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Wednesday, March 13, 2019 9 A.M. a G E N OMAHA COALITION MEETING Wednesday, March 13, 2019 9 a.m. A G E N D A I. Welcome and Introductions II. Review of the February 13, 2019 Meeting Minutes (please contact PEM staff with corrections) III. Guest Speaker: Dr. Noelle LoConte, University of Wisconsin Carbone Cancer Center: Alcohol and Cancer: A Call to Action IV. Focus Area Updates A. Policy i. Public Health Day at the Capitol on April 2nd – Register at www.projectextramile.org ii. 2019 Legislative Tracking Sheet iii. Legislative testimony available on our Legislative Tracking webpage B. Enforcement i. Compliance Check Results ii. Law Enforcement Training Review iii. Report Underage Drinking to 1-866-MUST-B-21 C. Awareness i. Earned media and media releases available at www.projectextramile.org ii. March 2019 Research and News Summaries available at www.projectextramile.org V. Additional Discussion/Announcements VI. Adjournment and Next Meeting Date: April 10th, 9 am @ National Safety Council Speaker: Shantel Hoelscher, Douglas County CMHC Detoxification Services Program Manager IMPORTANT UPCOMING EVENTS Public Health Day at the Capitol – April 2, 2019 12 p.m. Nebraska Liquor Control Commission Hearings – April 2019 TBA PEM Coalition Meeting (DUI Discussion Follow-up) – June 12, 2019 The mission of Project Extra Mile is to advocate for evidence-based policies and practices to prevent and reduce alcohol-related harms. PROJECT EXTRA MILE OMAHA METRO AREA COALITION MEETING MINUTES February 13, 2019 I. Call to Order: Project Extra Mile Coalition Chair Jennifer Pollock called the meeting to order at the National Safety Council, Nebraska at 9 a.m. II. Welcome and Introductions: Welcome and introductions took place around the room. Coalition members in attendance: Jen Pollock, Mike Kraus, Paul Letcher, Jeana Tortorilla, Charles Knaup, Tim Owens, Mark Magill, Matt Holtmeyer, Matt Kuhse, Russ Zeeb, Jeff Soukop, Jeremy Leifeld, Jori Jones, June Bear-Noonan, Palistene Gray Moore and Dee Austin. Staff members in attendance: Chris Wagner, Melissa Rotella and Liene Topko. III. Approval of Minutes: The minutes from the January 23, 2019 meeting were reviewed and approved. No additions or corrections were made. IV. Discussion: Jeff Soukup, Nebraska DHHS Program Manager presented on the tobacco control movement as a model for evidence-based alcohol prevention. Soukup has been with the DHHS for 27 years and is a Tobacco Policy Educator with Tobacco Free Nebraska. Since 1964, comprehensive tobacco control programs and policies have been proven effective for controlling tobacco use. These programs feature evidence-based strategies, including 100% smoke free policies, access to cessation services and programs, and tobacco price increases in tandem with hard-hitting media campaigns. Soukup said comprehensive and sustained tobacco control programs funded at CDC-recommended levels save lives and money. States that sustain and fund tobacco control programs at higher levels see faster and larger decreases in smoking rates. Chris Wagner tied the evidence-based strategies used in tobacco prevention to effective excessive alcohol use prevention, particularly regarding price and availability. V. Focus Area Updates a. Policy i. Chris Wagner shared Project Extra Mile’s legislative tracking sheet with the coalition. He gave an overview of the bills that Project Extra Mile is supporting and opposing. ii. Wagner spoke specifically about bills LB 314 and LB 497, which have received substantial coverage in the media lately and about which much misinformation is being spread. He then reviewed research and statistics that contradict the false and misleading narratives that have been shared with the public. iii. Wagner informed the coalition of Policy Work Group meeting regarding DUI’s that will be held on February 26th at 3:30pm. If anyone is interested, he encouraged them to attend. Omaha Coalition Meeting Minutes February 2019 b. Enforcement i. Wagner indicated that Enforcement Work Group would meet following today’s coalition meeting. The group will discuss enforcement solutions for DUIs and other alcohol-related harms. ii. Project Extra Mile’s Law Enforcement Training on Controlled Underage Party Dispersal will be held on February 27th. Wagner urged anyone interested in the training to register on our website. c. Youth i. Project Extra Mile is looking for teen youth volunteers to help with the February Law Enforcement Training. Wagner urged organizations to contact Project Extra Mile if they know of interested youth. d. Awareness i. Wagner informed everyone the January 2019 Research and News Summary was available online at www.projectextramile.org VI. Group Discussion/Announcements i. Liene Topko reminded the coalition that the March meeting will be at UNMC College of