What Cancer Patients Should Know About COVID-19

women in medical mask

If you are receiving treatment for your cancer, please call your health care provider before going to your next appointment. As health care systems adjust to address COVID-19, doctors treating cancer patients may also have to change when and how cancer treatment and follow-up visits are carried out. The risk of missing a cancer treatment will be weighed against the possibility of exposing a patient to infection.

**For the most up to date information on COVID-19, please check: the WHO’s COVID-19 Webpage, the Government of Canada’s COVID-19 Webpage, and the CDC’s COVID-19 Webpage.**

 

What is COVID-19?

Coronavirus disease 2019, abbreviated COVID-19, is the infectious disease caused by a recently discovered coronavirus named “SARS-CoV-2”. This new virus and disease were unknown before the outbreak began in Wuhan, China, in December 2019. The disease can cause mild to severe infections in the lungs.

COVID-19 symptoms can be mild to severe, and some people with the disease may not develop any at all. Also, you may not know you’re infected because symptoms are similar to a cold or flu and can take up to 14 days to appear after exposure.

Most people with COVID-19 have mild symptoms that affect how you breathe. Symptoms can include:

–  A fever over 38 °C (100.4 °F)
–  New or worsening cough
–  Shortness of breath
–  Muscle aches and pains
–  Sore throat
–  Runny nose or congestion
–  Diarrhea

Currently there is no vaccine to help control the spread of the disease, but research is ongoing and experts are working to develop one.

 

What is Coronavirus?

Human coronaviruses are a family of viruses that often cause mild illnesses, such as common colds, but can sometimes cause more serious respiratory diseases such as Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). The first coronavirus was identified and described in the 1960s and it’s likely that you’ve already one at some point in your life.

 

How Does COVID-19 Spread?

Current research shows that COVID-19 spreads through others who have the virus. The disease can spread from person to person through small droplets from the nose or mouth when they cough or simply exhale.

–  Droplets can be breathed in when a person coughs or exhales. This is why it is important to stay more than 1 meter (3 feet) away from a person who is sick.
–  Droplets can spread from close personal contact, such as hugging or shaking hands.
–  Droplets also land on surfaces. People may touch the surface and then touch their eyes, nose or mouth.

*Research in determining how the virus is spread is still ongoing. Researchers are looking into whether people without symptoms can spread the disease. We suggest monitoring the following pages to ensure you stay up-to-date: the WHO’s COVID-19 Webpage, the Government of Canada’s COVID-19 Webpage, and the CDC’s COVID-19 Webpage.

 

Information for Cancer Patients and Cancer Survivors

 

How Does COVID-19 Affect Cancer Patients and Cancer Survivors?

The Public Health Agency of Canada (PHAC) has stated that there is an increased risk of more severe outcomes for Canadians:

–  With compromised immune systems
–  With underlying medical conditions
–  Aged 65 and over

Compromised immune systems are weaker than an average healthy adult’s. As the primary role of the immune system is to help fight off infection, individuals with compromised immune systems are at a higher risk of getting them, including viral infections such as COVID-19.

Not all cancers affect patients’ immune systems, but some cancer patients and survivors have weakened immune systems, often as a result of treatment. For example, bone marrow transplants and intensive chemotherapy can cause a weakened immune system. Intense radiation therapy and surgery can have the same effect. The risk of having a compromised immune system is typically highest during the time of active cancer treatment.

Ultimately, at this point in time, it is believed that cancer patients and survivors MIGHT have a higher risk of COVID-19 than other individuals. Additionally, it has been shown that patients with cancer have poorer outcomes from COVID-19 than average healthy adults. If you are concerned about COVID-19 and you are a cancer patient or cancer survivor, talk to your doctor or healthcare team. They are the best and most trustworthy source of information for your specific situation and will also be the most up-to-date on COVID-19.

 

What Could this Mean for Hospital Visits?

