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Center of Community Alliance for Research and Education (CCARE)

 
Our Mission
 
In recognition of the fact that African-Americans, Latinos and other ethnic minorities and lower socioeconomic persons are traditionally underserved by the health care industry, and often face unique challenges in dealing with cancer and other life-threatening diseases, City of Hope established the Center of Community Alliance for Research and Education (CCARE) in 2006. Spearheaded by Dr. Ashing, CCARE is a broad initiative that facilitates the translation of scientific knowledge into community practice to reduce and eliminate inequalities in cancer outcomes. Our mission is to increase education and awareness of the most advanced practices in health care for all patients, bringing to underrepresented and underserved patients and communities the best that City of Hope has to offer. We also seek to increase screening and prevention practices, awareness of cancer resources and knowledge of therapeutic advances and clinical trials within our diverse underrepresented and underserved communities.
 
 
 
Promoting Community Participation; Encouraging Diversity
 
CCARE’s goal is to increase community participation via:
  • Face-to-face community education seminars
  • Cancer prevention and screening services for medically underserved families and persons
  • Identifying and documenting the health needs and resource gaps in targeted communities
  • Providing health education materials and awareness of health services resources to improve health and access to medical care
  • Documenting community quality of life and resources including availability of low-cost healthy foods and recreational facilities
  • Robust community-research partnerships to streamline the translation of innovative research to community-based health practices, improving health outcomes for all.
  • Expanding community engagement and participation in research including clinical trials, biospecimen studies, and population and behavioral studies
 
By encouraging minority participation in cancer prevention, screening practices and education within the community, CCARE raises awareness of available cancer-related resources and closes health care gaps. Working in concert with community groups, City of Hope staff provides invaluable time and expertise in the areas of cancer prevention, genetics, survivorship, quality of life, treatment, pain management, psychosocial concerns and family issues.
 
 
 
Understanding Health  Disparities

National reports document that ethnic minorities experience poor life expectancy and unfavorable disease burden and mortality. Negative health and cancer outcomes in minority populations may be explained by factors such as delayed diagnosis and impeded access to to best-practice treatment. Poor outcomes in minority populations may also be explained by biological factors, e.g., increased incidence of triple negative breast cancer among African-American and Latino women, or genetic factors, e.g., familial cancers. Lifestyle risk factors such as smoking, inactivity, over-consumption of meats and under-consumption of fruits and vegetables can account for 60-80% of poor health risk and outcomes.
 
 
Diversity in Clinical Trials, Biospecimen Studies, and Health Research
 
Proper representation of ethnic minorities in clinical trials is important so that disparate responses to treatment and idiosyncratic adverse drug reactions can be noted and studied. City of Hope is at the forefront of innovation in personalized therapeutic approaches that take into account individual biomarkers to optimize patient outcomes and eventually make cancer not just treatable, but eminently curable.
 
Continuing Education and Professional Development Outreach
 
City of Hope creates continuing education outreach programs in order to advance the scientific and clinical talents of care providers working with underserved and underrepresented populations, including physicians, oncology nurses and medical social workers. The Division of Clinical Cancer Genetics' Intensive Course in Cancer Risk Assessment for community-based clinicians plays an increasingly important role in cancer prevention and control among at-risk populations.
 
 
Our Advisory Council
 
CCARE’s Advisory Council members represent a wide cross-section of concerned Southern Californians from government, academia, medicine, public health, and community interest groups. Advisory Council members are dedicated to carrying out CCARE’s mission of improving healthcare access, diagnosis, and treatment outcomes in underserved communities.
 
Annette Mercurio, George Somlo, Jeffrey  Weitzel,  Joseph Alvarnas , Joyce  Niland, Kristen Pugh,
Lucille Leong, Melanie Palomares, Robert Morgan, Smita Bhatia, City of Hope
Marjorie Kagawa-Singer, UCLA
Phyllis Clark, President, Healthy Heritage Movement
Elizabeth Stillwell, Ellen Eidem & Rita Singhal, Office of Women’s Health, County of Los Angeles
Lori Kundrat & Woodrow Brokenburr, American Cancer Society
Koko McDowell & Komma McDowell, Kommah Seray Inflammatory Breast Cancer Foundation
Eudora Mitchell, Director, Southern California Witness Project
Rhonda Santifer-Holbert, Los Angeles Urban League and Celebrate Life Cancer Ministries
Zul Surani, Community Coordinator, Cancer Information Service
Alma De Anda, Planned Parenthood, Pasadena/San Gabriel
America Bracho, Latino Health Access
BaLinda Dillard, Set for Life
Silvia Olivas, Oscar Cancer Survivor Foundation
Gina Marie Farino, Methodist Hospital
Lark Galloway, Community Health Councils
Laura Jimenez, Senator Dr. Ed Hernandez
Lois Gaston, City of Duarte
Lucy Young, Herald Cancer Association
MaryAnne Foo, OCAPICA
Sol Reyes-Roberts,  National Association of Hispanic Nurses - Orange County
Sora Park-Tanjasiri, CSU Fullerton
Virginia Martin, Sisters Breast Cancer Survivors
Jennifer Metz, California Health Collaborative-EWC Program
Eugene Taw, Tzu Chi Foundation
Sandra Arrivillaga, Bill Moore Clinic
Angela Chung, Chinatown Service Center
 
 

Programs

CCARE joins a multi-sectorial team representing advocacy groups, community organizations, faith-based organizations, academic institutions, health services organizations, the public and private sector, and policymakers. In collaboration with our 188 community partners, we provide educational workshops, materials and demonstrations as well as screening for early detection and disease prevention (e.g., diabetes, hypertension and breast-, cervical- and prostate cancers). CCARE also partners with community organizations including the American Cancer Society to implement health promotion, cancer prevention and early detection programs to respond to the needs of our diverse community. Since the inception of the CCARE program, thousands of people (predominantly African-American, Asian-American, and Latino-American) have participated in our community education events. Attendees reported increased knowledge about cancer risk reduction and awareness of community cancer resources
 
Community Health Promotion Activities

“Eat, Move, Live!”
This community collaborative program links City of Hope with cities and school districts to implement an obesity, diabetes, cancer and other chronic diseases prevention program via culturally and linguistically appropriate nutrition and exercise classes for children and their parents, in a local school setting.
Over the years, the "Eat, Move, Live!" lifestyle intervention program has demonstrated success in increasing knowledge and practice of health behaviors among both adults and children.
  • Children demonstrated increased knowledge of food groups and health behaviors.
  • Parents demonstrated significant increases in knowledge and behavior by increasing daily servings of fruit and vegetables and daily physical activity.
  • Justifications provided by parents for not engaging in health behaviors (e.g., healthy eating) at pre-test were areas that were address by this series.
At the end of this class series, all participants reported they planned to use the healthy lifestyle changes they learned.
For more information on the "Eat, Move, Live!" program, and additional resources, click here.
 
