Evidence of meeting #15 for Health in the 41st Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was agreement.

A recording is available from Parliament.

On the agenda

MPs speaking

Also speaking

3:30 p.m.

Conservative

The Chair Joy Smith

Good afternoon, ladies and gentlemen. Welcome to the health committee.

I'm very pleased to have with us today the Honourable Leona Aglukkaq, Minister of Health. We will be doing the estimates today.

Joining us also, from the Public Health Agency of Canada, is Dr. David Butler-Jones and Mr. James Libbey, the CFO. Welcome.

From Health Canada, we have Glenda Yeates, the deputy minister, and Jamie Tibbetts, the chief financial officer. Welcome to the committee.

From the Canadian Institutes of Health Research, we have Dr. Beaudet, president, and James Roberge, CFO.

Our minister will give her presentation, following which we'll go into Qs and As. We will finish off the meeting with votes on the estimates.

Welcome, Minister Aglukkaq.

November 21st, 2011 / 3:30 p.m.

Nunavut
Nunavut

Conservative

Leona Aglukkaq Minister of Health

Thank you, Madam Chair. I'd like to thank you for introducing my officials.

Good afternoon, everyone. It's a pleasure to be back.

Today I am here to discuss supplementary estimates (B) for the health portfolio. For that reason, joining me are officials from Health Canada, the Public Health Agency of Canada, and the Canadian Institutes of Health Research. As well, each deputy head has brought along their financial officials. If you have any specific or detailed questions, they'll be able to answer them.

Madam Chair, I would like to give you a quick overview of the 2011-12 supplementary estimates (B) before we go into the discussions.

On the Health Canada side, supplementary (B) provides $330 million in new spending for 2011-12. That increase raises the total budget to $3.8 billion for the current fiscal year.

The major increases include $218 million to provide health benefits for pharmacy and dental services and to continue nursing services in remote and isolated first nations communities through the first nations and Inuit health branch; $64 million for the chemicals management plan; and $26 million for the clean air regulatory agenda.

With respect to the other parts of the portfolio, the Public Health Agency of Canada received a net increase of $31 million, increasing the Public Health Agency of Canada's total budget to $675 million for the current fiscal year.

The major increases include $16 million for the short-term replenishment of the national antiviral stockpile; $8 million to secure Canada's pandemic influenza vaccine supply; and $2 million to renew funding for the genomics research and development initiatives. These increases for various health portfolios programs all help to maintain and protect the health of Canadians.

Since my last appearance at this committee, I have had the opportunity to travel from coast to coast to coast, and to talk to Canadians about a broad range of health concerns. While I've been on the road making health announcements, I've also had the privilege of seeing first-hand some of the great work being done by medical professionals and researchers at labs, in hospitals, and at the community level.

Here are some of the main priority files that have been progressing over the past several months.

We are working to reduce the impact of non-communicable diseases, or chronic diseases. I was very pleased to attend the United Nations in September and sign off a political declaration on non-communicable diseases. I sat among health ministers and leaders in health care from all over the world. We acknowledged the direct impact of chronic diseases on social and economic development, and we made national and international commitments for their prevention and control.

Here at home, chronic diseases have been a priority for our government as well. Most of you will recall that last year Canada's ministers of health signed a declaration on prevention and health promotion. It sets out guiding principles, including the need for more emphasis to be placed on the promotion of health, with the aim of preventing or delaying chronic diseases, disabilities, and injuries.

I am particularly interested in the prevention aspect. There are many ways to encourage our population to be instrumental in their own healthy living lifestyles. That means getting back to basics of regular exercise, healthy eating, and making informed lifestyle changes.

I'd like to thank you, as the committee, for the important work you're doing for prevention. I think it's an essential part of making the health care system more effective and more sustainable in the long run. On behalf of Canadians, thank you again for your committee's hard work in this area.

When it comes to prevention, you can't get much more ahead of the game than by dealing with childhood obesity. That is one of our main priorities. Again, in September 2010, the federal, provincial, and territorial ministers of health agreed to a framework through which we could make childhood obesity a collective priority. It will allow us to coordinate our work with many sectors of Canadian society and support healthier weight among children and youth.

As a first step in implementing the framework, FPT partners brought together a diverse group of more than a thousand citizens and stakeholders to identify ways in which we can create the conditions that will help achieve healthy weights. I'll be discussing this further with my provincial and territorial counterparts when we meet in Halifax this Friday.

