National Breast and Cervical Cancer Early Detection Program 30th Anniversary: Opening Video The National Breast and Cervical Cancer Early Detection Program celebrates 30 years of screening women and saving lives. Audio Descriptive Text • Atlanta: Division of Cancer Prevention and Control, CDC Headquarters. U.S. Department of Health and Human Services. Centers for Disease Control and Prevention. Panoramic view of CDC Headquarters in Atlanta. • Faye Wong, Chief, Program Services Branch in the Division of Cancer Prevention and Control, CDC. • Captain Jacqueline Miller, MD, FACS, Medical Director, National Breast and Cervical Cancer Early Detection Program, PSB, DCPC, CDC. • Faye Wong speaking. • Public Law 101-354. • Faye Wong speaking. • Group of four women. • Group of five women holding a banner that says: National Governors Association. Governors’ Spouse Program. Breast Cancer Awareness Campaign 1994. The banner contains the logos of the American Cancer Society (ACS) and the Centers for Disease Control and Prevention (CDC). • Captain Jacqueline Miller speaking. • Group of four women. • Program representatives discussing their services to a visitor. • Program representative training health professionals. • Resident receiving a program representative at her house. • Captain Jacqueline Miller speaking. • Person picking up one of multiple brochures in different languages. • A woman picking up blueberries. • Different brochures from Pride Center of Vermont. • A large group of tribal women with a tree covering them. • Captain Jacqueline Miller speaking. • Tanya Hicks, Program Analyst, PSB, DCPC, CDC. • A banner and print materials from Vermont’s Pride Center about getting screened for breast and cervical cancer with the recommended ages, frequency, and who to contact. • Person preparing letters to potential patients. • Tanya Hicks speaking. • A group of American Indian women showing their blankets. • Program director training her staff. • Health specialist listening to call. • Faye Wong speaking. • Asian or Pacific Islander woman walking. • Program representative talking to staff. • Office with a banner that says: Milwaukee Consortium for Hmong Health. Empowering Asian American Families: Saving Lives through Education and Early Detection. Welcome! • NNBCCPP personnel discussing. • Faye Wong speaking. • Captain Jacqueline Miller speaking. • Health professional talking to her patient. • Health professional answering a call from a patient. • Two women talking while walking outdoors. • Faye Wong speaking. • A woman listening to another woman’s story. • Warehouse personnel talking. • Two women in a garden. • Pride Center of Vermont, SafeSpace, and GLAM Vermont. • Pride Vermont. • Patient talking to a health specialist. • Three artists at a radio station. • Faye Wong speaking. • Captain Jacqueline Miller speaking. • Program representative leaving her car in front of a mobile home. • A group of Alaska health specialists in front of their mobile van. • Program representative driving. • Health professional taking her patient to the mammogram room. • Health professional watching her patient take a mammogram. • Faye Wong speaking. • Screenshots of multiple program specialists. • Faye Wong speaking. • Tanya Hicks speaking. • Screenshots of multiple patients. • Tanya Hicks speaking. Script [Faye Wong] My name is Faye Wong, and I’m Chief of the Program Services Branch in the Division of Cancer Prevention and Control at CDC. [Captain Jacqueline Miller] I am Captain Jacqueline Miller. I am the Medical Director for the National Breast and Cervical Cancer Early Detection Program here at CDC. Congress in 1990 realized that there was a problem that low income uninsured women were dying more of breast and cervical cancer. So the Breast and Cervical Cancer Mortality Prevention Act was passed in order for CDC to implement a program to provide breast and cervical cancer screening and diagnostic services to these women. [Faye Wong] And at that point, all we had was Public Law 101-354 that established the program legislatively by Congress. And the program itself did not exist. So the original management team for the program basically had to build the entire program from scratch. [Captain Jacqueline Miller] The program started in 1991, screened the first women and started with about three programs initially, and by 1994 we were up to all states. I think was sixty four programs at the time. We eventually got to sixty seven programs and in 2017 we got to seventy programs. We fund all of the seventy programs across the U.S., and they actually are out there doing the day-to-day work, making the personal contact with women. You have to understand what the needs are. Everybody’s not the same. So we have to make sure we’re reaching the women where they are, and making sure they understand, and making them feel comfortable at being able to come in and get the services. It’s a big thing to make sure that you’re just not coming with one message to all women, and that you’re having catered messages and catered activities, to the women to meet the women where they are. [Tanya Hicks] I’ve been with the program for the thirty years since it started. Some of the challenges the program have is sometimes identifying their at-need populations. Even for many of the programs who’ve been funded through the thirty years, they’ve had the realization that they needed sometimes to go back and reassess who their population was, because that’s changed over the years in different areas, in different regions. [Faye Wong] There are many populations, especially those who are racial, ethnic minority groups that distrust the health care system. And the way our programs deal with it is things like hiring staff who are from those populations, hiring staff that speak the language, in the community where they live so they’re not traveling downtown to a fancy building that’s totally intimidating. [Captain Jacqueline Miller] I think that one of the things that the program, the dedication of the people in the states, really makes a difference. When you can have a person who can call someone on their cell phone fearful of cancer, and they can say, I’ll call you tomorrow and get you into a doctor’s office tomorrow. That makes a difference for people. [Faye Wong] A very important thing for our programs across the country is to partner with community-based organizations that are connected to the women in the community to identify the ones that perhaps need to be screened but have not been screened. At the heart of everything, I think, is our awardees know their population. And because they know their population, they implement interventions that make sense. [Captain Jacqueline Miller] We have programs who work with specific groups in their community, in their jurisdictions that are the low income, who don’t get the services, and they will work with those community people who work with the program to get to those women. If it’s transportation, to bring them to a service, you know, we do that. If it’s setting up mobile vans to their community so they can access the service. We do that. We even have tribal programs who drive their cars to people’s homes to pick them up, to bring them to services. And we start with the screening all the way to getting you into treatment services. And we assist women with getting onto those treatment programs. [Faye Wong] The people that work in the program are usually people who are very passionate about breast and cervical cancer. They’re passionate about the women they serve. They’re passionate about the quality of the program and making sure that women are connected. They’re committed, dedicated to doing the best job they can. They care. I think that’s the bottom line. [Tanya Hicks] Well, I think any time you give a woman an opportunity to take care of herself and her health, you’re not only affecting her, you’re affecting her family and all of those in the community that are connected to her. Any time you can give a woman access to screenings that could potentially save her life, it’s very impactful.