sussex co cancer coalition
DESCRIPTION
Newsletter for the Sussex County Cancer Coalition, in Sussex County, NJ. Highlights the programs and services of the Coalition.TRANSCRIPT
Page 1
H E A LT H M AT T E R SSussex
The Newsletter of the Sussex County Cancer Coalition
Herersquos Whatrsquos Inside Clinical Trials in Sussex County Page 1 Upcoming Events Page 2 Hands of Hope Tobacco Awareness Page 3 FAQs About Participating in Clinical Trials Page 4
Some Cancers Linked to Excess Body Fat Page 6 Choose Your Cover Page 7 Nutrition amp Fitness Workgroup Formed Page 7 Who We Are Page 8
SUSS
EX C
OUNTY CANCER COALITIO
N
With over 20 clinical research trials currently open at Sparta Cancer Center patients are offered an excellent opportunity to benefit from new cancer therapies sponsored by the National Cancer Institute ldquoIt is important for patients to know about every treatment option available for the most complete carerdquo states Megan Frugone RN Clinical Research Associate ldquoWe currently offer 25 clinical trials whose protocols contain radiation chemotherapy or both for many different types of cancer These include lung breast colon prostate glioblastoma head and neck brain esophageal and more The Center also provides supportive and observational trialsrdquo These supportive trials may seek to improve the quality of life for cancer patients or they may seek to find the most effective way to prevent a recurrence of cancer after treatment Each trial has a designated Principal Investigator overseeing that particular research and the four physicians of Sparta Cancer Center share in these roles They are Radiation Oncologists Kathy Lo MD and Michael J Gallagher MD medical director Medical Oncologist Bohdan Halibey MD and HematologistOncologist May Abdo-Matkiwsky DO Sparta Cancer Centerrsquos research program was established in 2006 through an affiliation with Thomas Jefferson University Hospital (TJUH) in Philadelphia Pennsylvania For the past two years the Center has earned Jeffersonrsquos ldquoOutstanding Patient Accrual in Clinical Trialsrdquo award Through the University Sparta Cancer Center has been able to offer patients many Cooperative Group studies (RTOG ECOG NSABP SWOG and CTSU) Although the acronyms can be confusing at first the important
factor is that a Cooperative Group is a research project of the National Cancer Institute that brings together many investigators from hospitals and academic research centers throughout the United States In addition to Cooperative Group studies Sparta Cancer Center is a member of Accelerated Community Oncology Research Network (ACORN) based out of Memphis Tennessee Through ACORN the Center participates in pharmaceutical industry trials and has access to many new chemotherapy agents that are being studied for FDA approval For example Sparta Cancer Center was one of the original sixty-six centers in the United States selected to participate in a highly coveted Phase III trial for triple negative breast cancer a particularly aggressive form of the disease Clinical Research Associate Christine Lyasko RN shares ldquoBecause of
Clinical Trials for Cancer Research Abundant in Sussex County
Continued on page 4
The clinical research team at Sparta Cancer Center pictured includes Megan Frugone RN May Abdo-Matkiwsky DO Michael J Gallagher MD Bohdan Halibey MD Christine L Lyasko RN and Kathy Lo MD
Volume 3 Issue 3
Page 2
2010 CAREGIVER EXPOWednesday September 15th bull 3 PM ndash 6 PM
Adam Todd Caterers bull 263 Highway 206 bull Andover
Learn about products services and resources available to support your caregiving efforts Over 40 exhibitors will offer information regarding home health services housing options nutrition programs including Meals on Wheels medical and safety equipment legal services social services transportation reverse mortgages down-sizing and more Light refreshments will be served This is a FREE event but registration is required Contact Sussex County Department of Human Services Division of Senior Services at 973-579-0555 or seniorservicessussexnjus for additional information or to register
SAINT CLARES NINTH ANNUAL WALK FOR BREAST CANCER AWARENESSSunday September 19th bull Registration
700 AM - 830 AM bull Hilton Garden Inn amp Rockaway Townsquare Mall bull Rockaway
Walk to put breast cancer on the run at the Ninth Annual Saint Clarersquos Walk for Breast Cancer Awareness Proceeds from the event will support Cancer Care at Saint Clarersquos allowing Saint Clarersquos to enhance the diagnosis and treatment of breast cancer Call 973-983-5300 for more information
DAVID NASTO MEMORIAL WALK FORORAL CANCER AWARENESS
Saturday September 25th bull Perona FarmsAndover bull Registration begins at 830 AM
Free oral cancer screenings blood pressure screenings face-painting and live music Speakers incl Dr Arnold Rosenheck Associate Professor of Oral amp Maxillofacial Surgery UMDNJ and oral cancer survivor Bob Unruh
JOIN US FOR TEAWednesday September 29th bull 2 PM - 4 PM
Knoll Heights Senior Center bull Sparta
The Sussex County Cancer Coalitionrsquos Breast Cancer Workgroup will be sponsoring a Womenrsquos Tea which will address cancers that affect women All ages welcome Registration is required Call 973-579-0570 ext 1211 to register
MOBILE MAMMOGRAPHY VAN Thursday October 7th bull 10 AM - 5 PM
Project Self-Sufficiency will offer free mammograms to eligible women on October 7th To participate women must be uninsured or underinsured and over the age of 40 Mammograms will be offered by appointment only Education about performing self-examinations as well as free educational materials on breast health and breast cancer will be distributed In combination with mammograms breast self-exams and clinical breast exams are recommended for all women after the age of 20 Funding for the mobile mammography van is provided in part by the Susan G Komen for the Curereg North Jersey To learn more or to schedule an appointment please call Pat James at Project Self-Sufficiency at 973-940-3500
TELECONFERENCE UPDATE ON METASTATIC BREAST CANCER
WHATrsquoS NEW Thursday October 14th bull 130 PM - 230 PM
Sponsored by Cancer Care Connect Listen in via telephone or live streaming through the internet to this conveniently-offered and informative update For both health professionals and lay persons To register for this program call 1-800-813-HOPE (4673) or online at wwwcancercareorgconnect
HEALTHY LIVING FESTIVAL FOR SENIORS Saturday October 16TH bull 9 AM ndash 12 PM
Hardyston Middle School bull Hamburg
Influenza Pneumococcal and Tetanus vaccines available to those eligible FREE Brown Bag Medication Review FREE Health Screenings including Balance Blood Pressure Bone Density Cholesterol Glucose Hand Hygiene Hearing Memory Muscle Function Oral Cancer Vascular Vision and much much more Contact Sussex County Department of Human Services Division of Senior Services at 973-579-0555 or seniorservicessussexnjus for additional information
UPCOMING EVENTS
Page 3
Take Control of Your Health - An Action Plan for Enhancing Wellness
Ongoing Courses Cancer patients survivors and other adults who are dealing with chronic conditions as well their caregivers are invited to ldquoTAKE CONTROL OF YOUR HEALTHrdquo by participating in a six-week workshop series designed to help participants develop action plans and skills for healthy eating exercising safely alleviating pain and fatigue generally feeling better maintaining independence and getting more out life The 2 frac12 hour workshops take place once each week ldquoTAKE CONTROL OF YOUR HEALTHrdquo is offered at NO COST to participants and includes the book ldquoLiving a Healthy Life with Chronic Conditionsrdquo A suggested donation of $20 is strictly voluntary and confidential For more information or to locate a workshop near you contact the Sussex County Department of Human Services Division of Senior Services at 973-579-0555 Ext 1281 or rhannapplesussexnjus
Hands of Hope Initiative Seen by Hundreds
Each year since 1987 the World Health Organization has recognized May 31st as ldquoWorld No Tobacco Dayrdquo across the globe This year the Center for Prevention and Counselingrsquos Community Partnership for Tobacco Free New Jersey together with REBEL a youth lead tobacco prevention effort in the Countyrsquos schools and the Sussex County Cancer Coalition celebrated the event by displaying the ldquoHands of Hoperdquo in the Newton Square on Thursday June 3rd from 5 pm - 7 pm Phillip R Crabb Sussex County Deputy DirectorSussex County Board of Chosen Freeholders attended the event and viewed the display The Hands of Hope project was developed several years ago by Nancy Speelman an employee of the Tobacco Dependence Program at UMDNJ and has been promoted by the American Cancer Society as well as many other tobacco prevention groups It has become a nationally recognized project in the effort to bring awareness to the dangers of tobacco use both to the user and to those exposed to its use The Sussex County Cancer Coalition began the Hands of Hope project in March collecting nearly 1500 hands with the help of the Community Partnership REBEL Saint Clarersquos Hospital Newton Memorial Hospital and Sussex County Division of Senior Services These hands were displayed on banners throughout the park and information on smoking cessation and prevention was available in the gazebo during the event Several members of the REBEL teen group passed out rubber bracelets with the message ldquoFreedom from Tobaccordquo while they explained the project to the passersby Approximately 400 bracelets were disseminated within two hours The Sussex County Cancer Coalition a grant funded program from the New Jersey Department of Health and Senior Services Office of Cancer Control and Prevention (NJDHSS- OCCP) and is sponsored in Sussex County by the Department of Environmental and Public Health Services The program is coordinated by Helen Homeijer RNC BSN and focuses on the prevention of many types of cancer affecting County residents The Community Partnership for Tobacco Free New Jersey coordinated by Shelley Stuart and REBEL coordinated by Cindy Meakem are funded by the Comprehensive Tobacco Control Program a division of NJDHSS For more information on tobacco prevention efforts or cancer prevention and education contact Helen Homeijer at 973-579-0570 extension 1212 or Shelley Stuart at 973-383-4787
Page 4
this trial and the womenrsquos strong desire to participate in research many of them traveled from within the tri-state region to Sparta to access the debut of a hopeful treatmentrdquo The benefits of patients getting involved with research are multiple First patients may have access to new drugs before they are available to the public Their health care is closely monitored by a research team which consists of doctors nurses clinical research coordinators and other specialists Patients perform a more active role in their health care and may be among the first to benefit if the approach being studied is found to be helpful It
can also be a patientrsquos own opportunity to make a valuable contribution to cancer research Sparta Cancer Center is a joint venture of Newton Memorial Hospital and Sussex Radiation Oncology Associates For additional information about clinical research these links may be helpful wwwkimmelcancercenterorgjkccn wwwclinicaltrialsgov and wwwacornresearchnet The Centerrsquos clinical research associates Megan Frugone RN and Christine L Lyasko RN can be contacted at 973-729-8801 and researchspartacancercom
About Participating in Clinical TrialsFAQs
It is important to remember that every clinical trial has its own areas of focus protocols and desired outcomes Before you decide whether or not a specific clinical trial is right for you take some time to review these Frequently Asked Questions (FAQs) about the general process the risks and the benefits This list of FAQs has been adapted from lsquoClinical Trialsgovrsquo a service of the US National Institutes of Health
What is a clinical trial Although there are many definitions of clinical trials they are generally considered to be biomedical or health-related research studies in human beings that follow a pre-defined protocol Interventional studies are those in which the research subjects are assigned by the investigator to a treatment or other intervention and their outcomes are measured Observational studies are those in which individuals are observed and their outcomes are measured by the investigators
Who can participate in a clinic trial All clinical trials have guidelines about who can participate Using inclusionexclusion criteria is an important principle of medical research that helps to produce reliable results The factors that allow someone to participate in a clinical trial are called ldquoinclusion criteriardquo and those that disallow someone from participating are called ldquoexclusion criteriardquo These are based on such factors as age gender the type and stage of a disease previous treatment history and other medical conditions Before joining a clinical trial a participant must qualify for the study Some research studies seek participants with illnesses or conditions to be studied in the clinical trial while others need healthy participants
What happens during a clinical trial The clinical trial process depends on the kind of trial being conducted The clinical trial team includes doctors and nurses as well as social workers and other health care professionals They check the health of the participant at the beginning of the trial give specific instructions for participating in the trial monitor the participant carefully during the trial and stay in touch after the trial is completed
Continued from page 1
Participants in clinical trials can play a more active role in
their own health care gain access to new
research treatments before they are widely
available and help others
by contributing to medical research
Page 5
What is informed consent Informed consent is the process of learning the key facts about a clinical trial before deciding whether or not to participate To help someone decide whether or not to participate the doctors and nurses involved in the trial explain the details of the study Then the research team provides an informed consent document that includes details about the study such as its purpose duration required procedures and key contacts Risks and potential benefits are explained in the informed consent document The participant then decides whether or not to sign the document Informed consent is not a contract and the participant may withdraw from the trial at any time
What are the benefits and risks of participating in a clinical trialBenefits Clinical trials that are well-designed and well-executed may be the best approach for eligible participants to
