Anne LaPorte, RN, was tired and had back pain. She just moved from Hawaii to California, and it was in around the same time as the start of the pandemic - early 2020 - when most people were feeling uncomfortable. I thought it was the stress of moving said LaPorte, 55 years. But in March of last year, the fatigue and pain intensified. She made an appointment with the doctor to get answers. My symptoms were getting worse. Covid had just hit our hospital at the time so things were quite stressful. I was having difficulty accessing routine careat that time and our facility was - like most facilities - completely unprepared for the Covid outbreak, LaPorte said. So I probably saw three other primary care doctors and went to the emergency room three times before I was diagnosed with stage four lung cancer, she said. I would say that it took - March, April, May, June, July, August - six months before I had a diagnosis. Find out more LaPorte while receiving chemotherapy two years ago weeks in his lung cancer build hope shirt The Resesarch Foundation's Free Breathe Walk. LaPorte has never smoked, remains active as a triathlon athlete and was in good health . The day before I was diagnosed with sta. Four-year-old had cycled 50 miles, said LaPorte. I was having difficulty running, butI could still get on my bike. So, you wouldn't want to look at me and really know that I had advanced end-stage lung cancer. My prognosis was three to six months when I was diagnosed. She said doctors found cancer had spread all over her spine, liver and left eye. Now retired from care. nurses, LaPorte has been in treatment for 13 months. Due to the coronavirus pandemic, LaPorte's experience of having difficulty accessing routine care has become common. Nationally, there is There has been a decline in cancer screenings as well as barriers to accessing treatment - and doctors now fear that the delays have led to patients with advanced cancer arriving at their offices. 'We are concerned about growing disparities ' Dr. Randy Hicks, Co-Owner and CEO of Regional Medical Imaging inMichigan has seen a decline in cancer screening and treatment in the communities served by its facilities. There are nine facilities in metro Detroit and Flint, Michigan. Michigan was severely affected by the pandemic in 2020, and unfortunately all of my nine centers were affected for a total of 9.5 weeks. last year, which resulted in a significant backlog of patients who delayed or skipped mammograms entirely last year, Hicks wrote in an email to CNN. This year her facilities have seen a slight decline. advance increase in cancer cases. death in US rates are falling for many types of cancer, but not all, report says Now, as mammogram rates begin to rise, many women are catching up to perform these vital health exams, resulting in another potential problem: a drastic increase in the workload of radiologists, Hicks wrote. Without a doubt, we have unfortunately seen advanced cases this year in the communities we serve, possibly due to the postponement of screening by women. Doctors are also concerned that these delays in screening and care may have larger impacts on communities of color, exacerbating disturbing disparities in health care that had existed long before the pandemic. reference, Dr. Leonard Gomella, Professor and President of Urology at Thomas Jefferson University and Jefferson Health , wrote in an email to CNN. Therefore, any negative impact like the pandemic will be more easily felt in those communities. A study published in this month's issue of the journal Preventive medicine notes that in April 2020, the total number of cancer screening tests breast and cervix funded by the US Centers for Disease Control and Prevention National Program for Early Detection of Breast and Cervical Cancer decreased 87% and 84%, respectively, from the five last years. annual averages for that month. The researchers noted that the biggest drops were seen in women of color. In April2020, the decline in breast cancer screening ranged from 84% among Hispanic women to 98% among Native American / Alaska Native women. White, black and Asian women saw declines of 87%, 90% and 97%, respectively. Screening began to recover in May 2020. As of June 2020, the volume of breast and cancer screening tests cervix was 39% and 40% below the five-year average for that month, respectively. JUST WATCHED Man 's wife dies of cancer after discharge on Covid-19 patients Replay More videos ... WATCH Man 's wife dies of cancer after being released from hospital for patients with Covid-19 02:36 We are concerned that disparities are increasing, but we certainly still need time to understand the full impact of the pandemic as we are still living it. It takes time to get all the data, but I think what we can say is that the impact is twofold, vice-vice Dr Laura Makaroff told CNN on Tuesday. -Senior chair of prevention and early detection at the American Cancer Society. . Number one, we certainly saw a sharp drop in cancer screening at the onset of the pandemic - way into the spring of 2020, as health systems had to adapt and not perform elective procedures, including the cancer screening, to meet the acute needs of patients with Covid. Now there is a backlog that has been created, said Makaroff. The second part is that in addition to access care in terms of locationof our health systems and how cancer screening can be accomplished, is the impact of Medicare and