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A quarterly update from the North Dakota Cancer Coalition Spring 2013 Letter from the Chair by Dr. John Leitch I am impressed with the work accomplished by our cancer coalition staff and the cancer screening/early detection workgroup to communicate with my medical colleagues in North Dakota through the North Dakota Medical Association’s electronic newsletter. We used the cancer awareness months for cervical and colorectal cancer as an opportunity to send a letter reminding physicians about North Dakota’s cervical and colon cancer burden with information on screening in an easy to read format. I plan to continue to send letters this year to the North Dakota Medical Association on other common cancers including breast, prostate, and lung along with state cancer burden information and screening recommendations if available. We received the results of the Battelle survey (State Survey of Endoscopic Capacity) . e good news is we have capacity; the bad news is that colonoscopy need is several times the capacity. As more people have health insurance for colonoscopy screening through the Affordable Care Act, it will challenge our health system to provide colonoscopy access. Fecal occult blood tests are still an effective way to screen for colorectal cancer and we need to remember that the best screening test is the one that get’s done. e cancer center patient survey was sent to the participating cancer centers this month. I hope this gives cancer centers useful information to improve services and remove barriers to care. ese are exciting times and we have many opportunities to reduce our state’s cancer burden. I look forward to seeing you at the Chronic Disease Conference on May 20 and 21. In this issue... Letter from the Chair........................... 1 Cancer Risks in Oil Fields .................. 2 Welcome New NDCC Members ......... 2 Be Sun Savvy ..................................... 3 Working Together Conference............ 3 Approaches for Prevention ................. 4 Physical Activity in the Workplace ...... 4 Challenges in Hospice Care ............... 5 Cancer Survivor Month .................... 5-6 Partner Updates .............................. 6-7 Sanford Health............................... 6 Project HOPE ................................ 6 Cancer Registry ............................. 7 Altru Cancer Center ....................... 7 Relay For Life Events Planned ........... 8 Upcoming Partner Events................... 8 Join the NDCC.................................. 10 1 ND Cancer Connection

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Page 1: ND Cancer Connection Cancer Connection. ... Bakken Formation. ... One environmental strategy to increasing physical activity in the workplace is to improve the environment

A quarterly update from the North Dakota Cancer Coalition Spring 2013

Letter from the Chairby Dr. John Leitch

I am impressed with the work accomplished by our cancer coalition staff and the cancer s c r e e n i n g / e a r l y detection workgroup to communicate with my medical colleagues in North Dakota through the North Dakota Medical Association’s electronic newsletter. We used the

cancer awareness months for cervical and colorectal cancer as an opportunity to send a letter reminding physicians about North Dakota’s cervical and colon cancer burden with information on screening in an easy to read format. I plan to continue to send letters this year to the North Dakota Medical Association on other common cancers including breast, prostate, and lung along with state cancer burden information and screening recommendations if available.

We received the results of the Battelle survey (State Survey of Endoscopic Capacity) . The good news is we have capacity; the bad news is that colonoscopy need is several times the capacity. As more people have health insurance for colonoscopy screening through the Affordable Care Act, it will challenge our health system to provide colonoscopy access. Fecal occult blood tests are still an effective way to screen for colorectal cancer and we need to remember that the best screening test is the one that get’s done.

The cancer center patient survey was sent to the participating cancer centers this month. I hope this

gives cancer centers useful information to improve services and remove barriers to care.

These are exciting times and we have many opportunities to reduce our state’s cancer burden. I look forward to seeing you at the Chronic Disease Conference on May 20 and 21.

In this issue...Letter from the Chair........................... 1Cancer Risks in Oil Fields .................. 2Welcome New NDCC Members ......... 2Be Sun Savvy ..................................... 3Working Together Conference ............ 3Approaches for Prevention ................. 4Physical Activity in the Workplace ...... 4Challenges in Hospice Care ............... 5Cancer Survivor Month .................... 5-6 Partner Updates .............................. 6-7 Sanford Health............................... 6 Project HOPE ................................ 6 Cancer Registry ............................. 7 Altru Cancer Center ....................... 7Relay For Life Events Planned ........... 8Upcoming Partner Events................... 8Join the NDCC.................................. 10

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ND Cancer Connection

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Exposure to radiation or radioactive materials increases our risk of developing cancer. Naturally Occurring Radioactive Materials (NORM) such as uranium, thorium and potassium and any of their decay products such as radium and radon are concerns in the oil drilling industry. As part of the drilling process, these elements can

be brought to the surface exposing the workers on the oil rig. Uranium, radium and radon are radioactive materials often associated with North Dakota. Radon testing in homes and other buildings is a common practice in our state. Unsafe levels are often found resulting in an increased risk of lung cancer to those living/working in these buildings.