bull Play an active role in her or his own health carebull Gain access to new research treatments before they are widely
availablebull Obtain expert medical care at leading health care facilities during the trialbull Help others by contributing to medical research
Risks It is important to be aware that there are risks to clinical trials For example
bull There may be unpleasant serious or even life-threatening side effects to experimental treatment
bull The experimental treatment may not be effective for the participantbull The protocol may require more of their time and attention than would a non-protocol
treatment including trips to the study site more treatments hospital stays or complex dosage requirements
What should you consider before participating in a trial You should know as much as possible about the clinical trial including the care expected while in a trial and the cost of the trial The following questions might be helpful for the participant to discuss with the health care team Some of the answers to these questions are found in the informed consent document
bull What is the purpose of the study Who is going to be in the studybull Why do researchers believe the experimental treatment being tested may be effective Has it
been tested beforebull What kinds of tests and experimental treatments are involvedbull How do the possible risks side effects and benefits in the study compare with my current
treatment How might this trial affect my daily life How long will the trial lastbull Will hospitalization be required Who will pay for the experimental treatmentbull Will I be reimbursed for other expenses What type of long-term follow up care is part of this
studybull How will I know that the experimental treatment is working Will results of the trials be
provided to me Who will be in charge of my care
The decision about whether or not to participate in a clinical trial must be carefully considered with all aspects being thoroughly reviewed Speak to your healthcare providers and your family before beginning More detailed responses to these and many other important questions about clinical trials can be found at httpwwwclinicaltrialsgovct2infounderstand
Page 6
More than 100000 cancers in the US each year are linked to excess body fat according to data released in late 2009 from the American Institute for Cancer Research (AICR) Researchers have known for some time that being overweight puts people at an increased risk of some types of cancer ndash AICRrsquos data highlights the extent of the problemThe estimates show that excess body fat is linked to
bull 49 of endometrial cancers (20700 casesyear) bull 35 of esophageal cancers (5800 casesyear)bull 28 of pancreatic cancers (11900 casesyear)bull 24 of kidney cancers (13900 casesyear)bull 21 of gallbladder cancers (2000 casesyear) bull 17 of breast cancers (33000 casesyear) and bull 9 of colorectal cancers (13200 casesyear)
ldquoThe evidence is clear If people sustain a normal body weight and remain physically active throughout life it will have a major impact on cancer incidencerdquo said Laurence N Kolonel MD PhD Deputy Director of the Cancer Research Center of Hawaii and a member of the expert panel AICRrsquos figures are based on combining US cancer incidence data with conclusions from a February 2009 AICR and World Cancer Research Fund (WCRF) report that looked at the relationship between cancer and risk factors such as poor diet lack of physical activity and excess weight AICR researchers will continue to update these numbers as more data becomes available
Nature of the link According to a 2003 American Cancer Society study of more than 900000 men and women the heaviest men had death rates from all cancers combined that were 52 higher than the rates among normal-weight men The study found that the heaviest women had cancer death rates 62 higher than normal-weight women
Several mechanisms are thought to be at work that may cause a person to be more susceptible to cancer when they are overweight For example excess body fat appears to increase the amount of hormones like estrogen circulating in the body and it can also disrupt how the body processes insulin Both of those factors have been linked to an increased cancer risk In addition Kolonel says ldquobeing overweight creates low-grade inflammation in the body and therersquos a lot of research going on right now that links chronic inflammation to cancerrdquo
Reducing your risk Half of all Americans arenrsquot aware of the role obesity plays in cancer risk according to a risk
assessment study by AICR ldquoPublic awareness of the link between obesity and cancer risk is alarmingly lowrdquo said Alice Bender MS RD Nutrition Communications Manager at AICR ldquoWe are working towards a day when obesity is right up there with tobacco in the public eyerdquo To reduce your risk the American Cancer Society
recommends balancing calorie intake with physical activity Eat at least 5
servings of fruit and vegetables every day choose whole grains over processed grains and limit red meat Adults should engage in at least 30 minutes of moderate or vigorous physical activity 5 days a week or more ldquoThe bottom line for people concerned about this issue is to try to balance the calories you take in with those your body expends every dayrdquo says Michael J Thun MD MS American Cancer Society Vice President Emeritus Epidemiology and Surveillance Research To learn more about this report from both the AICR and the American Cancer Society visit httpwwwaicrorg and httpwwwcancerorg
Report Over 100000 Cancers Linked to Excess Body Fat
Page 7
Nutrition and Fitness has emerged as an important group in the Sussex County Cancer Coalition While other groups focus on trends in specific types of cancer research treatment and advocacy Health and Fitness takes a holistic approach in the prevention of all types of cancer An excellent area to begin Nutrition and Fitness focus is in employee wellness programs These programs do not only cover nutrition and fitness but also overall wellness of the staff employed in a variety of workplaces Stress has been linked to compromised health and a good program offers its employees such services as mental health services cancer prevention staff development or continuing education opportunities walking groups healthy weight loss programs and many others The Sussex County Nutrition and Fitness workgroup will begin with a project that will assist the Coordinated School Health Program a project funded by the New Jersey Department of Health
and Senior Servicesrsquo Child and Adolescent Health Program being coordinated through the Center for Prevention amp Counseling This grant will work with Newton High School as well as the three sending middle schools Halsted in Newton Green Hills in Green Township and Long Pond in Andover Township on a comprehensive school wellness initiative created with Centers for Disease Control and Prevention standards School employee wellness will be an important component of the overall program with the focus that all healthy school employees a valuable asset to our youth The project will begin its kick off this fall by creating teams of wellness professionals at each of the schools both from the schoolsrsquo own resources and from the communities in which they resideIf you provide wellness services and would like to participate in this project please speak to Shelley Stuart (Coalition Workgroup Facilitator) CHES and School Health Specialist at the Center for Prevention amp Counseling at 973-383-4787
Nutrition and Fitness is the Focus of New Coalition Work Group
On Saturday July 17th the Sussex County Cancer Coalition held a beachside skin cancer screening at Swartswood Lake State Park as part of a statewide initiative called ldquoChoose Your Coverrdquo which provided free skin cancer screenings at beaches swimming pools and recreational areas throughout NJ
Fifty-four individuals were screened at the Swartswood State Park with even more receiving
educational materials about how to reduce the risks associated with over-exposure to the sun
Many volunteers from the coalition donated time and energy to assist in set up registration education
efforts and the screening process making this a very successful outreach effort
ldquoChoose Your CoverrdquoProvides Education and Skin Cancer
Screenings for Parkgoers
Page 8
THANK YOU for your
comittment
Barbara Adolphe Center for Prevention and CounselingKerry Armillay Sparta Cancer CenterJamie Bachman Saint Clarersquos Cancer CenterFran Baldi RN Sussex County Office of Public Health NursingGail Bolte Regional Oral Health ProgramCheryl Buxton RN Sussex County Office of Public Health NursingCathy Cabrera Saint Clarersquos HospitalJo Ellen Carlucci Sparta Cancer CenterSharon Chamberlain Community MemberMargaret Chiodo Newton Memorial HospitalMaureen Cianci RN Newton Memorial HospitalKathy Conn Saint Clarersquos Cancer CenterRalph DrsquoAries MA Sussex County Department of Environmental amp Public Health ServicesKathy Dickson RN SCARC Nursing SupervisorMichael Gallagher MD Sparta Cancer CenterPam Geiger NJCEED Saint Clarersquos HospitalBohdan E Halibey MD Sparta Cancer CenterMin-Yen Han MDDeborah Ann Johnson UMDNJHelen Homeijer RN Sussex County Department of Environmental amp Public Health ServicesPatricia James CHES Project Self SufficiencyMary Lou Klem RD Sparta Cancer CenterKathy Lo MD Sparta Cancer CenterRosamond Dee Lockwood RN BC CDE Newton Memorial HospitalCindy Meakem CHES Center for Prevention and Counseling
May Matkiwsky OD Sparta Cancer CenterGinny Montella RN Compassionate Care HospiceKathy Nugent Cancer Care Brian Newman MD Surgical Associates of Sussex County PAMichelle OrsquoShea MD Summit Breast CareEllen Phelps RN Director Sussex County Office of Public Health NursingBetty Pluymers Parish Nurse First Presbyterian Church of SussexBarbara Reed Newton Memorial HospitalMarge Rojewski NJ CEEDMichele Roth RN Sussex County Office of Public Health NursingPamela Banks Johnson American Cancer SocietySusan Sanna NJDHSSOCCPSusan Settineri LPN Sussex County Office of Public Health NursingMary Lou Schnurr Sussex County Division of Senior ServicesTracy Storms CHES Sussex County Department of Environmental amp Public Health ServicesSharon St Angelo ANP New Perspectives Health CareShelley Stuart CHES Center for Prevention and CounselingBeth Sylvester RN Karen Ann Quinlan HospiceKathy Trethaway Cancer CareSusan Wilinski Freelance WriterSandy Winters Saint Clarersquos HospitalHerbert Yardley MA REHS Sussex County Department of Environmental amp Public Health Services
WHO WE ARE
The Sussex County Cancer Coalition is a diverse partnership of community members and resource agencies developed to encourage Sussex County residents to adopt cancer-preventive behaviors while reducing the incidence of morbiditymortality through early illness detection The Coalition focuses on public education with a positive tone increasing awareness that healthier lifestyle choices combined with appropriate and timely medical screening can reduce the burden of cancer illness in Sussex County Learn more about the
Cancer Coalition and our partners at httpwwwsussexagainstcancerorg or by calling 973-579-0570 x 1212
The Sussex County Cancer Coalition is made possible by a grant to the Sussex County Department of Environmental and Public Health Services and from the New Jersey Department of Health and Senior Servicesrsquo Office of Cancer Control and Prevention The mission of the Sussex County Cancer Coalition is to implement the New Jersey Comprehensive Cancer Control Plan in Sussex County For more information on Comprehensive Cancer Control in New Jersey please visit wwwnjcancergov
ldquoWorking Together to Reduce the Burden of Cancer in New Jerseyrdquo
SuSS
ex C
ounty CanCer Coa
lition
Page 2
2010 CAREGIVER EXPOWednesday September 15th bull 3 PM ndash 6 PM
Adam Todd Caterers bull 263 Highway 206 bull Andover
Learn about products services and resources available to support your caregiving efforts Over 40 exhibitors will offer information regarding home health services housing options nutrition programs including Meals on Wheels medical and safety equipment legal services social services transportation reverse mortgages down-sizing and more Light refreshments will be served This is a FREE event but registration is required Contact Sussex County Department of Human Services Division of Senior Services at 973-579-0555 or seniorservicessussexnjus for additional information or to register
SAINT CLARES NINTH ANNUAL WALK FOR BREAST CANCER AWARENESSSunday September 19th bull Registration
700 AM - 830 AM bull Hilton Garden Inn amp Rockaway Townsquare Mall bull Rockaway
Walk to put breast cancer on the run at the Ninth Annual Saint Clarersquos Walk for Breast Cancer Awareness Proceeds from the event will support Cancer Care at Saint Clarersquos allowing Saint Clarersquos to enhance the diagnosis and treatment of breast cancer Call 973-983-5300 for more information
DAVID NASTO MEMORIAL WALK FORORAL CANCER AWARENESS
Saturday September 25th bull Perona FarmsAndover bull Registration begins at 830 AM
Free oral cancer screenings blood pressure screenings face-painting and live music Speakers incl Dr Arnold Rosenheck Associate Professor of Oral amp Maxillofacial Surgery UMDNJ and oral cancer survivor Bob Unruh
JOIN US FOR TEAWednesday September 29th bull 2 PM - 4 PM
Knoll Heights Senior Center bull Sparta
The Sussex County Cancer Coalitionrsquos Breast Cancer Workgroup will be sponsoring a Womenrsquos Tea which will address cancers that affect women All ages welcome Registration is required Call 973-579-0570 ext 1211 to register
MOBILE MAMMOGRAPHY VAN Thursday October 7th bull 10 AM - 5 PM
Project Self-Sufficiency will offer free mammograms to eligible women on October 7th To participate women must be uninsured or underinsured and over the age of 40 Mammograms will be offered by appointment only Education about performing self-examinations as well as free educational materials on breast health and breast cancer will be distributed In combination with mammograms breast self-exams and clinical breast exams are recommended for all women after the age of 20 Funding for the mobile mammography van is provided in part by the Susan G Komen for the Curereg North Jersey To learn more or to schedule an appointment please call Pat James at Project Self-Sufficiency at 973-940-3500
TELECONFERENCE UPDATE ON METASTATIC BREAST CANCER
WHATrsquoS NEW Thursday October 14th bull 130 PM - 230 PM
Sponsored by Cancer Care Connect Listen in via telephone or live streaming through the internet to this conveniently-offered and informative update For both health professionals and lay persons To register for this program call 1-800-813-HOPE (4673) or online at wwwcancercareorgconnect
HEALTHY LIVING FESTIVAL FOR SENIORS Saturday October 16TH bull 9 AM ndash 12 PM
Hardyston Middle School bull Hamburg
Influenza Pneumococcal and Tetanus vaccines available to those eligible FREE Brown Bag Medication Review FREE Health Screenings including Balance Blood Pressure Bone Density Cholesterol Glucose Hand Hygiene Hearing Memory Muscle Function Oral Cancer Vascular Vision and much much more Contact Sussex County Department of Human Services Division of Senior Services at 973-579-0555 or seniorservicessussexnjus for additional information
UPCOMING EVENTS
Page 3
Take Control of Your Health - An Action Plan for Enhancing Wellness
Ongoing Courses Cancer patients survivors and other adults who are dealing with chronic conditions as well their caregivers are invited to ldquoTAKE CONTROL OF YOUR HEALTHrdquo by participating in a six-week workshop series designed to help participants develop action plans and skills for healthy eating exercising safely alleviating pain and fatigue generally feeling better maintaining independence and getting more out life The 2 frac12 hour workshops take place once each week ldquoTAKE CONTROL OF YOUR HEALTHrdquo is offered at NO COST to participants and includes the book ldquoLiving a Healthy Life with Chronic Conditionsrdquo A suggested donation of $20 is strictly voluntary and confidential For more information or to locate a workshop near you contact the Sussex County Department of Human Services Division of Senior Services at 973-579-0555 Ext 1281 or rhannapplesussexnjus
Hands of Hope Initiative Seen by Hundreds
Each year since 1987 the World Health Organization has recognized May 31st as ldquoWorld No Tobacco Dayrdquo across the globe This year the Center for Prevention and Counselingrsquos Community Partnership for Tobacco Free New Jersey together with REBEL a youth lead tobacco prevention effort in the Countyrsquos schools and the Sussex County Cancer Coalition celebrated the event by displaying the ldquoHands of Hoperdquo in the Newton Square on Thursday June 3rd from 5 pm - 7 pm Phillip R Crabb Sussex County Deputy DirectorSussex County Board of Chosen Freeholders attended the event and viewed the display The Hands of Hope project was developed several years ago by Nancy Speelman an employee of the Tobacco Dependence Program at UMDNJ and has been promoted by the American Cancer Society as well as many other tobacco prevention groups It has become a nationally recognized project in the effort to bring awareness to the dangers of tobacco use both to the user and to those exposed to its use The Sussex County Cancer Coalition began the Hands of Hope project in March collecting nearly 1500 hands with the help of the Community Partnership REBEL Saint Clarersquos Hospital Newton Memorial Hospital and Sussex County Division of Senior Services These hands were displayed on banners throughout the park and information on smoking cessation and prevention was available in the gazebo during the event Several members of the REBEL teen group passed out rubber bracelets with the message ldquoFreedom from Tobaccordquo while they explained the project to the passersby Approximately 400 bracelets were disseminated within two hours The Sussex County Cancer Coalition a grant funded program from the New Jersey Department of Health and Senior Services Office of Cancer Control and Prevention (NJDHSS- OCCP) and is sponsored in Sussex County by the Department of Environmental and Public Health Services The program is coordinated by Helen Homeijer RNC BSN and focuses on the prevention of many types of cancer affecting County residents The Community Partnership for Tobacco Free New Jersey coordinated by Shelley Stuart and REBEL coordinated by Cindy Meakem are funded by the Comprehensive Tobacco Control Program a division of NJDHSS For more information on tobacco prevention efforts or cancer prevention and education contact Helen Homeijer at 973-579-0570 extension 1212 or Shelley Stuart at 973-383-4787
Page 4
this trial and the womenrsquos strong desire to participate in research many of them traveled from within the tri-state region to Sparta to access the debut of a hopeful treatmentrdquo The benefits of patients getting involved with research are multiple First patients may have access to new drugs before they are available to the public Their health care is closely monitored by a research team which consists of doctors nurses clinical research coordinators and other specialists Patients perform a more active role in their health care and may be among the first to benefit if the approach being studied is found to be helpful It
can also be a patientrsquos own opportunity to make a valuable contribution to cancer research Sparta Cancer Center is a joint venture of Newton Memorial Hospital and Sussex Radiation Oncology Associates For additional information about clinical research these links may be helpful wwwkimmelcancercenterorgjkccn wwwclinicaltrialsgov and wwwacornresearchnet The Centerrsquos clinical research associates Megan Frugone RN and Christine L Lyasko RN can be contacted at 973-729-8801 and researchspartacancercom
About Participating in Clinical TrialsFAQs
It is important to remember that every clinical trial has its own areas of focus protocols and desired outcomes Before you decide whether or not a specific clinical trial is right for you take some time to review these Frequently Asked Questions (FAQs) about the general process the risks and the benefits This list of FAQs has been adapted from lsquoClinical Trialsgovrsquo a service of the US National Institutes of Health
What is a clinical trial Although there are many definitions of clinical trials they are generally considered to be biomedical or health-related research studies in human beings that follow a pre-defined protocol Interventional studies are those in which the research subjects are assigned by the investigator to a treatment or other intervention and their outcomes are measured Observational studies are those in which individuals are observed and their outcomes are measured by the investigators
Who can participate in a clinic trial All clinical trials have guidelines about who can participate Using inclusionexclusion criteria is an important principle of medical research that helps to produce reliable results The factors that allow someone to participate in a clinical trial are called ldquoinclusion criteriardquo and those that disallow someone from participating are called ldquoexclusion criteriardquo These are based on such factors as age gender the type and stage of a disease previous treatment history and other medical conditions Before joining a clinical trial a participant must qualify for the study Some research studies seek participants with illnesses or conditions to be studied in the clinical trial while others need healthy participants
What happens during a clinical trial The clinical trial process depends on the kind of trial being conducted The clinical trial team includes doctors and nurses as well as social workers and other health care professionals They check the health of the participant at the beginning of the trial give specific instructions for participating in the trial monitor the participant carefully during the trial and stay in touch after the trial is completed
Continued from page 1
Participants in clinical trials can play a more active role in
their own health care gain access to new
research treatments before they are widely
available and help others
by contributing to medical research
Page 5
What is informed consent Informed consent is the process of learning the key facts about a clinical trial before deciding whether or not to participate To help someone decide whether or not to participate the doctors and nurses involved in the trial explain the details of the study Then the research team provides an informed consent document that includes details about the study such as its purpose duration required procedures and key contacts Risks and potential benefits are explained in the informed consent document The participant then decides whether or not to sign the document Informed consent is not a contract and the participant may withdraw from the trial at any time
What are the benefits and risks of participating in a clinical trialBenefits Clinical trials that are well-designed and well-executed may be the best approach for eligible participants to
bull Play an active role in her or his own health carebull Gain access to new research treatments before they are widely
availablebull Obtain expert medical care at leading health care facilities during the trialbull Help others by contributing to medical research
Risks It is important to be aware that there are risks to clinical trials For example
bull There may be unpleasant serious or even life-threatening side effects to experimental treatment
bull The experimental treatment may not be effective for the participantbull The protocol may require more of their time and attention than would a non-protocol
treatment including trips to the study site more treatments hospital stays or complex dosage requirements
What should you consider before participating in a trial You should know as much as possible about the clinical trial including the care expected while in a trial and the cost of the trial The following questions might be helpful for the participant to discuss with the health care team Some of the answers to these questions are found in the informed consent document
bull What is the purpose of the study Who is going to be in the studybull Why do researchers believe the experimental treatment being tested may be effective Has it
been tested beforebull What kinds of tests and experimental treatments are involvedbull How do the possible risks side effects and benefits in the study compare with my current
treatment How might this trial affect my daily life How long will the trial lastbull Will hospitalization be required Who will pay for the experimental treatmentbull Will I be reimbursed for other expenses What type of long-term follow up care is part of this
studybull How will I know that the experimental treatment is working Will results of the trials be
provided to me Who will be in charge of my care
The decision about whether or not to participate in a clinical trial must be carefully considered with all aspects being thoroughly reviewed Speak to your healthcare providers and your family before beginning More detailed responses to these and many other important questions about clinical trials can be found at httpwwwclinicaltrialsgovct2infounderstand
Page 6
More than 100000 cancers in the US each year are linked to excess body fat according to data released in late 2009 from the American Institute for Cancer Research (AICR) Researchers have known for some time that being overweight puts people at an increased risk of some types of cancer ndash AICRrsquos data highlights the extent of the problemThe estimates show that excess body fat is linked to
bull 49 of endometrial cancers (20700 casesyear) bull 35 of esophageal cancers (5800 casesyear)bull 28 of pancreatic cancers (11900 casesyear)bull 24 of kidney cancers (13900 casesyear)bull 21 of gallbladder cancers (2000 casesyear) bull 17 of breast cancers (33000 casesyear) and bull 9 of colorectal cancers (13200 casesyear)
ldquoThe evidence is clear If people sustain a normal body weight and remain physically active throughout life it will have a major impact on cancer incidencerdquo said Laurence N Kolonel MD PhD Deputy Director of the Cancer Research Center of Hawaii and a member of the expert panel AICRrsquos figures are based on combining US cancer incidence data with conclusions from a February 2009 AICR and World Cancer Research Fund (WCRF) report that looked at the relationship between cancer and risk factors such as poor diet lack of physical activity and excess weight AICR researchers will continue to update these numbers as more data becomes available
Nature of the link According to a 2003 American Cancer Society study of more than 900000 men and women the heaviest men had death rates from all cancers combined that were 52 higher than the rates among normal-weight men The study found that the heaviest women had cancer death rates 62 higher than normal-weight women
Several mechanisms are thought to be at work that may cause a person to be more susceptible to cancer when they are overweight For example excess body fat appears to increase the amount of hormones like estrogen circulating in the body and it can also disrupt how the body processes insulin Both of those factors have been linked to an increased cancer risk In addition Kolonel says ldquobeing overweight creates low-grade inflammation in the body and therersquos a lot of research going on right now that links chronic inflammation to cancerrdquo
Reducing your risk Half of all Americans arenrsquot aware of the role obesity plays in cancer risk according to a risk
assessment study by AICR ldquoPublic awareness of the link between obesity and cancer risk is alarmingly lowrdquo said Alice Bender MS RD Nutrition Communications Manager at AICR ldquoWe are working towards a day when obesity is right up there with tobacco in the public eyerdquo To reduce your risk the American Cancer Society
recommends balancing calorie intake with physical activity Eat at least 5
servings of fruit and vegetables every day choose whole grains over processed grains and limit red meat Adults should engage in at least 30 minutes of moderate or vigorous physical activity 5 days a week or more ldquoThe bottom line for people concerned about this issue is to try to balance the calories you take in with those your body expends every dayrdquo says Michael J Thun MD MS American Cancer Society Vice President Emeritus Epidemiology and Surveillance Research To learn more about this report from both the AICR and the American Cancer Society visit httpwwwaicrorg and httpwwwcancerorg
Report Over 100000 Cancers Linked to Excess Body Fat
Page 7
Nutrition and Fitness has emerged as an important group in the Sussex County Cancer Coalition While other groups focus on trends in specific types of cancer research treatment and advocacy Health and Fitness takes a holistic approach in the prevention of all types of cancer An excellent area to begin Nutrition and Fitness focus is in employee wellness programs These programs do not only cover nutrition and fitness but also overall wellness of the staff employed in a variety of workplaces Stress has been linked to compromised health and a good program offers its employees such services as mental health services cancer prevention staff development or continuing education opportunities walking groups healthy weight loss programs and many others The Sussex County Nutrition and Fitness workgroup will begin with a project that will assist the Coordinated School Health Program a project funded by the New Jersey Department of Health
