Cancer and COVID-19

1 in 50 cancer survivors who died during January 2018 to July 2022 died from COVID-19. Cancer survivors can stay up to date with COVID-19 and flu vaccines, practice prevention, and ask about medicines to prevent and treat COVID-19. MMWR December 16, 2022. https://bit.ly/mm7150a3

Of people who died with cancer, 2.0% in 2020 and 2.4% in 2021 had COVID-19 listed as the underlying cause of death.

If you have cancer, COVID-19 can make you very sick. Treatments for many types of cancer can weaken your body’s ability to fight off infections. Studies show that having a history of cancer may also increase your risk of serious illness and death from COVID-19.

One study looked at COVID-19 and cancer deaths. Findings from the study show that—

  • Many people with cancer died due to COVID-19 and other diseases during the pandemic. A higher number of deaths occurred during peaks in COVID-19 infections.
  • In 2021, a higher percentage of cancer deaths with COVID-19 as the underlying cause occurred among non-Hispanic American Indian and Alaska Native people, Hispanic and Latino people, and non-Hispanic Black people compared with members of other racial and ethnic groups.

Studies Show Effects on Cancer Screening

Many preventive services, including cancer screenings, were put on hold because of the pandemic. Scientists in CDC’s Division of Cancer Prevention and Control have done research to find out how the COVID-19 pandemic has affected cancer screening.

One study looked at whether the COVID-19 test positivity was linked to changes in cancer screening among women in CDC’s National Breast and Cervical Cancer Early Detection Program. The study found that—

  • During April 2020, breast and cervical cancer screening declined by 87% and 84%, respectively, compared with the previous 5-year average for that month.
  • Some states were able to screen as many people during the pandemic as they did before the pandemic. Further studies will be done to find out how.

A previous study on CDC’s National Breast and Cervical Cancer Early Detection Program looked at breast and cervical cancer screening by race and ethnicity. From January through June 2020, the largest decreases in screening were among American Indian and Alaska Native women for breast cancer screening (98% decline) and Asian and Pacific Islander women for cervical cancer screening (92% decline), compared with the previous 5-year averages.

Previous studies have shown that breast cancer deaths among women in the United States have dropped, but non-Hispanic Black women have higher death rates. CDC scientists conducted a study to look for changes in these trends. They found that—

  • Overall, breast cancer death decreased from 1999 to 2020. But rates decreased less in recent years, from 2008 to 2020, than they did from 2002 to 2008.
  • Compared to women in other racial and ethnic groups, non-Hispanic Black women had the highest breast cancer death rates.

Another CDC-authored study found that cervical cancer screening dropped 80% among about 1.5 million women in the Kaiser Permanente Southern California network during California’s stay-at-home order.

Guidance to Prevent COVID-19 and Other Illnesses

CDC offers guidance on what cancer survivors, their families, and caregivers can do to lower their risk of getting COVID-19 and other illnesses.

Cancer Patients and Survivors: Lower Your Risk of COVID-19 explains that cancer patients and survivors may have a higher risk of getting COVID-19 and other infections. It lists steps they—and their families and caregivers—can take to protect their health. It also provides links to detailed information on CDC’s COVID-19 website.

Preventing Infections in Cancer Patients explains how cancer patients can avoid life-threatening infections during chemotherapy treatment. People with cancer who are treated with chemotherapy are more likely to get infections because cancer and chemotherapy can damage their immune system.

Programs Overcome Challenges to Cancer Screening

Despite the challenges, CDC-funded programs found ways to provide cancer screening during the COVID-19 pandemic. Some of this work is highlighted here.

  • The Inter-Tribal Council of Michigan started the Three Fires Cancer Consortium to help American Indians in the state get services that help prevent and find cancer early. Colorectal cancer is a leading cause of cancer death in Michigan, and screening dropped sharply during the early months of the COVID-19 pandemic. Tribal health clinics used education and patient reminders to reach out to patients about the importance of colorectal cancer screening, even during the pandemic. The number of patients up to date on colorectal cancer screening increased from about 62% in July 2020 to almost 67% in June 2021.
  • The Ohio Department of Health found that many women were worried about going to a medical facility during the COVID-19 pandemic. Ohio’s Breast and Cervical Cancer Project identified women who had not been screened for cervical cancer and helped them get the screening tests they needed. These efforts led to 84 women being screened for cervical cancer. Nine of them had abnormal results and were referred for diagnostic tests.

Cancer Survivor Stories: Treatment and Staying Healthy

April Donaldson was diagnosed with and treated for breast cancer during the COVID-19 pandemic. In her blog post, she says, “It really felt like trying to battle two monsters at the same time… While COVID is deadlier for people with a lower immune system, so is cancer when left untreated.”

David Brown, a colon cancer survivor, shared his blog post about why physical distancing has been his biggest challenge during the pandemic. “I am a people person who enjoys shaking hands, high fives, fist bumps, handshakes, and hugs,” he said.