Terry Fox


Terrance Stanley Fox was a Canadian athlete, humanitarian, and cancer research activist. In 1980, with one leg having been amputated due to cancer, he embarked on an east to west cross-Canada run to raise money and awareness for cancer research. Although the spread of his cancer eventually forced him to end his quest after 143 days and, and ultimately cost him his life, his efforts resulted in a lasting, worldwide legacy. The annual Terry Fox Run, first held in 1981, has grown to involve millions of participants in over 60 countries and is now the world's largest one-day fundraiser for cancer research; over C$750 million has been raised in his name, as of January 2018.
Fox was a distance runner and basketball player for his Port Coquitlam, British Columbia, high school and Simon Fraser University. His right leg was amputated in 1977 after he was diagnosed with osteosarcoma, though he continued to run using an artificial leg. He also played wheelchair basketball in Vancouver, winning three national championships.
In 1980, he began the Marathon of Hope, a cross-country run to raise money for cancer research. He hoped to raise one dollar from each of Canada's 24 million people. He began with little fanfare from St John's, Newfoundland and Labrador, in April and ran the equivalent of a full marathon every day. Fox had become a national star by the time he reached Ontario; he made numerous public appearances with businessmen, athletes, and politicians in his efforts to raise money. He was forced to end his run outside Thunder Bay when the cancer spread to his lungs. His hopes of overcoming the disease and completing his marathon ended when he died nine months later.
In addition to being the youngest person ever named a Companion of the Order of Canada, Fox won the 1980 Lou Marsh Award as the nation's top sportsman and was named Canada's Newsmaker of the Year in both 1980 and 1981. Considered a national hero, he has had many buildings, statues, roads, and parks named in his honour across the country.

Early life and cancer

Terry Fox was born on July 28, 1958, in Winnipeg, Manitoba, to Rolland and Betty Fox. Rolland was a switchman for the Canadian National Railway. Fox had an elder brother, Fred, a younger brother, Darrell, and a younger sister, Judith. Fox's maternal grandmother is Métis and Fox's younger brother Darrell has official Métis status.
His family moved to Surrey, British Columbia, in 1966, then settled in Port Coquitlam, in 1968. His parents were dedicated to their family, and his mother was especially protective of her children; it was through her that Fox developed his stubborn dedication to whatever task he committed to do. His father recalled that he was extremely competitive, noting that Fox hated to lose so much that he would continue at any activity until he succeeded.
He was an enthusiastic athlete, playing soccer, rugby and baseball as a child. His passion was for basketball and though he stood only five feet tall and was a poor player at the time, Fox sought to make his school team in grade eight. Bob McGill, Fox's physical education teacher and basketball coach at Mary Hill Junior High School, felt he was better suited to be a distance runner and encouraged him to take up the sport. Fox had no desire for cross-country running, but took it up because he respected and wanted to please his coach. He was determined to continue playing basketball, even if he was the last substitute on the team. Fox played only one minute in his grade-eight season but dedicated his summers to improving his play. He became a regular player in grade nine and earned a starting position in grade ten. In grade 12, he won his high school's athlete of the year award jointly with his best friend Doug Alward.
Though he was initially unsure whether he wanted to go to university, Fox's mother convinced him to enrol at Simon Fraser University, where he studied kinesiology as a stepping stone to becoming a physical education teacher. He tried out for the junior varsity basketball team, earning a spot ahead of more talented players due to his determination.
On November 12, 1976, as Fox was driving to the family home at Morrill Street in Port Coquitlam, he became distracted by nearby bridge construction, and crashed into the back of a pickup truck. While his car was left undriveable, Fox emerged with only a sore right knee. He again felt pain in December, but chose to ignore it until the end of basketball season. By March 1977, the pain had intensified and he finally went to a hospital, where he was diagnosed with osteosarcoma, a form of cancer that often starts near the knees. Fox believed his car accident weakened his knee and left it vulnerable to the disease, though his doctors argued there was no connection. He was told that his leg had to be amputated, he would require chemotherapy treatment, and that recent medical advances meant he had a 50-percent chance of survival. Fox learned that two years before, the figure would have been only 15 percent; the improvement in survival rates impressed on him the value of cancer research.
With the help of an artificial leg, Fox was walking three weeks after the amputation. He then progressed to playing golf with his father. Doctors were impressed with Fox's positive outlook, stating it contributed to his rapid recovery. He endured sixteen months of chemotherapy and found the time he spent in the British Columbia Cancer Control Agency facility difficult as he watched fellow cancer patients suffer and die from the disease. Fox ended his treatment with new purpose: he felt he owed his survival to medical advances and wished to live his life in a way that would help others find courage.
In the summer of 1977, Rick Hansen, working with the Canadian Wheelchair Sports Association, invited Fox to try out for his wheelchair basketball team. Although he was undergoing chemotherapy treatments at the time, Fox's energy impressed Hansen. Less than two months after learning how to play the sport, Fox was named a member of the team for the national championship in Edmonton. He won three national titles with the team, and was named an all-star by the North American Wheelchair Basketball Association in 1980.

