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What We’re Doing
       For YOU!

         2004 - 2006
      Biennial Report
           Front Cover Photos                                                                  Back Cover Photos
                           Tish Caudill, 10, enjoyed the                                                                Kentucky First Lady Glenna
                           waterslide at Indian Summer Camp                                                             Fletcher, standing, greeted
                           in July 2006 at the Camp Cedar-                                                              guests at a Seniors Seminar
                           more grounds near Bagdad, Ky.                                                                with a special focus on
                           KCP founded the one-week camp                                                                breast cancer in Maysville
                           for children with cancer in 1981                                                             in May 2005. More than
                           and provides continuing leadership.                                                          150 women attended the
                           KCP Cancer Control Specialist Amy                                                            educational/fun gathering,
                           Steinkuhl directs the Camp, now                                                              which served as both the
                           operated by an independent group.                        Maysville Community and Technical College’s seniors seminar
                           See page 8.                                              and a “Birthday Party” for local breast cancer survivors. The
                                                                                    event was part of a statewide campaign led by Mrs. Fletcher.
                                                                                    KCP provided cancer information and materials. See page 15.
Decked out as spring flowers, four
cancer survivors celebrated life
at the KCP’s 6th Annual Cancer                                                      Jeannette Maria, right, a community
Survivorship Celebration at the                                                     health educator, or promotora, dis-
University of Louisville James                                                      cusses breast cancer screening with an
Graham Brown Cancer Center in                                                       Hispanic woman in September 2005 in
May 2006. More than 1,200 people                                                    Louisville. Through KCP’s Cultivando La
attend the popular event each year. See page 18.                                    Salud program, 10 promotoras educate
                                                                                    Hispanic women about breast health
                                                                                    in Shelby, Jefferson and Hardin coun-
                         Anthony Roberts embraces Meg, a                            ties. See page 19.
                         border collie and a certified Love on
                         a Leash (LOAL) therapy dog owned
                         by Alyce Grover of Somerset, during
                         Meg’s visit to Manchester Memorial                                                      State Rep. Darryl Owens, a prostate
                         Hospital in March 2005. KCP helped                                                      cancer survivor, talked with internist
                         found the Somerset chapter of LOAL                                                      Anthony Remson at KCP’s an-
                         in 2004. See page 23.                                                                   nual Father’s Day Prostate Cancer
                                                                                                                 Screening in Louisville in June 2005.
                                                                                                                 The event is part of KCP’s Healthy
KCP helped form the North-                                                                                       Fathers for Kentucky Families initia-
ern Kentucky Regional Cancer                                                                                     tive. See page 19.
Partnership in 2003 to carry
out comprehensive cancer con-
trol activities in that part of the                                                 Gastroenterologist Russell
state in collaboration with the                                                     Carter and his wife, Caron,
Kentucky Cancer Consortium.                                                         brought their children to see
The Partnership’s leaders are                                                       the Colossal Colon exhibit at
KCP Cancer Control Specialist                                                       Kentucky Oaks Mall in Paducah
Kathy Rack, standing; Louise Kent, left, of the Northern Ken-                       in February 2006. The five-day
tucky Independent Health District; and Rusty Sheehan of the                         exhibit attracted 7,000 people.
American Cancer Society. See page 25.                                               It was funded by a grant from
                                                                                    the Kentucky Cancer Con-
                                                                                    sortium and contributions from local groups, including Carter’s
                                                                                    Paducah medical practice. See page 27.

                                                              Kentucky Cancer Program
                                  Editors: Debra Armstrong, Connie Sorrell, Carol Hurst, Gloria Sams, Suzanne Froelich
                                                         Layout and Design: Suzanne Froelich
                       DIRECTORS’ MESSAGE

                              Dr. Means                    Dr. Miller

    We are pleased to present the 2004-2006 Biennial Report of the Kentucky Cancer
    Program (KCP), a state-funded cancer control organization operated by the University
    of Kentucky Lucille Parker Markey Cancer Center and the University of Louisville
    James Graham Brown Cancer Center. Kentucky is unique in having an academic-based,
    statewide cancer control network that includes 12 regional offices and 15 district cancer
    councils. This report focuses on how KCP has served Kentuckians during the last bien-
    nium through education, service, collaboration and research.

    Tobacco, the single most preventable cause of cancer and many other diseases, is a
    major challenge in Kentucky, where the adult smoking rate is the highest in the nation.
    We are proud of KCP’s coordinated statewide effort to help more Kentuckians become
    non-smokers. KCP also made significant progress in its initiative to educate health care
    providers about the importance of recommending regular cancer screenings to patients.
    Comprehensive cancer control is a third area in which KCP has made great strides. These
    and many other activities are described on the following pages of this report.

    KCP and its cancer control partners have created significant momentum during the last
    biennium. We are confident that their collaborative energy and commitment will continue
    through the next biennium and beyond — until cancer is no longer a health crisis in our

         Robert T. Means, Jr., MD                        Donald M. Miller, MD, PhD
         Interim Director                                Director
         Lucille Parker Markey Cancer Center             James Graham Brown Cancer Center
         University of Kentucky                          University of Louisville

The Mission of the Kentucky Cancer Program
 is to reduce cancer incidence and mortality
      by promoting cancer education,
       research and service programs.

                                                  TABLE OF CONTENTS

        Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
        Education. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
        Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
        Collaboration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
        Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

                                                      KCP REGIONAL OFFICES

        Barren River District . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
        Big Sandy District . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
        Bluegrass District . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
        Buffalo Trace District . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
        Cumberland Valley District . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
        FIVCO District . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
        Falls District . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-19
        Gateway District. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
        Green River District . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
        Kentucky River District . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
        Lake Cumberland District . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
        Lincoln Trail District . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
        Northern Kentucky District. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
        Pennyrile District . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
        Purchase District. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Kentucky Cancer Program
                                           During the last biennium in Kentucky:
2365 Harrodsburg Road, Suite B100
Lexington, KY 40504
Phone: (859) 219-0772                      •   Some 265 people across the state were trained to lead local
                                               classes in the Cooper/Clayton Method to Stop Smoking.
Debra Armstrong, MSW, MPA                  •   A Cooper/Clayton self-help version was developed and evalu-
Community Program Director                     ated in a study involving 320 Kentucky smokers.                            •   6,000 health care professionals received self-study courses or
                                               educational toolkits to help them motivate their patients to get
Andrea Tapia, MsEd                             regular cancer screenings and/or quit smoking.
Cancer Control Specialist                  •   15 communities received $10,000 mini-grants to raise local
                                               awareness of colorectal cancer screening.
Suzanne Froelich, BS
                                           •   4,700 men received free prostate cancer screenings.
Communications Coordinator                 •   2,600 women ages 65 to 69 attended regional “birthday parties”                            that offered fun as well as education about breast and cervical
                                               cancer screening.
Diane Frasure
Administrative Associate                   On the following pages of this biennial report, you will read about
                                           these and other successes of the Kentucky Cancer Program (KCP)
                                           and its many partners during the last biennium. In July 2006, KCP
UNIVERSITY OF LOUISVILLE                   was invited to discuss many of these programs at the World Cancer
                                           Congress sponsored by the International Union Against Cancer in
Kentucky Cancer Program
                                           Washington D.C. KCP cancer control specialists gave 10 presen-
501 E. Broadway, Suite 160
                                           tations on topics such as increasing colorectal cancer screening,
Louisville, KY 40202
Phone: (502) 852-6318                      building community health capacity, and assessing tobacco cessation
Phone: (502) 852-6318                      methods.

Connie Sorrell, MPH                        Clearly, KCP is a national model in cancer control with its unique
Associate Director, Community Outreach     network of regional offices and its commitment to fighting cancer
Brown Cancer Center                        through education, service, collaboration and research. Here is how                      KCP served Kentuckians during 2004-2006:

Carol Hurst, RN
Assistant Director

Celeste Worth, BHS, CHES
Professional Education Manager
                                             Breast cancer
Sarah Walsh, MPH, CHES
                                            survivors Mary
ProgramCoordinator                          Lou Brown, left,                       and Doris Fite
                                              enjoyed getting
Vanessa Goble                             together at a Breast
Adm. Secretary                             Cancer Symposium
                                         held at the Center for
Michele Weaver                              Rural Development
Program Assistant                                  in Somerset in
                                             October 2004. KCP
                                         co-sponsored the event,
                                            which was attended by

                KCP Cancer Control Specialist
              Tonya Pauley, standing, discusses
                 cessation with participants at
               a training for facilitators of the
                  Cooper/Clayton Method to
             Stop Smoking. The training was
               held at the Eastern Kentucky
              Veterans Center in Hazard in
                                 March 2005.

    KCP met the cancer education needs of cancer patients and their families, the public, and
    health professionals in myriad ways during the last biennium, including:

    Cooper Clayton Method to Stop Smoking
    Smoking is the most preventable cause of death in the United States, accounting for 30
    percent of all cancer deaths and 87 percent of all lung cancer deaths. In Kentucky, adult
    smoking rates are the highest in the nation. To help more Kentuckians become non-smok-
    ers, KCP worked to increase the number of Cooper/Clayton Method to Stop Smoking classes
    offered across the state. Developed by retired University of Kentucky (UK) dentistry profes-
    sor Thomas Cooper and UK addiction expert Richard Clayton, the science-based, program
    combines nicotine replacement therapy with skills training and support. Studies have shown
    the program to be highly effective.

    Since 2001, KCP and Drs. Cooper and Clayton have trained more than 700 people (265 in
    the last biennium) across Kentucky to facilitate local classes. Refresher courses are offered
    to keep facilitators up-to-date on cessation resources and research. In addition, KCP offers a
    statewide schedule of classes and trainings, as well as a “Facilitator Toolkit” of promotional
    and classroom materials, on its Web site at

    Thanks to the combined efforts of KCP, Kentucky Department for Public Health (KDPH)
    tobacco coordinators, health care facilities, and community groups, Cooper/Clayton classes
    were offered in almost all of Kentucky’s 120 counties during the last biennium.

    Healthy Fathers for Kentucky Families
    After heart disease, prostate cancer is the second leading cause of death among men nation-
    ally and in Kentucky. To increase awareness of this deadly disease, KCP expanded its Healthy
    Fathers for Kentucky Families prostate cancer education and screening campaign during the
    last biennium. The campaign’s goal is to educate men, empower them to make informed deci-
    sions about their health, and facilitate access to prostate cancer screening.

    In West Louisville, KCP and its Kentucky African Americans Against Cancer (KAAAC)
    coalition continued its longstanding tradition of sponsoring a free prostate cancer screening
    each year. At more than a dozen other locations in the western side of the state, KCP and its
    partners held screenings at hospitals, clinics and churches. In addition, the National Prostate
    Cancer Coalition’s mobile van visited the Kentucky State Fair in 2004 and 2005 through the
    efforts of KCP, local physicians, the Kentucky Prostate Cancer Coalition, and former Lt. Gov.
    Stephen Henry and his wife, Heather French Henry, Miss America 2000.
During the last biennium, Healthy Fathers for Kentucky Families activities resulted in more
than 4,700 men being screened.

Providers Practice Prevention                TM

Studies have shown that people are much more likely to have regular cancer screenings and/or
quit smoking if their health care provider recommends it. To encourage Kentucky health care
professionals to recommend these life-saving actions and provide the recommended treatment
to their patients routinely, KCP developed Providers Practice Prevention. This is a nationally
recognized series of provider self-study courses and educational presentations that offers the
latest scientific information, clinical guidelines, office tools/systems, and patient education
materials. The courses include continuing education (CE) credits. The series was created in
collaboration with Kentucky Department for Public Health, the Centers for Disease Control
and Prevention (CDC), the Kentucky Medical Association, and other organizations.

