Significant advances have been made over the past twenty years relative to breast cancer screening, diagnosis, and control. Within scientific and medical communities it is generally believed that breast cancer could be controlled most effectively if screening, surveillance, and risk management strategies were effectively utilized. Data from this study suggests a need for the development of more focused programs of research, education, and outreach to promote breast health among women in the USVI. Results of this study suggest that within the USVI there is a need to the enhance the systems responsible for monitoring and reporting cancer trends relative to cancer incidence,mortality, and survival within the territory; a need for forums for investigators, faculty, students, and the community to discuss the breast health needs and concerns of women across the territory; a need for educational programming for women in the community that focuses on breast cancer, breast cancer risk, breast cancer screening, and breast cancer risk management; a need for educational programming for women in the community that enhance communication with health-care providers; a need for educational programming for women in the community that focus on the relationship between personal health and family health; a need for training of health-care providers (i.e., physicians, nurse practitioners, oncology nurse specialists, etc.) relative to the assessment and communication of breast cancer risk; and, a need for the development of programs of research to address issues relevant to breast cancer detection and control among women in the USVI across the care,
continuum. Numerous initiatives have been undertaken to track trends in breast cancer morbidity and mortality, to increase breast cancer awareness, to improve breast cancer screening, to improve treatment and to ensure access to breast care for women in need throughout the United States. Now is the time to ensure that similar efforts are undertaken to ensure that the same occurs for women in the USVI and other organized territories of the United States.