Cancer Equity Forum
In honor of Minority Cancer Awareness Week, City of Hope hosts this special event on the third week of April, every year. Read more in Professional Development.

Cancer Screenings and Health Fairs
To address disparities, CCARE partners with community leaders in the greater Los Angeles and the Inland Empire areas to produce a series of health fairs and cancer screening events tailored to specific demographic groups. For all screening events, in addition to the diagnostic screenings, CCARE collaborates with community partners to present educational and demonstration workshops on health promotion and disease prevention. Lifesaving health screenings, e.g. diabetes and blood pressure tests, and cancer screenings, e.g., Pap smears, mammograms, and PSA tests are provided to attendees who have limited access to them elsewhere. Educational presentations, demonstrations, and healthy food samples augment the screenings in a fun “health fair” environment:
 
  • “Mejor Salud, Mejor Vida” Villa-Parke Community Center, Pasadena, California. This event featured information and lectures in Spanish on cancer, diabetes and nutrition.
  • A.K.A. Sorority Health Summit Health and educational services for the African American community.
  • Celebration of Life, Chinese Cancer Survivor Conference The focus of this conference, conducted in Mandarin, was to address health-related quality of life issues among Chinese cancer survivors.
  • LULAC: Latinos Living Healthy Feria de Salud Tens of thousands gathered on Olvera Street, in Los Angeles, for the free health screenings, entertainment, and games at the LULAC Feria de Salud. Read more here. Watch footage here.
 
To invite a speaker, please Contact Us to learn more about how we can come share with your local community!
 
 

 
 
 
 

CCARE Eat Move Live!

The Eat, Move, Live! program (EML) is a community-based nutrition and physical activity program for obesity and cancer risk reduction. CCARE engages with the community in a symbiotic relationship to co-educate and exchange knowledge and wisdom. CCARE and the community infuse the best scientific practice with socioecologic and cultural relevance to improve health outcomes and reduce health disparities among diverse and medically underserved communities. CCARE collaborates with 106 community partners to engage the community covering 315 zip codes, and implemented 214 health education programs, extending City of Hope’s reach to over 20,000 households. The healthy lifestyle and chronic disease risk reduction intervention was conducted with 228 adults and 125 children with a documented positive effect on eating and physical activity knowledge, awareness and behaviors.
 
EML is implemented in collaboration with the City of Duarte and the Duarte School District as well as local markets.
  • The program consists of weekly class sessions designed to promote healthy lifestyle changes including nutrition and physical activity.
  • The goal of the program is cancer and chronic disease prevention through lifestyle, nutrition and physical activity
  • The approach is a solution focused, culturally and socioecologically informed education and demonstration community participatory intervention.
  • Target population: City of Duarte residents, School age children and parents, Latino community
Goals of Program
  • To educate the community about the connection between nutrition, physical activity (PA) and chronic disease.
  • Expand healthy food preparation skills to reduce calorie intake.
  • Increase the consumption of vegetables and fruits.
  • Reduce fat intake.
  • To increase daily physical activity.
Participants Learn About
  • Nutrition/Reading food labels
  • Recommended portion sizes
  • Recipes that are healthy but culturally relevant
  • Shopping at the supermarket
  • How to eat healthy on a budget
 
 
           Nutrition Classes
         •  5 week program
         •  2 hours each session, once a week (am or pm)
         •  Different activities and subjects are assigned to each session.
         •  First lesson
         •        - nutritional guidelines
         •        - food pyramid
         •         - nutrition labels
         •  Food demonstration
         •  Physical Activity (salsa, yoga, resistance
         •  In March of 2014, we're offering another nutrition program!
         •  Slots fill quickly, so sign up now!    
         •  Send us an email to get started!
 
 
 
 
 

 
Summer Health Camp
  • 1 week program
  • 5 days a week, 5 hours a day (9:00 am - 2:00 pm)
  • Different activities/ subjects are assigned to each session.
  • First lesson
  •         - nutritional guidelines
  •         - food pyramid
  •         - nutrition labels
  •   Food demonstration: child-friendly recipes that needed very low parental supervision.
  •   Physical Activity (Zumba, Hip hop, Polynesian, Folklorico, etc.)
Interested in signing your children up? Signups begin in June each year. For more information, send us an email!
 
 
 
 
 
Resources for Nutrition and Physical Activity
 
Healthy Recipes
 
Physical Activity
 
 
Scientific Posters
 
CCARE presents their research on community programs all around the globe. Take a look at the Eat, Move, Live! poster here .
 
 
Our Partners
Special thanks to our partners: Sodexho, Fresh & Easy Market, Mike's Foods, Sprouts, Ralph's, Tanaka Farms, Food4Less, Chef Louis Rice, Network for a Healthy California, City of Duarte Parks and Recreation, Duarte Unified School District's Early Childhood Development Program and our videographer, Mr. V, for their support and in-kind donations!
 
 

Research


 
The Center of Community Alliance for Research is developing its role as City of Hope's leading resource on cultural and socioecological contexts and the inclusion of linguistic and ethnic minority groups. CCARE has participated in several successfully funded projects with other departments and divisions including Clinical Cancer Genetics, Developmental Therapeutics and Cancer Biology.
 
Dr. Ashing is recognized as a stellar and exemplary investigator with seminal research in the area of psychooncology, particularly in the area of ethnic, cultural, linguistic and health disparities. She is a psychooncology champion whose work has documented the cancer experience of diverse survivors. Moreover, she is a community health advocate working to build infrastructure and capacity within community-based, grass-roots cancer-related organizations. Dr. Ashing is the notable leader in examining health disparities in order to improve quality of life and quality of care for ethnic and linguistic minority and underserved persons and communities.  Her work in this area is significant and innovative, and is shaping future research efforts in health psychology, oncology and quality of life research.  This originality is best illustrated through her scientific productivity and ensuing publication record.
 
