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New cancer data reveals 5 key takeaways in Canada

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A quarter-century of cancer data is now available in a report jointly released by the Canadian Cancer Society, Statistics Canada and the Public Health Agency of Canada on Tuesday.

The Canadian Cancer Statistics 2022 special report on cancer prevalence sheds light on the most common forms of cancer over the 25 years between 1994 and 2018, as well as the populations most likely to be diagnosed.

As the number of people living with cancer, or living post-cancer, in Canada rises, so will the demand for cancer support and care.

The report aims to help identify gaps in health care and cancer care, and offer some clues as to how resources can be allocated to fill those gaps, according to Jeff Latimer, director general of health statistics with Statistics Canada.

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“Timely and accurate data on cancer prevalence in Canada is critical to understanding the disease’s toll on society and our healthcare system,” Latimer said in a media release issued on Tuesday.

“Data are invaluable in assessing cancer outcomes, measuring how far we’ve come, and identifying areas for improvement.”

CTVNews.ca explores some key findings from the report below.

All of the following rates are per 100,000 people, over a period of 25 years, unless noted otherwise. The report did not include data for Quebec.

PREVALENCE BY TYPE

According to the report, cancer in reproductive organs and colorectal cancer are most prevalent across Canada, by a wide margin.

From 1994 to 2018, breast cancer accounted for 19.4 per cent of all diagnoses, while prostate cancer accounted for 17.8 per cent and colorectal cancer accounted for 11.3 per cent.

A graph showing the prevalence of cancer per 100,000 people by type as of 2018. (Canadian Cancer Registry/Canadian Cancer Society)Melanoma accounted for 5.5 per cent of diagnoses, thyroid cancer accounted for 5 per cent, bladder cancer for 4.6 per cent, non-hodgkin lymphoma for 4.5 per cent, uterine cancer for 4.4 per cent, lung and bronchus cancers for 4.1 per cent, kidney and renal pelvis cancer for 3.2 per cent and all other cancers for 20.2 per cent.

PREVALENCE BY DURATION

According to the study, most people – 60.9 per cent – who had cancer or were living post-cancer were five to 25 years out from their diagnosis. This duration accounted for the majority of people who had been diagnosed with breast, prostate and colorectal cancer.

A further 20.7 per cent were between two and five years out, and 18.4 per cent were zero to two years out.

Among people with lung and bronchus cancers, 37.5 per cent were between zero and two years out from diagnosis, 37.1 per cent were between five and 25 years out and 25.4 per cent were between two and five years out.

According to the report, the first couple of years after diagnosis are when patients are most likely to be receiving primary cancer treatment or recovering from its effects.

“The third to fifth year after diagnosis is a period that typically requires close clinical follow-up for recurrence or another primary cancer, as well as supportive care,” the report states.

“People alive more than five years after a cancer diagnosis have likely completed their treatment, but some may still need clinical monitoring and supportive care.”

RURAL-URBAN PREVALENCE

Over study periods of two and five years, all cancers were generally more prevalent in rural settings compared to urban settings.

This was the case in all provinces and territories, except Nunavut where the entire population was considered rural, and Manitoba, where prevalence was about equal.

A graph showing rural and urban cancer prevalence per 100,000 people as of 2018. (Canadian Cancer Registry/Canadian Cancer Society)One factor driving this urban-rural divide is likely age, the report states, since Canadians living in rural areas are typically older than those living in urban areas and cancer diagnosis rates are higher in seniors.

The report said established cancer risk factors “such as smoking, alcohol consumption and obesity” are also more common among people living in rural areas, compared to those in urban areas.

PREVALENCE BY PROVINCE

Between 1994 and 2018, cancer rates were highest in the eastern provinces and Ontario, and generally lower in the central and western provinces.

Specifically, the prevalence of cancer was highest in Newfoundland and Labrador, followed by New Brunswick, Nova Scotia, P.E.I., Ontario, British Columbia, Manitoba, Saskatchewan, Alberta, Yukon, Northwest Territories and Nunavut, in that order. Quebec was not included.

A graph showing cancer prevalence per 100,000 people by province as of 2018. (Canadian Cancer Registry/Canadian Cancer Society)As with rates in urban and rural settings, the authors said differences in age distribution, risk factors and diagnostics influence the rates in each province.

PREVALENCE OVER TIME

The study found national cancer rates per 100,000 people rose gradually over 25 years, from 1994 to 2018. However, the authors attribute the increase to an aging population, as well as better cancer screening and treatments, which both increase the odds of survival across certain cancer types.