But what about the workers in the oil industry, particularly on the oil rigs? Drilling deep into the earth allows NORM to reach the surface. The hazards associated with NORM are inhalation and ingestion routes of entry as well as external exposure where there has been a significant buildup of scale on valves and other equipment on the rig. The hazardous elements

Cancer Risks in the Oil Fields

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found in NORM are Radium 226, 228 and Radon 222. These elements are referred to as “bone seekers” in that when they get inside the human body, they migrate to bone tissue and concentrate. This can lead to bone cancers and other bone abnormalities. Other concerns are with the drilling muds that are discharged into the waste pits at the well site. These fluids could contain NORM and must be disposed of safely in a manner that minimizes the risk to humans and our environment.

Recently, the Pennsylvania Department of Environmental Protection announced that it will undertake a study to look at naturally occurring levels of radioactivity in by-products in oil and gas development. The results of the study will allow the state to continue to be proactive for the future in maintaining responsible development of its oil and gas resources in the Marcellus Shale formation. Preliminary data has shown low levels of natural radioactivity in oil and gas wastes and does not indicate workers face health risks related to exposure to radiation from these materials. The study will take 12-14 months to complete and the results shown will give us an idea of what level of risk the oil workers and our environment face here in the Bakken Formation.

In North Dakota, we continue to rely on the integrity of our oil companies as well as the enforcement of the laws regulating the industry to ensure that the workers are not being exposed to dangerous levels of NORM and that our environment is preserved for future generations.

Submitted by Kevin Pavlish, Environmental Health Practitioner ~ Southwestern District Health Unit

Welcome New NDCC Members!The following members have joined the North Dakota Cancer Coalition from January through May 10, 2013. Welcome to the Coalition!• Richard Mousseau - Great Plains Tribal Chairman’s Health Board• Kimberly Kuhlmann - American Cancer Society Cancer Action Network• Judy Beck - North Dakota Health Care Review, Inc.• Paulette DeLeonardo - North Dakota Department of Health• Katie Johnke - Bismarck - Burleigh Public Health• Karen Bercier - Mercy Hospice• Cindy Gohner - Blue Cross Blue Shield of North Dakota• Kristina Smith - Quentin N. Burdick Memorial Healthcare• Abby Wald - LaMoure County Public Health

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Be Sun SavvySubmitted by Joyce Sayler, Program Coordinator for the Comprehensive Cancer Control Program

The North Dakota Cancer Coalition is pleased to announce that the 2013 “Working Together” Preventing & Managing Chronic Disease in North Dakota conference will be held on May 20-21, 2013 in Bismarck at the Best Western Ramkota Hotel.

A variety of educational opportunities will be presented, from information about current guidelines, mental health concerns, health disparities and successful implementation of health interventions in daily life.

The conference is open to all health-care professionals, community members and those working towards the goal of reducing and controlling chronic disease in North Dakota.

To access a copy of the conference brochure go to the North Dakota Cancer Coalition website at www.ndcancercoalition.org and click on the conference link under News & Events.

Conference Scheduled

May is when many people are spending more time outside working, playing, exercising and enjoying the outdoors. This means more time in the sun. May is melanoma and skin cancer awareness month so it’s a good time to think about and educate others about the importance of sun protection and the impact that ultraviolet (UV) rays can have on our health when we get burned.

One blistering sunburn in childhood or adolescence more than doubles a person’s chances of developing melanoma later in life.

