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 starts when cells in a part of the body start to grow out of control What is Cancer? Tissue Blood vessel

Cancer cells can also spread (grow) into other tissues, something that normal cells cannot do What is Cancer? Tissue Blood vessel

 There is no single cause of cancer  Most cancers are caused by many risk factors  Good news: we can reduce the risk of cancer What Causes Cancer?

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 Cancer Risk Factors

 Your age  Your family history  Previous history of polyps  Inflammatory Bowel Disease Risk Factors You Cannot Change

Risk Factors You Can Change  Be physically active  Eat a healthy diet  Do not smoke  Avoid second-hand smoke  Limit or avoid alcohol

Risk Factors You Can Change  Eat less red meat  Eat less processed meat  Eat more fibre

 Get screened Things You Can Do to Reduce Cancer Risk

Screening sees what you can't see

 Regular medical tests  Can find cancer early  Can prevent some cancers Cancer Screening Tests

Colorectal Cancer Screening

What is Colorectal Cancer? Normal Polyp (adenomatous polyp) Cancer 10 – 15 years  Less than 5% of all polyps become cancer  Colorectal cancer symptoms can take years to appear

Men and women Who is at Risk?

 Estimated new cases: 8700  Estimated deaths: % of these cancers are treatable when found early! Colorectal Cancer in Ontario 2013

AA leading cause of cancer death in Ontario NNo early warning symptoms Colorectal Cancer Facts

 Average Risk, age Fecal Occult Blood Test (FOBT)  Increased Risk Colonoscopy What are The Tests for Colorectal Cancer?

Checks for small amount of blood in stool  Men and women age 50 and older  No family history of colorectal cancer  No symptoms or other health conditions Fecal Occult Blood Test (FOBT)

 Every 2 years  Done at home  No cost Fecal Occult Blood Test (FOBT)

Fecal Occult Blood Test

How To Do The Test  No Vitamin C, citrus fruits or juices for 3 days before and during test  Use collection kit to get a clean sample

Fecal Occult Blood Test Plan to collect clean samples free of urine, water or tissue

Fecal Occult Blood Test Collect 2 samples from 3 different bowel movements over 1 week

Fecal Occult Blood Test Send the card by mail

Result letter in 2-3 weeks Recall Letter Fecal Occult Blood Test

 Positive test means blood is in the sample  Only 5% of positive tests are cancer  More tests (Colonoscopy) Positive FOBT?

 Ask your family doctor  Call Telehealth Ontario at to talk to a registered nurse about how to get the FOBT kitTelehealth Ontario How to Get a FOBT Kit?

A test that uses a small camera to look at the inside of the colon What is a Colonoscopy?

Screening test for increased risk:  Strong family history of colon cancer  Other health conditions in the digestive system Positive FOBT:  Follow-up test Colonoscopy

How to Prepare for a Colonoscopy  No food or drink, clear fluids only 12 hours before the test  Prepare bowel with medication from the drug store

Colonoscopy  After sedation, doctor inserts endoscope through anus into rectum and colon  Depending on results, doctor will suggest next steps

Canadian Cancer Society Cancer Information Service  Phone Number:  TTY:  Service offered in different languages Cancer Information

Ministry of Health and Long Term Care ck/prevention.aspx Cancer Care Ontario Canadian Cancer Society Middlesex London Health Unit www. Healthunit.com South West Regional Cancer Program For More Information

Questions ?

Thank you