Abstract
Chronic hepatitis B and hepatitis C virus (HBV and HCV) infections are among the leading causes of preventable death worldwide.
Chronic viral hepatitis is the cause of most primary liver cancer, which is the third leading cause of cancer deaths globally
and the ninth leading cause of cancer deaths in the United States. The extent to which comprehensive cancer control (CCC)
programs in states, tribal governments and organizations, territories, and Pacific Island jurisdictions address chronic hepatitis
B and/or hepatitis C infections as risk factors for liver cancer or recommend interventions for liver cancer prevention in
their CCC plans remains unknown. We searched CCC plans for this information using the search tool at http://www.cdc.gov/cancer/ncccp/ to access the content of plans for this information. A combination of key search terms including “liver cancer”, “hepatitis”,
“chronic alcohol”, and “alcohol abuse” were used to identify potential content regarding liver cancer risk factors and prevention.
Relevant content was abstracted for further review and classification. Of 66 (Although CDC funds 65 programs, one of the Pacific Island Jurisdiction grantees is the Federated States of Micronesia (FSM).
This national program supports four FSM states, each of which submits a cancer plan to CDC for a total of 69 plans. During
this time period, 66 plans were available on the website.) CCC plans, 27% (n = 18) addressed liver cancer using the above-mentioned
search terms. In the 23 plans that addressed HBV and/or HCV, there were 25 goals, objectives, strategies, and outcomes aimed
at reducing the incidence or prevalence of HBV and/or HCV infection. While nearly a third of CCC programs identify at least
one goal, objective, strategy, outcome, or prevention program to reduce cancer burden in their CCC plans, few plans discuss
specific actions needed to reduce the burden of liver cancer.
Chronic viral hepatitis is the cause of most primary liver cancer, which is the third leading cause of cancer deaths globally
and the ninth leading cause of cancer deaths in the United States. The extent to which comprehensive cancer control (CCC)
programs in states, tribal governments and organizations, territories, and Pacific Island jurisdictions address chronic hepatitis
B and/or hepatitis C infections as risk factors for liver cancer or recommend interventions for liver cancer prevention in
their CCC plans remains unknown. We searched CCC plans for this information using the search tool at http://www.cdc.gov/cancer/ncccp/ to access the content of plans for this information. A combination of key search terms including “liver cancer”, “hepatitis”,
“chronic alcohol”, and “alcohol abuse” were used to identify potential content regarding liver cancer risk factors and prevention.
Relevant content was abstracted for further review and classification. Of 66 (Although CDC funds 65 programs, one of the Pacific Island Jurisdiction grantees is the Federated States of Micronesia (FSM).
This national program supports four FSM states, each of which submits a cancer plan to CDC for a total of 69 plans. During
this time period, 66 plans were available on the website.) CCC plans, 27% (n = 18) addressed liver cancer using the above-mentioned
search terms. In the 23 plans that addressed HBV and/or HCV, there were 25 goals, objectives, strategies, and outcomes aimed
at reducing the incidence or prevalence of HBV and/or HCV infection. While nearly a third of CCC programs identify at least
one goal, objective, strategy, outcome, or prevention program to reduce cancer burden in their CCC plans, few plans discuss
specific actions needed to reduce the burden of liver cancer.
- Content Type Journal Article
- Category Review
- Pages 1-5
- DOI 10.1007/s10900-011-9507-y
- Authors
- Behnoosh Momin, Division of Cancer Prevention and Control, Centers for Disease Prevention and Control, 4770 Buford Highway, MS K-57, Atlanta, GA 30341, USA
- Lisa Richardson, Division of Cancer Prevention and Control, Centers for Disease Prevention and Control, 4770 Buford Highway, MS K-57, Atlanta, GA 30341, USA
- Journal Journal of Community Health
- Online ISSN 1573-3610
- Print ISSN 0094-5145