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September 2007 News

State Committed To Multicultural Preparedness - September 21st
MDCH Launches New Pain and Symptom Management Website - September 21st
MDCH Releases Public Health Consultation for Sturgis - September 19th
Michigan to Honor Older Workers - September 17th
Influenza Vaccination Season Begins - September 13th
MDCH Recognizes Take a Loved One for a Checkup Day - September 12th
Michigan OSA Announces Community for a Lifetime Recognition Program - September 10th
Granholm, MDCH Recognize September as Prostate Cancer Awareness Month - September 7th
MDCH Joins CDC to Help Prevent Mosquito-Borne Illness - September 7th
Drug Policy Director to Call Attention to Prescription Drug Abuse at Upcoming Conference - September 7th
State of Michigan Is Emergency Preparedness Leader - September 6th
MDCH To Hold River Rouge, Ecorse Health Consultation Meeting - September 5th
MDCH Recognizes National Ovarian Cancer Awareness Day - September 5th



State Committed To Multicultural Preparedness

September 21, 2007

The Michigan Department of Community Health (MDCH) recognizes September as National Preparedness Month, a national initiative sponsored by the U.S. Department of Homeland Security. September 16 to 21 has been nationally designated as Multicultural Preparedness Week.

The intent for public health planning through MDCH's Office of Public Health Preparedness is to be inclusive. The goal is to assure that every person in the community has and understands the information needed to prepare, cope, and recover when there is a public health emergency.

One key multicultural preparedness resource provided to Michigan citizens is the preparedness website -
www.michigan.gov/prepare - which provides proactive emergency planning information for individuals, families, and businesses. Most importantly, the website offers preparedness resources in a range of languages. MDCH's Office of Public Health Preparedness (OPHP) produced and distributed the booklet "Preparing for a Public Health Emergency" in English, Spanish, and Arabic. All three language versions of the booklet are available through Michigan's preparedness website. OPHP actively partnered with Hispanic and Latino churches and associations to effectively distribute the booklets to Michigan's Spanish-speaking communities. Similarly, OPHP collaborated with mosques, Arabic churches, and Islamic centers to distribute the booklets to the Arab-American communities across Michigan.

MDCH routinely partners with other State of Michigan offices and external agencies to bring Michigan's citizens timely multicultural preparedness information. In collaboration with the Michigan Department of Labor & Economic Growth's Division on Deaf and Hard of Hearing, MDCH recently produced the DVD and companion website "Preparing for a Public Health Emergency" in American Sign Language. The companion website is freely available to Michigan citizens at breeze.mdch.train.org/p21037260/.

The Public Information Coalition meets regularly to discuss outreach channels for diverse populations. This multicultural group has representation from Arab-Americans, Latino-Americans, blind, deaf and hard-of-hearing, migrant workers, senior citizens, persons with disabilities, Native Americans, and many other underserved populations.

MDCH also actively partners with the Michigan Association for Local Public Health, Michigan Commission for the Blind, the Office on Aging, Refugee/Migrant Services, Children's Special Healthcare Services, Michigan State University and Extension, Wayne State University's Developmental Disabilities Institute, and Michigan 2-1-1 to effectively deliver preparedness information to Michigan's diverse population.

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MDCH Launches New Pain and Symptom Management Website

September 21, 2007

A new Michigan Department of Community Health (MDCH) web site will help Michigan residents address the issues of pain and symptom management, state officials said today.

The MDCH Pain and Symptom Management website - available online at
www.michigan.gov/painmanagement or www.michigan.gov/pm - broadly covers both pain and symptom management at all stages of life, said Janet Olszewski, MDCH Director.

"Launching this website dedicated to informing both health consumers and health care professionals on pain and symptom management is another example of Michigan's efforts to address this important issue," Olszewski said.

Development of this site is a direct result of a recommendation identified in Michigan's Advisory Committee on Pain and Symptom Management 2002 Report to the Governor.

Last fall, the University of Wisconsin Pain and Policies Study Group gave Michigan and one other state an "A" grade due to the state's progress in balancing proactive pain management policies with measures to prevent abuse and misuse of pain medication.

The Pain and Symptom Management web site has a public section with information regarding diseases and conditions that cause pain, medications for treating pain, and tools to search for a local doctor or psychologist that specializes in pain management. This consumer portion of the website provides information on a wide array pain management issues, including chronic disease pain management, palliative and end of life care, advanced directives and living wills. Numerous links to other websites, articles, and current news regarding pain management are also provided.

