The Pennsylvania Department of Health is pleased to announce the Pennsylvania Cancer Education Network (Network) as a new cancer control initiative in the commonwealth that aims to help reduce the number of cancer cases and deaths in Pennsylvania

Strategic Alliance for Health Communities focuses on the chronic disease risk factors of physical inactivity, poor nutrition, and tobacco use, and population-based responses such as policy, systems, and environmental changes. Closing date for applications is June 24, 2008.

For more information:

http://www.grants.gov/search/search.do;jsessionid=LRJJ9MT8TQhhCYZTRLjLyN6pyLsPpkzB12sMRLyTXkwnpwndn2nM!1480235049?oppId=17562&flag2006=true&mode=VIEW

Feb 8, 2008

The Centers for Disease Control and Prevention (CDC) this week called on states to dramatically increase their Medicaid tobacco dependency treatment coverage. The CDC report cited the Healthy People 2010 goal of instituting total health insurance coverage for evidence-based tobacco cessation treatments in all 51 state Medicaid programs, AHA News Now reports. In this week's Morbidity and Mortality Weekly Report, the CDC outlines results from a 2006 nationwide survey, which indicates that 39 state Medicaid programs offer some form of tobacco-dependence treatment coverage for beneficiaries, one-third of whom smoke. While all programs cover some form of pharmacotherapy and 17 states cover some form of cessation counseling services, many Medicaid programs have limitations on coverage for treatment. Barriers include co-payments, requirements for prior authorization, caps on treatment duration, requirements that patients try one form of therapy before beginning another and provisions for covering a single treatment type at a time. Reinforcing results of a May 2007 Institute of Medicine report that recommended all health plans offer lifetime tobacco cessation benefits, the CDC advocates full Medicaid coverage for recommended tobacco-dependence treatments to reduce tobacco use (AHA News Now, 2/7/08; CDC report, 2/8/08).

North Carolina Group Receives Grant to Improve Diabetes Care for Minorities

Jan 29, 2008

The North Carolina Health and Wellness Trust Fund, one of three entities created by the General Assembly to invest the state's portion of the Tobacco Master Settlement Agreement, has awarded $326,699 to Robeson Health Care Corp. for efforts to eliminate health disparities among diabetic minorities living in Robeson County, the Fayetteville Observer reports. Using the award, Robeson Health Care will partner with the Diabetes Community Center at Southeastern Regional Medical Center to improve the coordination of preventive and chronic care services for Native American, African-American and Hispanic diabetes patients. In addition, the organizations will work to improve education and nutrition counseling for those patient populations (Fayetteville Observer, 1/28/08; North Carolina Health and Wellness Trust Fund Web site).  

http://www.rwjf.org/programareas/features/digest.jsp?c=EMC-ND141&pid=1141&id=7138

Diabetes-Related Health Costs Soared to $174 Billion in 2007

Jan 28, 2008

A report released last week by the American Diabetes Association (ADA) finds that diabetes cost the United States $174 billion in 2007 in direct medical care and lost productivity, marking a 32 percent increase over 2002 costs, USA Today reports. According to the report, approximately 1 million people are diagnosed with diabetes each year, with much of the disease's associated expense stemming from the treatment of patients with unmanaged diabetes. Regular physician visits, medications and other forms of routine care, meanwhile, were found to have a comparatively smaller effect on overall diabetes costs. In addition, the researchers found that approximately half of all diabetes costs related to inpatient care. The disease also was associated with a 50 percent increase in the length of hospital stays for other conditions. To put diabetes' $174 billion toll in perspective, USA Today notes that the disease costs almost as much as cancer, which cost the nation just over $206 billion in 2006 but kills twice as many people, according to the American Cancer Society. In other terms, diabetes spending in the United States is nearly on par with the amount spent on the military efforts in Iraq and Afghanistan and the global war on terrorism combined (Szabo, USA Today, 1/24/08; ADA report, 1/23/08).

 http://www.rwjf.org/programareas/features/digest.jsp?c=EMC-ND141&pid=1141&id=7133

Evidence Supports Nurse-Delivered Smoking Interventions, Researchers Suggest

Jan 24, 2008

A meta-analysis published this month in the Cochrane Database of Systematic Reviews suggests that nurse-delivered tobacco cessation counseling is effective in helping patients quit smoking, United Press International reports. To evaluate the efficacy of various smoking interventions, researchers from Wayne State University College of Nursing assessed data from 42 randomized clinical trials involving a total of more than 15,000 patients. In 31 studies comparing nurse-led interventions with a control or conventional care, nurse involvement was associated with a significant increase in the likelihood that participants would quit smoking, particularly when the counseling was delivered in a hospital setting. Only 3 percent of patients given no intervention were able to quit smoking, compared with between 15 percent and 20 percent of those guided by nurses. While the lead study author acknowledges that nurses already have heavy workloads, she suggests that an investment in smoking cessation interventions could head off future health complications and "reduce [nurses'] workload" in the long run (United Press International, 1/23/08; Rice and Stead, Cochrane Database of Systematic Reviews, 1/23/08 [subscription required]).

http://www.rwjf.org/programareas/features/digest.jsp?c=EMC-ND141&pid=1141&id=7114