Caring..
2004/2005 Annual Report - the Pediatric Oncology Group of Ontario
2004/2005 Annual Report - the Pediatric Oncology Group of Ontario
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Cover photo:<br />
Austin Adrian<br />
Inside cover photo:<br />
Lucas Hammond<br />
480 University Avenue<br />
Suite 1014<br />
Toronto, Ontario<br />
M5G 1V2<br />
Tel: (416) 592-1232<br />
Fax: (416) 592-1285<br />
Email: info@pogo.ca<br />
www.pogo.ca<br />
<strong>Caring</strong>...<br />
Our thanks to the families who allowed us to share their<br />
experiences and photographs in this report, and to the staff<br />
who assisted with its content. Thank you, also, to Jim Hockings,<br />
Off Broadway Photography, who donated several of the photos.<br />
POGO gratefully acknowledges the financial support of the<br />
Ontario Ministry of Health and Long-Term Care (MOHLTC).<br />
POGO is the official source of advice to the MOHLTC on<br />
childhood cancer care and control.<br />
Printing generously donated by The Printing House Ltd.<br />
Printed on the Xerox iGen3 Digital Colour Press.<br />
ANNUAL REPORT 2004/2005
Each year in Ontario…<br />
... Close to 400 children are<br />
diagnosed with cancer<br />
... More than 2500 children<br />
have cancer treatment<br />
or follow up care<br />
...100 children die of cancer<br />
By 2010…<br />
... About one in every 300<br />
young adults (15-45) will be<br />
a childhood cancer survivor<br />
...each step<br />
of the way<br />
POGO brings together childhood cancer experts and stakeholders from across Ontario.<br />
Together they develop programs and services to support children with cancer, their families<br />
and their professional caregivers. They also look beyond the child’s initial diagnosis and<br />
treatment to the needs that many cancer survivors experience as they grow into adolescents<br />
and adults. Working with the Ministry of Health and Long-Term Care, they are able to<br />
develop and implement these programs, services and initiatives.<br />
POGO identifies service gaps and determines how best to address them. It helps to bring<br />
together the work of its partnering treatment centres and support programs so that the<br />
family’s care experience is as seamless as possible - each step of the way.<br />
POGO’s work is built on a solid foundation of knowledge and experience, data and evidence,<br />
enriched by the commitment and collaboration of people and organizations who care<br />
passionately about the future of children with cancer.<br />
POGO - where caring is the best medicine for kids with cancer<br />
02
Advocating, learning and sharing<br />
POGO is a non-profit, charitable organization, formed in 1983 by<br />
a group of pediatric oncology professionals who recognized the<br />
need for a networked system of care for children with cancer.<br />
POGO works in collaboration with the five specialty pediatric oncology hospitals in Ontario, along<br />
with professional caregivers and other partners drawn from community hospitals, community services,<br />
childhood cancer patients and survivors, and their families, corporate and private benefactors,<br />
and volunteers. Together, they help to shape healthcare policy in Ontario and continually drive<br />
improvements to the care of children with cancer. Since 1995, POGO has been the official source<br />
of advice on childhood cancer care and control to the Ministry of Health and Long-Term Care.<br />
Five tertiary centres form the ‘hub’ of pediatric cancer<br />
care in Ontario. These are the centres where newly<br />
diagnosed children begin their treatment.<br />
Six POGO satellite centres, located in community<br />
hospitals from Sudbury to Windsor, work with the<br />
tertiary centres and continue providing components<br />
of the child’s care, closer to their home.<br />
AfterCare clinics provide follow-up monitoring to<br />
ensure that the late side effects of childhood cancer<br />
treatment, that can occur in adolescent and adult<br />
survivors, are prevented or minimized.<br />
03<br />
AfterCare Clinics<br />
Children’s Hospital of Eastern Ontario, Ottawa<br />
Kingston Regional Cancer Centre,<br />
Kingston General Hospital, Kingston<br />
Princess Margaret Hospital, Toronto<br />
The Hospital for Sick Children, Toronto<br />
McMaster Children’s Hospital,<br />
Hamilton Health Sciences,Hamilton<br />
Children’s Hospital of Western Ontario, London<br />
The Ottawa Hospital Regional Cancer Centre<br />
Children’s<br />
Hospital of Eastern<br />
Ontario, Ottawa<br />
Princess Margaret Hospital,<br />
Toronto<br />
Kingston<br />
General<br />
Hospital,<br />
Kingston<br />
The Hospital for Sick Children,<br />
Toronto<br />
McMaster<br />
Children’s Hospital, Hamilton<br />
Children’s Hospital<br />
of Western Ontario, London<br />
Satellite Programs<br />
Dr. Ronald D. Barr<br />
President<br />
Dr. Corin Greenberg<br />
Executive Director<br />
Message from POGO’s President & Executive Director<br />
A decade ago, the Ministry Of Health and Long-Term<br />
Care (MOHLTC) asked for POGO’s advice regarding<br />
the framework and resources that were needed to<br />
effectively direct pediatric oncology in Ontario. We<br />
consulted with multidisciplinary stakeholders across<br />
the province and provided the Ministry with a detailed<br />
ten-year plan. As a result, the government allocated<br />
resources appropriately, and POGO was able to<br />
implement significant improvements to the pediatric<br />
oncology system of care in this Province. Last year the<br />
Ministry asked us to repeat the process, this time for<br />
a five-year period. We again chose a highly inclusive<br />
process. The resulting Provincial Pediatric Oncology<br />
Plan (PPOP) identifies the next stage of program,<br />
service and research development that will build<br />
upon the foundation POGO has helped to create in<br />