A person’s risk for melanoma also doubles if he or she has had five or more sunburns at any age. 33% of North Dakotans surveyed in 2010 reported having at least one painful sunburn lasting longer than a day in just that one year. This helps explain why skin cancer rates are increasing. There is also a known direct link to tanning bed use and melanoma. The North Dakota melanoma rates have tripled over the past decade and likely this trend to continue into the near future. We can do something about the skin cancer rates by increasing our efforts to reduce our UV exposure.What are the most important points to remember and share with others? • DO NOT BURN• Children are more susceptible to UV rays and they

are also outside more than most adults, so begin early and stay vigilant about sun protective measures no matter what age

Protective measures include:• Seek shade, especially between

10:am and 4:00 pm• Avoid tanning and UV tanning

booths• Use sunscreen with an SPF of at least 30 or higher• Apply 1 ounce (2 tablespoons) of sunscreen to all

exposed body parts at least 30 minutes before going outside and reapply every two hours while you are out in the sun

• Cover up with clothing, including a broad-brimmed hat and UV-blocking sunglasses

• Keep newborns out of the sun. Sunscreens should be used on babies over the age of six months

• Examine your skin monthly from head to toe• See your physician every year for a professional

skin exam

To learn more about skin cancer and skin cancer prevention measures go to the CDC website at www.cdc.gov/cancer/skin/

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As dollars for programming get tighter and more is learned about how to create greater impact with fewer dollars, there is a shift from educational programming as the major emphasis of our work to changing policies, systems and the environment. The Centers for Disease Control and Prevention is asking all Comprehensive Cancer Control Programs across the country to provide training to their partners on the concept of changing policies, systems and environmental approaches. The North Dakota Department of Health Comprehensive Cancer Control Program staff is working on several opportunities for people to learn about these approaches. A one-day training which provides 6.5 nursing and dietitian contact hours has been developed with the first class completed on February 8th of this year. We plan to offer this one-day training at least four times in the next program year from July 2013-June 2014. This training can be brought to partner service areas by request. Additionally, up to four one-hour webinars will be planned during the next program year to provide an introduction to the topic to help partners learn more about policies, systems and environmental change approaches.

If partners are interested in learning more about these training opportunities, please contact Deanna Askew [email protected] or Joyce Sayler at [email protected].

Pictured are the participants and instructors from the February 8th training: Back Row: Megan Myrdal, Burleigh County Extension; Vanessa Hoines, Morton County Extension; Danielle Streitz, Custer Health; Deanna Askew (instructor), North Dakota Department of Health; Front Row: Joyce Sayler (instructor), North Dakota Department of Health; Karen Workman, Great Plains Tribal Chairman’s Health Board; Joyal Meyer, North Dakota Department of Health; Nikki Massmann, UND Center for Rural Health.

Expanding Approaches for Prevention & Self-Management

Taking the stairs is one way to be more physically active. At work, employees are often presented with a choice between taking the stairs and taking an elevator or escalator. Choosing the stairs instead of the elevator is a quick way for people to add physical activity to their day.

Using the stairs requires little additional time, no wardrobe change, and few additional costs because building code requires stairs. If your building has a staircase, why not start using it now?

One of the reasons employees may not use the stairs as work is because they perceive them as unattractive and/or unsafe. One environmental strategy to increasing physical activity in the workplace is to improve the environment

of the stairs. This can be done by painting and carpeting, hanging framed artwork and motivational signs and music.

Pictured to the left are before and after photos of a stairwell project at the Centers for Disease Control and Prevention.

Download motivational signs from CDC’s website or design your own. www.cdc.gov/nccdphp/dnpao/hwi/toolkits/stairwell/motivational_signs.htm#

Walking up stairs burns almost 5 times more calories than riding an elevator.

Submitted by Deanna Askew, Prevention Strategy Specialist - North Dakota Department of Health

Environmental Approaches to Improving Physical Activity in the Workplace

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The Hospice program is designed to provide compassionate care for people facing a serious illness or injury. The care provided is a team approach to provide expert medical care, symptom management and emotional and spiritual support individualized to meet the patient’s specific needs and wishes. The program also encompasses education and support for the patient’s loved ones, with continued bereavement support for 13 months after the death of their loved one. Hospice programs focus on caring, not curing; we aggressively treat the symptoms, not the disease, helping to ensure quality of live is the best that it can be.

Our Hospice care is typically provided in the patient’s home setting, whether their home is a private home, Assisted Living Center or Skilled Nursing Facility, with family members and facility staff as primary care givers. Hospice staff make regular visits to assess the patient, manage symptoms and provide support, with staff available 24 hours a day- seven days a week. The team involved in care of Hospice patients usually consists of physicians, nurses, home health aides, social workers, clergy, volunteers and speech, physical and occupational therapists if needed.