Hospitals are trying to decrease the spread of the infection, which means several possible changes which could impact your next hospital visit. For example:

–  A “no visitor policy” at hospitals, subject to some exceptions, such as: language barrier, mobility, cognitive ability, mental health, end-of-life
–  Oncologists conducting virtual appointments where possible, with video-streaming check-ins and follow-up
–  Scheduled cancer surgeries changing times on a daily basis
–  When clinically safe, delays to:

o  Radiology scans
o  Biopsies
o  Preventive care procedures
o  Elective surgeries

These efforts are aimed at minimizing hospital traffic and reducing the risk of infection for you, other patients, and hospital staff. Remember that it is very important you continue all required treatment and follow-ups with your oncologists. Patients are advised to speak with their cancer care team for advice on non-essential clinic visits. Skipping cancer treatment because of concerns about the risk of infection is a serious decision and something that must be discussed with your oncologist. If you are considering this, please call your health care provider before your next treatment appointment and follow their guidance.

We also have a couple tips to help you on your next appointment:

  1. Call or video chat with your partner or a friend when speaking with your doctor.
  2. Write your questions down before your appointment and bring them with you, then write down your doctors answers as they give them.
  3. If easier, ask your doctor if you can make an audio recording of your appointment on your phone or another audio recording device.

For more helpful tips, take a look at the following article: 7 Tips for Making Your Solo Hospital Visit Better During COVID-19

 

How Can You Best Protect Yourself?

First and foremost, it is important to ask your doctor or nurse if they have special recommendations based on your health or type of treatment.

Generally speaking, there are no special steps cancer patients, cancer survivors, and people close to them must follow. The best way to protect yourself is to be extra cautious and extra careful in avoiding exposure to the virus. These precautions are the same as for other contagious respiratory illnesses.

  1. Avoid all non-essential trips, including trips in your community.
  2. Wash your hands often with soap and water or an alcohol based solution.
  3. Maintain social distancing by avoiding close contact (6 feet, which is about two arm lengths).
  4. Avoid touching your eyes, nose and mouth.
  5. Clean and disinfect frequently touched services.
  6. Do not gather in groups.
  7. Avoid all cruise travel and non-essential air travel.
  8. Call your healthcare professional if you have concerns about COVID-19 and your underlying condition or if you are sick.

For in-depth instructions on protecting yourself, visit the WHO’s “Advice for the Public” page.

 

Is There Any Special Advice for Self-Isolation?

Yes. Merry Jennifer Markham, MD, FACP, Interim Chief of the University of Florida (UF) Division, an Associate Professor in the UF College of Medicine, and the Associate Director for Medical Affairs at the UF Health Cancer Center, has offered a couple of tips:

  1. Be sure to have enough essential medications, both prescription and over-the-counter, to last for at least 1 month.
  2. Create or update an emergency contact list that includes family, friends, neighbors, and community or neighborhood resources who may be able to provide information or assistance to you if you need it.
  3. Stay connected to your support system. Make plans to connect with your family and friends virtually, through video chat or phone calls. Some examples of technology that can be used for video or other live chats are FaceTime, Zoom, Google Hangouts, and social media platforms, such as Instagram and Facebook.

You can read her full article on “What People with Cancer Need to Know” here.

 

What Should You Do if You Think You Have COVID-19?

You can do a short self-assessment online using the Government of Canada’s COVID-19 Symptom Self-Assessment Tool.

Call you doctor right away if you experience any of the following:

–  You have a fever higher than 38 °C (100.4 °F).
–  You feel short of breath.
–  You develop a cough, runny nose, or congestion.

 

Resources for Cancer Patients and Cancer Survivors

What Cancer Patients Need to Know about COVID-19

A variety of information produced by Toronto’s University Health Network. Updated regularly.

Coronavirus and COVID-19: What People With Cancer Need to Know

Reviewed and updated every day. Written by Merry Jennifer Markham, MD, FACP.

Cancer and COVID-19 (novel coronavirus)

The Canadian Cancer Society’s page on COVID-19.

Common Questions About the New Coronavirus Outbreak

The American Cancer Society’s page on common COVID-19 questions for cancer patients.

