Federal Health Minister Mark Holland has temporarily paused the work of the Canadian Task Force on Preventive Health Care. This decision comes amid ongoing criticism regarding the task force's stance on breast cancer screening guidelines. The External Expert Review of the task force, which began in October 2024, aims to address these concerns and is expected to conclude by the end of March.
The controversy stems from the task force's recommendation to maintain the breast cancer screening age at 50. Critics argue that this decision has left many Canadians vulnerable, as data indicates a rising number of breast cancer cases among younger individuals. Several provinces have already adjusted their guidelines, lowering the recommended screening age to 40. Experts claim that not doing so nationally results in unnecessary suffering and deaths.
Holland expressed his disappointment with the task force's decision to uphold the current screening age.
“I recently met with the Chair of the External Expert Review panel and I was informed that the panel has concluded their evidence gathering and are now finalizing a robust set of recommendations to modernize and improve the Task Force,” – Holland.
In response to the widespread criticism, Holland called for an external review of the task force in May. The review aims to modernize its operations and ensure that its guidelines are evidence-based and tailored to meet the needs of Canada's healthcare system.
“The panel will make these recommendations to the Public Health Agency of Canada to modernize the work of the Task Force and ensure it provides evidence-based clinical practice guidelines to primary care providers,” – Holland.
Breast Cancer Canada supports the pause in the task force's activities. Kimberly Carson, CEO of Breast Cancer Canada, welcomed the announcement.
“Today’s announcement is a positive step toward ensuring that breast cancer screening guidelines reflect the best available science and expertise,” – Kimberly Carson.
The task force justified its recommendation by citing concerns about over-diagnosis and unnecessary biopsies, which could lead to increased anxiety for patients. However, there is consensus among experts that individuals aged 40 and above should have access to mammograms every two to three years if they understand and accept the associated benefits and risks.
“BCC anticipates the expert panel’s forthcoming recommendations and strongly advocates for a Task Force structure that prioritizes evidence-based, expert-led decision-making to improve breast cancer care in Canada.” – Kimberly Carson.
The Public Health Agency of Canada has been tasked with pausing the task force's work until the review panel completes its recommendations. The task force's broader mandate includes updating guidelines for cervical cancer screening, interventions for tobacco cessation, and screening for depression, among others.
“The Task Force has an important mandate and its work includes updates to guidelines in several areas, including breast cancer screening, cervical cancer screening, interventions for tobacco cessation and screening for depression in children and adults,” – Holland.