The report did not look at environmental factors that might contribute to cancer rates and outcomes, such as exposure to known carcinogens, and said the national data needed to better understand those factors in Canada are “limited or lacking.”

“Together the cancer control community is working to address these important data and knowledge gaps so that we can better identify disparities in outcomes that require increased attention and investment,” the report concludes.

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Canadian assessment team deployed to Turkey after earthquake

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Canadian assessment team deployed to Turkey

A senior government official says a Canadian assessment team is on its way to Turkey to determine how Canada can contribute to earthquake relief efforts.

International Development Minister Harjit Sajjan was expected to formally announce the deployment of the Canadian Disaster Assessment Team this evening.

The senior official, who spoke on background pending Sajjan’s official confirmation, said the team consists of a handful of military and Global Affairs officials.

The official underscored that the deployment of the team does not automatically guarantee a further deployment of Canadian resources to the country.

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The earthquake, which razed thousands of buildings in Turkey and Syria on Monday, is one of the deadliest quakes worldwide in more than a decade and the federal government is facing criticism that the window to help with rescue efforts is closing.

Search teams from more than two dozen countries have joined tens of thousands of local emergency personnel and Canadian humanitarian aid workers with charitable organizations were arriving Wednesday

Defence Minister Anita Anand said late Tuesday that the federal government had not ruled out sending a Disaster Assistance Response Team, to help with the recovery effort, but that it was working to figure out what would be most useful.

The assessment team would recommend whether to send additional support, such as a DART.

Earlier Wednesday, Prime Minister Justin Trudeau announced the federal government would match funds donated to Canadian Red Cross relief efforts up to $10 million on top of an initial aid package of $10 million.

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

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Canadian soccer player describes the horror of the earthquake in Turkey

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Canadian soccer player

Canadian soccer player Sam Adekugbe is one of the lucky ones. He managed to escape earthquake-ravaged Antakya in Turkey.

Some of his teammates and staff at his club Hatayspor are still missing.

The 28-year-old from Calgary is now safe in Istanbul with Canada captain Atiba Hutchinson, who plays in the Turkish Super Lig for Besiktas. But in a Zoom call Wednesday sitting next to Hutchinson, a sombre Adekugbe told a harrowing tale of being caught in the quake — and the horror of what he saw in the aftermath.

“Unfathomable. Something you never really expect,” said Adekugbe, who looked shell-shocked.

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Adekugbe was relaxing at home with some teammates after a 1-0 win over visiting Kasimpasa in a Turkish league game Sunday evening. The quake began as he started cleaning up his home when they left.

He started shaking, which initially made him think he was having a panic attack. Then the furniture and TV began to tip over and cups and dishes smashed in the kitchen.

He went outside to find the road split and people yelling amid freezing rain and lighting strikes. After witnessing the damage around his home, he drove the 20 minutes to the team training ground, seeing the devastation along the way.

“It just felt like a movie. You’re seeing collapsed buildings, fires. People yelling, people crying,” he said. “People digging through the rubble. Broken pieces of houses. Just things you never really expect.”

It got worse the closer he got to the centre of the city, which is located 1,100 kilometres southeast of Istanbul in a region bordered by the Mediterranean and Syria.

“Roads split. Bridges broken. Twelve-storey highrises just completely collapsed. Families looking for loved ones. Parents looking for their kids. Kids looking for their parents. It was just something unfathomable. Something you never really expect.”

Adekugbe says people are still missing, including the team’s sporting director, Taner Savut. There is confusion over the whereabouts of Ghana international Christian Atsu, who was at Adekugbe’s home that night.

Reports of Atsu being rescued are now in doubt, said Adekugbe, who joined the search for survivors after getting to the training ground.

“It’s also people who work around the team,” Adekugbe said.

He says one of the team’s equipment men died in the quake. So did the daughters and mother of a woman who works in the team kitchen.

The wife of another equipment man needs urgent medical attention, facing having her arm amputated if she doesn’t get it.

“Of course I’m thankful that a lot of my teammates have been found. But the people that do help the team, the people who work around the club, they still have loved ones that are missing and unaccounted for. Really it starts to hit home when you just see the agony, the desperation on their faces,” he said.

In the light of day, the horror grew.

“You’re looking through rubble trying to find your teammates. You’re trying to yell for them in like darkened spaces of apartments that used to be standing,” Adekugbe said. “It’s just something you never find yourself doing. People coming back with broken bones. People still missing to this day. It’s something you can’t really explain.”

Adekugbe and some of his teammates managed to get out thanks to his coach, Volkan Demirel, who used to play for Fenerbahce, another Turkish club based in Istanbul. He called the Fenerbahce president who organized a plane departing from a city about a 150-minute drive away.

