Canadian Strategy for Cancer Control 2019–2029: Comprehensive Notes

The Canadian Strategy for Cancer Control (2019–2029), refreshed after extensive national consultations, aims to reduce the cancer burden, increase survival, and improve quality of life. Its vision is fewer Canadians developing cancer, more surviving, and better quality of life for those affected.

The Strategy is built on five core priorities:

1. Decrease cancer risk (e.g., prevention, healthier lifestyles).

2. Diagnose cancer faster, accurately, and earlier (e.g., rapid access, lung cancer screening).

3. Deliver high-quality care in a sustainable system (e.g., evidence-based practices, new care models).

4. Eliminate barriers to care (e.g., equitable access for underserviced groups).

5. Provide information and supports for those affected (e.g., integrated services, palliative care).

Highlights from 2007–2018 include over 65\% five-year survival rates and significant declines in deaths from lung (15\%), colorectal (17\%), prostate (23\%), and breast (22\%) cancers. The refresh incorporates new opportunities like genomics and telemedicine, guided by principles of reconciliation and distinctions-based engagement with First Nations, Inuit, and Métis communities.

Central to the Strategy are three Peoples-specific priorities: culturally appropriate care closer to home, self-determined cancer care, and First Nations-, Inuit-, or Métis-governed research and data systems.

Supported by Canada's cancer research and data infrastructure, the Strategy emphasizes translating research into practice, maximizing health system data (including AI), and improving information flow among providers and patients through digital health tools.

The Canadian Partnership Against Cancer acts as the steward, guiding pan-Canadian action, monitoring progress, and reporting annually to ensure equitable access to high-quality, person-centered, and sustainable care.