Singer/songwriter Avril Lavigne has been named to the Order of Canada, that country’s highest civilian honor. It recognizes individuals for their “exceptional contributions” to Canada and humanity.

According to the official website for the Order of Canada:

Avril Lavigne is one of the best-selling female artists of all time. With over 50 million albums sold worldwide, she paved the way for female-driven punk-rock music and continues to do so today. Generous with her time, she supports individuals with serious illnesses, disabilities and Lyme disease through the Avril Lavigne Foundation. A global ambassador for Special Olympics, she promotes inclusion and helps end the stigma around intellectual disabilities.

Lavigne became severely debilitated by Lyme disease in 2014 and was bed-bound for two years. In 2018, she released the single “Head Above Water,” based on her Lyme experience.

The Avril Lavigne Foundation supports people with Lyme disease, and other serious illnesses or disabilities. Through programs and grants, it provides funding, education and encouragement for its beneficiaries.

Watch her official video of “Head Above Water” here: