Connect with us

Health

Want to reduce your chances of cervical cancer? Here’s what you need to know – Global News

Published

 on


Karla Van Kessel had always gone for regular Pap tests and felt that she was well-informed about her reproductive health.

That’s why it came as a shock for the London, Ont., woman, who’s in her early 40s, when she was diagnosed with Stage 4 cervical cancer in 2018. 

“I thought it was impossible for me to be diagnosed with this type of disease, because I was so compliant with Pap smears,” she said. “I did everything right and still ended up in a really terrible situation.”


READ MORE:
26-year-old Ontario woman encouraging cervical cancer screening

In Canada, 1,350 women were diagnosed with cervical cancer in 2019 and an estimated 410 will die from it, according to the Canadian Cancer Society. 

Cervical cancer is the most preventable cancer in Canada, according to Shawn Chirrey, a senior analyst at the organization. 

Story continues below advertisement

Their data shows that routine screenings can catch precancerous lesions and treat them before they turn into cervical cancer. 

Incidents of cervical cancer decreased by 3.3 per cent per year from 2010 to 2015, which the organization attributes to increased cancer screenings and the HPV vaccine, which lowers the risk of cervical cancer, as the virus can cause it. 

But there are gaps in accessing these tests and understanding how frequently to get them, along with issues like practitioner error, which is what impacted Van Kessel’s diagnosis, she told Global News. She also spoke to the CBC last year about why doctors missed cancer signs in her Pap tests. 

A Pap test she had was abnormal and she should have been referred to a doctor, but she wasn’t, which delayed her diagnosis by six to eight months, she said.

“It was quite a lot because it had spread quite a bit in that time,” she said, adding she was able to review her own records to see that it been noted that she needed a biopsy immediately, but she was never sent for one. 


READ MORE:
HPV vaccine could soon achieve ‘substantial reductions’ in cervical cancer cases, study says

In the months prior to her diagnosis, she had what are known symptoms of cervical cancer like abnormal bleeding between periods and pain during intercourse. Signs also include pelvic pain, painful urination and bleeding after menopause. But Van Kessel was unaware those symptoms were associated with cancer, and she thought her Pap tests were fine.

Story continues below advertisement

She advises those with female reproductive organs to keep up to date with their Pap tests, ensure they have gotten the HPV vaccination, and access their test results.

“Women have always had a challenge being heard in health care and have even more challenges advocating for themselves, because women tend to be quite compliant and don’t want to raise a fuss,” she said. “I would tell women to take charge of their health.”

Karla Van Kessel pictured with her family. Photo by Lindsay Davis.

Karla Van Kessel pictured with her family. Photo by Lindsay Davis.


Lindsay Davis

Work closely with your family doctor and get your hands on your results, she explained. 

Van Kessel is now undergoing experimental treatment in the U.S. and is hopeful it will allow her to beat the disease and continue life with her husband and two young sons. 






0:41
Black woman at higher risk of dying from cervical cancer


Black woman at higher risk of dying from cervical cancer

More than 70 per cent of cervical cancer cases for women aged 18-39 in Canada were caught at Stage 1 due to detection from cancer screening programs and tests like Pap smears, according to the Canadian Cancer Society. 

Story continues below advertisement

But in addition to access to information about screenings and tests, access to doctors and cost can also be factors. In Ontario, HPV tests cost around $100 and groups like Cancer Care Ontario are working to have the test covered by OHIP.

For those who didn’t receive the HPV vaccine in school, it can cost between $300 and $500 depending on if you have private health care coverage. 

Access to cancer screenings for marginalized people, including Indigenous people, is also an issue. Cancer Care Ontario is working to address issues like lack of access to care, culturally competent health care providers and providers in general.

Black women may be under-screened for cervical and breast cancer and there is a lack of health research on this issue, according to a literature review from the University of Toronto. This could lead to worse outcomes from these diseases, according to a previous report by Global News.

Another barrier to receiving care around cervical cancer prevention is the stigma associated with this form of cancer, as it’s related to women’s sexual health, said Denise Corbin, an early detection co-ordinator at the Saskatchewan Cancer Agency.

Corbin’s role involves engaging with the public in Saskatchewan to better inform them about cervical cancer screenings and early detection.

“It’s a topic that is touchy to talk about because what causes cervical cancer in nearly all cases is the HPV virus,” she said. “So seeing as HPV is a sexually transmitted infection, there’s not a lot of people that want to talk about it.” 

Story continues below advertisement

Most people who are sexually active will have an HPV infection at some point in their life. In most cases, it will go away, but sometimes it will not, which can lead to cancer, according to the Canadian Cancer Society.






0:56
HPV test should replace Pap tests for cervical cancer screening: study


HPV test should replace Pap tests for cervical cancer screening: study

Two strains of HPV, HPV16 and HPV18, can cause cells to change or become abnormal, which causes 70 per cent of all cervical cancers, according to the organization. But men are also encouraged to receive the vaccine as HPV also causes anal, penile, mouth and throat cancers.

There is shame associated with women talking about being sexually active and their bodies, and many aren’t comfortable doing so with a male doctor, said Corbin.


READ MORE:
HPV immunization program in B.C. cuts rates of pre-cancer in women, study says

“You’ve got stigmas of, ‘I’m not supposed to talk about it’ or ‘I’m afraid to talk about it,’” said Corbin. “And a lot of people think, ‘Oh, I had a Pap test, I’m good.’”

Getting the HPV vaccine along with cancer screenings is important to do along with a Pap test and monitoring your body for unusual symptoms, she said.

Recommendations for when to get a Pap test, which screens for cervical cancer, are to start at age 21 and get one every three years after that. However, in 2013, the Canadian Medical Association Journal published new guidelines that recommend tests start at age 25.

Story continues below advertisement

The main goal of the Saskatchewan Cancer Agency’s outreach program is to help women be comfortable with their own bodies and talk about their health, so they feel more inclined to get tested, said Corbin.

“We just sit down and talk about some of the fears … what they’re feeling anxious about,” she said, adding that the Pap test is invasive and uncomfortable, which can also be a deterrent.

Free HPV vaccination in schools has made a big difference in tackling cervical cancer rates, said Dr. Sarah Ferguson, a gynecologic-oncologist at the Princess Margaret Cancer Centre in Toronto. 

But accessibility continues to be an issue in health care, as costs continue to be barriers to care, said Ferguson. 

“We need to make sure that women are being screened and to maximize our HPV vaccinations,” she said, adding she is pleased to see rates of cervical cancer decrease in the country.

“We can’t be complacent, but it is a success story,” she said. “It’s important to… advocate for ourselves to make sure our screenings are done every three years to prevent cancer.”

 

Olivia.Bowden@globalnews.ca

© 2020 Global News, a division of Corus Entertainment Inc.

Let’s block ads! (Why?)



Source link

Continue Reading

Health

How many lives have coronavirus vaccines saved? We used state data on deaths and vaccination rates to find out – Devdiscourse

Published

 on


By Sumedha GuptaAssociate Professor of Economics, IUPUI Indianapolis, Oct 17 (The Conversation) More than 200 million US residents have gotten at least one shot of a COVID-19 vaccine with the expectation that the vaccines slow virus transmission and save lives.

Researchers know the efficacy of the vaccines from large-scale clinical trials, the gold standard for medical research. The studies found the vaccines to be very effective at preventing severe COVID–19 and especially good at preventing death. But it’s important to track any new treatment in the real world as the population-level benefits of vaccines could differ from the efficacy found in clinical trials.

For instance, some people in the US have only been getting the first shot of a two-shot vaccine and are therefore less protected than a fully vaccinated person. Alternatively, vaccinated people are much less likely to transmit COVID-19 to others, including those who are not vaccinated. This could make vaccines more effective at a population level than in the clinical trials.

