Transcript Breast and Cervical Cancer Screening Education Modules

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 N6H 2C2
(519) 661-0275
 London X-Ray Associates – Bradley
105-595 Bradley Avenue
London, ON N6E 3Z8
(519) 672-7900
OBSP Locations in London
 London X-Ray Associates – Central
104-450 Central Avenue
London, ON N6B 2E8
(519) 672-7900
 St. Joseph’s Health Care, London
268 Grosvenor Street
London, ON N6A 4V2
(519) 646-6105
Cervical Cancer Screening
What is the Cervix?
What is Cervical Cancer?
Pre-cancer
Cancer
Normal
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/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/12vol38/acs-dcc-1/index-eng.php#a4-8
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