Marathon of Hope

The night before his cancer surgery, Fox had been given an article about Dick Traum, the first amputee to complete the New York City Marathon. The article inspired him; he embarked on a 14-month training program, telling his family he planned to compete in a marathon himself. In private, he devised a more extensive plan. His hospital experiences had made Fox angry at how little money was dedicated to cancer research. He intended to run the length of Canada in the hope of increasing cancer awareness, a goal he initially divulged to only his friend Douglas Alward.
Fox ran with an unusual gait, as he was required to hop-step on his good leg due to the extra time the springs in his artificial leg required to reset after each step. He found the training painful as the additional pressure he had to place on both his good leg and his stump led to bone bruises, blisters and intense pain. Fox found that after about 20 minutes of each run, he crossed a pain threshold and the run became easier.
On September 2, 1979, Fox competed in a road race in Prince George. He finished in last place, ten minutes behind his closest competitor, but his effort was met with tears and applause from the other participants. Following the marathon, he revealed his full plan to his family. His mother discouraged him, angering Fox, though she later came to support the project. She recalled, "He said, 'I thought you'd be one of the first persons to believe in me.' And I wasn't. I was the first person who let him down". Fox initially hoped to raise $1 million, then $10 million, but later sought to raise $1 for each of Canada's 24 million citizens.

Preparation

On October 15, 1979, Fox sent a letter to the Canadian Cancer Society in which he announced his goal and appealed for funding. He stated that he would "conquer" his disability, and promised to complete his run, even if he had to "crawl every last mile". Explaining why he wanted to raise money for research, Fox described his personal experience of cancer treatment:
Fox made no promises that his efforts would lead to a cure for cancer, but he closed his letter with the statement: "We need your help. The people in cancer clinics all over the world need people who believe in miracles. I am not a dreamer, and I am not saying that this will initiate any kind of definitive answer or cure to cancer. I believe in miracles. I have to." The Cancer Society was skeptical of his dedication, but agreed to support Fox once he had acquired sponsors and requested he get a medical certificate from a heart specialist stating that he was fit to attempt the run. Fox was diagnosed with left ventricular hypertrophy – an enlarged heart – a condition commonly associated with athletes. Doctors warned Fox of the potential risks he faced, though they did not consider his condition a significant concern. They endorsed his participation when he promised that he would stop immediately if he began to experience any heart problems.
A second letter was sent to several corporations seeking donations for a vehicle and running shoes, and to cover the other costs of the run. Fox sent other letters asking for grants to buy a running leg. He observed that while he was grateful to be alive following his cancer treatment, "I remember promising myself that, should I live, I would rise up to meet this new challenge face to face and prove myself worthy of life, something too many people take for granted." The Ford Motor Company donated a camper van, while Imperial Oil contributed fuel, and Adidas his running shoes. Fox turned away any company that requested he endorse their products and refused any donation that carried conditions, as he insisted that nobody was to profit from his run.

