Agenda - 01-19-1993 - VIII-E - Laserfiche WebLink

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1 ORANGE COUNTY BOARD OF COMMISSIONERS Action Agenda Item No. V.izr-E ACTION AGENDA ITEM ABSTRACT Meeting Date: January 19, 1993 SUBJECT: Expansion of State Contract for the Comprehensive Breast and Cervical Cancer Control Program DEPARTMENT: HEALTH PUBLIC HEARING: Yes X No ATTACHMENT(S) : INFORMATION CONTACT: HEALTH DIRECTOR'S OFFICE X2411 1. Notice of Award 2. Service Description and 1992-93 Major Objectives TELEPHONE NUMBER: 3. Contract Amendment Page Hillsborough -732-8181 4. Local Health Department Chapel Hill -968-4501 Budget Page Mebane -227-2031 Durham -688-7331 PURPOSE: To accept funding from the Centers for Disease Control (CDC) as an addition to the State Contract to provide the screening and follow-up services for women who qualify for the Comprehensive Breast and Cervical Cancer Control Program. BACKGROUND: The Orange County Health Department Community Diagnosis for 1992-93 identified cancer as one of the top leading causes of death in Orange County and the disparity in health indicators between European-American and African-American population groups in orange County among the highest priority problems. CERVICAL CANCER: Between 1980 and 1987, 1400 women in North Carolina died of preventable cervical cancer. The age-adjusted mortality rates for the white population are 3.5/100,000 and 10.6/100,000 for the black population. The • mortality percentage for women age 35 and older has increased from 91% in 1985 to 94% in 1989. BREAST CANCER: In 1989, 1,099 women died of breast cancer in North Carolina making it the leading cause of cancer deaths in women in the state. North Carolina's mortality rate of 26.4/100,000 ranks 23rd in the United States. In race adjusted mortality rates, white women are 25.6/100,000 and black women are 30.7/100,000. For both races, mortality rates are much higher among older women. In 1986-87, for example the mortality for women less than 50 years was 6.4 while that for 50 and older was 51.4/100,000.