Breast Cancer:

Women Ages 20-39 -

• clinical breast examination by a doctor or nurse every three years and
  
• monthly breast self-examination.

Women Ages 40 and older -

• annual mammography and
  
• annual clinical breast examination by a doctor or nurse and
  
• monthly breast self-examination.

If you have a history of breast cancer in your family, discuss mammography screening guidelines and scheduling with your health care provider. Contact the American Cancer Society at 1-800-ACS-2345 or ask your doctor or nurse if you have questions about how to perform breast self-examination.

Colon & Rectal Cancer:

Women and Men ages 50 and older - follow one of the examination schedules below -

• a fecal occult blood test every year and a flexible sigmoidoscopy every 5 years or
  
• a colonoscopy every 10 years or
  
• a double-contrast barium enema every 5 to 10 years.

A digital rectal exam should be done at the same time as a sigmoidoscopy, colonoscopy, or double-contrast barium enema.

If you are at moderate or high risk for colorectal cancer, talk with a doctor about a different testing schedule.

¹From Cancer Facts & Figures - 1998, American Cancer Society, p 31.

Prostate Cancer:

Men ages 50 and older with a life expectancy of at least 10 years -

• a prostate-specific antigen (PSA) blood test every year and
  
• digitial rectal examination every year

The above schedule also is for younger men who are at high risk for prostate cancer, e.g. a strong familial predisposition (two or more first-degree relatives with prostate cancer), black race.

Cervical Cancer:

Women sexually active or ages 18 and older -

• Pap test every year and
  
• pelvic examination every year.

If three or more consecutive examinations are normal, the Pap test may be done less frequently; discuss this with a physician.

Endometrial Cancer:

Women at high risk for cancer of the uterus should have a sample of endometrial tisssue examined when menopause begins.

Cancer-Related Checkup:

A cancer-related checkup is recommended every 3 years for people ages 20-40 and every year for people age 40 and older. This exam should include health counseling and, depending on the person's age, might include examinations for cancers of the thyroid, oral cavity, skin, lymph nodes, testes, and ovaries, as well as for some nonmalignant diseases.

The national Breast and Cervical Cancer Mortality Prevention Act of 1990 authorized the federal Centers for Disease Control (CDC) to implement a national program to ensure that all women who need them receive regular screenings for breast and cervical cancer with prompt follow-up if necessary. Accordingly, the CDC funds the New Jersey Department of Health and Senior Services to bring breast and cervical cancer screening services to underserved women, including older women, women with limited income, uninsured or underinsured women, and women of racial/ethnic minority groups.

The NJBCCCI, of the New Jersey Department of Health and Senior Services, has been screening women since January 1, 1996. The program began in 5 counties: Burlington, Camden, Mercer, Middlesex, and Morris. As of September 1, 1997, every county in the State had funded screening projects. The screening projects provide mammograms, clinical breast exams, instructions in breast self-exam, pelvic exams, and pap smears to eligible women. The NJBCCCI contracts with an agency in each of New Jersey's twenty-one counties to provide these services. The phone number of the program office in each county are listed below:

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COUNTY	1986	1987	1988	1989	1990	1991	1992	1993	1994	1995
Atlantic	80881	82055	83831	85331	86550	87100	87230	87354	87408	87673
Bergen	364712	360409	356406	352025	349450	348513	349294	348946	348595	347170
Burlington	157705	159270	161440	161582	162292	160647	159855	159537	160377	163149
Camden	194616	195363	195671	195561	195297	194963	194187	193134	192046	191662
Cape May	40429	41308	41721	42565	42747	43230	43455	43370	43605	43682
Cumberland	53144	53161	53267	53670	53676	53818	53610	53375	53099	52759
Essex	225701	222165	217383	212414	207126	204602	202465	200498	197699	195605
Gloucester	93118	94392	96806	99469	101365	102559	103135	103777	104913	105347
Hudson	218499	215194	212364	209604	208053	206885	205921	204511	203236	202131
Hunterdon	47794	49283	50005	51064	51903	52322	53502	54455	55135	55659
Mercer	120992	122054	123118	122735	122262	121892	121196	120945	120565	120455
Middlesex	276008	278236	279436	280117	279656	279718	280306	280357	280798	281527
Monmouth	232718	236929	238438	237623	238067	239477	241799	243253	245061	247227
Morris	192956	192698	192916	191951	191277	191387	192501	194187	196221	198393
Ocean	182030	186822	191314	194422	196708	198496	200370	203582	206277	210951
Passaic	183499	182775	181734	179427	177534	176963	176747	177098	177068	177654
Salem	26420	26444	26639	26748	26757	26621	26506	26398	26170	26307
Somerset	97886	100458	102955	104217	105720	107080	108598	110596	112212	113782
Sussex	60329	61392	62503	63027	63703	64323	65211	66171	66983	67867
Union	193136	191055	188840	186795	184654	183721	182830	182527	182241	181792
Warren	41213	41782	42313	42725	43291	43650	44076	44451	44893	45509
STATE	3083786	3093245	3099100	3093072	3088088	3087967	3092794	3098522	3104602	3116301

¹Source: National Cancer Institute's Surveillance Epidemiology and End Results (SEER) program.