 
 
 
 
Current Studies
 
  • Learn about CCARE's role in ACS' new Cancer Prevention Study, and how to join! Dr. Ashing, along with Dr. Jeffrey Weitzel, chief of the Division of Clinical Cancer Genetics, received a grant from the ACS to support their work on CPS-3 in Los Angeles County. Dr. Ashing focuses on addressing the disparities in treatment and outcomes between patients with different access and cultural approaches to medicine. Together, Drs. Ashing and Weitzel are working not only to increase understanding of the causes of cancer, but how best to educate the diverse, multi-ethnic public about how they can prevent cancer. To learn more about City of Hope's role in this study, click here.
 
  • Dr. Ashing along with seven other community partners recently received funding from the California Breast Cancer Research Program to train African American breast cancer survivors as peer navigators to guide African American breast cancer patients through survivorship with an emphasis improving access to surveillance and follow-up care.
 
  • Thanks to Susan G. Komen LA County, CCARE has newly launched a similar study focusing on the Latina breast cancer survivors of Antelope Valley. Instead of peer navigators, however, this study involves board-certified nurses.
 
  • CCARE is also working on a similar project that reaches both African American and Latina breast cancer survivors, targets low-income women in SPA 4, which covers Metro LA. Professional health educators serve as the navigators for this study.
 
  • Additionally, an Excellence award from City of Hope allows us to reach out to young African American breast cancer survivors. A licensed Marriage and Family Therapist provides the navigation.
 
  • Since 2010, City of Hope has received funding via the National Cancer Institute's Community Outreach Capacity Through Community Health Educators (CHE) of the National Outreach Network administrative supplement. CHE is housed within CCARE to integrate the CHE program within the community and develop a long-term education and outreach plan in Los Angeles County. This project provides, among other things, community assessment of cancer control needs and resources, community cancer education, diagnostic and therapeutic care presentations, and screening and early detection services. It also expands the access to and enrollment of underrepresented populations in biospecimen bankings as well as clinical research.

 
Previous Studies
 
  • In response to the mandated Survivorship Care Plan (SCP) going into effect in 2015, Dr. Ashing and CCARE investigated the cultural competence of the SCP for minority communities.
  • Using a community-based participatory research (CBPR) framework, they involved members of the community in every aspect of the research process (J Cancer Surviv 2013).
  • To read the full article, click here. (To read more about the Survivorship Care Plan and the official program standards, click here.)
 
 
  • Dr. Ashing and CCARE implemented evidenced-based interventions investigating the benefit of a clinically responsive psycho-educational telephonic versus materials only intervention with African-American and Latina-American breast cancer survivors (BCS). 
  • These findings suggested that long-term and late effects persist among BCS, but symptoms are responsive to intervention.  The results are encouraging and provide evidence that culturally and clinically responsive psycho-educational interventions are effective for improving quality of life outcomes and reducing life burden among low-income and minority populations.
  • On the other hand, survivors receiving the materials only demonstrated either little change or declines in domains of health related quality of life issues over time. The current findings are informing community translational interventions (J Cancer Surviv 2008).
  • To read the full article, click here.
 

CCARE In The News

Time Warner Cable: Health and Cancer Prevention in the Community
Mayra Serrano with the City of Hope, talks to Time Warner Cable Local Edition, Brad Pomerance, about spreading the word about health and preventing cancer within the community.
 
 
 
 
CCN: The Dangers of Colorectal Cancer
Dr. Kimlin Ashing discusses the deadly impact of colorectal cancer.
 
 
 
 
CCN: Colon Cancer as a Preventable Disease
Dr. Kimlin Ashing from City of Hope talks about the preventable disease of colon cancer.
 
 
 
Breakthroughs: Cancer Health Disparities by the Numbers
“The causes of cancer health disparities are complex, with root causes stemming from genetic susceptibility, stress and immune function, and family history, as well as health care system factors including preventive care access and utilization, quality care, and diagnostic and therapeutic care delay,” said Kimlin Tam Ashing, Ph.D., director of the Center of Community Alliance for Research & Education (CCARE) at City of Hope. Read full article here.
 
Dr. Kimlin Ashing Named in "2014 Women of the Year"
Rep. Grace F. Napolitano honored 24 women who had been nominated by volunteer organizations for exemplary service at the 2014 “Women of the Year” ceremony at the Azusa Woman’s Club in Azusa. “The general public does not realize the importance of volunteering in churches, civic organizations, and nonprofits that these women bring to their communities,” Napolitano said. “The efforts these women have made, which have taken them away from their families, are to be commended and celebrated. Our attempt to recognize a few of these women whose unselfish acts impact so many is symbolic of the countless unsung heroines who make a difference in so many lives. We thank them and their families, and we congratulate them on their achievements.” Read full article here.
 
KCAL9: Program Educates African-American Women on Cancer
A campaign is underway at City of Hope hospital in Duarte to educate African-American women about the risks of breast cancer. KCAL9’s Melanie Woodrow reports the Patient Navigator program offers support for survivors and raises awareness for those at risk. "Behavioral scientist Dr. Kimlin Tam Ashing, the driving force behind the program, said black women often get lost in the follow-up phase of treatment..." Watch interview here.
 
School Children Help Raise Funds for Breast Cancer
St. Margaret Mary School in Chino celebrated their annual "Pink Day" on Friday, October 25.  The children donated a dollar for the City of Hope and wore pink shirts to school.  They honored all those they know who have battled breast cancer by writing their names on a large poster and took a picture of the entire school body in the shape of a giant pink ribbon (picture above).  Mayra Serrano, Community Interventionist from City of Hope's Center of Community Alliance for Research and Education (CCARE), spoke with the students in the afternoon to educate them on breast cancer and about how their donations will be used.  They ended the day with a fundraiser of pink snow cones.  All donations and proceeds totaled $408 and were sent to the City of Hope to help end the battle of breast cancer.
 
American Psychological Association: Life-Changing Interventions
Psychologists’ research is preventing and reducing the burden of cancer; Dr. Kimlin Tam Ashing weighs in. Download the article here .
 
San Gabriel Valley Tribune: Senator Ed Hernandez Recognizes Women of Achievement
"Assemblyman Dr. Ed Hernandez [...] honored ten women who live and/or work within the district in commemoration of Women's History Month. Honorees were selected based on nominations submitted by people from their communities." Download the rest of the article  here .
 