During the last biennium, KCP developed and distributed three new Providers Practice Pre-
vention offerings: a guide on breast cancer screening and treatment in Kentucky, a colorectal
cancer screening toolkit, and a video self-study CE program, “Treating Tobacco Use and De-
pendence During Pregnancy.” Since the series began 10 years ago, 6,000 health care provid-
ers have participated in the self-study courses, and 17,000 educational materials have been
distributed statewide.

                                                                    Kenzie Jenson, age 8

                                                   KCP continued to support Indian Summer
                                          Camp throughout the last biennium. The annual
                          program gives children who have or have had cancer a break from
           their illness while they enjoy water sports, sing-a-longs, archery, crafts, and
           other fun activities. These photos of campers in July 2006 — when the program
           celebrated its 25th annivesary at the Camp Cedarmore facility in Badgad, Ky.
           — show that a good time was had by all.

            Louisville chef Lynn Winters, left,
    demonstrates healthy cooking techniques
       for author Nora Roberts, center, and
     emcee Heather French Henry at KCP’s
        Sixth Annual Cancer Survivors Day
     Celebration in May 2006 at the Brown
               Cancer Center in Louisville.

    Cancer Health Disparities
    KCP has a longstanding commitment to developing evidence-based cancer education pro-
    grams for Kentucky populations at high risk for the disease due to genetic, social and/or
    economic factors. Regionally based KCP cancer control specialists are trained to develop
    culturally appropriate cancer education programs that address limited literacy and language,
    poverty, lack of insurance, limited access to quality care, and other barriers. KCP efforts are
    focused on Appalachians, African Americans, Hispanics, Asians, and other non-English speak-
    ing Kentuckians. Among the many programs KCP provides for high-risk groups are:

    •   Kentucky African Americans Against Cancer (KAAAC), a Louisville-based coalition that
        is part of the National Cancer Institute’s National Black Leadership Initiative on Cancer
        (NBLIC) to reduce racial and ethnic related disparities.
    •   Cultivando la Salud, a science-based program developed by the National Center for
        Farmworker Health, which uses bilingual community health educators to reach rarely and
        never-screened Hispanic women.
    •   The Harriett B. Porter Cancer Education and Research Endowment, established in 2005
        to support research and help promote prevention and screening among African Americans
        in Louisville.
    •   TEAM-UP: Cancer Screening Saves Lives Project, a collaborative state and national part-
        nership to increase breast and cervical cancer screening rates among high-risk women in
        nine rural Appalachian counties in Kentucky. Nationally TEAM-UP is sponsored by the
        U.S. Department of Agriculture, the National Cancer Institute’s Cancer Information Ser-
        vice, the American Cancer Society, CDC, and the Cooperative Extension Service (CES).

    KCP serves all of Kentucky’s 120 counties through its unique network of regional offices.
    Because KCP cancer control specialists live in the areas they serve, they can provide effec-
    tive hands-on leadership to local cancer prevention and control activities. The KCP network,
    which resulted from a progressive vision by the Kentucky General Assembly, has been
    instrumental in keeping Kentucky at the forefront of community-based cancer prevention and
    control for 25 years. KCP served the Commonwealth in a wide variety of ways during the last
    biennium. Examples are:

    Colorectal Mini-Grants
    KCP worked with community partners across the state to obtain funding from the CDC,
    through the Kentucky Cancer Consortium, to increase awareness of colorectal cancer, the

                                                      Former Lt. Gov. and prostate cancer
                                                     survivor Dr. Steve Henry, left, discusses
                                                     the importance of screening with a
                                                     participant at the 2005 citywide walk at
                                                    Papa John’s Cardinal Stadium in Louisville.
                                                    KCP and KAAAC sponsored prostate
                                                    cancer screenings at the event.

second leading cause of cancer deaths in Kentucky. In 2005, mini-grants of about $10,000 each
were given to 15 Kentucky communities, where KCP cancer control specialists helped local
groups plan and implement awareness campaigns. See Regional Highlights for details (pages

KCP maintains and distributes Pathfinder: A Guide to Local Cancer Services and Resources in
each of the state’s 15 area development districts. The guides, which are updated annually, are
available at and (click on “Resources”).

Indian Summer Camp
Since its founding by KCP in 1981, the annual Indian Summer Camp program has provided
more than 1,250 childhood cancer patients a one-week vacation from their disease. One of
the first three camps for children with cancer in the United States, Indian Summer Camp is a
founding member of the Children’s Oncology Camps of America International. The independent
Friends of Indian Summer now administers the program, with continuing leadership and support
from KCP. In July 2006, the program celebrated its 25th anniversary in Bagdad, Ky., where 82
campers enjoyed a week of water sports, sing-a-longs, and other fun activities.

Collaboration is at the heart of KCP. Following are some of the ways in which KCP collaborates
with local and state-level cancer control partners to achieve common goals:

District Cancer Councils
The District Cancer Councils — one in each of the state’s 15 area development districts —con-
tinue to be among the state’s most valuable cancer control resources. The councils consist of
cancer survivors, physicians, nurses, social workers, business owners, government officials, and
others committed to reducing cancer in their communities. The councils work with local groups
and their local KCP cancer control specialist to review data from the Kentucky Cancer Registry
and develop local programs. They also generate ideas, mobilize communities, and promote use
of local cancer resources.

Comprehensive Cancer Control
KCP coordinated the Kentucky Cancer Consortium, a broad-based partnership charged with
implementing comprehensive cancer control in the state, during the group’s first four years. The

     partnership’s stated goal was to become a permanent forum led by its partner organizations.
     This goal was accomplished in June 2006 when administrative responsibility for the partner-
     ship moved from KCP at UK and UofL to the UK School of Public Health. During the last
     two years, the partnership, with KCP’s support, accomplished the following:

     •      Collaborated with the Kentucky Prevention Research Center (PRC) to obtain a $178,000
            grant from the CDC to fund 15 local campaigns to increase awareness of colorectal cancer
            and the importance of screening (see page 7).
     •      Identified increasing access to state-of-the-art cancer treatment and reducing inequity in
            the cancer burden as major cancer control objectives for Kentucky. Subsequently obtained
            $29,887 from CDC to consolidate existing cancer treatment data in the state and identify
            gaps and needs.
     •      Obtained $49,567 from CDC to hold a 2007 statewide summit and to develop a capacity-
            building mentoring program for Consortium groups.
     •      Secured $12,500 to sponsor SURVIVOR ALERT events in Louisville and Lexington. The
            events were part of a national campaign to educate young adult cancer survivors about the
            long-term effects of their treatment and the importance of long-term medical follow-up.
            KCP coordinated the national campaign.
     •      Co-sponsored trainings with the Kentucky PRC for Regional Cancer Partnerships on (1)
            colorectal cancer and (2) the use of evidence-based practices. Co-sponsored conferences
            with the Kentucky Women’s Cancer Screening Program on (1) building coalitions and
            (2) developing cancer screening interventions. More than 260 people attended the four

     Breast and Cervical Cancer Coalitions
     During the last biennium, KCP and KDPH continued to support more than 50 community co-
     alitions, which link eligible women ages 40-64 to free and low-cost breast and cervical cancer
     screenings and treatment at their local health department. KCP began the coalitions 10 years
     ago with funds from the CDC’s National Breast and Cervical Cancer Early Detection Program.
     The coalitions are made up of survivors, community groups, and representatives from health
     departments, hospitals, Cooperative Extension Services, cancer organizations, and area busi-
     nesses. In the last two years, KCP has helped the coalitions plan hundreds of educational and
     screening programs. KCP also helped plan the coalitions’ statewide conferences in 2005 and
     2006 and co-hosted the conference in 2005.

     First Lady’s Statewide
     Mammography Campaign
     For more than a decade, KCP and Kentucky First La-
     dies have worked hand-in-hand to reduce breast can-
     cer deaths in the state. Celebrate Your Birthday with a
     Mammogram is a statewide campaign begun during the
     last biennium by KCP, First Lady Glenna Fletcher, and
     Health Care Excel. Through this initiative, more than

                 Carl Dobbs of Somerset, at left with wife Elizabeth,
          successfully became smoke-free in June 2005 by using the
             Cooper/Clayton Method to Stop Smoking Self Help Kit.
         Dobbs was one of 320 Kentucky smokers who participated
             in a statewide evaluation of the kit, conducted by KCP in
         collaboration with Drs. Thomas Cooper and Richard Clayton.

150,000 women ages 65-69 received cards on their birthday encouraging them to schedule an ap-
pointment with their health care provider for breast, cervical and colon cancer screenings. During
the last two years, KCP organized 30 such parties attended by 2,600 women. The campaign also
included TV and radio ads promoting free and low-cost cancer screening for low-income women
through the Kentucky Women’s Cancer Screening Program and Medicare.

If knowledge gained through cancer research is to save lives, the public must share in that knowl-
edge. KCP serves as a bridge between the scientific community and the public by explaining the
latest cancer research findings in easy-to-understand language. KCP educates people about clinical
trials (research studies with people) and provides information on trials underway in Kentucky.
Examples of KCP’s involvement in research during the last biennium are:

Cooper/Clayton Self Help Pilot Study
An initial study of the newly developed Cooper/Clayton Method to Stop Smoking Self-Help Kit
compared the self-help version with the original 13-week program, which is conducted in a group
setting. It showed that smokers who used either version of the Cooper/Clayton program were four
times more successful in quitting than smokers who tried to quit on their own. In collaboration
with Drs. Richard Clayton and Thomas Cooper and a statewide advisory group, KCP conducted
an expanded study in 2006 that confirmed the effectiveness of the self-help version. The study
involved 320 Kentucky smokers. Each received a self-help kit, postcards of encouragement, and
access to online and community resources. When KCP followed up with the participants 12 weeks
later, 27 percent were tobacco-free. Of those, 77 percent remained non-smokers at 24 weeks.

                                      Marty Driesler Cancer Project
                                      In February 2004, U.S. Rep. Hal Rogers and UK President
                                       Lee Todd announced receipt of a CDC grant to fund the
                                       Marty Driesler Cancer Project, a first-of-its-kind health
                                       care initiative. The project — named for Rogers’ former
                                        chief of staff, who died of lung cancer — was aimed at
                                        increasing survival rates for people with deadly cancers in
                                         Kentucky’s Fifth District. KCP worked with local groups,
                                         the UK Markey Cancer Center, and UK faculty to gener-
                                         ate research studies in cancer prevention, early detection,
                                          and treatment of lung, liver and esophageal cancers.
                                          One major arm of the project was the Burden of Lung
                                           Disease (BOLD) study, which focused on Chronic
                                           Obstructive Pulmonary Disease (COPD). This disease

                                             A pink-and-white birthday cake draws admirers at
                                             the Breast Cancer Symposium held in October 2004
                                             at the Center for Rural Development in Somerset.
                                              More than 200 women attended the event, which
                                              was sponsored by the Lake Cumberland Regional
                                               Hospital and Alton Blakley Ford and co-sponsored
                                               by KCP and the American Cancer Society.

     Each August, mammograms and free postate, skin and
     oral cancer screenings are provided to thousands of
      Kentuckians in the Health Horizons section of the
       Kentucky State Fair. KCP coordinates with other
          organizations and recruits volunteers for the
                             10-day event in Louisville.

     is the fourth leading cause of death in Eastern Kentucky and may increase the risk for lung cancer.
     KCP helped recruit 600 participants, schedule interviews, and link participants to resources. Part
     of an international study, BOLD was led by David Mannino of the UK College of Public Health
     and the UK Markey Cancer Center. The project also focused on expanding access to smoking
     cessation classes in the Fifth District. KCP worked with local groups and Drs. Thomas Cooper and
     Richard Clayton to step up facilitator trainings for the Cooper/Clayton Method to Stop Smoking.
     During the 18-month project, 106 Cooper/Clayton facilitators were trained and 33 classes were
     offered in the district.

     KCP partnered with CDC and Community Media Productions in Yellow Springs, Ohio, to plan,
     conduct and evaluate a national campaign to educate young adult survivors of childhood cancer
     about the long term-effects of cancer treatment and the importance of continued medical follow-
     up. Called SURVIVOR ALERT, the campaign involved a series of educational events held around
     the country in 2006 at major follow-up care clinics. The goal was to raise awareness of young adult
     survivorship issues and inspire young adult survivors to obtain long-term care. The events were
     held in conjunction with A Lion in the House, a groundbreaking documentary on childhood cancer
     that aired nationwide June 21 - 22, 2006 on Public Broadcasting Service stations.

     KCP recruited participating clinics, developed an educational Web site, and created promotional
     and planning materials for the clinics. In 2007, KCP will evaluate the initiative, continue to main-
     tain the Web site, and provide support to additional groups hosting educational events for young
     adult survivors.

     KCP regional offices sponsored a wide variety of local cancer-related activities and events during
     the biennium. Learn more in the KCP Regional Highlights on the following pages.

     BARREN RIVER                          The Barren River District continued to explore innovative strategies to address lo-
                                           cal cancer problems during the last biennium. Highlights include:
                                           •   Through the efforts of the Kentucky Cancer Program (KCP), community part-
                                               ners, and business leaders in the district, more than 1,700 people received skin
                                               cancer education at schools, work sites, and safety camps. An additional 3,000
                                               people used a portable Dermascan to view the sun damage on their faces. At
                                               these events, KCP instructed participants on the use of sunscreen and offered
                                               easy ways to protect skin from additional sun damage.

                                           •   The Barren River Regional Cancer Partnership, coordinated by KCP, received
                                               almost $10,000 from the Centers for Disease Control and Prevention to in-
Serving Allen, Barren, Butler, Edmonson,
                                               crease awareness of colon cancer screening. The Partnership brought together
Hart, Logan, Metcalfe, Monroe, Simpson
and Warren counties                            hospitals, health departments, Cooperative Extension Service offices, senior
                                               centers, and others to offer educational colon cancer seminars attended by
Kentucky Cancer Program                        more than 400 people. At least 280 people received home-test kits to detect
2530 Scottsville Road, Suite 3                 blood in the stool (with an exceptional return rate of 62 percent). The Partner-
Bowling Green, KY 42104                        ship also distributed posters and literature to increase colon cancer awareness.
Phone: (270) 842-0950
                                           •   In response to the state’s high smoking rates, KCP introduced Smoke Check,
Elizabeth Westbrook, BS, CHES                  an innovative tool that measures carbon monoxide levels. Participants are pro-
Cancer Control Specialist                      vided information on the health consequences of smoking, cessation resources,
                                               and local cessation classes.
Catherine Wagner
Program Assistant                          •   KCP, with Drs. Thomas Cooper and Richard Clayton, trained 100 health care
                                               professionals from several districts to become facilitators for the Cooper/Clay-
DISTRICT CANCER COUNCIL                        ton Method to Stop Smoking. The facilitators received resources to help them
Peggy Allen                                    organize, promote and implement classes in local communities and work sites.
Georgina Brackett
Re Jeana Coleman                           •   The KCP Cancer Control Specialist visited local gynecologists to review
Kelly Day                                      breast and cervical cancer screening and treatment resources available through
David Dunn                                     the Kentucky Department for Public Health. The KCP specialist gave physi-
Diane Eakles                                   cians an overview of cancer screening services for uninsured and underinsured
Kathy Frick
                                               women in the region and a copy of a newly printed reference guide to breast
Sylvia Gaiko
                                               cancer screening and treatment in Kentucky. The guide was developed by KCP
Edna Hawkins
Wayne Higgins                                  and the Kentucky Women’s Cancer Screening Program.
Lisa Houchin
Janet Johnson                              •   Increasing mammograms among women over 40 was the goal of a series of
Lucy Juett                                     “birthday parties” held in Glasgow and Bowling Green. KCP sponsored the
Debbie McCarty                                 parties as part of a statewide campaign featuring First Lady Glenna Fletcher.
Chris Nagy                                     More than 180 women participated in these fun educational events.
Thomas Nicholson
Christy Ramey                              •   KCP, Greenview Regional Hospital, and local urologists organized free pros-
Beverly Siegrist                               tate cancer screenings that served more than 370 men. To kick off Prostate
Donna Sims
                                               Cancer Awareness Month (September), former Lt. Gov. Steve Henry and his
Mary Jo Sims
                                               wife, Heather French Henry, were featured speakers at a community breakfast.
Rebecca Tandy
Brent Wright
                                           •   KCP continued to work with the Warren County Breast and Cervical Cancer
                                               Coalition and the Monroe County Cancer Coalition to plan and implement
                                               activities designed to educate women about the importance of screening and
                                               the availability of low-cost services through local health departments.

                                           •   KCP sponsored keynote speaker Fern Carness at the Medical Center of Bowl-
                                               ing Green’s 2004 A Day Just for Women conference. Carness discussed breast
                                               cancer at the popular event, which focused on healthy lifestyles and behaviors.
                                               More than 400 women attended.
Under the name Cancer Advocates of the Big Sandy (CABS), the Kentucky Cancer
Program (KCP) and local community groups in the Big Sandy District worked on
                                                                                                 BIG SANDY
the following regional partnerships during the last biennium:                                     DISTRICT
•    KCP partnered with the Leonard Lawson Cancer Center at the Pikeville Medical
     Center to open a cancer resource area in the center lobby for survivors, caregiv-
     ers, and the public. Specific cancers are featured in connection with monthly
     national awareness campaigns. The KCP Cancer Control Specialist assisted
     patients, family members, and health care professionals in accessing cancer
     information online. The Cancer Control Specialist serves on the center’s Cancer
                                                                                         Serving Floyd, Johnson, Magoffin, Martin
•    The KCP Cancer Control Specialist participated in a panel discussion on             and Pike counties
     colorectal cancer screening as part of an Issues and Answers program that aired
                                                                                         The Kentucky Cancer Program
     on WYMT-TV in Hazard 10 times during 2005-2006. The 30-minute program
                                                                                         14 Logan St., Suite 210
     was part of a colorectal cancer awareness campaign in Floyd and Pike counties.
                                                                                         Jeff, KY 41751
     The campaign also included distribution of 150 FOBT kits for colorectal cancer      Phone: (606) 487-8360
     screening and 14 billboards with the message: Colorectal Cancer: Beatable,
     Treatable, Preventable. Funding for the campaign came from a University of          also: PO Box 1208
     Kentucky Cooperative Extension Service (CES) Health Education through               Hazard, KY 41702
     Extension Leadership (HEEL) grant, which the KCP Cancer Control Specialist
     helped write.                                                                       Becky Simpson, MSSW
                                                                                         Cancer Control Specialist
•    KCP and CABS received a mini-grant in 2006 from the Centers for Disease   
     Control and Prevention as part of a statewide Kentucky Cancer Consortium
                                                                                         Alice Combs
     project to raise awareness of colorectal cancer screening. The group developed
                                                                                         Staff Assistant
     a tool kit, No If’s And’s or Butt’s About It… Stay Healthy, Get Your Colorectal
     Checkup Today!, which was sent to 120 local physicians. The kit contained           DISTRICT CANCER COUNCIL
     information on screening options, where to go for a colonoscopy in each of the      Sharon Branham
     district’s five counties, an American Cancer Society video, and educational fact    Lee Carter
     sheets in English and Spanish.                                                      Pam Collier
                                                                                         Garnett Fairchild
•    Floyd, Johnson, Magoffin and Martin counties were served by Kentucky TEAM           Leisa Hopkins
     UP, a breast and cervical cancer project in Eastern Kentucky. TEAM UP is a          Theresa Collins
     national pilot project to increase breast and cervical cancer screening among       Raghuram S. Modur
     rarely and never-screened women in Kentucky and five other states. Educational      Bertie Kaye Salyer
                                                                                         Thursa Sloan
     tools with the theme Wise Eastern Kentucky Women Take Care of Themselves
                                                                                         Oretha Stanley
     were created for local women. KCP worked with CES agents and health depart-
                                                                                         Chrise Taylor
     ments to provide a train-the-trainer program for 33 Homemaker Club leaders          Pat Willis
     and community members in Magoffin, Martin and Floyd counties. In addition,
     KCP participated in a kick-off event in Johnson County to promote cancer
     awareness. The national TEAM UP project concludes in June 2007.

•    KCP partnered with the Pike County Health Department in July 2006 to host a
     reunion of 30 people who have become non-smokers through Cooper/Clayton
     Method to Stop Smoking classes. The group posed for a photo which was fea-
     tured on a billboard to encourage others to become non-smokers. There are now
     42 Cooper/Clayton facilitators trained in the district’s five counties.

•    In October 2006, KCP, the US TOO! prostate cancer support group, and the
     Wesley Christian Academy sponsored a golf scramble to raise money for the
     academy and to promote prostate cancer awareness. The event was held at
     Stumbo Park Golf Course in Floyd County. Sixty golfers received information
     on prostate cancer and screening guidelines. The support group provided infor-
     mation on prostate changes and treatment choices.

            BLUEGRASS                               Highights of the Kentucky Cancer Program’s (KCP) many activities in the Blue-
                                                    grass District during the last biennium include:
                                                    •   People throughout the District can now eat out in safer, healthier restaurants
                                                        thanks to smoke-free policies enacted during the last biennium. Georgetown
                                                        in Scott County passed a smoke-free ordinance in 2005, following in the
                                                        footsteps of Lexington, which had passed a similar one two years earlier. In
                                                        Bourbon County, 14 of 17 family-style restaurants went smoke-free vol-
                                                        untarily during the last few years. These successes are the result of public
                                                        health organizations cooperating and collaborating for positive change.

