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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

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