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Preventing and Controlling Oral and Pharyngeal Cancer

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Preventing and Controlling Oral and Pharyngeal Cancer August 28, 1998 / Vol. 47 / No. RR-14 TM Recommendations and Reports Preventing and Controlling Oral and Pharyngeal Cancer Recommendations from a National Strategic Planning Conference U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention (CDC) Atlanta, Georgia 30333 The MMWR series of publications is published by the Epidemiology Program Office, Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Hu- man Services, Atlanta, GA 30333. SUGGESTED CITATION Centers for Disease Control and Prevention. Preventing and controlling oral and pharyngeal cancer. Recommendations from a national strategic planning confer- ence. MMWR 1998;47(No. RR-14):[inclusive page numbers]. Centers for Disease Control and Prevention................................ Claire V. Broome, M.D. Acting Director The material in this report was prepared for publication by National Center for Chronic Disease Prevention and Health Promotion.................................................. James S. Marks, M.D., M.P.H. Director Division of Oral Health.............................................. William R. Maas, D.D.S., M.P.H. Director The production of this report as an MMWR serial publication was coordinated in Epidemiology Program Office............................................Barbara R. Holloway, M.P.H. Acting Director Office of Scientific and Health Communications ......................John W. Ward, M.D. Director Editor, MMWR Series Recommendations and Reports................................... Suzanne M. Hewitt, M.P.A. Managing Editor Elizabeth L. Hess Project Editor Peter M. Jenkins Visual Information Specialist Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of Health and Human Services. Copies can be purchased from Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402-9325. Telephone: (202) 512-1800. Vol. 47 / No. RR-14 MMWR i Contents Introduction...........................................................................................................2 Oral and Pharyngeal Cancer ................................................................................2 Oral Cancer Strategic Planning Conference .......................................................3 Oral Cancer Working Group...............................................................................10 Conclusion...........................................................................................................11 ii MMWR August 28, 1998 Agencies and Organizations Represented by Conference Participants Academy of General Dentistry American Academy of Hospital Dentists American Academy of Maxillofacial Prosthetics American Association for Cancer Education, Inc. American Association of Dental Research American Association of Dental Schools American Association of Public Health Dentistry American Cancer Society California Division National Office American Dental Association American Dental Hygienists’ Association American Medical Association American Medical Women’s Association American Public Health Association, Oral Health Section American Student Dental Association Arizona Department of Health Services, Office of Tobacco Control and Planning Arkansas Cancer Research Center, College of Nursing Association of Community Dental Programs Association of State and Territorial Chronic Disease Directors Association of State and Territorial Dental Directors Association of State and Territorial Health Officials Baylor University, Oral Oncology Program Boston Department of Health and Hospitals, Community Dental Programs Boston University School of Public Health Bowman Gray School of Medicine Department of Family and Community Medicine Department of Otolaryngology Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Adolescent and School Health Division of Cancer Prevention and Control Division of Oral Health Office on Smoking and Health Office of Minority Health Council of State and Territorial Epidemiologists Department of Veterans’ Affairs, Office of Dentistry Federation of Special Care Organizations, Academy of Hospital Dentists Harlem Hospital Center Harper Hospital, Hematology and Oncology Division Harvard School of Dental Medicine, Department of Oral Medicine and Diagnostics Howard University College of Dentistry, Department of Community Dentistry Indiana University, Department of Community and Preventive Dentistry International Society of Oral Oncology Johns Hopkins School of Medicine, Department of Otolaryngology Vol. 47 / No. RR-14 MMWR iii Kaiser Permanente/Permanente Dental Association Loyola University, Dental General Practice Residency Program Medical College of Virginia, Department of Oral Pathology Memorial Sloan-Kettering Hospital, Dental Service National Association of Alcoholism and Drug Abuse Counselors National Association of County and City Health Officials National Dental Association National Institutes of Health National Cancer Institute National Institute of Dental Research Ohio State University Oral Health America Oral Health Education Foundation Smileage Dental Services, Inc. Southwest Oncology Group State University of New York at Buffalo, School of Dental Medicine Tata Institute of Fundamental Research (India) The Onyx Group University of Alabama at Birmingham, Department of Biochemistry and Molecular Genetics University of California Los Angeles Center for the Health Sciences, School of Dentistry San Francisco, School of Dentistry University of Connecticut, School of Dental Medicine University of Florida, School of Dentistry, Department of Community Dentistry University of Georgia, Institute of Community and Area Development University of Iowa College of Dentistry, Dow Institute for Dental Research University of Kentucky, School of Dentistry University of Maryland at Baltimore, School of Dentistry, Department of Surgery University of Medicine and Dentistry of New Jersey, Department of Family Medicine University of Missouri—Kansas City, School of Dentistry University of North Carolina at Chapel Hill, Sheps Center for Health Services Research University of Pittsburgh Cancer Institute University of Southern California, School of Dentistry, Oral Pathology Laboratory University of Tennessee-Memphis, Center for Oral Cancer Research and Education University of Texas Health Science Center, Department of Community Dentistry University of Texas-Houston Dental Branch, Department of Stomatology, Division of Oral Pathology University of Texas, MD Anderson Cancer Center University of Washington, Fred Hutchinson Cancer Research Center U.S. Department of Veterans Affairs U.S. Public Health Service, Office of the Surgeon General Wayne State University Zila Pharmaceuticals, Inc. iv MMWR August 28, 1998 The following CDC staff prepared this report: Barbara Z. Park, M.P.H. William G. Kohn, D.D.S. Dolores M. Malvitz, Dr.P.H. Division of Oral Health National Center for Chronic Disease Prevention and Health Promotion in collaboration with Deborah M. Winn, Ph.D. National Institute of Dental Research National Institutes of Health Jane Forsberg Jasek, M.P.A. American Dental Association Susan B. Toal, M.P.H. Oral Cancer Strategic Planning Conference Vol. 47 / No. RR-14 MMWR 1 Preventing and Controlling Oral and Pharyngeal Cancer Recommendations from a National Strategic Planning Conference Summary In August 1996, CDC convened a national conference to develop strategies for preventing and controlling oral and pharyngeal cancer in the United States. The conference, which was cosponsored by the National Institute of Dental Research of the National Institutes of Health and the American Dental Association, in- cluded 125 experts in oral and pharyngeal cancer prevention, treatment, and research; both the private and public sectors were represented. Participants at the conference developed recommendations concerning advocacy, collabora- tion, and coalition building; public health policy; public education; professional education and practice; and data collection, evaluation, and research. A follow-up meeting consisting of selected participants of the 1996 confer- ence was held in September 1997. During this meeting, changes that had occurred in the political and scientific arenas since the 1996 conference were considered, and 10 recommended strategies from the conference were selected for priority implementation. These 10 strategies were to a) establish a mecha- nism to implement and monitor the recommended strategies developed during the conference; b) urge oral health professionals to become more actively in- volved in community health; c) require instruction in preventing and controlling tobacco and alcohol use at all levels of training in dental, medical, nursing, and other related health-care disciplines; d) encourage Medicaid, Medicare, tradi- tional insurance plans, and managed-care entities to consider making oral cancer examinations an integral part of comprehensive physical and oral exami- nations; e) designate federal funding for a national program of oral cancer prevention, early detection, and control; f) after assessing local needs, develop, implement, and evaluate statewide models to educate all relevant groups; g) develop and conduct a national promotional campaign to raise public aware- ness of oral cancer and its link to tobacco use and heavy alcohol consumption; h) develop health-care curricula that require competency in prevention, diagno- sis, and
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