Trek across Canada

The Marathon began on April 12, 1980, when Fox dipped his right leg in the Atlantic Ocean near St John's, Newfoundland and Labrador, and filled two large bottles with ocean water. He intended to keep one as a souvenir and pour the other into the Pacific Ocean upon completing his journey at Victoria, British Columbia. Fox was supported on his run by Doug Alward, who drove the van and cooked meals.
Fox was met with gale-force winds, heavy rain and a snowstorm in the first days of his run. He was initially disappointed with the reception he received, but was heartened upon arriving in Channel-Port aux Basques, Newfoundland and Labrador, where the town's 10,000 residents presented him with a donation of over $10,000. Throughout the trip, Fox frequently expressed his anger and frustration to those he saw as impeding the run, and he fought regularly with Alward. By the time they reached Nova Scotia, they were barely on speaking terms, and it was arranged for Fox's brother Darrell, then 17, to join them as a buffer. Fox left the Maritimes on June 10 and faced new challenges entering Quebec due to his group's inability to speak French and drivers who continually forced him off the road. Fox arrived in Montreal on June 22, one-third of the way through his journey, having collected over $200,000 in donations. Around this time, Fox's run caught the attention of Isadore Sharp who was the founder and CEO of Four Seasons Hotels and Resorts – and who had lost a son to melanoma in 1978 just a year after Terry's diagnosis. Sharp was intrigued by the story of a one-legged kid "trying to do the impossible" and run across the country; so he offered food and accommodation at his hotels en route. When Fox was discouraged because so few people were making donations, Sharp pledged $2 a mile and persuaded close to 1,000 other corporations to do the same. Sharp's encouragement persuaded Fox to continue with the Marathon of Hope. Convinced by the Canadian Cancer Society that arriving in Ottawa for Canada Day would aid fundraising efforts, he remained in Montreal for a few extra days.
Fox crossed into Ontario at the town of Hawkesbury on the last Saturday in June. He was met by a brass band and thousands of residents who lined the streets to cheer him on, while the Ontario Provincial Police gave him an escort throughout the province. Despite the sweltering heat of summer, he continued to run per day. On his arrival in Ottawa, Fox met Governor General Ed Schreyer and Prime Minister Pierre Trudeau and was the guest of honour at numerous sporting events in the city. In front of 16,000 fans, he performed a ceremonial kickoff at a Canadian Football League game and was given a standing ovation. Fox's journal reflected his growing excitement at the reception he had received as he began to understand how deeply moved Canadians were by his efforts.
On July 11, a crowd of 10,000 people met Fox in Toronto, where he was honoured in Nathan Phillips Square. As he ran to the square, he was joined on the road by many people, including National Hockey League star Darryl Sittler, who presented Fox with his 1980 All-Star Game jersey. The Cancer Society estimated it collected $100,000 in donations that day alone. That evening he threw the ceremonial first pitch at Exhibition Stadium preceding a baseball game between the Toronto Blue Jays and the Cleveland Indians. As he continued through southern Ontario, he was met by Hockey Hall of Famer Bobby Orr who presented him with a cheque for $25,000. Fox considered meeting Orr the highlight of his journey.
As Fox's fame grew, the Cancer Society scheduled him to attend more functions and give more speeches. Fox attempted to accommodate any request that he believed would raise money, no matter how far out of his way it took him. He bristled, however, at what he felt were media intrusions into his personal life, for example when the Toronto Star reported that he had gone on a date. Fox was left unsure whom he could trust in the media after negative articles began to emerge, including one by The Globe and Mail that characterized him as a "tyrannical brother" who verbally abused Darrell and claimed he was running because he held a grudge against a doctor who had misdiagnosed his condition, allegations he referred to as "trash".
The physical demands of running a marathon every day took their toll on Fox's body. Apart from the rest days in Montreal taken at the request of the Cancer Society, he refused to take a day off, even on his 22nd birthday. He frequently suffered shin splints and an inflamed knee. He developed cysts on his stump and experienced dizzy spells. At one point, he suffered a soreness in his ankle that would not go away. Although he feared he had developed a stress fracture, he ran for three more days before seeking medical attention, and was then relieved to learn it was tendonitis and could be treated with painkillers. Fox rejected calls for him to seek regular medical checkups, and dismissed suggestions he was risking his future health.
In spite of his immense recuperative capacity, Fox found that by late August he was exhausted before he began his day's run. On September 1, outside Thunder Bay, he was forced to stop briefly after he suffered an intense coughing fit and experienced pains in his chest. Unsure what to do, he resumed running as the crowds along the highway shouted out their encouragement. A few miles later, short of breath and with continued chest pain, he asked Alward to drive him to a hospital. He feared immediately that he had run his last kilometre. The next day, Fox held a tearful press conference during which he announced that his cancer had returned and spread to his lungs. He was forced to end his run after 143 days and. Fox refused offers to complete the run in his stead, stating that he wanted to complete his marathon himself.

