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Liberal MP for Etobicoke North (Ontario)
Won her last election, in 2011, with 42.40% of the vote.
Statements in the House
Questions Passed as Orders for Returns October 29th, 2014
With respect to any information in the government's possession regarding Alzheimer’s disease and related dementias (ADRDs) in Canada: (a) how many Canadians are impacted by ADRDs today, (i) what is the incidence and prevalence in Canada, broken down by gender and by 5-year cohort above 65 years of age, (ii) what is the average age of onset, (ii) what is the average time from diagnosis to requiring informal caregiving, (iii) what is the average time from diagnosis to requiring formal caregiving; (b) how many Canadians are currently in hospital, as a result of having ADRDs, (i) what are the benefits and risks of having people with ADRDs in regular hospital care, (ii) do people with ADRDs get the care they need in hospital care and if not, why not; (c) how do the number of hospitalizations compare for older adults with ADRDs than for age-matched older adults without ADRDs, (i) how do clinical outcomes compare for hospitalized people with ADRDs than for age-matched older adults without ADRDs; (d) what is the average cost of an acute care bed in hospital compared with the cost of a bed in long-term care; (e) what is the average length of time people with ADRDs spend in fully dependent care, and how does this length of time compare with other conditions, including, but not limited to, cardiovascular disease and cancer, (i) how does this length of time impact the health economics of ADRDs; (f) how many Canadians are caregivers to people with ADRDs, (i) what is the average length of time (in years) caregivers provide to people with ADRDs, both informally and within formal care, (ii) what is the annual estimated value of the care caregivers provide for those with ADRDs in Canada, (iii) how many Canadian caregivers suffer stress, illness, or economic hardship as a result of caregiving, (iv) what are the estimated economic costs to the health care and social care systems; (g) what training do medical students and practising family physicians receive to ensure dementia is detected before it reaches a critical level; (h) do best practices exist for people with ADRDs, (i) how does care vary from one province and territory to another, and from one facility to another; (i) what research and studies has the government done, and what funding has it given following (i) the World Health Organization and Alzheimer’s Disease International report, “Dementia: A Public Health Priority”, and the Alzheimer Society of Canada’s report, “Rising Tide: The Impact of Dementia on Canadian Society”, (ii) what are the dates, results, recommendations, and funding amounts; (j) what is done by the government to (i) promote a dementia-friendly society, (ii) make ADRDs a national public health and social care priority, (iii) improve public and professional attitudes to, and understanding of, ADRDs, (iv) replicate some of the evidence-based approaches and solutions already adopted by countries to tackle ADRDs, (v) prioritize research, (vi) raise awareness about prevention, (vii) promote early diagnosis and management, (viii) strengthen workforce training and capacity, (ix) implement responsive care and health service delivery, especially for caregivers; (k) what research and studies has the government done, and what funding has it given regarding the need to work with the provinces, territories and stakeholders to develop a community-based dementia framework, designed to keep persons with dementia safely at home for as long as possible, (i) what are the dates, results, recommendations, and funding amounts; (l) what research, studies, funding has the government devoted to how a community-based dementia strategy would impact (i) emergency department overcrowding, (ii) hospitalizations, (iii) Alternative Level of Care rates, (iv) long-term bed placement, (v) freeing-up of hospital beds, (vi) hospital overcrowding, (vii) wait times, (viii) number of new nursing homes that would need to be built, (ix) quality of life for those with ADRDs, (x) costs; (m) how are ADRDs expected to increase over the next 20 years, (i) what are the estimated costs to families and the health care system; (n) how are healthcare costs and healthcare resources expected to increase over the next 20 years given the rapidly increasing numbers of persons with ADRDs; (o) what research, studies, funding has the government devoted to developing a pan-Canadian brain strategy to address (i) neurodevelopmental brain conditions, (ii) neurodegenerative brain conditions, (iii) brain and spinal cord injury, (iv) what are the dates of any studies, results, recommendations, and funding amounts; (p) what research, studies, and funding has the government given to developing a pan-Canadian dementia strategy, (i) what are the dates of any studies, results, recommendations, and funding amounts; (q) what consultations has the government undertaken with respect to a pan-Canadian brain strategy, (i) how many stakeholders are calling for such a strategy, (ii) how many Canadians and their families do each of the identified stakeholders represent; and (r) what consultations has the government undertaken with respect to a pan-Canadian dementia strategy, (i) how many stakeholders are calling for such a strategy, (ii) how many Canadians and their families do each of the identified stakeholders represent?
