Integrated Cancer Screening Education Modules What is Cancer? A disease that starts in the cells Genes inside cells order growth, work, reproduction and death What is Cancer? Normally, cells obey orders and remain healthy Sometimes instructions fail and cells form cancer Tumors Can Be: Benign (non-cancer) Benign tumor cells stay in one place in the body and are not usually life-threatening Malignant (cancer) Malignant tumor cells are able to invade nearby tissues and spread to other parts of the body. Cancer cells that spread to other parts of the body are called metastases Symptoms Cancer often has no specific symptoms It is important that people limit their risk factors and undergo appropriate cancer screening Some Facts… Every day, over 500 Canadians are diagnosed with cancer 200 die from this disease Risk Population Sexually active women 21 – 69 years old Women older than 50 years old Men older than 50 years old Family history of cancer Risk Population Low income communities Low literacy communities Aboriginal communities Immigrant communities MNICSP - June 2014 Canadian Cancer Statistics 2012 MNICSP - June 2014 MNICSP - June 2014 MNICSP - June 2014 70 Percentage 60 50 57.4 40 34.92 30 29 20 25.8 10 0 0-9 10-19 20 - more Non immigrant Years since immigration Statistics Canada, 2009, "An update on mammography use in Canada", Health Reports, Vol. 20, No. 3, catalogue number 82-003-X. MNICSP - June 2014 Percentage not reporting mammogram in past two years, by years since immigration, female household population aged 50 to 69, Canada, 2008 MNICSP - June 2014 45 Percentage 40 42.8 35 30 39.9 32.2 25 20 22.2 15 10 5 0 0-9 10 - 19 20 or more Non immigrant Years since immigration Statistics Canada, 2009, "Colorectal cancer testing in Canada–2008", Health Reports, Vol. 20, No. 3, catalogue number 82-003-X. MNICSP - June 2014 Percentage reporting having fecal occult blood test in past two years or colonoscopy or sigmoidoscopy in past five years, by years since immigration, household population aged 50 or older, Canada, 2008 Cancer Risk Factors A cancer risk factor is anything that increases your chance of getting cancer There are two kinds of risk factors: 1. Things we cannot change 2. Things we can change Risk Factors You Cannot Change Gender Age Family Risk Factors You Can Change Diet Cancer Screening Physical Activity Alcohol Obesity Smoking MNICSP - June 2014 What is Cancer Screening? A test, An examination or A procedure That is performed regularly over time for a specific population that is at increased risk due to gender, age, family history and/or behavior. Purpose of Screening to prevent cancer by identifying precancerous changes to find cancer at an early stage potentially before it can spread, when it is easier to treat, and survival rates are better Ontario Cancer Statistics 2013 New Cases Deaths Breast cancer 8,577 1903 Cervical cancer 588 160 7,840 (Total) 4,204 (M) 3,636 (F) 3,130 (Total) 1,671 (M) 1,459 (F) Colorectal cancer Potential Benefits for Screening Reduced mortality and morbidity from the disease, and in some cases reduced incidence More treatment options and better chance of survival when cancer is diagnosed early or at a pre-malignant stage Improved quality of life Peace of mind Effectiveness of the Screening Questions?