IntroductionComprehensive cancer control (CCC) coalitions address tobacco use, the leading cause of preventable death in the United States, through formal plans to guide tobacco control activities and other cancer prevention strategies. Best Practices for Comprehensive Tobacco Control Programs (Best Practices) and The Guide to Community Preventive Services (The Community Guide) are used to assist with this effort. We examined CCC plans to determine the extent to which they followed the Centers for Disease Control and Prevention’s (CDC’s) tobacco control and funding recommendations.MethodsWe obtained 69 CCC plans, current as of August 1, 2011, to determine which CDC recommendations from Best Practices and The Community Guide were incorporated. Data were abstracted through a content review and key word search and then summarized across the plans with dichotomous indicators. Additionally, we analyzed plans for inclusion of tobacco control funding goals and strategies.ResultsCCC plans incorporated a mean 4.5 (standard deviation [SD], 2.1) of 5 recommendations from Best Practices and 5.2 (SD, 0.9) of 10 recommendations from The Community Guide. Two-thirds of plans (66.7%) addressed funding for tobacco control as a strategy or action item; 47.8% of those plans (31.9% of total) defined a specific, measurable funding goal.ConclusionAlthough most CCC plans follow CDC-recommended tobacco control recommendations and funding levels, not all recommendations are addressed by every plan and certain recommendations are addressed in varying numbers of plans. Clearer prioritization of tobacco control recommendations by CDC may improve the extent to which they are followed and therefore maximize their public health benefit.

Introduction: Tobacco use, specifically cigarette smoking, is the leading preventable cause of morbidity and mortality in the United States. Tobacco control is essential to cancer prevention and an integral component of the National Comprehensive Cancer Control Program (NCCCP), which is funded by the Centers for Disease Control and Prevention (CDC). NCCCP provides support and guidance to comprehensive cancer control (CCC) coalitions, which are comprised of a variety of public health and clinical practitioners, among others. CCC coalitions develop and publish cancer plans to address cancer burden and prevention in their population, which also include tobacco control. CDC provides recommendations for tobacco control through Best Practices for Comprehensive Tobacco Control Programs (Best Practices) and The Guide to Community Preventive Services (Community Guide). We aimed to determine the extent to which CCC plans incorporate CDC tobacco control and funding recommendations, updating a 2007 study which found that plans incorporated a mean of 5.6 out of 9 Best Practices recommendations and 3.9 out of 6 Community Guide recommendations, with 48.7% of plans addressing tobacco control funding and 25.7% identifying a specific funding goal. Methods: We searched the Cancer Control PLANET Web page (http://cancercontrolplanet.cancer.gov) to obtain the most recent CCC plans available as of August 1, 2011 and analyzed tobacco-related content from 69 available plans to determine which of the CDC recommendations from Best Practices and the Community Guide were incorporated. Data was abstracted through a content review of the tobacco-related sections of each cancer plan, supplemented with a keyword search. We then summarized these data across the plans by using dichotomous indicators: yes, the recommendation was addressed in the plan, or no, the recommendation was not addressed in the plan. In addition, we analyzed whether the plan addressed funding for tobacco programs and, if so, whether the plan defined a specific funding goal. Results: The 69 CCC plans incorporated a mean of 4.2 out of 5 recommendations from Best Practices (SD 2.8) and 4.8 out of 10 recommendations from the Community Guide (SD 2.1). Nearly sixty-one percent of plans (60.9%) addressed funding for tobacco control with 33.3% of those plans (20.3% of total) defining a specific, measurable funding goal. Conclusions: The majority of CCC plans incorporated Best Practices and Community Guide recommendations and addressed funding for tobacco control. The proportion of Best Practices tobacco control recommendations incorporated into CCC plans has increased since the previous 2007 study, while the proportion of Community Guide recommendations incorporated into plans has decreased. Additionally, a larger proportion of plans addressed tobacco control funding in this study compared to the 2007 study. We recommend that CCC plans continue to incorporate CDC tobacco control recommendations and specific funding goals. Citation Format: Katherine Dunne, Susan Henderson, Sherri Stewart, J. Michael Underwood. Tobacco control in comprehensive cancer control plans: A 5-year update. [abstract]. In: Proceedings of the Eleventh Annual AACR International Conference on Frontiers in Cancer Prevention Research; 2012 Oct 16-19; Anaheim, CA. Philadelphia (PA): AACR; Cancer Prev Res 2012;5(11 Suppl):Abstract nr B82.

Acute hemorrhagic leukoencephalitis (AHLE) is a rare demyelinating disease of the central nervous system that typically follows a viral or bacterial respiratory infection. We report the first described case of AHLE following influenza A (H3N2) in an otherwise healthy 15-year-old girl with no relevant past medical history who initially presented to the emergency department (ED) by emergency medical services (EMS) with decorticate posturing and right gaze deviation after being found unresponsive at home. Subsequent testing for Influenza A H3N2 via viral polymerase chain reaction (PCR) was positive. Clinical correlation and brain MRI confirmed AHLE. At follow-up three months after discharge, she was found to have intellectual functioning in the extremely low range and she still had deficits in motor skills eight months after discharge. While the patient was reportedly up-to-date on her routine scheduled childhood vaccinations, she had not received her annual influenza vaccination that year. Pediatric infectious disease physicians and neurologists should consider the diagnosis of AHLE in unvaccinated, previously healthy patients with new and rapid onset of neurological symptoms following influenza infection.

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