and Senior Servicesrsquo Child and Adolescent Health Program being coordinated through the Center for Prevention amp Counseling This grant will work with Newton High School as well as the three sending middle schools Halsted in Newton Green Hills in Green Township and Long Pond in Andover Township on a comprehensive school wellness initiative created with Centers for Disease Control and Prevention standards School employee wellness will be an important component of the overall program with the focus that all healthy school employees a valuable asset to our youth The project will begin its kick off this fall by creating teams of wellness professionals at each of the schools both from the schoolsrsquo own resources and from the communities in which they resideIf you provide wellness services and would like to participate in this project please speak to Shelley Stuart (Coalition Workgroup Facilitator) CHES and School Health Specialist at the Center for Prevention amp Counseling at 973-383-4787
Nutrition and Fitness is the Focus of New Coalition Work Group
On Saturday July 17th the Sussex County Cancer Coalition held a beachside skin cancer screening at Swartswood Lake State Park as part of a statewide initiative called ldquoChoose Your Coverrdquo which provided free skin cancer screenings at beaches swimming pools and recreational areas throughout NJ
Fifty-four individuals were screened at the Swartswood State Park with even more receiving
educational materials about how to reduce the risks associated with over-exposure to the sun
Many volunteers from the coalition donated time and energy to assist in set up registration education
efforts and the screening process making this a very successful outreach effort
ldquoChoose Your CoverrdquoProvides Education and Skin Cancer
Screenings for Parkgoers
Page 8
THANK YOU for your
comittment
Barbara Adolphe Center for Prevention and CounselingKerry Armillay Sparta Cancer CenterJamie Bachman Saint Clarersquos Cancer CenterFran Baldi RN Sussex County Office of Public Health NursingGail Bolte Regional Oral Health ProgramCheryl Buxton RN Sussex County Office of Public Health NursingCathy Cabrera Saint Clarersquos HospitalJo Ellen Carlucci Sparta Cancer CenterSharon Chamberlain Community MemberMargaret Chiodo Newton Memorial HospitalMaureen Cianci RN Newton Memorial HospitalKathy Conn Saint Clarersquos Cancer CenterRalph DrsquoAries MA Sussex County Department of Environmental amp Public Health ServicesKathy Dickson RN SCARC Nursing SupervisorMichael Gallagher MD Sparta Cancer CenterPam Geiger NJCEED Saint Clarersquos HospitalBohdan E Halibey MD Sparta Cancer CenterMin-Yen Han MDDeborah Ann Johnson UMDNJHelen Homeijer RN Sussex County Department of Environmental amp Public Health ServicesPatricia James CHES Project Self SufficiencyMary Lou Klem RD Sparta Cancer CenterKathy Lo MD Sparta Cancer CenterRosamond Dee Lockwood RN BC CDE Newton Memorial HospitalCindy Meakem CHES Center for Prevention and Counseling
May Matkiwsky OD Sparta Cancer CenterGinny Montella RN Compassionate Care HospiceKathy Nugent Cancer Care Brian Newman MD Surgical Associates of Sussex County PAMichelle OrsquoShea MD Summit Breast CareEllen Phelps RN Director Sussex County Office of Public Health NursingBetty Pluymers Parish Nurse First Presbyterian Church of SussexBarbara Reed Newton Memorial HospitalMarge Rojewski NJ CEEDMichele Roth RN Sussex County Office of Public Health NursingPamela Banks Johnson American Cancer SocietySusan Sanna NJDHSSOCCPSusan Settineri LPN Sussex County Office of Public Health NursingMary Lou Schnurr Sussex County Division of Senior ServicesTracy Storms CHES Sussex County Department of Environmental amp Public Health ServicesSharon St Angelo ANP New Perspectives Health CareShelley Stuart CHES Center for Prevention and CounselingBeth Sylvester RN Karen Ann Quinlan HospiceKathy Trethaway Cancer CareSusan Wilinski Freelance WriterSandy Winters Saint Clarersquos HospitalHerbert Yardley MA REHS Sussex County Department of Environmental amp Public Health Services
WHO WE ARE
The Sussex County Cancer Coalition is a diverse partnership of community members and resource agencies developed to encourage Sussex County residents to adopt cancer-preventive behaviors while reducing the incidence of morbiditymortality through early illness detection The Coalition focuses on public education with a positive tone increasing awareness that healthier lifestyle choices combined with appropriate and timely medical screening can reduce the burden of cancer illness in Sussex County Learn more about the
Cancer Coalition and our partners at httpwwwsussexagainstcancerorg or by calling 973-579-0570 x 1212
The Sussex County Cancer Coalition is made possible by a grant to the Sussex County Department of Environmental and Public Health Services and from the New Jersey Department of Health and Senior Servicesrsquo Office of Cancer Control and Prevention The mission of the Sussex County Cancer Coalition is to implement the New Jersey Comprehensive Cancer Control Plan in Sussex County For more information on Comprehensive Cancer Control in New Jersey please visit wwwnjcancergov
ldquoWorking Together to Reduce the Burden of Cancer in New Jerseyrdquo
SuSS
ex C
ounty CanCer Coa
lition
Page 3
Take Control of Your Health - An Action Plan for Enhancing Wellness
Ongoing Courses Cancer patients survivors and other adults who are dealing with chronic conditions as well their caregivers are invited to ldquoTAKE CONTROL OF YOUR HEALTHrdquo by participating in a six-week workshop series designed to help participants develop action plans and skills for healthy eating exercising safely alleviating pain and fatigue generally feeling better maintaining independence and getting more out life The 2 frac12 hour workshops take place once each week ldquoTAKE CONTROL OF YOUR HEALTHrdquo is offered at NO COST to participants and includes the book ldquoLiving a Healthy Life with Chronic Conditionsrdquo A suggested donation of $20 is strictly voluntary and confidential For more information or to locate a workshop near you contact the Sussex County Department of Human Services Division of Senior Services at 973-579-0555 Ext 1281 or rhannapplesussexnjus
Hands of Hope Initiative Seen by Hundreds
Each year since 1987 the World Health Organization has recognized May 31st as ldquoWorld No Tobacco Dayrdquo across the globe This year the Center for Prevention and Counselingrsquos Community Partnership for Tobacco Free New Jersey together with REBEL a youth lead tobacco prevention effort in the Countyrsquos schools and the Sussex County Cancer Coalition celebrated the event by displaying the ldquoHands of Hoperdquo in the Newton Square on Thursday June 3rd from 5 pm - 7 pm Phillip R Crabb Sussex County Deputy DirectorSussex County Board of Chosen Freeholders attended the event and viewed the display The Hands of Hope project was developed several years ago by Nancy Speelman an employee of the Tobacco Dependence Program at UMDNJ and has been promoted by the American Cancer Society as well as many other tobacco prevention groups It has become a nationally recognized project in the effort to bring awareness to the dangers of tobacco use both to the user and to those exposed to its use The Sussex County Cancer Coalition began the Hands of Hope project in March collecting nearly 1500 hands with the help of the Community Partnership REBEL Saint Clarersquos Hospital Newton Memorial Hospital and Sussex County Division of Senior Services These hands were displayed on banners throughout the park and information on smoking cessation and prevention was available in the gazebo during the event Several members of the REBEL teen group passed out rubber bracelets with the message ldquoFreedom from Tobaccordquo while they explained the project to the passersby Approximately 400 bracelets were disseminated within two hours The Sussex County Cancer Coalition a grant funded program from the New Jersey Department of Health and Senior Services Office of Cancer Control and Prevention (NJDHSS- OCCP) and is sponsored in Sussex County by the Department of Environmental and Public Health Services The program is coordinated by Helen Homeijer RNC BSN and focuses on the prevention of many types of cancer affecting County residents The Community Partnership for Tobacco Free New Jersey coordinated by Shelley Stuart and REBEL coordinated by Cindy Meakem are funded by the Comprehensive Tobacco Control Program a division of NJDHSS For more information on tobacco prevention efforts or cancer prevention and education contact Helen Homeijer at 973-579-0570 extension 1212 or Shelley Stuart at 973-383-4787
Page 4
this trial and the womenrsquos strong desire to participate in research many of them traveled from within the tri-state region to Sparta to access the debut of a hopeful treatmentrdquo The benefits of patients getting involved with research are multiple First patients may have access to new drugs before they are available to the public Their health care is closely monitored by a research team which consists of doctors nurses clinical research coordinators and other specialists Patients perform a more active role in their health care and may be among the first to benefit if the approach being studied is found to be helpful It
can also be a patientrsquos own opportunity to make a valuable contribution to cancer research Sparta Cancer Center is a joint venture of Newton Memorial Hospital and Sussex Radiation Oncology Associates For additional information about clinical research these links may be helpful wwwkimmelcancercenterorgjkccn wwwclinicaltrialsgov and wwwacornresearchnet The Centerrsquos clinical research associates Megan Frugone RN and Christine L Lyasko RN can be contacted at 973-729-8801 and researchspartacancercom
About Participating in Clinical TrialsFAQs
It is important to remember that every clinical trial has its own areas of focus protocols and desired outcomes Before you decide whether or not a specific clinical trial is right for you take some time to review these Frequently Asked Questions (FAQs) about the general process the risks and the benefits This list of FAQs has been adapted from lsquoClinical Trialsgovrsquo a service of the US National Institutes of Health
What is a clinical trial Although there are many definitions of clinical trials they are generally considered to be biomedical or health-related research studies in human beings that follow a pre-defined protocol Interventional studies are those in which the research subjects are assigned by the investigator to a treatment or other intervention and their outcomes are measured Observational studies are those in which individuals are observed and their outcomes are measured by the investigators
Who can participate in a clinic trial All clinical trials have guidelines about who can participate Using inclusionexclusion criteria is an important principle of medical research that helps to produce reliable results The factors that allow someone to participate in a clinical trial are called ldquoinclusion criteriardquo and those that disallow someone from participating are called ldquoexclusion criteriardquo These are based on such factors as age gender the type and stage of a disease previous treatment history and other medical conditions Before joining a clinical trial a participant must qualify for the study Some research studies seek participants with illnesses or conditions to be studied in the clinical trial while others need healthy participants
What happens during a clinical trial The clinical trial process depends on the kind of trial being conducted The clinical trial team includes doctors and nurses as well as social workers and other health care professionals They check the health of the participant at the beginning of the trial give specific instructions for participating in the trial monitor the participant carefully during the trial and stay in touch after the trial is completed
Continued from page 1
Participants in clinical trials can play a more active role in
their own health care gain access to new
research treatments before they are widely
available and help others
by contributing to medical research
Page 5
What is informed consent Informed consent is the process of learning the key facts about a clinical trial before deciding whether or not to participate To help someone decide whether or not to participate the doctors and nurses involved in the trial explain the details of the study Then the research team provides an informed consent document that includes details about the study such as its purpose duration required procedures and key contacts Risks and potential benefits are explained in the informed consent document The participant then decides whether or not to sign the document Informed consent is not a contract and the participant may withdraw from the trial at any time
What are the benefits and risks of participating in a clinical trialBenefits Clinical trials that are well-designed and well-executed may be the best approach for eligible participants to
bull Play an active role in her or his own health carebull Gain access to new research treatments before they are widely
availablebull Obtain expert medical care at leading health care facilities during the trialbull Help others by contributing to medical research
Risks It is important to be aware that there are risks to clinical trials For example
bull There may be unpleasant serious or even life-threatening side effects to experimental treatment
bull The experimental treatment may not be effective for the participantbull The protocol may require more of their time and attention than would a non-protocol
treatment including trips to the study site more treatments hospital stays or complex dosage requirements
What should you consider before participating in a trial You should know as much as possible about the clinical trial including the care expected while in a trial and the cost of the trial The following questions might be helpful for the participant to discuss with the health care team Some of the answers to these questions are found in the informed consent document
bull What is the purpose of the study Who is going to be in the studybull Why do researchers believe the experimental treatment being tested may be effective Has it