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COUNTY	1986	1987	1988	1989	1990	1991	1992	1993	1994	1995
Atlantic	87728	88688	90282	91557	92594	93117	93134	93172	93086	92855
Bergen	395658	390893	386418	381470	378534	377530	378169	377658	377005	374213
Burlington	160917	162924	165545	166075	167043	165314	164362	163899	164576	167266
Camden	210010	210522	210504	210003	209401	208972	207936	206649	205242	203901
Cape May	43748	44680	45124	46024	46211	46711	46930	46798	46989	47062
Cumberland	57758	57560	57427	57613	57415	57507	57152	56810	56403	55392
Essex	248440	243702	237557	231231	224805	222135	219568	217312	213989	210503
Gloucester	97676	98988	101473	104190	106088	107200	107642	108159	109169	109145
Hudson	236403	231779	227610	223524	221052	220127	218944	217626	216099	214065
Hunterdon	48406	49890	50614	51662	52493	52906	54041	54937	55545	55784
Mercer	130218	131079	131911	131179	130385	129910	129009	128590	127988	127344
Middlesex	286982	289250	290365	290891	290199	290136	290389	290181	290251	289882
Monmouth	247884	251886	252977	251603	251688	253103	255302	256586	258159	259935
Morris	202560	202196	202268	201130	200321	200474	201501	203157	205114	206521
Ocean	204290	209750	214852	218311	220822	222535	224209	227418	229941	233908
Passaic	197608	196274	194558	191516	189045	188504	188049	188348	188077	187844
Salem	27909	27950	28172	28297	28302	28131	27970	27819	27533	27518
Somerset	101581	104206	106746	108002	109496	110870	112359	114352	115914	117051
Sussex	61812	62846	63914	64382	65003	65588	66401	67286	68012	68575
Union	210002	207504	204822	202291	199709	198629	197369	196872	196264	194874
Warren	44418	44988	45484	45860	46401	46743	47132	47468	47865	48248
STATE	3302008	3307555	3308623	3296811	3287007	3286142	3287568	3291097	3293221	3291886

¹Source: National Cancer Institute's Surveillance Epidemiology and End Results (SEER) program.

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COUNTY	1986	1987	1988	1989	1990	1991	1992	1993	1994	1995
Atlantic	17023	17384	17920	18401	18875	19363	19941	20418	20871	21316
Bergen	17526	17830	18191	18528	18910	19235	19799	20214	20635	20817
Burlington	26737	27423	28273	28771	29375	29615	30238	30794	31590	33161
Camden	36558	37505	38448	39338	40161	40922	41983	42790	43559	44166
Cape May	2534	2560	2565	2595	2606	2685	2777	2834	2913	2948
Cumberland	11243	11507	11826	12211	12484	12718	12966	13147	13308	13594
Essex	148181	148990	149280	149451	148950	148991	150300	150912	150908	151162
Gloucester	8474	8628	8903	9209	9478	9791	10139	10438	10801	11107
Hudson	37673	38159	38809	39457	40130	40225	40686	40925	41132	41165
Hunterdon	1081	1148	1198	1254	1295	1308	1345	1371	1388	1454
Mercer	28226	28792	29445	29764	30082	30567	31220	31818	32370	32424
Middlesex	23779	24890	25978	27011	27830	28398	29260	29957	30680	30912
Monmouth	21569	22048	22325	22394	22641	23204	24061	24714	25414	25778
Morris	5593	5727	5876	6003	6126	6256	6459	6654	6862	7004
Ocean	5388	5563	5746	5893	6017	6177	6404	6656	6896	7077
Passaic	31915	32596	33282	33747	34158	34610	35454	36364	37147	37361
Salem	4437	4420	4446	4452	4468	4531	4637	4723	4788	4923
Somerset	6200	6538	6888	7161	7444	7698	8024	8355	8673	8763
Sussex	654	701	743	779	809	822	845	864	882	844
Union	42151	42704	43330	43999	44487	44855	45565	46206	46890	47633
Warren	550	576	606	633	654	674	701	724	748	765
STATE	477492	485689	494078	501051	506980	512645	522804	530878	538455	544374

¹Source: National Cancer Institute's Surveillance Epidemiology and End Results (SEER) program.

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COUNTY	1986	1987	1988	1989	1990	1991	1992	1993	1994	1995
Atlantic	19943	20220	20690	21098	21513	22071	22676	23179	23673	24111
Bergen	20281	20647	21076	21465	21900	22299	22918	23379	23870	24141
Burlington	25089	25882	26848	27486	28188	28460	29071	29630	30425	31477
Camden	41524	42487	43453	44342	45166	46021	47102	47924	48769	49339
Cape May	2741	2773	2774	2817	2833	2923	3021	3081	3161	3239
Cumberland	11340	11467	11640	11884	12041	12262	12487	12657	12834	12764
Essex	174024	174447	174289	173912	172883	173052	174307	174889	174840	174087
Gloucester	9609	9786	10103	10449	10754	11108	11471	11785	12161	12516
Hudson	42546	42819	43270	43729	44259	44403	44836	45073	45472	44962
Hunterdon	764	816	864	914	951	979	1022	1058	1085	1073
Mercer	31029	31534	32114	32321	32549	33067	33696	34289	34848	35327
Middlesex	24228	25342	26415	27440	28224	28813	29644	30328	31114	31492
Monmouth	24492	24988	25252	25280	25515	26162	27094	27818	28601	29320
Morris	6071	6184	6331	6432	6544	6686	6893	7095	7320	7504
Ocean	5713	5891	6077	6223	6355	6527	6761	7025	7286	7530
Passaic	36916	37508	38121	38456	38780	39315	40200	41170	42202	42274
Salem	5090	5100	5157	5193	5230	5306	5423	5508	5563	5693
Somerset	6427	6767	7119	7402	7686	7954	8278	8612	8932	9254
Sussex	381	395	412	433	446	461	480	495	511	523
Union	47441	48012	48656	49328	49808	50252	50974	51651	52386	52880
Warren	597	621	642	663	679	697	722	741	763	778
STATE	536246	543686	551303	557267	562304	568818	579076	587387	595816	600284

¹Source: National Cancer Institute's Surveillance Epidemiology and End Results (SEER) program.