The American Academy of Pain Medicine estimates that more than 75 million Americans live with serious pain across all stages of life, and many report that their pain is not managed adequately.

In Michigan, one in five adults report experiencing some form of chronic pain, with 40 percent of people with chronic pain reporting that pain affects their ability to live a normal life. The experience of chronic pain generally increases with age, as revealed by 48 percent of Michigan's nursing home residents who report experiencing persistent pain. Although studies show that many people are not adequately treated for pain at the end of life, clinicians currently have medications and other treatments to safely provide adequate pain relief for more than 90 percent of these patients.

"This informative site will help many Michigan citizens understand their rights to safe and effective pain management, and help educate clinicians about the importance of adequately treating pain," said Dr. Gregory Holzman, State Chief Medicaid Executive. "It also assists our public health efforts to deal with a host of health care concerns, such as the Michigan Cancer Consortium's efforts to address the palliative care issues of cancer patients."

In addition to the consumer section, the site also has a section for health care professionals, which provides information related to the importance of treating pain across the patient's life span. Professionals are able to acquire information on pain and symptom management from this website related to state and national treatment guidelines, Michigan legislation, professional publications and articles, and important links to other pain management websites.

"The Michigan hospice community applauds the efforts of the state in assembling this excellent cadre of resources for the public. We also applaud the state for its proactive stance and aligning their pain policies with the practices of our healthcare professionals," said Jeff Towns, President of the Michigan Hospice & Palliative Care Organization.

In addition to tracking the progress of our state in addressing pain and symptom management, another section of the site contains information about the meetings and activities of the Advisory Committee on Pain and Symptom Management. This body was established in 1998 by the Governor in order to broaden our state's effort to address pain management following the End of Life Commission's work regarding pain and symptom management during the early 1990s.

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MDCH Releases Public Health Consultation for Sturgis

September 19, 2007

The Michigan Department of Community Health (MDCH) has released a draft public health consultation regarding chelated metals in groundwater in Sturgis. The consultation addresses whether people are being exposed to elevated concentrations of metals in private drinking water wells.

Abbott Laboratories, Ross Products Division, located in Sturgis, discharges wastewater containing the chelator EDTA to a land application site. Monitoring wells and drinking water wells down-gradient of the site have elevated concentrations of several naturally-occurring metals, which likely entered the groundwater bonded to EDTA.

Affected drinking water wells have been plugged. There is no current exposure and therefore no current public health hazard. Past exposure cannot be determined with certainty. Future exposure likely will not occur because groundwater monitoring is continuing.

There will be a public meeting regarding this consultation on October 10, 7 PM, at the Sturgis Township Hall, corner of US 12 and White School Road in Sturgis. MDCH invites the public to review the public health consultation and offer comments on it, either in writing or at the public meeting. Copies of the public health consultation are available for public review at the Sturgis Public Library, 255 North Street, Sturgis. The consultation is also available on-line at the Division of Environmental Health website,
www.michigan.gov/mdch-toxics, under "Health Assessments and Related Documents."

Information and comments should be addressed to Christina Bush, Toxicologist, Michigan Department of Community Health, Division of Environmental Health, Capitol View Building, P.O. Box 30195, Lansing, Michigan 48909, or to bushcr@michigan.gov. People may also call the toll-free telephone number of 1-800-648-6942 (1-800-MI TOXIC). Comments on the public health consultation must be received by October 25, 2007. All comments received will be evaluated and considered and responses will be provided in the final version of the Consultation.

The Division of Environmental Health conducted the public health consultation under a cooperative agreement with the federal Agency for Toxic Substances and Disease Registry (ATSDR). Information concerning the human health effects of exposure to environmental contaminants, such as cobalt and nickel, can be found on the ATSDR web page at www.atsdr.cdc.gov/toxfaq.html.

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Michigan to Honor Older Workers

September 17, 2007

In honor of the contributions of the older workforce, the Michigan Office of Services to the Aging (OSA) encourages employers to observe 2007 National Employ Older Workers Week, September 23 to 29.

This is an important opportunity for elected officials, employers, and the general public to highlight the vital role of older workers in the current labor force, and the continuing importance of the participation of older workers in meeting the employment needs of the 21st century.

"Our state has greatly benefited from older workers," said Sharon Gire, OSA Director. "Michigan is fortunate to have so many older adults who continue to live productive lives by serving others through their jobs."

