1. Tuesday, June 23, 2015

2. Today’s discussion General cancer statistics Cancer in Canada PEI Statistics at a glance Impact

3. Development of the Canadian Cancer Statistics In partnership with the Statistics Canada (SC), Public Health Agency of Canada (PHAC), and the provincial/territorial cancer registries Interpretation of data and text by volunteer committee of experts (in epidemiology, surveillance, subject matter experts) CCS coordinates the committee Our partners allow us to issue the public release and host the publication on cancer.ca

4. PEI Statistics at a glance 910 estimated new cases in 2015 380 estimated cancer deaths in 2015 2 in 5 Canadians expected to develop cancer in their lifetime 1 in 4 Canadians expected to die of cancer 63% five-year relative survival (for people diagnosed in 2006-2008)

5. Estimated new cases in PEI in 2015 Estimated 380 deaths (190 males, 190 females) All cancers510 Prostate140 Lung75 Colorectal65 Bladder30 Melanoma25 Kidney20 Leukemia15 Oral15 Pancreas10 Esophagus10 All cancers400 Breast110 Lung60 Colorectal55 Body of uterus25 Non-Hodgkin L.15 Thyroid10 Melanoma15 Ovary10 Leukemia10 Pancreas10 Males Females

6. PEI Fast Facts Most common cancers in men: prostate, lung and colorectal PEI has one of the highest incidence rates of cancer among men -12% higher than average – Prostate - 3 rd highest, 27% higher national average – Lung -3 rd highest, 22% higher than national average – Pancreatic highest in the country, 20% higher – Melanoma skin cancers - highest in the country, 50% higher than national average

7. PEI Fast Facts Most common cancers in women: breast, lung and colorectal PEI’s mortality rate for women 9% higher than national average (In 2014 PEI was 12% higher than average) PEI has third lowest incidence rates of cancer amongst women in the country 10% lower than national average

8. Special Topic: Predictions of the future burden of cancer in Canada CCS internal use

9. Population of PEI is estimated to grow 14% or about 19,000 residents by 2030 Islanders aged 65+ will represent slightly more than 1 in 4 (up from 1/8) More than doubling new cancer cases expected in aged 65 and over. Increase in new cases mainly due to aging and population growth and to a lesser extent, changes in the risk of developing cancer Estimated number of new cases on PEI by 2030 = 1,340 Key findings

10. Survival (2006-2008) 5-yr relative survival rates HighMediumLow Thyroid (98%)Bladder (74%)Ovary (45%) Testis (97%)Cervix (74%)Multiple myeloma (43%) Prostate (96%)Kidney (68%)Stomach (25%) Melanoma (89%)Colorectal (65%)Brain (25%) Breast (88%)Larynx (63%)Liver (20%) Hodgkin lymphoma (85%) Oral (63%)Lung (17%) Uterus (85%)Leukemia (59%)Esophagus (14%) Pancreas (8%) Which cancers have the highest and lowest 5-yr relative survival?

11. Key findings (Canada) Incidence rate for males expected to decline (from 465 to 443 per 100,000) Increase for females (from 358 to 371 per 100,000) Rates for most smoking-related cancers will decrease over time Other cancer risk factors such as excess weight, physical inactivity, poor diet, alcohol consumption and infection are expected to impact different cancers to varying degrees. Future incidence rates highest in eastern Canada and lowest in British Columbia (reflecting little or no change from today’s rates)

12. What Do These Statistics Mean? The burden of cancer will increase primarily due to aging and population increases PEI does not have to accept this prediction Increase focus on life-time cancer prevention

13. Community Cancer Outreach Centers 2015 Alberton Souris 2016 + Montague Summerside Hunter River/North Rustico

14. “ The future is not some place we are going, but one we are creating. The paths to it are not found, but made, and the activity of making them changes both the maker and the destination.” - John Shar, Sociologist