Being passionate about the services we provide, it is unfortunate there is underserved population that would benefit from hospice services in the western part of the state. Especially since the comments, we most often hear from patients and their families are “We wish we would have know about you sooner”. Mercy Hospice is located in Williston, North Dakota and serves Williams, McKenzie and Divide counties with an approximate 60-mile radius. Being rural, along with the explosion of oil activity in our area, are examples of some of the challenges Mercy Hospice face with limited staff. Travel time for a sixty mile home visit may be one and a half to two hours one way, sometimes doubling the travel time due to the truck traffic from the oil industry. Staffing has also presented as a huge issue due to the high cost of living for potential staff moving into the community. We continue to strive to bring the best available care to the patients that we serve. We sincerely appreciate any and all community support we receive, whether it is publicity, financial, or volunteer support. It is truly an honor to be able to provide these services in all of our communities and have faith with ongoing commitment we will be able to do so.

Challenges of Hospice Care in North Dakota Oil CountrySubmitted by Karen Bercier, RN; Director of CHI Connect at Home Mercy Home Care/Hospice - Williston, ND

June is Cancer Survivorship MonthSubmitted by Joyce Sayler, Program Coordinator for the Comprehensive Cancer Control Program

June is typically the month cancer survivorship is celebrated. However, cancer survivorship most certainly can be celebrated any time. Because of advances in early detection, treatment and follow-up many more people are living longer once diagnosed with cancer. This is certainly something to celebrate.The National Cancer Institute recently estimated that 13.7 million United States citizens are living with a previous cancer diagnosis. In North Dakota it is estimated that we have approximately 30,140 cancer survivors.

So who are survivors? You can find many different definitions for cancer survivorship. The Center for Disease Control and Prevention defines cancer survivor as a person who has been diagnosed with cancer, from the time of diagnosis through his or her life. The impact of cancer on family members, friends and caregivers of survivors is also acknowledged as

part of survivorship.

Cancer survivors often face physical, emotional, psychosocial, spiritual, and financial challenges as a result of their cancer diagnosis and treatment. Accessing support services is key to a healthier recovery well beyond treatment. A number of cancer centers offer cancer survivor services but because we are a rural state accessing these services in person may not always be possible. In this day of technology, there are also other options for survivorship support if you have a phone or internet access. Here are a few sites to consider and share with those who may benefit from the phone and internet services:• American Cancer Society website link for North

Dakota programs and services: www.cancer.org/treatment/survivorshipduringandaftertreatment/index

...Continued on Page 6

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The Bismarck and Fargo regions of Sanford Health are the first and only healthcare institutions in North Dakota to earn full accreditation by the National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons. The accreditation, which was received in 2012, means that both facilities have met a high level of quality breast care for a full spectrum of breast disease for patients.

“The national breast accreditation for Sanford Health in Bismarck and Fargo is a combined effort by our healthcare professionals to continue to strive for quality breast care for our patients,” said Jeanette Viney, MD, physician chair of the breast program in Bismarck and general surgeon at Sanford Medical Center. “I’m proud to be a part of this process.” To learn more about Sanford Health, visit sanfordhealth.org.

Sanford Health Earns Breast Center Accreditation

• Cancercare is an organization that provides either phone or internet services. For information go to: www.cancercare.org or call 1-800-813-HOPE (4673). This site provides the following services at no cost; phone counseling, on-line or phone support groups, limited financial assistance and educational information.

• The National Coalition of Cancer Survivorship is an organization, with internet access, providing a number of resources for cancer survivors. Their website is www.canceradvocacy.org and click on the Resources tab.

...Continued from page 5 ~ June is Cancer Survivorship Month• The Livestrong Foundation provides internet

access for survivors with free counseling and resources. On their website www.livestrong.org click the “Get Help” tab you will find a number of resources as well as the link to connect to one to one counseling

There are more survivorship resources available in our state than ever before. Find out what is available in your area such as; health care facilities, cancer centers, community support groups, community centers including the YMCA and other newer resources by phone and internet. So in June or anytime during the year, don’t forget to take time to celebrate and support cancer survivors.

Project HOPE a success!

Partner Updates

The third project HOPE event took place in the communities of Bismarck and Mandan in April with an all-time high of 100 businesses participating!Project HOPE is a community wellness event designed to educate employees about healthy lifestyles, cancer prevention and early detection and to promote hope for a healthier tomorrow.

