Evidence of meeting #10 for Foreign Affairs and International Development in the 44th Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was vaccines.

A video is available from Parliament.

On the agenda

MPs speaking

Also speaking

Joshua Tabah  Director General, Health and Nutrition, Department of Foreign Affairs, Trade and Development
Excellency Stephen de Boer  Ambassador and Permanent Representative of Canada to the World Trade Organization, Department of Foreign Affairs, Trade and Development
Mark Schaan  Acting Senior Assistant Deputy Minister, Strategic and Innovation Policy, Department of Industry
Darryl Patterson  Director General, Department of Industry
Clerk of the Committee  Ms. Erica Pereira

11 a.m.

Liberal

The Chair Liberal Sven Spengemann

Good morning, honourable members. Welcome to meeting number 10 of the Standing Committee on Foreign Affairs and International Development. I call the meeting to order.

To ensure an orderly meeting, I would like to outline a few rules to follow.

Pursuant to the motion adopted on January 31, the committee is meeting to study vaccine equity and intellectual property rights.

As always, interpretation is available through the globe icon at the bottom of your screen, and for members participating in person, keep in mind the Board of Internal Economy's guidelines for mask use and health protocols.

I'd like to take this opportunity to remind all participants in this meeting that taking screenshots or photos of your screen is not permitted.

Before speaking, please wait until I recognize you by name. When speaking, please speak slowly and clearly. When you're not speaking, I would ask that you put your microphone on mute. I would remind members and witnesses that comments should be addressed through the chair.

Before we begin, I'd like to flag that we have a number of small housekeeping items to deal with at the end of the session. I would like to reserve some time at the end to take care of that.

Without further ado, I'd like to welcome the officials who are with us today.

From the Department of Foreign Affairs, Trade and Development, we have Stephen de Boer, ambassador and permanent representative of Canada to the World Trade Organization, and Joshua Tabah, director general, health and nutrition.

Welcome to the committee.

From the Department of Industry, we have Darryl Patterson, director general, and Mark Schaan, acting senior assistant deputy minister, strategic and innovation policy sector.

Welcome.

Mr. Tabah, I understand that you'll be making the only opening statement before the committee this morning. I will turn the floor over to you.

As customary, I will signal colleagues and witnesses with this yellow sheet of paper when you have 30 seconds remaining in your testimony or questioning. It has proven to be an effective method of keeping time, so I would ask you to keep an eye out for that.

Mr. Tabah, the floor is yours for five minutes. Please go ahead.

11 a.m.

Joshua Tabah Director General, Health and Nutrition, Department of Foreign Affairs, Trade and Development

Thank you, Chair.

It is my pleasure to be here before the committee. I'm joined today from Geneva by my colleague Stephen de Boer, Canadian ambassador and permanent representative to the WTO.

Building on decades of leadership in global health, Canada has been a champion of vaccine equity, contributing to a robust, multi-faceted and global response to the pandemic since the very beginning.

Throughout the pandemic, Canada has reinforced its position as a leader in global health and equity. We've done that by championing new mechanisms for the procurement of COVID-19 vaccines and other medical products, and by working collaboratively within the international rules-based trading system to support broader access to vaccines.

Canada is committed to supporting equitable global access to COVID-19 vaccines, treatments and diagnostics. That's why we've worked hand in hand with the access to COVID-19 tools accelerator, or the ACT accelerator, and the COVAX facility towards this goal. COVAX remains the best way to ensure that all countries have equitable and timely access to COVID-19 vaccines. Canada has committed $580 million in support, and has been a key champion of the facility since its inception nearly two years ago.

COVAX uses a fair, transparent and equitable allocation framework based on a series of algorithms that ensure doses are distributed where they are needed most.

COVAX has now shipped over 1.3 billion doses to 144 countries. Despite some initial challenges in securing the supply it needed last year, COVAX has been well positioned since the fall to meet the supply needs of its members while also offering integrated end-to-end support. It is the key mechanism to help ensure that all countries have what they need to make steady progress towards the WHO's goal of achieving 70% immunization rates this year.

The donations of vaccines were critical last year when global supply was severely constrained, and they've played a major role in COVAX's effort to ensure that all countries have access. Part of Canada's contribution to the facility included $10 million specifically for the development and operationalization of COVAX's dose-sharing mechanism through which doses offered for donation by any country are matched with the countries that need them, ensuring that global efforts are coordinated.

