1. 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).

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

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

5.  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?

6. 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

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

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

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

10.  Get screened Things You Can Do to Reduce Cancer Risk

11. Screening sees what you can't see

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

13. Colorectal Cancer Screening

15. 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 10 - 15 years to appear

16. Men and women Who is at Risk?

17.  Estimated new cases: 8700  Estimated deaths: 3350 90% of these cancers are treatable when found early! Colorectal Cancer in Ontario 2013

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

19.  Average Risk, age 50-74 Fecal Occult Blood Test (FOBT)  Increased Risk Colonoscopy What are The Tests for Colorectal Cancer?

20. 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)

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

22. Fecal Occult Blood Test

23. 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

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

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

26. Fecal Occult Blood Test Send the card by mail

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

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

29.  Ask your family doctor  Call Telehealth Ontario at 1-866-797-0000 to talk to a registered nurse about how to get the FOBT kitTelehealth Ontario How to Get a FOBT Kit?

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

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

32. 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

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

35. Canadian Cancer Society Cancer Information Service  Phone Number: 1 888 939 3333  TTY: 1866 786 3934  Service offered in different languages Cancer Information

36. Ministry of Health and Long Term Care www.health.gov.on.ca/en/public/programs/coloncancerche ck/prevention.aspx 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/ For More Information

37. Questions ?

38. Thank you