- Updated Fall 2003
The CACC provides ongoing
coverage and analysis of events, breakthroughs, and news on cancer
care in Canada. Current CACC
advocacy efforts include activity around Canada's national Cancer
Care issues, and what that means to patients including updates from
the Canadian Strategy for Cancer
- October 1, 2003 CACC moves to an office on
St. Clair Avenue in Toronto
- March 25, 2003 CACC holds Advocacy Information
Evening at Gilda's Club in Toronto
16, 2003 Deadly Silence Meets Growing Cancer Crisis
26, 2002 Ontario's Leading Cause of Cancer Death Needs Priority Attention
2002, Canada News Wire - Archive Press Releases Cancer Advocacy Coalition
05 , 2002 CACC CACC Response to the Romanow Commission on the Future
30, 2002 CACC Recommendations to
the Romanow Commission
2, 2002 At the Annual Premiers Conference in Halifax Canada's Premiers
want the federal government to share more of its surplus with the
provinces for Health Care.
1, 2002 Premiers call for a new funding partnership for Health Care
New Study may confirm potential fiscal imbalance.
25, 2002 Fighting Lung Cancer - Canada's Biggest Cancer Killer
March 6, 2002 Speed up drug-approval process, feds told.
4, 2002. The CACC Responds ! On Going Commentary on Cancer
and Health Care Advocacy in Canada
alone not enough to save medicare, Romanow commission hears in Regina.
Saskatchewan Premier Lorne Calvert says it must come forward with
something better than... 14-cent dollars for health care.
on the Future of Health Care Interim Report Released
and Check out the Interim Health Care Commission Report at HealthCareCommission.ca
- The Commission on the Future
of Health Care in Canada will make recommendations by November 2002
on sustaining a publicly-funded health system in Canada that balances
investments in prevention and health maintenance with those directed
to care and treatment. -
Ontario Hospital Association (OHA) Reacts to Romanow Commission Interim
Canadian Medical Association (CMA) responds to Romanow's Interim Report
24th, 2002 The Canadian Labour Congress urges Patients, not Politics
of a unique world-class cancer resource centre that will revolutionize
the way scientists study and treat cancer will be set up in BC
Here to Download Adobe Acrobat
NEWS RELEASE - December,
2001 on Cancer Care in Canada
"Canada is being overwhelmed by cancer"December
13, 2001 - The Cancer Advocacy Coalition of Canada, a watchdog organization
that tells Canadians what is really happening to our cancer system,
has released its Cancer Care in Canada, Report Card for 2001
and the statistics are disturbing. Waiting Times
Based on a survey of all provinces,
Canadians diagnosed with cancer will have different waiting times, access
to treatment and survival rates, depending on where they live.
- For the 12 months ending August
2001, the waiting time for radiation therapy ranged from 19 days in
Manitoba to 47 days in Ontario and anywhere from 21 to 49 days in
Alberta. British Columbia reports a median waiting time of 21 days.
The Canadian Association of Radiation Oncologists recommends that
radiation therapy should begin within four weeks of referral to the
- Ontario estimates that in the 12
month period surveyed, the number of patients treated within the recommended
four weeks ranged from 28 percent to 35 percent, while 40 percent
of patients waited more than eight weeks from referral to the start
of radiation therapy.
- Waiting times to begin chemotherapy,
from the date of referral to the oncologist to the start of treatment,
are highest in Newfoundland at 60 days and lowest in British Columbia
at 15 days, with Ontario reporting 34 days and Alberta reporting 21-35
Dr. Denis Roy, CEO of the Quebec Provincial
Fight Against Cancer, says the delays from diagnosis and referral to
treatment "are of paramount importance because it is at the very beginning
of treatment that we can make a difference."
Again this year, the BC Cancer Agency
produced the best results for access to treatment and survival rates,
but even the best system in the country has its problems. "Access to
new drugs is more of a problem than wait times for therapy," said Dr.
Susan O Reilly, head of the Division of Medical Oncology at the University
of British Columbia and the BC Cancer Agency. "We may soon be in a position
where provinces can t afford to pay for them and we will have to make
some very tough decisions about what drugs or treatments drop off the
list."Shortage of professionals
The culprit in these figures is a severe
shortage of cancer care professionals in Canada, including nurses, oncologists
and radiation therapists.