been tested beforebull What kinds of tests and experimental treatments are involvedbull How do the possible risks side effects and benefits in the study compare with my current
treatment How might this trial affect my daily life How long will the trial lastbull Will hospitalization be required Who will pay for the experimental treatmentbull Will I be reimbursed for other expenses What type of long-term follow up care is part of this
studybull How will I know that the experimental treatment is working Will results of the trials be
provided to me Who will be in charge of my care
The decision about whether or not to participate in a clinical trial must be carefully considered with all aspects being thoroughly reviewed Speak to your healthcare providers and your family before beginning More detailed responses to these and many other important questions about clinical trials can be found at httpwwwclinicaltrialsgovct2infounderstand
Page 6
More than 100000 cancers in the US each year are linked to excess body fat according to data released in late 2009 from the American Institute for Cancer Research (AICR) Researchers have known for some time that being overweight puts people at an increased risk of some types of cancer ndash AICRrsquos data highlights the extent of the problemThe estimates show that excess body fat is linked to
bull 49 of endometrial cancers (20700 casesyear) bull 35 of esophageal cancers (5800 casesyear)bull 28 of pancreatic cancers (11900 casesyear)bull 24 of kidney cancers (13900 casesyear)bull 21 of gallbladder cancers (2000 casesyear) bull 17 of breast cancers (33000 casesyear) and bull 9 of colorectal cancers (13200 casesyear)
ldquoThe evidence is clear If people sustain a normal body weight and remain physically active throughout life it will have a major impact on cancer incidencerdquo said Laurence N Kolonel MD PhD Deputy Director of the Cancer Research Center of Hawaii and a member of the expert panel AICRrsquos figures are based on combining US cancer incidence data with conclusions from a February 2009 AICR and World Cancer Research Fund (WCRF) report that looked at the relationship between cancer and risk factors such as poor diet lack of physical activity and excess weight AICR researchers will continue to update these numbers as more data becomes available
Nature of the link According to a 2003 American Cancer Society study of more than 900000 men and women the heaviest men had death rates from all cancers combined that were 52 higher than the rates among normal-weight men The study found that the heaviest women had cancer death rates 62 higher than normal-weight women
Several mechanisms are thought to be at work that may cause a person to be more susceptible to cancer when they are overweight For example excess body fat appears to increase the amount of hormones like estrogen circulating in the body and it can also disrupt how the body processes insulin Both of those factors have been linked to an increased cancer risk In addition Kolonel says ldquobeing overweight creates low-grade inflammation in the body and therersquos a lot of research going on right now that links chronic inflammation to cancerrdquo
Reducing your risk Half of all Americans arenrsquot aware of the role obesity plays in cancer risk according to a risk
assessment study by AICR ldquoPublic awareness of the link between obesity and cancer risk is alarmingly lowrdquo said Alice Bender MS RD Nutrition Communications Manager at AICR ldquoWe are working towards a day when obesity is right up there with tobacco in the public eyerdquo To reduce your risk the American Cancer Society
recommends balancing calorie intake with physical activity Eat at least 5
servings of fruit and vegetables every day choose whole grains over processed grains and limit red meat Adults should engage in at least 30 minutes of moderate or vigorous physical activity 5 days a week or more ldquoThe bottom line for people concerned about this issue is to try to balance the calories you take in with those your body expends every dayrdquo says Michael J Thun MD MS American Cancer Society Vice President Emeritus Epidemiology and Surveillance Research To learn more about this report from both the AICR and the American Cancer Society visit httpwwwaicrorg and httpwwwcancerorg
Report Over 100000 Cancers Linked to Excess Body Fat
Page 7
Nutrition and Fitness has emerged as an important group in the Sussex County Cancer Coalition While other groups focus on trends in specific types of cancer research treatment and advocacy Health and Fitness takes a holistic approach in the prevention of all types of cancer An excellent area to begin Nutrition and Fitness focus is in employee wellness programs These programs do not only cover nutrition and fitness but also overall wellness of the staff employed in a variety of workplaces Stress has been linked to compromised health and a good program offers its employees such services as mental health services cancer prevention staff development or continuing education opportunities walking groups healthy weight loss programs and many others The Sussex County Nutrition and Fitness workgroup will begin with a project that will assist the Coordinated School Health Program a project funded by the New Jersey Department of Health
and Senior Servicesrsquo Child and Adolescent Health Program being coordinated through the Center for Prevention amp Counseling This grant will work with Newton High School as well as the three sending middle schools Halsted in Newton Green Hills in Green Township and Long Pond in Andover Township on a comprehensive school wellness initiative created with Centers for Disease Control and Prevention standards School employee wellness will be an important component of the overall program with the focus that all healthy school employees a valuable asset to our youth The project will begin its kick off this fall by creating teams of wellness professionals at each of the schools both from the schoolsrsquo own resources and from the communities in which they resideIf you provide wellness services and would like to participate in this project please speak to Shelley Stuart (Coalition Workgroup Facilitator) CHES and School Health Specialist at the Center for Prevention amp Counseling at 973-383-4787
Nutrition and Fitness is the Focus of New Coalition Work Group
On Saturday July 17th the Sussex County Cancer Coalition held a beachside skin cancer screening at Swartswood Lake State Park as part of a statewide initiative called ldquoChoose Your Coverrdquo which provided free skin cancer screenings at beaches swimming pools and recreational areas throughout NJ
Fifty-four individuals were screened at the Swartswood State Park with even more receiving
educational materials about how to reduce the risks associated with over-exposure to the sun
Many volunteers from the coalition donated time and energy to assist in set up registration education
efforts and the screening process making this a very successful outreach effort
ldquoChoose Your CoverrdquoProvides Education and Skin Cancer
Screenings for Parkgoers
Page 8
THANK YOU for your
comittment
Barbara Adolphe Center for Prevention and CounselingKerry Armillay Sparta Cancer CenterJamie Bachman Saint Clarersquos Cancer CenterFran Baldi RN Sussex County Office of Public Health NursingGail Bolte Regional Oral Health ProgramCheryl Buxton RN Sussex County Office of Public Health NursingCathy Cabrera Saint Clarersquos HospitalJo Ellen Carlucci Sparta Cancer CenterSharon Chamberlain Community MemberMargaret Chiodo Newton Memorial HospitalMaureen Cianci RN Newton Memorial HospitalKathy Conn Saint Clarersquos Cancer CenterRalph DrsquoAries MA Sussex County Department of Environmental amp Public Health ServicesKathy Dickson RN SCARC Nursing SupervisorMichael Gallagher MD Sparta Cancer CenterPam Geiger NJCEED Saint Clarersquos HospitalBohdan E Halibey MD Sparta Cancer CenterMin-Yen Han MDDeborah Ann Johnson UMDNJHelen Homeijer RN Sussex County Department of Environmental amp Public Health ServicesPatricia James CHES Project Self SufficiencyMary Lou Klem RD Sparta Cancer CenterKathy Lo MD Sparta Cancer CenterRosamond Dee Lockwood RN BC CDE Newton Memorial HospitalCindy Meakem CHES Center for Prevention and Counseling
May Matkiwsky OD Sparta Cancer CenterGinny Montella RN Compassionate Care HospiceKathy Nugent Cancer Care Brian Newman MD Surgical Associates of Sussex County PAMichelle OrsquoShea MD Summit Breast CareEllen Phelps RN Director Sussex County Office of Public Health NursingBetty Pluymers Parish Nurse First Presbyterian Church of SussexBarbara Reed Newton Memorial HospitalMarge Rojewski NJ CEEDMichele Roth RN Sussex County Office of Public Health NursingPamela Banks Johnson American Cancer SocietySusan Sanna NJDHSSOCCPSusan Settineri LPN Sussex County Office of Public Health NursingMary Lou Schnurr Sussex County Division of Senior ServicesTracy Storms CHES Sussex County Department of Environmental amp Public Health ServicesSharon St Angelo ANP New Perspectives Health CareShelley Stuart CHES Center for Prevention and CounselingBeth Sylvester RN Karen Ann Quinlan HospiceKathy Trethaway Cancer CareSusan Wilinski Freelance WriterSandy Winters Saint Clarersquos HospitalHerbert Yardley MA REHS Sussex County Department of Environmental amp Public Health Services
WHO WE ARE
The Sussex County Cancer Coalition is a diverse partnership of community members and resource agencies developed to encourage Sussex County residents to adopt cancer-preventive behaviors while reducing the incidence of morbiditymortality through early illness detection The Coalition focuses on public education with a positive tone increasing awareness that healthier lifestyle choices combined with appropriate and timely medical screening can reduce the burden of cancer illness in Sussex County Learn more about the
Cancer Coalition and our partners at httpwwwsussexagainstcancerorg or by calling 973-579-0570 x 1212
The Sussex County Cancer Coalition is made possible by a grant to the Sussex County Department of Environmental and Public Health Services and from the New Jersey Department of Health and Senior Servicesrsquo Office of Cancer Control and Prevention The mission of the Sussex County Cancer Coalition is to implement the New Jersey Comprehensive Cancer Control Plan in Sussex County For more information on Comprehensive Cancer Control in New Jersey please visit wwwnjcancergov
ldquoWorking Together to Reduce the Burden of Cancer in New Jerseyrdquo
SuSS
ex C
ounty CanCer Coa
lition
Page 4
this trial and the womenrsquos strong desire to participate in research many of them traveled from within the tri-state region to Sparta to access the debut of a hopeful treatmentrdquo The benefits of patients getting involved with research are multiple First patients may have access to new drugs before they are available to the public Their health care is closely monitored by a research team which consists of doctors nurses clinical research coordinators and other specialists Patients perform a more active role in their health care and may be among the first to benefit if the approach being studied is found to be helpful It
can also be a patientrsquos own opportunity to make a valuable contribution to cancer research Sparta Cancer Center is a joint venture of Newton Memorial Hospital and Sussex Radiation Oncology Associates For additional information about clinical research these links may be helpful wwwkimmelcancercenterorgjkccn wwwclinicaltrialsgov and wwwacornresearchnet The Centerrsquos clinical research associates Megan Frugone RN and Christine L Lyasko RN can be contacted at 973-729-8801 and researchspartacancercom
About Participating in Clinical TrialsFAQs
It is important to remember that every clinical trial has its own areas of focus protocols and desired outcomes Before you decide whether or not a specific clinical trial is right for you take some time to review these Frequently Asked Questions (FAQs) about the general process the risks and the benefits This list of FAQs has been adapted from lsquoClinical Trialsgovrsquo a service of the US National Institutes of Health
What is a clinical trial Although there are many definitions of clinical trials they are generally considered to be biomedical or health-related research studies in human beings that follow a pre-defined protocol Interventional studies are those in which the research subjects are assigned by the investigator to a treatment or other intervention and their outcomes are measured Observational studies are those in which individuals are observed and their outcomes are measured by the investigators
Who can participate in a clinic trial All clinical trials have guidelines about who can participate Using inclusionexclusion criteria is an important principle of medical research that helps to produce reliable results The factors that allow someone to participate in a clinical trial are called ldquoinclusion criteriardquo and those that disallow someone from participating are called ldquoexclusion criteriardquo These are based on such factors as age gender the type and stage of a disease previous treatment history and other medical conditions Before joining a clinical trial a participant must qualify for the study Some research studies seek participants with illnesses or conditions to be studied in the clinical trial while others need healthy participants
What happens during a clinical trial The clinical trial process depends on the kind of trial being conducted The clinical trial team includes doctors and nurses as well as social workers and other health care professionals They check the health of the participant at the beginning of the trial give specific instructions for participating in the trial monitor the participant carefully during the trial and stay in touch after the trial is completed
Continued from page 1
Participants in clinical trials can play a more active role in
their own health care gain access to new
research treatments before they are widely
available and help others
by contributing to medical research
Page 5
What is informed consent Informed consent is the process of learning the key facts about a clinical trial before deciding whether or not to participate To help someone decide whether or not to participate the doctors and nurses involved in the trial explain the details of the study Then the research team provides an informed consent document that includes details about the study such as its purpose duration required procedures and key contacts Risks and potential benefits are explained in the informed consent document The participant then decides whether or not to sign the document Informed consent is not a contract and the participant may withdraw from the trial at any time