Ontario, and which will drive further improvements<br />
to the care of kids, survivors and families.<br />
In the ten year period since developing that first<br />
provincial plan, POGO has been the driving force<br />
behind many successful initiatives, among them:<br />
the establishment of a Provincial Oncology Satellite<br />
Program; the introduction of a system of AfterCare<br />
Clinics; creation of the Successful Academic and<br />
Vocational Transition Initiative; the founding of POGO’s<br />
Research Unit; development of the first Pediatric<br />
Oncology Nursing Program; confirmed status as<br />
Official Advisor to Ontario’s Ministry of Health and<br />
Long-Term Care on pediatric cancer care and control.<br />
More recent accomplishments include our<br />
newly-designated status as a ‘45.1’ entity under Ontario’s<br />
new Personal Health Information Protection Act.<br />
The legislation has stringent regulations about who<br />
may gather, hold and use data, and how the information<br />
can be used. POGO already has a unique, valuable<br />
database (POGONIS) on childhood cancer - a rich source<br />
of information for research and policy development,<br />
gathered over the past 20 years. This new status will<br />
allow us to link to other databases for information that<br />
we previously could not access. This is an enormous<br />
step forward, enriching our ability to identify and<br />
address issues related to pediatric oncology, and<br />
greatly expanding the potential of our research.<br />
Over the past busy year, we have added a satellite<br />
clinic at the Rouge Valley Health System, Centenary<br />
Health Centre (RVC), and two new adult AfterCare<br />
clinics in London and Ottawa, to better serve the<br />
population in these areas. We were also able to step<br />
up our support for the Interlink organization, taking<br />
over the administration and management of the<br />
Pediatric Interlink Program, and ensuring that this<br />
wonderful provincial resource is secure under the<br />
POGO umbrella.<br />
In the spirit of collaboration, we want to transport<br />
some of what we’ve learned so that others may<br />
benefit from our work. We have helped six Spanish<br />
speaking countries in Central America over the<br />
past several years to establish their own databases<br />
and contribute to local planning and improved care.<br />
Through POGO’s Provincial Nursing Committee,<br />
we are also helping to develop nursing leadership<br />
in these countries, where the under-15 age group<br />
is high and the volume of children with cancer<br />
correspondingly significant.<br />
We thank the pediatric oncology professionals, the<br />
survivors and families, the POGO staff, and countless<br />
supporters who share our deep commitment to<br />
improve the care and outcomes for children with<br />
cancer. Together, we are committed to doing all that<br />
we can to ensure that survivors and their families<br />
have the support that they deserve.<br />
04
Bringing care closer to home<br />
Following through…<br />
Located in six community hospitals across Ontario,<br />
POGO’s pediatric oncology satellite centres provide<br />
many aspects of children’s ongoing cancer care close to<br />
their home, while helping to reduce the workload at<br />
Ontario’s five tertiary childhood cancer centres. The<br />
centres follow well-researched POGO standards and<br />
guidelines to ensure the best possible care for children<br />
across Ontario. Over the past year, the centres offered<br />
care for almost 300 children and their families.<br />
Christopher is an engaging five-year-old with big<br />
blue eyes and an elfin grin. He was just a toddler<br />
when he was admitted to Toronto’s Hospital for<br />
Sick Children (HSC) with a type of cancer known<br />
as Langerhans cell histiocytosis. His mother, Tracy,<br />
recalls months of driving back and forth between<br />
Kitchener and Toronto. “I have nothing but praise<br />
for the HSC staff,” she says, “But those early days<br />
were miserable. Christopher couldn’t eat or drink<br />
before his treatment and we had to get up before<br />
dawn to be sure that we’d arrive in time for our<br />
appointment.” It was a relief when Christopher was<br />
finally able to have his treatment transferred to the<br />
POGO satellite clinic at the Grand River Hospital<br />
Patti Bambury, RN, Satellite Coordinator at Grand<br />
River Hospital (left), with Christopher and his mother,<br />
Tracy. She knows how much it means for families<br />
to have their child’s care provided close to home.<br />
in Kitchener. “The care is excellent,” notes Tracy,<br />
“and we’re only ten minutes away from the hospital.”<br />
Lesley Collins, POGO’s Manager of the Satellite and<br />
AfterCare Programs notes: “Everyone has worked very<br />
hard to ensure that the Satellites provide the same<br />
quality of care as that of the tertiary centres.” The child’s<br />
care is still coordinated through the tertiary centre where<br />
they were first diagnosed and treated, but it is the<br />
Satellites that carry out the ongoing program of care.<br />
The family returns to the tertiary centre from time to<br />
time, for follow up, or if there are major interventions<br />
that are more appropriately handled at the tertiary<br />
center. Lesley stresses that, “The collaboration and<br />
communication between the tertiary and satellite<br />
centres has been critical to their success.”<br />
A sixth satellite was opened this past year, at the Rouge<br />
Valley Health System, Centenary Health Centre and<br />
POGO is continuing to look for ways to provide<br />
components of care in remote places. It is also developing<br />
processes for local health care providers who want to<br />
provide more knowledgeable care for children with<br />