USC Annenberg School for Communication and Journalism: Leveling the Playing Field in Cancer Care
"Those who survive cancer run a life-changing gauntlet [...]. Many of the aftereffects can be avoided through long-term care, but those programs are often inaccessible to the poor, particularly ethnic minorities..." Download the rest of the article here
 
Latino USA: The Psychology of Breast Cancer in Latinas
Half of Latina breast cancer survivors suffer from depression. These rates are much higher than the average among other survivors. Dr. Ashing at City of Hope in Los Angeles shares her research on the psychological aspects of recovery with our host Maria Hinojosa. She discusses the role of spirituality, family and beliefs about women’s responsibilities in helping or hindering detection, treatment and recovery. Click here for the article or here for only the audio.
 
Los Angeles Times: Why Breast Cancer is More Likely to Kill Black Women
This article explores why black women on Medicare fare worse after breast cancer diagnoses than similar white women, a study finds. Researchers blame preexisting health issues such as diabetes. Dr. Ashing weighs in on this relevant topic. Click here to read the full article.
 
The ASCO Post: Young Women and Breast Cancer
Investigators at City of Hope take a closer look at the rise in young minority women with breast cancer. Dr. Ashing and Monica Rosales share about exciting new studies. Click here to read the full article.
 
CCARE Encourages Cervical Exams Among At-Risk Women in Inland Empire
Studies show minority women in southern California remain at a high risk for cervical cancer. And although routine screenings make this cancer easily preventable, far too few women avail themselves of these medical services. CCARE embarked on a clinical trial to address this issue.
 
Minority Nurse: Addressing Disparities in Cancer Treatment
Dr. Ashing discusses the role of minority nurses in working to reduce cancer disparities in their community, and discusses optimal prevention strategies for women everywhere. Click here to read the full article.
 
 
 
 
 

CCARE Resources

 
Health Centers and Local Community Resources 
For bus and metro directions, call 1-800-COMMUTE.
Map of Service Planning Areas in Los Angeles County
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

CCARE en Español

¡Recursos y enlaces electrónicos para la comunidad hispana/latina! Nuestro sitio electrónico en español se está actualizando, ¡gracias por su paciencia! Mientras tanto, tenemos varios recursos aquí mismo para usted.
 
Coma, Muévase, Viva!
 
Como parte de nuestro programa ¡Coma, Muévase, Viva! ofrecemos Clases de Nutrición para adultos (Marzo 2014), y un Campamento de Verano para niños (Agosto 2014)!
Para más información, ¡mándenos un correo electrónico!  Los espacios se llenan rápidamente, ¡no demore!
 
Recursos Para La Cocina Saludable
 
Recursos Para la Actividad Física
 
Datos y Estadisticas Sobre el Cáncer entre los Hispanos/Latinos
 
 
 
 

CCARE Calendar

CCARE engages with the community in a symbiotic relationship to co-educate and exchange knowledge and wisdom. CCARE and the community infuse the best scientific practice with socioecologic and cultural relevance to improve health outcomes and reduce health disparities among diverse and medically underserved communities.
 
Keep track of our upcoming events by subscribing to our calendar, or adding it to your iCal using the links below!
 

Professional Development

CCARE’s professional training initiatives aim to disseminate best practices in cancer care to providers in underserved communities by ensuring existing faculty members are kept up to date on best practices, while training a new generation of clinicians and researchers in these innovative methods.
 
CME

City of Hope’s Continuing Medical Education program, under the direction of Robert J. Morgan, Jr., M.D., emphasizes current strategies designed to increase awareness and servicing of community-specific health needs.
 
Training
 
Dr. Ashing is currently training three postdoctoral fellows. Two Fellows received funding under the City of Hope/California State University, L.A P20 mechanism awarded to principal investigator Susan Kane, Ph.D.
 
Summer Academy

Annually, CCARE mentors high school and college students through the Summer Student Academy
 
Cancer Equity Forum 
 
 
In recognition of Minority Cancer Awareness Week, CCARE brings together scientists, physicians, health advocates and policymakers at a forum to grapple with inequity issues.
 
The 2015 program topics include:
 
  • Quality Cancer Care for a Diverse California: From Precision Medicine to Patient Centered Care
  • 80 by 2018: American Cancer Society Colon Cancer Prevention Campaign
  • Ethnic Representation Equity in Health Research
 
Presenters: 
 
  • Kimlin Tam Ashing, Ph.D., Director, CCARE, City of Hope
  • Steven Rosen, M.D., Provost and Chief Scientific Officer, City of Hope
  • Jorge Soto, B.S., Chief Product and Technology Office, Miroculus
  • Joseph Alvarnas, M.D., Director of Medical Quality, City of Hope
  • Lily Lai, M.D., Associate Director for Committee on Cancer, City of Hope
  • Lucille Adams-Campbell, Ph.D., Georgetown University Medical Center
 
CCARE and our community partners will continue to collaborate closely on scientific studies and community based cancer education and screening programs to increase minority participation in research, improve cancer prevention efforts and early detection. CCARE is committed to educating and empowering communities, through combining scientific knowledge with community wisdom and action, for a greater voice in cancer prevention and research and to equalize health outcomes for all.
 
Watch footage from past lectures here.

CCARE Faculty and Staff

CCARE Contact Us


 
 
 
Call Us
 
Our Toll Free Number is: 866-704-0474
 
 
 
Email Us
 
Send us a message!
 
 
 
Visit Us
 
We are on the City of Hope campus at 
 
               1500 East Duarte Road, 
               Duarte, CA 91010-3000
 
CCARE is located in the Population Sciences building,
square C9 on the campus map.
 
 
 
 
 
 
 

CCARE

Center of Community Alliance for Research and Education (CCARE)

 
Our Mission
 
In recognition of the fact that African-Americans, Latinos and other ethnic minorities and lower socioeconomic persons are traditionally underserved by the health care industry, and often face unique challenges in dealing with cancer and other life-threatening diseases, City of Hope established the Center of Community Alliance for Research and Education (CCARE) in 2006. Spearheaded by Dr. Ashing, CCARE is a broad initiative that facilitates the translation of scientific knowledge into community practice to reduce and eliminate inequalities in cancer outcomes. Our mission is to increase education and awareness of the most advanced practices in health care for all patients, bringing to underrepresented and underserved patients and communities the best that City of Hope has to offer. We also seek to increase screening and prevention practices, awareness of cancer resources and knowledge of therapeutic advances and clinical trials within our diverse underrepresented and underserved communities.
 
