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Summer Updates from CDC’s National Center for Chronic Disease Prevention and Health Promotion

Tuesday, August 8, 2017  
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CDC's NCCDPHP Significant Publications and Activities (June – July 2017)

Division of Cancer Prevention and Control (DCPC)

·        On July 28, DCPC released its third annual Skin Cancer Prevention Progress Report, which follows up on The Surgeon General’s Call to Action to Prevent Skin CancerKey findings from the 2017 update include:

o   There are more than 30,000 sunburn-related emergency department visits each year, which cost a total of $11.2 million.

o   The incidence of melanoma among younger adults has decreased slightly, but has continued to increase steadily among older adults;

o   The prevalence of indoor tanning among adults and high school students has declined;

o   17 States and the District of Columbia have prohibited indoor tanning for minors under 18;

o   Over 50% of high school students and 33% of adults still get sunburned each year;

o   The percentage of schools providing sun safety and skin cancer education has decreased.



·        In July 2017, CDC awarded a new five-year FOA to support a comprehensive and coordinated approach to Cancer Prevention and Control. This FOA includes funding for three programs:

o   Through the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), CDC funds 50 states, the District of Columbia, 5 US territories, and 14 American Indian/Alaska Native tribes or tribal groups to increase cancer screening rates by implementing evidence-based strategies and population-level activities within health systems and providing direct screening services. Website:

o   Through the National Comprehensive Cancer Control Program (NCCCP), CDC supports coalitions in all 50 states, the District of Columbia, 6 U.S. Associated Pacific Islands and Puerto Rico, and 8 tribes or tribal groups, to assess the burden of cancer in jurisdictions, create cancer control plans to prioritize cancer prevention and control strategies, and leverage resources to implement cancer control interventions at the state and local levels.


o   CDC supports the National Program of Cancer Registries (NPCR) in 46 states, the District of Columbia, Puerto Rico, US Pacific Island jurisdictions, and the US Virgin Islands. CDC collects data on the occurrence of cancer, its type, extent, and location, and the initial treatment. Together, NPCR and National Cancer Institute’s Surveillance, Epidemiology, and End Results Program collect data for 100% of the US population. Website:


·        On July 7, DCPC released the MMWR ‘Invasive Cancer Incidence, 2004–2013, and Deaths, 2006–2015, in Nonmetropolitan and Metropolitan Counties — United States’, the first report to detail cancer differences and mortality gap between rural and urban areas. This MMWR was part of the MMWR rural health series. Key findings from the report include:

o   Rates of new cases for lung cancer, late-stage lung cancer, colorectal cancer, late-stage colorectal cancer, and cervical cancer were higher in rural America.

o   In contrast, rural areas were found to have lower rates of new female breast cancers, late-stage female breast cancer, and prostate cancer.

o   Rural counties had higher death rates from lung, colorectal, prostate, and cervical cancers


Division of Diabetes Translation (DDT)

·        On June 22, The National Association of Chronic Disease Directors (NACDD), in partnership with CDC and Leavitt Partners, launched the National Diabetes Prevention Program (National DPP) Coverage Toolkit. The National DPP Coverage Toolkit contains resources and information on topics such as contracting, delivery, billing and coding, and data and reporting that are designed to support health insurance plans, employers, and state Medicaid agencies in making the decision to cover the National DPP lifestyle change program. Website: 


·        On July 18, DDT released the National Diabetes Statistics Report.  The National Diabetes Statistics Report, released approximately every two years, provides information on diabetes prevalence and incidence, prediabetes, risk factors for complications, acute and long-term complications, mortality, and costs in the U.S. Key findings from the report include:

o   More than 100 million people in the U.S. have diabetes or prediabetes.

§  30.3 million Americans have diabetes and 84.1 million have prediabetes, a condition that if not treated often leads to type 2 diabetes within five years.



