The Colorado Department of Public Health and Environment (CDPHE) proposes to address cancer prevention and control in Colorado through the submission of applications in all three program areas of the ?Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations, CDC-RFA-DP17-1701.Program 1: National Breast and Cervical Cancer Early Detection Program (NBCCEDP) Women?s Wellness Connection (WWC) is Colorado?s NBCCEDP program. WWC proposes to prioritize funding and activities towards priority populations of women most disproportionately burdened by the risk for breast and cervical cancer by using a modified socio-ecological model to reach the long-term outcomes of reducing breast and cervical cancer morbidity and mortality, and reducing disparities in breast and cervical cancer incidence and mortality. WWC classified Strategies 1 through 7 from the funding opportunity announcement (FOA) and work plan to reach long-term outcomes using the socio-ecological model. WWC also aims to achieve four of the six intermediate outcomes listed in the FOA: 1) Decreased disparities in breast and cervical cancer screening; 2) Increased detection of breast and cervical cancer at early stages; 3) Increased adherence to timely diagnostic follow-up and cancer treatment referral; and 4) Increased timely cancer treatment referral. Program 2: National Comprehensive Cancer Control Program (NCCCP) The Colorado Comprehensive Cancer Program (CCCCP) aims to reduce the burden of cancer by using Colorado?s data and evidence to select and target strategies that address the three outlined priority areas of primary prevention, screening and early detection, and improving quality of life of cancer survivors. Colorado proposes to implement seven Project Period Objectives (PPOs) that align with the state?s priorities, gaps and health inequities. Four PPOs reside within the primary prevention priority, and address cervical cancer (HPV vaccinati
on), lung cancer (radon exposure reduction), obesity (built environment), and skin cancer (UV exposure reduction). The early detection priority and the survivorship priority each include one PPO that address all cancers. These strategies include health systems approaches to improve cancer screening rates and the quality of cancer and survivorship care. CCCCP will collaborate with the Colorado Cancer Coalition to implement priorities from the state?s cancer plan and leverage resources from the state?s chronic disease and tobacco grants programs, and other cancer-related organizations to address the long-term outcomes listed in the FOA.Program 3: National Program of Cancer Registries ( NPCR) The Colorado Central Cancer Registry (CCCR) is Colorado?s statewide cancer surveillance program located within the Colorado Department of Public Health and Environment. The CCCR has been in operation since 1968 and is population-based for the Denver metropolitan area since 1979 and statewide since 1988. The mission of the CCCR is to reduce death and illness due to cancer by providing data on treatment, incidence, deaths, and survival. NPCR enhancement funds will allow the CCCR to work toward four broad program goals: 1) to collect cancer data in a timely manner, 2) to maintain high quality data, 3) to promote the use of that data, and 4) to improve the use of technology in obtaining the data. Data will be collected in accordance with state laws and regulations primarily from hospital cancer registry partners. Data will also be obtained through pathology laboratories, surgery centers, radiation therapy centers, large oncology clinics, death certificates, and private physician practices when required.