Common Questions About COVID-19 and Cancer: Answers for Patients and Survivors

ASCO Chief Medical Officer and Executive Vice President Dr. Richard Schilsky answers cancer patients’ and survivors’ frequently asked clinical questions about COVID-19.

Coronavirus: What People with Cancer Should Know

The National Cancer Institute’s page on COVID-19.

COVID-19 and Cancer Patients

The National Comprehensive Cancer Network’s fact sheet on COVID-19.

Self-Care & Distress Management During the COVID-19 Pandemic

The National Comprehensive Cancer Network’s booklet on handling the mental aspect of the COVID-19 pandemic.

Psychologist Dr. Johns answers questions about COVID-19

Dr. Shelley Johns’ answers questions about how cancer patients and survivors can manage stress caused by the pandemic.

Infographic | What patients with cancer should know about COVID-19

The Mayo Clinic’s infographic on COVID-19 and cancer.

 

Official Government of Canada Resources: COVID-19

Coronavirus disease (COVID-19)

Canada’s Central COVID-19 information page.

Coronavirus disease (COVID-19): Outbreak update

Canada’s outbreak tracker, including the current risk to Canadians.

Canada’s Official COVID-19 Self-Assessment Tool and App

The government’s COVID-19 self-assessment tool you can use from your computer and the COVID-19 support app to keep up to date using your Android and Apple devices.

Canada’s COVID-19 Economic Response Plan

Information about financial resources available to you during the pandemic.

Coronavirus disease (COVID-19) – Employment and Social Development Canada

Information on how to access and apply for benefits and access other Service Canada services.

Coronavirus disease (COVID-19): Awareness resources

Information on areas ranging from mental health during the pandemic, to advice for caregivers of infected children, to how to properly wash your hands.

Coronavirus disease (COVID-19): How to care for a person with COVID-19 at home

Advice on how to be an effective caregiver to a person diagnosed with COVID-19 while also protecting yourself.

Provincial Resources for COVID-19 Guidelines and Updates:

  1. Alberta – https://www.alberta.ca/coronavirus-info-for-albertans.aspx
  2. British Columbia – http://www.bccdc.ca/health-info/diseases-conditions/covid-19
  3. Manitoba – https://www.gov.mb.ca/covid19/index.html
  4. New Brunswick – https://www2.gnb.ca/content/gnb/en/corporate/promo/covid-19.html
  5. Newfoundland & Labrador – https://www.gov.nl.ca/covid-19/
  6. Nova Scotia – https://novascotia.ca/coronavirus/
  7. Ontario – https://covid-19.ontario.ca/
  8. Prince Edward Island – https://www.princeedwardisland.ca/en/topic/covid-19
  9. Quebec – https://www.quebec.ca/en/health/health-issues/a-z/2019-coronavirus/
  10. Saskatchewan – https://www.saskatchewan.ca/government/health-care-administration-and-provider-resources/treatment-procedures-and-guidelines/emerging-public-health-issues/2019-novel-coronavirus
  11. Northwest Territories – https://www.gov.nt.ca/covid-19/
  12. Nunavut – https://www.gov.nu.ca/health/information/covid-19-novel-coronavirus
  13. Yukon – https://yukon.ca/en/covid-19-information
  1. https://www.who.int/news-room/q-a-detail/q-a-coronaviruses
  2. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
  3. https://www.uhn.ca/PatientsFamilies/Health_Information/Health_Topics/Documents/What_Cancer_Patients_Need_to_Know_About_COVID19.pdf
  4. https://www.nccn.org/covid-19/
  5. https://www.nccn.org/covid-19/pdf/HCI-covid19-cancer-patients-factsheet.pdf
  6. https://www.mskcc.org/blog/2019-novel-coronavirus-covid-19-key-facts-and-what-it-means-people
  7. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/what-you-can-do.html
  8. https://www.cancer.org/latest-news/common-questions-about-the-new-coronavirus-outbreak.html
  9. https://www.cancer.net/blog/2020-04/coronavirus-and-covid-19-what-people-with-cancer-need-know
  10. https://www.cancer.net/blog/2020-03/common-questions-about-coronavirus-2019-and-cancer-answers-patients-and-survivors
  11. https://www.cancer.gov/contact/emergency-preparedness/coronavirus
  12. https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection.html
  13. https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/prevention-risks.html
  14. https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/symptoms.html
  15. https://newsnetwork.mayoclinic.org/discussion/infographic-what-patients-with-cancer-should-know-about-covid-19/
  16. Liang, Wenhua, Weijie Guan, Ruchong Chen, and Wei Wang. “Cancer Patients in SARS-CoV-2 Infection: a Nationwide Analysis in China.” The Lancet Oncology (AL); The Lancet Gastroenterology & Hepatology (LF); EBioMedicine (DS) 21, no. 3 (February 14, 2020): 335–37. https://doi.org/https://doi.org/10.1016/S1470-2045(20)30096-6.

