adplus-dvertising
Connect with us

Health

Why this Ontario rapper says colon cancer screening should start at age 30, not 50 – CBC.ca

Published

 on


White Coat Black Art26:30The rapper battling Stage 4 colon cancer

A Hamilton, Ont., musician and actor who is fighting fourth-stage colon cancer is calling on his provincial government to lower the minimum age for colonoscopy screening from 50 to 30.

Bishop Brigante, a rapper with hits like his 2017 single Hard Times and an actor with turns on shows like Orphan Black, was diagnosed with colon cancer in October 2023.

But it was two years earlier when, in his early 40s, he first started seeking care for stomach pain, diarrhea and blood in his stool.

“My doctors would say, ‘That’s hemorrhoids.’ They told me that I had irritable bowel syndrome, which at that time I was told, ‘You just gotta kind of work on your diet, fix the food you eat’ and stuff like that,” he told Dr. Brian Goldman, host of CBC Radio’s White Coat, Black Art.

By the time Brigante pushed for and eventually received a colonoscopy, followed by MRI and CT scans, he had an eight-centimetre tumour that had penetrated the wall of his rectum and spread to other places like his liver and lungs.

Hearing that news “was a pretty heavy load to bear.”

Brigante is part of a puzzling rise of colon cancer in a younger group of adults than is typical. The Canadian Cancer Society says it’s now the second leading cause of cancer deaths in men, and the third leading cause in women.

The trend prompted the United States in 2021 to lower the age for routine colonoscopies in average-risk individuals from 50 to 45, and has led to calls like Brigante’s and others to change how health systems approach both screening for and awareness of the disease.

“I’ve been treating colorectal cancer for over 20 years, and no doubt we are seeing patients being diagnosed at an earlier age,” said Dr. Sharlene Gill, a professor of medicine at the University of British Columbia and B.C. Cancer oncologist whose work focuses mostly on gastrointestinal cancers.

Dr. Sharlene Gill is a professor of medicine at the University of British Columbia and a gastrointestinal medical oncologist with B.C. Cancer. (Submitted by Sharlene Gill)

She said it’s now estimated that about 10 to 15 per cent of new diagnoses of colorectal cancer are in people under age 50.

Looking back earlier in her career, Gill would estimate that only about one in 40 of her colon cancer patients were under 50, which is considered early onset of the disease.

She said cancer stats show that the risk of early onset colorectal cancer is now almost two and a half times higher for people born after 1980 versus previous generations.

“I do feel that we need to, in Canada, look very seriously at lowering our age of screening to age 45.”

Brigante is now nearing the end of a series of 12 chemotherapy sessions and says his main tumour appears to be shrinking. The goal is to get to a place where he can have colorectal and peritoneal surgeries.  

But he said the experience has driven him to try and enact change to prevent other people from having colorectal cancer diagnosed at such a late stage.

Colorectal cancer screening

Most provinces and territories offer a fecal immunochemical test, or FIT test, which detects the presence of blood in a stool sample collected at home. 

During the more invasive colonoscopy, a health-care provider examines the inside of the colon — also known as the large intestine — using a long flexible tube with a light and tiny camera on one end. They may remove abnormal growths called polyps for further testing. Left alone, some polyps can grow into larger tumours, and some of those can become cancerous.

That’s why Brigante says it bothers him that the current screening guidelines are based on what he described as “very outdated” statistics. 

A man in a blue t-shirt sits with a man in a black long-sleeved shirt on a sectional sofa next to a coffee table with an Apple laptop.
Bishop Brigante, a rapper and actor, right, poses with Dr. Brian Goldman, host of CBC Radio’s White Coat, Black Art, at Brigante’s home in Hamilton, Ont. (Sameer Chhabra/CBC)

Both the FIT test and colonoscopy screening are made available to average-risk individuals starting at age 50.

His petition on change.org had nearly 30,000 signatures as this story reached publication time, and was presented in the Ontario legislature by NDP health critic France Gélinas on Feb. 20.