What are the benefits and risks of participating in a clinical trialBenefits Clinical trials that are well-designed and well-executed may be the best approach for eligible participants to
bull Play an active role in her or his own health carebull Gain access to new research treatments before they are widely
availablebull Obtain expert medical care at leading health care facilities during the trialbull Help others by contributing to medical research
Risks It is important to be aware that there are risks to clinical trials For example
bull There may be unpleasant serious or even life-threatening side effects to experimental treatment
bull The experimental treatment may not be effective for the participantbull The protocol may require more of their time and attention than would a non-protocol
treatment including trips to the study site more treatments hospital stays or complex dosage requirements
What should you consider before participating in a trial You should know as much as possible about the clinical trial including the care expected while in a trial and the cost of the trial The following questions might be helpful for the participant to discuss with the health care team Some of the answers to these questions are found in the informed consent document
bull What is the purpose of the study Who is going to be in the studybull Why do researchers believe the experimental treatment being tested may be effective Has it
been tested beforebull What kinds of tests and experimental treatments are involvedbull How do the possible risks side effects and benefits in the study compare with my current
treatment How might this trial affect my daily life How long will the trial lastbull Will hospitalization be required Who will pay for the experimental treatmentbull Will I be reimbursed for other expenses What type of long-term follow up care is part of this
studybull How will I know that the experimental treatment is working Will results of the trials be
provided to me Who will be in charge of my care
The decision about whether or not to participate in a clinical trial must be carefully considered with all aspects being thoroughly reviewed Speak to your healthcare providers and your family before beginning More detailed responses to these and many other important questions about clinical trials can be found at httpwwwclinicaltrialsgovct2infounderstand
Page 6
More than 100000 cancers in the US each year are linked to excess body fat according to data released in late 2009 from the American Institute for Cancer Research (AICR) Researchers have known for some time that being overweight puts people at an increased risk of some types of cancer ndash AICRrsquos data highlights the extent of the problemThe estimates show that excess body fat is linked to
bull 49 of endometrial cancers (20700 casesyear) bull 35 of esophageal cancers (5800 casesyear)bull 28 of pancreatic cancers (11900 casesyear)bull 24 of kidney cancers (13900 casesyear)bull 21 of gallbladder cancers (2000 casesyear) bull 17 of breast cancers (33000 casesyear) and bull 9 of colorectal cancers (13200 casesyear)
ldquoThe evidence is clear If people sustain a normal body weight and remain physically active throughout life it will have a major impact on cancer incidencerdquo said Laurence N Kolonel MD PhD Deputy Director of the Cancer Research Center of Hawaii and a member of the expert panel AICRrsquos figures are based on combining US cancer incidence data with conclusions from a February 2009 AICR and World Cancer Research Fund (WCRF) report that looked at the relationship between cancer and risk factors such as poor diet lack of physical activity and excess weight AICR researchers will continue to update these numbers as more data becomes available
Nature of the link According to a 2003 American Cancer Society study of more than 900000 men and women the heaviest men had death rates from all cancers combined that were 52 higher than the rates among normal-weight men The study found that the heaviest women had cancer death rates 62 higher than normal-weight women
Several mechanisms are thought to be at work that may cause a person to be more susceptible to cancer when they are overweight For example excess body fat appears to increase the amount of hormones like estrogen circulating in the body and it can also disrupt how the body processes insulin Both of those factors have been linked to an increased cancer risk In addition Kolonel says ldquobeing overweight creates low-grade inflammation in the body and therersquos a lot of research going on right now that links chronic inflammation to cancerrdquo
Reducing your risk Half of all Americans arenrsquot aware of the role obesity plays in cancer risk according to a risk
assessment study by AICR ldquoPublic awareness of the link between obesity and cancer risk is alarmingly lowrdquo said Alice Bender MS RD Nutrition Communications Manager at AICR ldquoWe are working towards a day when obesity is right up there with tobacco in the public eyerdquo To reduce your risk the American Cancer Society
recommends balancing calorie intake with physical activity Eat at least 5
servings of fruit and vegetables every day choose whole grains over processed grains and limit red meat Adults should engage in at least 30 minutes of moderate or vigorous physical activity 5 days a week or more ldquoThe bottom line for people concerned about this issue is to try to balance the calories you take in with those your body expends every dayrdquo says Michael J Thun MD MS American Cancer Society Vice President Emeritus Epidemiology and Surveillance Research To learn more about this report from both the AICR and the American Cancer Society visit httpwwwaicrorg and httpwwwcancerorg
Report Over 100000 Cancers Linked to Excess Body Fat
Page 7
Nutrition and Fitness has emerged as an important group in the Sussex County Cancer Coalition While other groups focus on trends in specific types of cancer research treatment and advocacy Health and Fitness takes a holistic approach in the prevention of all types of cancer An excellent area to begin Nutrition and Fitness focus is in employee wellness programs These programs do not only cover nutrition and fitness but also overall wellness of the staff employed in a variety of workplaces Stress has been linked to compromised health and a good program offers its employees such services as mental health services cancer prevention staff development or continuing education opportunities walking groups healthy weight loss programs and many others The Sussex County Nutrition and Fitness workgroup will begin with a project that will assist the Coordinated School Health Program a project funded by the New Jersey Department of Health
and Senior Servicesrsquo Child and Adolescent Health Program being coordinated through the Center for Prevention amp Counseling This grant will work with Newton High School as well as the three sending middle schools Halsted in Newton Green Hills in Green Township and Long Pond in Andover Township on a comprehensive school wellness initiative created with Centers for Disease Control and Prevention standards School employee wellness will be an important component of the overall program with the focus that all healthy school employees a valuable asset to our youth The project will begin its kick off this fall by creating teams of wellness professionals at each of the schools both from the schoolsrsquo own resources and from the communities in which they resideIf you provide wellness services and would like to participate in this project please speak to Shelley Stuart (Coalition Workgroup Facilitator) CHES and School Health Specialist at the Center for Prevention amp Counseling at 973-383-4787
Nutrition and Fitness is the Focus of New Coalition Work Group
On Saturday July 17th the Sussex County Cancer Coalition held a beachside skin cancer screening at Swartswood Lake State Park as part of a statewide initiative called ldquoChoose Your Coverrdquo which provided free skin cancer screenings at beaches swimming pools and recreational areas throughout NJ
Fifty-four individuals were screened at the Swartswood State Park with even more receiving
educational materials about how to reduce the risks associated with over-exposure to the sun
Many volunteers from the coalition donated time and energy to assist in set up registration education
efforts and the screening process making this a very successful outreach effort
ldquoChoose Your CoverrdquoProvides Education and Skin Cancer
Screenings for Parkgoers
Page 8
THANK YOU for your
comittment
Barbara Adolphe Center for Prevention and CounselingKerry Armillay Sparta Cancer CenterJamie Bachman Saint Clarersquos Cancer CenterFran Baldi RN Sussex County Office of Public Health NursingGail Bolte Regional Oral Health ProgramCheryl Buxton RN Sussex County Office of Public Health NursingCathy Cabrera Saint Clarersquos HospitalJo Ellen Carlucci Sparta Cancer CenterSharon Chamberlain Community MemberMargaret Chiodo Newton Memorial HospitalMaureen Cianci RN Newton Memorial HospitalKathy Conn Saint Clarersquos Cancer CenterRalph DrsquoAries MA Sussex County Department of Environmental amp Public Health ServicesKathy Dickson RN SCARC Nursing SupervisorMichael Gallagher MD Sparta Cancer CenterPam Geiger NJCEED Saint Clarersquos HospitalBohdan E Halibey MD Sparta Cancer CenterMin-Yen Han MDDeborah Ann Johnson UMDNJHelen Homeijer RN Sussex County Department of Environmental amp Public Health ServicesPatricia James CHES Project Self SufficiencyMary Lou Klem RD Sparta Cancer CenterKathy Lo MD Sparta Cancer CenterRosamond Dee Lockwood RN BC CDE Newton Memorial HospitalCindy Meakem CHES Center for Prevention and Counseling
May Matkiwsky OD Sparta Cancer CenterGinny Montella RN Compassionate Care HospiceKathy Nugent Cancer Care Brian Newman MD Surgical Associates of Sussex County PAMichelle OrsquoShea MD Summit Breast CareEllen Phelps RN Director Sussex County Office of Public Health NursingBetty Pluymers Parish Nurse First Presbyterian Church of SussexBarbara Reed Newton Memorial HospitalMarge Rojewski NJ CEEDMichele Roth RN Sussex County Office of Public Health NursingPamela Banks Johnson American Cancer SocietySusan Sanna NJDHSSOCCPSusan Settineri LPN Sussex County Office of Public Health NursingMary Lou Schnurr Sussex County Division of Senior ServicesTracy Storms CHES Sussex County Department of Environmental amp Public Health ServicesSharon St Angelo ANP New Perspectives Health CareShelley Stuart CHES Center for Prevention and CounselingBeth Sylvester RN Karen Ann Quinlan HospiceKathy Trethaway Cancer CareSusan Wilinski Freelance WriterSandy Winters Saint Clarersquos HospitalHerbert Yardley MA REHS Sussex County Department of Environmental amp Public Health Services
WHO WE ARE
The Sussex County Cancer Coalition is a diverse partnership of community members and resource agencies developed to encourage Sussex County residents to adopt cancer-preventive behaviors while reducing the incidence of morbiditymortality through early illness detection The Coalition focuses on public education with a positive tone increasing awareness that healthier lifestyle choices combined with appropriate and timely medical screening can reduce the burden of cancer illness in Sussex County Learn more about the
Cancer Coalition and our partners at httpwwwsussexagainstcancerorg or by calling 973-579-0570 x 1212
The Sussex County Cancer Coalition is made possible by a grant to the Sussex County Department of Environmental and Public Health Services and from the New Jersey Department of Health and Senior Servicesrsquo Office of Cancer Control and Prevention The mission of the Sussex County Cancer Coalition is to implement the New Jersey Comprehensive Cancer Control Plan in Sussex County For more information on Comprehensive Cancer Control in New Jersey please visit wwwnjcancergov
ldquoWorking Together to Reduce the Burden of Cancer in New Jerseyrdquo
SuSS
ex C
ounty CanCer Coa
lition
Participants in clinical trials can play a more active role in
their own health care gain access to new
research treatments before they are widely
available and help others
by contributing to medical research
Page 5
What is informed consent Informed consent is the process of learning the key facts about a clinical trial before deciding whether or not to participate To help someone decide whether or not to participate the doctors and nurses involved in the trial explain the details of the study Then the research team provides an informed consent document that includes details about the study such as its purpose duration required procedures and key contacts Risks and potential benefits are explained in the informed consent document The participant then decides whether or not to sign the document Informed consent is not a contract and the participant may withdraw from the trial at any time
What are the benefits and risks of participating in a clinical trialBenefits Clinical trials that are well-designed and well-executed may be the best approach for eligible participants to
bull Play an active role in her or his own health carebull Gain access to new research treatments before they are widely
availablebull Obtain expert medical care at leading health care facilities during the trialbull Help others by contributing to medical research
Risks It is important to be aware that there are risks to clinical trials For example
bull There may be unpleasant serious or even life-threatening side effects to experimental treatment
bull The experimental treatment may not be effective for the participantbull The protocol may require more of their time and attention than would a non-protocol
treatment including trips to the study site more treatments hospital stays or complex dosage requirements
What should you consider before participating in a trial You should know as much as possible about the clinical trial including the care expected while in a trial and the cost of the trial The following questions might be helpful for the participant to discuss with the health care team Some of the answers to these questions are found in the informed consent document
bull What is the purpose of the study Who is going to be in the studybull Why do researchers believe the experimental treatment being tested may be effective Has it
been tested beforebull What kinds of tests and experimental treatments are involvedbull How do the possible risks side effects and benefits in the study compare with my current
treatment How might this trial affect my daily life How long will the trial lastbull Will hospitalization be required Who will pay for the experimental treatmentbull Will I be reimbursed for other expenses What type of long-term follow up care is part of this