I am a health economist, and my team and I have been studying the effects of public policy interventions like vaccination have had on the pandemic. We wanted to know how many lives vaccines may have saved due to the states’ COVID-19 vaccination campaigns in the US.

In March 2021, when weekly data on state COVID-19 vaccinations started to become reliably available from state agencies, my team began to analyze the association between state vaccination rates and the subsequent COVID-19 cases and deaths in each state. Our goal was to build a model that was accurate enough to measure the effect of vaccination within the complicated web of factors that influence COVID–19 deaths.

To do this, our model compares COVID-19 incidence in states with high vaccination rates against states with low vaccination rates. As part of the analysis, we controlled for things that influence the spread of the coronavirus, like state–by–state differences in weather and population density, seasonally driven changes in social behaviour and non-pharmaceutical interventions like stay-at-home orders, mask mandates and overnight business closures. We also accounted for the fact that there is a delay between when a person is first vaccinated and when their immune system has built up protection.

To check the strength of our model before playing with variables, we first compared reported deaths with an estimate that our model produced.

When we fed it all of the information available – including vaccination rates – the model calculated that by May 9, 2021, there should have been 569,193 COVID-19 deaths in the US. The reported death count by that date was 578,862, less than a 2 per cent difference from our model’s prediction.

Equipped with our well-working statistical model, we were then able to “turn off” the vaccination effect and see how much of a difference vaccines made.

Using near real-time data of state vaccination rates, coronavirus cases and deaths in our model, we found that in the absence of vaccines, 708,586 people would have died by May 9, 2021. We then compared that to our model estimate of deaths with vaccines: 569,193. The difference between those two numbers is just under 140,000. Our model suggests that vaccines saved 140,000 lives by May 9, 2021.

Our study only looked at the few months just after vaccination began. Even in that short time frame, COVID-19 vaccinations saved many thousands of lives despite vaccination rates still being fairly low in several states by the end of our study period. I can say with certainty that vaccines have since then saved many more lives – and will continue to do so as long as the coronavirus is still around.(The Conversation) RUP

(This story has not been edited by Devdiscourse staff and is auto-generated from a syndicated feed.)

Adblock test (Why?)



Source link

Continue Reading

Health

Week five without LRT service and Canada's women's soccer team plays in Ottawa: Five stories to watch this week – CTV Edmonton

Published

 on


OTTAWA —
A fifth week begins without LRT service, Ottawa’s top doctor has ‘cautious optimism’ for fall during the COVID-19 pandemic, and Canada’s Olympic champion women’s soccer team takes the pitch at TD Place.

CTVNewsOttawa.ca looks at five stories to watch in Ottawa this week

ALL ABOARD? CITY REVIEWS RETURN TO SERVICE PLAN FOR LRT

Ottawa transit riders could find out this week when service will resume on the Confederation Line.

City staff spent the weekend reviewing the return-to-service plan submitted by Rideau Transit Group following the LRT car derailment near Tremblay Station on Sept. 19.

Sources tell CTV News Ottawa the RTM return to service plan has a specific date, but staff must review the entire plan to assess if it’s possible. Officials expect that when the trains resume, it will be a gradual return to service.

City Manager Steve Kanellakos told council last week that Rideau Transit Group has identified a loose gearbox as the issue that caused the derailment.

The Transit Commission is scheduled to receive an update on the Confederation Line on Wednesday, which could include details on the derailment and return to service plan.

Meantime, the new boss of OC Transpo arrives on Monday.

Renee Amilcar replaces John Manconi as Transportation Services General Manager after Manconi retired last month. Amilcar worked with Montreal’s transit system as the director of bus maintenance.

QR CODES FOR COVID-19 VACCINE PASSPORT

Ontario’s new COVID-19 vaccine verification app and QR code system will roll out this week for people to access non-essential restaurants and services.