National Employ Older Workers Week showcases the success of the Senior Community Service Employment Program (SCSEP) administered by the U.S. Department of Labor. The Michigan Older American Community Service Employment Program is administered with funding from SCSEP.

SCSEP provides part-time opportunities for training and employment for limited income adults, aged 55 or older. Since its inception 40 years ago, SCSEP has assisted more than one million people each year to enter the job market by developing job skills that correspond to the rapidly changing demands of the business sector.

Because our older population will continue to grow dramatically in the years ahead, we must continue to find ways to engage them in productive work that will keep them active, and supplement their retirement income, Gire said.

With their labor skills and experience, strong work ethic, flexibility and dedication, older adults are a valuable asset to their employers and communities. Older adults are playing an increasingly important role in maintaining our economy and asserting America's leadership in the world marketplace.

For more information, please go to
www.Michigan.gov/miseniors or call (517) 373-8230.

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Influenza Vaccination Season Begins

September 13, 2007

The Michigan Department of Community Health (MDCH) is gearing up for the 2007-2008 influenza season by making special efforts to reach out to high-risk patients as well as children in need of a second dose of influenza vaccine. Vaccine manufacturers expect shipments to be made on-time this year and MDCH is urging providers, local health departments, and community vaccinators to begin vaccinating patients.

"As the 2007-2008 flu season approaches, we encourage all of Michigan's residents to be vaccinated against the flu," said Janet Olszewski, MDCH Director. "Ask your doctor if you are at high-risk for influenza-related complications and be sure to get vaccinated. If you are a new parent, a health care professional, and/or have contact with people age 65 and older, protect those high-risk individuals by getting vaccinated."

According to the U.S. Centers for Disease Control and Prevention (CDC), every year in the United States, an average of 5 percent to 20 percent of the population gets the flu, more than 200,000 people are hospitalized from flu complications, and about 36,000 people die from flu. More than 90 percent of those deaths are among persons age 65 or older. Even though last year's flu season was mild, 68 deaths among children were reported to CDC.

"The single best way to prevent the flu is to get vaccinated each year," said Dr. Greg Holzman, State Chief Medical Executive. "Contrary to popular myth, the flu vaccine cannot give you the flu. There are two types of flu vaccinations available: the "flu shot" and the nasal-spray flu vaccine; both are effective in preventing the flu."

Studies show people with flu can infect others up to 1 day before they start having symptoms and, once sick, they can infect others for up to 5 days. About half of all people with influenza infections do not have any symptoms; these people can infect others without knowing they are sick.

Influenza activity most often occurs in January or later, therefore it is important to know that if you do not get vaccinated in October or November, you can still get get vaccinated in December or later. Though it varies, flu season can last until May. For information on receiving the flu vaccine, please contact your doctor's office or your local health department.

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MDCH Recognizes Take a Loved One for a Checkup Day

September 12, 2007

The Michigan Department of Community Health (MDCH) is pleased to help recognize Tuesday, September 18, 2007 as Take a Loved One for a Checkup Day. This observance is part of a national campaign sponsored by the U.S. Department of Health and Human Services, Office of Minority Health which focuses on educating African American, Hispanic/Latino, Asian American/Pacific Islander, American Indian and Alaska Native communities, and others about the health gap between these groups and the general population of the United States.

The focus of the day is to encourage individuals to take charge of their health by visiting a health professional (doctor, nurse, dentist, nurse practitioner or other health provider), by making an appointment for a visit, by attending a health event in the community, or helping a friend, neighbor, or family member do the same. Many people wait until there is an emergency before they go for a checkup. Take a Loved One for a Checkup Day is an excellent way to screen individuals, and when necessary, refer them for follow-up care.

"Family members and friends can help each other by encouraging their loved ones to get regular checkups or other preventive health screenings," said Janet Olszewski, MDCH Director. "If they do not already have a doctor or have health insurance, they should contact their local community health center or local health department to ask about free or low-cost care."

In an ongoing effort to close the health gap between racial and ethnic minorities and the general population, numerous health screenings and health fairs will take place throughout the Metropolitan Detroit area during September 17-21 as part of the Take a Loved One for a Checkup Day.

On Tuesday, September 18, 2007, the MDCH Health Disparities Reduction and Minority Health Section, in collaboration with the Wayne County Health Department and the Detroit Department of Health and Wellness Promotion, will host a Health Awareness, Screening, and Wellness Fair in observance of Take a Loved One for a Checkup Day. The fair, including blood pressure and glucose screenings, health information and exhibitors, will be held at the Citadel of Praise Church at 20280 Lyndon St. (near Evergreen) in the Brightmoor District of Detroit, between 10:00 a.m. and 2:00 p.m. Ramona Prater of the MIX 92.3 will be hosting a "live call in" on site where she will be speaking with the community and encouraging listeners to come down for a health screening and information.