Petitions October 29th, 2014
Mr. Speaker, I am pleased to present this petition with dozens of signatures that were collected by my constituent, Dee Gordon, as she walks twice a week from Etobicoke North to downtown Toronto to raise awareness of autism.
Autism spectrum disorders, ADDS, are pervasive disorders which affect 1 person in 88. They are characterized by social and communication challenges, and a pattern of repetitive behaviours and interests. They are lifelong, affect life experience and exert emotional and financial pressures on families.
The petitioners call upon the government to work with the provinces, territories and stakeholders to develop a pan-Canadian strategy for ASD, including awareness and education campaigns, child, adolescent and adult intervention and innovative funding arrangements for financial therapy, surveillance, respite care, community initiatives and research.
Petitions October 27th, 2014
Mr. Speaker, I rise to present a petition on Iraq. The UN Secretary-General calls on the international community to support the government and the people of Iraq and to do all it can to help alleviate the suffering of the populations affected by the current conflict in Iraq. Thousands of lives are at risk unless they receive urgent lifesaving items, including shelter. Many of those affected by the violence belong to Iraq's minority ethnic and religious communities, including Christians, Shabak, Turkmen, Yazidi, and others. Over 1,000 petitioners call upon the Government of Canada to protect and advocate on behalf of the people of Iraq and to increase Canada's humanitarian aid to Iraq.
700 David Hornell VC Squadron October 27th, 2014
Mr. Speaker, I celebrate each and every one of the extraordinary Royal Canadian air cadets in the 700 David Hornell VC Squadron.
This past weekend, the Ontario Provincial Committee of the Air Cadet League of Canada presented the following awards to our outstanding squadron: Warrant Officer First Class Ashley Eugine, a first-year McMaster student who travels back every weekend to serve, was named Air Cadet of the Year from 8,500 air cadets in 114 squadrons, which is a tremendous achievement; Warrant Officer Second Class Nikhil Peri was the top Ontario student pilot on the 2014 Power Pilot Scholarship and received a Hamilton Flying Club Legacy Award; 2nd Lieutenant Jack Tornabene received a certificate of merit, one of only 21 awarded; and, Major David Brown received a Cadet Instructor Cadre Award of Excellence, for which only six officers are honoured annually.
I ask the House to recognize the outstanding achievements of 700 squadron.
Health October 21st, 2014
Mr. Speaker, the WHO and UN have called for more medical personnel to fight Ebola in West Africa and the international community has accepted the call. Yesterday the Minister of Health said no Canadian personnel would be sent without an evacuation plan. So far, the United States, European Commission and WHO have engaged contractors to facilitate the emergency transport of medical personnel, if needed.
Who has the minister met with with respect to developing an evacuation plan? What steps has the minister taken to put a plan in place?
Business of Supply October 21st, 2014
Mr. Speaker, the UN mission responsible for the Ebola response, UNMEER, says the number of infected are growing exponentially each day and that new caseloads of approximately 10,000 per week are possible by December 1, meaning that they need 7,000 beds for treatment. Unfortunately, the UN mission is expected to have only 4,300 beds in treatment centres by that date. More difficult still, there is no staff to operate them under current plans.
The World Health Organization has been calling for more health care workers in West Africa. Canadians on the ground are calling for more personnel.
Canada would obviously have a duty to ensure the proper medical evacuation of any of its citizens. Is the government considering more personnel, and what exploration is the government doing with respect to evacuation?
Business of Supply October 21st, 2014
Mr. Speaker, I would like to know if the government accepts that mere announcements cannot help the people of West Africa and right now that is largely what we have.
With respect to the personal protective equipment, the government auctioned gloves and masks for a fraction of what they were worth. Only two shipments of personal protective equipment have gone to the World Health Organization. The government is not even sure if that equipment has reached those who need it most in West Africa.
I want to point out that the $65 million pledged was pledged after the first case had come to North America. Why did we not have that kind of commitment before then? Of the $65 million pledged, only $4.3 million is actually committed funding. Canada's actual financial contributions come in at 17th place.
Does the government accept that commitments are not enough and we actually have to get the money, personnel and supplies to the people in West Africa who need it the most?
Business of Supply October 21st, 2014
Mr. Speaker, it is the job of government to protect the health and safety of Canadians. We have a major public health crisis, the worst outbreak of Ebola in history. It is also the job of government to communicate with Canadians in an open and transparent manner.