Individuals can download their QR codes through the Ontario government’s website, while businesses can download an app to check a vaccination status.

When a proof of vaccination QR code is scanned in the app, it will respond with either a green check, yellow caution sign or a red “X,” which means the certificate is invalid.

The yellow caution sign could be issued because the vaccine certificate being scanned was issued outside of Canada, the app says.

You will still need to show a piece of ID with the QR code.

Verify Ontario app

‘CAUTIOUS OPTIMSIM’ ON COVID-19 SITUATION IN OTTAWA

With Ottawa approaching a first dose vaccination rate of 90 per cent, medical officer of health Dr. Vera Etches says her outlook for fall is “one of cautious optimism.”

However, Dr. Etches is concerned about the number of close contacts unvaccinated children under 12 currently have.

“The most common source of COVID-19 infections for children and youth are household members.”

Etches is asking parents to limit extra curricular activities, sleepovers and other social activities outside of school for unvaccinated school to limit cases and help keep schools open.

Currently 89 per cent of Ottawa residents 12 and older have received one dose of a COVID-19 vaccine, while 85 per cent of residents are fully vaccinated. Dr. Etches has set a goal of over 90 per cent of residents fully vaccinated to limit the spread of the virus.

As of Sunday, there are five outbreaks in Ottawa elementary schools. The number of active cases is at 258, and hospitalizations remain low.

COVID-19 vaccine in Ottawa

MORE MONEY FOR THE OTTAWA PUBLIC LIBRARY

Ottawa’s finance and economic development committee and the Ottawa Public Library Board will vote Tuesday on spending more money to build the new super-library at LeBreton Flats.

The price-tag for the new joint library between the Ottawa Public Library and Library and Archives Canada jumped by $131 million, plus another $10 million for the parking garage.

A report says the increase from the initial estimate of $193 million (including the parking garage) to $334 million can be directly attributed to an escalation in the construction market.

“Canada is experiencing a significant increase in construction costs due to COVID-19 impacts,” said staff. “A combination of material shortages and commodity escalation, supply chain slowdowns and pressures, labour implications and a superheated construction market, have all been described by the Ottawa Construction Association and observed in recent city tenders.”

The city of Ottawa must spend an extra $65 million for the new super library, which will be covered through borrowing, using surplus funds and development charges.

Ottawa Public Library

CANADA’S WOMEN’S SOCCER TEAM PLAYS IN OTTAWA

Canada’s Olympic champion women’s soccer team will play in Ottawa next weekend, the first match since winning a historic Gold medal at the Summer Games in Tokyo.

Canada faces New Zealand at TD Place as part of the Women’s National Team Celebration Tour.  Game time 3 p.m. Saturday.

The team includes Ottawa’s Vanessa Gilles, who scored the decisive penalty shootout goal for Canada in the quarterfinals against Brazil.

For tickets, visit canadasoccer.com

canada women's soccer

EVENTS HAPPENING IN OTTAWA THIS WEEK

Tuesday

Ottawa Finance and Economic Development Committee meeting – 9 a.m.

Standing Committee on Environmental Protection, Water and Waste Management meeting – 1 p.m.

Ottawa Public Library Board meeting – 5 p.m.

Wednesday

Ottawa Transit Commission meeting – 9:30 a.m.

Atletico Ottawa vs. Valour FC. 7 p.m. at TD Place (TSN 1200)

Thursday

Ottawa Community and Protective Services Committee meeting – 9:30 a.m.

Ottawa Senators vs. San Jose Sharks. 7 p.m. at Canadian Tire Centre (TSN 1200 and TSN 5)

Saturday

Ottawa Senators vs New York Rangers. 1 p.m. at Canadian Tire Centre (TSN 5 and TSN 1200)

Canada’s women’s soccer team vs. New Zealand. 3 p.m. at TD Place

Ottawa Redblacks at Hamilton. 4 p.m. (TSN 1200 and TSN)

Adblock test (Why?)