 
 
Promoting Community Participation; Encouraging Diversity
 
CCARE’s goal is to increase community participation via:
  • Face-to-face community education seminars
  • Cancer prevention and screening services for medically underserved families and persons
  • Identifying and documenting the health needs and resource gaps in targeted communities
  • Providing health education materials and awareness of health services resources to improve health and access to medical care
  • Documenting community quality of life and resources including availability of low-cost healthy foods and recreational facilities
  • Robust community-research partnerships to streamline the translation of innovative research to community-based health practices, improving health outcomes for all.
  • Expanding community engagement and participation in research including clinical trials, biospecimen studies, and population and behavioral studies
 
By encouraging minority participation in cancer prevention, screening practices and education within the community, CCARE raises awareness of available cancer-related resources and closes health care gaps. Working in concert with community groups, City of Hope staff provides invaluable time and expertise in the areas of cancer prevention, genetics, survivorship, quality of life, treatment, pain management, psychosocial concerns and family issues.
 
 
 
Understanding Health  Disparities

National reports document that ethnic minorities experience poor life expectancy and unfavorable disease burden and mortality. Negative health and cancer outcomes in minority populations may be explained by factors such as delayed diagnosis and impeded access to to best-practice treatment. Poor outcomes in minority populations may also be explained by biological factors, e.g., increased incidence of triple negative breast cancer among African-American and Latino women, or genetic factors, e.g., familial cancers. Lifestyle risk factors such as smoking, inactivity, over-consumption of meats and under-consumption of fruits and vegetables can account for 60-80% of poor health risk and outcomes.
 
 
Diversity in Clinical Trials, Biospecimen Studies, and Health Research
 
Proper representation of ethnic minorities in clinical trials is important so that disparate responses to treatment and idiosyncratic adverse drug reactions can be noted and studied. City of Hope is at the forefront of innovation in personalized therapeutic approaches that take into account individual biomarkers to optimize patient outcomes and eventually make cancer not just treatable, but eminently curable.
 
Continuing Education and Professional Development Outreach
 
City of Hope creates continuing education outreach programs in order to advance the scientific and clinical talents of care providers working with underserved and underrepresented populations, including physicians, oncology nurses and medical social workers. The Division of Clinical Cancer Genetics' Intensive Course in Cancer Risk Assessment for community-based clinicians plays an increasingly important role in cancer prevention and control among at-risk populations.
 
 
Our Advisory Council
 
CCARE’s Advisory Council members represent a wide cross-section of concerned Southern Californians from government, academia, medicine, public health, and community interest groups. Advisory Council members are dedicated to carrying out CCARE’s mission of improving healthcare access, diagnosis, and treatment outcomes in underserved communities.
 
Annette Mercurio, George Somlo, Jeffrey  Weitzel,  Joseph Alvarnas , Joyce  Niland, Kristen Pugh,
Lucille Leong, Melanie Palomares, Robert Morgan, Smita Bhatia, City of Hope
Marjorie Kagawa-Singer, UCLA
Phyllis Clark, President, Healthy Heritage Movement
Elizabeth Stillwell, Ellen Eidem & Rita Singhal, Office of Women’s Health, County of Los Angeles
Lori Kundrat & Woodrow Brokenburr, American Cancer Society
Koko McDowell & Komma McDowell, Kommah Seray Inflammatory Breast Cancer Foundation
Eudora Mitchell, Director, Southern California Witness Project
Rhonda Santifer-Holbert, Los Angeles Urban League and Celebrate Life Cancer Ministries
Zul Surani, Community Coordinator, Cancer Information Service
Alma De Anda, Planned Parenthood, Pasadena/San Gabriel
America Bracho, Latino Health Access
BaLinda Dillard, Set for Life
Silvia Olivas, Oscar Cancer Survivor Foundation
Gina Marie Farino, Methodist Hospital
Lark Galloway, Community Health Councils
Laura Jimenez, Senator Dr. Ed Hernandez
Lois Gaston, City of Duarte
Lucy Young, Herald Cancer Association
MaryAnne Foo, OCAPICA
Sol Reyes-Roberts,  National Association of Hispanic Nurses - Orange County
Sora Park-Tanjasiri, CSU Fullerton
Virginia Martin, Sisters Breast Cancer Survivors
Jennifer Metz, California Health Collaborative-EWC Program
Eugene Taw, Tzu Chi Foundation
Sandra Arrivillaga, Bill Moore Clinic
Angela Chung, Chinatown Service Center
 
 

Programs & Initiatives

Programs

CCARE joins a multi-sectorial team representing advocacy groups, community organizations, faith-based organizations, academic institutions, health services organizations, the public and private sector, and policymakers. In collaboration with our 188 community partners, we provide educational workshops, materials and demonstrations as well as screening for early detection and disease prevention (e.g., diabetes, hypertension and breast-, cervical- and prostate cancers). CCARE also partners with community organizations including the American Cancer Society to implement health promotion, cancer prevention and early detection programs to respond to the needs of our diverse community. Since the inception of the CCARE program, thousands of people (predominantly African-American, Asian-American, and Latino-American) have participated in our community education events. Attendees reported increased knowledge about cancer risk reduction and awareness of community cancer resources
 
Community Health Promotion Activities

“Eat, Move, Live!”
This community collaborative program links City of Hope with cities and school districts to implement an obesity, diabetes, cancer and other chronic diseases prevention program via culturally and linguistically appropriate nutrition and exercise classes for children and their parents, in a local school setting.
Over the years, the "Eat, Move, Live!" lifestyle intervention program has demonstrated success in increasing knowledge and practice of health behaviors among both adults and children.
  • Children demonstrated increased knowledge of food groups and health behaviors.
  • Parents demonstrated significant increases in knowledge and behavior by increasing daily servings of fruit and vegetables and daily physical activity.
  • Justifications provided by parents for not engaging in health behaviors (e.g., healthy eating) at pre-test were areas that were address by this series.
At the end of this class series, all participants reported they planned to use the healthy lifestyle changes they learned.
For more information on the "Eat, Move, Live!" program, and additional resources, click here.
 
