Colorectal Cancer Canada is calling on provinces and territories to lower the recommended age for routine colorectal cancer screenings from 50 to 45 for individuals at average risk. This recommendation, made public in a press release, responds to alarming trends showing increasing incidence rates of the disease among younger adults. Health experts underline the urgency of this change as more Canadians under 50 face a colorectal cancer diagnosis.
Rising Incidence Among Younger Adults
A recent research letter from the American Cancer Society has stated that colorectal cancer has become the leading cause of cancer-related deaths for Americans under 50. This troubling trend is echoed in Canada, where the Canadian Cancer Society has noted a steady rise in colorectal cancer cases among those aged 45 to 49. Projections indicate that by 2025, colorectal cancer will rank as the fourth most commonly diagnosed cancer in Canada and the third leading cause of cancer mortality for both men and women.
The Canadian Cancer Society estimates that 26,400 Canadians will be diagnosed with colorectal cancer this year, with around 9,100 expected deaths. This figure accounts for approximately 10% of the nation’s total new cancer cases and fatalities. Despite the alarming statistics, screening programmes across the country still commence at age 50, leaving a significant portion of the population without crucial early detection measures.
Advocacy for Change
Brandon Purcell, the advocacy manager for prevention and early detection at the Canadian Cancer Society, emphasises the importance of lowering the screening age. He stated, “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 proactive approach could potentially save lives by identifying cancer at a stage when treatment is most effective.

Dr. Harminder Singh, a gastroenterologist based in Manitoba, also highlighted the barriers that prevent younger individuals from accessing screening. He remarked, “The trend is increasing in all younger age groups… it needs attention and increased awareness — both go hand in hand.” Dr. Singh further pointed out that individuals with a family history of colorectal cancer particularly require tailored attention, as their risk factors may not be adequately recognised.
Government Action and Research Initiatives
In a related development, Health Minister Majorie Michel announced an investment of £41 million into 19 new cancer research teams aimed at exploring innovative methods for preventing various cancers, including colorectal cancer. This initiative involves collaboration with international researchers, particularly from Japan, to investigate the connections between aging and early-onset colorectal and pancreatic cancers.
The federal government’s commitment to cancer research represents a vital step in understanding and combating the disease, which disproportionately affects younger demographics. However, as Dr. Singh emphasises, raising awareness about screening options remains crucial for prevention.
The Importance of Awareness and Education
The discussion surrounding early screening for colorectal cancer is not merely about policy change; it is about empowering individuals with knowledge. Dr. Singh believes that increasing awareness should be a priority. “Raising awareness is an individual choice, there needs to be discussion around decision-making,” he stated. “Making people aware of potential benefits and any risks, even if they are small, the bottom line is people need to be aware of options available.”

Why it Matters
The push to lower the screening age for colorectal cancer is a critical public health issue that reflects shifting demographics and rising incidence rates among younger populations. By advocating for earlier screenings, healthcare professionals and organisations are striving to save lives and improve outcomes for those affected by this disease. It is essential for provinces to respond to these recommendations and for individuals to engage in discussions about their health. Early detection can make a significant difference, and awareness is the first step in ensuring that more Canadians have access to the screenings they need.