·        On July 22, DDT released a new Prediabetes Awareness Campaign. To raise awareness and help people with prediabetes know where they stand and how to prevent type 2 diabetes, CDC joined forces with the American Diabetes Association, the American Medical Association, and the Ad Council to launch a new prediabetes awareness campaign. People can take a short online test and learn more about prediabetes at


Division for Heart Disease and Stroke Prevention (DHDSP)

·        On July 27, DHDSP released an updated Interactive Atlas of Heart Disease and Stroke. The updated Interactive Atlas of Heart Disease and Stroke includes new county-level maps depicting the prevalence of heart disease as well as average and incremental health care costs among Medicare fee-for-service beneficiaries diagnosed with heart disease.  



Division of Nutrition, Physical Activity, and Obesity

·        On July 12, DNPAO released the MMWRRacial and Geographic Differences in Breastfeeding –United States, 2011-2015’. Researchers analyzed 2011–2015 National Immunization Survey data for children born during 2010–2013 to describe breastfeeding initiation, exclusivity through 6 months and duration at 12 months among black and white infants. Among the 34 states (including the District of Columbia [DC]) with sufficient sample size, Initiation rates were significantly lower among black infants in 23 states; in 14 of these states the difference was at least 15 percentage points. A significant difference of at least 10 percentage points was identified between black and white infants for 6 months exclusive breastfeeding and 12 months breastfeeding in 12 and 22 states, respectively.



·        On June 30, DNPAO released the MMWR ‘Trends in Walking for Transportation or Leisure Among U.S. Adults — National Health Interview Survey, 2005–2015’. CDC analyzed data from the 2005 (n=26,551), 2010, and 2015 National Health Interview Survey to evaluate trends in the age-adjusted prevalence of self-reported walking among adults ≥18 years. The prevalence of walking increased steadily from 2005 to 2015 among women. Among men, a significant linear increase in reported walking was observed from 2005 to 2015, although the increase stalled between 2010 and 2015.



Division of Oral Health (DOH)

·        On Aug 1, DOH released ‘Adjusted fluoride concentrations and control ranges in 34 states - 2006-2010 and 2015’. Authors analyzed CDC's Water Fluoridation Reporting System data for 2006-2010 and 2015 to inform selection of a control range around the Public Health Service's recommended 0.7 mg/L drinking water fluoride concentration to prevent tooth decay.


Division of Reproductive Health (DRH)

·        On July 11, DRH released ‘Pregnancy-Related Deaths in the United States’. In the report, CDC scientists provide the most recent national information on pregnancy-related deaths using 2011-2013 data from the Pregnancy Mortality Surveillance System. Key findings from the report include:

o   In 2013, there were about 17 pregnancy-related deaths per 100,000 live births in the U.S. 

o   Black women are about 3 to 4 times more likely to die from pregnancy complications than white women.

o   Cardiovascular conditions make up about one quarter of all pregnancy-related deaths.


Office on Smoking and Health (OSH)

·        On July 15, OSH released an MMWR on Tobacco Use Among Middle and High School Students — United States, 2011–2016. The number of middle and high school students who reported using a tobacco product in the last 30 days decreased from 4.7 million in 2015 to 3.9 million in 2016. The report is jointly published by CDC and FDA’s Center for Tobacco products using data from the 2016 National Youth Tobacco Survey.




·        In July 2017, NCCDPHP released a Notice of Funding Opportunity (NOFO) for ‘Building Public Health Infrastructure in Tribal Communities to Accelerate Disease Prevention and Health Promotion in Indian Country (RFA-DP17-1704)’. With this funding support, Tribal Epidemiology Centers (TECs) will increase their capacity to deliver public health functions to and with the tribes/villages in their IHS Area (including the Urban Area). This funding opportunity includes $42.5 million dollars to be awarded over the 5-year project period. NCCDPHP anticipates making 13 awards total, up to 12 awards to Tribal Epidemiology Centers (Component A) and one award to a Network Coordinating Center (Component B).  Applications are due August 7.


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