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In 1994 the Texas
Department of Health became the first state agency in the nation to
pilot Put Prevention Into Practice, a
national, research-based public-private program to increase the appropriate
use of clinical preventive services (e.g., screening, immunizations
and counseling). TDH is currently the only state agency with hands-on
experience in the actual implementation of the PPIP strategy. PPIP
supports cancer risk assessment and screening for major cancers, including
colorectal, and offers education about them. Services are offered
through TDHs regional clinics, local health departments, community
health centers and family practice residency training programs.
The passage
of the Texas Cancer Control Act in 1979 established cancer as a
reportable disease in Texas. Amended in 1989, the law requires cancer
incidence reporting by all hospitals, clinical laboratories and
cancer treatment centers in Texas. The Texas Cancer
Registry collects, analyzes and disseminates these data.
TCR data are used by health researchers, policy planners and private
citizens interested in cancer control issues, including the evaluation
of cancer prevention and control activities and
assessment of need and location of healthcare delivery systems.
TCR data lead to improved care for cancer patients by providing
hospitals with statistical information that may be used in case
management, treatment evaluation and resource planning.
The Texas
Behavioral Risk Factor Surveillance System, initiated
in 1987, is a federally funded ongoing telephone survey of randomly
selected adult Texans designed to collect data on lifestyle risk
factors contributing to the leading causes of death and chronic
diseases. Sample sizes for Texas were increased in the 1999 survey
from 1,500 to 5,000. Rotating core questions relating to colorectal
cancer screening were included in 1995, 1997 and 1999, and the 2001
survey will be redesigned to expand on the data collected in this
area. Because the BRFSS is nationwide, comparisons can be made between
Texas and other states and between Texas and the national average.
The Comprehensive
Cancer Control Program is funded by the national Centers
for Disease Prevention and Control and is collaboratively administered
with the Texas Cancer Council. The goals of the program are to 1)
improve and expand collaborative efforts already in place among
the different groups working in cancer control in Texas; 2) increase
the use of the Texas Cancer Plan as the statewide document directing
cancer control efforts; 3) develop a process for prioritizing the
Texas Cancer Plan; and 4) disseminate information available to local
communities and provide technical assistance to communities working
on local cancer control efforts.
Contact:
Texas Department of Health
1100 West 49th
St., Austin, TX 78756-3199
(512)
458-7111
www.tdh.texas.gov
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