Source link

Continue Reading

Health

Three more COVID-19 related deaths, 58 new cases, in New Brunswick Sunday – CTV News Atlantic

Published

 on


New Brunswick is reporting three more COVID-19 related deaths on Sunday, bringing the total number in the province to 90. 

All three deaths occurred in Zone 5 (Campbellton region). Two people were aged 40-49 and one person was aged 80-89.

“My thoughts are with the loved ones of the people who have passed away today,”Premier Blaine Higgs said in a release.

“We all have a role to play in slowing the spread of the virus. I want to thank the businesses that have taken steps to motivate employees to get vaccinated and I encourage other businesses to do the same. COVID-19 can pose a serious risk in the workplace and may impact a business’s operations, especially if an unvaccinated employee contracts the disease.”

There are 57 people hospitalized due to the virus, with 18 in an intensive care unit.

“Of the 18 in an intensive care unit, none are fully vaccinated (16 are unvaccinated and two are partially vaccinated). Of the total of all hospitalized, 29 are unvaccinated, six are partially vaccinated and 22 are fully vaccinated,” says the release.

58 NEW CASES

Public health is also reporting 58 new cases of COVID-19 Sunday and 117 recoveries, dropping the number of active cases to 935.

Of the new cases, 35 – or 60 per cent – are unvaccinated, five – or nine per cent – are partially vaccinated, and 20 – or 34 per cent – are fully vaccinated.

RAPID-TESTING PROGRAM EXPANDS

Beginning Monday, Oct. 18, people who are not a positive COVID-19 case will be able to pick up free rapid-test kits which they can administer at home.

Public Health has doubled the number of rapid test kits for each pick-up location Monday and throughout this week to help meet the initial high demand.

All the pick-up centres will be open during their scheduled hours or until the daily supply has been given out.

“We’re grateful for the high interest in these tests as people clearly want to do what they can to help fight the COVID-19 virus,” Dr. Jennifer Russell, chief medical officer of health, said in a release.

“Thank you for your patience with staff at the centres as they work as quickly as possible to distribute the tests.”

The kits will be available to the public at large at the following locations provincewide:

  • Moncton: Greater Moncton Health Centre, 150 Edmonton Ave., (3 p.m. to 9 p.m. Monday to Thursday, 1 p.m. to 5 p.m. Friday, and 9 a.m. to noon Saturday)
  • Cocagne: Cocagne Health Clinic, 4813 Rte. 134, (8 a.m. to 10 a.m. and 2 p.m. to 4 p.m. Monday to Thursday, and 8 a.m. to noon Friday)
  • Moncton: 380 MacNaughton Ave. (10 a.m. to 6 p.m. Monday to Friday)
  • Edmundston: Edmundston Regional Hospital, 275 Hébert Blvd., (2 p.m. to 4 p.m. Monday to Friday)
  • Clair: Haut-Madawaska Medical Clinic, 809 Principale St., (1 p.m. to 3:30 p.m. Tuesday, Wednesday and Thursday)
  • Grand Falls: Grand Falls General Hospital, 625 Everard H. Daigle Blvd., (8 a.m. to 4 p.m. Monday to Friday)
  • Saint-Quentin: Hôtel-Dieu Saint-Joseph de Saint-Quentin, 21 Canada St., (2 p.m. to 5 p.m. daily)
  • Campbellton: E.L. Murray Medical Clinic, 3 Stanley St., (2 p.m. to 4 p.m. Monday to Friday)
  • Dalhousie: St. Joseph Community Health Centre, 280 Victoria St., (noon to 3 p.m. Monday to Friday)
  • Shediac: Shediac Regional Medical Centre, 419 Main St., (8:30 a.m. to 4:30 p.m. Monday to Friday)
  • Belledune: Jacquet River Health Centre, 41 Mack St., (1 p.m. to 3:30 p.m. Monday to Friday)
  • Bathurst: Chaleur Regional Hospital, 1750 Sunset Blvd., (12:30 p.m. to 1:30 p.m. Monday to Saturday)
  • Caraquet: Enfant-Jésus RHSJ Hospital, 1 Saint-Pierre Blvd. W., (1 p.m. to 4 p.m. Monday to Friday)
  • Tracadie: Tracadie Hospital, 400 Des Hospitalières St., (1 p.m. to 3 p.m. daily)
  • Lamèque: Lamèque Hospital and Community Health Centre, 29 De l’Hôpital St., (noon to 3 p.m. Monday to Friday)
  • Paquetville: Paquetville Health Centre, 1096 Du Parc St., (8 a.m. to 4 p.m. Monday, Tuesday, Thursday and Friday, 1 p.m. to 4 p.m. Wednesday)
  • Saint-Isidore: Saint-Isidore Community Health Centre, 3973-1 Des Fondateurs Blvd., (12:30 p.m. to 3 p.m. Monday to Friday)
  • Saint John: Diamond Jubilee Cruise Terminal, (10 a.m. to 6 p.m. Monday to Friday)
  • Fredericton: Exhibition Grounds, 361 Smythe St., (10 a.m. to 6 p.m. Monday to Friday)
  • Miramichi: 365 Wellington St. (10 a.m. to 6 p.m. Monday to Friday)

