Avon Breast Cancer Crusade$500 million since 1992

ResearchAccess to Care

Where The Funds Come From

• Avon Walk for Breast Cancer• Avon Pink Ribbon Products• Avon Foundation Annual Gala• Donations from Avon Products, Inc.• Private donors/Fundraising events

Recent Grant Summary

2004 2005 2006 2007*

Access to Care

$16M $17M $20M $22.5M

Research

$3M $8M $20M $22.5M

Total $19M $25M $40M $45M

*Estimates

Avon Foundation Breast Care Fund:

125 Community-Based Organizations

AK4

HI2

3

2

10 21

3

1

2

6

2

1

2 3

23

2

1

2 1

1

1

21

3 2

4

1

2

2

1 2 3

4

2

8

12

3 22

2 1

11

2

7

2

Community Outreach

Avon Foundation Breast Care FundServices Provided

Year#CB

O

# Mammograms / CBE's

Educational Encounters

2000 80 36,119 300,000

2001 81 65,233 1,628,064

2002 116 105,437 1,809,331

2003 137 112,091 1,448,058

2004 106 94,467 1,499,896

2005 124 104,345 2,935,818

2006 117 111,801 594,526

2007** 125 100,000** 500,000**

Total 883 729,493 10,715,693

AFBCF CIFAvailable in multiple languages

• English• Arabic• Chinese• Korean• Portuguese• Spanish• Vietnamese• Creole

IRB reviewed and approved

AFBCF CIF Data 2004-2005Distribution by Race/Ethnicity

White41%

Black17%

Asian/ Pac. Isl.8%

Am. Ind./ AK Nat.4%

Multiracial1%

Hispanic23%

Other3%

Unknown3%

White

Black

Asian/ Pac. Isl.

Am. Ind./ AK Nat.

Multiracial

Hispanic

Other

Unknown

Total number of records (N = 181,096)Total number of records (N = 181,096)

AFBCF CIF Data 2004-2005Distribution by Age in Years

Total number of records (N = 181,096)

<40 yrs16.1%

40-49 yrs35.9%

50-64 yrs36.8%

65+ yrs10.7%

Unknown0.5%

<40 yrs

40-49 yrs

50-64 yrs

65+ yrs

Unknown

Average Age = 50 yrs

What happens when a woman has an abnormal mammogram?

How does a woman access treatment?

Avon Foundation “Safety Net” Programs

Stroger Hospital

Mount Sinai Hospital

YWCAsC.A.S.L.

Trinity Hospital

Erie Family Health

Mercy Hospital

Avon Foundation “Safety Net” Programs

78 Hospitals since 2004

• 58 Patient navigation and community outreach programs

• 20 Equipment upgrades

• NCI Patient Navigation Research Program• Boston University study“What makes a patient navigation effective”?

2007 Safety Net Data

6-months: January through June• 7,500 additional

mammography views• 11,000 diagnostic

ultrasounds• 3,000 biopsies• 1,800 surgical consults• 1,384 diagnosed with cancer

Outcomes of Avon Foundation Programs

Atlanta Example:Avon Community Health Advocates

and Navigators

“The Ladies in the Pink”200+ trained/140 active Community Health Advocates

(CHAs) - since 2001

24 Navigators since 2003

Effects of Avon Outreach and Navigation Program on Breast Cancer Diagnosis

History In 2001: 125 CHAs/20

Navigators trained 1,148 community

intervention programs and over 10,000 participants

Study Cross sectional study: 2001-

2004 487 breast cancer cases in

registries 89% AA, 5% Caucasian, 2%

Hispanic, 4% other

Gabram SGA, Lund MJ et al: Br Can Res Treat 2006;100 suppl 1 S97Gabram SGA, Lund MJ et al: Br Can Res Treat 2006;100 suppl 1 S97

12.4

19.2

25.8

12.6

0

5

10

15

20

25

30

Stage 0 Stage IV

2001

2004

Thank you AVON CHAs & Navigators !

Breast Cancer Research

• Screening mammography 1,000

• Diagnostics– Diagnostic mammography 100– Ultrasound 50– Biopsy 10

• Ultrasound-guided, stereotactic, needle localization

• Diagnosed 3-4 women

Millions of women in the world cannot access expensive mammography! (~$95/test)

2007 Avon Prevention Research Initiative

Develop Diagnostic/Monitoring Test

2007 Avon Prevention Research Initiative

Develop Diagnostic/Monitoring Test

• $7.6-million for 12 projects• Rapid, managed, 2-year

timeframe • Develop new, inexpensive,

minimally invasive diagnostic tool

Develop an test that detects early changes in healthy breast.Supplement mammography, interval screening, or exposure screening.

China Hungary

Portugal New YorkMexico

Avon Walk Around the World for Breast Cancer