terminal cancer, within their home community.<br />
It’s easy to assume that once a child’s cancer is cured<br />
they will go on to live a completely normal life. But<br />
for as many as half of all childhood cancer survivors,<br />
the toll of the disease and treatment on their young,<br />
developing body shows up in later years. Problems<br />
may include cardiac complications, fertility issues,<br />
neuro-cognitive impairments (such as learning disabilities)<br />
and secondary cancers. There is evidence that early<br />
identification and treatment of potential complications<br />
can improve outcomes. Using well-researched guidelines<br />
developed by POGO, seven AfterCare Clinics offer<br />
services to monitor and promote the well being of<br />
these individuals. The Clinics also provide a vitally<br />
important avenue to collect data for POGO’s Research<br />
Unit; data that may lead to treatment changes that<br />
will benefit future generations. With funding from the<br />
Ministry of Health and Long-Term Care, and POGO’s<br />
support, two new AfterCare Clinics were opened<br />
this past year. Together, the seven Clinics currently<br />
serve more than a thousand children and close to<br />
nine-hundred adult survivors, across Ontario.<br />
Lisa Lamoureux was only two months old when she<br />
was diagnosed with neuroblastoma, the most common<br />
cancerous tumor in infants and young children.<br />
She had one tumour in her neck and another in her<br />
abdomen. Fortunately she responded well to treatment.<br />
Now 20, she’s in her third year of criminology at<br />
Carlton University, with hopes of becoming a lawyer.<br />
When she turned 18, she transferred from the AfterCare<br />
Clinic at the Children’s Hospital of Eastern Ontario<br />
(CHEO) to the Adult Late Effects Clinic at The Ottawa<br />
Hospital Regional Cancer Centre (TOHRRC).<br />
So far, Lisa has had no lasting effects from her cancer,<br />
but she’s aware of the risks and knows that regular<br />
checks are important. “Last year, I was having some<br />
stomach problems,” she recalls, “I worried that it<br />
Even with her heavy<br />
course load, Lisa<br />
Lamoureaux always<br />
takes time for her<br />
annual check-up<br />
at POGO’s Adult<br />
Late Effects Clinic.<br />
“It’s kind of like a<br />
safety net,” she says.<br />
might be a recurrence of my cancer. The staff checked<br />
me out and reassured me that it was not a tumour.<br />
They understood why I was worried because they<br />
knew my history. It’s kind of like a safety net. I drop<br />
in for my echocardiogram and a couple of other<br />
tests every twelve months and then I’m good to go<br />
for another year!”<br />
Dr. Karen Mandel is a Pediatric Haematologist/Oncologist,<br />
and Director of POGO’s AfterCare Program in Ottawa.<br />
Twice monthly, she runs the Adult Late Effects Clinic<br />
at TOHRCC. “As we learn more about the long-term<br />
effects of some cancer treatments,” observes Dr. Mandel,<br />
“we’re making adjustments to the acute treatment.<br />
For example, after seeing, through the Late Effects<br />
Clinics, the outcome of those treatments on children’s<br />
ability to learn, we have modified or eliminated radiation<br />
treatments to the head in children with leukemia.<br />
Clearly, the AfterCare program is important to<br />
today’s childhood cancer survivors because it provides<br />
expert medical knowledge of their special needs.<br />
It is also a vital source of information that will<br />
benefit future generations.”<br />
2004-2005 HIGHLIGHTS<br />
• This year’s fundraising<br />
Gala attracted 650 guests<br />
and raised over $160,000<br />
for the POGO Pediatric<br />
Oncology Financial<br />
Assistance Program<br />
• POGO’s Financial<br />
Assistance Program<br />
provided support<br />
to 1,100 families<br />
with children in<br />
cancer treatment<br />
• POGO helped several<br />
Central-American countries<br />
establish their own<br />
databases, contributing<br />
to local planning and<br />
improved care<br />
06
Helping navigate the maze<br />
Giving support and encouragement<br />
The devastation and disruption of a cancer diagnosis<br />
is daunting but the bewildering complexity of the health<br />
care system can place even more stress on parents.<br />
POGO supports eight pediatric Interlink Community<br />
Cancer Nurses who follow the progress of young patients<br />
and their families while in hospital and after discharge.<br />
These knowledgeable professionals coordinate each<br />
phase of the lengthy course of cancer care by linking<br />
hospital and community services. Over the past year,<br />
almost 700 children with cancer and their families<br />
have benefited from the support and coordination of<br />
services provided by this dedicated team of nurses.<br />
Marilyn Cassidy is part of the Interlink team, and<br />
a member of POGO’s Board of Directors. She works<br />
at CHEO. “A large part of my role is education,”<br />
she says, “For example, I frequently meet families in<br />
their home, often with their Community Care Access<br />
Centre (CCAC) worker. I will bring them information<br />
about the child’s treatment needs and go over the<br />
things they need to do and watch for.” She explains<br />
that she helps to build a support network for the<br />
family that is based on her understanding of their<br />
needs, at home, work and school.<br />
The Porter family was grateful for the support they<br />
received from Interlink when their five-year-old son,<br />
Curtis was diagnosed with neuroblastoma. After five<br />
grueling rounds of chemotherapy, the malignant<br />
tumour growing on his left adrenal gland has shrunk<br />
by fifty-percent. Next comes surgery to remove the rest<br />
of the tumour, then another round of chemotherapy<br />
and, finally, a stem cell transplant.<br />