employment, ”she said. Communities and populations facing additional barriers to cancer screening, which include health insurance and the financial means to pay for screening, have also been affected by unemployment and loss of insurance. sponsored by employer due to pandemic. The coronavirus pandemic could impact cancer rates and care in the future Makaroff said she and her colleagues at the American Cancer Society were awaiting data on the iSpecific impacts of the pandemic on screening rates, access to treatment and other aspects of cancer care - but they have so far seen early data. In August, they published a study in the journal Cancer which found that breast cancer screening rates declined by 8% between July 2019 and 2020 in 32 community health centers in the United States. A a survey published last year by the American Society of Clinical Oncology found that two-thirds of Americans, or nearly 64%, delay or skip scheduled cancer screens, such as as a mammogram, colonoscopy, skin check or Pap test / HPV - due to the coronavirus pandemic.Global, Although there are several published prediction models ofYears of peer-reviewed journals to estimate the effects of delayed or missed screens, it will take time for real-world data to accumulate and clarify the true impact globally and on specific populations or geographic regions, A spokesperson for the MD Anderson Cancer Center wrote in an email to CNN on Tuesday. Gomella, of Jefferson Health, said her facility has seen a decline in prostate cancer screening during the height of the decade. pandemic, but screening figures were back to baseline by the end of 2020. Only time will tell if this temporary drop in screening efforts will impact long-term cancer control rates, said he wrote. to CNN. 'The inequity is appalling ' As a former nurse, LaPorte has witnessed inequalities in health care. L ' he inequity is appalling in health care. Not just for cancer but for all diseases. As a nurse, I have worked in hospitals in big cities with high rates of low income patients and there are multiple reasons why there are disparities, ”LaPorte said. to care is a challenge at the best of times, and you are launching a global pandemic that this country was not ready for, you see resources are just being completely eaten up by the pandemic, ”she said . Everyone is affected, but in low income places where we know that accessing health care alone is a challenge and taking the next step to get tested - it doesn 't just doesn't happen. A study confirms that the pandemic has hit blacks, Native Americans andLatinos harder than whites There are disturbing similarities in how the two diseases - Covid-19 and cancer - disproportionately impact black and brown communities. Data from the Centers for Disease Con of the United States trol and Prevention shows that blacks and Hispanics are at least twice as likely to die from Covid-19 as non-Hispanic whites and nearly three times as likely to be hospitalized. Blacks and Hispanics are also more likely than whites to be infected with Covid-19. Similar disparities also exist for certain types of cancer, as well as their risk factors.For example, people of color are more than three times more likely to breathe the most polluted air in the United States than whites, according to the American Lung Association . Pollutionair can increase the risk of lung cancer. A hospital full of Covid-19 patients was forced to turn away a person in need of 'emergency cancer treatment, doctor says Black men face 9% higher cancer incidence and 22% higher death rate than white men for all cancers combined, according to the American Cancer Society . In contrast, black women have a 7% lower risk of cancer than white women, but a 13% higher risk of death from cancer. California to New York, pour promoting early detection of cancer and minimizing these racial disparities in health care. The UC Davis Comprehensive The California Cancer Center last week announced plans to deploy a mammovan, a mobile van that will provide free mammograms to women in underserved communities from northern California and the Central Valley. In New York, The Stacey assembler Pheffer Amato has announced that she will be hosting a free mammography screening event next month to promote early detection of breast cancer. LaPorte is a champion of early testing. When she thinks of a cancer diagnosis, she thinks of her father. When he died in 2008, eight weeks after being diagnosed with lung cancer, she scourede old X -cratch pictures of his chest for any clues to help him understand. Receive the weekly CNN Health newsletter Register here to receive The results are here with Dr. Sanjay Gupta all on CNN Health Team Tuesdays. She saw marks on the images that were eerily similar to the marks on the x-ray images taken of her own chest. When Anne showed it to her GP, she had another CT scan and it turned out that she had a lodule in her lungs. As LaPorte was in good health, she was told to monitor the nodule and wait. Doctors did not examine the nodule again until LaPorte experienced worsening symptoms last year. LaPorte passes now its time to raise awareness of the importanceearly detection of lung cancer, in collaboration with the organizations Be Bold Be Bald! and the Lung Cancer Research Foundation. We hope to make some noise and make some changes for women with breast cancer lung - all women, whether you smoke or not, we don't care, said LaPorte. We are one community.