Adekugbe and other Hatayspor players and staff were bused to the waiting plane, which took them to Istanbul.

“We were very lucky,” Adekugbe said.

“I just grabbed what I could … I have three suitcases and my dog.”

Hutchinson was waiting to take him in. Adekugbe had called him in the aftermath of the quake, showing him the damage via FaceTime.

He called his parents when he got to the training ground.

Antakya is renowned for its cuisine, which has many Middle Eastern influences. UNESCO (the United Nations Educational, Scientific and Cultural Organization) has designated Antakya as a “city of gastronomy.”

Adekugbe, who joined Hatayspor in June 2021 from Norway’s Valerenga Fotball, has won 37 caps for Canada and saw action in all three of Canada’s games at the World Cup in Qatar.

Born in London, England, he was three when his family moved to Manchester and 10 when it came to Calgary.

At 16, he moved to Vancouver to join the Whitecaps residency program. He signed a homegrown contract with the MLS team in 2013 but made just 16 appearances for the team over the next four seasons, spending much of the time out on loan.

Adekugbe had loans stints with Brighton in the English Championship and Sweden’s IFK Goteborg before joining Valerenga in January 2018.

While Istanbul escaped quake damage, Hutchinson’s concern for Adekugbe grew when internet connection was lost and a second quake hit.

Both players urged Canadians to donate to relief organizations to help the region and its people.

“There’s a lot of people that are still under the rubble,” Hutchinson said.

“People are just really in bad conditions right now,” he added. “It’s really cold here. Just making it through the day and the night, it’s extremely difficult.”

Follow @NeilMDavidson on Twitter

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

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How much money is needed to retire in Canada

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Canadians now believe they need $1.7 million in savings in order to retire, a 20 per cent increase from 2020, according to a new BMO survey.

The eye-watering figure is the largest sum since BMO first started surveying Canadians about their retirement expectations 13 years ago. It’s also a drastic increase from the $1.4 million in savings Canadians expected to need for their nest eggs just two years ago.

The results reflect Canadians’ concerns about current economic conditions, particularly inflation and higher prices, said Caroline Dabu, head of wealth distribution and advisory services for BMO Financial Group.

“If you look at the average Canadian, they’re feeling the rising inflation costs,” said Dabu.

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“And so, not surprisingly, we are seeing that Canadians are feeling they absolutely will need more to retire.”

Canada’s annual inflation rate hit a four-decade high of 8.1 per cent in the summer of 2022 and has since fallen to 6.3 per cent as of December 2022. BMO Economics expects the country’s CPI to decline to around three per cent by the end of the year.

The sharp increase to Canada’s inflation rate in 2022 exceeded wage gains, eroding purchasing power for most families and heightening fears about the future. The BMO survey found that just 44 per cent of Canadians are confident they will have enough money to retire as planned — a 10 per cent decrease from 2020.

But while the $1.7 million figure may sound overwhelming to working-age Canadians, Dabu said the number says more about the economic mood of the country than it does about real-life retirement necessities.

“Certainly when we’re working with clients, we find that many overestimate the number that they need to retire,” she said.

“It really does have to be taken at an individual level, because circumstances are very different … But $1.7 million, I would say, is high.”

While rising inflation may require tweaks to a retirement plan — such as contributing slightly more to savings each month if you’re a young worker, or making cash flow adjustments if you’re nearing the end of your working career — Dabu said these changes don’t necessarily have to be drastic.

When it comes to retirement planning, Dabu said, knowledge is power. By working with a professional financial advisor and making a plan that encompasses individual circumstances and goals, Canadians can come up with their own retirement savings number.

“In the survey, we note that 53 per cent of Canadians didn’t know how much they will need to retire,” Dabu said.

“That increased confidence comes from knowing the exact number that I need to save for, and how I’m going to get there.”

The BMO survey also found that approximately 22 per cent of Canadians plan to retire between the ages of 60 and 69, with an average age of 62.

Millennial and generation z Canadians are the most nervous about their ability to save and invest right now, the survey found. However, all age groups — 74 per cent of survey respondents — said they are concerned about how current economic conditions will affect their financial situation, and 59 per cent said economic conditions have affected their confidence in meeting their retirement goals.

The BMO survey was conducted between Nov. 4 and 7, 2022 by Pollara Strategic Insights via an online survey of 1,500. The survey’s margin of error is plus/minus 2.5 per cent, 19 times out of 20.

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This report by The Canadian Press was first published Feb. 7, 2023.

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