A key part Duke Cancer Institute’s overall mission, as a National Cancer Institute-designated Comprehensive Cancer Center, is to reduce the burden of cancer and promote health equity, beginning with communities in DCI’s diverse catchment area.

COEE History Timeline

COEE Goals & Aims

DCI Catchment Area

DCI patients are primarily hailing from the triangle area (Durham, Wake, and Orange counties). DCI also draws 15-25% of its patients from outside a 200-mile radius surrounding Durham, NC. 

Our DCI Catchment Area comprises of 67 counties in NC, 31 counties and 11 cities in VA, and 6 counties in SC.

NC:  Alamance, Alexander, Alleghany, Anson, Beaufort, Bertie, Bladen, Cabarrus, Caswell, Catawba, Chatham, Chowan, Columbus, Craven, Cumberland, Davidson, Davie, Duplin, Durham, Edgecombe, Forsyth, Franklin, Gates, Granville, Greene, Guilford. Halifax, Harnett, Hertford, Hoke, Iredell, Johnston, Jones, Lee, Lenoir, Lincoln, Martin, Mecklenburg, Montgomery, Moore, Nash, New Hanover, Northampton, Onslow, Orange, Pamlico, Pender, Person, Pitt, Randolph, Richmond, Robeson, Rockingham, Rowan, Sampson, Scotland, Stanly, Stokes, Surry, Union, Vance, Wake, Warren, Wayne, Wilkes, Wilson, Yadkin

VA: Radford City, Lynchburg City, Emporia City, Richmond City, Colonial Heights City, Petersburg City, Hopewell City, Franklin City, Salem City, Danville City, Martinsville City, Carroll, Pulaski, Giles, Montgomery, Floyd, Patrick, Wythe, Henry, Franklin, Roanoke, Botetourt, Bedford, Pittsylvania, Campbell, Halifax, Charlotte, Mecklenburg, Lunenburg, Prince Edward, Brunswick, Buckingham, Fluvanna, Greensville, Nottoway, Amelia, Dinwiddie, Sussex, South hampton, Prince George, Chesterfield, and Henrico.

SC: Lancaster, Darlington, Marion, Malboro, Dillon and Chesterfield


DCI catchment area patient population are uniquely diverse. About 24% are Non-Hispanic Black and 8% are Hispanic. Within our catchment area, about 25% of families have an annual household income of less than $25,000, and 22% reside in rural areas

Continuum of Engagement Activities

At DCI, we engage in a continuum of engagement activities. We conduct extensive outreach to communities in our catchment area, including education, screening, and health fairs to reduce cancer risk factors and promote cancer screening, diagnosis and navigation to timely treatment. We also engage bi-directionally with community partners to co-develop strategies to reduce the burden of cancer in our catchment communities. We are committed to strengthening shared leadership models with community partners to create lasting and sustainable cancer prevention initiatives in our catchment areas