Evidence of meeting #42 for Health in the 40th Parliament, 3rd Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was million.

A recording is available from Parliament.

On the agenda

MPs speaking

Also speaking

Glenda Yeates  Deputy Minister, Department of Health
David Butler-Jones  Chief Public Health Officer, Public Health Agency of Canada
Philip Groff  President and Chief Executive Officer, SMARTRISK
Jennifer Heatley  Executive Director, Atlantic Collaborative on Injury Prevention
Rebecca Nesdale-Tucker  Executive Director, ThinkFirst Canada
Alison Macpherson  Board Member, ThinkFirst Canada
Tyler Lisacek  Community Volunteer, ThinkFirst Canada

11:05 a.m.

Conservative

The Chair Conservative Joy Smith

Good morning, everybody. Welcome to the committee.

I'm so pleased to have the Honourable Leona Aglukkaq, Minister of Health, join us today.

Pursuant to Standing Order 81(5), supplementary estimates (B) 2010-2011, votes 1b, 5b, 10b, 20b, 25b, and 40b, under Health, are referred to the committee on Thursday, November 4, 2010.

Joining the minister is our very well-known friend from the Public Health Agency of Canada who keeps joining us on a regular basis, Dr. Butler-Jones. Welcome.

From the Canadian Institutes of Health Research we have Dr. Alain Beaudet, president. Welcome, Dr. Beaudet.

From the Department of Health we have Deputy Minister Glenda Yeates.

Minister, please begin your presentation. We look forward to hearing from you.

11:05 a.m.

Nunavut Nunavut

Conservative

Leona Aglukkaq ConservativeMinister of Health

Thank you.

Good morning, everyone.

Madam Chair and members of the committee, it's a pleasure to be here to discuss supplementary estimates (B).

Before we get into the details of today's discussion, I would like to thank you for the hard work on Bill C-36, which is now before the Senate. The piece of legislation, once it comes into force, will provide us with the tools needed to recall dangerous consumer products.

Canada's Consumer Product Safety Act will have a profound effect on the marketplace. It will give consumers greater confidence in the safety of the products they find on the shelves of stores everywhere in this country.

We know that the discovery of things like lead in toys has rightly caused parents to be concerned. They know that young children put objects in their mouths as a form of discovery. The new limits on lead content that I announced this week indicate, not only to our industry but to those around the world, that we mean business.

Bill C-36 will give us new powers to deal with those kinds of problems more effectively. The new inspector powers in Bill C-36 are both fair and consistent with those of other federal laws. They are also consistent with the Supreme Court of Canada's decisions on the acceptable scope of inspection powers.

The safety of consumer products is something from which we can all benefit. We are working with industry to enhance consumer product safety and we are developing new tools to help us take corrective actions where problems arise.

While we have given a great deal of attention to that legislation and other safety measures, Health Canada has also continued to focus on the business of funding and administering other programs that protect and improve the health of Canadians.

Health Canada's 2010-11 supplementary estimates (B) include a net increase of $48.1 million, which brings its total budget to $3.731 billion for the current fiscal year.

We recognize the important part that research plays in ensuring the continued health of Canadians. This is why we have provided ongoing support and additional investments to Canadian Institutes of Health Research to support innovative and patient-oriented research that could have an impact on the health of Canadians.

Another important funding initiative supported by our government is an international initiative on Alzheimer's, and $5 million has been added for this purpose. Our government has invested more than $88 million in research regarding Alzheimer's disease and related dementia since 2006, and we are funding a four-year national population study on neurological diseases. In addition, important international MOUs have been signed with our partners from France, Germany, and the U.K. on Alzheimer's research.

I am particularly proud of the accomplishments we have made in the fight against HIV/AIDS. The Canadian HIV vaccine initiative, led by our government, along with the Bill and Melinda Gates Foundation, highlights Canada's world-class HIV and vaccine research expertise.

CIHR is investing approximately $40 million per year in support of HIV/AIDS research. Canadian investigators, supported by this funding, are at the forefront of discovery, improving the health of those infected, and are working toward a vaccine. CIHR continues to invest strategically in HIV research and is actively implementing the CIHR HIV/AIDS research initiative strategic plan. This will ensure continued knowledge development and research capacity-building, as well as the application of new findings in HIV/AIDS research in Canada.

The landscape for health services on population health research in HIV/AIDS is changing in Canada through the support for two centres for research development in HIV/AIDS. These centres are building research networks, addressing high-priority research questions, and building knowledge translation capacity in Canada.

The Public Health Agency's national HIV laboratories and their surveillance and risk assessment divisions are active members of the World Health Organization's advisory network of experts that support the development and implementation of the HIV drug resistance, prevention, and assessment strategy.

The lab is designed as one of the very few specialized HIV drug resistance laboratories in the world. It will also provide training and technical support to laboratory staff in resource-poor countries, and will continue to lead the way in developing new technologies that will facilitate testing worldwide.

This past summer I travelled to Vienna, where I met with international leaders, and particularly with Bill Gates. As a result, our government will help advance the science for the development of a safe and effective HIV vaccine that will benefit those who need it most, and that's all Canadians.

I would also like to take the opportunity to inform members of this committee of the announcement I made yesterday, along with the Bill and Melinda Gates Foundation, on the appointment of Dr. Singh and Dr. Esparza as co-chairs of the advisory board that will oversee the renewed Canadian HIV vaccine initiatives and its research development alliance.

Addressing the health concerns of Canada's aboriginal people comprises a portion of the funding under the supplementary estimates. It is targeted for programs that are helping aboriginal people, especially those living on reserve. One of the commitments in the supplementary estimates is our contribution to the Indian residential school resolution health support program. The Government of Canada is committed to supporting former students of residential schools and their families throughout the implementation of the Indian residential school settlement agreement. Health Canada is responsible for the resolution health support program that is part of the agreement, and we hope this will continue to have a positive impact on the health of first nations people.

We are committed to offering support services that take into account the culture and heritage of aboriginal people. Community-based healing programs, such as those for mental health and addictions, will assist these communities by addressing the health and social challenges they face. These investments represent a total of $5 million.

Additional funds have also been required to help in the transition from the outdated food mail system, which had been in place for more than 40 years. It is being replaced with Nutrition North Canada, a new retail-based subsidy program that will ensure northerners benefit from improved access to healthy and nutritious food throughout the year. Health Canada is allocating $1.5 million this fiscal year and $2.9 million annually beginning in 2011-12 for nutrition and education initiatives under Nutrition North Canada.

We also recognize that the availability of nutritious food and access to it is a starting point for a nutritious diet. These education initiatives will help northern Canadians put nutritious meals on their plates. Nutrition North Canada will be more efficient, more accountable, and more transparent. It will help make sure that northerners get the maximum benefit from the government subsidy for healthy foods. It will give retailers more control over their supply chain and therefore create more competition. That means there will be more incentives for greater quality control.

Fresh foods will get to the shelves sooner, making them more attractive to consumers. Our government is particularly proud of the efforts that have been made in the health promotion. Encouraging a healthy lifestyle is instrumental in maintaining a healthy body. It also means an overall improved quality of life and a healthier Canadian population, while being less onerous on our health care system. This cannot be truer than for young Canadians. Our intention is to encourage them to lead a healthier lifestyle right from the beginning.

For example, we have recently launched a bold new education campaign aimed at 13- to 15-year-olds to teach them about the dangers of illicit drugs. The centrepiece of this campaign is a commercial called “Mirror”, which dramatizes the harmful effects of drugs. It shows a young woman looking into the mirror and seeing what her life would be like if she experimented with drugs. The commercial began running two weeks ago and will be airing until March. During that time, we expect two-thirds of all Canadian teens between the ages of 13 and 15 to see it. This campaign is designed to be a powerful deterrent. Deterrence is an essential component of the government's national anti-drug strategy.