Cancer patients face double jeopardy with COVID-19

New survey reveals cancer care disruption in Canada has triggered another public health crisis

OTTAWA, ONJuly 14, 2020 /CNW/ – The results of a new survey released today by the Canadian Cancer Survivor Network (CCSN) reveal that the disruption of cancer care due to COVID-19 has triggered another public health crisis. In fact, more than half (54%) of Canadian cancer patients, caregivers and those awaiting confirmation of a cancer diagnosis report having had appointments, tests and treatment postponed and cancelled, causing heightened fears and anxiety – even as some pandemic restrictions are lifted. The survey results confirm that safe and timely access to essential cancer care, including diagnostics, testing and treatment, must remain a top priority across Canada during any public health crisis.

“Cancer can’t wait. It can’t be cancelled or postponed,” said Jackie Manthorne, President and CEO of the Canadian Cancer Survivor Network. “We now know that the huge physical, psychological and financial impact of dealing with the COVID-19 pandemic, while also facing cancer, has put these Canadians in double jeopardy.”

CCSN-INFOGRAPHIC-1-DISRUPTION-OF-CARE

Disruption of cancer care causes major physical and psychological impacts

Most affected by the disruption in cancer care during the pandemic are those awaiting confirmation of a diagnosis and recently diagnosed patients (74% and 73% respectively), who are at a critical time in their cancer journey. And while many of those who contacted their doctors (83%) said they were able to have a virtual consult during the height of the COVID-19 pandemic, almost three-quarters (71%) of all surveyed remained concerned about access to in-person care, including being cared for in a hospital/emergency room and receiving various tests and treatment.

“As a breast cancer survivor, I’m vigilant about getting my annual mammograms to make sure that the cancer hasn’t returned. Due to the pandemic, my recent mammogram was postponed, with no word yet on when it will be rescheduled,” said Marcia Barton. “Early detection and treatment are really important. This delay is making me very anxious because I don’t know what is happening inside my body.”

CCSN-INFOGRAPHIC-2-MENTAL-AND-EMOTIONAL-TOLL

In addition to the physical impact of COVID-19 on those facing cancer, the disruption of care has taken a considerable mental and emotional toll, with the majority of respondents surveyed (74%) saying that delays in appointments and treatment have had a major impact on their mental and emotional health. Even as pandemic restrictions begin to lift, ongoing concerns about receiving adequate cancer care continue to fuel anxieties, especially among those with metastatic disease (67%) and caregivers (91%).

CCSN-INFOGRAPHIC-3-FEARS-FOR-THE-FUTURE

Crisis and pandemic planning must include essential cancer care

Based on these survey results, CCSN calls upon governments across Canada to heed the experiences of those facing cancer and their caregivers by providing for the explicit inclusion of essential cancer care in all crisis and pandemic planning.

“During these unprecedented times, we urge federal, provincial and territorial governments to ensure safe and timely access to essential cancer care and diagnosis – now and in the future – because cancer can’t wait,” insists Ms. Manthorne.