Participating businesses allowed their employees to dress casually and/or wear the cancer ribbon colors on the designated day in support of cancer awareness. Four cancers that are prevalent in North Dakota were represented that week. They included skin cancer, cervical cancer, prostate cancer and colorectal cancer. In addition employees wore purple on Friday in support of cancer survivorship.

To participate in project HOPE, employees were encouraged to make a donation of $10 to the Bismarck Cancer Center Foundation. In return for their donation and participation, Bismarck Cancer Center provides each business with posters, an awareness newsletter, stickers, wellness information and more.

All proceeds from project HOPE are used to support the Bismarck Cancer Center Foundation. Donations stay local and are used to support cancer patients with financial, transportation, lodging, emotional, and additional needs. Find out more information here: www.projecthopend.org.

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ND Statewide Cancer Registry

Patient Navigators at Altru Cancer Center ~Increase Access to Care Altru Cancer Center implemented Patient Navigators in 2013 by changing job descriptions and functions of two staff already working in the cancer center. With the change, all new oncology patients see one of the Patient Navigators. This has already resulted in increased number of patients accessing “Filling the GAP” a local program totally funded by donations to Altru Health Foundation for assisting with travel and lodging during cancer treatments. Other improvements include the number of patients receiving information about Advanced Health Directives and appointments with Nurse Practitioners in the cancer center for in depth chemotherapy teaching. Psychosocial distress screening, which is another American College of Surgeons standard, is included in their initial patient visit. Soon the Cancer Center will expand the navigation program to lung cancer patients and lung cancer screening. More information available at: www.altru.org.

Effective July 1, 2012, the North Dakota Statewide Cancer Registry (NDSCR) relocated from the North Dakota Department of Health (NDDH) in Bismarck to the Department of Pathology, School of Medicine and Health Sciences at the University of North Dakota in Grand Forks (UNDSMHS). The UNDSMHS is NDDH’s bona fide operating agent of the NDSCR. The principal Investigator is Mary Ann Sens, MD., who has been served as a Professor and Chair of UND Pathology Department since 2002.

Since July 1st, the new central registry staff consisting of Yun (Lucy) Zheng MD CTR and Xudong Zhou MD CTR has been working under the supervision of previous program director Marlys Knell learning central registry processes. In addition, national conferences have been attended for further understanding of state central cancer registries and for peer networking.

Kyle Muus, research analyst at the UND Center for Rural Health, was the registry’s new epidemiologist. He resigned this position effective March 15, 2013. On July 1, 2013, Cristina Oancea will be starting at UND and will be NDSCR’s research analyst. Since July 1st, Kyle responded to approximately 20 data requests, cancer cluster inquiries and other research projects.

On September 6-7, 2012, Joan Phillips, CDC Program Consultant visited with the NDSCR staff to assess the registry’s successes and challenges in relocating the central registry, meeting the National Program of Cancer Registry (NPCR) standards and meet with the new staff. The feedback from this visit was very positive.

During the months of May through August 2013, the registry staff with be participating in a NPCR/ICF Macro data quality evaluation audit focusing on data accuracy obtained through the central registry’s data consolidation processes. It will provide an assessment on the completeness of information reported to the central registry, collected by the central registry personnel and the level of quality of the treatment data with an emphasis on the existence of appropriate policies and procedures for data quality assessment used for record consolidation. Following completion of the audit, feedback will be provided to the respective facility cancer registries on the findings and appropriate trainings will be held.

Data for the diagnostic years of 1997-2010 was submitted in November and December 2012 to fulfill the NPCR and North American Association of Central Cancer Registries (NAACCR) Calls-for-Data. The NDSCR website www.ndccr.net contains data for the five-year period of 2006-2010.

...Partner Updates Continued

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Relay For Life Events PlannedRelay For Life brings together millions of people to raise money to prevent cancer, save lives, and diminish suffering from the disease. While you are raising much needed funds, you’ll also be raising awareness of cancer prevention, early detection, treatment, and patient support. The “Relay” events bring people together from all walks of life with a common goal of eliminating cancer.

