Cancer Care Project

Background

  • Aboriginal populations are over-represented in cancer under or never screened (UNS) populations
  • Cancer Care Ontario surveillance data shows a rise of incidence rates of colorectal cancer in First Nations men above Ontario rates
  • First Nations women are diagnosed at a more advanced stage of breast cancer on average when compared with Ontario women

What is cancer screening?

The purpose of cancer screening is to detect pre-cancerous changes or cancer at an early stage, when it is less likely to have spread and there is a better chance of treating the cancer successfully. Evidence supports regular screening for breast and colorectal cancer to reduce mortality rates, yet screening rates remain below provincial goals.

What is the Under/Never Screened Cancer Pilot Project?

The focus of the project is to increase colorectal and breast cancer screening within select Aboriginal populations in NE Ontario, by targeting urban Aboriginal people in Sudbury, rural Aboriginal/First Nations people living on Manitoulin Island and along the north shore of Lake Huron as well as Aboriginal/First Nations people living in the remote communities of Moosonee and the First Nations communities in the James and Hudson Bay coast.

Who is involved in the pilot?

WAHA is working in partnership with the following parties to administer the UNS Pilot Project:

Lead Organization: North East Cancer Centre in Sudbury

Community Partners:

  • Weeneebayko Area Health Authority
  • Wikwemikong Health Centre
  • Mnaamodzawin Health Services
  • M’Chigeeng Health Services
  • Noojmowin Teg Health Centre
  • Mamamweswen/North Shore Tribal Council Health Services
  • N’Mninoeyaa Aboriginal Health Access Centre
  • WAHA

Desired Outcome for the Pilot

To increase screening rates for breast and colorectal cancer in the Hudson and James Bay Region.

Goals:

  1. To develop a screening eligible database that can be used to create baseline data and to establish targets for cancer screening.
  2. To develop an education campaign to increase knowledge in the region about colorectal and breast cancer screening.
  3. To develop an invitational pilot for colorectal cancer inviting eligible people to be screened within the region.

Objectives:

  1. To engage in chart audits in order to establish a screening eligible database for the region.
  2. To reach out to communities to build relationships/partnerships to assist in educating the population about breast and colorectal screening.
  3. To educate healthcare practitioners about provincial cancer screening guidelines.
  4. To develop a culturally safe and relevant cancer awareness campaign in order to increase awareness about breast and colorectal cancer.

Who is involved from the Weeneebayko region?

The WAHA Board of Directors supported the project and provided a letter of partnership to the North East Cancer Centre in May 2011.

  • Moosonee
  • Moose Factory
  • Fort Albany
  • Attawapiskat

WAHA outreached to the Chief and Council at Peawanuck First Nation and Kashechewan First Nation. Both Peawanuck and Kashechewan First Nations provided letters of endorsement supporting implementation of the project in their communities.

Community Launch

The UNS Cancer Pilot Project officially launched to the James and Hudson Bay communities on November 1, 2012. WAHA held a community launch on October 30, 2012 to announce the project.

Watch the community launch on You Tube. The proceedings are on the WAHA UNS Cancer Project Facebook Page. Connect here:

https://www.facebook.com/pages/Weeneebayko-Cancer-Pilot-Project/369673716432045?bookmark_t=page

Who should be screened?

All patients meeting the age criteria between 50 to 74 years were identified & listed in a screening database for WAHA. Below are the approximate number of patients from each site that met the provincial criteria for breast and colorectal screening:

  • Attawapiskat: 476 patients
  • Fort Albany: 229 patients
  • Moose Factory: 520 patients
  • Moosonee: 490 patients
  • Kashechewan: 242 patients
  • Peawanuck: 50 patients

Approximate # of patients: 2007 in the study.

How is WAHA engaging with the Communities?

WAHA UNS Working Group:

WAHA created a working group to support implementation efforts in each of the communities in the Hudson and James Bay region. The working group members are as follows:

  • Weena Saunders, Moosonee Health Centre
  • Rachel Cull, Weeneebayko General Hospital
  • Crystal Culp, Fort Albany Hospital
  • Delma MacKenzie, Attawapiskat Hospital
  • Scott Miller, Kashechewan Nursing Station
  • Elaine Milne, Peawanuck Nursing Station

This working group has been actively involved in the project and has provided great insight into the resources and tools developed for the region.

Breast Cancer

Public Service Announcement (PSA):

The public service announcements will be played on Wawatay radio throughout the campaign. The PSA’s were also translated to Cree.

Public Service Announcement

Wachay,

WAHA and the Ontario Breast Screening Program want more local women to get screened for breast cancer. If you are a woman aged 50-74 and have never been screened or it has been more than two years since your last one, please see your doctor or nurse to arrange for a mammogram. Please, help us to put the squeeze on breast cancer.

Meegwetch

Breast Cancer Brochure and Fact Sheet

An information brochure and fact sheet is developed for women to educate about breast cancer and the importance of screening.

Invitation to Screen Letter

Breast Screening Invitation

  1. The invitation letter is designed to encourage women who live in the region that are between the ages of 50 and 74 years to get a mammogram
  2. WAHA is a member of the Ontario Breast Screening Program
  3. If you are between the ages of 50 & 74 years you will receive a letter in the mail or it will be dropped off at your home
  4. Please help us squeeze out breast cancer in our region by going to screening or encouraging your loved ones to go if they should be

If I do not get a letter can I still get screened?