2004-2005 HIGHLIGHTS<br />
• Over the past year,<br />
POGO’s Satellite Centres<br />
cared for almost<br />
300 children and<br />
their families<br />
07<br />
• Two new AfterCare<br />
Clinics were opened in<br />
London and Ottawa,<br />
giving childhood cancer<br />
survivors better access<br />
to professionals who<br />
have expertise in the<br />
late effects of pediatric<br />
cancer and its treatments<br />
Interlink nurse, Marilyn<br />
Cassidy, has become<br />
a familiar face for<br />
Christopher and his<br />
family. “I feel that I<br />
can talk to her,” says<br />
Christopher’s mother,<br />
Julie, “if we had to do<br />
all these things on our<br />
own, I wouldn’t know<br />
where to start.”<br />
In the weeks since Curtis’ devastating diagnosis,<br />
Marilyn Cassidy has become a familiar face for<br />
the family. “She came to our home and went over<br />
the support programs that were available to us,”<br />
says his mother, Julie, “We see her at least once a<br />
week and I feel that I can talk to her - especially if<br />
things are not going well with Curtis. She has already<br />
organized a place for us to stay in Toronto when<br />
Curtis goes to Sick Kids for his surgery. If we had<br />
to do all of these things on our own, I wouldn’t<br />
know where to start.”<br />
Over the past year, this Interlink group of nurses<br />
has come under the POGO umbrella, helping to<br />
ensure a more secure and stable province-wide service<br />
for the families that they serve. POGO has also just<br />
hired an Interlink Coordinator to function as the<br />
interface between the nurses and POGO, and to<br />
support them in their work.<br />
• An external expert review<br />
panel endorsed the POGO<br />
Research Unit’s scientific<br />
accomplishments over<br />
the past five years,<br />
and supported the<br />
proposed future direction<br />
to undertake populationbased<br />
research studies<br />
When it’s time to consider their future, to make<br />
choices about post-secondary education or a job,<br />
childhood cancer survivors are often faced with more<br />
challenges. Long stretches of hospitalization may have<br />
seriously disrupted their schooling, and the cancer<br />
treatment itself may have left them with long-term<br />
health issues or disabilities.<br />
POGO’s Successful Academic & Vocational<br />
Transition Initiative (SAVTI) was created to support<br />
survivors to make a successful, personally satisfying<br />
transition from high school to post-secondary<br />
learning or employment. The program utilizes<br />
information from a neuropsychological assessment<br />
of the individual, while taking into account their<br />
school experience, medical history and personal<br />
dreams and wishes. Barbara Dyce recently joined the<br />
POGO team as the SAVTI Coordinator. She works<br />
with adolescents to help them make realistic decisions<br />
about what they want to do and links them with the<br />
supports that are available to help them.<br />
“Often survivors may need accommodations and<br />
support while attending school or college,” says<br />
Barbara, “and accessing resources can make the world<br />
of difference.” She gives the example of survivors<br />
who have neuro-cognitive deficits and who may need<br />
extra time to study and complete their assignments.<br />
Barbara connects them with the student services<br />
department so that they have access to the supports<br />
which will assist them in their studies.<br />
SAVTI is a prototype for a unique collaboration<br />
between different sectors of government, including<br />
health, education, children and youth services,<br />
and the private sector. POGO is working closely<br />
with several government ministries to ensure<br />
that the program has ongoing core funding to<br />
support its success and expansion, so that it can<br />
serve children across the province.<br />
2004-2005 HIGHLIGHTS<br />
• Opened a new Satellite<br />
Clinic at Rouge Valley<br />
Health System, Centenary<br />
Health Centre (RVC)<br />
• POGO has reached<br />
the half-way point<br />
in its $9 million<br />
fundraising campaign<br />
Nineteen-year-old Christopher Richie can attest to the<br />
value of the SAVTI program. He has almost no memory of<br />
the leukemia he had when an infant, nor its recurrence when<br />
he turned five. Months of care and treatment at the HSC<br />
finally cured him, but didn’t leave him entirely unscathed.<br />
“My chemotherapy treatments slowed down my growth<br />
and development and I had to take a growth hormone<br />
for a couple of years while I was in high school,”<br />
Christopher recalls. Later, he began to have difficulty<br />
with his coordination. “My brain was working faster<br />
than my ability to write,” he says. Neurological tests<br />
showed that his problem was directly connected to the<br />
effect that his earlier chemotherapy had on his brain.<br />
In his last year of high school, Christopher was put in<br />
touch with Robyn Lange, Barbara Dyce’s predecessor at<br />
SAVTI. With her help, and his own determination, he<br />
has learned how to deal with his mild disability and<br />
pursue his dream of attending university. He is now in<br />
his second year at Carlton University and considering a<br />
career in teaching or the media. “The (SAVTI) program<br />
gave me a chance,” he says. “I’m a little different from<br />
other kids and it gave me a better understanding of<br />
how to do what I wanted. I’ve learned that there are<br />
always people to help - you just have to ask.”<br />
Working at his<br />
summer construction<br />
job, Christopher<br />
Richie, a childhood<br />
cancer survivor,<br />
was looking forward<br />
to getting back to<br />
university in the fall.<br />
• POGO was designated<br />
a ‘45.1 entity’ under<br />
Ontario’s Personal Health<br />