Relay For Life Date Location Relay For Life Contact

04/12/2013 Jamestown College RFL Jill Goetz 701-250-102204/12/2013 UND RFL - Grand Forks Sara Lepp 701-433-758604/27/2013 NDSU RFL - Fargo Sara Lepp 701-433-758605/04/2013 Wahpeton/Breckenridge RFL - Wahpeton Doug Stetz 701-433-758405/05/2013 Turtle Mountain RFL - Bottineau Laurie Odden 701-776-593505/31/2013 Pierce County RFL - Rugby Laurie Odden 701-776-593505/31/2013 Pembina County RFL - Cavalier Sara Lepp 701-433-758605/31/2013 Grand Forks County RFL - Grand Forks Sara Lepp 701-433-758605/31/2013 Northern Lights RFL - Langdon Sara Lepp 701-433-758606/01/2013 Traill County RFL - Hillsboro Mary Dahl 701-433-758506/01/2013 Bismarck-Mandan RFL - Bismarck Jill Goetz 701-250-1022

TBD Kidder County RFL - Steele Heidi LaBree 701.250.102206/07/2013 Lamoure County RFL Mary Dahl 701-433-758506/07/2013 Rolette County RFL - St. John Laurie Odden 701-776-593506/07/2013 McLean County RFL - Washburn Heidi LaBree 701.250.102206/07/2013 Lisbon/Ransom County RFL - Lisbon Doug Stetz 701-433-758406/07/2013 Coal Country RFL - Beulah Heidi LaBree 701.250.102206/07/2013 Walsh County RFL - Grafton Sara Lepp 701-433-758606/07/2013 North Central ND RFL - Minot Laurie Odden 701-776-593506/07/2013 Rural Cass RFL - Casselton Mary Dahl 701-433-758506/07/2013 Lake Region RFL - Devils Lake Doug Stetz 701-433-758406/08/2013 Stutsman County RFL - Jamestown Jill Goetz 701-250-102206/14/2013 Wells County RFL - Harvey Jill Goetz 701-250-102206/14/2013 Sargent County RFL - Gwinner Mary Dahl 701-433-758506/14/2013 Logan County RFL - Napoleon Jill Goetz 701-250-102206/21/2013 Cass County RFL - Fargo Doug Stetz 701-433-758406/21/2013 Barnes RFL - Valley City Mary Dahl 701-433-758506/21/2013 Dickey County RFL - Oakes Mary Dahl 701-433-758506/21/2013 SW North Dakota RFL - Hettinger Heidi LaBree 701.250.102207/12/2013 Griggs County RFL - Cooperstown Doug Stetx 701-433-758407/26/2013 Stark County RFL - Dickinson Heidi LaBree 701.250.102208/02/2013 Upper Missouri RFL - Williston Laurie Odden 701-776-593508/16/2013 Rugged West RFL - Watford City Heidi LaBree 701.250.1022

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BisMarket: Your NEW Community Farmers Market: BisMarket will be at Sertoma Park starting June 8 every Tuesday evening and Saturday morning! Attached are all the details and to print your flyer/map to share with friends. If you haven’t already you can like them on Facebook!! www.facebook.com/bismarketnd

Go! to the Market Saturdays (formerly Saturday Morning Markets):Farmer’s market stands, local artists & crafters, healthy community booths, food demonstrations, imagination playground and MORE all came together in Sertoma Park, near Shelter 5 on June 8, July 13, and August 10.

Upcoming Partner EventsLocation Sertoma Park

Riverside Park Dr. , Near Shelter 5

Use entrance by Amusement Park Dates and Times

June 8 through the end of the season

Saturdays Tuesdays

9am-1pm 4pm-7pm Go! to the Market Saturdays

June 8, July 13, August 10

Local art ists & crafters, healthy community booths,

food demonstrat ions, imagination playground and MORE!

l o c a l f a r m - f r e s h f o o d s • f r e s h c u t f l o w e r s

k i d s a c t i v i t i e s • l o c a l e a t s • a r e a m u s i c

The mission of the BisMarket is to provide access to a variety of locally grown, high quality, farm-fresh products direct from local producers. This family-oriented market enhances community building, fosters local business development and encourages healthy food choices in a green outdoor space.

F o r m o r e i n f o r m a t i o n , e m a i l u s a t b i s m a r k e t N D @ g m a i l . c o m

o r f i n d u s o n F a c e b o o k .