- Patients in Atlantic Canada wait
the longest for an appointment with an oncologist up to two months
- Prince Edward Island sends all its
cancer patients elsewhere for treatment and New Brunswick s shortage
means that many patients are sent to Maine.
- Manitoba is unable to deliver new
radiation therapies, such as brachytherapy for prostate cancer, because
of a shortage of radiation therapists.
Across Canada there are not enough
people working in cancer care to meet the demands of patients. "The
country doesn t understand the magnitude of the problem," said Dr. Bill
Evans, Executive Vice President of Clinical Programs at Cancer Care
Dr. Brent Schacter, President and CEO
of Manitoba Cancer Care, believes "the greatest challenge is the heavier
burden of the growing incidence of cancer. It creates problems in a
number of areas. It changes the way we do our work." With the incidence
of cancer growing at three percent per year, Canada does not have the
professional resources to keep up. Spending
Cancer spending by the provinces also
varies widely. The investment per person (dividing cancer agency budgets
by the provincial population in 2000) is an indicator of waiting times
and barriers to treatment.
These figures are for the cancer agencies
only, and do not include the cost of other services, such as diagnosis,
surgeries in community hospitals or home care visits. Cancer agencies
are responsible for research, education, prevention programs, radiation
and systemic therapy.
- The highest annual spending occurs
in Alberta and British Columbia (at $45 and $44 per person respectively);
- The lowest per capita spending is
in Newfoundland, at approximately $18 per year;
- Saskatchewan ($35) Nova Scotia ($31)
and Manitoba ($30) are mid-range;
- Ontario spends approximately $21
per person on cancer research, treatment and education per year, barely
beating Newfoundland for the smallest amount of per capita spending.
- Quebec and New Brunswick do not
have organized cancer agencies and could not report on their cancer
care spending. PEI sends it cancer patients elsewhere for treatment.
Data collection by provinces is so
underdeveloped that only five provinces could report on survival rates,
only six have any information about waiting times for radiation therapy
or the interval between referral and the start of treatment. Poor data
collection means that Canadian organizations responsible for cancer
care do not know if they are delivering the care that people need.
The full report contains more details
on all these subjects, plus:
- the prevalence of cancer as reported
by six provinces (the others don t know);
- five and ten year survival rates
for the top four cancers (in the very few provinces that collect such
- the priorities for improvement identified
by each province; and
- a special report on Cancer Care
Web Cast - Breast Cancer Care & Treatment
- Expert Panel
November 14th 2001
8pm EST - www.breastcancerguide.ca
Download Word Doc
Canadian Strategy for Cancer
1st Oct, 2001 - Canadian Strategy for Cancer Control Update
- PDF English Version
1st Oct, 2001 - Canadian Strategy for Cancer Control Update
- PDF French Version
2 June, 2001: Press Release, Advocacy
Group Alarmed at Restructuring of Ontario's Cancer Agency
8 June, 2001: Cancer Patients Want
Voice in Restructuring of Ontario s Cancer Agency
The CACC is also focusing advocacy
efforts on the Canadian Strategy for Cancer Control
a wide-ranging public policy document that will make much-needed, sweeping
changes to the entire cancer spectrum. Please click on the documents
immediately below to take part.
Canadian Strategy for Cancer Control
21 February, 2001: CACC
Invitation to Conference Participants and Advocacy Action Plan
21 February, 2001: CACC
Report on the Canadian Strategy for Cancer Control
21 February, 2001: The
Personal As Political: Tell Your Story to Your Politicians
15 December, 2000: Ontario
government increases spending on cancer research
24 November, 2000: News
release: Federal Party Leaders Fail CACC 'Cancer Test'
Patient Advocates Ask,
Never Mind Taxes Who Will Cut Cancer?
TORONTO, 24 November,
2000 Canada s would-be Prime Ministers have flunked the Cancer
Advocacy Coalition of Canada s Cancer Test despite mounting evidence
that cancer patients are better off getting treatment in most U.S. states
than here at home....
16 November, 2000: News release: Federal
Party Leaders urged to take 'cancer test'
Appeal follows further evidence of differences
in cancer outcomes between Canada and U.S.
TORONTO, Nov. 16 /CNW/ - Armed with statistics showing that some Canadian
provinces seem to lag behind American states with regard to the outcomes
for certain types of cancer, the Cancer Advocacy Coalition of Canada
(CACC) today took action to push for specific commitments on cancer
issues from the federal party leaders in the current election campaign.