For more information about this free health fair, please contact Patrick Jackson, MDCH Health Disparities Coordinator, at (313) 456-4417.

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Michigan OSA Announces Community for a Lifetime Recognition Program

September 10, 2007

The Michigan Office of Services to the Aging (OSA), in conjunction with the Michigan Commission on Services to the Aging, announces a statewide community recognition program titled Community for a Lifetime. The program provides recognition for communities and local government entities that have accomplished a community assessment for livability and/or implemented improvements recommended by a livable community assessment.

The Commission on Services to the Aging, a 15-member body appointed by the Governor, developed the recognition program as part of a national trend to improve communities for an aging population. This trend quickly evolved into a broader concern about the community assets that make a community "livable" for residents of all ages and abilities. Major organizations such as AARP, Partners for Livable Communities, Visiting Nursing Services of New York, National Association of Area Agencies on Aging, and the Robert Wood Johnson Foundation have supported and developed community assessments to identify attributes such as walk-ability, transportation, enrichment, and safety and security.

At the core of this program is the determination of how easy it is for seniors to get to services provided throughout the community. Regardless of age, the ability to conduct daily business and participate in the social life of the community is often determined by the community design and assets that allow residents to access shops, banks, health care, restaurants and entertainment.

Several national models have been implemented in Michigan in the past few years. Recently, MSU-Extension and the OSA released a Community for a Lifetime assessment tool, piloted in Gaylord and Grand Haven. Community groups interested in conducting a livability assessment are encouraged to explore the Community for a Lifetime tool kit and application materials available at:
www.Michigan.gov/miseniors. Applications for recognition are reviewed twice a year, on October 1 and April 1.

The Michigan OSA wants to assist communities across the state in making their communities a good place to grow up and grow old. For more information, please go to the above website or call Dan Doezema, OSA Specialist for Livable Communities, at (231) 929-2531.

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Granholm, MDCH Recognize September as Prostate Cancer Awareness Month

September 7, 2007

In an effort to promote greater awareness of prostate cancer, Governor Granholm and the Michigan Department of Community Health (MDCH) are again recognizing September as Prostate Cancer Awareness.

Prostate cancer continues to be the second leading cause of cancer deaths among Michigan men. In 2004, 967 men in the state died of the disease. The American Cancer Society estimates that in 2007, 1,180 Michigan men will die of the disease and 8,200 new cases will be diagnosed. Michigan currently ranks 37th highest in the nation in prostate cancer deaths.

The causes of prostate cancer are unknown at this time; though, genetic, environmental, and behavioral factors are being investigated. The following are known risk factors for prostate cancer:
  • Age: Prostate cancer is found most often in men older than age 50; approximately 35 percent of Michigan men diagnosed with prostate cancer in 2003 were between the ages of 50 and 64. More than 61 percent were 65 years of age or older.


  • African Ancestry: Black men are affected disproportionately by prostate cancer. The diagnosis of prostate cancer in black men in Michigan is 1.7 times that of white men, and the death rate is 2.1 times greater in black men than in white men.


  • Family history of prostate cancer on either maternal or paternal side increases the likelihood of getting prostate cancer.
There may be no symptoms of prostate cancer. Today, early prostate cancer is most often found with a blood test, Prostate Specific Antigen (PSA), before the cancer has caused symptoms.

Prostate cancer is different from other cancers in that most cases are of the slow growing type that would never have caused problems. Therefore, each man must decide whether or not to get tested for prostate cancer, and if it is found, which treatment option to select based on the risk and benefits as informed by his values and preferences.

The Michigan Cancer Consortium has developed a decision aid to help men make informed decisions regarding treatment of early prostate cancer. Making the Choice: Deciding What to Do About Early Stage Prostate Cancer is available in booklet, audio, and web-based formats. To order the decision aids, free of charge to Michigan residents, please call1-800-249-0314 or visit
www.prostatecancerdecision.org.

For more information about prostate cancer, please visit the prostate cancer information section on the MDCH website, www.michigan.gov/cancer.

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MDCH Joins CDC to Help Prevent Mosquito-Borne Illness

September 7, 2007

The Michigan Department of Community Health (MDCH) is joining forces with the Centers for Disease Control and Prevention (CDC) to raise awareness of mosquito-borne illnesses and the steps people can take to prevent it.