Any female in our region who is between the ages of 50 to 74 years and who has not been screened in the past two years should ask about screening even if they did not receive a letter.

If you are not in this age category but have a family history of cancer (mother, father, sister or brother) you should discuss cancer screening with your Nurse or Doctor.

Breast Cancer Poem: Put the Squeeze on Breast Cancer

Written by: Caroline LIdstone-Jones, Robert Gagnon and James Butler

Listen to Anne and the St. Thomas Anglican Church Choir, Moose Factory read the Put the Squeeze on Breast Cancer poem on You Tube. The poem is linked to the WAHA UNS Cancer Project Facebook Page. Connect here:

https://www.facebook.com/pages/Weeneebayko-Cancer-Pilot-Project/369673716432045?bookmark_t=page

Put the squeeze on breast cancer.
Don’t want a booby surprise.
Squeeze out breast cancer.
Feeling so alive.
Maybe you have daughters
And maybe you have sons
Maybe you’re an aunty and someone’s special one.
I was told a story by my nurse the other day.
I turned 50 and she said prevention was the way.
Just get a mammogram test.
A mammogram test.
Put the squeeze on breast cancer.
Don’t want a booby surprise.
Squeeze out breast cancer.
Feeling so alive.
Are you seeing changes, to your breasts?
Visit your nurse or doctor
Let them guide you with the rest.
Put the squeeze on breast cancer.
Don’t want a booby surprise.
Squeeze out breast cancer.
Feeling so alive.

Contest Winners

Colorectal Cancer Public Service Announcement

Wachay,

WAHA and the Colon Cancer Check program want more local men and women screened for colorectal cancer. If you are aged 50 – 74 and have never been screened or it has been more than two years since your last one, please see your doctor or nurse to get your FOBT kit. Check your behind and remind your loved ones to! Sure it takes a little courage to scoop your poop on a stick but cancer is scarier.

Meegwetch

Colorectal Cancer Brochure and Fact Sheet

An information brochure and fact sheet is developed for women and men to educate about colorectal cancer and the importance of screening.

WAHA Colon Cancer Brochure Page One
WAHA Colon Cancer Brochure Page Two
WAHA Colon Cancer Fact Sheet (link coming soon)

Invitation to Screen letter

Colorectal Screening Invitation

The invitation letter is designed to encourage men and women who live in the region that are between the ages of 50 and 74 years to go for colorectal screening.  If you are between the ages of 50 & 74 years you will receive a letter in the mail or it will be dropped off at your home to participate in screening. WAHA is encouraging colorectal screening by holding a community contest to help increase participation.

Colorectal Cancer Song: Pardon Me, Just Passing Through

Performed by Lawrence Martin

Listen to Lawrence sing the Pardon Me, Just Passing Through song on You Tube. The song is linked to the WAHA UNS Cancer Project Facebook Page. Connect here:

https://www.facebook.com/pages/Weeneebayko-Cancer-Pilot-Project/369673716432045?bookmark_t=page

Pardon Me, just passing through
Colorectal cancer don’t want to be part of you.
Lifestyle choices can take you away
Fibre and greens gone today
Fried food and other sweets take the place
As the weight piles on, filling out the face
A trip to the doctor can help change it around
Helping to put your feet on the ground
Use the support of family and friends
Because their love never ends
Pardon Me, just passing through
Colorectal cancer don’t want to be part of you.
But it doesn’t have to be like this today
50 is here, FOBT is the way
There’s lots more time
Just do the kit, don’t spend a dime
Take it home and fill it up, times three
So much happier your life might be
Three days to scoop a little poop
Don’t be thrown for a loop
Sticks and a kit you’ll be given
Oh there is so much more of life to be liven
Every 2 years you’ll get a letter
Catching it early is a lot better
Pardon Me, just passing through
Colorectal cancer don’t want to be part of you.

What is the Community Contest for Colorectal Cancer Screening? A community contest is developed to support colorectal screening. The contest is only linked to colorectal screening. We have greatest difficulty with getting participation in colorectal screening (ie collecting stool (poo) samples) so we are utilizing this community contest to help promote the importance to our communities.

We are looking to determine and evaluate if holding a contest helps to promote, engage discussions and action in a healthy safe environment for community members especially when it comes to educating about new behaviours that may be embarrassing or uncomfortable. Most importantly we are looking to promote the usage of the provincial based colon cancer check program so that our patients become registered in their databases. Once this is done our patients will receive reminder letters when it is time for them to participate again in colorectal screening.

Find attached the community contest rules for the pilot:

WAHA community contest rules for colorectal screening

Why a community contest to promote colorectal screening?

  • To create engagement and a forum to talk about colorectal cancer screening freely
  • It is not an easy topic to discuss so we are hoping to make it easier and change behaviour to make screening an acceptable and natural part of health care
  • Creating potential savings to the system Prevention – early detection and not later stage diagnosis which is more costly to the health system (treatment, follow up and after care)
  • Helps to create strategies to address the impacts of residential schooling  – Allowing people to talk and ask questions about their body and private parts and not be ashamed to do that or hide those parts

How do I find out more?

For the first time ever, WAHA has created a Facebook page to support the education roll out of the cancer screening pilot project. You can visit our facebook page by clicking here:

https://www.facebook.com/pages/Weeneebayko-Cancer-Pilot-Project/369673716432045?bookmark_t=page