Rural and remote communities 

Around 6 million people in Canada live in rural and remote areas. This makes up about 16% of the population. The rates of certain types of cancer are lower in these areas compared to cities, but people in rural and remote areas are more likely to die from cancer.

Living in a rural or remote place can affect different parts of a person’s life, like income, environment and job opportunities, which can lead to worse health outcomes. People with cancer and their caregivers in these areas often do not get enough support and information, and they tend to have worse health results and survival rates.

No one should face a cancer diagnosis alone or lack access to the information and care they need. But for people from rural and remote communities and their loved ones, there can be unique challenges and barriers that make a cancer experience more difficult than it needs to be. The Canadian Cancer Society (CCS) acknowledges its responsibility to provide cancer information, support and practical services to rural and remote communities, as well as advocate for healthy public policy and fund research focused on advancing health equity.

What is a rural or remote community in Canada?

For CCS, a community is considered rural or remote when it has a population of 10,000 or less or because geography has limited people’s access to healthcare facilities and services.

CCS has released Advancing Health Equity Through Cancer Information and Support Services: Report on communities that are underserved. The report describes the gaps, barriers and challenges faced by 10 identified underserved communities, including rural and remote communities. It offers insight on how to better engage with and improve supports for these communities who, like all people in Canada, deserve access to cancer care.

Our programs and services

All CCS staff are offered diversity, inclusion, belonging and equity training. This training helps us ensure that our physical spaces like lodges, camps and vehicles, as well as our services over the phone, chat and email, are safe, welcoming and inclusive. 

Our cancer information, support and practical programs are for everyone in Canada, but here are ways that they support people living in rural and remote communities in particular. 

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Cancer information

Understanding cancer can help ease the anxiety of a diagnosis. Find information on more than 100 cancer types, covering the entire cancer experience. Explore our wide range of resources in formats like publications, videos and webinars. 
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Community Services Locator

Our Community Services Locator helps people with cancer and their loved ones find services and programs like support groups, wigs and prosthesis, financial help, places to stay and more. Search by location to find services near you, or filter by service type to find resources and support services that are available online or by phone.
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Cancer Information Helpline

The Cancer Information Helpline provides information, support and helpful resources to people with cancer and their families and friends. Our information specialists understand the unique experiences and needs of those living in rural and remote areas. 
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Wheels of Hope

If you need to travel across town or across the province to receive cancer treatment, the Wheels of Hope team can help. We have changed the eligibility criteria for Air Daffodil in Newfoundland and Labrador so that more people in rural and remote communities can apply. We are working with healthcare partners to help recruit drivers in Northern Ontario and have met with the government to discuss challenges with Northern Health Travel Grant processes.
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Accommodations

Lodges are located near major cancer centres and partner with transportation programs. Having access to affordable accommodation and nutritious meals can help reduce the financial and emotional stress of travelling to cancer treatments for those from rural and remote communities. 
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Online cancer support community

CancerConnection.ca is a safe online community that provides meaningful connection, information and peer support to people with cancer and their families and friends. People from rural and remote communities can interact with people from across the country and share the unique challenges of living with cancer when far from treatment centres or other resources.  

The trip that saved my life

While on a graduation trip with her classmates, Debra found out she had a brain tumour. Hear about her experience having treatment away from her home in the far north and how she feels about travelling back and forth for follow-up tests. Listening to her niece sing is one thing that brightens her day. 

Debra: I grew up in a small town called Pangnirtung, Nunavut with a population less than 2,000 people. I'm the second-oldest of my 4 sisters, and my whole family lives in the town. We are very close with each other, so it was really difficult for us when we lost my younger sister, Samantha, 5 years ago to a brain tumour and my older sister, Julia, to a colon cancer 3 months before my high school graduation.

Samantha was in treatments for a long time in Ottawa, but Julia found out that she had cancer late and passed away 2 months after her diagnosis. Three months after Julia passed away on May 31, I was on my way to Ottawa with my 8 classmates for our graduation celebration trip. Our plan was to go to Ottawa, Montreal and Quebec City.

