The DC Cancer Division within the Bureau of Cancer and Chronic Disease is designed to manage the District?s cancer control activities. The Division facilitates better integration, shared resources, and improved access to the expertise that will enhance Comprehensive Cancer Control, Cancer Registry (DCCR), and the DC Breast and Cervical Cancer Early Detection Programs. The District's cancer programs are grounded in the Department of Health's priority areas: Promoting a culture of health and wellness; Addressing social determinants of health; Strengthening public-private partnerships; Closing the chasm between clinical medicine and public health; and Implementing data driven and outcome oriented approaches to program and policy development. Each program is grounded in evidence-based intervention science and the best available epidemiology and surveillance data. The District's cancer programs work seamlessly to build upon successes of the past and engage in new initiatives to address the cancer burden in the future. Evidence-based interventions, including provider assessment and feedback; provider reminders, patient reminders and removing structural barriers, will be implemented as a means of increasing cancer screening across the District. Interventions aimed at preventing cervical cancer by increasing community demand for HPV vaccination and enhancing providers ability to recommend vaccination will be implemented in collaboration with the District's Immunization Program. Additionally, collaborations with the District's Tobacco Control Program will support smoking cessation among cancer survivors and women receiving breast and cervical cancer screening or education services. Community health workers and patient navigation will enhance linkages between the community and clinical services. The Division will also continue to address surveillance infrastructure by enhancing the capacity of District Cancer Registrars and workin
g with the DC Center for Policy, Epidemiology and Planning on collecting cancer specific data through the Behavioral Risk Factor Surveillance System. Lastly, the cancer programs will continue to engage the community through the DC Cancer Action Partnership, the DC Cancer Registry Advisory Board and the City-wide Chronic Disease Collaborative. All these activities will be managed with input from the DC Cancer Leadership Team comprised of the Program Managers from each cancer program as well as the cancer epidemiologist and the cancer program evaluator. These activities will continue the downward trend in cancer mortality experienced during the last decade. The District looks forward to continuing its partnership with the Centers for Disease Control and Prevention over the next five years.