Run or Dye 5K Event:The World’s Most Colorful 5K has landed in Fargo, ND on Saturday, June 29th, 2013. The race kicks off at 9 am at the Red River Fairground. Join thousands of your closest friends in the Color Revolution, taking fitness by storm! REGISTER NOW at RUNORDYE.COM (discount code: RODYMCAFARGO10)You haven’t lived until you have dyed running! Part of the proceeds benefits the cancer survivorship program LIVESTRONG® at the YMCA program, which is a 12-week free program to cancer survivors. Helping survivors gain strength, confidence, and the possible strides to a healthy lifestyle. We are also looking for volunteers for water stations, starting/finishing line, dye stations & more! Contact Katelyn at 701-356-1448 or Caleb at 701-356-1447

Sanford Health in Fargo to host: Menopausal Symptom Management for the Cancer SurvivorSanford Health’s Cancer Survivorship Program, embraces, invites you to join Shelby Terstriep, MD, medical oncologist for a presentation on Menopausal Symptom Management for the Cancer Survivor. The purpose of the embrace education series is to educate patients, caregivers and healthcare professionals about the short and long-term issues that affect the quality of life of cancer survivors and their families following initial treatment. The event will take place Thursday, May 16 from 12-1 p.m. in the Roger Maris Cancer Center Conference in Fargo, room 1B. The presentation is also available via WebEx from your home (must have a phone and internet connection). For questions or to register, call Jenna Linder at (701) 234-7463.

Bismarck SCHEELS: Saturday Walking ClubDate: Saturdays, June 1, 2013 - August 3, 2013 @ 9:00amLocation: SCHEELS, Kirkwood Mall 800 Kirkwood Mall Bismarck, ND Cost: FREE for all ages! Registration: No registration required! Sponsors: SCHEELS & UPS. Gathering place for the walking club is at the SCHEELS front entrance. All levels of walkers are welcomed to join! Refreshments and snacks provided by SCHEELS after walk. Contact Person for this Activity: Martha Casper, Events Coordinator @ Scheels All Sports802 Kirkwood Mall * Bismarck, ND 58504 * (701) 255-7255 * [email protected]

BCA Golf ClassicThe BCA Golf Classic is a joint effort by KX NEWS and Women's Way to help raise awareness and funds for local women who use the Women's Way program for screenings and diagnosis of breast and cervical cancer.

Registration begins at 10:30 a.m. with a shotgun start at Noon. The scramble will be an 18 hole select ball scramble.For registration questions or sponsorship opportunities, please contact Tammy Blumhagen at (701) 355-9121 or Theresa Schmidt at (701) 355-1577.

June 10, 2013 Apple Creek Country Club

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Dr. John Leitch, M.D.NDCC Chair

Sanford HealthFargo, N.D.

Phone: [email protected]

Dr. Douglas BerglundNDCC Past Chair

Medcenter OneBismarck, N.D.

Phone: [email protected]

Nancy KlattNDCC Vice Chair

Altru Health SystemGrand Forks, N.D.

Phone: [email protected]

Anita HoffarthNDCC Secretary

Reach Partners, Inc.Fargo, N.D.

Phone: [email protected]

Barb GrouttNDCC Treasurer

North Dakota Health Care ReviewMinot, N.D.

Phone: [email protected]

Executive Committee

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The North Dakota Cancer Coalition is a group of professional stakeholders working together with the common vision of a cancer free future for North Dakota. This vision will be accomplished through data-driven planning for prevention, screening, early detection and effective quality care management.

The North Dakota Cancer Coalition represents many sectors of our North Dakota community including community-based organizations; health-care organizations; local, state and federal agencies; medical professional organizations; education; academia; research; voluntary organizations; survivors; health-care professionals; and others from across our unique state.

Cancer affects every one of us, our friends, family members and coworkers. It will take all of us working together to reduce the threat of cancer in our lives. The hardest work lies ahead – combining our state’s talent, skill and resources to implement the North Dakota Cancer Control Plan. Take action by volunteering to assist with a local activity, volunteering to serve on a committee working to achieve a priority, and supporting community or statewide activities focused on cancer control.

Working together, we can transform the vision of a cancer-free North Dakota into a reality.

Planning for a cancer-free future.

To join the coaltion, go towww.ndcancercoalition.org

Join the North Dakota Cancer Coalition

Mission: Working together to reduce the incidence and impact for all North Dakotans.

Vision: A cancer-free future for North Dakota.

For more information, contact:Candy Getz701-328-2306e-mail: [email protected]