That is the reason we put forward our motion calling on the Minister of Health, the Minister of Public Safety, and the Chief Public Health Officer of Canada to appear in front of committee every two weeks. We then heard today that the government wants to respond in writing. That is not good enough. Canadians need to hear parliamentarians asking questions. Is the government prepared, should a case ever come to Canada? The government has to be prepared. It is not enough to submit written communications. We have to be able to ask those questions.
I amended the motion in order to hopefully get all-party support.
I had questions on Ebola last week. Families in my riding have families back home, as do many members of the House. We all need to be asking these questions to ensure that the outbreak in West Africa will come to an end and to ensure Canadians' health and safety are protected.
Business of Supply October 21st, 2014
Mr. Speaker, Ebola really started to increase in the spring. At that time, $100 million was asked for to stem the outbreak. In July that increased to $600 million. There was a real cry for more help from governments around the world. Through a letter at that time I asked the government for more funding and it came through with $5 million, a very small amount. In the fall that number was increased to $1 billion. As of last week, that fund is only 25% funded.
I have been saying since the fall that the international community and Canada must step up their response. West Africa needs more hospital units, more beds, more transportation, more labs, and more personnel.
Business of Supply October 21st, 2014
Mr. Speaker, I am grateful for the opportunity to rise today to speak about our Liberal motion that first recognizes the terrible devastation that Ebola is wreaking in West Africa and that will require the Minister of Health, the Minister of Public Safety and Emergency Preparedness, and Canada's Chief Public Health Officer to appear monthly to report on Canada's efforts at home and abroad to ensure that the outbreak does not pose a threat to the health and safety of Canadians.
My colleague from Vancouver Centre and I began formally raising Ebola on the national agenda on August 3 by writing an open letter to the Minister of International Development regarding what Canada had specifically contributed to the Ebola response. We asked how many specialists Canada had sent to the World Health Organization to help out, and in what disciplines. We asked that the minister work with colleagues in relevant departments here in Canada in areas of air transport, border services, and protection of health care workers. We asked the government as well to give more funding. While the government responded with a donation of $5 million, the amount was tiny in the face of the overwhelming need and the generosity of other nations.
We wrote the letter because Canada had a moral responsibility to do more to help combat what was then an unprecedented outbreak of Ebola. We also understood that the best way to stop this devastating disease was to stop it at its source, before it spread more widely and became even more difficult to contain. We understood that if we want to protect Canadians from Ebola here at home, we had to end the suffering in West Africa.
During the emergency debate on Ebola on September 15, I asked the following:
...how is Canada working with other countries, particularly through the Global Health Security Action Group and the global health security agenda? How is the government working across departments and what specific departments are involved in each of preparedness, response and recovery, and what is the lead agency for each? What specific actions are each of the departments undertaking?
What is the government doing to ensure the safety of Canadians travelling to West Africa to undertake humanitarian work, commerce and trade, and to safeguard the well-being of those who are there now in areas where Ebola is spreading? What guidance is being provided to Canadians before they leave and while in areas in which Ebola has been reported? If they think they have symptoms compatible with Ebola, what should they do upon their return to Canada?
How specifically was the April 18 funding of $1,285,000 used to address the outbreak? How many specialists and in what disciplines did Canada send to work with the World Health Organization and/or to West Africa to help? How specifically was the August 8 funding of $5 million to address the outbreak spent?...
Although the risk is low, is Canada ready to isolate and care for someone if affected? Does the Public Health Agency of Canada have a public awareness plan to help Canadians understand the prevention, transmission, and signs and symptoms of the disease?
Does the government accept that the Ebola outbreak in West Africa has become a real risk to the stability and security of society in the region? Does the government accept that Guinea, Liberia, and Sierra Leone need more doctors, nurses, beds, and equipment?
Does the government accept that the international response has been inadequate and that we need to scale up international response?... In light of the United Nation's international rescue call, will Canada do more to help?
We followed up the August 3 open letter with another open letter on September 17, yet again calling on the Canadian government to do more to help West Africa, specifically to provide more money, more personnel, and more materials.
On September 24 I published an article entitled “Will Canada Do More to Help Combat Ebola?” Specifically, I asked:
Will our Government do more to help, beyond the most recently announced $7.5 million? Will the acting Chief Public Health Officer of Canada speak directly to Canadians to communicate the global impact of Ebola, and coordinate and support health workers who wish to assist efforts in West Africa?...