National response

Fox had raised $1.7 million by the time he was forced to abandon the Marathon. He realized that the nation was about to see the consequences of the disease, and hoped that this might lead to greater generosity. A week after his run ended, the CTV Television Network organized a nationwide telethon in support of Fox and the Canadian Cancer Society. Supported by Canadian and international celebrities, the five-hour event raised $10.5 million. Among the donations were $1 million each by the governments of British Columbia and Ontario, the former to create a new research institute to be founded in Fox's name, and the latter an endowment given to the Ontario Cancer Treatment and Research Foundation. Donations continued throughout the winter, and by the following April, over $23 million had been raised.
Supporters and well wishers from around the world inundated Fox with letters and tokens of support. At one point, he was receiving more mail than the rest of Port Coquitlam combined. Such was his fame that one letter addressed simply to "Terry Fox, Canada" was successfully delivered.
In September 1980, he was invested in a special ceremony as a Companion of the Order of Canada; he was the youngest person to be so honoured. The Lieutenant Governor of British Columbia named him to the Order of the Dogwood, the province's highest award. Canada's Sports Hall of Fame commissioned a permanent exhibit, and Fox was named the winner of the Lou Marsh Award for 1980 as the nation's top athlete. He was named Canada's 1980 Newsmaker of the Year. The Ottawa Citizen described the national response to his marathon as "one of the most powerful outpourings of emotion and generosity in Canada's history".

Death

In the following months, Fox received multiple chemotherapy treatments, but the disease continued to spread. As his condition worsened, Canadians hoped for a miracle and Pope John Paul II sent a telegram saying that he was praying for Fox. Doctors turned to experimental interferon treatments, though their effectiveness against osteogenic sarcoma was unknown. He suffered an adverse reaction to his first treatment, but continued the program after a period of rest.
Fox was re-admitted to the Royal Columbian Hospital in New Westminster on June 19, 1981, with chest congestion and developed pneumonia. He fell into a coma and died at 4:35 a.m. PDT on June 28, 1981, with his family by his side. The Government of Canada ordered flags across the country lowered to half mast, an unprecedented honour that was usually reserved for statesmen. Addressing the House of Commons, Trudeau said, "It occurs very rarely in the life of a nation that the courageous spirit of one person unites all people in the celebration of his life and in the mourning of his death... We do not think of him as one who was defeated by misfortune but as one who inspired us with the example of the triumph of the human spirit over adversity".
His funeral in Port Coquitlam was attended by 40 relatives and 200 guests, and broadcast on national television; hundreds of communities across Canada also held memorial services, a public memorial service was held on Parliament Hill in Ottawa, and Canadians again overwhelmed Cancer Society offices with donations.

