Mobilizing Newcomers and Immigrants to Cancer Screening Programs
Mobilizing Newcomers and Immigrants to Cancer Screening Programs Funded by Public Health Agency of Canada (PHAC) The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada (PHAC)
Cancer Screening Breast Cancer Screening Cervical Cancer Screening
What is Cancer? Cancer starts when cells in a part of the body start to grow out of control Tissue Blood vessel
What is Cancer? Cancer cells can also spread (grow) into other tissues, something that normal cells cannot do Tissue Blood vessel
What Causes Cancer? § There is no single cause for cancer § Most cancers are caused by many risk factors § Good news: we can reduce the risk of cancer
Cancer Risk Factors § A cancer risk factor is something that increases your chance of getting cancer § There are some risk factors that we cannot change § There are some risk factors that we can change § Most breast cancer risk factors are things that we cannot change!
Cancer Screening Tests § Regular medical tests § Can find cancer early § Can prevent some cancers
Breast Cancer Screening
What is the Breast?
Breast Cancer Risk Factors You Cannot Change § Being a woman § Age § Family history § Having breast cancer in the past § Ovarian cancer
Breast Cancer Risk Factors You Can Change § Be physically active § Eat a healthy diet § Do not smoke § Avoid second-hand smoke § Limit or avoid alcohol
Breast Cancer Risk Factors You Can Change § Limit how long you use hormone replacement therapy (HRT) after menopause. Speak to your doctor § Get screened
What is the Test for Breast Cancer Screening? Mammogram
Breast Cancer in Ontario 2013 § Estimated new cases: 9300 § Estimated deaths: 1950 Regular mammograms can find breast cancer early when it is easier to treat
Who Can Go to Ontario Breast Screening Program (OBSP)? § Women age 50 – 74 years § No changes in breast health § No personal history of breast cancer § No current breast implants § Ontario resident more than 6 months
Ontario Breast Cancer Screening Program Benefits § A referral is not needed from a doctor § You can call and book your own appointment § No cost § Result letter is mailed to your home § Reminder letter to return every 2 years
What Happens Before? Invitation Letter
What Happens at OBSP? Change into a gown Two-view mammogram (x -ray) of each breast
Why is Pressure Needed?
What Happens After?
What Happens After? Result letter within two weeks Reminder letter for next appointment
Abnormal Mammogram? § Most abnormal mammograms are not cancer § More tests (repeat mammogram, ultrasound)
Women Age 30 -69 Years Who Are at High Risk § If you have a family or medical history that puts you at high risk for breast cancer, you may need specialized screening at the Ontario Breast Screening Program § Talk to a Doctor or Nurse Practitioner
Be Breast Aware All women of all ages: § Know what is normal for you § Know what changes to look for § Look and feel for changes often § Report any unusual changes to a doctor or nurse practitioner immediately
Women Age 50 or Older… § Go for regular mammograms at OBSP § Every 2 years § You can book your own appointment § You do not need a medical referral § No cost § Breast self-exam does not replace a mammogram
Where to Go for a Mammogram Call this number to book your appointment: Ontario Breast Screening Program Provincial Toll-Free Number 1 -800 -668 -9304
OBSP Locations in London § London CML Healthcare Inc. – London 279 Wharncliffe Rd. N, Suite 111 London, ON N 6 H 2 C 2 (519) 661 -0275 § London X-Ray Associates – Bradley 105 -595 Bradley Avenue London, ON N 6 E 3 Z 8 (519) 672 -7900
OBSP Locations in London § London X-Ray Associates – Central 104 -450 Central Avenue London, ON N 6 B 2 E 8 (519) 672 -7900 § St. Joseph’s Health Care, London 268 Grosvenor Street London, ON N 6 A 4 V 2 (519) 646 -6105
Cervical Cancer Screening
What is the Cervix?
What is Cervical Cancer? Pre-cancer Normal Cancer 10 – 15 years
What is the Test for Cervical Cancer Screening? § Pap test
Cervical Cancer in Ontario 2013 § Estimated new cases: 610 § Estimated deaths: 150 Regular Pap tests combined with the HPV vaccine can prevent cervical cancer
The Ontario Cervical Screening Program (OCSP) § Women age 21 – 70 § Who have been sexually active § Every three years
What Happens During a Pap Test?
What Happens at a Pap Test? 1 2
What Happens After? Result letter within two weeks Reminder letter for next appointment
Abnormal Pap Test? § More tests § Less than 10% of Pap tests have abnormal results § Few of those will be cancer
Human Papilloma Virus (HPV) Virus infection § Very common § Found in men and women § Can cause cancer § Transmitted skin-to-skin genital contact and/or during sexual intercourse
We Can Prevent HPV Infection HPV vaccine § Approved for women age 9 - 45 § Recommended for men age 9 - 26 § Available to grade 8 girls at no cost through public health school program § 3 doses needed Human Papillomavirus (HPV) Prevention and HPV Vaccines: Questions and Answers. http: //www. phac-aspc. gc. ca/std-mts/hpv-vph-vaccine-eng. php
Possible Side Effects of HPV Vaccine Less than 0. 05%: § Discomfort at the site of application § Redness on the site § Dizziness § Headache http: //www. phac-aspc. gc. ca/publicat/ccdr-rmtc/12 vol 38/acs-dcc-1/index-eng. php#a 4 -8
Things to Remember… § HPV vaccine prevents infection § HPV vaccine does not replace Pap tests § Pap test detects cell changes before they become cancer § Almost all cervical cancers can be prevented if cell changes are found early and treated
Where to Go for a Pap Test § Family Doctor § Middlesex-London Health Unit § Nurse practitioner clinics
Questions?
Cancer Information Canadian Cancer Society Cancer Information Service § Phone Number: 1 888 939 3333 § TTY: 1866 786 3934 § Service offered in different languages
For More Information Cancer Care Ontario www. cancercare. on. ca/pcs/screening Canadian Cancer Society www. cancer. ca Middlesex London Health Unit www. Healthunit. com South West Regional Cancer Program www. southwestcancer. ca/
Thank you
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