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					The American Cancer
Society and Our Efforts
in Palliative Care
December 2005
Tom Burish, PhD
            Today’s Presentation



    Introduce the American
        Cancer Society

     Our Current Work in
       Palliative Care


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                         The Early 1900’s

               Cancer rarely mentioned in
              public
               Cancer steeped by fear and
              denial
               75,000 lives lost in US alone
               Information and knowledge
              desperately needed

    Then, in 1913….



3
                                 Making History

            ASCC becomes the American Cancer Society
    1940’   “Cancer’s Seven Danger Signals” launched
    S       – later became CAUTION

            Society helps establishes link between
            tobacco and cancer
    1950’   Nationwide Cancer Prevention Study I (CPS-I)
    s       begins -1 million participants enrolled



    1960’
    s
    1970’
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    s
         Breast cancer awareness - early
         detection guidelines, mammography
         campaigns
1980’    CPS-II Study,1.2 million
s        participants – link between
         diet, exercise & cancer


         First downturn in cancer
         mortality and decrease in
         incidence
1990’s   America adopts 2015 Nationwide
         Objectives
         National Cancer Information
         Center and website launched


2000’    ACS Research funds 38 Nobel Prize
         winner
s
                             Our Mission

       The American Cancer Society is the
     nationwide community-based voluntary
         health organization dedicated to
     eliminating cancer as a major health
     problem by preventing cancer, saving
    lives, and diminishing suffering from
      cancer through research, education,
                   advocacy, and service.



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                      Principles of Operation

    • Mission-based

    • Constituent-focused

    • Science-based & Evidence-driven

    • Independent

    • Work Collaboratively

    • Accountable

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    The American Cancer Society
                Serves Millions

       • 24/7/365 access to the most
       trusted source for cancer
       information
       • 1.3 million calls to 1-800-
       ACS-2345 each year
       • www.cancer.org 15.1 million
       visitor sessions in 2003; 64%
       growth in last 3 years
       • Programs like Quitline,
       Cancer Survivors Network, Look
       Good-Feel Better and TLC serve
       millions of patients and
       families
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                      Some Highlights of Our Work

    • 1 in every 100 American’s is involved
             in Relay For Life. In 2005„
       •   4,400+ communities;
       •   3 million participants worldwide
       •   500,000 survivors
       •   $1.5 billion since 1985

    • Making Strides against Breast Cancer –
    400.000 walkers; 100 events; $160 million raised
    since 1993

    • Great American Smokeout – 29 years in 2005!

    • International Activities have grown in past
    five years. ACS University has trained over 200
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    cancer leaders from more than 60 countries.
    Relay for Life is in X countries now!
       American Cancer Society 2015 Goals

      50% Reduction in Age-adjusted
       Cancer Mortality Rates
      25% Reduction in Age-adjusted
       Cancer Incidence Rates
      Measurable Improvement in the
        Quality of Life from the Time
     of     Diagnosis and for the
     Balance of Life of All Cancer
     Survivors
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                   Quality of Life Programs

           ACS Program                People
                                 Served/Contacted
     Look Good...Feel Better   60,000 + Served
     TLC Magalog               100,000+ Orders
     Reach to Recovery         55,000+ New Patients
                               Contacted
     I Can Cope                10,000 + Served
     Man to Man                33,000 + Served
     Cancer Survivor’s Network 1.3 million visits in
                               FY04/05
     Transportation            370,000 + Rides
     Housing                   16,000 Stayed in Hope
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                               Lodges
                               Palliative Care

       Philosophy behind palliative care –
     that people with cancer need not suffer.
     The goal of palliative care is to help
     people with cancer and their families
     experience the best quality of life
     possible throughout the course of the
     disease, even when there are symptoms to
     manage, grave concerns for survival, and
     practical issues to attend to. The
     approach includes competent and
     compassionate management of symptoms such
     as pain, sleep loss, fatigue, and
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     functional change.
              Palliative Care – American Cancer
                                        Society


     • Research

     • Cancer Control Science

     • Advocacy

     • International




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                       Palliative Care – American Cancer
                                                 Society

     • Research

           Our Behavior Research Center implemented
           a
           program of research to assess quality of
           life and psychosocial functionality of
     •     cancer survivors.
         Cancer Control Science

     • Advocacy

     • International



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                       Palliative Care – American Cancer
                                                 Society

     • Research


     •   Cancer Control Science
          Identifies emerging science and trends, translat
          applied research and formulating science based p
          health strategies. Co-authored “When the Focus
          Care: Palliative Care and Cancer.”
     • Advocacy

     • International



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                       Palliative Care – American Cancer
                                                 Society

     • Research

     • Cancer Control Science


     • Advocacy

           Over the past four years, we’ve focused
           efforts to change U.S. national and
           state laws and regulations to improve
           access and knowledge of pain management.

     • International


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                     Palliative Care – American Cancer
                                               Society

     • Research

     • Cancer Control Science

     • Advocacy


     •   International

           We are applying what we know and have
           learned about improving access to pain
           management and more broadly to
           palliative care. We are excited to have
           the opportunity to work with our global
           partners to advance access to palliative
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           care.
         Possible Directions for the Future


     • Research

     • Delivery of excellent palliative care

     • Training of professionals to provide palliative care

     • Provide accurate and complete information to the
     public

     • Advocate for changes in policies that govern access
     to palliative care



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     Thank you




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