Challenge

Cancer is the leading cause of death in Minnesota.

Equity

There is an unequal burden: some groups have higher rates of cancer.

Objectives

Increase vaccination, health eating, and physical activity.

Decrease tobacco use, UV exposure, and radon exposure.

Strategies to overcome Challenges, build Equity, and meet Objectives

  • Healthy Eating

    1. Promote a diet higher in vegetables, fruits, whole grains, low-or non-fat dairy, seafood, legumes, and nuts.
    2. Lower consumption of red and processed meat.
    3. Lower consumption sugar-sweetened foods and drinks.
    4. Provide outreach and programming to vulnerable populations
    5. Engage community stakeholders to implement state and local policies that foster safe and accessible activities
  • Physical Activity

    1. Promote Quality Physical Education – Implementation of the state’s physical education standards.
    2. Promote Active Recess – Provide opportunities for students to be engaged in free play physical activity during the structured school day
    3. Promote Active Classrooms – incorporate physical activity in to classroom curriculum
    4. Promote Before and after school programs – Provide opportunities for activity for students outside of the regular school day
    5. Promote Safe Routes to School – Provide students and families a more active alternative in transportation to and from schools.
    6. Improve Comprehensive street design – including sidewalks, bicycle lanes, and share-the-road signs that provide safe and convenient travel
    7. Provide safe and convenient bicycle and pedestrians connections to public parks and recreation areas
    8. Encourage bicycle parking at workplaces and transit stops
    9. Construct a connected network of multi-use trails
    10. Promote physical activity in schools.
    11. Promote physical activity among families.
    12. Promote physical activity in communities.
    13. Educate communities about the importance of healthy eating, physical activity and HPV vaccination.
    14. Improve community infrastructure to ensure safe and accessible environments.
    15. Promote community programming to ensure group physical activity
  • HPV

    1. Conduct outreach to populations that experience disproportionate numbers of HPV cancers and those with low vaccination rates.
    2. Ensure that all organizations that vaccinate adolescents, including primary care, retail, and reproductive health clinics, participate in the Minnesota Immunization Information Connection (MIIC)
    3. Support and promote opportunities for health care organizations and clinicians to participate in quality improvement programs that improve HPV vaccination, including MDH’s adolescent AFIX program.
    4. Streamline immunization workflows by promoting the use of immunization protocols, the availability of immunization-only visits, and the adoption of processes to remind clinicians to catch patients up on vaccines at all visits, whether for preventive, acute, or follow-up care.
    5. Encourage primary care organizations to use MIIC or their electronic health record systems to send reminders to teens who need HPV vaccine, and to support public health reminder projects by (1) maintaining systems to ensure accurate and timely reporting of their immunization data to MIIC, ideally including any historical data they may hold, and (2) being prepared to give all indicated vaccines to patients who seek care after receiving reminder notices
    6. Include HPV vaccination as a standard immunization measure.
    7. Create regular opportunities for health care personnel to receive role-relevant, actionable education on HPV vaccine and how to effectively recommend it to patients.
    8. Support opportunities for health care organizations to engage in quality improvement programs, related to HPV vaccination
    9. Improve public understanding of the safety of HPV vaccination as well as the importance of HPV vaccination as cancer prevention.
    10. Create a public education campaign which (i) is informed by research on behavior change; (ii) emphasizes that HPV vaccine prevents cancer; and (iii) corrects the misconception that HPV vaccine is different in safety or importance than other routinely recommended vaccines.