The Fight the Bite initiative is a national effort to help Americans learn more about West Nile Virus (WNV) prevention during peak periods of mosquito activity, along with other illnesses that can be equally serious.

State and county health departments - and their local partners - are working to promote WNV prevention information that emphasizes the following key steps:
  • Avoid mosquito bites: Use insect repellent when outdoors especially from dusk to dawn. Look for EPA-labeled products containing active ingredients, such as DEET, Picaridin (KBR3023), or oil of lemon eucalyptus (p-menthane 3,8-diol). Apply more repellent, according to label instructions, if mosquitoes start to bite.


  • Mosquito-proof homes: Fix or install window and door screens and cover or eliminate empty containers with standing water where mosquitoes can lay eggs.


  • Help your community: Report dead birds to help track WNV and support community-based mosquito control programs.
Seasonal activity varies from year to year, but mosquitoes carrying WNV remain a threat. WNV has spread from coast to coast with new cases being reported daily. Since WNV activity in the United States often does not peak until September, more cases are expected.

WNV can cause serious neurological illnesses, such as meningitis and encephalitis. Last year, WNV was responsible for more than 1,000 illnesses and nearly 100 deaths nationwide. In Michigan, 55 cases were reported. So far this year, Michigan has reported two WNV human cases. Many of these illnesses are not reported, so the true number of WNV-related illnesses is likely to be higher. Late summer is a critical time for citizens to be aware of the risks associated with mosquito-borne illness.

"Healthy, active adults who are 50 and older have the highest risk of illness caused by West Nile virus and other mosquito-borne illnesses. People who work outdoors in occupations like farming or construction are at greater risk of getting bitten by an infected mosquito," said Dr. Gregory Holzman, State Chief Medical Executive. "One bite from an infected mosquito can lead to a severe - and possibly life-altering illness. Prevention is the key to protection."

Citizens can locate more information about this initiative at
www.cdc.gov/westnile, or www.michigan.gov/emergingdiseases.

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Drug Policy Director to Call Attention to Prescription Drug Abuse at Upcoming Conference

September 7, 2007

The Michigan Office of Drug Control Policy - in conjunction with other state substance abuse professional organizations - will host nearly 1,000 of Michigan's substance abuse professionals at a conference next week in Grand Rapids.

To complement the conference agenda, Donald Allen, Director of the State Of Michigan Office of Drug Control Policy, announced the confirmed attendence of Dennis Romero, the Acting Director of the Center for Substance Abuse Prevention, United States Department of Health and Human Services.

"We are pleased to host the conference attendee's and Director Romero in the effort to provide continued direction in the strategies and guidelines for substance abuse prevention. In recent years Michigan has made significant inroads in the effort to curb the use of illegal substances, especially the use of methamphetamine," Allen said.

Allen also said a new challenge on the horizon is the alarmingly high rate of teen prescription drug abuse in Michigan.

"The latest research shows that Michigan has one of the highest rates of teen prescription drug abuse in the country. With the facility of the internet and an increase of adult use of medically prescribed medications, our teens are turning away from street drugs and turning to prescription drugs to get high," he said.

Allen said conference attendees will discuss raising the level of awareness to the fact that legally prescribed medications such as vicodin, percocet, oxycontin and darvon are readily available to children in medicine cabinets, and compete with marijuana, cocaine and methamphetamine as substances of choice.

Michigan Treatment Episode Data shows a 116 percent increase (1,556 to 3,368) from 2002 to 2006 in the number of admissions into Michigan's publicly funded treatment system for people reporting prescription drug abuse as a problem at time of admission.

The 8th Annual Michigan Substance Abuse Conference is scheduled for Monday, September 10 and Tuesday, September 11 at DeVos Place, 303 Monroe Ave NW, Grand Rapids.

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MDCH To Hold River Rouge, Ecorse Health Consultation Meeting

September 5, 2007

The Michigan Department of Community Health (MDCH) will hold a community meeting to discuss the health consultation released earlier this month regarding manganese in the soils in River Rouge and Ecorse.

The consultation discusses exposure to airborne soils that contain elevated levels of manganese. The meeting is open to residents of Ecorse and River Rouge.

The meeting will be held in the Court Room at the River Rouge City Hall, 2nd Floor, 10600 West Jefferson Avenue, River Rouge, on Wednesday, September 19, beginning at 6:30 p.m. Staff from MDCH and the Department of Environmental Quality will attend the meeting.

