Cervical cancer is both the fastest-growing type of cancer in Canada and one that is almost completely preventable — and advocates are gathering in Ottawa on Wednesday to call on the federal government to step up screening, prevention and vaccination.
The Society of Gynecologic Oncology of Canada, the Women's Health Coalition and 19 other groups are holding a press conference to urge lawmakers to act to reverse the worrying trend.
Dr. Shannon Salvador, president of the Society of Gynecologic Oncology of Canada, said in a press release that Canada has set a goal of eliminating cervical cancer before 2040.
"Some countries — notably Australia and Sweden — are closing in on the target of fewer than four cases per 100,000 population, which is considered elimination," she said.
"Canada's rate is currently more than double that and rising, and this is a national health crisis."
More than 90 per cent of cervical cancers are caused by the human papillomavirus, or HPV, a common virus with multiple strains. It's estimated that 75 per cent of people will have at least one HPV infection in their lifetime.
A highly effective vaccine for the virus has been widely available for years and the National Advisory Committee on Immunization recommends a single dose for school-aged children.
It's been shown to prevent up to 90 per cent of cancers caused by the virus. Research that examined data from 2014-18 in 14 countries, including Canada, found that girls who received the vaccine saw an 83 per cent reduction in the two main cancer-causing types of HPV.
An advisory committee of federal and provincial experts on cervical cancer has released a "white paper" on the subject.
"No other single tool is as effective in preventing cancers as the HPV vaccine," the paper's authors said.
Canada's cervical cancer elimination goal depends on having 90 per cent of children under 18 vaccinated by 2025. But vaccine uptake is much lower than that.
The provinces and territories have HPV vaccination programs for children between the ages of nine and 13, but research shows only about 64 per cent of eligible children get the shot, on average.
The report is calling for supports and advocacy to ensure all children are vaccinated through school programs, and for a catch-up program to ensure anyone under 18 can get the shot if they didn't get it in school.
It's also suggesting a policy of publicly funded access to the vaccine for anyone under 45.
The vaccine costs around $215 per dose and a typical course of treatment for adults requires two doses. Access to the vaccine is uneven across the country.
Quebec covers the cost of the vaccine for people between the ages of nine and 20, and it launched a temporary program in October 2024 to allow people up to age 45 to get two doses of the vaccine. That program "will soon come to an end," says the province's website.
In the territories and in other provinces, including B.C., Alberta, Saskatchewan and New Brunswick, the cost of the vaccine is covered for people up to age 26.
Ontario and Manitoba cover the vaccine for school-aged children and those deemed to be in high-risk groups.
While it is most commonly associated with cervical cancer, HPV can cause cancer of the vagina and vulva.
It also causes cancers that affect men, such as penile, anal and mouth and throat cancer. The report says rates of these HPV-caused diseases are also rising and boys should be vaccinated as well.
The paper calls for better early detection and screening programs. Some provinces, including Quebec, Ontario, P.E.I. and B.C., are now using tests for HPV as the primary cervical cancer screening tool, instead of the less-effective Pap test. Some provinces also have implemented self-testing programs.
Carmen Wyton, president of the Women's Health Coalition of Canada, is urging lawmakers in Ottawa to pass a Senate bill that would create a national framework to promote, enhance and protect women's heath.
Passing the bill could "standardize access to HPV testing and self-sampling across provinces and maintain health equity," Wyton said in a press release.
Picture Courtesy: AP Photo/Daily Free Press, Charles Buchanan