Cancer Equity Forum
In honor of Minority Cancer Awareness Week, City of Hope hosts this special event on the third week of April, every year. Read more in Professional Development.

Cancer Screenings and Health Fairs
To address disparities, CCARE partners with community leaders in the greater Los Angeles and the Inland Empire areas to produce a series of health fairs and cancer screening events tailored to specific demographic groups. For all screening events, in addition to the diagnostic screenings, CCARE collaborates with community partners to present educational and demonstration workshops on health promotion and disease prevention. Lifesaving health screenings, e.g. diabetes and blood pressure tests, and cancer screenings, e.g., Pap smears, mammograms, and PSA tests are provided to attendees who have limited access to them elsewhere. Educational presentations, demonstrations, and healthy food samples augment the screenings in a fun “health fair” environment:
 
  • “Mejor Salud, Mejor Vida” Villa-Parke Community Center, Pasadena, California. This event featured information and lectures in Spanish on cancer, diabetes and nutrition.
  • A.K.A. Sorority Health Summit Health and educational services for the African American community.
  • Celebration of Life, Chinese Cancer Survivor Conference The focus of this conference, conducted in Mandarin, was to address health-related quality of life issues among Chinese cancer survivors.
  • LULAC: Latinos Living Healthy Feria de Salud Tens of thousands gathered on Olvera Street, in Los Angeles, for the free health screenings, entertainment, and games at the LULAC Feria de Salud. Read more here. Watch footage here.
 
To invite a speaker, please Contact Us to learn more about how we can come share with your local community!
 
 

 
 
 
 

Eat, Move, Live!

CCARE Eat Move Live!

The Eat, Move, Live! program (EML) is a community-based nutrition and physical activity program for obesity and cancer risk reduction. CCARE engages with the community in a symbiotic relationship to co-educate and exchange knowledge and wisdom. CCARE and the community infuse the best scientific practice with socioecologic and cultural relevance to improve health outcomes and reduce health disparities among diverse and medically underserved communities. CCARE collaborates with 106 community partners to engage the community covering 315 zip codes, and implemented 214 health education programs, extending City of Hope’s reach to over 20,000 households. The healthy lifestyle and chronic disease risk reduction intervention was conducted with 228 adults and 125 children with a documented positive effect on eating and physical activity knowledge, awareness and behaviors.
 
EML is implemented in collaboration with the City of Duarte and the Duarte School District as well as local markets.
  • The program consists of weekly class sessions designed to promote healthy lifestyle changes including nutrition and physical activity.
  • The goal of the program is cancer and chronic disease prevention through lifestyle, nutrition and physical activity
  • The approach is a solution focused, culturally and socioecologically informed education and demonstration community participatory intervention.
  • Target population: City of Duarte residents, School age children and parents, Latino community
Goals of Program
  • To educate the community about the connection between nutrition, physical activity (PA) and chronic disease.
  • Expand healthy food preparation skills to reduce calorie intake.
  • Increase the consumption of vegetables and fruits.
  • Reduce fat intake.
  • To increase daily physical activity.
Participants Learn About
  • Nutrition/Reading food labels
  • Recommended portion sizes
  • Recipes that are healthy but culturally relevant
  • Shopping at the supermarket
  • How to eat healthy on a budget
 
 
           Nutrition Classes
         •  5 week program
         •  2 hours each session, once a week (am or pm)
         •  Different activities and subjects are assigned to each session.
         •  First lesson
         •        - nutritional guidelines
         •        - food pyramid
         •         - nutrition labels
         •  Food demonstration
         •  Physical Activity (salsa, yoga, resistance
         •  In March of 2014, we're offering another nutrition program!
         •  Slots fill quickly, so sign up now!    
         •  Send us an email to get started!
 
 
 
 
 

 
Summer Health Camp
  • 1 week program
  • 5 days a week, 5 hours a day (9:00 am - 2:00 pm)
  • Different activities/ subjects are assigned to each session.
  • First lesson
  •         - nutritional guidelines
  •         - food pyramid
  •         - nutrition labels
  •   Food demonstration: child-friendly recipes that needed very low parental supervision.
  •   Physical Activity (Zumba, Hip hop, Polynesian, Folklorico, etc.)
Interested in signing your children up? Signups begin in June each year. For more information, send us an email!
 
 
 
 
 
Resources for Nutrition and Physical Activity
 
Healthy Recipes
 
Physical Activity
 
 
Scientific Posters
 
CCARE presents their research on community programs all around the globe. Take a look at the Eat, Move, Live! poster here .
 
 
Our Partners
Special thanks to our partners: Sodexho, Fresh & Easy Market, Mike's Foods, Sprouts, Ralph's, Tanaka Farms, Food4Less, Chef Louis Rice, Network for a Healthy California, City of Duarte Parks and Recreation, Duarte Unified School District's Early Childhood Development Program and our videographer, Mr. V, for their support and in-kind donations!
 
 

Research & Publications

Research


 
The Center of Community Alliance for Research is developing its role as City of Hope's leading resource on cultural and socioecological contexts and the inclusion of linguistic and ethnic minority groups. CCARE has participated in several successfully funded projects with other departments and divisions including Clinical Cancer Genetics, Developmental Therapeutics and Cancer Biology.
 
Dr. Ashing is recognized as a stellar and exemplary investigator with seminal research in the area of psychooncology, particularly in the area of ethnic, cultural, linguistic and health disparities. She is a psychooncology champion whose work has documented the cancer experience of diverse survivors. Moreover, she is a community health advocate working to build infrastructure and capacity within community-based, grass-roots cancer-related organizations. Dr. Ashing is the notable leader in examining health disparities in order to improve quality of life and quality of care for ethnic and linguistic minority and underserved persons and communities.  Her work in this area is significant and innovative, and is shaping future research efforts in health psychology, oncology and quality of life research.  This originality is best illustrated through her scientific productivity and ensuing publication record.
 
 
 
 
 
Current Studies
 
  • Learn about CCARE's role in ACS' new Cancer Prevention Study, and how to join! Dr. Ashing, along with Dr. Jeffrey Weitzel, chief of the Division of Clinical Cancer Genetics, received a grant from the ACS to support their work on CPS-3 in Los Angeles County. Dr. Ashing focuses on addressing the disparities in treatment and outcomes between patients with different access and cultural approaches to medicine. Together, Drs. Ashing and Weitzel are working not only to increase understanding of the causes of cancer, but how best to educate the diverse, multi-ethnic public about how they can prevent cancer. To learn more about City of Hope's role in this study, click here.
 