Legacy

Fox remains a prominent figure in Canadian folklore. His determination united the nation; people from all walks of life lent their support to his run and his memory inspires pride in all regions of the country. A 1999 national survey named him as Canada's greatest hero, and he finished second to Tommy Douglas in the 2004 Canadian Broadcasting Corporation program The Greatest Canadian. Fox's heroic status has been attributed to his image as an ordinary person attempting a remarkable and inspirational feat. Others have argued that Fox's greatness derives from his audacious vision, his determined pursuit of his goal, his ability to overcome challenges such as his lack of experience and the very loneliness of his venture. As Fox's advocate on The Greatest Canadian, media personality Sook-Yin Lee compared him to a classic hero, Phidippides, the runner who delivered the news of the Battle of Marathon before dying, and asserted that Fox "embodies the most cherished Canadian values: compassion, commitment, perseverance". She highlighted the juxtaposition between his celebrity, brought about by the unforgettable image he created, and his rejection of the trappings of that celebrity. Typically amongst Canadian icons, Fox is an unconventional hero, admired but not without flaws. An obituary in the Canadian Family Physician emphasized his humanity and noted that his anger – at his diagnosis, at press misrepresentations and at those he saw as encroaching on his independence – spoke against ascribing sainthood for Fox, and thus placed his achievements within the reach of all.

Attitudes to disability

Fox expressed a robust attitude to his situation: he refused to regard himself as disabled, and would not allow anyone to pity him, telling a Toronto radio station that he found life more "rewarding and challenging" since he had lost his leg. His feat helped redefine Canadian views of disability and the inclusion of the disabled in society. Fox's actions increased the visibility of people with disabilities, and in addition influenced the attitudes of those with disabilities, by showing them disability portrayed in a positive light. Rick Hansen commented that the run challenged society to focus on ability rather than disability. "What was perceived as a limitation became a great opportunity. People with disabilities started looking at things differently. They came away with huge pride", he wrote.
In contrast, the narrative surrounding Fox has been critiqued as illustrating the media's focus on stereotyped portrayals of the heroic and extraordinary achievements of people with disabilities, rather than more mundane accomplishments. Actor Alan Toy noted "Sure, it raised money for cancer research and sure it showed the human capacity for achievement. But a lot of disabled people are made to feel like failures if they haven't done something extraordinary. They may be bankers or factory workers – proof enough of their usefulness to society. Do we have to be 'supercrips' in order to be valid? And if we're not super, are we invalid?" The media's idealization of Fox has also been critiqued for emphasizing an individualistic approach to illness and disability, in which the body is a machine to be mastered, rather than the social model of disability, where societal attitudes and barriers to inclusion play a prominent role in determining who is disabled.

Terry Fox Run

One of Fox's earliest supporters was Isadore Sharp, founder of the Four Seasons Hotels. Sharp had lost his own son to cancer and offered Fox and his companions free accommodation at his hotels. He donated $10,000 and challenged 999 other businesses to do the same. Sharp also proposed an annual fundraising run in Fox's name. Fox agreed, but insisted that the runs be non-competitive. There were to be no winners or losers, and anyone who participated could run, walk or ride. Sharp faced opposition to the project. The Cancer Society feared that a fall run would detract from its traditional April campaigns, while other charities believed that an additional fundraiser would leave less money for their causes. Sharp persisted, and he, the Four Seasons Hotels and the Fox family organized the first Terry Fox Run on September 13, 1981.
Over 300,000 people took part and raised $3.5 million in the first Terry Fox Run. Schools across Canada were urged to join the second run, held on September 19, 1982. School participation has continued since, evolving into the National School Run Day. The runs, which raised over $20 million in their first six years, grew into an international event as over one million people in 60 countries took part in 1999, raising $15 million that year alone. By the Terry Fox Run's 25th anniversary, more than three million people were taking part annually. Grants from the Terry Fox Foundation, which organizes the runs, have helped Canadian scientists make numerous advances in cancer research. The Terry Fox Run is the world's largest one-day fundraiser for cancer research, and over $750 million has been raised in his name, as of January 2018. The 30th Terry Fox Run was held September 19, 2010.
In September 2013, Dr. Jay Wunder, a sarcoma specialist at Mount Sinai Hospital, Toronto, noted that survival rates for osteosarcoma have increased dramatically since Fox's death. Most patients "get limb-sparing or limb-reconstructive surgery. Now the cure rate's almost up to 80 per cent in younger patients. In older patients it's more like 70 per cent. ... So that's a pretty big turnaround in a couple of decades." These advances in treatment might be partly attributable to the $750 million raised since Fox started his Marathon of Hope, as of January 2018.