The health consultation and its summary document are on-line at
www.michigan.gov/mdch-toxics, under "Health Assessments and Related Documents."

MDCH is taking public comments on the health consultation until October 1, 2007. Comments may be submitted at the meeting or sent to Christina Bush, Toxicologist, Michigan Department of Community Health, Division of Environmental Health, Capitol View Building, P.O. Box 30195, Lansing, MI 48909. People may also send comments via e-mail to bushcr@michigan.gov or call the toll-free telephone number, 1 800 648-6942 (1-800-MI TOXIC). All comments received will be evaluated and considered and responses will be provided in the final version of the consultation.

The MDCH Division of Environmental Health conducted the health consultation for this site under a cooperative agreement with the federal Agency for Toxic Substances and Disease Registry (ATSDR). Information concerning the human health effects of exposure to environmental contaminants such as manganese can be found on the ATSDR web page at www.atsdr.cdc.gov/toxfaq.html.

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MDCH Recognizes National Ovarian Cancer Awareness Day

September 5, 2007

In recognition of September 7, 2007 Ovarian Cancer National Awareness Day, the Michigan Department of Community Health (MDCH), the Michigan Cancer Genetics Alliance (MCGA), and the Ovarian Cancer National Alliance would like to encourage wearing the color teal to raise the awareness of ovarian cancer and to promote early recognition of symptoms.

Additionally, Governor Jennifer M. Granholm and President George W. Bush have recently declared September as Ovarian Cancer Awareness Month.

"Greater awareness of ovarian cancers and its symptoms are needed, and can start with simple steps such as wearing the color teal on September 7," said Janet Olszewski, MDCH Director. "It is not commonly known that ovarian cancer ranks second among gynecological cancers, and accounts for about 3 percent of all cancers among women."

In Michigan alone, 516 women died from ovarian cancer in 2004, and 751 women were newly diagnosed with ovarian cancer in 2003. According to Carolyn Benivegna, nine-year ovarian cancer survivor-activist and Michigan resident, "Heightened awareness of ovarian cancer, early diagnosis, and specialized care with a gynecologic oncologist can improve survival rates dramatically. Women must know their bodies, take control of their health care, and learn all they can about this disease to improve their chance of survival."

Early detection and treatment of ovarian cancer is critical to increasing the number of survivors. Only 19 percent of new ovarian cancer cases in Michigan are diagnosed in the early/localized stage. Early diagnosis and specialized care leads to better outcomes and a greatly improved overall five-year relative survival rate (compared to late/distant stage). Diagnosis of ovarian cancer at an early stage is difficult due to the lack of an effective screening test and lack of awareness of symptoms and risk factors.

Because there are common myths that can delay early detection, it is crucial to get the facts about ovarian cancer. For instance, ovarian cancer cannot be diagnosed through a Pap smear or other routine screening and women without ovaries are still at risk for ovarian cancer. Recent studies have shown women reporting the following symptoms, which were not previously recognized:
  • Bloating
  • Pelvic or abdominal pain
  • Difficulty eating or feeling full quickly
  • Urinary symptoms (urgency or frequency)
  • Other symptoms include fatigue, indigestion, back pain, constipation, menstrual irregularities, and pain with intercourse. Women should consult their physician, preferably a gynecologist, for a thorough and prompt medical examination if they experience these symptoms persistently (occurring daily and lasting for more than a few weeks), and if these symptoms have not been commonly experienced in the past.

    Ovarian cancer can affect women at any age or of any ethnicity; however, the risk for ovarian cancer increases with age. Additionally, an important risk factor for ovarian cancer is a personal or family history of cancer, especially ovarian, endometrial, breast and/or colorectal cancer.

    It is expected that even greater awareness of ovarian cancer will occur due to the 2007 passage of "Johanna's law" or "Gynecologic Cancer Education and Awareness Act" (HR1245; S1172). This law was sponsored by Michigan Senator Carl Levin and others and is named for Johanna Silver Gordon, a lifelong Michigan resident and schoolteacher. It will create a federal gynecologic cancer education campaign to improve early detection.

    For more information, please visit 
    www.Johannaslaw.org. For additional information on cancer in Michigan, please visit www.michigan.gov/cancer, the Michigan Cancer Genetics Alliance at http://www.migeneticsconnection.org/cancer/, or the Ovarian Cancer National Alliance at http://www.ovariancancer.org/.

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