  • Dr. Ashing along with seven other community partners recently received funding from the California Breast Cancer Research Program to train African American breast cancer survivors as peer navigators to guide African American breast cancer patients through survivorship with an emphasis improving access to surveillance and follow-up care.
 
  • Thanks to Susan G. Komen LA County, CCARE has newly launched a similar study focusing on the Latina breast cancer survivors of Antelope Valley. Instead of peer navigators, however, this study involves board-certified nurses.
 
  • CCARE is also working on a similar project that reaches both African American and Latina breast cancer survivors, targets low-income women in SPA 4, which covers Metro LA. Professional health educators serve as the navigators for this study.
 
  • Additionally, an Excellence award from City of Hope allows us to reach out to young African American breast cancer survivors. A licensed Marriage and Family Therapist provides the navigation.
 
  • Since 2010, City of Hope has received funding via the National Cancer Institute's Community Outreach Capacity Through Community Health Educators (CHE) of the National Outreach Network administrative supplement. CHE is housed within CCARE to integrate the CHE program within the community and develop a long-term education and outreach plan in Los Angeles County. This project provides, among other things, community assessment of cancer control needs and resources, community cancer education, diagnostic and therapeutic care presentations, and screening and early detection services. It also expands the access to and enrollment of underrepresented populations in biospecimen bankings as well as clinical research.

 
Previous Studies
 
  • In response to the mandated Survivorship Care Plan (SCP) going into effect in 2015, Dr. Ashing and CCARE investigated the cultural competence of the SCP for minority communities.
  • Using a community-based participatory research (CBPR) framework, they involved members of the community in every aspect of the research process (J Cancer Surviv 2013).
  • To read the full article, click here. (To read more about the Survivorship Care Plan and the official program standards, click here.)
 
 
  • Dr. Ashing and CCARE implemented evidenced-based interventions investigating the benefit of a clinically responsive psycho-educational telephonic versus materials only intervention with African-American and Latina-American breast cancer survivors (BCS). 
  • These findings suggested that long-term and late effects persist among BCS, but symptoms are responsive to intervention.  The results are encouraging and provide evidence that culturally and clinically responsive psycho-educational interventions are effective for improving quality of life outcomes and reducing life burden among low-income and minority populations.
  • On the other hand, survivors receiving the materials only demonstrated either little change or declines in domains of health related quality of life issues over time. The current findings are informing community translational interventions (J Cancer Surviv 2008).
  • To read the full article, click here.
 

In The News

CCARE In The News

Time Warner Cable: Health and Cancer Prevention in the Community
Mayra Serrano with the City of Hope, talks to Time Warner Cable Local Edition, Brad Pomerance, about spreading the word about health and preventing cancer within the community.
 
 
 
 
CCN: The Dangers of Colorectal Cancer
Dr. Kimlin Ashing discusses the deadly impact of colorectal cancer.
 
 
 
 
CCN: Colon Cancer as a Preventable Disease
Dr. Kimlin Ashing from City of Hope talks about the preventable disease of colon cancer.
 
 
 
Breakthroughs: Cancer Health Disparities by the Numbers
“The causes of cancer health disparities are complex, with root causes stemming from genetic susceptibility, stress and immune function, and family history, as well as health care system factors including preventive care access and utilization, quality care, and diagnostic and therapeutic care delay,” said Kimlin Tam Ashing, Ph.D., director of the Center of Community Alliance for Research & Education (CCARE) at City of Hope. Read full article here.
 
Dr. Kimlin Ashing Named in "2014 Women of the Year"
Rep. Grace F. Napolitano honored 24 women who had been nominated by volunteer organizations for exemplary service at the 2014 “Women of the Year” ceremony at the Azusa Woman’s Club in Azusa. “The general public does not realize the importance of volunteering in churches, civic organizations, and nonprofits that these women bring to their communities,” Napolitano said. “The efforts these women have made, which have taken them away from their families, are to be commended and celebrated. Our attempt to recognize a few of these women whose unselfish acts impact so many is symbolic of the countless unsung heroines who make a difference in so many lives. We thank them and their families, and we congratulate them on their achievements.” Read full article here.
 
KCAL9: Program Educates African-American Women on Cancer
A campaign is underway at City of Hope hospital in Duarte to educate African-American women about the risks of breast cancer. KCAL9’s Melanie Woodrow reports the Patient Navigator program offers support for survivors and raises awareness for those at risk. "Behavioral scientist Dr. Kimlin Tam Ashing, the driving force behind the program, said black women often get lost in the follow-up phase of treatment..." Watch interview here.
 
School Children Help Raise Funds for Breast Cancer
St. Margaret Mary School in Chino celebrated their annual "Pink Day" on Friday, October 25.  The children donated a dollar for the City of Hope and wore pink shirts to school.  They honored all those they know who have battled breast cancer by writing their names on a large poster and took a picture of the entire school body in the shape of a giant pink ribbon (picture above).  Mayra Serrano, Community Interventionist from City of Hope's Center of Community Alliance for Research and Education (CCARE), spoke with the students in the afternoon to educate them on breast cancer and about how their donations will be used.  They ended the day with a fundraiser of pink snow cones.  All donations and proceeds totaled $408 and were sent to the City of Hope to help end the battle of breast cancer.
 
American Psychological Association: Life-Changing Interventions
Psychologists’ research is preventing and reducing the burden of cancer; Dr. Kimlin Tam Ashing weighs in. Download the article here .
 
San Gabriel Valley Tribune: Senator Ed Hernandez Recognizes Women of Achievement
"Assemblyman Dr. Ed Hernandez [...] honored ten women who live and/or work within the district in commemoration of Women's History Month. Honorees were selected based on nominations submitted by people from their communities." Download the rest of the article  here .
 
USC Annenberg School for Communication and Journalism: Leveling the Playing Field in Cancer Care
"Those who survive cancer run a life-changing gauntlet [...]. Many of the aftereffects can be avoided through long-term care, but those programs are often inaccessible to the poor, particularly ethnic minorities..." Download the rest of the article here
 
Latino USA: The Psychology of Breast Cancer in Latinas
Half of Latina breast cancer survivors suffer from depression. These rates are much higher than the average among other survivors. Dr. Ashing at City of Hope in Los Angeles shares her research on the psychological aspects of recovery with our host Maria Hinojosa. She discusses the role of spirituality, family and beliefs about women’s responsibilities in helping or hindering detection, treatment and recovery. Click here for the article or here for only the audio.
 
