| Guam Breast and Cervical Early Detection Program |
| GRANT NUMBER: 5U58DP000781-02 |
|
| Program Description |
 |
- DPHSS, Community Health Centers
- PMC ISLA Health Systems
- Island Surgical Center
- Guam Radiology Consultant
- AC Micro
- Diagnostic Laboratory Services, Inc.
|
|
| The Breast and Cervical Cancer Early Detection Program (BEECDP) is 100% federally funded program, and was implemented in 1999 under a cooperative agreement between the Department of Public Health and the Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, through its National Cancer Prevention and Control Program (NCPCP). This program addresses the US Department of Public Health and Human Services “Healthy People 2010” priority area related to cancer. The purpose of the program is to establish a comprehensive public health approach to reduce breast and cervical cancer morbidity and mortality. This is accomplish through: (1) increasing the regular use of cancer screening and diagnostic services to low income, uninsured or underinsured women; (2) providing public education, information and outreach; (3) providing system of referral, tracking, monitoring, surveillance and case management; (4) providing professional education on screening, re-screening, and diagnostic services; and (5) monitoring and evaluating the quality and effectiveness of the program. |
Number of Women Enrolled in the Program and the Number of Mammogram and Pap Test Performed by Fiscal Year
| Fiscal Year |
2000-1 |
2003 |
2004 |
2005 |
2006 |
2007 |
2008 |
Total |
| Number of Women Enrolled |
93 |
271 |
350 |
192 |
159 |
396 |
316 |
1531 |
| Number of Mammogram Performed |
47 |
171 |
351 |
418 |
459 |
623 |
500 |
2175 |
| Number of Pap Test Performed |
53 |
209 |
441 |
384 |
435 |
502 |
394 |
2106 |
Source: Department of Public Health & Social Services, GBCCED, 8/08 |
 |
Breast Cancer Screening and Diagnostic Services
- Clinical Breast Exam
- Screening Mammogram
- Diagnostic Mammogram
- Breast Ultrasound
- Surgical Consult
- Fine Needle Aspiration
- Ultrasound Guided Biopsy
- Excisional Biopsy/Lumpectomy
- Cytology Studies
|
Cervical Cancer Screening and Diagnostic Services
- Pelvic Exam
- Pap Cytology Test
- Gynecological Consult
- Colposcopy with or without Biopsy
- Endocervical Currettage
- HPV DNA testing (if used in the follow-up of an Atypical Squamous Cells of Undetermined Status [ASC-US], or for surviellance at one year follow-up on Low Grade Squamous Intrapithelial Lesion [LSIL]).
- Loop Electrosurgical Excision Procedure (LEEP) or Conization
- Cytology Studies
|
|
Number of Breast Cancer Diagnosed By Fiscal Year
| Fiscal Year |
2000-1 |
2003 |
2004 |
2005 |
2006 |
2007 |
2008 |
Total |
Invasive Breast Cancer
AJCC Stage I |
0 |
0 |
0 |
1 |
2 |
0 |
1 |
4 |
Invasive Breast Cancer
AJCC Stage II |
0 |
0 |
0 |
0 |
0 |
1 |
2 |
3 |
Invasive Breast Cancer
AJCC Stage III |
0 |
0 |
0 |
2 |
0 |
1 |
2 |
5 |
Invasive Breast Cancer
AJCC Stage IV |
0 |
0 |
0 |
0 |
1 |
1 |
0 |
2 |
| DCIS Stage 0 |
1 |
0 |
0 |
2 |
0 |
1 |
3 |
7 |
| TOTAL |
1 |
0 |
0 |
5 |
3 |
4 |
8 |
21 |
Source: Department of Public Health and Social Services, GBCCED, 8/08 |
Number of Breast Cancer Diagnosed by Fiscal Year
| Fiscal Year |
2000-1 |
2003 |
2004 |
2005 |
2006 |
2007 |
2008 |
Total |
| CIN I |
3 |
1 |
1 |
1 |
0 |
4 |
2 |
12 |
| CIN II |
0 |
0 |
0 |
1 |
1 |
1 |
0 |
3 |
| CIN III Stage 0 |
0 |
0 |
2 |
0 |
3 |
4 |
2 |
11 |
| Invasive CA |
0 |
0 |
0 |
0 |
0 |
1 |
0 |
1 |
| TOTAL |
3 |
1 |
3 |
2 |
43 |
10 |
4 |
27 |
Source: Department of Public Health and Social Services, GBCCED, 8/08 |
| Eligibility |
|
Women are eligible under the GBCCEDP if they are:
- 35-64 years old; with
- No insurance or underinsured (having insurance that does not completely cover the cost of screening exams); and
- U.S. Citizens or Qualified Aliens (Green Card Holder, FSM, etc); and
- Documented residents of Guam for at least six months; and
- Meets income guidelines
- Priority population are women 50-64 years of age
|
|
| Size of Family Unit |
2008 250% FEDERAL POVERTY GUIDELINES |
| Annual |
Monthly |
| 1 |
$29,900 |
$2,492 |
| 2 |
$40,250 |
$3,354 |
| 3 |
$50,600 |
$4,217 |
| 4 |
$60,950 |
$5,079 |
| 5 |
$71,300 |
$5,942 |
| 6 |
$81,650 |
$6,804 |
| 7 |
$92,000 |
$7,667 |
| 8 |
$102,350 |
$8,529 |
| For each additional person add |
$4,140 |
$345 |
|
|
| |
|
|
|