Serving Anderson, Bourbon, Boyle, Clark, Estill,    •   In Fayette County, KCP was an active member of the Bluegrass Coalition
Fayette, Franklin, Garrard, Harrison, Jessamine,
                                                        on Colorectal Cancer, a group of physicians and other health care profes-
Lincoln, Madison, Mercer, Nicholas, Powell, Scott
and Woodford counties                                   sionals. The Coalition sponsored a prime-time call-in show on WLEX-TV
                                                        in Lexington in March 2006. The show offered information about screen-
Kentucky Cancer Program                                 ing recommendations, interviews with local survivors, and the opportunity
2365 Harrodsburg Road, Suite B100                       for viewers to ask physicians questions. More than 120 calls were received
Lexington, KY 40504                                     during the hour-long show, which reached an estimated 35,000 viewers. In
Phone: (859) 219-0772                                   addition, a Web site featuring information on colorectal cancer screening
                                                        was established.
Amy Steinkuhl, MA
Cancer Control Specialist, Bluegrass West                                     •   KCP worked with the Lincoln County Breast Cancer Coalition to increase
                                                        screenings for breast and cervical cancer. The Coalition held a Lunch and
Melissa Morrison, MA                                    Learn event in Stanford in October 2005. Thirty-two women and three
Cancer Control Specialist, Bluegrass East               physicians attended the event, which was capped off by Johnna Atkinson                                    Bigelow’s performance of “Stepping Into the Ring,” a monologue written by
                                                        breast cancer survivor Nichole Johnson.
Peggy Seithers                                      •   More than 120 women were screened for breast and cervical cancer at quar-
Cyndi Steele                                            terly Ladies Health Days at the Estill County Health Department. The events
Victoria Meyer                                          were sponsored by KCP, the health department, and the Estill County Cancer
Tami Kelder                                             Coalition. The coalition also had great success in reaching out to rarely and
Thomas Cooper                                           never-screened women by partnering with the local U.S. Department of
Arlayne Francis
                                                        Agriculture Commodity Program.
Michelle Bushong
Darlene Richardson
Cheryl Case                                         •   With the assistance of KCP and the Woodford County Health Department,
                                                        40 people, including representatives from nine local businesses, met in Au-
BLUEGRASS WEST                                          gust 2005 to form a local cancer coalition. The new Coalition subsequently
DISTRICT CANCER COUNCIL                                 planned and conducted a Breast Cancer Ribbon Campaign during October
Brenda Combs                                            2005 to increase breast cancer awareness and screening. Beauticians at eight
Debbie Howes-Flemming
                                                        local hair salons and representatives from the Health Occupation Student
Brandon Hurley
Joan Scales                                             Association worked with K Mart and Kroger pharmacies to provide cancer
Shana Perterson                                         screening information to customers during the month.
Andrea Brown
Emily Steer                                         •   The KCP Cancer Control Specialist served as co-chair of the Mayor’s Breast
Lee Ann Taylor                                          Cancer Task Force in Lexington. The task force co-sponsored several breast
Luci Hockersmith                                        cancer screening events at the Lexington-Fayette County Health Depart-
Amanda Bibb
                                                        ment. The events targeted Hispanic women and rarely or never-screened
Geri Tincher
Amanda Lancaster                                        women. The task force also produced a 2005 calendar featuring local breast
Cheri Johnson                                           cancer survivors. The calendars, which offered screening guidelines, were
                                                        given free to low-income women and were sold at area businesses to raise
                                                        money for Task Force projects.

The Buffalo Trace Region has been identified as having a high number of adults
who smoke, as well as high incidence and mortality rates for colorectal cancer.
                                                                                         BUFFALO TRACE
Consequently, smoking cessation and colorectal cancer awareness were priorities             DISTRICT
for the Kentucky Cancer Program (KCP) and its partners in the last biennium. A
third top priority was maintaining a focus on breast cancer screening awareness.

•    In March 2005, KCP joined forces with Maysville Community and Techni-
     cal College, Licking Valley Community Action Program, and the Buffalo
     Trace Area Agency on Aging to offer a 2005 Seniors Seminar with a special
     focus on breast cancer awareness. Kentucky First Lady Glenna Fletcher was
     the featured speaker. There were 130 attendees from all five counties in the
     district.                                                                         Serving Bracken, Fleming, Lewis, Mason and
                                                                                       Robertson counties
•    In May 2005, the KCP offices in Maysville, Morehead, Highland Heights,
     and Lexington coordinated a conference on the psychology behind addic-            Kentucky Cancer Program
     tions such as smoking, alcohol abuse, and overeating. The conference, Seeing      909 Kenton Station Drive, Suite C
     Through the Smoke: Addiction and Beyond, featured several experts, includ-        Maysville, KY 41056-9609
     ing Drs. Thomas Cooper and Richard Clayton. It was offered in three loca-         Phone: (606) 759-0300
     tions: Northern Kentucky, Morehead and Ashland. About 140 tobacco control
     specialists, health care providers and educators, and community members           Trina Winter, BA, CPP
                                                                                       Cancer Control Specialist
     attended the three events.
•    The KCP Cancer Control Specialist served on the Buffalo Trace Agency for          DISTRICT CANCER COUNCIL
     Substance Abuse Policy (ASAP) Advisory Board during the biennium. In              Allison Adams
     February 2006, KCP’s Louisville-based Professional Education Manager              David Bolt
     spoke at a local physicians conference on counseling pregnant smokers to          Karen Hall
     quit. About 30 other physicians in the district viewed the presentation by        Angie Mitchell
     teleconference.                                                                   Teresa Plymesser
                                                                                       Monica Smith
•    KCP provided informational packets on the Cooper/Clayton Method to Stop           Pam Tribby
     Smoking to 55 primary care providers and specialists in all five Buffalo Trace    Caroline Ullery
                                                                                       Terry Whalen
     counties. The packets included information to help providers refer patients
     who smoke to local cessation resources and services.

•    From March 2005 to June 2006, the local Regional Cancer Partnership con-
     ducted a colorectal cancer screening campaign, with funding from the Centers
     for Disease Control and Prevention, thrugh the Kentucky Cancer Consortium.
     The Partnership, which was coordinated by KCP, included the American Can-
     cer Society, the local health department, and community groups. The cam-
     paign consisted of 11 oral presentations reaching some 480 people; billboards
     in Fleming, Lewis, Mason and Robertson counties; newspaper ads in seven
     regional newspapers (four of which featured personal survivor stories); and
     203 radio spots. In addition, 25 posters and information tear-off pads were
     provided to physicians for use with their patients.

•    In October 2005, 15 people learned how to facilitate Cooper/Clayton classes
     in a training held at Blue Licks State Park in Robertson County. KCP worked
     to ensure that each county had trained facilitators and supported the facilita-
     tors with information, resources and encouragement.

•    The KCP Cancer Control Specialist appeared on Maysville’s WFTM-AM
     True to the Farm program the fourth Tuesday of each month. Topics included
     cancer prevention, detection, treatment, quality of life, and other cancer-re-
     lated issues. The show reaches 198,000 listeners.

  CUMBERLAND                                 The spirit of cancer control and cooperation was reinvigorated in the Cumberland
                                             Valley District during the last biennium. Helen Keller’s quote, “Alone we can do
 VALLEY DISTRICT                             so little, together we can do so much,” was definitely the motto for the district’s
                                             successful partnerships.

                                             •   Since January 2006, the Kentucky Cancer Program (KCP) provided informa-
                                                 tional packets on the Cooper/Clayton Method to Stop Smoking program to
                                                 more than 100 health care providers in the district. The information focused
                                                 on smoking cessation and the impact providers could have if they recom-
                                                 mended that their patients stop smoking.
Serving Bell, Clay, Jackson, Harlan, Knox,
Laurel, Rockcastle and Whitley counties      •   In May 2006, KCP and Manchester Memorial Hospital sponsored a Cooper/
                                                 Clayton class for eight hospital employees. After the training, the Hospital
Kentucky Cancer Program                          was a leading force in helping Clay County smokers to quit. The Hospital
14 Logan St., Suite 210                          offered a Cooper/Clayton class, presented information about the program
Jeff, KY 41751                                   at several health events, and wrote grants to support the cost of nicotine
Phone: (606) 487-8360                            replacement products for participants.

also: PO Box 1208                            •   The KCP Cancer Control Specialist worked closely with community partners
Hazard, KY 41702                                 to help form the Clay County Cancer Coalition. The first meeting was held
                                                 in April 2006 at the National City Bank in Manchester. Within months the
Tonya Pauley, BA, MA
                                                 coalition developed bylaws, elected officers and an executive board, received
Cancer Control Specialist                                501c3 status, recruited more than 100 community members, and raised over
                                                 $15,000. Much of this money has been distributed to cancer patients already.
Alice Combs                                      In 2006, the Clay County Chamber of Commerce nominated the Coalition as
Staff Assistant                                  one of three outstanding organizations in the area.

DISTRICT CANCER COUNCIL                      •   In June 2005, KCP and the Tri-County Cancer Coalition sponsored a breast
Paul Abney                                       cancer awareness and survivor “birthday party” at Sacred Heart Catholic
Alesia Anderson                                  Church in Corbin, Ky. First Lady Glenna Fletcher shared her hopes for
Charlotte Brewer                                 greater breast cancer awareness among Kentucky women, especially those
Lisa Clark
                                                 65 and older. About 300 women learned about breast cancer prevention and
Kathleen Croley
                                                 screening at the event.
Roberta Dean
Kathy Fields
Marti Harris                                 •   KCP continues to be an active member of the Harlan County Partners
Danny Hatfield                                   Against Cancer Coalition. In May 2006, the Coalition sponsored a Ladies
Peggy Helton                                     Health Day at the Village Center Mall in Harlan. The theme was “Hats Off
Lora Lee Frazier-Howard                          To Breast Cancer.” More than 250 women participated in activities and
Leanne Herda                                     demonstrations focused on encouraging breast cancer screening. In addition,
Kathy Lay                                        numerous community partners sponsored cancer prevention and early detec-
Rita Miracle                                     tion booths.
Sherry Payne
Sallie Thayer
                                             •   The KCP Cancer Control Specialist responded to many requests from com-
                                                 munity organizations and groups to provide educational presentations and
                                                 exhibits on a wide variety of cancer topics. Activities ranged from booths at
                                                 health fairs and professional meetings to talks at schools, health care organi-
                                                 zations, churches, and civic groups.

                                             •   KCP conducted an annual community assessment for each county in the dis-
                                                 trict during the last biennium. The assessments included cancer data, as well
                                                 as demographic and health status information. The assessments were used as
                                                 guides in determining local cancer control needs and planning and imple-
                                                 menting activities with community partners throughout the district.

The Kentucky Cancer Program (KCP) has worked with multiple partners in
the FIVCO District to provide educational programs on cancer prevention and
                                                                                       FIVCO DISTRICT
early detection during the last biennium. There has been a strong focus on
providing outreach and increasing access for cancer screenings. A few of those
projects are highlighted here:

•    In August 2005, KCP partnered with the Marty Driesler Cancer Project,
     sponsored by the Markey Cancer Center and U.S. Rep. Hal Rogers of
     the 5th Congressional District, to conduct the Burden of Lung Disease
     (BOLD) study. BOLD was part of an international study on Chronic Pul-          Serving Boyd, Carter, Elliott, Greenup and
     monary Lung Disease (COPD). KCP helped recruit eligible participants           Lawrence counties
     for the study. Also involved in the study were the University of Kentucky
     Cooperative Extension Health Education Through Extension Leadership            Kentucky Cancer Program
     (HEEL) program, physicians and other health care professionals, public         The Blair Building
     health departments, and advocacy groups throughout the 5th District. The       291 East Main St.
     Centers for Prevention and Disease Control and Prevention (CDC) funded         Morehead, KY 40351
     the project.                                                                   Phone: (606) 784-6458