Information Protection Act<br />
08
Providing practical help<br />
Celebrating success, new targets<br />
Tony Melman<br />
Childhood Cancer<br />
Charitable Council Chair<br />
The POGO Young Leadership Connection also deserves<br />
credit for its achievements in its inaugural year. These young<br />
business and community leaders have made a long-term<br />
personal financial commitment to POGO and are<br />
determined to attract the support of their peers. Started by<br />
five individuals just over a year ago, membership has already<br />
grown to over 45, with pledges totaling over $100,000.<br />
Over the past year, POGO’s Pediatric Oncology Financial<br />
Assistance Program (POFAP) has provided support to over<br />
1,100 families with children in cancer treatment. The<br />
Program is intended to ease some of the financial burden<br />
that childhood cancer can inflict on a young family.<br />
It’s not unusual for one parent to quit work to care for<br />
the ill child, resulting in a sudden drop in the family’s<br />
income. And, for families who live a distance from the<br />
tertiary treatment centres, the cost of daycare for other<br />
children, travel, accommodation, and meals, can all<br />
add to the strain on their reduced budget.<br />
The POFAP application process is deliberately short<br />
and simple. Funds are dispersed to each of the five<br />
tertiary centres so that there is equal, timely access to<br />
the support for families who need it. POGO currently<br />
distributes $500,000 a year to Ontario families, however,<br />
as the number of families seeking POFAP assistance<br />
grows, so does the funding challenge. “We’re stepping<br />
up our fundraising efforts,” says Bill Frid, POFAP<br />
Coordinator, “because we know how important this<br />
support is for so many families.”<br />
Jill Daugherty and her family are very thankful<br />
for the POFAP fund. At five months of age,<br />
her son, Eric, was diagnosed with a brain tumour.<br />
A year of chemotherapy reduced but couldn’t<br />
completely remove the tumour. He then developed<br />
acute leukemia and endured five cycles of<br />
chemotherapy. A bone marrow transplant is<br />
his only hope for a long-term cure. The family<br />
lives in Kingston, Ontario, and most of Eric’s<br />
care has been at Children’s Hospital of Eastern<br />
Ontario in Ottawa.<br />
“I’m fortunate,” says Jill, “I have a family close<br />
by to help care for my five-year-old daughter<br />
when I’m with Eric at the hospital. Still, I’m<br />
only able to do occasional part time work because<br />
Eric frequently develops fevers and I never know<br />
when we’ll have to pick up and go to the hospital.<br />
When you lose one income, you suddenly realize<br />
how quickly small expenses add up. POFAP<br />
helped…it takes just a bit of stress out of a very<br />
stressful situation. You don’t need money worries<br />
on top of everything else.”<br />
Thanks to the remarkable support of so many people,<br />
this year has been one of incredible growth in terms<br />
of our fundraising goals.<br />
Our focus has been to develop a strong fundraising<br />
program and to execute the best strategies to achieve<br />
our goals. While we will continue to rely heavily<br />
on government funding for our core programs, by<br />
supplementing those resources, we know that we can<br />
do so much more. Much of POGO’s success rests with<br />
our ability to form strong, strategic relationships with<br />
many individuals, groups and organizations across the<br />
province and beyond. Likewise, our fundraising efforts<br />
depend on building solid partnerships with people<br />
who are interested in supporting our work. I am<br />
pleased to say that this is an area where we have made<br />
significant progress over this past year.<br />
The POGO Childhood Cancer Charitable Council -<br />
a group of major donors who volunteer their time to<br />
solicit major gifts for POGO - has had a very successful<br />
first year. Through their personal financial contributions,<br />
their fundraising efforts and support of fundraising<br />
events, such as the annual POGO Gala, they helped<br />
to sustain POGO’s Pediatric Oncology Financial<br />
Assistance Program (POFAP), and the vital work of<br />
POGO’s Research Unit (PRU).<br />
Our 2004 fundraising Gala was a tremendous success,<br />
raising $165,000. We had remarkable sponsor support<br />
and our volunteers were phenomenal in helping to<br />
organize the event and sell tickets. I would like to<br />
extend a special note of thanks to Merrill Lynch for<br />
their generosity as the event’s presenting sponsor.<br />
In 2004, POGO launched an ambitious $9 million<br />
fundraising campaign focused on two priorities: the<br />
Pediatric Oncology Financial Assistance Program and the<br />
POGO Research Unit. Two years later, we have raised<br />
almost half of this goal. I was delighted to contribute my<br />
$5 million collection of vintage guitars and amplifiers<br />
to the campaign goal. The money raised from the sale<br />
of these pieces (over $3.2 million CDN to date) will form<br />
an endowment fund to support POGO’s efforts in care,<br />
education and research. With the continued generosity<br />
and support of our donors we are confident that this<br />
campaign will be a success.<br />
As we move into a new year, we are truly excited about<br />
the possibilities ahead. This is an organization with a<br />
remarkable track record of proven results for a very<br />
vulnerable population - children. We are enormously<br />
grateful to all of our supporters for their commitment<br />
to helping POGO. Every dollar raised, and every caring<br />
hand extended helps to ensure that children with cancer,<br />
their families, and childhood cancer survivors, receive<br />
the care and caring that they deserve.<br />