Los Angeles Times: Why Breast Cancer is More Likely to Kill Black Women
This article explores why black women on Medicare fare worse after breast cancer diagnoses than similar white women, a study finds. Researchers blame preexisting health issues such as diabetes. Dr. Ashing weighs in on this relevant topic. Click here to read the full article.
 
The ASCO Post: Young Women and Breast Cancer
Investigators at City of Hope take a closer look at the rise in young minority women with breast cancer. Dr. Ashing and Monica Rosales share about exciting new studies. Click here to read the full article.
 
CCARE Encourages Cervical Exams Among At-Risk Women in Inland Empire
Studies show minority women in southern California remain at a high risk for cervical cancer. And although routine screenings make this cancer easily preventable, far too few women avail themselves of these medical services. CCARE embarked on a clinical trial to address this issue.
 
Minority Nurse: Addressing Disparities in Cancer Treatment
Dr. Ashing discusses the role of minority nurses in working to reduce cancer disparities in their community, and discusses optimal prevention strategies for women everywhere. Click here to read the full article.
 
 
 
 
 

Resources

CCARE Resources

 
Health Centers and Local Community Resources 
For bus and metro directions, call 1-800-COMMUTE.
Map of Service Planning Areas in Los Angeles County
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

CCARE en Español

CCARE en Español

¡Recursos y enlaces electrónicos para la comunidad hispana/latina! Nuestro sitio electrónico en español se está actualizando, ¡gracias por su paciencia! Mientras tanto, tenemos varios recursos aquí mismo para usted.
 
Coma, Muévase, Viva!
 
Como parte de nuestro programa ¡Coma, Muévase, Viva! ofrecemos Clases de Nutrición para adultos (Marzo 2014), y un Campamento de Verano para niños (Agosto 2014)!
Para más información, ¡mándenos un correo electrónico!  Los espacios se llenan rápidamente, ¡no demore!
 
Recursos Para La Cocina Saludable
 
Recursos Para la Actividad Física
 
Datos y Estadisticas Sobre el Cáncer entre los Hispanos/Latinos
 
 
 
 

Calendar & Events

CCARE Calendar

CCARE engages with the community in a symbiotic relationship to co-educate and exchange knowledge and wisdom. CCARE and the community infuse the best scientific practice with socioecologic and cultural relevance to improve health outcomes and reduce health disparities among diverse and medically underserved communities.
 
Keep track of our upcoming events by subscribing to our calendar, or adding it to your iCal using the links below!
 

Professional Development

Professional Development

CCARE’s professional training initiatives aim to disseminate best practices in cancer care to providers in underserved communities by ensuring existing faculty members are kept up to date on best practices, while training a new generation of clinicians and researchers in these innovative methods.
 
CME

City of Hope’s Continuing Medical Education program, under the direction of Robert J. Morgan, Jr., M.D., emphasizes current strategies designed to increase awareness and servicing of community-specific health needs.
 
Training
 
Dr. Ashing is currently training three postdoctoral fellows. Two Fellows received funding under the City of Hope/California State University, L.A P20 mechanism awarded to principal investigator Susan Kane, Ph.D.
 
Summer Academy

Annually, CCARE mentors high school and college students through the Summer Student Academy
 
Cancer Equity Forum 
 
 
In recognition of Minority Cancer Awareness Week, CCARE brings together scientists, physicians, health advocates and policymakers at a forum to grapple with inequity issues.
 
The 2015 program topics include:
 
  • Quality Cancer Care for a Diverse California: From Precision Medicine to Patient Centered Care
  • 80 by 2018: American Cancer Society Colon Cancer Prevention Campaign
  • Ethnic Representation Equity in Health Research
 
Presenters: 
 
  • Kimlin Tam Ashing, Ph.D., Director, CCARE, City of Hope
  • Steven Rosen, M.D., Provost and Chief Scientific Officer, City of Hope
  • Jorge Soto, B.S., Chief Product and Technology Office, Miroculus
  • Joseph Alvarnas, M.D., Director of Medical Quality, City of Hope
  • Lily Lai, M.D., Associate Director for Committee on Cancer, City of Hope
  • Lucille Adams-Campbell, Ph.D., Georgetown University Medical Center
 
CCARE and our community partners will continue to collaborate closely on scientific studies and community based cancer education and screening programs to increase minority participation in research, improve cancer prevention efforts and early detection. CCARE is committed to educating and empowering communities, through combining scientific knowledge with community wisdom and action, for a greater voice in cancer prevention and research and to equalize health outcomes for all.
 
Watch footage from past lectures here.

Faculty & Staff

CCARE Faculty and Staff

Contact Us

CCARE Contact Us


 
 
 
Call Us
 
Our Toll Free Number is: 866-704-0474
 
 
 
Email Us
 
Send us a message!
 
 
 
Visit Us
 
We are on the City of Hope campus at 
 
               1500 East Duarte Road, 
               Duarte, CA 91010-3000
 
CCARE is located in the Population Sciences building,
square C9 on the campus map.
 
 
 
 
 
 
 
Overview
Beckman Research Institute of City of Hope is responsible for fundamentally expanding the world’s understanding of how biology affects diseases such as cancer, HIV/AIDS and diabetes.
 
 
Research Departments/Divisions

City of Hope is a leader in translational research - integrating basic science, clinical research and patient care.
 

Research Shared Services

City of Hope embodies the spirit of scientific collaboration by sharing services and core facilities with colleagues here and around the world.
 

Our Scientists

Our research laboratories are led by the best and brightest minds in scientific research.
 

City of Hope’s Irell & Manella Graduate School of Biological Sciences equips students with the skills and strategies to transform the future of modern medicine.
Develop new therapies, diagnostics and preventions in the fight against cancer and other life-threatening diseases.
 


NEWS & UPDATES
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  • In light of the new breast cancer screening guidelines, which call for women to have mammograms every other year from age 50 to 74, it’s more important than ever for women to understand their individual risk. On Monday, the U.S. Preventive Services Task force released new breast cancer screening guideline...
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