In addition, Canada has committed to donating the equivalent of at least 200 million doses to the COVAX facility by the end of 2022. To date, more than 100 million vaccine doses have been delivered through COVAX.

This includes 15 million surplus doses that COVAX has shipped to 23 countries on Canada's behalf and the equivalent of 87 million doses procured through Canada's financial support.

Additionally, Canada is one of only four countries to pay the full ancillary costs for any doses donated through COVAX. This ensures that the costs for syringes, diluent and safe disposal materials don't create an additional burden on COVAX or recipient country partners.

The global vaccine supply landscape has shifted in recent months, and production and supply now exceed current demand and administration capacity. If the landscape in 2021 was supply constrained, the landscape in 2022 is evolving to be demand constrained. To help adjust this, Canada will continue to go beyond procurement. It will also reinforce vaccine delivery and strengthen health systems to ensure that countries have the support they need to turn vaccines into vaccinations.

Canada has provided $100 million to support the delivery and distribution of vaccines through COVAX's delivery program. We have made a significant investment to support the system in conjunction with the World Health Organization and Pan American Health Organization, or WHO and PAHO.

Canada is exploring additional ways to increase bilateral and regional support for country-level delivery and administration, including for demand generation.

While we have currently moved beyond the situation of supply scarcity we faced last year, we are committed to doing our part to ensure it doesn't happen again, by addressing barriers to production and access.

We are working with international partners to improve global capacity to manufacture vaccines for both COVID-19 and beyond. Since the onset of the pandemic, Canada has actively worked with other WTO members and international partners to identify and address concrete barriers to access, such as supply chain constraints and export restrictions.

As Ambassador de Boer is in attendance today, he can speak to Canada's engagements at the WTO and provide the latest from there.

Canada recognizes that global vaccine access and distribution depends on numerous factors that go beyond intellectual property. They include the resilience of supply chains, distribution challenges, access to technical know-how and expertise, and, of course, production capacity and funding.

To support more diversified vaccine production, Canada announced at the G20 summit last year an investment of $15 million to support COVAX partners and a South African consortium to set up an mRNA technology transfer and manufacturing hub in South Africa.

In conclusion, Canada remains committed to helping achieve the WHO target of vaccinating 70% of the world's population.

By supporting global, multilateral efforts to end the COVID-19 pandemic and complementing this with targeted, country-specific support, Canada will continue to take a leading role in helping ensure that all countries have access to the COVID-19 tools and support they require.

Thank you, Chair.

11:10 a.m.

Liberal

The Chair Liberal Sven Spengemann

Thank you very much for your opening statement, Mr. Tabah.

We will now begin our first round of questions. These are six-minute allocations, and leading us off this morning will be Mr. Aboultaif.

Please go ahead for six minutes.

11:10 a.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

Thank you, Chair.

Good morning to everyone, and good morning to the witness.

Thank you, Mr. Tabah, for your presentation this morning. The first question that comes to mind is this: What is meant by equivalent doses of vaccines to COVAX?

11:10 a.m.

Director General, Health and Nutrition, Department of Foreign Affairs, Trade and Development

Joshua Tabah

Much of the funding that Canada has provided to the COVAX facility is for the procurement of vaccines by COVAX. COVAX purchases the vaccines and allocates them through the WHO allocation mechanism to countries in need.

As such, the 87 million doses that we have procured the equivalent of is based on a calculation used by all G7 countries to determine the equivalent dose volume that their financial contribution would provide. Therefore, Canada is calculating both the in-kind surplus doses provided to COVAX for allocation, as well as the equivalent, the number of doses that COVAX will be able to procure directly from manufacturers through the financial support provided.

11:10 a.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

Thank you.

Is there any cash involved with that?

11:10 a.m.

Director General, Health and Nutrition, Department of Foreign Affairs, Trade and Development

Joshua Tabah

Yes, that is through grant funding to the COVAX facility partners; as such, we work with trusted international assistance partners, like the GAVI, the global alliance for vaccines. They work with other partners to procure doses through the grant funding provided by Canada, other G7 donors and other financial supporters as well.

11:10 a.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

How much was Canada's participation, in dollar terms, in this initiative?

11:10 a.m.

Director General, Health and Nutrition, Department of Foreign Affairs, Trade and Development

Joshua Tabah

To date, Canada has provided $540 million to the COVAX facility.

11:10 a.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

On the specifics of the equivalent, such as the one you mentioned, out of the $580 million, how much is just for the specific initiative?

11:10 a.m.

