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Lung cancer rates are dropping faster than any other type in Canada. Here's why – National | Globalnews.ca – Global News

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Lung cancer death rates in Canada are declining faster than any other type of cancer, which can be attributed to the significant impact of tobacco control and early detection efforts, according to a new report.

The report, Canadian Cancer Statistics 2023, was released Wednesday by the Canadian Cancer Society (CCS) in collaboration with Statistics Canada and found the biggest reason behind the fall in lung cancer deaths is due to a reduction of tobacco use, which is the leading risk factor for the disease.

Research advancements have also played a crucial role in improving lung cancer survival through early detection and more precise and effective treatments with fewer harmful side effects, the report found.

“This finding really highlights the progress that has been made in reducing lung cancer incidence through commercial tobacco control and prevention efforts,” Jennifer Gillis, senior manager of surveillance for the CCS, told Global News.

“It really highlights the progress that has been made to advance early detection and treatments, to improve outcomes and quality of life for people affected by lung cancer.”

In 2023, it is estimated that 239,100 Canadians will be diagnosed with cancer and 86,700 will die from the disease, according to CCS. Lung, breast, prostate and colorectal cancer make up for almost half of all new cancer diagnoses.


Click to play video: 'Health Matters: Lung cancer screening program for high-risk individuals'

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Health Matters: Lung cancer screening program for high-risk individuals


Lung cancer is the leading cause of cancer death, responsible for about one in four cancer fatalities among Canadians. But in recent years there have been significant decreases in incidents and death rates for lung cancer, according to the report.

Between 2015 and 2020, lung cancer death rates decreased by 4.3 per cent per year since 2014 for men and 4.1 per cent per year since 2016 for women, the report found.

For both men and women, it has decreased by 3.8 per cent per year since 2015.

“This represents the largest annual decline in mortality rates across all cancer types reported, and the fastest decline in lung cancer mortality reported to date in Canada,” the report stated.

In 2023, the report said it’s anticipated that lung cancer death rates in men will be 56-per cent lower than their peak in 1988. For women, the rate is expected to be 24-per cent lower than its highest point in 2006.

The differences in lung cancer rates between men and women “reflect past differences in tobacco smoking” the report stated.

The decline in daily tobacco smoking among Canadian men began in the mid-1960s, whereas for women, this reduction in tobacco use didn’t begin until the 1980s, the report stated. Therefore, lung cancer rates in women started to decrease more recently.

Reduced tobacco use

Around 72 per cent of lung cancer cases in Canada are due to smoking tobacco, the report said.

And according to Statistics Canada, in 1965 half of Canadians smoked tobacco. Since then, that number has decreased dramatically. As of 2021, 11.8 per cent of the total population aged 12 and older smoke tobacco.

The report credits Canada’s major tobacco control prices that have played a role in reducing the number of people who smoke, which has contributed to the decrease in lung cancer deaths.

This includes plain packaging regulation on cigarette packs, picture warnings, increased tobacco taxes and additional warnings on individual cigarettes, which will come into effect in April 2024.

“It’s such a huge success, after decades of work in tobacco control that we’re finally seeing the death from lung cancer falling dramatically,” Dr. Christian Finley, a thoracic surgeon at McMaster University, told Global News.


Click to play video: 'This is one of the rare signs of lung cancer'

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This is one of the rare signs of lung cancer


“As a lung cancer surgeon, you know, it warms my heart to hope that one day I won’t have a job.”

But efforts to control tobacco use are still needed to further reduce lung cancer rates, such as the growing concern of vaping and e-cigarettes, he said.

“Lung cancer still kills more people than breast, prostate and colon combined. And this is such a mortal cancer that I think we need we need to double down on our efforts to identify it in an early stage and treat it,” he said.

Lung cancer is still expected to be the most commonly diagnosed cancer in Canada, with an estimated 31,000 new cases in 2023, the report said.

Beyond tobacco, there are other risk factors like radon gas, asbestos, air pollution and certain workplace exposures that can increase a person’s risk of lung cancer.

Health experts warned about the invisible threat of radon gas that can quietly seep into homes, offices and school, when speaking to Global News recently. Exposure to high levels of the gas can have negative health impacts; radon is the leading cause of lung cancer in Canada for non-smokers.

Other cancer rates declining

It’s not just lung cancer rates that are declining, but also other types of cancer such as colorectal, Gillis said.

“We’re seeing that about two-thirds of the cancer types that are reported in the Canadian Cancer Statistics 2023 report have shown declines in mortality rates. So that’s really showing the significant progress that we’ve made to improve outcomes for people affected by cancer,” she said.

Of all cancer types reported, the colorectal cancer incidence rate is now declining the fastest, the report said. However, 24,100 people are still expected to be diagnosed with this type of cancer in 2023.