2004-2005 HIGHLIGHTS 2004-2005 HIGHLIGHTS<br />
• The POGO Young<br />
Leadership Connection<br />
raised pledges totaling<br />
over $100,000<br />
09<br />
• Over 300 pediatric oncology<br />
professionals, from Canada,<br />
the United States and<br />
Europe, attended the<br />
2004 POGO Symposium,<br />
“Difficult Beginnings -<br />
Cancer in Infancy”<br />
• At the request of the<br />
Ministry of Health and<br />
Long-Term Care, POGO<br />
developed a five-year<br />
Provincial Pediatric Oncology<br />
Plan for childhood cancer<br />
control in Ontario<br />
• A new Provincial<br />
Coordinator was recruited<br />
to facilitate the provincial<br />
expansion of POGO’s<br />
Successful Academic &<br />
Vocational Transition<br />
Initiative (SAVTI)<br />
• POGO assumed the<br />
administration and<br />
support of the Pediatric<br />
Interlink Nursing<br />
Program for Ontario<br />
and hired a provincial<br />
program coordinator<br />
• POGO’s fundraising efforts<br />
generated over $600,000 for<br />
the Pediatric Oncology Financial<br />
Assistance Program (POFAP)<br />
and the POGO Research Unit<br />
(PRU); a 25% increase over<br />
the previous year<br />
10
We have achieved so much…<br />
there is still so much to do<br />
Thank you for your ongoing dedication<br />
This has been an intense and remarkable year for<br />
POGO. I am in awe of, and thankful for, the enormous<br />
will and commitment of a multitude of people.<br />
As mentioned elsewhere in this report, one of our most<br />
important tasks this past year was to develop a five-year<br />
Provincial Pediatric Oncology Plan for the Ministry of<br />
Health & Long-Term Care. More than 200 people from<br />
every corner of the Ontario pediatric oncology care<br />
spectrum came together, with cancer survivors and<br />
families to contribute their expertise and experience to<br />
the process. We share a renewed sense of purpose and<br />
optimism for having been able to contribute to the future<br />
of cancer care for the children and families of Ontario.<br />
As survival rates for children who have experienced<br />
cancer grow, our POGONIS data registry is becoming<br />
a critical source of information about the health issues<br />
that can result from the treatment associated with<br />
some childhood cancers. The tremendous news that we<br />
have been granted a ‘45.1’ organizational status under<br />
Ontario’s privacy legislation (along with only three<br />
other organizations in the province) means that we will<br />
now be able to use this data in a way that will allow us<br />
to better understand many aspects of childhood cancer.<br />
As we plan ahead, the work of POGO’s Research<br />
Unit will become increasingly important. An external<br />
review by a group of distinguished experts last fall<br />
confirmed that POGO is uniquely placed to undertake<br />
population-based research that will give us more<br />
insight into cancer incidence, types and recurrences<br />
relative to pediatric age group and geographical location.<br />
This research will give us insights into the causes of<br />
childhood cancer; the health and service needs of affected<br />
11<br />
Dr. Mark Greenberg<br />
POGO Chair in<br />
Childhood Cancer<br />
Control/Medical Director<br />
families; and the economic and financial aspects of cancer<br />
as they relate to the families and to society at large.<br />
A study of quality of life issues, so central to children<br />
with this disease, is also high on our research agenda.<br />
And there will be a continued emphasis on learning<br />
more about the ‘late effects’ of childhood cancer, so<br />
that we can plan ahead for survivors’ needs.<br />
We anticipate that the work of our Research Fellows<br />
will provide the Research Unit with additional valuable<br />
information. For example, Dr. Caroline Roncadin,<br />
POGO’s first Research Fellow, recently completed her<br />
study on “Neurocognitive Outcomes in Children with<br />
Down Syndrome who have been treated for Leukemia”.<br />
Leukemia treatment often results in children having<br />
negative late effects on their neurocognitive development.<br />
While the incidence of Leukemia is disproportionately<br />
higher in children with Down Syndrome, this is one<br />
of the first studies to be conducted with respect to the<br />
neurocognitive outcomes of this population.<br />
An area of concern for all of us is the fact that<br />
adolescents and young adults have not shown the same<br />
dramatic improvements in survival as younger children.<br />
While some of the reasons have to do with the kinds of<br />
cancer they get, others have to do with a system of care<br />
that does not serve them well. We need to understand<br />
much more about the challenges unique to this age group,<br />
and we hope that a series of studies, in collaboration<br />
with Cancer Care Ontario, will provide new insights that<br />
will guide future resource allocation and service planning.<br />
All of these research and study initiatives will help us<br />
to identify treatment and service requirements so that<br />
resources are directed where they are most needed.<br />
We have achieved so much, but there is still so much<br />
to do. We must improve the systems we have in place<br />
to speed diagnosis and therapy so that we can get<br />
kids through as quickly as possible with as much<br />
support as possible.<br />
Our motivation is strong and, with the continued<br />
commitment and support of so many people, I have<br />
no doubt that we will succeed.<br />
POGO BOARD OF DIRECTORS<br />
President:<br />
Dr. Ronald Barr<br />
Chief of Service, Pediatric<br />
Hematology/Oncology<br />
Children’s Hospital, Hamilton Health Sciences<br />
Treasurer:<br />
Dr. Marianna Silva<br />
Head, Division of Pediatric<br />
Hematology/Oncology<br />