                                                                                    Lana Hunt, MA, MSW
•    KCP was active in promoting the Cooper/Clayton Method to Stop Smok-            Cancer Control Specialist
     ing program in the District. KCP provided information on local classes
     and facilitator trainings to people who called the statewide toll-free         Carolyn Gyurik
     Cooper/Clayton information line (1-866-495-9888). KCP also produced            Regional Cancer Control Associate
     and distributed informational packets about smoking cessation and local
     cessation resources and services to health care professionals.                 DISTRICT CANCER COUNCIL
                                                                                    Gwenda Adkins       Gerald Reams
•    In May 2005, a conference series, Seeing Through the Smoke: Addic-             Karen Bledsoe       Jennifer Reeves
     tion and Beyond, was offered in Ashland, Morehead and Northern                 Ellen Blevins       James Ross
     Kentucky. Drs. Thomas Cooper and Richard Clayton (developers of the            Donna Childers      Kay Runyon
                                                                                    Jan Church          Sue Schneider
     Cooper/Clayton Method) spoke on the psychology behind addictions such
                                                                                    Carol Cooper        Jennifer Sparks
     as smoking, alcohol abuse, and overeating. About 140 tobacco control           Sherry Davis        Nannette Stevens
     specialists, health educators, health care professionals, and community        Stephanie Derifield Betty Stewart
     members participated in the three conferences.                                 Jack Ditty          Michael Sullivan
                                                                                    Sarah Dunlap        Debbie Taylor
•    KCP participated in a new breast and cervical cancer screening coalition       Clara J. Elkins     Lourente Tigas
     called TEAM-UP. The group developed and distributed brochures, flyers,         Phyllis Ervin       Martha VanNatter
     church bulletin inserts, and other educational materials to women in nine      Vaughn Eskew        Vinay Vermoni
     Eastern Kentucky counties, including Elliott and Lawrence. The Coalition       Barb Fitzpatrick    Lesslie Wellman
     is part of a national campaign to increase screening for these two cancers     Lillian Gray        Aaron Williams
     among women in Kentucky and five other states. Nationally TEAM-UP              David Goebel        Pam Womack
                                                                                    Sherri Halstead     Kenneth R Hauswald
     is sponsored by the U.S. Department of Agriculture, the National Cancer
                                                                                    Kim Harrison
     Institute’s Cancer Information Service, the American Cancer Society,           Kim Hess
     CDC, and the Cooperative Extension Service (CES). In addition to KCP,          Susan Hunt
     Kentucky partners included the University of Kentucky CES’s Health             Kirti Jain
     Education Through Extension Leadership (HEEL) program, Kentucky                Dana Johnson
     Medicaid, Healthcare Excel (Medicare), Kentucky Homeplace, and Mar-            Greg Kiser
     cum and Wallace Medical Center in Irvine. The national project ends in         Janie Kitchen
     June 2007.                                                                     Krista Lee
                                                                                    Patricia Lee
•    KCP promoted a variety of cancer prevention and early detection activities     Mary Legenza
     sponsored by Kings Daughter’s Medical Center and Our Lady of Bellefon-         Jeffrey Lopez
                                                                                    Marla Martin
     te Hospital in Ashland. Many district residents participated in breast, skin
                                                                                    Lisa Massey
     and prostate cancer screening events. In addition, both hospitals offered
     Cooper/Clayton classes.

    FALLS DISTRICT                                   The Falls District, with the largest and most diverse population in the state, repre-
                                                     sents one of the Kentucky Cancer Program’s (KCP) greatest challenges and success-
                                                     es. During the last biennium, KCP customized programs to meet the needs of urban
                                                     Metro Louisville and rural county residents and to address cancer health disparties.

                                                     •   Two annual KCP-sponsored educational events continue to attract record num-
                                                         bers. About 1,200 people attended the survivor event held at the Brown Can-
                                                         cer Center in conjunction with the Kentucky Derby Parade, while 850 people
Serving Bullitt, Henry, Jefferson, Oldham,Trimble,       participate in an event at the Buckhead Mountain Grill to kick off the Susan G.
Shelby and Spencer counties                              Komen Race for the Cure each year. Cancer patients and survivors, families,
Kentucky Cancer Program
                                                         friends and others enjoyed live entertainment, ate berry smooshes, and visited
501 E. Broadway, Suite 160                               with celebrity guests, including political dignitaries, Miss Americas, and film
Louisville, KY 40202                                     stars.
Phone: (502) 852-6318
                                                     •    KCP, the Legal Aid Society, and the Pro-Bono Society of the Louisville Bar
Pam Temple-Jennings, BA
Cancer Control Specialist
                                                         Association teamed up to link cancer patients and their families with attorneys                                   through a free legal clinic offered semi-annually. Patients received help with
                                                         cancer-related issues, such as navigating medical systems, life-planning docu-
DISTRICT CANCER COUNCIL                                  ments, workplace discrimination, and government assistance programs.
Bridges, Alice        Ramesh, Gupta
Brooks, Kristie       Rao, Ganesh
Brown, Cynthia        Sisk, Judy                     •   Weekend retreats at the Foxhollow Spa have become one of the community’s
Brown, Tim            Smith, Chris                       most valuable resources for newly diagnosed breast cancer patients. The Junior
Campbell, Edna        Steel,Barbara                      League of Louisville and KCP offer the retreats four times a year through a
Chowning, Ruth        Studts, Jamie,                     grant from the Susan G. Komen Breast Cancer Foundation. During the last bien-
Ciarroccki, Bonnie    Simmers, Nancy
                                                         nium, about 160 women participated in the weekends, which provide education,
Cooper, Tom           Thompson, Jessica
Cunningham, Beverly Vollmer, Paige
                                                         emotional support, and spiritual healing.
D’Angelo, Jenni
Fawbush, Sheila                                      •   Two fly-fishing weekends for cancer survivors were offered in the district during
Filippini, Allison                                       the last two years: Casting for Recovery for breast cancer patients (funded by
Gordon, Ruby                                             the Komen Foundation) and Reel Recovery for men with cancer. Sixty partici-
Hermann, Carla,
Henry, Heather
                                                         pants at the two events received meaningful exercise, a healing connection to
Henry, Steve                                             nature, and social support.
Hettinger, Wayne
Heuglin, Michele                                     •   Thousands of Kentuckians were checked for skin, breast and prostate cancer at
Horton, Jan                                              the State Fair in Louisville in August at the annual screening organized by KCP.
Howard, John
Jensen, Stacy
                                                         Many of the state’s underserved and uninsured citizens have their annual health
Jesse, Gina                                              check-up at the State Fair.
Johnson, Wes
Kiser, Paul                                          •   The Kentucky Cancer Consortium’s Regional Cancer Partnership, which was
Klein, Jessica                                           coordinated by KCP, received a $9,500 grant from the Centers for Disease Con-
Kleumper, Heather
Kommer, Leanne
                                                         trol and Prevention to raise awareness of colon cancer screening. The Partner-
Kruse, Barbara                                           ship developed and distributed public education kits and had articles on colon
Kuntz, Mike                                              cancer published in county newspapers.
Lindsay, Kate
Mansfield, Mike                                      •   The Louisville KCP office sponsors semi-annual trainings for people who wish
Marchal, Ann
McDounough-Schuster, Tara
                                                         to become facilitators for the Cooper/Clyaton Method to Stop Smoking. Each
McCombs, Beverly                                         year, about 75 people are trained to lead cessation classes at their local work
Miller, Donald                                           sites, community groups, and churches.
Mitchell, Laura
Moore, Nelda                                         •   KCP Cancer Control Specialists presented hundreds of cancer educational pro-
Nicholoas, Barbara
Oldham-Smith, Sheila
                                                         grams and exhibits at work sites, churches, schools, colleges, social clubs, and
Paris, Kristi                                            professional meetings throughout the district.
Phillips, Debbie

Kentucky African Americans Against Cancer                                                 CANCER HEALTH
The Kentucky Cancer Program’s (KCP) Louisville-based Kentucky African
Americans Against Cancer (KAAAC), which is affiliated with the National
Cancer Institute, continued to explore innovative strategies to increase cancer       Virginia Bradford, RN
screening among this at-risk population during the last biennium. Highlights          Harriett B. Porter Cancer Outreach Coordinator

                                                                                      Rachelle Seger, BA
•    KAAAC’s Mother’s Day Breast Cancer Screening in West Louisville is               Program Coordinator, Hispanic Outreach
     now the annual check-up for many women, and its Father’s Day prostate  
     cancer screenings at the University of Louisville’s Papa John’s Cardinal
     Stadium Locker Room, Cypress Medical Center, and the Boys and Girls              Nila Meeks, MPA
                                                                                      Program Coordinator, African-American Outreach
     Club continue to attract record crowds.

•    The 15th Annual KAAAC Celebration at Louisville’s Muhammad Ali                   Pamela Cooper, RN
     Center in January 2005 was a night to remember for some 300 guests. The          Project Director, Partnership in Cancer Control
     event brought together founding and current volunteers, community lead-
     ers, and Kentucky legislators to reminisce and celebrate KAAAC accom-
     plishments.                                                                      KENTUCKY AFRICAN AMERICANS
                                                                                      AGAINST CANCER COALTION
•    A grant from the Susan G. Komen Breast Cancer Foundation enabled                 Nailah Aba
     KAAAC’s survivor support group, Living Beyond Breast Cancer: Mind,               Frances Adams
     Body and Spirit, to sponsor more speakers and interactive programs. The          Tonya Allen
                                                                                      Jeanette Amorin
     group incorporates faith, culture and holistic practices into coping strate-
                                                                                      Mordean Taylor Archer
     gies. It is led by a facilitator from the University of Louisville Kent School   Frank E. Austin
     of Social Work.                                                                  Linda Austin
                                                                                      Christine Badger         Gracie M. Lewis
Harriett B. Porter Cancer Education and Research Endowment                            Deborah Bedford          Antoinette Long
                                                                                      Wilma Berry              Dee Richardson-Martin
In 2004, KCP and the James Graham Brown Cancer Center received a gener-               Terrance Blackford       Joyce Mills
ous donation from Louisville’s Porter family to establish the Harriett B. Porter      Gina Bowling             Mattie Mills
Cancer Education and Research Endowment to expand cancer control programs             Anita Brown              Carol S. Patterson
                                                                                      Velvie Childress         Florence E. Payne
in the city’s African-American community. During its first year, the endowment
                                                                                      Angelyn Clay             Pam Pearson
funded a faith-based initiative featuring Just Us Girls educational parties, a        Darnell W. Clay Sr.      Grace E. Ralston
Pink Ribbon Sunday, a First Ladies of the Church Tea, and a Ministers Break-          Bobbie Curry             Anthony Remson
fast.                                                                                 Marcella Davis           Erma Rice
                                                                                      Dorine Dickey            Frank Riley
                                                                                                               Gilandra Russell
Cultivando la Salud (Cultivating Health) Hispanic Outreach                            H.C. Duncan
                                                                                      Arlene Elliott           Janet W. Shobe
With funding from the Komen Foundation, KCP launched a new initiative                 Shirley Ferguson         Amanda Hamilton-Smith
in 2005 to provide breast cancer education, screening and patient navigation          Brenda Fitzpatrick       Mesia Steed
to Kentucky’s growing Hispanic population. Called Cultivando la Salud, the            Ann Garrett              Wayne B. Tuckson
                                                                                      Patricia Goodloe         Brenda Tuckson
science-based program was developed by the Center for Farmworker Health,                                       Gerina Whethers
                                                                                      Jamila Grant
Inc. It uses bilingual community health educators, called promotoras, to serve        Phyllis Gray             Diane Whitlock
women in urban Jefferson County and rural Shelby and Hardin counties. Dur-            Willie Louise Gray       Dennis Winburn
ing the first year of the project, some 600 Hispanic women were educated and          George Griffiths         Gregory M. Woolfolk
150 were screened.                                                                    Vivianne Griffiths       Josephine Wright
                                                                                      Carol S. Hickman
                                                                                      John Huggins
Louisville and Jefferson County Partnership in Cancer Control                         Wanda Jackson
More than 4,000 low-income women in Jefferson County were served by mo-               William Jackson
bile mammography and cervical cancer screenings at health centers and com-            Linda C. Johnson
                                                                                      Lula Johnson
munity sites throughout the county. The screenings were the result of a joint         Mary Adams Johnson
effort by the Louisville and Jefferson County Partnership in Cancer Control,          La Creis Kidd
KCP, and the Kentucky Department for Public Health.

 GATEWAY DISTRICT                   The Kentucky Cancer Program (KCP) supported Gateway District community
                                    partners in promoting cancer prevention and early detection in a variety of ways
                                    during the last biennium. Highlights include:

                                    •   The Morehead KCP office staffed the statewide, toll-free Cooper/Clayton
                                        Method to Stop Smoking information line (1-866-495-9888). Callers received
                                        information on upcoming cessation classes for the public, as well as facilita-
                                        tor trainings for people interested in leading classes. Smokers were linked to
                                        facilitators providing classes in private companies, health care facilities, and
                                        other settings.
Serving Bath, Menifee, Morgan,
Montgomery and Rowan counties
                                    •   In May 2005, the KCP offices in Morehead, Maysville, Highland Heights,
Kentucky Cancer Program
                                        and Lexington coordinated a conference on the psychology behind addictive
The Blair Building                      behaviors, such as smoking, alcohol abuse, and overeating. The conference,
291 East Main Street                    Seeing Through the Smoke: Addiction and Beyond, featured several experts,
Morehead, KY 40351                      including Drs. Thomas Cooper and Richard Clayton. It was offered in three
Phone: (606) 784-6458                   locations: Northern Kentucky, Morehead and Ashland. A total of 140 tobacco
                                        control specialists, health educators, health care professionals, and community
Lana Hunt, MA, MSW                      members attended the three events.
Cancer Control Specialist
                                    •   In August 2005, KCP partnered with the Marty Driesler Cancer Project,
Carolyn Gyurik                          sponsored by the Markey Cancer Center and U.S. Rep. Hal Rogers of the 5th
Regional Cancer Control Associate
                                        Congressional District, to conduct the Burden of Lung Disease (BOLD) study.
                                        Eligible residents in Bath, Menifee, Morgan and Rowan counties participated
Emil Baker                              in the study, which examined risk factors associated with chronic obstructive
Jan Chamness                            pulmonary disease (COPD), a lung disease that may signal lung cancer. Some
Dennis ChaNey                           study participants were also eligible to participate in the Marty Driesler Lung
Ethel Day                               Study, which focused on identifying ways to detect early-stage lung cancer
Lisa Day                                and increase patient survival rates.
Judy Elam
Sandy Ellington                     •   KCP and St. Claire Regional Medical Center worked together to provide can-
Janine Fairchild                        cer education resources and promote cancer prevention and control services in
Robin Franklin                          the community. Services included breast and skin cancer screenings, as well as
Susie Hamlin
                                        health fairs that focused on cancer education and prevention.
Freida Herald
Mira Huesman
Charles Jones                       •   KCP assisted the Montgomery County Cancer Coalition by providing staff
Ann Karrick                             support to maintain a member database and coordinate communications. KCP
Uzma Malik                              also provided educational materials and promoted activities sponsored by the
Cinda Manley                            Coalition. These included an annual Women’s Health Forum, which was at-
Laura May                               tended by more than 125 people each year, and an annual skin cancer screen-
Mona Ollis McClain                      ing, where about 50 people were screened each year. The American Academy
Racheal McGee                           of Dermatology co-sponsored the screening.
Saundra Newton
Martha Perkins
Ellie Reser
L. Edward Roberts
Roger Russell
Bryant Shumate
Faye Skeens
Robert Sloss
Jean Smith
Pam Shouse
William St. Clair
Yvonne Taul

Through the efforts of the Kentucky Cancer Program (KCP), the Green River Dis-
trict Cancer Council, and community partners, the district experienced a significant
                                                                                               GREEN RIVER
growth in cancer control programs during the biennium. Highlights include:                      DISTRICT
•    KCP helped lead a colon cancer awareness campaign sponsored by the local
     Regional Cancer Partnership with funding from the Centers for Disease Control
     and Prevention through the Kentucky Cancer Consortium. The campaign includ-
     ed a mailing to more than 8,600 households, the distribution of 7,200 flyers to
     businesses, and four physician-led educational meetings for health professionals.

•    Two hundred smokers participated in 16 Cooper/Clayton Method to Stop Smok-
     ing classes offered through a collaboration including KCP, the Owensboro Med-
                                                                                         Serving Daviess, Hancock, Henderson,
     ical Health System (OMHS), Green River District Health Department, Green
                                                                                         McLean, Ohio, Union and Webster
     River Heart Institute, Methodist Hospital, Ohio County Hospital and Together        counties
     We Care. KCP also sponsored two refresher classes that updated facilitators on
     new cessation products and resources.                                               Kentucky Cancer Program
                                                                                         920 Frederica St., Suite 202
•    The Mount Hope Breast Cancer Survivor Retreat was organized by KCP in Oc-           Owensboro, KY 42301
     tober 2004 at Mount St. Joseph in Daviess County. This unique weekend offers        Phone: (270) 683-2560
     newly diagnosed patients the opportunity to learn about resources to enhance
     the mind, body and spirit. Participants from previous retreats were invited to a    Jaime Rafferty, BA
     reunion during the event. The weekend was sponsored by the Evansville Affili-       Cancer Control Specialist
     ate of the Susan G. Komen Breast Cancer Foundation.                       

                                                                                         Susan Langan, MA
•    To address cancer health disparities among Hispanics — the district’s fastest       Cancer Control Specialist
     growing population — the KCP Cancer Control Specialist chaired the Migrant
     Breast and Cervical Cancer Coalition. The coaliton participated in the annual       Charlotte Paez
     Hispanic Alliance of Greater Owensboro (HAGO) Health, Education and Safety          Program Assistant
     Festivals in 2004 and 2005. More than 400 people attended the two events. In
     January 2005, the Coalition and HAGO teamed up again to sponsor a Family            DISTRICT CANCER COUNCIL
     Night Swim Party at the YMCA.                                                       Olivia Baker
                                                                                         Tristan S. Briones
•    In 2005 and 2006, KCP arranged for a mobile mammography van from the Uni-           Ruth Connor
     versity of Louisville Brown Cancer Center to visit McLean and Webster coun-         Mary Ann Correll
                                                                                         Vivian Craig
     ties. About 147 women — many of them rarely or never screened — received
                                                                                         Don Crask
     mammograms during the visits. The district health department and OMHS               Leigh England
     Foundation for Health provided assistance.                                          Judy Gilmore
                                                                                         Richard L. Gruenwald
•    A Celebrate Your Birthday with a Mammogram event in 2004 attracted more             Gary Hall
     than 600 women who were attending a Red Hat Society meeting at the Execu-           Pat Hammack
     tive Inn in Owensboro. The event was part of a statewide breast cancer screen-      Rebecca Horn
     ing campaign sponsored by KCP, First Lady Glenna Fletcher, and Health Care          Jewraj G. Maheshwari
     Excel. Attendees received breast cancer information in a fun atmosphere.            Janna Pathi
                                                                                         Dattatraya S. Prajapati
•    Pearls of Wisdom and Beads of Life are KCP signature programs designed              Bonnie Roberts
                                                                                         Terry Tyler
     to reach women from all socioeconomic groups. During the biennium, more
                                                                                         Debbie Zimmerman
     women in the district participated in these breast health programs.

•    One hundred sixty-seven men and women were checked for skin cancer in Sep-
     tember 2004 at a screening organized by KCP, OHMS, the American Academy
     of Dermatology, Owensboro Dermatology, and Western Kentucky Dermatology.

•    More than 300 Beaver Dam Elementary students walked through a simulated
     body at the Body Walk, sponsored by the Cooperative Extension Service. KCP
     provided educational materials on skin cancer and sun safety.

                                             There was a flurry of collaborative cancer control activities in the Kentucky
KENTUCKY RIVER                               River District during the past biennium. Highlights follow:
   DISTRICT                                  •   The Kentucky Cancer Program (KCP) sponsored a breast and cervical
                                                 cancer awareness “Birthday Party” at the Hazard/Perry County Senior
                                                 Center in April 2005. The event was part of a statewide effort co-sponsored
                                                 by KCP and Kentucky First Lady Glenna Fletcher. Mrs. Fletcher greeted
                                                 the ladies and spoke to them about the importance of using their birthday as
                                                 a reminder to get their mammograms and Pap tests. Some 150 women met
                                                 Mrs. Fletcher and enjoyed a lunch sponsored by KCP and local agencies.
Serving Breathitt, Knott, Lee, Leslie,
Letcher, Owslery, Perry and Wolfe counties
                                             •   In April 2005, 12 individuals representing six organizations attended a Coo-
                                                 per/Clayton Method to Stop Smoking facilitator training sponsored by KCP
Kentucky Cancer Program                          at the East Kentucky Veterans Center in Hazard. Participants were trained
14 Logan St., Suite 210                          to lead Cooper/Clayton classes in their communities. As of June 2006, 28
Jeff, KY 41751                                   people in the district had received the training.
Phone: (606) 487-8360
                                             •   The KCP Cancer Control Specialist presented monthly cancer awareness
also: PO Box 1208                                and prevention lectures to about 30 people at the Hazard/Perry County
Hazard, KY 41702                                 Senior Center during the last two years. Topics corresponded with specific
                                                 national cancer awareness observances.
Becky Simpson, MSSW
Cancer Control Specialist
                                             •   For the past two years, the Kentucky River Area Development District
                                                 Mental Health and Aging Coalition, with KCP as a partner, sponsored an-
Alice Combs                                      nual conferences at Buckhorn State Park in Perry County. In May 2005, the
Staff Assistant                                  KCP Cancer Control Specialist gave a talk entitled “Cancer and Depres-
                                                 sion” to health care professionals. KCP also provided information booths
District Cancer Council                          at the conference each year with cancer awareness materials and smoking
Hassan Ghazal, Chair                             cessation tools for about 150 participants.
Linda Blair
Agnes Caudill                                •   In November 2004, the KCP Cancer Control Specialist made a presentation
Fran Feltner                                     to 150 students and staff of the Leslie County Vocational/Technical School
Bonnie Frazier                                   in Hyden. The activity marked the Great American Smokeout and provided
Hassan Ghazal
                                                 information on smokeless tobacco and how it affects health, and most
P. Gowdar
Joyce Griffith
                                                 importantly, emphasized that smokeless tobacco is not a healthy alternative
John Isfort                                      to cigarettes.
Charlene McGrath
Deanna McIntosh                              •   In August 2004, KCP provided booths at Perry County High School’s
Deborah Murray                                   “Freshman Fling” and at Wooten Elementary School’s “Back to School
P. I. Narayan                                    Bash.” Information about smoking cessation and prevention was distributed
Judy Owens                                       to 400 Perry County students and their parents at the two events, both of
Uday Shankar                                     which were sponsored by the Perry County Family Resource and Youth
Rebecca Sharp                                    Services Center.
Ravena Simmons
Lyle B. Snider
Jean Sullivan
                                             •   All eight counties of the district were involved in the Marty Driesler Can-
Carolyn Summers
                                                 cer Project, which was designed to reduce cancer death rates in Kentucky’s
                                                 Fifth Congressional District. The project was designed to support research
                                                 on public awareness and early detection of lung (and bronchus), esophagus
                                                 and liver cancers, as well as promote smoking cessation. (See page 10 for
                                                 more information.)

If one word could summarize the Kentucky Cancer Program’s (KCP) activities in
the Lake Cumberland District during the last biennium, it would be collaboration.
                                                                                            LAKE CUMBERLAND
Through collaborative efforts, the Lake Cumberland Cancer Consortium was formed,                 DISTRICT
Cooper/Clayton Method to Stop Smoking classes were expanded, two successful
breast cancer consortiums took place, and the Marty Driesler Cancer Project was
implemented, among many other ventures. Here are some highlights:

•    Let’s Talk About It!, a district-wide colon cancer awareness campaign, was car-
     ried out in March and April 2006. Sponsored by the Lake Cumberland Cancer
     Consortium, the campaign included more than 150 County Extension Home-
     makers Club programs, three radio PSAs, and physician outreach programs. In
     addition, a conference was held at the Center for Rural Development in Somer-          Serving Adair, Casey, Clinton, Cumberland,
     set, where several hundred attendees received colon cancer information.                Green, McCreary, Pulaski, Russell,Taylor and
                                                                                            Wayne counties
•    In February 2004, KCP facilitated a local Love on a Leash program, in which
                                                                                            Kentucky Cancer Program
     therapy dogs visit cancer patients in clinical and other settings. Certified therapy
                                                                                            501 College St., Suite C
     dog teams affiliated with the national Foundation for Pet Provided Therapy have
                                                                                            Somerset, KY 42501-1315
     since made several hundred visits to patients at the Lake Cumberland Cancer            Phone: (606) 679-7204
     Treatment Center, area hospitals, and other facilities.
                                                                                            Gloria V. Sams, MA
•    KCP and the Lake Cumberland District Cancer Council co-sponsored a confer-             Cancer Control Specialist
     ence entitled Complementary Medicine: Body, Mind and Spirit in November      
     2004 at the Center for Rural Development in Somerset. More than 100 attendees
     learned about medical acupuncture, writing to heal, qi gong and meditation,            Margaret Ramsey
     music and medicine, and other complementary therapies. The conference was              Regional Cancer Control Associate
     co-sponsored by the WaysMeet Healing Arts Center in Berea, Southern Ken-
     tucky AHEC, and the University of Kentucky College of Medicine.                        DISTRICT CANCER COUNCIL
                                                                                            Tracy Aaron
                                                                                            Kelli Bonifer
•    Cooper/Clayton classes were offered throughout the district, with strong sup-
                                                                                            Tammy Bowman
     port from the district health department. Thanks to a successful grant applica-        Kathy Brannon
     tion written by the KCP Cancer Control Specialist, local Agency for Substance          Alissa Buchanan
     Abuse Policy (ASAP) boards paid for nicotine replacement products for class            Georgia Burton
     participants. KCP conducted a Cooper/Clayton facilitator training in Somerset          Harold Cole
     in October 2004. KCP also sponsored a statewide study evaluating the program.          Brenda Cook
     The Lake Cumberland District had the highest participation in the study, with 71       Jody Epperson
     volunteers using and evaluating the kits.                                              Hossein Fallazadeh, Chair
                                                                                            Amanda Gray
•    KCP and the American Cancer Society supported October breast cancer sympo-             Leslie Hammer
                                                                                            Shona Harper
     siums held at the Center for Rural Development in Somerset in 2004 and 2005.
                                                                                            Glenna Hayford
     More than 200 women attended the educational/inspirational events, sponsored
                                                                                            Gaye Hutchison
     by Lake Cumberland Regional Hospital and Alton Blakely Ford.                           Diane Kiser
                                                                                            Edith Lovett
•    The Marty Driesler Cancer Project was initiated in Kentucky’s Fifth Congres-           Debbie Mayberry
     sional District. The project included three counties in Lake Cumberland — Pu-          Margaret Merrick
     laski, Wayne and McCreary. It involved research on public awareness and early          Audrey Myers
     detection of lung (and bronchus), esophagus and liver cancers, as well as expan-       Rebecca Nash
     sion of Cooper/Clayton classes in the district (see page 10).                          Sheryl Polk
                                                                                            Shirley Roberson
•    The Community Garden at the Lake Cumberland Cancer Treatment Center in                 Debbie Shepherd
                                                                                            Linda Stephens
     Somerset was dedicated in May 2005. Funded by donations, the garden was
                                                                                            Pam York
     developed through a partnership involving KCP, Lake Cumberland Regional
                                                                                            Susan Wilson
     Hospital, and Lake Cumberland Master Gardeners. KCP also coordinated a read-
     ing/meditation room in the Center.

     LINCOLN TRAIL                       During the last biennium, the Kentucky Cancer Program (KCP) reached thousands
                                         of citizens in the eight-county Lincoln Trail area through collaborations with the
        DISTRICT                         District Cancer Council, the Regional Cancer Partnership, and local churches, busi-
                                         nesses, hospitals and schools. Joint programs helped raise awareness of the impor-
                                         tance of cancer screenings, particularly for colorectal cancer. Highlights include:

                                         •   A coalition of local partners worked to promote and increase the use of colorec-
                                             tal cancer screening throughout the district. With a $9,500 grant received from
                                             the Centers for Disease Control and Prevention through the Kentucky Cancer
                                             Consortium, screening messages were delivered through health care provid-
                                             ers, educational presentations, health fairs, civic and community clubs, church
Serving Breckinridge, Grayson, Hardin,       groups, grocery stores, and the media. In addition to KCP, partners included the
LaRue, Marion, Meade, Nelson and             American Cancer Society, Grayson County Health Department, Hardin Memo-
Washington counties                          rial Hospital, the Lincoln Trail District Health Department, and local health
                                             departments in Grayson, Hardin, Larue, Marion, Meade, Nelson and Washing-
Kentucky Cancer Program                      ton counties.
1013 Woodland Drive, Suite 102
Elizabethtown KY 42701
Phone: (270) 360-0901
                                         •   Prompted by the high incidence of breast cancer among Hispanic women,
                                             KCP adapted a nationally recognized program, Cultivando la Salud, for local
Suzanne Gude, MA                             Hispanic women. The program uses trained bilingual community health work-
Cancer Control Specialist                    ers, or promotoras, to educate Hispanic women about breast cancer and help                        them navigate through breast cancer screenings and follow-up diagnostics.
                                             KCP worked with the Hardin County Health Department and Hardin Memorial
Sandy Lamas                                  Hospital to offer clinical breast exams and mammograms to income-eligible
Program Assistant                            Hispanic women. The Community Health Clinic of Hardin and Larue counties
                                             and the local Hispanic ministry of the United Methodist Church also contributed
DISTRICT CANCER COUNCIL                      to the effort. KCP began the program as a pilot project with funding from the
Nancy Addington
                                             Susan G. Komen Breast Cancer Foundation.
Carol Baldwin
Kathleen Ferriell
Amy Taylor                               •   Recognizing that limited access to health care continues to be a problem for
Sharon Bade                                  many Kentuckians, KCP joined numerous partners to establish a free clinic in
Normaline Skees                              Nelson County in 2006. The clinic offers health care services to people who are
Mary Willyard                                working but under-insured or uninsured. KCP was instrumental in helping to
Francia Bennett                              acquire two grants for the clinic, totaling more than $300,000.
Marlo Echols
Carol Appler                             •   When Flaget Memorial Hospital and other health care providers in Nelson
Cindy Bandy                                  County were seeking resources for patients who wanted to become non-smok-
Judy Beam                                    ers, KCP responded by offering year-round smoking cessation classes.
Karen Blaiklock
Deborah Jo Edwards
Lisa Eubank
                                         •   The 20th anniversary of the Senior Celebration, sponsored by Lincoln Trail
Kimberli Flood                               District Area Service Providers in May 2006, attracted more than 500 people
Karen Gabbart                                from eight counties. KCP helped plan the event and provided information on
Stefanie Goff                                breast cancer screening to the seniors. Other planners were the Lincoln Trail
Mohammed Iqbal                               District Cancer Council member agencies and area service providers.
Wendy Keown
Liz Kingsland                            •   KCP provided information at many of the district’s health fairs and special
Rod Mattingly                                events over the last two years. These included the Embry Chapel AME and
Jerianne Strange                             Franklin Crossroads Baptist churches in Hardin County, First Baptist Church
Deborah Thompson                             of Nelson County, Grayson County Community Health Fair, Hardin County
Priti Grigorian                              TRIAD, HealthSouth Lakeview Hospital of Central Kentucky, Howe Valley
                                             Elementary School, Kroger and Wal-Mart of Nelson County, Larue County Ex-
                                             tension Expo, Larue County Middle School, Marion County Extension Family
                                             Resource Night, Meade County Women’s Expo, Nelson County Project Gradu-
                                             ation, Relay for Life in Washington County, Sisters of Charity of Nazareth,
                                             Sisters of Loretto, St. Catharine College, and Sorghum Festival of Washington
The Kentucky Cancer Program (KCP) worked with many community partners to
address colorectal cancer, breast cancer, and lung cancer during the last biennium.
Highlights include:                                                                               KENTUCKY
•    KCP was an active member of the Barriers to Healthcare Workgroup of the                       DISTRICT
     Northern Kentucky Regional Cancer Partnership. Between January and April
     2006, nine focus groups were conducted to obtain a better understanding of the
     barriers that impact cancer care. Fifty-seven participants, including patients and
     their families, discussed financial barriers, access to cancer resources and or-
     ganizations, physician and clinical issues, and the emotional aspects of cancer.
     Focus group results were discussed with hospitals, oncology offices, and cancer
     organizations. The Workgroup will evaluate the information and make recom-
     mendations that could impact access to cancer care in our district.                  Serving Boone, Campbell, Carroll, Gallatin,
                                                                                          Grant, Kenton, Owen and Pendleton
•    During spring 2006, KCP and the Tobacco Prevention Coalition of Northern             counties
     Kentucky worked with Northern Kentucky University (NKU) nursing students
     to develop a tobacco education program targeting incoming NKU freshmen.              Kentucky Cancer Program
     This program was implemented during the 2006-07 academic year and will be            307 John’s Hill Road
     evaluated by both students and professors.                                           Highland Heights, KY 41099
                                                                                          Phone: (859) 442-3525
•    The KCP Cancer Control Specialist is an active member of the Northern
                                                                                          Kathy Rack, BS
     Kentucky Women’s Cancer Coalition. In 2005, the Coalition rolled out its             Cancer Control Specialist
     Prevention Pays project, in which 280 women from underserved communities   
     received mammograms at 16 van sites in Boone, Campbell, Grant and Kenton
     counties. Gift cards were distributed to organizations that referred women to the    DISTRICT CANCER COUNCIL
     screenings and to women who were screened. A Cheers for the Cure fundraiser          Terri Bogan
     in June 2006 raised more than $11,000 to support the project.                        Becky Catlett
                                                                                          Lindsay Clanton
•    In 2004, the KCP Regional Cancer Control Specialist and the Northern Ken-            Jeremy Engel
     tucky Regional Cancer Partnership received a grant from the Centers for              April Harris
                                                                                          Linda Hermes
     Disease Control and Prevention, through the Kentucky Cancer Consortium, to
                                                                                          Louise Kent
     produce a colorectal cancer kit for health professionals. The Partnership had a
                                                                                          Jennifer Hunter
     video produced that used humor to stress the importance of colorectal cancer         Patricia Poor
     screenings. The video has aired on cable TV and been shown at community pre-         Cathy Reising
     sentations and in physicians’ offices.                                               Rusty Sheehan
                                                                                          Monica Smith
•    In May 2005, the KCP offices in Highland Heights, Maysville and Morehead             Melody Stafford
     organized a symposium titled Seeing Through the Smoke: Addiction and Be-             Andrea Starr
     yond. More than 140 health professionals attended the event, which addressed         Georgianna Walz
     the psychology behind smoking, alcohol, overeating and other addictive behav-
     iors. Numerous experts in these areas spoke at the symposiums, including Drs.
     Richard Clayton and Thomas Cooper, founders of the Cooper Clayton Method
     to Stop Smoking..

•    Physicians and health care providers have an important role in encouraging
     patients to become non-smokers. During 2004-06, the KCP Cancer Control
     Specialist provided informational packets on smoking cessation to the offices
     of more than 200 physicians. The packets included treatment guidelines, chart
     markers to identify patients who smoke, cessation referral sources, and patient

•    In May 2006, the KCP Cancer Control Specialist and the TriState Cancer Coali-
     tion began working with Channel 5 TV in Cincinnati, Ohio, to produce a regu-
     lar cancer education program to be aired twice a month. The program will begin
     in spring 2007 and have a Web site with links for additional cancer information.

        PENNYRILE                          Mobilizing partners and seeking innovative and effective ways to promote cancer
                                           prevention and early detection in the Pennyrile District were top priorities for the
         DISTRICT                          Kentucky Cancer Program (KCP) during the biennium. Residents were screened
                                           for prostate and colorectal cancers in record numbers, and successful outreach
                                           programs were launched through new collaborations.

                                           •   More than 1,100 men received free prostate screenings at five events in Chris-
                                               tian, Hopkins and Trigg counties. The events were organized by a partnership
                                               involving KCP, E. C. Green Cancer Center, Jennie Stuart Medical Center,
                                               Mahr Cancer Center, Pennyrile Urology, St. Luke Free Clinic, Trigg County
                                               Hospital, and Trigg County Senior Citizens Center. KCP trained nursing stu-
Serving Caldwell, Christian, Crittenden,
                                               dents from Madisonville Community College to help in Christian County.
Hopkins, Livingston, Lyon, Muhlenberg,
Todd and Trigg counties
                                           •   KCP was on the planning committee of the Regional Cancer Partnership that
Kentucky Cancer Program                        received a grant from the Centers for Disease Control and Prevention through
State Office Building                          the Kentucky Cancer Consortium to provide educational programs on colorec-
625 Hopsital Dr., Room 235                     tal cancer screening for medical professionals and the public. The programs,
Madisonville, KY 42431                         which featured local health professionals, were broadcast statewide on the
Phone: (270) 821-4298                          Kentucky Telehealth Network.

Joan Lang, MBA                             •   Striving to reach rarely and never-screened women in the district, KCP worked
Cancer Control Specialist                      with Common Garments in Hopkins County, Impact Ministry in Christian
                                               County, and the Salvation Army in Muhlenberg County. Through brief inter-
Cindy Dame
                                               ventions, KCP reached 880 women who had not previously heard about the
Program Assistant                              screening and treatment programs available through their local health depart-
Carolyn Bland                              •   To address the personal and financial costs of smoking-related diseases, KCP
Carolyan Clark                                 and the St. Luke Free Clinic in Hopkinsville created a system for patient en-
Leslie Daniels                                 rollment in Cooper/Clayton Method to Stop Smoking classes. KCP facilitated
Betty Hendrix                                  the first class.
Lindy Holloway
Jan Hurst, Chair                           •   Partnering with 11 Hopkins County churches in 2005 and 25 in 2006, KCP
William Klompus
                                               recognized cancer survivors during services on National Cancer Survivor’s
Joan Lang
Bebby Lewis
                                               Day in June. Ceremonies at the First Christian Church in Madisonville were
Owatta Lowther                                 broadcast live on local radio in 2006.
Peggy Mullins
Michael Murray                             •   In an effort to reach uninsured women who qualify for the health department’s
Martha Pleasant                                cancer screening and treatment programs, KCP formed a new partnership
Kathy Rogers                                   with Kentucky Homeplace in Lyon County to develop The Personal Touch
Satish Shah                                    program. Designed specifically for Kentucky Homeplace clients, the program
Bill Whittinghill                              was offered throughout October 2005. It offered cancer education and a special
                                               incentive for women who subsequently got cancer screening tests at their local
                                               health department. The program had a 90 percent success rate and has been
                                               expanded to Christian County.

                                           •   KCP was a charter member of the Start Thinking Exercise Power (STEP)
                                               coalition in Hopkins County. The coalition held a physical activity day at the
                                               mall and published a guide to all physical activity facilities in the county.

                                           •   During Breast Cancer Awareness month (October) in 2004 and 2005, KCP
                                               promoted breast cancer screening in collaboration with the Muhlenberg Coun-
                                               ty Breast and Cervical Cancer Coalition, the Housing Authority of Princeton,
                                               and the Trigg County Senior Citizens Center.

The Kentucky Cancer Program (KCP) expanded cancer control partnerships in the
Purchase District during 2005 and 2006 to develop new programs driven by commu-
nity interests. These include:                                                                      DISTRICT
•    KCP collaborated with the district health department and WPSD-TV to sponsor
     a Five a Day contest in 2005. Almost 7,000 elementary students and 400 teach-
     ers received nutritional education at school assemblies. They also were issued
     a challenge to eat five servings of fruits and vegetables daily and exercise for
     30 minutes every day for one month. The contest concluded with a community
     health fair at Kentucky Oaks Mall, which attracted 10,000 people.

•    KCP collaborated with the Cooperative Extension Service to create an edu-            Serving Ballard, Calloway, Carlisle,
     cational kit used by 76 Homemaker Club leaders to educate more than 1,400            Fulton, Graves, Hickman, Marshall and
     women on the importance of colon cancer screening.                                   McCracken counties

•    To increase awareness of colon cancer screening, the district Regional Cancer        Kentucky Cancer Program
                                                                                          Two Rivers Plaza
     Partnership mobilized 50 area health professionals to bring the Colossal Colon
                                                                                          222 Kentucky Ave., Suite 4
     to Paducah in 2006. Nearly 7,000 people crawled through the oversized colon
                                                                                          Paducah, KY 42003
     on display at Kentucky Oaks Mall to learn about precancerous and cancerous           Phone: (270) 442-1310
     lesions and the importance of colon cancer screening. Media coverage delivered
     the message to thousands more people thoughout the region. The Partnership           Melody Nall, BHS, CHES
     was led by KCP, local health departments, hospitals, and the American Cancer         Cancer Control Specialist
     Society. The project was supported by a $10,000 grant from the Centers for 
     Disease Control and Prevention through the Kentucky Cancer Consortium and
     $10,000 in local contributions.                                                      Garyl Barlow
                                                                                          Program Assistant
•    Almost 250 women learned about the importance of regular mammograms and
                                                                                          DISTRICT CANCER COUNCIL
     clinical breast exams at a series of local “birthday parties” supported by Ken-
                                                                                          Kathe Aydlotte
     tucky First Lady Glenna Fletcher. KCP helped sponsor the events.
                                                                                          Vicki Batts
                                                                                          Sara Bogle
•    Breast and cervical cancer screening and early detection messages were com-          Stephen Bradley
     bined with fun in about two dozen Just Us Girls tea parties in the district.         Joan Buchar
     Women invited their friends to a tea party to make “pearls of wisdom” necklaces      Beverly Bunch
     and learn about cancer screening. More than 230 attendees also received follow-      Betty Copeland
     up calls to remind them to be screened.                                              Helen Cothran
                                                                                          Allison Lancaster
•    KCP supported or conducted 25 Cooper/Clayton Method to Stop Smoking                  Lisa Lasher
     classes in the district. KCP also offered two refresher trainings, where facilita-   Loretta Maldaner
                                                                                          Susan Mitchell
     tors learned about new pharmacotherapies, cessation strategies, and research.
                                                                                          Judy Moore
                                                                                          Sharon Myatt
•    The KCP Cancer Control Specialist chose topics and conducted interviews for          Karen Proctor
     the cancer segment of Better Living for Better Health, a TV program produced         Barb Randall
     by West Kentucky Community and Technical College. The program airs regu-             Charles Ross
     larly on the college’s cable station. Local physicians, survivors, and others were   Paula Shell
     guests during the last biennium.                                                     Nazerelle Tate
                                                                                          Julie Welch
•    Hoopin’ Takes a Healthy Heart and Lungs reached an estimated 5,000 fans at           Mary White
     area basketball games. KCP collaborated with local tobacco coalitions to spon-       Denise Wooley
     sor the popular half-time educational event featuring tobacco prevention and         Martia York
     cessation messages.

•    More than 150 local senior citizens participated in competitive sports at the
     Purchase Area Senior Games at Murray State University in May 2006. KCP
     provided Dermascan checks (a skin analyzer that shows sun damage), as well as
     sunscreen and information on skin cancer and tobacco cessation.

      Administered by Markey Cancer Center,
      University of Kentucky

       Administered by Brown Cancer Center,
       University of Louisville

                     Kentucky Cancer Program Regional Offices
                                                                        Program Assistant
BOWLING GREEN                     Melissa Morrison, MA
(270) 842-0950                    Cancer Control Specialist             MADISONVILLE
Elizabeth Westbrook, BS, CHES     Amy Steinkuhl, MA                     (270) 821-4298
Cancer Control Specialist         Cancer Control Specialist             Joan Lang, MBA
Susan Brown, RN, MS, CHES         Suzanne Froelich, BS                  Cancer Control Specialist
Health Education Specialist       Communications Specialist             Cindy Dame, Program Asst.
Catherine Wagner, Program Asst.   Diane Frasure, Adm. Associate
                                                                        (606) 759-0300
(270) 360-0901                    (502) 852-6318                        Trina Winter, BA, CPP
Suzanne Gude, MA                  Connie Sorrell, MPH                   Cancer Control Specialist
Cancer Control Specialist         Assoc. Director, Community Outreach
Sandy Lamas, Program Asst.        Carol Hurst, BSN, RN                  MOREHEAD
                                  Assistant Director                    (606) 784-6458
HAZARD                            Pam Temple-Jennings, BA               Lana Hunt
(606) 487-8360                    Cancer Control Specialist             Cancer Control Specialist
Becky Simpson, MSSW               Virginia Bradford, RN                 Carolyn Gyurik
Cancer Control Specialist         Program Coordinator                   Regional Cancer Control Assoc.
Tonya Pauley, MA                  Pamela Cooper, RN
Cancer Control Specialist         Project Director                      OWENSBORO
Alice Combs, Staff Assistant      Celeste Worth, BHS, CHES              (270) 683-2560
                                  Professional Education Manager        Jaime Rafferty, BA
HIGHLAND HEIGHTS                  Sarah Walsh, MPH, CHES                Cancer Control Specialist
(859) 442-3525                    Program Coordinator                   Charlotte Paez, Program Asst.
Kathy Rack, BS                    Rachelle Seger, BA
Cancer Control Specialist         Program Coordinator                   PADUCAH
                                  Nila Meeks, MPA                       (270) 442-1310
LEXINGTON                         Program Coordinator                   Melody Nall, BHS, CHES
(859) 219-0772                    Vanessa Goble                         Cancer Control Specialist
Debra Armstrong, MSW, MPA         Adm. Secretary                        Garyl Barlow, Program Asst.
Community Program Director        Michele Weaver
Andrea Tapia, MSEd                                                      SOMERSET
Cancer Control Specialist                                               (606) 679-7204
                                                                        Gloria Sams, MA
                                                                        Cancer Control Specialist
                                                                        Margaret Ramsey
                                                                        Regional Cancer Control Assoc.
A Joint Program of the University of Kentucky and the University of Louisville

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