Will the Government explain to Canadians how it will facilitate the delivery of assistance, including qualified, specialized and trained personnel and supplies to the affected countries?
We asked as well if the government would offer much-needed field hospitals and other equipment, and more health care specialists, and whether the government would call on non-traditional partners to contribute in the areas of communications, health, information, and transport.
Because we lacked answers, my colleague from St. Paul's and I wrote to the Minister of Health to ask for a briefing for all parliamentarians on Ebola, as we needed answers on these important questions. We would like to thank the Minister of Health for granting our request, but Parliament needs to be updated on a regular, ongoing basis.
After the first patient suffering with Ebola arrived in the United States on September 20, the Government of Canada made two separate pledges, each for $30 million. Why did we not see the same pledge and the same sense of urgency to help in West Africa before North America's first case?
The government had two responsibilities when Ebola began spreading unchecked in West Africa: first, to join with the international community in trying to stop it; second, to be prepared should a case to be identified in Canada.
When the World Health Organization asked for $600 million in July, the government gave only $5 million. Why a sluggish response to what was identified then as an unprecedented outbreak?
For the longest time, the government largely made announcements. It announced vaccines, with a delay of three months between the announcement and sending them to the World Health Organization.
The government announced personal protective equipment, or PPE. On October 3, I asked in question period:
With Ebola patients and deaths tripling since August, West Africa needs personal protective equipment urgently, but Canada has failed to fulfill its September pledge.
I will ask again: what is the minister doing to ensure that the promised supplies get to where they are needed now?
Prior to this, Canada's only response was to auction off personal protective equipment until September, months after the alarm was sounded and after the Sierra Leone ambassador to the United States and aid organizations made a plea for personal protective support, and months after the World Health Organization said the same.
Shockingly, we learned just yesterday that only two shipments have been sent to the World Health Organization—with others to follow “in the coming months”, according to the assistant deputy minister of public health—and it is unclear whether the first shipments have in fact even been dispatched to affected areas.
The government has announced funding. Of the $35 million initially pledged, only $4.3 million for showing up as committed funding on the UN Office for the Coordination of Humanitarian Affairs' financial tracking website, suggesting no legal agreements have yet been drafted concerning the remaining funds.
As of October 19, Canada's actual financial contribution for the international response to combat the disease came in 17th place. The United States, with $206 million in committed funding, remains by far the largest donor.
Mere announcements cannot fight Ebola. Only commitments on the ground in West Africa can counter the epidemic. Canada's lack of commitment to short-term results is unacceptable with Ebola cases doubling every 25 days.
Yesterday we learned that Canada would not be sending any more medical personnel without a guarantee that they can be medically evacuated if they get sick. Of course we always want to ensure the health and safety of Canadians, but why does Canada not have this capability? When will a plan be in place? Has the minister met with anyone yet on this? When, and who?
The World Health Organization has been calling for urgent international support in sending doctors and nurses to the worst-affected countries.
Dr. Margaret Chan of the WHO has been clear:
But the thing we need most is people, health care workers. The right people. The right specialists. And specialists who are appropriately trained, and know how to keep themselves safe.
My contacts on the ground in Africa echo her call for more personnel. My contacts were, in fact, hoping that an announcement would be coming from Canada very soon regarding how it would coordinate those who wish to go and work in West Africa. Despite my asking repeatedly during the emergency debate on Ebola, we still do not even know how many Canadians are involved in the response in West Africa.
As the international development critic for our party, let me now focus attention on the needs of West Africa, and let me begin by sending strength, courage, and hope to the people of West Africa—namely, to the people of Guinea, Liberia, and Sierra Leone, who have suffered so much—and to Canadians with families, friends, and loved ones in Africa. Let me also extend my condolences to everyone who has lost someone during the world's worst outbreak of Ebola in history. I want them to know that we feel their pain, that we stand by them, and that we will fight for them.
This past Sunday, I spoke via telephone with Professor Monty Jones, special advisor to the president of Sierra Leone and ambassador at large, who was responsible for overseeing the Ebola response in the country. Our Parliament should know that he was listed as one of the 100 most influential people in the world by Time magazine in 2007. His Excellency President Ernest Kororma was briefed that the call was taking place and what transpired, and he gave permission for me to talk about the Ebola outbreak in Sierra Leone and, particularly, the urgent needs of the country and the Canadian Parliament.