Director General, Health and Nutrition, Department of Foreign Affairs, Trade and Development

Joshua Tabah

The G7 methodology agreed with COVAX takes the total support provided by a donor to COVAX in terms of unrestricted grant supports for COVAX's work and then calculates the dose equivalency based on that. For Canada, that $554 million in grant supports translates to the equivalent of 87 million doses procured and distributed by COVAX.

11:10 a.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

Getting from 14 million to 200 million doses by the end of the year, as you mentioned, of course sounds challenging. It's a big jump from 14 million to 200 million. If that is cash, isn't that just the Canadian government abdicating on its commitment to donate vaccines?

11:10 a.m.

Director General, Health and Nutrition, Department of Foreign Affairs, Trade and Development

Joshua Tabah

Canada works closely with COVAX to ensure that COVAX receives the support it requires to partner with developing countries and others to meet their vaccine needs. We're already at just over 100 million doses provided against that commitment of 200 million, some from the cash procurement that I mentioned and some from in-kind doses. We feel that we're on track to achieve the target of mobilizing the equivalent of 200 million doses through COVAX by the end of 2022.

11:10 a.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

In that regard, what has happened to all the vaccine doses the government claimed to have contracted for?

11:10 a.m.

Director General, Health and Nutrition, Department of Foreign Affairs, Trade and Development

Joshua Tabah

I'm sorry, sir, but I'm not well positioned to speak about Canada's overall procurement.

When doses are made available for donation, we offer them to COVAX, and COVAX uses its allocation framework to place them where they are most needed around the world.

11:10 a.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

Would Ambassador de Boer like to participate in answering this question?

11:10 a.m.

His Excellency Stephen de Boer Ambassador and Permanent Representative of Canada to the World Trade Organization, Department of Foreign Affairs, Trade and Development

I have no knowledge of Canada's procurement policies with respect to vaccine procurement within Canada. I'm sorry, but I cannot answer that question.

11:10 a.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

Thank you.

COVID-19 vaccines are available through COVAX. Would you be able to tell us what kinds of vaccines are available, what brand names are available and how many of each have been administered?

11:10 a.m.

Director General, Health and Nutrition, Department of Foreign Affairs, Trade and Development

Joshua Tabah

That's an excellent question but quite a detailed one. That information is publicly available on COVAX's website. I would be happy to make sure there is follow-up for that.

At a general level, I can say that COVAX is only in position to procure vaccines that are received through the World Health Organization's emergency use listing. They strive to have a balanced portfolio that reflects the needs of its members. As you would understand, going forward that will include a large percentage of mRNA vaccines, such as Pfizer and Moderna—both vaccines within the COVAX portfolio. They are also planning to deliver significant volumes of Novavax and Johnson & Johnson as other prominent vaccines. Initially, AstraZeneca was a prominent vaccine distributed through the COVAX facility, but there has been a reduced demand for that viral vector vaccine from partner countries, and so it will feature less prominently going forward.

11:15 a.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

I have 30 seconds left, and I have a final question.

Is there a problem with countries donating about-to-expire doses to COVAX, and how many are wasted in that they did not get used before expiration? Again, do you have any ideas on that? If you can't, of course, give me the answer now, I would appreciate a written response to the committee.

11:15 a.m.

Liberal

The Chair Liberal Sven Spengemann

Give a brief answer, please, in the interest of time.

11:15 a.m.

Director General, Health and Nutrition, Department of Foreign Affairs, Trade and Development

Joshua Tabah

At this stage, we don't have any detailed or granular information about doses going to waste. I can assure you that no countries received doses from COVAX that they had not agreed to take. There have been no doses shipped through COVAX that have not been explicitly requested and signed off on by any recipient country.

11:15 a.m.

Conservative

Ziad Aboultaif Conservative Edmonton Manning, AB

Thank you.

11:15 a.m.

Liberal

The Chair Liberal Sven Spengemann

Thank you very much, Mr. Aboultaif.

Mr. Ehsassi, please, for six minutes.

11:15 a.m.

Liberal

Ali Ehsassi Liberal Willowdale, ON

Thank you, Mr. Chair.

Thank you, Mr. Tabah, for your explanations. They were very helpful, indeed.

My first question is a general one. As you know full well, COVAX is a creation without precedent that came together given the collaboration of numerous countries and the WHO. However, many have criticized it for having been too ambitious, and they say so without knowing all the challenges that were bound to arise. How would you evaluate the implementation of COVAX?