Kingston General Hospital<br />
Secretary:<br />
Ms. Judy Van Clieaf<br />
Child Health Services Director<br />
The Hospital for Sick Children<br />
Invitees:<br />
Dr. Corin Greenberg<br />
Executive Director<br />
Pediatric Oncology Group of Ontario<br />
ADVISORY COUNCIL<br />
Ms. Patti Bambury<br />
POGO Satellite Clinic Coordinator<br />
Children’s Out-Patient Clinic<br />
Grand River Hospital<br />
Dr. Michael Leaker<br />
Pediatric Hematologist/Oncologist<br />
Children’s Hospital of Western Ontario<br />
POGO STAFF LISTING<br />
Executive Director<br />
Dr. Corin Greenberg<br />
cgreenberg@pogo.ca<br />
416-592-1232 ext. 223<br />
Medical Director<br />
Dr. Mark Greenberg<br />
mgreenberg@pogo.ca<br />
416-592-1232 ext. 259<br />
Administrative Assistants<br />
Helen Craig<br />
hcraig@pogo.ca<br />
416-592-1232 ext. 230<br />
Susan Grace<br />
sgrace@pogo.ca<br />
416-592-1232 ext. 250<br />
Marlice Simon<br />
msimon@pogo.ca<br />
416-592-1232 ext. 227<br />
Tami Sterling<br />
tsterling@pogo.ca<br />
416-592-1232 ext. 247<br />
Senior Associate, Research &<br />
Planning, & Co-Privacy Officer<br />
Madeline Riehl<br />
mriehl@pogo.ca<br />
416-592-1232 ext. 234<br />
Dr. Mark Greenberg<br />
Medical Director<br />
Pediatric Oncology Group of Ontario<br />
POGO Chair in Childhood Cancer Control<br />
University of Toronto<br />
Members:<br />
Dr. Maru Barrera<br />
Child/Health Psychologist<br />
The Hospital for Sick Children<br />
Dr. Victor Blanchette<br />
Chief, Division of Haematology/Oncology<br />
The Hospital for Sick Children<br />
Ms. Marilyn Cassidy<br />
Pediatric Interlink Nurse Consultant<br />
Interlink Community Cancer Nurses/<br />
Children’s Hospital of Eastern Ontario<br />
Jason Campbell<br />
Survivor<br />
Lynne Bridgman-Cleghorn<br />
Parent<br />
Ms. Carolyn Kennelly<br />
Operations Director<br />
Oncology/Medical Day Unit<br />
Patients Service Unit<br />
Children’s Hospital of Eastern Ontario<br />
Epidemiologist<br />
Dr. Mohammed Agha<br />
magha@pogo.ca<br />
416-592-1232 ext. 226<br />
Database Administrator & Research<br />
Assistant, & Co-Privacy Officer<br />
Bruna DiMonte<br />
bdimonte@pogo.ca<br />
416-592-1232 ext. 224<br />
Clinical Programs Coordinator<br />
Lesley Collins<br />
lcollins@pogo.ca<br />
416-592-1232 ext. 222<br />
POFAP Coordinator<br />
Bill Frid<br />
bfrid@pogo.ca<br />
416-592-1232 ext. 253<br />
POGO Symposium Coordinator<br />
Susan Kuczynski<br />
skuczynski@pogo.ca<br />
416-592-1232<br />
POGO Conference & Educational<br />
Events Coordinator<br />
Gillian Lachance<br />
glachance@pogo.ca<br />
416-592-1232 ext. 237<br />
Managing Director,<br />
Development & Strategy<br />
Vanessa Yakobson<br />
vyakobson@pogo.ca<br />
416-592-1232 ext. 225<br />
Development Officer<br />
Mindy Webber<br />
mwebber@pogo.ca<br />
416-592-1232 ext. 233<br />
Development Coordinator<br />
Erika Empy<br />
eempy@pogo.ca<br />
416-592-1232 ext. 252<br />
SAVTI Provincial Coordinator<br />
Barbara Dyce<br />
bdyce@pogo.ca<br />
416-592-1232 ext. 255<br />
Health Data Analyst<br />
Linda Turner<br />
lturner@pogo.ca<br />
416-592-1232 ext. 248<br />
Comptroller<br />
Richard Smith<br />
rsmith@pogo.ca<br />
416-592-1232 ext. 240<br />
Ms. Mary Jo Decourcy<br />
Pediatric Oncology Nurse Practitioner<br />
Children’s Hospital of Western Ontario<br />
Dr. Jacqueline Halton<br />
Chief, Division of Hematology/Oncology<br />
Children’s Hospital of Eastern Ontario<br />
Ms. Cathy Humphreys<br />
Child Life Specialist<br />
Children’s Hospital, Hamilton Health Sciences<br />
Dr. Lawrence Jardine<br />
Head, Section of Paediatric<br />
Haematology/Oncology<br />
Children’s Hospital of Western Ontario<br />
Dr. Brenda Spiegler<br />
Pediatric Neuropsychologist<br />
The Hospital for Sick Children<br />
Dr. Mark Bernstein<br />
Chief of Service<br />
Hematology/Oncology<br />
Ste. Justine Hospital<br />
Ms. Susan Posgate<br />
Oncology Clinic Nurse<br />
McMaster Children’s Hospital,<br />
Hamilton Health Sciences<br />
IS Manager<br />
Husein Patel<br />
hpatel@pogo.ca<br />
416-592-1232 ext. 231<br />
Students<br />
Andrea Craig<br />
acraig@pogo.ca<br />
416-592-1232 ext. 246<br />
Summer Students<br />
Maya Fowlie<br />
mfowlie@pogo.ca<br />
416-592-1232<br />
Research Fellows<br />
Iris Epstein<br />
iepstein@pogo.ca<br />
416-592-1232 ext. 229<br />
Dr. Caroline Roncadin<br />
croncadin@pogo.ca<br />
416-592-1232<br />
12
POGO Donors 2004/2005 POGO Giving Groups and Sponsors 2004/2005<br />
POGO PLATINUM PARTNERS<br />
$100,000+<br />
Multi-year pledges:<br />
RBC Foundation<br />
Scotiabank<br />
POGO SILVER PARTNERS<br />
$50,000-$74,999<br />
Multi-year pledge:<br />
The Lawrence and Judith Tanenbaum Family<br />
Charitable Foundation<br />
POGO LEADERS<br />
$25,000-$49,999<br />
Multi-year pledge:<br />
John and Patty Cleghorn<br />
Single Gift:<br />
Xerox Canada<br />
POGO BENEFACTORS<br />
$10,000-$24,999<br />
Multi-year Pledges:<br />
Donald J. Lewtas<br />
Jeremy Freedman and Judith Finer-Freedman<br />
Richard and Lynne Waugh<br />
Single Gifts:<br />
Goodmans LLP<br />
Morgan Stanley Canada<br />
RioCan Real Estate Investment Trust<br />
TD Bank Financial Group<br />
Wiring Mart Ltd<br />
Anthony and Valerie Melman<br />
David Kassie<br />
POGO SUPPORTERS<br />
$5,000-$9,999<br />
Bluffers Park Yacht Club<br />
Loblaw Companies Limited<br />
Shoppers Drug Mart<br />
The Ben and Hilda Katz Charitable<br />
Foundation<br />
The Howard and Carol Tanenbaum Family<br />
Charitable Foundation<br />
Torys LLP<br />
Kevin Sullivan<br />
POGO FRIENDS<br />
$1,000-$4,999<br />
A.J. Lanzarotta<br />
Agnico Eagle Mines<br />
AIM Trimark<br />
Barrday Inc.<br />
Cara Foods<br />
Concord Steel Centre Inc.<br />
Crane Fund for Women and Children<br />
Franklin-Templeton Investments<br />
GAM on Yachting<br />
Giant Storage Inc.<br />
Global Television Network<br />
Guardian Group of Funds<br />
Hailon Foundation<br />
HBC Charitable Foundation<br />
Hydro One Networks<br />
Hyperion Solutions of Canada<br />
MacKenzie Financial<br />
Masters Insurance<br />
Mercer Human Resources Consulting<br />
Million Dollar Round Table Canadian<br />
Charitable Foundation<br />
Oakleaf Consulting<br />
Procter & Gamble<br />
The Warren and Debbie Kimel Charitable<br />
Foundation<br />
The Winnipeg Community Foundation<br />
Amy Stoddart<br />
Ana Lopes<br />
Andrew Sheiner<br />
Anthony Munk<br />
Berry Meyerowitz and Robyn Goren<br />
Brad Crompton<br />
Bregman Family<br />
Charles and Libby Winograd<br />
Christopher Blackwell<br />
Dan Casey<br />
David Roland<br />
Edward & Marla Schwartz<br />
Elizabeth Delbianco<br />
Jordan Rosenberg<br />
Kenny Solway<br />
Laura Hurley<br />
Lori Jackson<br />
Lula Vihos<br />
Nancy Pencer<br />
Patricia MacDonald<br />
Paul & Victoria Hand<br />
Paul Habert<br />
Paul Spafford<br />
Peter Dey & Phyllis Ortved<br />
Peter L. Buzzi<br />
Richard Venn and Carol Mitchell<br />
Robert Spindler<br />
Stephen Sandler<br />
Ted Margel<br />
DONATIONS OF<br />
$500 TO $999<br />
Armstrong Partnership Ltd.<br />
CI Mutual Funds<br />
Connolly Marble and Granite<br />
Earth Tech (Canada) Inc<br />
Global Precast<br />
Highland Yacht Club<br />
National Wood<br />
PharmAssist Foundation<br />
Reversomatic Heating and Manufacturing<br />
Siga International Inc.<br />
Soil-Eng<br />
St. Paul Guarantee Insurance Company<br />
Thornwood Homes<br />
Torstar<br />
Annonymous<br />
Bryan and Doreen Rakusin<br />
David and Sandra Smith<br />
David Maldoff<br />
Dr. Melvyn Kay<br />
Issie and Terry Grachnik<br />
Kirby Gavelin<br />
Michael and Anna D’Amico<br />
Neill & Linda Judelman<br />
Nick Savidis<br />
Nigel Wright<br />
Robert Grandy<br />
Sandra Title<br />
Stephen and Michelle Pincus<br />
Stephen Brown<br />
T.M. Coulton<br />
Timothy Duncanson<br />
Giving Groups<br />
CHILDHOOD CANCER<br />
CHARITABLE COUNCIL<br />
Chair:<br />
Tony Melman<br />
Members:<br />
Brad Crompton<br />
I. Berl Nadler<br />
John Sullivan<br />
Shannon Langton<br />
Tom Barber<br />
POGO PATRONS<br />
J. Robert S. Prichard & Ann E. Wilson<br />
John Cleghorn<br />
Larry Tanenbaum<br />
Rick Waugh<br />
Shari Fell<br />
POGO YOUNG<br />
LEADERSHIP CONNECTION<br />
5-Year Pledges of<br />
$2,000-$5,000<br />
Alex Ber<br />
Amie Rocket<br />
Andrew Stein<br />
Ari Yakobson<br />
Avi Greenspoon<br />
Beverly Suliteanu<br />
Bob Cawston<br />
Brad Nathan<br />
Brentwood Strasler<br />
Cari Cogan-Krensky<br />
Corina Weigl and James Joyce<br />
Darren Slavens<br />
David Durno<br />
David Beaton<br />
David Bacon<br />
David and Tamara Finch<br />
Desiree Mathias<br />
Dimitra Davidson<br />
Elen Steinberg-Brodie<br />
Eric Demirian<br />
Glen and Carolyn Oliver<br />
Graham Fell<br />
Ian Cleghorn and Lynne Bridman Cleghorn<br />
Jason Robertson<br />
Scott & Nona Morrow<br />
Stacey Yuen<br />
Stuart & Lana Sherman<br />
Tim Gravely<br />
Tim & Laurie Foote<br />
Sponsors<br />
POGO GALA 2004 -<br />
CASABLANCA<br />
Presenting Sponsor<br />
Merrill Lynch<br />
Gold Sponsor<br />
Onex Corporation<br />
Silver Sponsors<br />
Davies Ward Phillips & Vineberg LLP<br />
GMP Securities Ltd.<br />
Goodmans LLP<br />
Novartis<br />
RBC Financial Group<br />
Siemens<br />
Bronze Sponsors<br />
Blake, Cassels & Graydon LLP<br />
Chestnut Park Real Estate<br />
Fasken Martineau<br />
Fraser Milner Casgrain<br />
Monitor Company<br />
Parkview BMW<br />
Pilot Insurance<br />
Private Client Services<br />
RH Carter Architects<br />
Workbrain<br />
Gift Bag Sponsor:<br />
Royal De Versailles<br />
Beverage Sponsor:<br />
Calvet<br />
Polar Ice Vodka<br />
Media Sponsors<br />
CFRB AM 1010<br />
Cineplex Odeon Cinemas<br />
Mix 99.9 FM<br />
Childcan<br />
GlaxoSmithKline<br />
Hoffmann-La Roche<br />
MDS Laboratory Services<br />
Princess Margaret Hospital Foundation<br />
Other<br />
Agnico-Eagle Mines<br />
Artificial Intelligence in Medicine (AIM)<br />
Schering Canada<br />
CAMP GREEN ACRES<br />
FAMILY FUN DAY FOR POGO<br />
Host<br />
Camp Green Acres<br />
Presenting Sponsor<br />
TD Commercial Banking<br />
Silver Sponsor<br />
Toronto Professional Firefighters Association<br />
Bronze Sponsors<br />
Boston Scientific<br />
Other Sponsors/Donors<br />
BBQ Gourmet<br />
Canada Bread<br />
Cott Beverages<br />
Kayla and Ralph<br />
Kids Can Cook<br />
M&M Meat Shops<br />
Maple Leaf Foods<br />
Markham Fire Department<br />
Morris Brown & Sons<br />
Neal Brothers Food<br />
Sandylion Stickers<br />
Grand River Toy Company<br />
SKR Delivery Moving & Storage<br />
Sobey’s<br />
Sol Cuisine<br />
St. Urbain Bagel<br />
ViBE Dance Studios<br />
Superior Sound<br />
Print Sponsors and Designers<br />
Media Platforms<br />
Torre Lazur<br />
Jim Williams<br />
Today’s Parent Toronto<br />
Due to a significant increase in donations this year we are unable to list donations under $500.<br />
POGO would like to extend a sincere thank you to all of our loyal donors.<br />
Joan Schatz & Geoffrey Belisle<br />
Josef & Erin Prosperi<br />
John Ruffolo<br />
Jon & Ellise Gasner<br />
POGO MULTIDISCIPLINARY<br />
SYMPOSIUM - 2004<br />
Platinum Sponsor<br />
Media and Advertising Sponsors<br />
Cineplex Odeon<br />
City Parent<br />
Today’s Parent<br />
Jordan & Faith Banks<br />
Nestle Nutrition<br />
Kara McIntosh<br />
Kim Fobert<br />
Silver Sponsors<br />
Michael Davidson<br />
Amgen<br />
13<br />
At time of printing, the POGO 2004/2005 audited Financial Statements were not available for inclusion<br />
in this Annual Report. To obtain a copy, please contact Ms. Susan Grace at (416) 592-1232, ext 250.<br />
Rebekah McIntosh<br />
Richard Wachsberg<br />
Robyn Scott<br />
Sandra Hollingsworth<br />
Bronze Sponsors<br />
Canadian Cancer Society - Ontario Division<br />
Centura Brands<br />
14