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Carolina Combats Cancer Research · Prevention Treatment · Survivorship Carolina Combats Cancer research · prevention treatment · survivorship FALL 2009 VOLUME 1 · NUMBER 7 Public Health Foundation, Incorporated BOARD OF DIRECTORS Susanne Glen Moulton, JD, MPH, Stacy-Ann Christian, JD, MPH Joan C. Huntley, PhD, MPH Jeffrey B. Smith, MHA, CPA President Assistant Director, Clinical and Health Adjunct Professor of Epidemiology Partner Director, Patient Assistance and Services Research UNC Gillings School of Global Ernst & Young LLP Reimbursement Programs New York City Health and Hospital Public Health Paula Brown Stafford, MPH GlaxoSmithKline Corporation Mark H. Merrill, MSPH Executive Vice President, Integrated Jack E. Wilson, MSENV, Michael (Trey) A. Crabb, III, President and Chief Executive Officer Clinical Services Vice President MHA, MBA Valley Health System Quintiles Transnational Corporation Board of Directors Managing Principal - Nashville Stephen A. Morse, MSPH, PhD Russell B. Toal, MPH TEC, Incorporated Stroudwater Associates Associate Director for Environmental Visiting Associate Professor of Public Delton Atkinson, MPH, MPH, PMP Leah Devlin, DDS, MPH Microbiology, National Center for the Health Deputy Director, Division of Vital Former State Health Director and Prevention, Detection, and Control of Institute of Public Health Statistics, National Center for Health Director, Division of Public Health Infectious Diseases Georgia State University Statistics N.C. Department of Health and Centers for Disease Control and John C. Triplett, MD, MPH Centers for Disease Control and Human Services Prevention Regional Medical Officer Prevention Cynthia J. Girman, DrPH Douglas M. Owen, PE, BCEE Bethesda, Md. David J. Ballard, MD, MSPH, PhD, Senior Director, Department of Vice President G. Robert Weedon, DVM, MPH FACP Epidemiology Malcolm Pirnie, Incorporated Adjunct Faculty in Honors and Biology Senior Vice President and Chief Quality Merck Research Laboratories Jonathan J. Pullin, MS University of North Carolina Officer Sandra W. Green, MBA, MHA, President and Chief Executive Officer Wilmington Baylor Health Care System BSPH The Environmental Group of the Chairman Executive Director and BHCS Endowed President, East Coast Customer Carolinas, Inc. New Hanover County Board of Chair Health Management Group Roy J. Ramthun, MSPH Institute for Health Care Research and Senior Partner MedAssets, Incorporated President Improvement College Road Animal Hospital, PLLC C. David Hardison, PhD HSA Consulting Services, LLC Fred T. Brown, Jr., MPH, FACHE Alice D. White, PhD Corporate Vice President, Life Sciences Jacky Ann Rosati, PhD Managing Director, Business Vice President, Worldwide Science Applications International Environmental Scientist and Development Epidemiology Department Corporation Containment Area Lead, U.S. Carolinas HealthCare System GlaxoSmithKline Deborah Parham Hopson, PhD, Environmental Protection Agency Kelly B. Browning, MA RN National Homeland Security Thomas K. Wong, PhD Executive Vice President Assistant Surgeon General Research Center Vice President American Institute for Cancer Research Meganium Corporation Associate Administrator, HIV/AIDS Ilene C. Siegler, PhD, MPH Deniese M. Chaney, MPH Bureau Professor of Medical Psychology Partner Health Resources and Services Duke University Accenture Health and Life Sciences Administration 2009 Gillings School of Global Public Health ADVISORY COUNCIL Dennis Gillings, CBE, Chair Andrew Conrad, PhD J. Douglas Holladay, MDiv Carmen Hooker Odom, MS Chairman and Chief Executive Officer Chief Scientific Officer Chairman and Chief Executive Officer President Quintiles Transnational Corporation National Genetics Institute PathNorth Milbank Memorial Fund Marcia A. Angle, MD, MPH Keith Crisco, MBA Donald A. Holzworth, MS Jane Smith Patterson Adjunct Professor Secretary of Commerce Chairman Executive Director Nicholas School of the Environment State of North Carolina Futures Group International The e-NC Authority Duke University Nancy A. Dreyer, PhD, MPH David P. King Joan Siefert Rose, MPH William K. Atkinson, PhD, MPH Chief of Scientific Affairs President and Chief Executive Officer President President and Chief Executive Officer OUTCOME Laboratory Corporation of America Council for Entrepreneurial Development WakeMed Ken Eudy A. Dennis McBride, MD, MPH Joseph Carsanaro, MBA, MSEE Chief Executive Officer Health Director Virginia B. Sall General Manager Capstrat City of Milford Co-Founder and Director Sall Family Foundation Personal Communications Sector Robert J. Greczyn, Jr., MPH John McConnell Motorola, Incorporated President and Chief Executive Officer Chief Executive Officer Charles A. Sanders, MD Gail H. Cassell, PhD, DSc (hon) BlueCross and BlueShield of North McConnell Golf Retired Chairman and Chief