An all-too-common chronic disease is diabetes. Approximately two million Canadians have already been diagnosed with diabetes and many more are unaware that they have the disease. Type 2 diabetes is the most common type, accounting for between 90% to 95% of all cases.

With Type 2 diabetes, the sooner it is detected, the fewer the complications. Also, it can often be prevented or delayed by adopting a healthier lifestyle, but first, Canadians have to be aware of their risk of developing Type 2 diabetes.

Last week I was in Toronto, where I announced that Shoppers Drug Mart will be making our CANRISK survey available through pharmacies across the country. By putting this helpful tool in people's hands and having pharmacists on hand to discuss the results with them, I believe there is a huge potential to help people make informed decisions that will help them to avoid developing Type 2 diabetes.

We're also investing $6 million through the Canadian diabetes strategy to fund 37 new community-based projects across the country. This funding will address screening, early detection, and management of diabetes, as well as the prevention of secondary complications from the disease. By giving Canadians information they need, we can help them make healthier choices so they can live longer and healthier lives.

An ever-present health concern is the use of tobacco. It is still associated with the deaths of almost 37,000 Canadians every year. To get more people thinking about its negative health effects, we have changed tobacco labelling regulations so that in the coming months smokers will begin to see much bigger health warning labels on the tobacco packages.

We have unveiled new graphic images that will cover 75% of the package so they cannot be ignored. One of those images is of a dying Barb Tarbox, who wanted to discourage others from suffering like she did and offered her image for use in this context. It was a powerful experience for me to announce the new label with Barb's widower, Pat, and her daughter Mackenzie, who shared very honestly with students the pain she experienced by losing her mother to cancer. We are grateful for the work that was done with her family and for their support in this campaign.

We want to get the attention of smokers with those images and we also want to help them quit. That is why we worked with the provinces and the territories to create a quit line that all Canadians can access. The phone number and web address will be on the new packaging so that all Canadians can get help, no matter where they live.

In 2010 smoking among teens aged 15 years to 17 years was 9%. This is the lowest rate we've ever recorded for this age group, which is critical in our fight against smoking. We are encouraged to see overall smoking rates at historic lows, and we will keep up the fight.

A month ago, I was pleased to represent the Government of Canada in signing the B.C. Tripartite Framework Agreement on First Nation Health Governance, along with the Province of British Columbia, the B.C. First Nations Health Society, and the B.C. First Nations Health Council. This agreement is the first of its kind for first nations health in Canada. It promotes a more integrated model of health service delivery for British Columbia first nations, and it creates a health governance structure that will more effectively respond to first nations needs.

A British Columbia First Nations Health Authority is at the heart of the new structure. Through this authority, programs and services will be designed, delivered, and managed by first nations for first nations, and in ways that best meet first nations needs.

I am proud of the work we are doing in collaboration with first nations. We know that this hands-on approach will better meet the needs of first nations in British Columbia.

To have the best health care system in the world, the patients must always come first. We are working to make sure that it is also true when it comes to research. This summer, at the annual meeting of the Canadian Medical Association, I announced a new national strategy to better integrate health, research, and health care. We want to be sure that research doesn't just stop at the lab. We want it to translate into better treatments in clinics, hospitals, and doctors' offices throughout Canada. This new approach will foster research that will help health care providers compare the results of different treatment options and determine the best course of action for patients. Putting the needs of patients first will bring meaningful changes to our health care system.

One of the ways we can put patients first relates to making sure that there are safe drugs available on the market. One of the many duties of the health portfolio is to conduct a thorough review of drugs to ensure that they are safe before patients can use them.

Health Canada scientists can be asked to review more than 4,000 drug submissions in any given year. This obviously is a significant number of reviews, and it poses a challenge to the organization. Earlier this year we updated Health Canada's user fees. This has allowed the department to progress reviews more efficiently and effectively.

We also have taken action to address the global issue of drug shortages. This summer I wrote to drug companies and asked that they take action to develop a system that provides patients and health care providers with the information they need about possible drug shortages so that they can make informed decisions about treatment plans.

I told these companies that if they did not come up with an approach that accomplished this goal, then as minister I would be prepared to take action and regulate a solution.

I'm pleased to report that the response was positive. In the near future, Canadians will be able to log on to a public website to see if there are drug shortage issues that affect them. This is in addition to existing communication channels that industry and Health Canada have with the medical community.

