The National Minority Quality Forum (NMQF) and CEO Roundtable on Cancer (CEORT) held a crucial press conference today in the nation’s capital unveiling a comprehensive report submitted to the Cancer Moonshot team at the White House Office of Technology. The report, entitled “Cancer Moonshot, Public Policy, and Medically Underserved Cancer Care Communities,” raises a national alarm about disparities in cancer risk, screening, prevalence and mortality prevalent in medically underserved communities across the United States.
The report reveals alarming findings about the impact of public policy on cancer outcomes. Racial and ethnic minorities constitute a staggering 56% of people living within three kilometers of a carcinogenic waste-producing site. This proximity increases cancer risk for these communities, shedding light on an environmental justice issue that demands immediate attention. Black, Hispanic, Asian and AIAN (American Indian and Alaska Native) populations face a lower overall rate of cancer screening due to systemic barriers. This has led to later-stage diagnoses, hindering timely access to care and treatment for these communities.
“Our report calls attention to two stark realities,” said Dr. Gary A. Puckrein, NMQF President and CEO. “First, historically marginalized populations often live and work in environments where toxicants in the air, water and soil elevate their risk for cancer. Secondly, in the very communities where public policy has elevated the risk for cancer through exposure to hazardous waste, public policy has also denied them access to the best modern cancer care. We echo President Biden’s call to action and emphasize that achieving the vision of the Cancer Moonshot requires urgent and sustained attention to cancer disparities. Today, in partnership with the CEO Roundtable on Cancer and in alignment with the White House, NMQF announces a groundbreaking multi-year, multi-state initiative.”
“While this report illustrates the troubling prevalence of disparities in cancer prevention, diagnoses and treatment, it also tells us where we need to focus our efforts. By joining with both national partners and local communities, we can move one step closer to eliminating cancer as a personal disease and public health problem,” said MaryLisabeth Rich, President of CEO Roundtable on Cancer.
The press conference included a satellite live stream from Flint, Michigan including U.S. Congressman Dan Kildee (D-MI), Mayor of Flint Sheldon Neeley and Mayor of Houston John Whitmire.
Flint, Michigan, and Houston, Texas represent two majority-minority communities that have been rocked by significant environmental risk and rise in cancer cases. In 2020, the Michigan Department of Health and Human Services (MDHHS) confirmed that Flint’s increasingly higher poverty rates and population decline coincided with considerably higher cancer rates within certain areas of the city. Last year, MDHSS announced a three-year environmental epidemiology cancer study for the city of Flint.
Flint Mayor Neeley announced a city resolution to commit $50,000 towards multi-cancer early detection screening in Flint.
“I lost my mother to breast cancer in 2022, and I experienced with her firsthand the realities of navigating a healthcare system that isn’t necessarily designed to serve you,” said Neeley. “We know that nationwide, barriers to accessing cancer screening have deadly consequences in communities like Flint. We are seeing widening health disparities as more Black and Brown men especially are diagnosed with cancer too late and are dying as a result. In Flint, we have introduced a first allocation to help our most vulnerable community members access cancer screenings, with more work to come.”
Houston’s Fifth Ward, a historically predominantly Black neighborhood, already has a designated cancer cluster. The city of Houston passed an initiative to set aside $5 million for the voluntary relocation of residents who live near a contaminated groundwater plume.
“The partnership fostered by the Biden Administration’s Moonshot program with Cancer Cluster communities nationwide is of paramount significance,” said Whitmire. “The city of Houston is dedicated to engaging collaboratively with the White House, aiming to deliver an array of health resources, including cancer screening and diagnostic services, to the Fifth Ward.”
“As the Fifth Ward faces an alarming surge in rare cancers, often undetected until the final stages, I am heartened by the Biden Administration’s commitment through the Moonshot program,” said Houston City Council Member Letitia Plummer. “It addresses not just cancer screening and testing, but the deep-seated issues of environmental injustice. I eagerly anticipate collaborating with the administration to bring much-needed relief and support to the residents of the Fifth Ward.”
In response to these urgent concerns, NMQF and CEORT announced a comprehensive plan to address the cancer crisis. NMQF will scale a private-public partnership through its Cancer Stage Shifting Initiative to bring national and local resources to 10 majority-minority communities across the country. This initiative aims to bridge the gaps in cancer prevention, early detection and treatment in these vulnerable populations.
Speakers at the press conference included representatives from federal, state and municipal government, pharmaceutical companies, national insurance companies, cancer experts and community advocates. The collaborative approach underscores the importance of multi-sectoral engagement to address the multifaceted challenges faced by minority communities in the realm of cancer care.
“Cancer affects all of us, but the disease has a notably greater impact on communities of color,” said Tom Beer, MD, chief medical officer, multi-cancer early detection at Exact Sciences and adjunct professor of medicine at the OHSU Knight Cancer Institute. “As a practicing oncologist, I see the importance of early cancer detection in each of my patients and know that working with the NMQF can help us achieve the White House’s goal of cutting cancer deaths in half through early detection, especially in vulnerable communities.”
“Sanofi proudly stands with NMQF, our longstanding partner, in fostering cancer care equity for all,” said Dr. Michael Greenberg, North
America medical head of vaccines at Sanofi. “Recognizing that cancer patients may be especially vulnerable to vaccine-preventable disease, we’re committed to being part of the public-private partnership alliance, advocating immunization in cancer patients, especially in medically underserved communities.”
“Taking a collaborative approach to advancing health equity and centering the needs of historically underserved communities is necessary to improving health outcomes,” said Kathleen Maignan, MSN, AGPCNP-BC, RN, medical executive director at Genentech. “At Genentech, we are working closely with cross-sector stakeholders from policymakers to community-based organizations, so that together, we can make meaningful progress towards eliminating health inequities for all.”
This initiative aligns with the broader goals of President Biden’s Cancer Moonshot team and calls for a concerted effort from all stakeholders to eliminate disparities and achieve equitable outcomes in cancer prevention and treatment. By leveraging the power of partnerships, NMQF aims to make tangible strides toward reducing the disproportionate burden of cancer on minoritized populations.
Note: All statistics and findings mentioned in this release are based on the report submitted to the Cancer Moonshot team at the White House Office of Technology.