scholarly journals Combating Cancer Through Public Health Practice in the United States: An In-Depth Look at the National Comprehensive Cancer Control Program

Author(s):  
Sherri L. Stewart ◽  
Nikki S. Hayes ◽  
Angela R. Moore ◽  
Robert Bailey II ◽  
Phaeydra M. Brown ◽  
...  
PEDIATRICS ◽  
1967 ◽  
Vol 40 (3) ◽  
pp. 527-528
Author(s):  
Charles J. A. Schulte

ON JANUARY 1, 1967, the Cancer Control Program will become part of the National Center for Chronic Disease Control within the Public Health Service's new Bureau of Disease Prevention and Environmental Control. Our primary mission is to stimulate and encourage the application of currently available techniques of cancer prevention, cancer detection, and cancer control to the community at the grass roots level. If this will be the case after the reorganization remains to be seen. Figure 1 shows the new organization of the Public Health Service. By way of illustration, I think it would be well to briefly outline a few of our activities. An area of heavy emphasis has been the use of the Papanicolaou smears for cervical cancer control. These programs have been responsible for developing certified cytotechnology training schools, supporting and training large numbers of cytotechnicians. In addition, we are supporting some 90 hospital-based cervical cancer screening projects across the country. A program to encourage the general practitioner to screen his private patients in the office is jointly sponsored by the American Academy of General Practice and the Cancer Control Program. The very grave problem in the United States of smoking and carcinoma of the lung is the major responsibility of tile National Clearinghouse for Smoking and Health, a part of the Division of Chronic Diseases which developed out of the Cancer Control Program. We are engaged in a number of developmental projects, such as the flexible fiber optic proctosigmoidoscope. We hope to be able to produce a proctosigmoidoscope that will reach the splenic flexure.


Author(s):  
Alice H Lichtenstein ◽  
Allison Karpyn

Serving as a cornerstone of dietary policy in the United States, the Dietary Guidelines for Americans (DGAs) provide an important foundation for understanding the programs and policies that influence public health practice. In this chapter, we review the emergence and development of the guidelines beginning with their evolution from the Dietary Goals for Americans and moving through various iterations from 1980 until the current era in 2015. Topics include concrete reporting on recommendations, evolving principles of a healthy diet, and a discussion of controversies borne by industry lobbying groups and government mandates.


2016 ◽  
Vol 22 (3) ◽  
pp. E1-E8 ◽  
Author(s):  
Cara T. Mai ◽  
Russell S. Kirby ◽  
Adolfo Correa ◽  
Deborah Rosenberg ◽  
Michael Petros ◽  
...  

2018 ◽  
Vol 62 (2) ◽  
pp. 155-175
Author(s):  
Astha Singhal ◽  
Susan C. McKernan ◽  
Woosung Sohn

2019 ◽  
Vol 82 ◽  
pp. S279-S285 ◽  
Author(s):  
Julia C. Dombrowski ◽  
Mary Irvine ◽  
Denis Nash ◽  
Graham Harriman ◽  
Matthew R. Golden

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Margaret M. Padek ◽  
Stephanie Mazzucca ◽  
Peg Allen ◽  
Emily Rodriguez Weno ◽  
Edward Tsai ◽  
...  

Abstract Background Much of the disease burden in the United States is preventable through application of existing knowledge. State-level public health practitioners are in ideal positions to affect programs and policies related to chronic disease, but the extent to which mis-implementation occurring with these programs is largely unknown. Mis-implementation refers to ending effective programs and policies prematurely or continuing ineffective ones. Methods A 2018 comprehensive survey assessing the extent of mis-implementation and multi-level influences on mis-implementation was reported by state health departments (SHDs). Questions were developed from previous literature. Surveys were emailed to randomly selected SHD employees across the Unites States. Spearman’s correlation and multinomial logistic regression were used to assess factors in mis-implementation. Results Half (50.7%) of respondents were chronic disease program managers or unit directors. Forty nine percent reported that programs their SHD oversees sometimes, often or always continued ineffective programs. Over 50% also reported that their SHD sometimes or often ended effective programs. The data suggest the strongest correlates and predictors of mis-implementation were at the organizational level. For example, the number of organizational layers impeded decision-making was significant for both continuing ineffective programs (OR=4.70; 95% CI=2.20, 10.04) and ending effective programs (OR=3.23; 95% CI=1.61, 7.40). Conclusion The data suggest that changing certain agency practices may help in minimizing the occurrence of mis-implementation. Further research should focus on adding context to these issues and helping agencies engage in appropriate decision-making. Greater attention to mis-implementation should lead to greater use of effective interventions and more efficient expenditure of resources, ultimately to improve health outcomes.


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