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Lung cancer death rates decreasing but still biggest cancer killer, report says

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MaryAnn Bradley was bracing herself for a heart disease diagnosis when her cardiologist told her an X-ray showed a shadow on her right lung.

“I just thought I was going to die. That was it,” she said.

Bradley, now 68, had been pushing doctors to find out what was behind an unrelenting pain in the left side of her neck.

The St. Catharines, Ont., woman was “completely devastated” to learn she had stage 1 lung cancer, especially because her father had died of the disease years before.

A few weeks later, a thoracic surgeon removed the tumour.

“Everything went fantastically well,” Bradley said.

She’s been cancer-free for 10 years now, and goes back for CT scans to make sure it’s caught early if it ever returns.

“I had a great recovery and I’ve never looked back,” said Bradley, who now advocates for early detection of lung cancer and volunteers with Lung Cancer Canada as a peer mentor for others who get the diagnosis.

An annual report on cancer statistics released Wednesday says more people with lung cancer are surviving like Bradley.

Lung cancer death rates are declining faster than any other type of cancer in this country, according to Canadian Cancer Statistics 2023, which is compiled by the Canadian Cancer Statistics Advisory Committee, along with the Canadian Cancer Society, Statistics Canada and the Public Health Agency of Canada.

Lung cancer death rates have decreased by 4.3 per cent per year since 2014 for males and 4.1 per cent per year since 2016 for females, the report says.

“To me, this finding really highlights the progress that has been made in reducing lung cancer incidence through commercial tobacco control,” said Jennifer Gillis, an epidemiologist in Vancouver and senior manager of surveillance at the Canadian Cancer Society.

According to the cancer society, smoking tobacco is a factor in about 72 per cent of lung cancer deaths.

As of 2021, about 11.8 per cent of people age 12 and older in Canada smoked, Statistics Canada says.

The Canadian Cancer Society aims to reduce the smoking rate to five per cent by 2035, estimating it could prevent more than 50,000 cancer cases.

Other risk factors that can increase someone’s risk for lung cancer include radon gas, asbestos and air pollution, it said.

More research is also needed on e-cigarettes and vaping to determine the long-term effects of the chemicals they contain, the report said.

In addition to cutting down smoking rates, the report reflects progress in early screening and advances in treatment options, Gillis said.

“We’re really improving outcomes for people who have been diagnosed and are affected by lung cancer,” she said.

But despite the progress made, lung cancer is still responsible for about one in four cancer deaths in Canada, and remains the leading cause of cancer mortality, the report said.

The report estimates 20,600 people in Canada are expected to die from lung cancer in 2023.

Statistics Canada estimates lung cancer survival rates are 62 per cent for people diagnosed at stage 1, and 39 per cent at stage 2. That drops to 16 per cent at stage 3 and three per cent at stage 4.

The report says colorectal cancer is expected to be the second leading cause of cancer death in 2023, followed by pancreatic cancer.

Early lung cancer screening through CT scans makes a “powerful” difference, said Dr. Christian Finley, a thoracic surgeon at McMaster University in Hamilton, and a member of the Canadian Cancer Statistics Advisory Committee.

Ontario and British Columbia are running programs and several other provinces are trying to pilot them, he said.

Where lung cancer screening is available now, it’s targeted to people with a long history of smoking, Finley said.

Reducing stigma around lung cancer is also critical, he said.

“It’s one of the great sadnesses I have that I meet people for the first time and we talk about that they may have lung cancer and there’s so much self-blame there,” Finley said.

Bradley has experienced that stigma first hand.

Although she’s not a regular smoker, “my workmates and I would go out on Friday evening after work and have a drink, and with that drink we would have a cigarette,” she said.

“Was that the cause of my cancer? I don’t know. There was nothing that pointed towards that,” Bradley said.

“You always have that bit of guilt that maybe if I didn’t do that, I wouldn’t have gotten cancer.”

Stigma around lung cancer is so damaging that it can even affect people’s health-care decisions, Bradley said.

A couple of years ago, she volunteered as a peer mentor for a 48-year-old man in Thunder Bay, Ont., who had been diagnosed with lung cancer, she said.

He died and talking about him still brings her close to tears.

“He refused treatment because he blamed himself,” Bradley said.

“He just said, ‘No, I’ve done this to myself. I can’t go through anything. I just can’t because I did this to myself.’ He was so depressed. It was really awful,” she said.

Stigma and shame around lung cancer has also affected funding for research, prevention and treatment, said Finley.

Finley was a co-author of a study comparing research funding for different cancers published in 2018 in the journal Current Oncology.

Compared to other cancers, lung cancer is “dramatically underfunded,” he said.

“Lung cancer is responsible for 25 per cent of the (cancer) mortality and it gets five per cent of the funding,” he said.

The Canadian Cancer Society has been working to change that, investing millions of dollars into lung cancer research through “breakthrough grants,” Gillis said.

Patients with lung cancer have lots of reason for hope, Finley said.

“We’re doing minimally invasive surgeries that are really exciting. So people are going home the next day,” he said.

“Radiation is getting more targeted and better. And then the chemotherapy phase, they’ve got these new immunotherapies which can do miraculous things.”

“I’m optimistic,” he said.

This report by The Canadian Press was first published Nov. 8, 2023.

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

Nicole Ireland, The Canadian Press

 

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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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