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MAR-24-98 10:28 From: CDC/DCPC 7704884760 T-902 P.03/05 Job-642 and applied research, evaluation, health education and communication, program development, public policy, surveillance, and clinical services. CURRENT EFFORTS: The Division of Cancer Prevention and Control (DCPC) recognized the need to coordinate and integrate cancer prevention and control programs across categorical boundaries. The design of a flexible framework that promotes a more comprehensive public health approach and supports program development and resource planning by state health departments, partner organizations, and CDC has been a priority for CDC. CDC is providing support during FY 1998 to 4-6 states to assist them in assessing organizational needs for cancer control. Many other states are anxious to take advantage of this technical assistance. During discussions on this important issue with our state partners, we have learned that many states do not have a cancer control group that serves as an umbrella organizational unit to coordinate efforts. CDC has also learned that at least 13-15 states have moved forward and developed comprehensive cancer plans to guide efforts at the state and community level. Yet, many of these states do not have the human or financial resources to initiate implementation. These states, and others, have encouraged CDC to move forward and provide a modest amount of financial support that can be utilized by the states to further develop the infrastructure necessary to coordinate and guide cancer control efforts at the state and community level. OPPORTUNITY: CDC's current efforts in developing and implementing a set of organizational design options for comprehensive cancer planning at the state level provides the tools and technical expertise to assist states in moving forward. The next step is funding for state health agencies to support a concerted approach to comprehensive cancer control. Funding is needed for state staff support, and organizational and development activities for strengthening or building a systematic, science based, comprehensive approach to state cancer control efforts. With sufficient appropraitions in FY 1999, CDC would provide funding to approximately 10 state health agencies to support this important effort. Awards would range from $300,000 to $400,000.