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Health committee  If you don't mind, I will be speaking in French, but I may answer questions in English afterwards. I have prepared some notes and they are available to you. Maybe you have them already or will have them.

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  Okay. Your committee is currently studying Bill C-42, an Act to amend the Quarantine Act, in order to make it consistent with the International Health Regulations which will soon come into effect. There is some question as to the government's intention in correcting the problems

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  That's part of the point I wanted to make. It's not a full guarantee, if you have quarantine agents in an airport, that some people like that will be picked up. But what I was saying is that to get this guy and get the proper diagnosis it took specialized services. That was one

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  A bus only has one driver. He has to sit up front and drive. He does not have the time to mind the health of his passengers. A passenger would have to be in very bad shape before anyone said that someone onboard was severely ill or dying. We would need a link or a mechanism to t

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  Precisely. I entirely agree with what Dr. Kendall said when he emphasized that for SARS, intensive surveillance was implemented in airports. It was very expensive. Even in the regions where SARS was present, the number of potential cases was very small as compared to the number o

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  I don't have an answer to the no-fly list, either. What I understand of the case in the news is that his doctor had told him not to fly. But I don't know about a no-fly list. Again, maybe Dr. Butler-Jones could answer that.

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  I want to say that the relationship we have with United States is one that often goes through the Public Health Agency of Canada and then to the United States, or to France or England or Asia or wherever.

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  Our opinion was that--

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  I think if you're talking about any infectious disease, probably. I have exactly the same answer as Dr. Kendall. But if I may expand a little bit, what is happening here is that whenever there is mumps or measles, or TB right now, or meningitis or whatever, public health gets int

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  I have to agree with that. This is why SRI surveillance has been very much strengthened in Canada and in the U.S.

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  Okay. Well, maybe this is why we were saying that if it is at all possible for land transportation to be able to reach the normal way of doing so with the 24-hour duty of public health, then, if it's possible, why not? But it doesn't justify--to us, at least--putting people or q

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  Well, that was the idea, but I do agree that it would have to be a type of mechanism that would not put in too much burden on public health resources. By that I mean that if someone is having trouble, or whatever, we need a diagnosis. This cannot be done without going to a hospit

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  I agree pretty much with what Dr. Kendall has said. I don't think our position is that we need quarantine people everywhere. What I've said is that I'm thinking of a way, just a way, to have a heads-up, if it's possible, to be able to reach what is actually already there, which i

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet

Health committee  I think what we've proposed is a communication strategy, but we must keep in mind that a proper intervention takes a diagnosis. Therefore, we need some way to communicate so that we can pick the individual up and take him away for diagnosis. Only then can we intervene. As I sai

May 30th, 2007Committee meeting

Dr. Monique Douville-Fradet