The rapid test screening program is aimed at people two and older who are not a confirmed positive COVID-19 case. A kit has five tests to be used over a 10-day period. People 16 and under must be accompanied by an adult to acquire a testing kit.

VACCINATION UPDATE

Public Health reported today that 82.4 per cent of eligible New Brunswickers are fully vaccinated against COVID-19 and 91.5 per cent have received their first dose of a vaccine.

All eligible New Brunswickers can book their second-dose appointments for a date that is at least 28 days after their first dose.

Those attending a vaccination clinic are asked to bring their Medicare card, a signed consent form and, for those receiving their second dose, a copy of the record of immunization provided after receiving their first dose.

REGIONAL BREAKDOWN OF NEW CASES

The 15 new cases in Zone 1 (Moncton region) are as follows:

  • four people 19 and under;
  • four people 20-29;
  • two people 30-39;
  • two people 40-49;
  • one person 60-69;
  • one person 70-79; and
  • one person 80-89.

Thirteen cases are under investigation and two cases are contacts of previously confirmed cases.

The three new cases in Zone 2 (Saint John region) are as follows:

  • a person 20-29; and
  • two people 50-59.

All three cases are under investigation.

The ten new cases in Zone 3 (Fredericton region) are as follows:

  • one person 19 and under;
  • a person 20-29;
  • two people 30-39;
  • a person 40-49;
  • a person 50-59; and
  • four people 60-69.

All ten cases are under investigation.

The 13 new cases in Zone 4 (Edmundston region) are as follows:

  • five people 19 and under;
  • three people 20-29
  • a person 30-39;
  • a person 40-49;
  • a person 60-69; and
  • two people 70-79.

Twelve cases are under investigation and one case is a contact of previously confirmed cases.

The 14 new cases in Zone 5 (Campbellton region) are as follows:

  • four people 19 and under;
  • three people 30-39;
  • three people 40-49;
  • two people 50-59;
  • a person 70-79; and
  • a person 80-89.

Twelve cases are under investigation and two cases are contacts of previously confirmed cases.

The two cases in Zone 6 (Bathurst region) are as follows:

  • a person 50-59; and
  • a person 60-69.

Both cases are under investigation.

The one new case in Zone 7 (Miramichi region) is a person 80-89 and the case is under investigation.

Additional information is available on the COVID-19 dashboard.

POTENTIAL PUBLIC EXPOSURES

Anyone with symptoms of the virus, as well as anyone who has been at the site of a possible public exposure, is urged to request a test online to get an appointment.

Adblock test (Why?)



Source link

Continue Reading

Trending