Last week I had the pleasure of meeting Gil Kerlikowske, an important figure in the battle against illicit drugs in the United States. We discussed many issues of common interest that have a bearing on the health of young Canadians and Americans. The most effective way to help Canadians is to give them the information they need to make informed choices. In fact, we have made many announcements in the past and there are more to come in the future about sources of information for parents with regard to the health and safety of their children.

Information and education are also playing an important role in our efforts to curb childhood obesity. Obesity rates among children and youth have nearly tripled over the last 25 years. Obesity increases the risk of developing some chronic diseases, including type 2 diabetes, cancer, and heart disease.

The federal, provincial, and territorial governments recently agreed to a framework for coordinating their approaches to promoting healthy weights among children under the age of 18. We have agreed to focus on making the environment where children live, learn, and play more supportive of physical activity and healthy eating. We will also try to identify the risk factors that can lead to obesity in children and address those issues early in a child's life. We agreed to find ways to increase access to nutritious food and decrease the marketing to children of foods and drink that are high in fat, sugar, or sodium.

An equally essential part of the plan to reduce obesity is the need to promote more physical activity. All levels of government need to be involved in finding more ways for kids to be active, both indoors and outdoors throughout the season.

The campaigns we are currently leading are designed to have an impact on the long-term health of many Canadians. By helping them change their lifestyles or avoid dangerous substances, we can prevent a wide variety of health problems in the future.

Through our nutrition facts education campaign, we are helping Canadians understand more about the foods they eat.

Our children's health and safety campaign strives to help parents protect their children from many potential hazards, and our national anti-drug strategy is helping to prevent young people from experimenting with illicit drugs and becoming addicted in the first place.

In the year ahead, we will continue to develop initiatives that support our long-term vision for health care in Canada, while tending to the short-term needs of Canadians.

I will be pleased to take questions from the committee.

Thank you.

11:15 a.m.

Conservative

The Chair Conservative Joy Smith

Thank you very much, Minister, for your insightful comments.

We'll now go to our first round of Q and As. We'll begin a seven-minute round with Mr. Dosanjh.

We'll have 15 minutes with the minister. I'm sorry.

11:15 a.m.

Liberal

Ujjal Dosanjh Liberal Vancouver South, BC

Thank you.

Thank you very much, Minister, for being here, and the officials as well.

Minister, I understood from your deputy minister the other day that you have essentially spent no money on mass media for tobacco reduction in the years 2008-2009 or 2010. We understand that at the health ministers meeting you announced, rather abruptly, I'm told, that you would no longer be refreshing the warnings on cigarette packages. I understand that came as a bit of surprise to the ministers of health from the provinces and territories.

Can you tell me who made that decision, when it was made, and how it was made?

11:15 a.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

First of all, thank you for the question.

I did have a discussion with the federal, provincial, and territorial ministers in regard to tobacco and tobacco labelling.

Before I go into the labelling question, I would note that we continue to invest $15 million across the country in provinces and territories for organizations to deliver their programs for quit lines or advertising promotion, and what not. It's within the $15 million umbrella that goes to the provinces and territories.

11:15 a.m.

Liberal

Ujjal Dosanjh Liberal Vancouver South, BC

But you're doing none of that yourself.

11:15 a.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

In regard to tobacco labelling, Canada has been leading since 2001. Some countries haven't even gone to where we have been.

What I said to the provinces and territories was that in light of some statistics we had been receiving on marketing to young people, I wanted an opportunity to re-examine how we were delivering the campaign to combat tobacco. I have not said no to labelling. What I said was that I needed to step back and review whether that was the most effective way of marketing prevention when targeting young people, for example. So we are still there. And Canada is leading with our last tobacco legislation, which has been adopted globally as well.

11:15 a.m.

Liberal

Ujjal Dosanjh Liberal Vancouver South, BC

Madam, I don't mean to interrupt, but can you tell me who made that decision? Did you hear from the PMO, or was it a cabinet decision, or was it your decision?