During our second flight to Ottawa, I started vomiting. It was strange for me, as I felt normal at that time. I continued to vomit everything I ate for the first 4 days of the trip until the teacher made the decision to take me to the hospital in Quebec City. My aunt from Ottawa travelled to meet me while my classmates continued on with the rest of their trip.

I remember sitting in an emergency room with people speaking French all around me, and both my aunt and I had no idea what they were saying. I was scared. My aunt told him we didn't understand, and he came back with a translator who told us that I had a brain tumour the size of a lemon and 3 polyps. Me and my aunt just looked at each other in shock.

Thankfully the surgeons were able to remove it all. And a few weeks later, I was transferred to a hospital in Ottawa where I did radiation for 6 weeks. I didn't get back home until 4 and 1/2 months after I left.

Today, 3 years later, I have a full-time job as an office clerk and still have to travel back down to Ottawa for tests every 3 months. I bring one family member on each trip, because I can have a seizure at any time and my doctor doesn't want me to travel alone. Sometimes I look forward to the trip and sometimes I don't, but I am glad that I am still here to help my mom take care of my older sister's daughter, Faith. Her singing brightens my day.

Courage 

After finding a lump in her breast on her 56th birthday, Kim was diagnosed with breast cancer. She shares about struggling emotionally and how she found her courage. Watch her ring the bell! 

[Music playing]

Kim’s voice: My 56th birthday started like many others with a traditional family barbecue. After some discussion with my son about the proper way to light a barbecue, I ended up with singed hair. In an attempt to rid myself of the smell, I took a shower. And that's where I found the lump in my breast. I was hoping for chocolate. Instead, I got cancer.

My husband and I had just downsized to a small cabin by Algonquin Park. Our adult children were off on their own, and the vision of retirement was just before us. In my 30-plus years as a social worker, I was blessed to work with children, families, adults who showed such incredible courage in their lives. They work through trauma, life threatening illness and events, situations that were beyond their control.

I never considered myself courageous until my sister decided to create support for me on social media using the hashtag #kimskourage. I certainly didn't feel very courageous. I had so many questions. I lived over 3 and 1/2 hours from my cancer centre and 5 hours away from where I would do radiation. How was it going to manage the travel and not being around family and friends?

I felt scared, anxious, and overwhelmed. Physically, I felt confident in my oncologist and medical team. Emotionally, I was a mess. I knew how to guide other people in their mental health journey. But for my own, I was a disaster. In the middle of a dark, cold night before my surgery, I signed up for Cancer Connection and sent my first message.

That lovely "bing" happened almost immediately. I remember the words. “Welcome. You are not alone.” Followed by some words of wisdom and support. There was somebody else out there who had felt the same and had survived. All of a sudden, I started to feel a trickle of courage.

I was part of the health team in treating my cancer. Even being so far away with no other social supports, I wasn't alone. I began to realize that courage comes from within and from the support of others. Reading other posts on the online site inspired me and gave me hope.

Now, two years later, what I would tell my 56-year-old self is that cancer also affects our mental health. I would share that you are not alone. Living in rural communities doesn't mean you are disconnected. Lean in and embrace the support.

And I also tell lots of other cancer survivors this every day as a community mentor. We each have courage within us, and by reaching out for support or to ask more questions, our courage builds.

[Kim rings gong at cancer centre]

Supporter voice: Congratulations!

[Clapping]

Supporter: Congratulations!

[Cheers]

Kim: The happy dance! Thank you!

[Laughter]
Support to make healthy behaviour change
BETTER Women helps women take control of their health to prevent chronic disease, including cancer. The program is offered in partnership with the Barrie and Community Family Health Team: Family Medicine Teaching Unit. Peer health coaches are trained to help women in rural communities reach and maintain their health and cancer screening goals. 
To learn more about other communities that are underserved, explore our health equity work.