Honours

The physical memorials in Canada named after Fox include:
Shortly after his death, Fox was named the Newsmaker of the Year for 1981, and Canada Post announced the production of a commemorative stamp in 1981, bypassing its traditionally held position that stamps honouring people should not be created until ten years after their deaths. British rock star Rod Stewart was so moved by the Marathon of Hope that he was inspired to write and dedicate the song "Never Give Up on a Dream" – found on his 1981 album Tonight I'm Yours – to Fox. Stewart also called his 1981–1982 tour of Canada the "Terry Fox Tour".
The Terry Fox Hall of Fame was established in 1994 to recognize individuals that have made contributions that improved the quality of life of disabled people. The Terry Fox Laboratory research centre was established in Vancouver to conduct leading edge research into the causes and potential cures for cancer.
In 2005, the Royal Canadian Mint issued a special dollar coin designed by Stanley Witten to commemorate the 25th anniversary of the Marathon of Hope. It was their first regular circulation coin to feature a Canadian.
In 2008, Fox was named a National Historic Person of Canada, a recognition given by the Canadian government to those persons who are considered to have played a nationally significant role in the history of the country. Fox's designation was due to his status as an "enduring icon", his personal qualities, and for the manner in which the Marathon of Hope had captivated the country and resonated deeply with Canadians.
Fox's mother, Betty Fox, was one of eight people to carry the Olympic Flag into BC Place Stadium at the opening ceremonies of the 2010 Winter Olympics in Vancouver. The games saw the Terry Fox Award bestowed on Olympic athletes who embodied Fox's characteristics of determination and humility in the face of adversity.
Beginning in 2015 Manitoba designated the first Monday in August, formerly known as Civic Holiday, as Terry Fox Day.

Films

Fox's story was dramatized in the 1983 biographical film The Terry Fox Story. Produced by Home Box Office, the film aired as a television movie in the United States and had a theatrical run in Canada. The film starred amputee actor Eric Fryer and Robert Duvall, and was the first film made exclusively for pay television. The movie received mixed but generally positive reviews, but was criticized by Fox's family over how it portrayed his temper. The Terry Fox Story was nominated for eight Genie Awards, and won five, including Best Picture and Best Actor.
Rock musician Ian Thomas had written and recorded a song in response to Fox's story, "Runner", which ended up being included in the film. It also was covered by Manfred Mann's Earth Band, reaching 22 on the Billboard Hot 100 in 1984.
A second movie, titled Terry, focused on the Marathon of Hope, was produced by the CTV Television Network in 2005. Fox was portrayed by Shawn Ashmore. He is not an amputee; digital editing was used to superimpose a prosthesis over his real leg. The film was endorsed by Fox's family, and portrayed his attitude more positively than the first movie. Canadian National Basketball Association star Steve Nash, who himself was inspired by Fox when he was a child, directed a 2010 documentary Into the Wind, which aired on ESPN as part of its 30 for 30 series.

Steve Fonyo and Rick Hansen

Fox was not the first person to attempt to run across Canada. Mark Kent crossed the country in 1974 as he raised money for the Canadian team at the 1976 Summer Olympics. While he lived, Fox refused to let anyone else complete the Marathon of Hope, having promised to finish it himself once he recovered. Steve Fonyo, an 18-year-old who suffered from the same form of cancer and who also had a leg amputated, sought in 1984 to duplicate Fox's run, calling his effort the "Journey for Lives". After leaving St. John's on March 31, Fonyo reached the point where Fox was forced to end his marathon at the end of November, and completed the transcontinental run on May 29, 1985. The Journey for Lives raised over $13 million for cancer research.
Canadian Paralympic athlete Rick Hansen, who had recruited Fox to play on his wheelchair basketball team in 1977, was similarly inspired by the Marathon of Hope. Hansen, who first considered circumnavigating the globe in his wheelchair in 1974, began the Man in Motion World Tour in 1985 with the goal of raising $10 million towards research into spinal cord injuries. As Fonyo had, Hansen paused at the spot Fox's run ended to honour the late runner. Hansen completed his world tour in May 1987 after 792 days and ; he travelled through 34 countries and raised over $26 million.

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