Colorectal Cancer Canada has issued a compelling call for provinces and territories across the nation to lower the routine screening age for colorectal cancer from 50 to 45 for average-risk individuals. The organisation emphasises the urgency of this change, citing alarming trends that show increasing rates of colorectal cancer among younger adults. This recommendation reflects a growing consensus among health experts who believe that proactive measures are essential in addressing this rising public health concern.
Rising Rates of Colorectal Cancer
Recent statistics paint a troubling picture. The American Cancer Society highlighted in a January research letter that colorectal cancer has become the leading cause of cancer-related mortality for those under 50 in the United States. This trend is mirrored in Canada, where the incidence of colorectal cancer is steadily climbing among individuals aged 45 to 49. According to the Canadian Cancer Society, colorectal cancer is projected to be the fourth most commonly diagnosed cancer in Canada by 2025, and it is expected to rank as the third leading cause of cancer-related deaths for both men and women.
The latest projections indicate that approximately 26,400 Canadians will receive a colorectal cancer diagnosis this year, with an estimated 9,100 fatalities attributed to the disease. This alarming statistic represents a significant portion of new cancer cases and deaths, underscoring the need for increased awareness and preventative measures.
Gaps in Screening Programmes
Colorectal Cancer Canada points out a critical gap in the current healthcare system: despite the rising rates of diagnoses, all provincial screening programmes still initiate at age 50. This leaves a significant and growing population of younger individuals at risk without access to regular, organised screening.

Brandon Purcell, the advocacy manager for prevention and early detection at the Canadian Cancer Society, stressed the importance of early detection, stating, “A lower screening age for colorectal cancer will catch more cancers early when they are easier to treat, and the likelihood of survival is much higher.” This sentiment is echoed by healthcare professionals who are increasingly concerned about the barriers young adults face in accessing timely screenings.
The Importance of Awareness and Early Detection
Dr. Harminder Singh, a gastroenterologist practising in Manitoba, highlighted the need to address the barriers to screening that many individuals encounter. He noted, “The trend is increasing in all younger age groups. While the rates are lower than for older individuals, they require attention and increased awareness—both of which are essential.” Dr. Singh also pointed out that individuals with a family history of colorectal cancer should be given particular consideration, as their detection rates remain suboptimal.
Raising awareness about the importance of cancer screenings is crucial, according to Dr. Singh. “Making people aware of the potential benefits and any risks—however small—is vital. Ultimately, individuals need to understand the options available to them,” he stated.
Government Response and Research Initiatives
In a related development, Health Minister Marjorie Michel announced a significant investment of £41 million towards 19 new cancer research teams aimed at exploring innovative approaches for preventing various types of cancer, including colorectal cancer. This initiative involves collaboration with researchers from Japan to investigate the connections between ageing and early-onset colorectal and pancreatic cancers.

As these research efforts unfold, experts agree that the emphasis must remain on increasing public awareness regarding cancer screening. The dialogue surrounding decision-making in health matters is essential, and individuals must be empowered to make informed choices about their health.
Why it Matters
The call to lower the routine screening age for colorectal cancer is not merely a matter of policy adjustment; it is a vital step towards safeguarding the health of younger Canadians. As incidence rates continue to climb, proactive measures in screening can lead to earlier diagnosis and improved survival rates. This initiative highlights the broader need for a comprehensive approach to cancer prevention that prioritises awareness, access, and early detection, ultimately aiming to save lives and reduce the burden of this disease on families and communities across the nation.