Click to play video: '1 in 5 patients with colon cancer now between 20 to 50 years old, doctors say'

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1 in 5 patients with colon cancer now between 20 to 50 years old, doctors say


The report said on average, colorectal cancer incidence rates decreased one per cent per year between 1984 and 2019 for both sexes combined. But a major decline can be seen in recent years. Since 2014, colorectal cancer incidence rates have declined four per cent per year in men and 3.1 per cent per year in women.

“The recent decline in colorectal cancer rates is likely due in part to increased screening for the disease, which can identify treatable precancerous polyps and reduce cancer incidence,” the report stated. 

The report also highlighted declines in the incidence of other types of cancer, such as ovarian, leukemia and prostate.

The greatest decrease in both males and females was in stomach cancer, the report said.

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Health Canada approves updated Moderna COVID-19 vaccine

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TORONTO – Health Canada has authorized Moderna’s updated COVID-19 vaccine that protects against currently circulating variants of the virus.

The mRNA vaccine, called Spikevax, has been reformulated to target the KP.2 subvariant of Omicron.

It will replace the previous version of the vaccine that was released a year ago, which targeted the XBB.1.5 subvariant of Omicron.

Health Canada recently asked provinces and territories to get rid of their older COVID-19 vaccines to ensure the most current vaccine will be used during this fall’s respiratory virus season.

Health Canada is also reviewing two other updated COVID-19 vaccines but has not yet authorized them.

They are Pfizer’s Comirnaty, which is also an mRNA vaccine, as well as Novavax’s protein-based vaccine.

This report by The Canadian Press was first published Sept. 17, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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These people say they got listeria after drinking recalled plant-based milks

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TORONTO – Sanniah Jabeen holds a sonogram of the unborn baby she lost after contracting listeria last December. Beneath, it says “love at first sight.”

Jabeen says she believes she and her baby were poisoned by a listeria outbreak linked to some plant-based milks and wants answers. An investigation continues into the recall declared July 8 of several Silk and Great Value plant-based beverages.

“I don’t even have the words. I’m still processing that,” Jabeen says of her loss. She was 18 weeks pregnant when she went into preterm labour.

The first infection linked to the recall was traced back to August 2023. One year later on Aug. 12, 2024, the Public Health Agency of Canada said three people had died and 20 were infected.

The number of cases is likely much higher, says Lawrence Goodridge, Canada Research Chair in foodborne pathogen dynamics at the University of Guelph: “For every person known, generally speaking, there’s typically 20 to 25 or maybe 30 people that are unknown.”

The case count has remained unchanged over the last month, but the Public Health Agency of Canada says it won’t declare the outbreak over until early October because of listeria’s 70-day incubation period and the reporting delays that accompany it.

Danone Canada’s head of communications said in an email Wednesday that the company is still investigating the “root cause” of the outbreak, which has been linked to a production line at a Pickering, Ont., packaging facility.

Pregnant people, adults over 60, and those with weakened immune systems are most at risk of becoming sick with severe listeriosis. If the infection spreads to an unborn baby, Health Canada says it can cause miscarriage, stillbirth, premature birth or life-threatening illness in a newborn.

The Canadian Press spoke to 10 people, from the parents of a toddler to an 89-year-old senior, who say they became sick with listeria after drinking from cartons of plant-based milk stamped with the recalled product code. Here’s a look at some of their experiences.

Sanniah Jabeen, 32, Toronto

Jabeen says she regularly drank Silk oat and almond milk in smoothies while pregnant, and began vomiting seven times a day and shivering at night in December 2023. She had “the worst headache of (her) life” when she went to the emergency room on Dec. 15.

“I just wasn’t functioning like a normal human being,” Jabeen says.

Told she was dehydrated, Jabeen was given fluids and a blood test and sent home. Four days later, she returned to hospital.

“They told me that since you’re 18 weeks, there’s nothing you can do to save your baby,” says Jabeen, who moved to Toronto from Pakistan five years ago.

Jabeen later learned she had listeriosis and an autopsy revealed her baby was infected, too.

“It broke my heart to read that report because I was just imagining my baby drinking poisoned amniotic fluid inside of me. The womb is a place where your baby is supposed to be the safest,” Jabeen said.

Jabeen’s case is likely not included in PHAC’s count. Jabeen says she was called by Health Canada and asked what dairy and fresh produce she ate – foods more commonly associated with listeria – but not asked about plant-based beverages.

She’s pregnant again, and is due in several months. At first, she was scared to eat, not knowing what caused the infection during her last pregnancy.

“Ever since I learned about the almond, oat milk situation, I’ve been feeling a bit better knowing that it wasn’t something that I did. It was something else that caused it. It wasn’t my fault,” Jabeen said.

She’s since joined a proposed class action lawsuit launched by LPC Avocates against the manufacturers and sellers of Silk and Great Value plant-based beverages. The lawsuit has not yet been certified by a judge.

Natalie Grant and her seven year-old daughter, Bowmanville, Ont.

Natalie Grant says she was in a hospital waiting room when she saw a television news report about the recall. She wondered if the dark chocolate almond milk her daughter drank daily was contaminated.