About the COVID-19 & Cancer Care Disruption in Canada Survey

To assess the extent to which COVID-19 has disrupted cancer care in Canada, a national web survey was conducted by Leger on behalf of CCSN among 1,243 people (960 cancer patients, 206 caregivers of cancer patients and 77 patients in cancer pre-diagnosis) from May 22 to June 10, 2020, using Leger’s online panel, LEO, and with participation from the broader cancer community.

For comparison, a probability sample of the same size would yield a margin of error of +/-3.2%, 19 times out of 20 for patients, +/-6.8%, 19 times out of 20 for caregivers, and +/-11.2%, 19 times out of 20 for patients in cancer pre-diagnosis.

About Canadian Cancer Survivor Network

CCSN works to connect patients, survivors and other stakeholder groups with decision makers and the wider community to engage in discussion and to act on evidence-based best practices to alleviate the medical, emotional, financial and social costs of cancer. To learn more, visit www.survivornet.ca.

SOURCE Canadian Cancer Survivor Network

For further information: or to request an interview, please contact: Rosalind O’Connell, Advocacy Solutions, rosalind@advocacysolutions.ca, 1-613-650-7489; Lauren Wu, Advocacy Solutions, lauren@advocacysolutions.ca, 1-289-230-9813


COVID-19 and Cancer Screening

Due to the COVID-19 pandemic, many screening programs were suspended in preparation for an expected influx of COVID-19 patients, as required by health officials in March 2020. However, as of June 2020, screening programs across Canada have gradually started resuming. These screening tests are starting up slowly to keep patients and healthcare staff safe and to help minimize the spread of COVID-19.

Here is a list of each province with their guidelines on reintroducing screening programs.


Alberta

Breast cancer screening

Alberta Health Services Screen Test resumed its services early June 2020. Screen Test is Alberta’s screening service that helps educate and increase the number of women, aged 50 to 74, who have regular breast cancer screening using mammograms.

Call Screen Test to book or change your appointment at 1-800-667-0604.

Click here to view the Screen Test Mobile Schedule.

Click here for a list of breast cancer screening centres in Alberta. 

Cervical cancer screening

Patients have been asked to contact their healthcare provider to discuss when regular Pap Tests will resume.

Colorectal cancer screening

The Fecal Immunochemical Test (FIT) resumed in Alberta on June 15, 2020. If you are 50 to 74 years old, ask your healthcare provider about the FIT home stool test. You will be given a lab requisition form to go and pick up your FIT kit at a community lab.

Click here for a list of colon cancer laboratory locations in Alberta.


British Columbia

Breast cancer screening

The BC Cancer Breast Screening Program resumed screening mammography services, including its three mobile screening units.  Priority is being given to those whose mammograms were cancelled during the suspension of services. 

Click here for a list of breast cancer screening centres in British Columbia.

Cervical cancer screening

Cervical screening has been affected by COVID-19. Please contact your healthcare provider to see when he or she will be performing Pap tests.  

For additional information, please call 604-877-6187 or 1-800-663-9203.

Colorectal cancer screening

The Fecal Immunochemical Test (FIT) is now available in labs throughout the province. Ensure you bring your requisition with you to pick a FIT kit from the lab. If you no longer have your requisition for FIT, please call 1-877-702-6566 to contact the Colon Screening Program.

Click here for a list of colon cancer lab locations in British Columbia. 


Manitoba

Breast cancer screening

BreastCheck is offering appointments at all sites.

Click here for a list of breast cancer screening centers in Manitoba.

Cervical cancer screening 

CervixCheck has resumed across the province. Contact your doctor or nurse to book an appointment for a Pap test.

For additional information, please call CervixCheck at 204-788-8626 or contact your primary healthcare provider.

Click here for a list of cervical cancer screening centers in Manitoba.

Colorectal cancer screening

ColonCheck is now mailing out home screening test kits. Requests for test kits are now being accepted.

You can request a home screening test online from ColonCheck.

For additional information please call ColonCheck at 1-855-952-4325 or contact your family doctor.


New Brunswick

Breast cancer screening

The New Brunswick breast screening program encourages asymptomatic women between the ages of 50-70 to participate in routine screening at a screening mammography centre. 