Public Health. VII. Adjournment and Next Meeting Date: The meeting was adjourned. The next meeting will take place on Wednesday, March 13th at 9 a.m. at the UNMC College of Public Health, Room 2001. Omaha Coalition Meeting Minutes February 2019 Project Extra Mile Meeting: Alcohol and cancer Noelle LoConte, MD March 13, 2019 @loconte @loconte 1 Wisconsin Comprehensive Cancer Control Program • Coalition: Founded in the 1980s by Dr. Paul Carbone and ACS • Now 110 organizations • Program: 2002 funding from CDC • Plan: Every 5-10 years, current plan 2015-2020 • Funding: CDC, GPR budget item, Carbone NCI P30 “core grant” @loconte 2 • Action Steps • Develop educational materials that define high risk alcohol consumption and its link to cancer • Support the implementation of media campaigns to increase public awareness of the link between alcohol and cancer • Promote healthcare provider education and training on alcohol use as a risk factor for cancer @loconte 3 @loconte 4 Action Plan @loconte 5 Alcohol Action Plan – at a glance • Gather and examine background data. • Develop alcohol and cancer toolkit, tailored for specific audiences across WI. • Develop alcohol-related fundraising best practices/guidelines. • Pursue provider-specific education opportunities. • Pursue decision maker-specific education opportunities. • Work with schools to integrate cancer prevention into substance use curriculum. • Collaborate with other groups working on alcohol issues. @loconte 6 @loconte 7 FAQ https://wicancer.org/wp-content/uploads/Alcohol-and-Cancer-FAQ_design_FINAL.pdf @loconte 8 @loconte 9 @loconte 10 Infographics https://wicancer.org/wp-content/uploads/InfoGraphic_Alcohol_Final.pdf @loconte 11 @loconte 12 @loconte 13 Alcohol and Cancer slide deck https://wicancer.org/resources/alcohol-slide-bank/ @loconte 14 Alcohol & Cancer Risk Improving the Alcohol Environment to Reduce Wisconsin’s Cancer Burden @loconte 15 Alcohol and Cancer • Alcohol use increases the risk of at least 7 different cancers: • Mouth & Throat • Larynx • Esophagus • Breast • Liver • Colorectal Image: https://wicancer.org/wp-content/uploads/InfoGraphic_Alcohol_Final.pdf Source: International@loconte Agency on Research on Cancer. IARC Monograph. Volume 96.16 2010. How does alcohol increase cancer risk? • Many potential pathways, including: • Ethanol –> Acetaldehyde • Blocking absorption of nutrients like folate • Increasing estrogen levels • Cirrhosis of the liver • The International Agency on Research on Cancer classifies alcohol as a known human carcinogen – and has since the late 80s. Sources: National Cancer Insitute. Alcohol and Cancer; International Agency on Research on Cancer. IARC Monograph.@loconte Volume 96. 2010 17 How much is too much? • Even light drinking can increase your cancer risk for some cancers, including breast. • But, drinking heavily, especially over a longer period of time, has the greatest impact on risk. Especially for head and neck cancers. Image: https://wicancer.org/wp-content/uploads/InfoGraphic_Alcohol_Final.pdf @loconte Source: LoConte N, et al, Journal of Clinical Oncology 36, no. 1,8318 -93. So, what is “high risk”? High-risk drinking includes: • Heavy drinking – 8+ per week for women, 15+ per week for men • Binge drinking – 4+ on one occasion for women, 5+ on one occasion for men • Underage drinking Image: https://wicancer.org/wp-content/uploads/Alcohol-and-Cancer-FAQ_design_FINAL.pdf @loconte Source: Centers for Disease Control and19 Prevention Why is alcohol use an important risk factor? • Approximately 3.5% of all cancer deaths in the U.S. (~20,000 deaths per year) are attributed to alcohol use. • Alcohol use is a common avoidable risk factor, especially in Wisconsin! • 68% drink alcohol • 17% smoke cigarettes • 19% no physical activity • 24% veggies <1x/day Sources: Nelson et al, Am J Public Health. 2013; 103(4): 641-648; Parkin DM et al, Br J Cancer. 2011;105:S77@loconte-81; Centers for Disease Control and Prevention. BRFSS. 2015/2016.20 Burden of alcohol-related cancers in Wisconsin Cancer Type Average Annual Cases Average Annual Deaths Mouth & Throat 790* 164* Larynx 234* 55 Esophagus 352* 321* Breast 4,312 767 Liver 428 355 Colorectal 2,570 950 * Rate is above the national average Find County-level data here: https://tinyurl.com/WICountyCancer @loconte 21 Source: American Cancer Society. Facts and Figures: Cancer in Wisconsin. 2016. Why should we discuss alcohol and cancer? • Awareness of the connection is low. • Only 30% of adults in US know that alcohol is a cancer risk factor • Compared to 78% for tobacco and 66% for sun exposure • Until recently, many cancer organizations were not discussing. • Increased awareness of the connection is shown to: • Encourage behavior change. • Increase support for policies that prevent and reduce excessive
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