She had brought the girl to hospital because she was vomiting every half hour, constantly on the toilet with diarrhea, and had severe pain in her abdomen.

“I’m definitely thinking that this is a pretty solid chance that she’s got listeria at this point because I knew she had all the symptoms,” Grant says of seeing the news report.

Once her daughter could hold fluids, they went home and Grant cross-checked the recalled product code – 7825 – with the one on her carton. They matched.

“I called the emerg and I said I’m pretty confident she’s been exposed,” Grant said. She was told to return to the hospital if her daughter’s symptoms worsened. An hour and a half later, her fever spiked, the vomiting returned, her face flushed and her energy plummeted.

Grant says they were sent to a hospital in Ajax, Ont. and stayed two weeks while her daughter received antibiotics four times a day until she was discharged July 23.

“Knowing that my little one was just so affected and how it affected us as a family alone, there’s a bitterness left behind,” Grant said. She’s also joined the proposed class action.

Thelma Feldman, 89, Toronto

Thelma Feldman says she regularly taught yoga to friends in her condo building before getting sickened by listeria on July 2. Now, she has a walker and her body aches. She has headaches and digestive problems.

“I’m kind of depressed,” she says.

“It’s caused me a lot of physical and emotional pain.”

Much of the early days of her illness are a blur. She knows she boarded an ambulance with profuse diarrhea on July 2 and spent five days at North York General Hospital. Afterwards, she remembers Health Canada officials entering her apartment and removing Silk almond milk from her fridge, and volunteers from a community organization giving her sponge baths.

“At my age, 89, I’m not a kid anymore and healing takes longer,” Feldman says.

“I don’t even feel like being with people. I just sit at home.”

Jasmine Jiles and three-year-old Max, Kahnawake Mohawk Territory, Que.

Jasmine Jiles says her three-year-old son Max came down with flu-like symptoms and cradled his ears in what she interpreted as a sign of pain, like the one pounding in her own head, around early July.

When Jiles heard about the recall soon after, she called Danone Canada, the plant-based milk manufacturer, to find out if their Silk coconut milk was in the contaminated batch. It was, she says.

“My son is very small, he’s very young, so I asked what we do in terms of overall monitoring and she said someone from the company would get in touch within 24 to 48 hours,” Jiles says from a First Nations reserve near Montreal.

“I never got a call back. I never got an email”

At home, her son’s fever broke after three days, but gas pains stuck with him, she says. It took a couple weeks for him to get back to normal.

“In hindsight, I should have taken him (to the hospital) but we just tried to see if we could nurse him at home because wait times are pretty extreme,” Jiles says, “and I don’t have child care at the moment.”

Joseph Desmond, 50, Sydney, N.S.

Joseph Desmond says he suffered a seizure and fell off his sofa on July 9. He went to the emergency room, where they ran an electroencephalogram (EEG) test, and then returned home. Within hours, he had a second seizure and went back to hospital.

His third seizure happened the next morning while walking to the nurse’s station.

In severe cases of listeriosis, bacteria can spread to the central nervous system and cause seizures, according to Health Canada.

“The last two months have really been a nightmare,” says Desmond, who has joined the proposed lawsuit.

When he returned home from the hospital, his daughter took a carton of Silk dark chocolate almond milk out of the fridge and asked if he had heard about the recall. By that point, Desmond says he was on his second two-litre carton after finishing the first in June.

“It was pretty scary. Terrifying. I honestly thought I was going to die.”

Cheryl McCombe, 63, Haliburton, Ont.

The morning after suffering a second episode of vomiting, feverish sweats and diarrhea in the middle of the night in early July, Cheryl McCombe scrolled through the news on her phone and came across the recall.

A few years earlier, McCombe says she started drinking plant-based milks because it seemed like a healthier choice to splash in her morning coffee. On June 30, she bought two cartons of Silk cashew almond milk.

“It was on the (recall) list. I thought, ‘Oh my God, I got listeria,’” McCombe says. She called her doctor’s office and visited an urgent care clinic hoping to get tested and confirm her suspicion, but she says, “I was basically shut down at the door.”

Public Health Ontario does not recommend listeria testing for infected individuals with mild symptoms unless they are at risk of developing severe illness, such as people who are immunocompromised, elderly, pregnant or newborn.

“No wonder they couldn’t connect the dots,” she adds, referencing that it took close to a year for public health officials to find the source of the outbreak.

“I am a woman in my 60s and sometimes these signs are of, you know, when you’re vomiting and things like that, it can be a sign in women of a bigger issue,” McCombe says. She was seeking confirmation that wasn’t the case.

Disappointed, with her stomach still feeling off, she says she decided to boost her gut health with probiotics. After a couple weeks she started to feel like herself.

But since then, McCombe says, “I’m back on Kawartha Dairy cream in my coffee.”

This report by The Canadian Press was first published Sept. 16, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

The Canadian Press. All rights reserved.

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