Click here for a list of breast cancer screening centers in New Brunswick.

For additional information, please call 1-844-777-3443 or ask your primary healthcare provider.

Cervical cancer screening

Please contact your healthcare provider for information regarding the Pap test.

Click here for a list of cervical cancer screening centers in New Brunswick.

For additional information, please call 1-844-777-3443 or ask your primary healthcare provider.

Colorectal cancer screening

Colon Cancer Screening program in New Brunswick is now available province-wide.

The colorectal cancer screening program invites New Brunswick residents aged 50-74 to request and complete the colorectal screening test at home. 

For additional information, please call 1-844-777-3443 or ask your primary healthcare provider.


Newfoundland and Labrador

Breast cancer screening

Mammograms have resumed at a limited capacity province-wide. The breast screening program is being offered at three sites in the province; St. John’s, Gander and Corner Brook. 

To book an appointment or for additional information, please call the location closest to you.

  • Eastern Health: (709) 777-5070 or 1-800-414-3443 
  • Central Health: (709) 256-5597 or 1-800-414-3443 
  • Western Health: (709) 634-8558 or 1-800-414-3443

Cervical cancer screening

Please contact your healthcare provider for information regarding the Pap test.

Click here for more information on cervical screening locations and contacts list across the province.

Colorectal cancer screening

Colorectal screening services have resumed province-wide. Fecal immunochemical test (FIT) kits are being mailed out. This test is to be completed at home and sent to a lab for testing.

For additional information on how to obtain a FIT kit, please call 709-752-6713 or 1-855-614-0144


Northwest Territories

Breast cancer screening

The breast screening program resumed screening mammography services in June. Mammography centers are located in Yellowknife, Hay River, and Inuvik.

For additional information, please call 867-765-4020 or speak to your primary healthcare provider. 

Cervical cancer screening

Contact your doctor or nurse to book an appointment for a Pap test. 

For additional information, please call 1-866-313-7989 or speak to your primary healthcare provider.

Colorectal cancer screening

Fecal immunochemical test (FIT) kits are now available in every NWT community. To book an appointment, please contact your primary care provider. 

For additional information, please call 1-866-313-7989 or speak to your primary healthcare provider.


Nova Scotia

Breast cancer screening

Beginning August 14, some screening sites have resumed services at a limited capacity.

Patients who have had their appointments cancelled due to COVID-19 or are due now can call 902-473-3960 or 1-800-565-0548 to book a screening appointment at Kentville, Halifax, Dartmouth, Cobequid, Truro, Amherst or New Glasgow. 

For additional information, please call 902-473-3960 or 1-800-565-0548 or speak to your primary healthcare provider.

Cervical cancer screening

Nova Scotia Health Authority has informed family doctors that they can now provide Pap tests, based on available local resources. 

Priority will be given to: 

  • Patients with a mild abnormality who have been referred to have repeat Pap tests every six months and are overdue for their repeat Pap.
  • Patients with a prior history of treatment of cervical dysplasia or cervical cancer who are receiving annual Pap tests and who are overdue for their Pap test.
  • Patients needing routine Pap tests. 

You can book an appointment to have a Pap test with your healthcare provider or make an appointment at a Well Woman clinic

For additional information, please call 1-888-480-8588 or your primary healthcare provider.

Colorectal cancer screening

Nova Scotia Health Authority has temporarily suspended the Colon Cancer Prevent Program.  

Home screening kits for colon cancer are currently not being mailed out. However, home screening kits that have been mailed to the lab continue to be processed. 

Priority is being given to the backlog of people waiting for colonoscopies. 

For additional information, please call 1-866-599-2267 or ask your primary healthcare provider.


Nunavut

Nunavut does not provide breast, cervical or colon cancer screening programs. If you are concerned about your breast, cervical or colon health, please talk to your healthcare provider.


Ontario

Breast cancer screening

The Ontario Breast Screening Program screens women between the ages of 50 and 74 as well as high-risk women from ages 30-69.  