Ontario’s colorectal cancer screening program “continues to recommend screening for colorectal cancer starting at age 50,” the Ontario Ministry of Health said in a statement.

The ministry said it aligns with similar screening programs across Canada, and is the recommendation by the Canadian Task Force on Preventive Health Care and International Agency for Research on Cancer.

It also said individuals with a parent or sibling who’ve had the illness may start screening earlier — 10 years younger than the age their relative was when they were diagnosed — and that people of any age with symptoms can seek testing through their primary care provider.

The Canadian Task Force on Preventive Health Care told CBC in a statement it will be updating its 2016 screening guidelines with a detailed review of recent studies.

“This will include studies on the rising incidence of colorectal cancer in younger age groups and the effectiveness of screening for colorectal cancer.”

No publication date has been set at this time.

Checks and balances

But expanding the age range for standard colonoscopy screening isn’t quite as straightforward as it may sound.

Barry Stein, president and CEO of Colorectal Cancer Canada — himself a survivor of Stage 4 colorectal cancer diagnosed at age 41 back in 1995 — said while there seems to be movement internationally toward re-examining age-based screening criteria, Canada is still gathering information.

“Because when we bring in a screening program, the idea is to do no harm,” said Stein. While the FIT test is non-invasive, it’s a different story with a colonoscopy.

A man wearing a sweater over a collared shirt sits in an office with bright-coloured abstract art hanging over the desk behind him.
Barry Stein, president of Colorectal Cancer Canada, says additional screening for colon cancer needs to be considered carefully to ensure it doesn’t cause unnecessary harm. (CBC)

There’s a small risk that the colon can be punctured, or perforated, during the procedure, he said. One study pegged the incidence of this at around three in every 10,000 tests, or 0.03 per cent.

While very rare, perforations are extremely serious, leading to fatality between 21 and 53 per cent of the time, depending on the nature of the tear and the age of the patient, and whether they had other risk factors. 

Colorectal Cancer Canada estimated that 24,100 people were diagnosed in 2023, with about 2,500 of those under the age of 50, Stein said.

It pegged fatalities from the disease at around 9,300 in that same time frame, which represents 11 per cent of all Canadian cancer deaths.

Stein said the incidences of these cancers in younger people seem to be happening more often in the lowest part of the colon, the rectum, for unexplained reasons. 

“We are looking into different things with some of the researchers that we’re engaged with, for example, in the microbiome. So far, we do believe it’s due to healthy lifestyles — diet and exercise, in other words.”

Gill from UBC said while research is still ongoing, the so-called Western diet — low in fibre and plants and high in processed foods — indeed negatively impacts the microbiome, which “is understood to have a role in controlling inflammation as well as immune surveillance, i.e. how our immune system works, which can affect cancer development.”

WATCH | No one knows why colorectal cancers are rising in younger people:

Colorectal cancer cases are rising in young people, but no one knows why

1 year ago

Duration 2:58

Getting the public on board

Another aspect to the colon cancer prevention effort in Canada is addressing the general population’s reluctance to undergo routine screening — or lack of awareness that it’s even an option.

“More than, probably, 40 per cent of people who are eligible for screening aren’t getting screened,” said Gill. “Even in their early 50s and 60s, people aren’t doing it, and we are in a public health system where it’s at no cost to you to do the test.”

Gill said there is also an effort underway to let family physicians and other primary care providers that the picture with colon cancer is changing.

“If someone young presents with symptoms, you know, typically we would say, ‘You’re too young for cancer to be on the top of my list of things I’m worried about.’ But that narrative probably needs to change now.”

Adblock test (Why?)

728x90x4

Source link

Continue Reading

Health

Health Canada approves updated Moderna COVID-19 vaccine

Published

 on

 

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.

Source link

Continue Reading

Health

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

Published

 on

 

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.

Source link

Continue Reading

Health

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

Published

 on

 

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.

Source link

Continue Reading

Trending