11:20 a.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

I made the decision to examine whether it's the most effective way to target prevention in tobacco. When you start to hear statistics of the nature of more Canadians are smoking contraband, which are sold in plastic bags rather than packaged labelling, I needed to go back and determine whether in fact that was the right direction to go, and we are continuing to examine those options presently.

11:20 a.m.

Liberal

Ujjal Dosanjh Liberal Vancouver South, BC

Let me go to the 2004 accord. We had agreed on some extension of home care in the 2004 accord.

I understand that this committee did the statutory review of the accord in 2008 and it indicated at that time that there was supposed to be a report prepared in 2006. As yet, in 2008, the committee had not received that report; this committee didn't see that report. Do you have that report? Can you share it with the public?

11:20 a.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

Do you want to speak to that?

11:20 a.m.

Glenda Yeates Deputy Minister, Department of Health

Thank you.

The minister has asked me to address this question. In terms of the home care progress that has been made, there have been a number of--

11:20 a.m.

Liberal

Ujjal Dosanjh Liberal Vancouver South, BC

Madam, can you tell me whether you have a report that was supposed to be prepared in 2006? That's the question.

11:20 a.m.

Deputy Minister, Department of Health

Glenda Yeates

I'm not sure that I'm familiar precisely with the report you are mentioning.

11:20 a.m.

Liberal

Ujjal Dosanjh Liberal Vancouver South, BC

There was supposed to be a report prepared at the end of 2006 with respect to the progress made on home care expansion. In 2008 this committee wasn't able to lay its hands on that report. Do you know whether that report exists? It's mentioned in the committee's reports.

11:20 a.m.

Deputy Minister, Department of Health

Glenda Yeates

There have been a number of discussions with provinces and territories about the use of the 2004 accord investments on home care. There have been a number of reports that have been put out, for example, on the Canadian Institute for Health Information on the progress that's been made in home care. But I'm not precisely aware of the report or the reference to which you're referring.

11:20 a.m.

Liberal

Ujjal Dosanjh Liberal Vancouver South, BC

“Health Ministers were to report to First Ministers on a staged implementation of the home care commitment by December 31, 2006.” Is there a report of that report?

11:20 a.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

I can answer. I was health minister for the territories, and I don't remember a discussion around provinces and territories agreeing to a staged implementation of a home care program, as health minister for Nunavut at the time.

11:20 a.m.

Liberal

Ujjal Dosanjh Liberal Vancouver South, BC

Madam, it was in the 2004 report. First ministers agreed that it would be done, and now you're telling me the ministers of health said no?

11:20 a.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

I'm telling you as a health minister in the Nunavut Territory at the time, because you make reference to 2006, on a staged implementation, that there was never an agreement from the provinces and territories in 2006 on a staged implementation of home care on a report you're making reference to--

11:20 a.m.

Liberal

Ujjal Dosanjh Liberal Vancouver South, BC

Sorry, I don't mean to interrupt you. I suggest you should go back and read the 2004 accord.

Let me go back to the national pharmaceutical strategy. You are quoted as saying there was no national pharmaceutical strategy embedded in the accord. There is in fact the national pharmaceutical strategy. It was about catastrophic drug coverage, common formulary, and other things.

I understand this committee heard that there is haphazard progress, uneven progress, not coordinated among the provinces, and the ministerial task force that was established hasn't really met that often. Can you tell me what progress has been made on the national pharmaceutical strategy?

11:20 a.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

Thank you.

The government recognizes the importance of addressing affordable access to drugs, and pharmaceuticals are a shared responsibility of federal, provincial, and territorial governments--

11:20 a.m.

Liberal

Ujjal Dosanjh Liberal Vancouver South, BC

Recognition is good, madam, but can you tell me what progress you have made?

11:20 a.m.

Conservative

Leona Aglukkaq Conservative Nunavut, NU

The federal government will continue to work with the provinces and the territories to fulfill its responsibilities on that. We did discuss this during the September federal-provincial-territorial ministers meeting and we have agreed to--

11:20 a.m.

Liberal

Ujjal Dosanjh Liberal Vancouver South, BC

Can you tell me what progress you made?