Click here for a list of breast cancer screening centres in Ontario.

Click here for a list of high risk breast cancer screening centres in Ontario.

For additional information, call 1-800-668-9304 or ask your healthcare provider.

Cervical cancer screening

Healthcare providers are gradually starting routine cervical cancer screening tests again. 

Women in the North West and Hamilton, Niagara, Haldim and Brant regions may be eligible for screening in one of the mobile screening coaches offered by Cancer Care Ontario.

For additional information, call 1-866-662-9233 or ask your healthcare provider.

Colorectal cancer screening.

Colorectal cancer screening programs are starting up slowly again in Ontario. 

However, fecal immunochemical test (FIT) kits through ColonCancerCheck are still on hold and will not be mailed out until further notice. 

For additional information, please call 1-866-662-9233 or ask your family doctor.


Prince Edward Island

Breast cancer screening

Breast screening services in PEI resumed province-wide in May. Currently, patients whose appointments were postponed or cancelled are being scheduled. 

For additional information, please call (902) 894-2914 or ask your healthcare provider.

Cervical cancer screening

Due to COVID-19, cervical cancer screening is not being offered at this time. 

For additional information, please call (902) 368-5901 or 1-888-561-2233.

Colorectal cancer screening

Due to COVID-19, colorectal cancer screening is not being offered at this time. 

For any further questions please call (902) 368-5901 or 1-888-561-2233.


Quebec

Breast cancer screening

As of June 4, 2020, breast cancer screening services have gradually resumed. Letters of invitation to participate in the Québec Breast Cancer Screening Program (PQDCS) are gradually being sent out again. 

If your appointment for a mammogram was cancelled because of the pandemic, your Designated Screening Centre (CDD) will contact you to schedule another appointment. If you received a letter of invitation but are no longer in the target age group to participate in the Québec Breast Cancer Screening Program, you must get a medical prescription for a mammogram. 

Click here for a list of breast cancer screening centres in Quebec. 

Cervical cancer screening

Please contact your healthcare provider for information regarding the Pap test.

Colorectal cancer screening 

Please contact your healthcare provider for information regarding colorectal cancer screening. 

In Quebec, colorectal cancer screening uses the immunochemical fecal occult blood test (iFOBT). This test can be done at home and must be brought to the specimen collection centre where you obtained the kit no later than 49 hours after taking the sample. Test results will be sent to your primary healthcare provider.


Saskatchewan

Breast cancer screening

The breast cancer screening program has gradually started performing screening mammograms again. Invitation letters have started being sent to people who are eligible or due for screening.

For additional information, please call 1-855-584-8228 or your primary healthcare provider.

Click here for a list of breast cancer screening centres in Saskatchewan.

Colorectal cancer screening

The Screening Program for colorectal cancer has started mailing Fecal Immunochemical Test (FIT) kits to residents in small numbers. 

If you receive a FIT kit in the mail, complete your kit and send it back to be analyzed. If you already have a FIT kit that you previously received in the mail, wait to complete it until you have received a reminder letter from the program asking you to do so.

For additional information, please call 1-855-292-2202 or ask your primary healthcare provider.

Cervical cancer screening

The cervical cancer screening program has resumed sending invitation letters in a phased approach. Eligible participants are encouraged to follow the normal process for booking an appointment for a Pap test with your healthcare provider. Results will be mailed out to you after your screening. 

For additional information, please call 1-800-667-0017 or ask your primary healthcare provider.

Click here for a list of cervix cancer screening centres in Saskatchewan.


Yukon

Breast cancer screening

Breast cancer screening has resumed province wide. 

For additional information, please call 867-393-8738 or ask your primary healthcare provider. 

Colorectal cancer screening

Colorectal cancer screening has resumed province-wide. To get your Fecal Immunochemical Test (FIT) kit, please contact your family doctor or healthcare provider. 

For additional information, please call 867-667-5497 or ask your primary healthcare provider.

Cervical cancer screening

The Yukon does not have a cervical cancer screening program. Please talk to your healthcare provider about getting a Pap test.