- Screenings have plummeted during the coronavirus pandemic
- People who aren’t high risk are less likely to reschedule appointments
- There’s concern that treatable illnesses will be missed
As coronavirus restrictions begin easing in some areas of the U.S., hospitals are starting to reschedule canceled elective and non-emergent procedures. While the pandemic was in full swing, these types of appointments—which include routine cancer screenings—were put on hold. Now some of the holds are being lifted, and many Americans are wondering: Is it safe to get a mammogram or other kind of cancer screening during the pandemic?
Depending on the area of the country, the risk presented by COVID-19 varies wildly. Much of the Northeast U.S., initially hard hit, has begun reopening as their infection numbers continue declining. But large swathes of the Midwest and South, including Florida, are experiencing their highest numbers yet. Expert advice on the safety of scheduling mammograms and other cancer screening procedures varies depending on where you live.
If your state’s numbers are on the rise, it is probably wisest to avoid any non-essential medical visits. A mammogram, colonoscopy, routine prostate cancer screening, or lung cancer screening can all be put on hold for around six months—or maybe more. The National Comprehensive Cancer Network strongly recommends that people avoid scheduling these appointments “until the pandemic is over,” according to Mayo Clinic.
If you are due for a pap smear or HPV test, however, recommendations may vary. Mayo Clinic suggests consulting with your doctor to determine the best route and to see if it’s safe to get a mammogram or colonoscopy. Telemedicine is an option in some cases because it sidesteps any risk posed by entering a public space. Not all situations will allow this, however.
In states where case numbers are falling, some doctor’s offices are rescheduling these necessary screenings. This is good news, as various cancer screenings have plummeted in recent months. In March, cervix, colon, and breast cancer screenings dropped by between 86-94% compared to yearly averages. By the end of September, one report claimed that cancer screenings were back to 2019 levels, though one southern California official said, “These rates do not reflect the steep decline in the early months of the pandemic due to canceled or rescheduled appointments.”
The Miami Herald, meanwhile, wrote that there may be more than 10,000 additional deaths from breast and colorectal cancer during the next decade because people didn’t get tested during the pandemic.
While these screenings can typically be put off, health experts are growing concerned that many people will merely cancel, rather than reschedule. The lack of urgency with testing can lead people into a false sense of security. Doctors are urging people in lower-risk states to begin rescheduling these appointments, as many of the ailments they identify can be treated. There is a high chance of survival if they are caught early, which is exactly why these screenings exist. But as health experts have pointed out, “it doesn’t take much to talk a person out of going in for a colonoscopy.”
Or as Dr. Donna-Marie Manasseh, the chief of breast surgery at Maimonides Medical Center, told CBS New York in September: “If you’re overdue for your mammogram, especially if you feel something or notice a change in the breast, it is critical that you do your mammogram to diagnose this. If something abnormal is seen, a procedure needs to be done, a biopsy is especially important to make sure that you do that biopsy and not wait for when we think the virus in the pandemic will abate.”
Additionally, there is concern that hospitals will be overburdened with the sudden surge in rescheduled appointments. Cancellations have now stretched over months, and if they are rescheduled—as doctors hope they will be—physicians will be hard-pressed to meet the demand.
“When I get concerned calls or texts from my family and friends, I tell them that I actually feel safest at the hospital,” Dr. Heather Greenwood, MD, a faculty member at UC-San Francisco, told UCSF.
Is it safe:
- To run or exercise outdoors?
- To go to the gym?
- To get your haircut?
- To go to the doctor?
- To go to religious services?
- To send your children to summer camp?
- To fly?
- To take a road trip?
- To use a public restroom?
- To stay in a hotel?
- To go to a water park this summer?
- To hug your friends?
- To ride on an elevator?
- To go to the dentist?
- To go back to the office?
- To go to a Donald Trump rally?
- To get your nails done?
- To donate blood?
- To vote?
- To go out to eat?