studybull How will I know that the experimental treatment is working Will results of the trials be
provided to me Who will be in charge of my care
The decision about whether or not to participate in a clinical trial must be carefully considered with all aspects being thoroughly reviewed Speak to your healthcare providers and your family before beginning More detailed responses to these and many other important questions about clinical trials can be found at httpwwwclinicaltrialsgovct2infounderstand
Page 6
More than 100000 cancers in the US each year are linked to excess body fat according to data released in late 2009 from the American Institute for Cancer Research (AICR) Researchers have known for some time that being overweight puts people at an increased risk of some types of cancer ndash AICRrsquos data highlights the extent of the problemThe estimates show that excess body fat is linked to
bull 49 of endometrial cancers (20700 casesyear) bull 35 of esophageal cancers (5800 casesyear)bull 28 of pancreatic cancers (11900 casesyear)bull 24 of kidney cancers (13900 casesyear)bull 21 of gallbladder cancers (2000 casesyear) bull 17 of breast cancers (33000 casesyear) and bull 9 of colorectal cancers (13200 casesyear)
ldquoThe evidence is clear If people sustain a normal body weight and remain physically active throughout life it will have a major impact on cancer incidencerdquo said Laurence N Kolonel MD PhD Deputy Director of the Cancer Research Center of Hawaii and a member of the expert panel AICRrsquos figures are based on combining US cancer incidence data with conclusions from a February 2009 AICR and World Cancer Research Fund (WCRF) report that looked at the relationship between cancer and risk factors such as poor diet lack of physical activity and excess weight AICR researchers will continue to update these numbers as more data becomes available
Nature of the link According to a 2003 American Cancer Society study of more than 900000 men and women the heaviest men had death rates from all cancers combined that were 52 higher than the rates among normal-weight men The study found that the heaviest women had cancer death rates 62 higher than normal-weight women
Several mechanisms are thought to be at work that may cause a person to be more susceptible to cancer when they are overweight For example excess body fat appears to increase the amount of hormones like estrogen circulating in the body and it can also disrupt how the body processes insulin Both of those factors have been linked to an increased cancer risk In addition Kolonel says ldquobeing overweight creates low-grade inflammation in the body and therersquos a lot of research going on right now that links chronic inflammation to cancerrdquo
Reducing your risk Half of all Americans arenrsquot aware of the role obesity plays in cancer risk according to a risk
assessment study by AICR ldquoPublic awareness of the link between obesity and cancer risk is alarmingly lowrdquo said Alice Bender MS RD Nutrition Communications Manager at AICR ldquoWe are working towards a day when obesity is right up there with tobacco in the public eyerdquo To reduce your risk the American Cancer Society
recommends balancing calorie intake with physical activity Eat at least 5
servings of fruit and vegetables every day choose whole grains over processed grains and limit red meat Adults should engage in at least 30 minutes of moderate or vigorous physical activity 5 days a week or more ldquoThe bottom line for people concerned about this issue is to try to balance the calories you take in with those your body expends every dayrdquo says Michael J Thun MD MS American Cancer Society Vice President Emeritus Epidemiology and Surveillance Research To learn more about this report from both the AICR and the American Cancer Society visit httpwwwaicrorg and httpwwwcancerorg
Report Over 100000 Cancers Linked to Excess Body Fat
Page 7
Nutrition and Fitness has emerged as an important group in the Sussex County Cancer Coalition While other groups focus on trends in specific types of cancer research treatment and advocacy Health and Fitness takes a holistic approach in the prevention of all types of cancer An excellent area to begin Nutrition and Fitness focus is in employee wellness programs These programs do not only cover nutrition and fitness but also overall wellness of the staff employed in a variety of workplaces Stress has been linked to compromised health and a good program offers its employees such services as mental health services cancer prevention staff development or continuing education opportunities walking groups healthy weight loss programs and many others The Sussex County Nutrition and Fitness workgroup will begin with a project that will assist the Coordinated School Health Program a project funded by the New Jersey Department of Health
and Senior Servicesrsquo Child and Adolescent Health Program being coordinated through the Center for Prevention amp Counseling This grant will work with Newton High School as well as the three sending middle schools Halsted in Newton Green Hills in Green Township and Long Pond in Andover Township on a comprehensive school wellness initiative created with Centers for Disease Control and Prevention standards School employee wellness will be an important component of the overall program with the focus that all healthy school employees a valuable asset to our youth The project will begin its kick off this fall by creating teams of wellness professionals at each of the schools both from the schoolsrsquo own resources and from the communities in which they resideIf you provide wellness services and would like to participate in this project please speak to Shelley Stuart (Coalition Workgroup Facilitator) CHES and School Health Specialist at the Center for Prevention amp Counseling at 973-383-4787
Nutrition and Fitness is the Focus of New Coalition Work Group
On Saturday July 17th the Sussex County Cancer Coalition held a beachside skin cancer screening at Swartswood Lake State Park as part of a statewide initiative called ldquoChoose Your Coverrdquo which provided free skin cancer screenings at beaches swimming pools and recreational areas throughout NJ
Fifty-four individuals were screened at the Swartswood State Park with even more receiving
educational materials about how to reduce the risks associated with over-exposure to the sun
Many volunteers from the coalition donated time and energy to assist in set up registration education
efforts and the screening process making this a very successful outreach effort
ldquoChoose Your CoverrdquoProvides Education and Skin Cancer
Screenings for Parkgoers
Page 8
THANK YOU for your
comittment
Barbara Adolphe Center for Prevention and CounselingKerry Armillay Sparta Cancer CenterJamie Bachman Saint Clarersquos Cancer CenterFran Baldi RN Sussex County Office of Public Health NursingGail Bolte Regional Oral Health ProgramCheryl Buxton RN Sussex County Office of Public Health NursingCathy Cabrera Saint Clarersquos HospitalJo Ellen Carlucci Sparta Cancer CenterSharon Chamberlain Community MemberMargaret Chiodo Newton Memorial HospitalMaureen Cianci RN Newton Memorial HospitalKathy Conn Saint Clarersquos Cancer CenterRalph DrsquoAries MA Sussex County Department of Environmental amp Public Health ServicesKathy Dickson RN SCARC Nursing SupervisorMichael Gallagher MD Sparta Cancer CenterPam Geiger NJCEED Saint Clarersquos HospitalBohdan E Halibey MD Sparta Cancer CenterMin-Yen Han MDDeborah Ann Johnson UMDNJHelen Homeijer RN Sussex County Department of Environmental amp Public Health ServicesPatricia James CHES Project Self SufficiencyMary Lou Klem RD Sparta Cancer CenterKathy Lo MD Sparta Cancer CenterRosamond Dee Lockwood RN BC CDE Newton Memorial HospitalCindy Meakem CHES Center for Prevention and Counseling
May Matkiwsky OD Sparta Cancer CenterGinny Montella RN Compassionate Care HospiceKathy Nugent Cancer Care Brian Newman MD Surgical Associates of Sussex County PAMichelle OrsquoShea MD Summit Breast CareEllen Phelps RN Director Sussex County Office of Public Health NursingBetty Pluymers Parish Nurse First Presbyterian Church of SussexBarbara Reed Newton Memorial HospitalMarge Rojewski NJ CEEDMichele Roth RN Sussex County Office of Public Health NursingPamela Banks Johnson American Cancer SocietySusan Sanna NJDHSSOCCPSusan Settineri LPN Sussex County Office of Public Health NursingMary Lou Schnurr Sussex County Division of Senior ServicesTracy Storms CHES Sussex County Department of Environmental amp Public Health ServicesSharon St Angelo ANP New Perspectives Health CareShelley Stuart CHES Center for Prevention and CounselingBeth Sylvester RN Karen Ann Quinlan HospiceKathy Trethaway Cancer CareSusan Wilinski Freelance WriterSandy Winters Saint Clarersquos HospitalHerbert Yardley MA REHS Sussex County Department of Environmental amp Public Health Services
WHO WE ARE
The Sussex County Cancer Coalition is a diverse partnership of community members and resource agencies developed to encourage Sussex County residents to adopt cancer-preventive behaviors while reducing the incidence of morbiditymortality through early illness detection The Coalition focuses on public education with a positive tone increasing awareness that healthier lifestyle choices combined with appropriate and timely medical screening can reduce the burden of cancer illness in Sussex County Learn more about the
Cancer Coalition and our partners at httpwwwsussexagainstcancerorg or by calling 973-579-0570 x 1212
The Sussex County Cancer Coalition is made possible by a grant to the Sussex County Department of Environmental and Public Health Services and from the New Jersey Department of Health and Senior Servicesrsquo Office of Cancer Control and Prevention The mission of the Sussex County Cancer Coalition is to implement the New Jersey Comprehensive Cancer Control Plan in Sussex County For more information on Comprehensive Cancer Control in New Jersey please visit wwwnjcancergov
ldquoWorking Together to Reduce the Burden of Cancer in New Jerseyrdquo
SuSS
ex C
ounty CanCer Coa
lition
Page 6
More than 100000 cancers in the US each year are linked to excess body fat according to data released in late 2009 from the American Institute for Cancer Research (AICR) Researchers have known for some time that being overweight puts people at an increased risk of some types of cancer ndash AICRrsquos data highlights the extent of the problemThe estimates show that excess body fat is linked to
bull 49 of endometrial cancers (20700 casesyear) bull 35 of esophageal cancers (5800 casesyear)bull 28 of pancreatic cancers (11900 casesyear)bull 24 of kidney cancers (13900 casesyear)bull 21 of gallbladder cancers (2000 casesyear) bull 17 of breast cancers (33000 casesyear) and bull 9 of colorectal cancers (13200 casesyear)
ldquoThe evidence is clear If people sustain a normal body weight and remain physically active throughout life it will have a major impact on cancer incidencerdquo said Laurence N Kolonel MD PhD Deputy Director of the Cancer Research Center of Hawaii and a member of the expert panel AICRrsquos figures are based on combining US cancer incidence data with conclusions from a February 2009 AICR and World Cancer Research Fund (WCRF) report that looked at the relationship between cancer and risk factors such as poor diet lack of physical activity and excess weight AICR researchers will continue to update these numbers as more data becomes available
Nature of the link According to a 2003 American Cancer Society study of more than 900000 men and women the heaviest men had death rates from all cancers combined that were 52 higher than the rates among normal-weight men The study found that the heaviest women had cancer death rates 62 higher than normal-weight women
Several mechanisms are thought to be at work that may cause a person to be more susceptible to cancer when they are overweight For example excess body fat appears to increase the amount of hormones like estrogen circulating in the body and it can also disrupt how the body processes insulin Both of those factors have been linked to an increased cancer risk In addition Kolonel says ldquobeing overweight creates low-grade inflammation in the body and therersquos a lot of research going on right now that links chronic inflammation to cancerrdquo
Reducing your risk Half of all Americans arenrsquot aware of the role obesity plays in cancer risk according to a risk
assessment study by AICR ldquoPublic awareness of the link between obesity and cancer risk is alarmingly lowrdquo said Alice Bender MS RD Nutrition Communications Manager at AICR ldquoWe are working towards a day when obesity is right up there with tobacco in the public eyerdquo To reduce your risk the American Cancer Society
recommends balancing calorie intake with physical activity Eat at least 5
servings of fruit and vegetables every day choose whole grains over processed grains and limit red meat Adults should engage in at least 30 minutes of moderate or vigorous physical activity 5 days a week or more ldquoThe bottom line for people concerned about this issue is to try to balance the calories you take in with those your body expends every dayrdquo says Michael J Thun MD MS American Cancer Society Vice President Emeritus Epidemiology and Surveillance Research To learn more about this report from both the AICR and the American Cancer Society visit httpwwwaicrorg and httpwwwcancerorg
Report Over 100000 Cancers Linked to Excess Body Fat
Page 7
Nutrition and Fitness has emerged as an important group in the Sussex County Cancer Coalition While other groups focus on trends in specific types of cancer research treatment and advocacy Health and Fitness takes a holistic approach in the prevention of all types of cancer An excellent area to begin Nutrition and Fitness focus is in employee wellness programs These programs do not only cover nutrition and fitness but also overall wellness of the staff employed in a variety of workplaces Stress has been linked to compromised health and a good program offers its employees such services as mental health services cancer prevention staff development or continuing education opportunities walking groups healthy weight loss programs and many others The Sussex County Nutrition and Fitness workgroup will begin with a project that will assist the Coordinated School Health Program a project funded by the New Jersey Department of Health