In conclusion, as you can see, a great deal has been accomplished and work continues on several fronts. As I mentioned earlier, this week I will be meeting with my provincial and territorial counterparts, and we'll begin talking about what should replace the 2004 health accord.

As you know, our government has committed to increase total health transfers by 6% beyond 2014. Our government has committed to working with the provinces and the territories to reach a new agreement that provides accountability, meaning better results for patients.

I would like to thank the members of this committee for their time. I am prepared to answer any questions you may have.

Thank you.

3:45 p.m.

Conservative

The Chair Joy Smith

We thank you, Minister Aglukkaq, for coming. I know you're always so open to coming whenever we need you here. Thank you for that insightful presentation. We appreciate it.

We'll now go to our first round, seven minutes of Qs and As, and we'll begin with Ms. Davies.

3:45 p.m.

NDP

Libby Davies Vancouver East, BC

Thank you very much, Chairperson.

To the minister, thank you for coming today and for your presentation. You've presented some information, but I have to say from hearing you and reading through your brief, I think there are several major issues facing our health care system that are not being addressed by the federal government. I'd like to focus on that by asking you some questions.

You've spoken a little about one of the issues, which is the shortage of drugs. I noted in the House today that you said you're very happy there's now a plan; you asked these drug companies to come up with something. I would point out that this was all done behind closed doors.

We wanted to study this at the health committee. There's been no discussion here. There's been no public disclosure. I think it's very obvious that a pledge to post information is just that: it's just providing information. It doesn't actually resolve the problem of the drug shortages themselves. As I'm sure you're aware, a number of medical journals, academics, and health professionals seriously question why these shortages exist. It's very interesting that the shortages seem to be mostly among the older generic drugs—some of which have been around for 50 years—forcing people to pay more.

I'm very perplexed that your government's response, your response, to this is basically to say, well, post the information. That's not resolving the question, Minister. We'd like to know what you intend to do to ensure that these shortages, which put people in jeopardy, don't continue to exist. I think this is very much related to the whole question of affordable drugs and accessibility.

As you know, in the 2004 health accord, a commitment was made for a universal prescription drug coverage plan. We can go as far back as 1964 to 1997 to 2002—the Romanow commission, the 2004 accord—and when we look at the reality of what's going on, we can see again that the federal government has taken no action in addressing this critical issue.

So these two things are related. I find it very problematic that we've seen nothing from you or the government to address what is now the biggest cost in our health care system, and that's the cost of prescription drugs, and now we've got shortages as well.

I'd like you to respond to that and say why nothing has been done and what is intended to be done, to address these two issues.

3:50 p.m.

Conservative

Leona Aglukkaq Nunavut, NU

Thank you.

Just on the issue of drug shortages, I said earlier that I was working with the industry over the summer months. It's a very complex area. It's not just going to the drug store and asking what the shortage is. It's a whole chain of organizations involved, from the users to the producers to the distributors to the agencies that dispense prescription drugs.

The response I received from the industry over the summer months is the first of its kind in Canada, pulling all the players together that provide prescription drugs to the front-line individuals who prescribe them. I'm very encouraged with the work they've done, and this information will be coming forward.

3:50 p.m.

NDP

Libby Davies Vancouver East, BC

But, Minister, could you—

3:50 p.m.

Conservative

Leona Aglukkaq Nunavut, NU

Of course, in terms of providing the best care for your patients, you need to understand what shortages are coming up. If you don't collaborate and bring the players together who actually produce, dispense, and distribute prescription drugs, how are you ever going to really know, unless you read it in an article? So that's one piece of the information.

3:50 p.m.

NDP

Libby Davies Vancouver East, BC

But, Minister, I'd really like you to answer the question about why the shortages—

3:50 p.m.

Conservative

Leona Aglukkaq Nunavut, NU

I listened to your question, so I can—

3:50 p.m.

Conservative

The Chair Joy Smith

Order.

3:50 p.m.

NDP

Libby Davies Vancouver East, BC

But why will you not say—

3:50 p.m.

Conservative

The Chair Joy Smith

I'm going to ask you—

3:50 p.m.

NDP

Libby Davies Vancouver East, BC

I just want my question addressed.

3:50 p.m.

Conservative

The Chair Joy Smith

I'm going to ask you—if you would just listen for a few minutes, Ms. Davies, I think you would get the answer.

3:50 p.m.

NDP

Libby Davies Vancouver East, BC

Not so far.