partners
University of Hawaii
Dept. of Family Medicine
(administrative, technical assistance)
RMI
Guam
CNMI
American Samoa
Palau
Kosrae
Chuuk
Pohnpei
Yap
FSM
University of Hawaii Office
of Public Health
Sciences
Pacific Islands Health Officers Association
(PIHOA)Overarching advisory
Micronesian Community Network &
Micronesian Health Advisory
Council (Hawaii)
U.S. Affiliated
Pacific Island
(USAPI) jurisdiction
s
Regional Comp Cancer
Regional CancerRegistry
Pacific Center of Excellence in
the Elimination of Disparities (Pacific CEED)
Community Health
Intervention Project (REACH)
Distribution of cancers in the USAPI 2007-2011 (CNMI & Chuuk data incomplete)
5
Screening test or PE45%
Tobacco-related43%
Obesity-related47%
HPV-related7%
Only 13% of cancers diagnosed at Stage 1
14%
14%
11%
9%
6%
6%
5%
5%
4%
3%3%
2%
USAPI Top 12 cancers, 2007-2011
LUNG & BRONCHUS
Breast
PROSTATE
Colorectal
LIVER
CERVIX
Uterus
Leukemia
THYROID
Stomach
Tobacco-related oral cavity & pharynx
Nasopharynx
Regional CCC ProgramBack-funded from jurisdiction prime awards from CDC
National Comprehensive Cancer Control programRegional focus: cross-cutting issues that are necessary to
improve jurisdiction and regional capacity for cancer and NCD control; leveraging of national and international resources for CCCPartnerships and Communication / website (pacificcancer.org)Training & TA in certain areas (public health and clinical),
including evaluationPrevention: policies and messages in congruence with other
NCDScreening: working to ensure minimum standardsTreatment: palliative care / survivorshipSurveillance (cancer) and mortality reporting
Pacific Regional Cancer Registry Program Prime awardee from CDC National Program of Cancer
RegistriesFunds cancer registrar in each jurisdiction
Except Guam, but PRCCR funds travel / training / additional IT support for the Guam Cancer Registry
Cancer data required for CCC and NCD plans (CDC), MDG reporting, WHO 2025 voluntary NCD indicators (cervical cancer, functional cancer registries)
Additional focus on improving mortality reporting, documentation in medical records, data flow & reporting
Recent report (2007-2011) available on pacificcancer.org
Community Health Intervention Project (REACH)Prime awardee from CDC
Directly employs assistants in all jurisdictionsSupports the comprehensive implementation of
effective evidence-based practices to address the excessive and disparate burden of NCDs present throughout USAPI communities. Outcomes of the 3-year program, which targets adults, will focus on Increasing access to smoke-free or tobacco-free
environments (public and private worksites including health facilities),
Increasing access to environments (worksite, including health facilities) with healthy food or beverage options.
CCPI Success stories (2002-2015)Regional and jurisdiction infrastructure for CCC, helped
set the stage for NCD collaboration & capacity buildingDeveloped cancer registries cancer surveillancePacific CEED (2007-2012): breast & cervical cancer
focus, NCD risk factors, cervical cancer screening standards in FSM, RMI, American Samoa
Partial funding and support of synergistic PIHOA activities:HRH assessment focused on medical records/HISTechnical Working Group on NCD SurveillancePIHOA Quality Improvement effortsNCD Toolkit
CCPI Success stories (2002-2015)Caring the Pacific Way Palliative Care CurriculumNCD Toolkit (with PIHOA)REACH CHIP (2014- ): baseline PSE scans related to
tobacco and healthy nutrition priorities, rigorous evaluation and communication plan, training
Cervical cancer: standards, Expert Panel and ACOG Committee OpinionThe panel, comprised of US and Internationally renowned cervical cancer screening experts, was convened by the US Department of Health and Human Services, and the CDC. The meeting resulted in an American Colleges of Obstetricians and Gynecologists (ACOG) Committee Opinion supporting adaptation of the World Health Organization recommendations for diagnosis and treatment in one or two visits in the USAPI. The ACOG opinion could result in improved cervical cancer prevention and more accurate identification of early-stage disease in the USAPI.
CCPI priorities relevant to PIHOAContinued emphasis and collaboration to improve
NCD surveillance capacity and data systems that inform high quality prevention and care of NCD and cancerHealth information systemsMortality reporting
Desire for regional, cross-program, sharing of success stories and best practices related to NCDPIHOA website – as part of the NCD Toolkit?
Need for more stable supply of medications for palliative care (i.e., narcotics)Regional formulary discussion / pricing considerations
CCPI priorities relevant to PIHOACapacity building/planning for a sustainable
technical assistance/training mechanism for evaluation of health programs and policies
Consideration of adapting "model" policies for Palliative Care in their jurisdictionCCPI Directors have a listing
Continued long-term goal to expand in-region capacity for affordable diagnosis and treatment for cancer
CCPI MembersPresident: Dr. John Taitano (Guam)Vice-Present: Dr. Helentina Garstang (RMI)Secretary/Treasurer: Ms. Martina Reichhardt (Yap)RMI: Dr. Cho Cho Thien (Ebeye), Dr. Garstang (Majuro), Ms. Neiar
KabuaKosrae: Mr. Nena Tolenoa, Dr. Livingston TaulungPohnpei: Ms. Robina Anson, Dr. Kesusa Bermanis, Ms. Pertina AlbertChuuk: Dr. Kino Ruben, Dr. Yoster YchiroYap: Dr. Eric Lirow, Mr. John Gilmatam, Ms. Martina ReichhardtFSM National: Dr. Vita Skilling, Mr. Xner LutherPalau: Ms. Edolem Ikerdeu, Dr. Sylvia Osarch, Ms. Irish TutiiAmerican Samoa: Ms. Moira Wright, Dr. Alo AnesiCNMI: Ms. Jocelyn Songsong, Ms. Salome CastroGuam: Ms. Roselie Zabala, Dr. Taitano, Mr. Lawrence Alam
15
Si Yu`os Ma`ase
Olomwaay
Fa`a Fetai Tele Lava
Msuulaang
Kulo Malulap
Komagar
Kalangan
Kinisou Chapwur
Kommol Tata
www.pacificcancer.org