Twenty-five hundred people have been infected, 900 have died, and 580 have recovered in Sierra Leone. In the words of the special advisor to the president, the disease remains “very stubborn, despite all the measures taken”. In fact, five of the country's fourteen districts are quarantined, including parts of the capital.
Sierra Leone needs community-based care centres and 1000 more beds. The country needs more health care workers. Special advisor Jones says three to four health care workers are needed for each patient with Ebola. This means the country needs a minimum of 500 more doctors, 2,000 nurses, and 1,000 technicians with various specialties.
Burial remains a challenge in Sierra Leone, as the government wants to give a decent burial to everyone. Custom in Sierra Leone involves crying, mourning, and touching the body, but now there are no ceremonies, no touching, and burials are fast-tracked.
The special advisor to the president explained that a swab is taken from each of the dead, in order to ensure someone has not died of Ebola. The problem is that there are not enough ambulances, not enough laboratories, and not enough technicians to analyze the blood samples. As a result, there is a backlog of samples, which means there is a backlog of bodies to pick up. Sometimes bodies remain in houses for three days. The longer a body remains, the greater the chance that people will want to touch their loved one.
Special advisor Jones says labs currently process 50 to 100 samples per day, but the country needs more labs and more technicians so 500 samples can be analyzed per day.
The special advisor is particularly concerned about possible travel bans and what such bans might mean to the economy and the importation of food and desperately needed health care and medications.
Sierra Leone was one of the fastest growing economies in the world. The World Bank ranked it the sixth-fastest reformer. Economic growth was at 11% and predicted to go to 14%, but has now dropped back to 7%. The special advisor explained that a ban would cripple the economy further and prevent much needed food and medical help from coming in.
He explained that people are thoroughly screened in Sierra Leone airports with thermometers and infrared temperature screening and if there is even a slight increase in temperature, they are turned back, to health care.
Special advisor Jones hopes that the international community will continue to respect the known science with regard to travel bans and not make political decisions that would hurt his country further.
As a final point, the special advisor to the president wants the Canadian Parliament to know that the economy and health care will need help after the Ebola outbreak and that we must not forget the people of Sierra Leone and, indeed, of West Africa.
Several humanitarian organizations have relayed the same point to me. Health care systems have effectively collapsed and will require substantial support to be rebuilt and strengthened. The government's investment in maternal, newborn, and child health and the gains in MNCH in the region will be reversed if we do not have a place to assist mothers after the outbreak.
I will now discuss the health care needs from people on the ground in West Africa, with whom I am in touch almost daily. However, before I do, I want to acknowledge the tremendous efforts of health care workers, scientists, and humanitarian organizations in incredibly difficult, heartbreaking circumstances.
While there is a real push to create more treatment centres and holding beds, I also hear that there is a tremendous need for training, particularly training for local health workers to use personal protective equipment, PPE, to protect themselves. Even in developed countries, only a small number of health workers have ever used the required level of protection, which sadly was illustrated by the experiences in Spain and in the United States. Training that is taking place overseas involves three days, plus two days in a ward, then regular supervision and mentoring. There are no shortcuts.
The Ebola outbreak ravaging West Africa is the most severe and acute public health emergency in modern times. Never in recent history has such a dangerous pathogen infected so many people so quickly over such a wide geographical area for so long.
It is past time that the Minister of Health, the Minister of Public Safety and Emergency Preparedness and the Chief Public Health Officer appeared in front of the health committee to update parliamentarians and Canadians on whether Canada is actually fulfilling its pledges on Ebola; that equipment and money is actually getting to the people who need it most in West Africa; and that parliamentarians have an opportunity to ask ministers and officials about Canada's state of preparedness. Parliamentarians will want to ask about preparedness of Canada's ports of entry, health care facilities, and other institutions to identify, diagnose, isolate, and treat Ebola patients in a safe and appropriate manner.
We have said from the very beginning that this is a non-partisan issue, and so in the spirit of compromise, I move, seconded by the member for Random—Burin—St. George's, to amend the motion as follows.
by replacing the words "the Minister of Health, the Chief Public Health Officer of Canada, and the Minister of Public Safety to appear before the Standing Committee on Health twice monthly" with the words "the relevant minister or ministers to appear twice monthly and the Chief Public Health Officer of Canada to appear monthly before the Standing Committee on Health".
I call on all members of this House to support this motion to protect the people of West Africa so that we can protect the health and safety of Canadians here.