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).
What is Cancer?
Cancer starts when cells in a part of the body
start to grow out of control
Blood vessel
What is Cancer?
Cancer cells can also spread (grow) into other tissues,
something that normal cells cannot do
Blood vessel
What Causes Cancer?
 There is no single cause of 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
Risk Factors You Cannot Change
 Your age
 Your family history
 Previous history of polyps
 Inflammatory Bowel Disease
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
Things You Can Do to Reduce
Cancer Risk
 Get screened
Screening sees what you can't see
Cancer Screening Tests
 Regular medical tests
 Can find cancer early
 Can prevent some cancers
Colorectal Cancer Screening
What is Colorectal Cancer?
(adenomatous polyp)
10 – 15 years
 Less than 5% of all polyps become cancer
 Colorectal cancer symptoms can take 10 - 15 years to appear
Who is at Risk?
Men and women
Colorectal Cancer in Ontario 2013
 Estimated new cases:
 Estimated deaths:
90% of these cancers are treatable when found early!
Colorectal Cancer Facts
 A leading cause of cancer death in
 No early warning symptoms
What are The Tests for
Colorectal Cancer?
 Average Risk, age 50-74
Fecal Occult Blood Test (FOBT)
 Increased Risk
Fecal Occult Blood Test (FOBT)
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
Fecal Occult Blood Test (FOBT)
 Every 2 years
 Done at home
 No cost
Fecal Occult Blood Test
Invitation Letter
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
Fecal Occult Blood Test
Result letter in 2-3
Recall Letter
Positive FOBT?
 Positive test means blood is in the
 Only 5% of positive tests are cancer
 More tests (Colonoscopy)
How to Get a FOBT Kit?
 Ask your family doctor
 Call Telehealth Ontario at 1-866-797-0000
to talk to a registered nurse about how to
get the FOBT kit
What is a Colonoscopy?
A test that uses a small camera to look at the inside
of the colon
Screening test for increased risk:
 Strong family history of colon cancer
 Other health conditions in the digestive
Positive FOBT:
 Follow-up test
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
 After sedation, doctor
inserts endoscope through
anus into rectum and colon
 Depending on results,
doctor will suggest next
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
Ministry of Health and Long Term Care
Cancer Care Ontario
Canadian Cancer Society
Middlesex London Health Unit
South West Regional Cancer Program
Questions ?
Thank you

Mobilizing Newcomers and Immigrants to Cancer …