and Senior Servicesrsquo Child and Adolescent Health Program being coordinated through the Center for Prevention amp Counseling This grant will work with Newton High School as well as the three sending middle schools Halsted in Newton Green Hills in Green Township and Long Pond in Andover Township on a comprehensive school wellness initiative created with Centers for Disease Control and Prevention standards School employee wellness will be an important component of the overall program with the focus that all healthy school employees a valuable asset to our youth The project will begin its kick off this fall by creating teams of wellness professionals at each of the schools both from the schoolsrsquo own resources and from the communities in which they resideIf you provide wellness services and would like to participate in this project please speak to Shelley Stuart (Coalition Workgroup Facilitator) CHES and School Health Specialist at the Center for Prevention amp Counseling at 973-383-4787
Nutrition and Fitness is the Focus of New Coalition Work Group
On Saturday July 17th the Sussex County Cancer Coalition held a beachside skin cancer screening at Swartswood Lake State Park as part of a statewide initiative called ldquoChoose Your Coverrdquo which provided free skin cancer screenings at beaches swimming pools and recreational areas throughout NJ
Fifty-four individuals were screened at the Swartswood State Park with even more receiving
educational materials about how to reduce the risks associated with over-exposure to the sun
Many volunteers from the coalition donated time and energy to assist in set up registration education
efforts and the screening process making this a very successful outreach effort
ldquoChoose Your CoverrdquoProvides Education and Skin Cancer
Screenings for Parkgoers
Page 8
THANK YOU for your
comittment
Barbara Adolphe Center for Prevention and CounselingKerry Armillay Sparta Cancer CenterJamie Bachman Saint Clarersquos Cancer CenterFran Baldi RN Sussex County Office of Public Health NursingGail Bolte Regional Oral Health ProgramCheryl Buxton RN Sussex County Office of Public Health NursingCathy Cabrera Saint Clarersquos HospitalJo Ellen Carlucci Sparta Cancer CenterSharon Chamberlain Community MemberMargaret Chiodo Newton Memorial HospitalMaureen Cianci RN Newton Memorial HospitalKathy Conn Saint Clarersquos Cancer CenterRalph DrsquoAries MA Sussex County Department of Environmental amp Public Health ServicesKathy Dickson RN SCARC Nursing SupervisorMichael Gallagher MD Sparta Cancer CenterPam Geiger NJCEED Saint Clarersquos HospitalBohdan E Halibey MD Sparta Cancer CenterMin-Yen Han MDDeborah Ann Johnson UMDNJHelen Homeijer RN Sussex County Department of Environmental amp Public Health ServicesPatricia James CHES Project Self SufficiencyMary Lou Klem RD Sparta Cancer CenterKathy Lo MD Sparta Cancer CenterRosamond Dee Lockwood RN BC CDE Newton Memorial HospitalCindy Meakem CHES Center for Prevention and Counseling
May Matkiwsky OD Sparta Cancer CenterGinny Montella RN Compassionate Care HospiceKathy Nugent Cancer Care Brian Newman MD Surgical Associates of Sussex County PAMichelle OrsquoShea MD Summit Breast CareEllen Phelps RN Director Sussex County Office of Public Health NursingBetty Pluymers Parish Nurse First Presbyterian Church of SussexBarbara Reed Newton Memorial HospitalMarge Rojewski NJ CEEDMichele Roth RN Sussex County Office of Public Health NursingPamela Banks Johnson American Cancer SocietySusan Sanna NJDHSSOCCPSusan Settineri LPN Sussex County Office of Public Health NursingMary Lou Schnurr Sussex County Division of Senior ServicesTracy Storms CHES Sussex County Department of Environmental amp Public Health ServicesSharon St Angelo ANP New Perspectives Health CareShelley Stuart CHES Center for Prevention and CounselingBeth Sylvester RN Karen Ann Quinlan HospiceKathy Trethaway Cancer CareSusan Wilinski Freelance WriterSandy Winters Saint Clarersquos HospitalHerbert Yardley MA REHS Sussex County Department of Environmental amp Public Health Services
WHO WE ARE
The Sussex County Cancer Coalition is a diverse partnership of community members and resource agencies developed to encourage Sussex County residents to adopt cancer-preventive behaviors while reducing the incidence of morbiditymortality through early illness detection The Coalition focuses on public education with a positive tone increasing awareness that healthier lifestyle choices combined with appropriate and timely medical screening can reduce the burden of cancer illness in Sussex County Learn more about the
Cancer Coalition and our partners at httpwwwsussexagainstcancerorg or by calling 973-579-0570 x 1212
The Sussex County Cancer Coalition is made possible by a grant to the Sussex County Department of Environmental and Public Health Services and from the New Jersey Department of Health and Senior Servicesrsquo Office of Cancer Control and Prevention The mission of the Sussex County Cancer Coalition is to implement the New Jersey Comprehensive Cancer Control Plan in Sussex County For more information on Comprehensive Cancer Control in New Jersey please visit wwwnjcancergov
ldquoWorking Together to Reduce the Burden of Cancer in New Jerseyrdquo
SuSS
ex C
ounty CanCer Coa
lition
Page 7
Nutrition and Fitness has emerged as an important group in the Sussex County Cancer Coalition While other groups focus on trends in specific types of cancer research treatment and advocacy Health and Fitness takes a holistic approach in the prevention of all types of cancer An excellent area to begin Nutrition and Fitness focus is in employee wellness programs These programs do not only cover nutrition and fitness but also overall wellness of the staff employed in a variety of workplaces Stress has been linked to compromised health and a good program offers its employees such services as mental health services cancer prevention staff development or continuing education opportunities walking groups healthy weight loss programs and many others The Sussex County Nutrition and Fitness workgroup will begin with a project that will assist the Coordinated School Health Program a project funded by the New Jersey Department of Health
and Senior Servicesrsquo Child and Adolescent Health Program being coordinated through the Center for Prevention amp Counseling This grant will work with Newton High School as well as the three sending middle schools Halsted in Newton Green Hills in Green Township and Long Pond in Andover Township on a comprehensive school wellness initiative created with Centers for Disease Control and Prevention standards School employee wellness will be an important component of the overall program with the focus that all healthy school employees a valuable asset to our youth The project will begin its kick off this fall by creating teams of wellness professionals at each of the schools both from the schoolsrsquo own resources and from the communities in which they resideIf you provide wellness services and would like to participate in this project please speak to Shelley Stuart (Coalition Workgroup Facilitator) CHES and School Health Specialist at the Center for Prevention amp Counseling at 973-383-4787
Nutrition and Fitness is the Focus of New Coalition Work Group
On Saturday July 17th the Sussex County Cancer Coalition held a beachside skin cancer screening at Swartswood Lake State Park as part of a statewide initiative called ldquoChoose Your Coverrdquo which provided free skin cancer screenings at beaches swimming pools and recreational areas throughout NJ
Fifty-four individuals were screened at the Swartswood State Park with even more receiving
educational materials about how to reduce the risks associated with over-exposure to the sun
Many volunteers from the coalition donated time and energy to assist in set up registration education
efforts and the screening process making this a very successful outreach effort
ldquoChoose Your CoverrdquoProvides Education and Skin Cancer
Screenings for Parkgoers
Page 8
THANK YOU for your
comittment
Barbara Adolphe Center for Prevention and CounselingKerry Armillay Sparta Cancer CenterJamie Bachman Saint Clarersquos Cancer CenterFran Baldi RN Sussex County Office of Public Health NursingGail Bolte Regional Oral Health ProgramCheryl Buxton RN Sussex County Office of Public Health NursingCathy Cabrera Saint Clarersquos HospitalJo Ellen Carlucci Sparta Cancer CenterSharon Chamberlain Community MemberMargaret Chiodo Newton Memorial HospitalMaureen Cianci RN Newton Memorial HospitalKathy Conn Saint Clarersquos Cancer CenterRalph DrsquoAries MA Sussex County Department of Environmental amp Public Health ServicesKathy Dickson RN SCARC Nursing SupervisorMichael Gallagher MD Sparta Cancer CenterPam Geiger NJCEED Saint Clarersquos HospitalBohdan E Halibey MD Sparta Cancer CenterMin-Yen Han MDDeborah Ann Johnson UMDNJHelen Homeijer RN Sussex County Department of Environmental amp Public Health ServicesPatricia James CHES Project Self SufficiencyMary Lou Klem RD Sparta Cancer CenterKathy Lo MD Sparta Cancer CenterRosamond Dee Lockwood RN BC CDE Newton Memorial HospitalCindy Meakem CHES Center for Prevention and Counseling
May Matkiwsky OD Sparta Cancer CenterGinny Montella RN Compassionate Care HospiceKathy Nugent Cancer Care Brian Newman MD Surgical Associates of Sussex County PAMichelle OrsquoShea MD Summit Breast CareEllen Phelps RN Director Sussex County Office of Public Health NursingBetty Pluymers Parish Nurse First Presbyterian Church of SussexBarbara Reed Newton Memorial HospitalMarge Rojewski NJ CEEDMichele Roth RN Sussex County Office of Public Health NursingPamela Banks Johnson American Cancer SocietySusan Sanna NJDHSSOCCPSusan Settineri LPN Sussex County Office of Public Health NursingMary Lou Schnurr Sussex County Division of Senior ServicesTracy Storms CHES Sussex County Department of Environmental amp Public Health ServicesSharon St Angelo ANP New Perspectives Health CareShelley Stuart CHES Center for Prevention and CounselingBeth Sylvester RN Karen Ann Quinlan HospiceKathy Trethaway Cancer CareSusan Wilinski Freelance WriterSandy Winters Saint Clarersquos HospitalHerbert Yardley MA REHS Sussex County Department of Environmental amp Public Health Services
WHO WE ARE
The Sussex County Cancer Coalition is a diverse partnership of community members and resource agencies developed to encourage Sussex County residents to adopt cancer-preventive behaviors while reducing the incidence of morbiditymortality through early illness detection The Coalition focuses on public education with a positive tone increasing awareness that healthier lifestyle choices combined with appropriate and timely medical screening can reduce the burden of cancer illness in Sussex County Learn more about the
Cancer Coalition and our partners at httpwwwsussexagainstcancerorg or by calling 973-579-0570 x 1212
The Sussex County Cancer Coalition is made possible by a grant to the Sussex County Department of Environmental and Public Health Services and from the New Jersey Department of Health and Senior Servicesrsquo Office of Cancer Control and Prevention The mission of the Sussex County Cancer Coalition is to implement the New Jersey Comprehensive Cancer Control Plan in Sussex County For more information on Comprehensive Cancer Control in New Jersey please visit wwwnjcancergov
ldquoWorking Together to Reduce the Burden of Cancer in New Jerseyrdquo
SuSS
ex C
ounty CanCer Coa
lition
Page 8
THANK YOU for your
comittment
Barbara Adolphe Center for Prevention and CounselingKerry Armillay Sparta Cancer CenterJamie Bachman Saint Clarersquos Cancer CenterFran Baldi RN Sussex County Office of Public Health NursingGail Bolte Regional Oral Health ProgramCheryl Buxton RN Sussex County Office of Public Health NursingCathy Cabrera Saint Clarersquos HospitalJo Ellen Carlucci Sparta Cancer CenterSharon Chamberlain Community MemberMargaret Chiodo Newton Memorial HospitalMaureen Cianci RN Newton Memorial HospitalKathy Conn Saint Clarersquos Cancer CenterRalph DrsquoAries MA Sussex County Department of Environmental amp Public Health ServicesKathy Dickson RN SCARC Nursing SupervisorMichael Gallagher MD Sparta Cancer CenterPam Geiger NJCEED Saint Clarersquos HospitalBohdan E Halibey MD Sparta Cancer CenterMin-Yen Han MDDeborah Ann Johnson UMDNJHelen Homeijer RN Sussex County Department of Environmental amp Public Health ServicesPatricia James CHES Project Self SufficiencyMary Lou Klem RD Sparta Cancer CenterKathy Lo MD Sparta Cancer CenterRosamond Dee Lockwood RN BC CDE Newton Memorial HospitalCindy Meakem CHES Center for Prevention and Counseling
May Matkiwsky OD Sparta Cancer CenterGinny Montella RN Compassionate Care HospiceKathy Nugent Cancer Care Brian Newman MD Surgical Associates of Sussex County PAMichelle OrsquoShea MD Summit Breast CareEllen Phelps RN Director Sussex County Office of Public Health NursingBetty Pluymers Parish Nurse First Presbyterian Church of SussexBarbara Reed Newton Memorial HospitalMarge Rojewski NJ CEEDMichele Roth RN Sussex County Office of Public Health NursingPamela Banks Johnson American Cancer SocietySusan Sanna NJDHSSOCCPSusan Settineri LPN Sussex County Office of Public Health NursingMary Lou Schnurr Sussex County Division of Senior ServicesTracy Storms CHES Sussex County Department of Environmental amp Public Health ServicesSharon St Angelo ANP New Perspectives Health CareShelley Stuart CHES Center for Prevention and CounselingBeth Sylvester RN Karen Ann Quinlan HospiceKathy Trethaway Cancer CareSusan Wilinski Freelance WriterSandy Winters Saint Clarersquos HospitalHerbert Yardley MA REHS Sussex County Department of Environmental amp Public Health Services
WHO WE ARE
The Sussex County Cancer Coalition is a diverse partnership of community members and resource agencies developed to encourage Sussex County residents to adopt cancer-preventive behaviors while reducing the incidence of morbiditymortality through early illness detection The Coalition focuses on public education with a positive tone increasing awareness that healthier lifestyle choices combined with appropriate and timely medical screening can reduce the burden of cancer illness in Sussex County Learn more about the
Cancer Coalition and our partners at httpwwwsussexagainstcancerorg or by calling 973-579-0570 x 1212
The Sussex County Cancer Coalition is made possible by a grant to the Sussex County Department of Environmental and Public Health Services and from the New Jersey Department of Health and Senior Servicesrsquo Office of Cancer Control and Prevention The mission of the Sussex County Cancer Coalition is to implement the New Jersey Comprehensive Cancer Control Plan in Sussex County For more information on Comprehensive Cancer Control in New Jersey please visit wwwnjcancergov
ldquoWorking Together to Reduce the Burden of Cancer in New Jerseyrdquo
SuSS
ex C
ounty CanCer Coa
lition