Executive Officer Vice President, Scientific Affairs and Carolina Guy Miller, MD, PhD Glaxo, Incorporated Distinguished Lilly Research Scholar James R. Hendricks, Jr., MS Chairman and Chief Executive Officer for Infectious Diseases Retired Vice President of Edison Pharmaceuticals, Incorporated Paul M. Wiles, MHA Eli Lilly and Company President and Chief Executive Officer Environment, Health and Safety James Patrick O’Connell, PhD, MPH Novant Health, Incorporated Willard Cates, Jr., MD, MPH Duke Energy Chief Executive Officer President, Research Acea Biosciences, Incorporated Family Health International contentsfall 2009 e dedicate this issue of Carolina Public Health to the people of North Carolina whose lives are changed by cancer. We deeply appreciate the confidence they and the North Carolina General Assembly place in us and in researchers and clinicians across the state through the University Cancer Research Fund. We also are 9 grateful for UCRF’s contributions both to the research featured in this magazine and to the publication itself. Thanks also to GlaxoSmithKline for its generous support of our magazine. features & news 15 3 NEW CANCER HOSPITAL PUTS RESEARCH INTO PRACTICE 4 FROM THE DEAN’S DESK: LESSONS OF CANCER CONTROL 5 H. SHELTON EARP: THE NEW FACE OF CANCER RESEARCH AND TREATMENT 6 CONQUERING CANCER: UNC TACKLES CANCER AS A PUBLIC HEALTH ISSUE 9 UNC SWEEPS STATE IN WIDE-RANGING STUDY TO FIND CAUSES OF 18 BREAST CANCER IN BLACK WOMEN 11 SEEKING A QUALITY LIFE AFTER HEAD OR NECK CANCER 13 OLSHAN LEADS NATIONAL EFFORT TO EXAMINE CAUSES OF CHILDHOOD CANCER 14 LONG ISLAND BREAST CANCER STUDY PROJECT LEADS GAMMON TO MORE RESEARCH 22 15 SEEKING SAFE LEVELS OF FORMALDEHYDE IN HUMANS 16 FINDING THE BEST CHEMOTHERAPY FOR YOU 17 STUDYING THE LINK BETWEEN SIALIC ACID AND COLON CANCER 18 SOME NUTRIENTS CAN INCREASE RISK FOR LUNG CANCER 19 UNC SELECTED AS AHRQ CANCER RESEARCH SITE 24 20 ENG, CCARES COLLABORATE TO TACKLE RACIAL DISPARITIES IN CANCER CARE 22 FIGHT AGAINST TOBACCO MOVES TO CYBERSPACE 23 TRIMMING HAIR, TRIMMING RISK: BARBERS PROMOTE HEALTH CARE 24 COLON CANCER SCREENING KITS FIT FOR DUTY IN HIGH POINT PROJECT continued 8 CAROLINA PUBLIC HEALTH | 1 DEAN fall 2009 Barbara K. Rimer, DrPH DIRECTOR OF COMMUNICATIONS MANAGING EDITOR Ramona DuBose ASSOCIATE DEAN FOR EXTERNAL AFFAIRS 27 34 45 Peggy Dean Glenn contents continued DESIGN AND PRODUCTION Karen Hibbert UNC Design Services CONTRIBUTING WRITERS Sylvia Adcock, Kim Gazella, 26 BREASTFEEDING: GOOD FOR BABIES, GOOD FOR MOMS Natalie Gott, Linda Kastleman, and Chris Perry 27 UNC HELPS CANCER PATIENTS, FAMILIES SHIFT INTO SURVIVAL MODE Special thanks to Ellen 28 UNC COMBATS CERVICAL CANCER VIRUS DeGraffenreid and Dianne Shaw of UNC Lineberger Comprehensive 30 RESEARCHERS CAN MINE NEW HEALTH REGISTRY Cancer Center for their assistance FOR WEALTH OF DATA with this publication. 31 THE KEY TO PATIENT AdVOCACY: Articles appearing in Carolina RESOURCEFULNESS Public Health may be reprinted with permission from the editor. Send 33 ALUMNI APPLY UNC TRAINING TO “REAL WORLD correspondence to Editor, Carolina PROBLEMS” AT NATIONAL CANCER INSTITUTE Public Health, Gillings School of Global Public Health, Campus Box 34 SCHOOL NEWS 7400, Chapel Hill, NC 27599-7400. 37 AWARDS & RECOGNITIONS SUBSCRIBE TO CAROLINA PUBLIC HEALTH opportunities to invest www.sph.unc.edu/cph 18,000 copies of this document were 39 HONOR ROLL OF DONORS printed at a cost of $11,937 or $0.66 per copy. 40 EXPENDABLE GIFTS SAVE THE DAY Carolina Public Health (ISSN 1938- 41 ARRIGHIS ENDOW EPIDEMIOLOGY SCHOLARSHIP 2790) is published twice yearly by the UNC Gillings School of Global 42 LOUISE AND DEREK WINSTANLY FIND WAYS TO Public Health, Campus Box 7400, MAKE GLOBAL HEALTH LOCAL University of North Carolina at Chapel Hill, 135 Dauer Dr., Chapel 43 SCHOOL AIMS TO EXPAND SCHOLARSHIP POOL Hill, NC 27599-7400. Vol. 1, No. 7, 45 KARTHIK SUNDARAM: I LIKE TO THINK I’VE HELPED Fall 2009. A LITTLE 47 SCHOOL INTRODUCES FIRST CLASS OF ANNUAL FUND SCHOLARS 2 | FALL 2009 New cancer hospital puts research into practice PUBLIC INVITED to OPENING of State-of-the-art facility combines NC CANCER HOSPITAL best technology with human touch The official ribbon- cutting and opening celebration for the he N.C. Cancer Hospital will open on the UNC campus N.C. Cancer Hospital is T in fall 2009 as part of the UNC Health Care System. The scheduled for Tuesday, 315,000-square-foot state-of-the-art facility will triple Sept. 15, 2009. An the current space and significantly increase the number of open house will be patients that can be served. The state of North Carolina held Saturday, Sept. 26, authorized $180 million for the project in August 2004. 2009. Both events are “This new hospital will be our clinical home, Other important features include: 1 to 3 p.m. where
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