An Act to amend the Food and Drugs Act (warning labels regarding the consumption of alcohol)

This bill was last introduced in the 38th Parliament, 1st Session, which ended in November 2005.

Sponsor

Paul Szabo  Liberal

Introduced as a private member’s bill. (These don’t often become law.)

Status

Not active, as of Feb. 9, 2005
(This bill did not become law.)

Elsewhere

All sorts of information on this bill is available at LEGISinfo, an excellent resource from the Library of Parliament. You can also read the full text of the bill.

Food and Drugs ActPrivate Members' Business

December 7th, 2007 / 1:55 p.m.
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Conservative

Mike Allen Conservative Tobique—Mactaquac, NB

Mr. Speaker, I want to begin by acknowledging my colleague from Mississauga South for his commitment to this effort, which he continues to show in this important issue both in the last Parliament and in this Parliament. I applaud his efforts to raise awareness about the negative consequences of alcohol use in Canada.

I agree that as a society we need to be vigilant in protecting the most vulnerable from damage due to alcohol misuse, and there are no more vulnerable than our unborn children, and those born with fetal alcohol spectrum disorder, also known as FASD.

Throughout their lives, they will often be faced with and cope with the effects of prenatal alcohol exposure, and these children can be condemned to lives of missed opportunities and, in essence, outright despair.

Among the common symptoms of the disability are a range of social and behavioural problems, which put affected individuals at an increased risk of dropping out of school and make them far more likely to be unemployed, victimized, homeless or to end up in prison.

As profound as the impact may be for the affected individuals and their families, the cost of FASD is also steep for society. Canadian taxpayers will spend approximately $1.5 million over the lifetime of each of these individuals in extra health, education, welfare, policing and criminal justice system costs.

Consider that given the incidence of 9.1 cases of FASD per 1,000 births, there are estimated 280,000 people in Canada currently living with this preventable disability.

As worthy as the goals are, studies have shown to date that alcohol warning labels do not reach or positively impact those most at risk.

There is very compelling evidence to suggest that alcohol warning labels would not result in a reduction of hazardous alcohol consumption or reach specific populations regarding risk-taking behaviours such as drinking during pregnancy or drinking and driving.

There have been other private members' bills on alcohol warning labels since 1987. For example, prior to Bill C-251 there was Bill C-206.

Bill C-206, like previous bills, was not supported by the House as the evidence presented to it was unequivocal. Warning labels on alcohol beverage containers are not effective in changing the drinking behaviours of at risk or vulnerable populations.

This was the resounding all-party consensus reached at committee hearings on Bill C-206, the predecessor to Bill C-251. While laudable, the objectives behind Bill C-251 are not likely to be achieved through warning labels.

I firmly believe that supporting alcohol warning labels would divert taxpayer dollars away from effective interventions such as prevention, awareness and education, to an approach that lacks real evidence of success.

I would like to take this opportunity to highlight how the Government of Canada is currently working to reduce the negative consequences of alcohol use through proven prevention, education and awareness interventions.

Led by the Public Health Agency of Canada, the federal fetal alcohol spectrum disorder initiative seeks to prevent future births of those affected by alcohol and improve outcomes for individuals and families already affected.

This work is accomplished in a number of ways.

First, by raising awareness and educating Canadians and health care and allied professionals about the harms related to FASD and alcohol use during pregnancy.

Second, by developing a strong evidence base to inform decisions by relevant jurisdictions.

Third, by translating knowledge and producing tools to help build capacity within communities across Canada.

This initiative receives funding in the amount of $5 million annually. Of this amount $3.3 million goes to the Public Health Agency while the remaining $1.7 million is given to Health Canada's First Nations and Inuit Health Branch.

We know that addressing FASD is a shared responsibility. I am pleased to report that the Public Health Agency of Canada has assumed a leadership role and is working with its health portfolio partners, other federal departments and agencies, the provinces and territories, first nations, as well as a host of community based partners.

I think real progress has been achieved to date and I would like to take a few minutes to highlight a few of the examples.

In 2005 national guidelines for diagnosing FASD were published following extensive consultation. These guidelines represent a crucial step for developing both capacity to diagnose FASD and standard procedures for FASD diagnosis.

In the long term it is anticipated that these guidelines will enhance the collection and reporting of incidence and prevalence data across Canada, so that we will have a much better sense of progress to reduce FASD rates in Canada.

Although we have meaningful estimates on the costs of FASD in Canada, work has begun on the development of a Canadian model for the calculation of the economic impact of FASD. In addition, a call for proposals for the FASD National Strategic Projects Fund was announced in January 2007.

These projects, being funded from this call, will build toward enhanced prevention and diagnosis and, eventually, the availability of incidence data.

Unfortunately, some segments of the Canadian population are more at risk of alcohol-related harm. For example, some first nations people and Inuit are at greater risk of experiencing some form of alcohol-related harm in their daily lives.

For this reason, Health Canada's First Nations and Inuit Health Branch receives $15 million in annual funding from the Government of Canada's early childhood development strategy to support FASD programs. This amount is in addition to the $1.7 million in funding under the federal FASD initiative.

The sum of this funding, nearly $17 million, is used to reduce the number of FASD births and improve the quality of life for those affected in first nations and Inuit communities.

With this funding, communities are supported to undertake various activities that build awareness, develop targeted interventions to support high-risk women to stop or reduce alcohol use while pregnant, enter collaborative work with communities to address the broader determinants of health, provide education and training for front line workers and health professionals, and facilitate access to earlier diagnosis. Progress has been made in all of these areas.

A recent opinion survey showed that 94% of first nations and 86% of Inuit were aware of FASD, and awareness is a start.

Community asset mapping has helped many communities identify their strengths and develop a plan of action. There are now mentoring programs for at-risk women in 32 first nations communities.

All regions have provided training sessions for front line workers and health professionals. For example, in Quebec, 90% of first nations communities participate in education and training activities related to the prevention of FASD in 2005/2006.

Community coordinator positions are being established, so that first nations and Inuit communities can increase family access to diagnostic health teams.

And our efforts do not stop there. Since 2000, the Canadian Institutes of Health Research has invested approximately $3.7 million into research around prevention, treatment and diagnosis of FASD.

This action has expanded the knowledge base about the biological mechanisms underlying alcohol's adverse effects on the developing fetus and its long-term health effects.

Clearly, momentum is building across this country to address many of the challenges Bill C-251 proposes to resolve.

Taken together, these activities represent a comprehensive approach to reduce the risks and tragic consequences of alcohol abuse. As witness after witness told the Standing Committee on Health during examination of Bill C-206, that is exactly what is needed if we are to produce meaningful results.

The evidence presented before the committee at that time demonstrated that fully integrated and concerted prevention, awareness, and education interventions are the most effective ways to address challenges, and that was clearly indicated in the eighth report of the Standing Committee on Health.

In closing, I would like to express again my sincere appreciation for my hon. colleague's commitment to this issue. However, I believe the evidence is clear. Alcohol warning labels will not bring about the results we all wish to achieve. For this reason, I am unable to support this bill.

Food and Drugs ActPrivate Members' Business

December 7th, 2007 / 1:30 p.m.
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Kootenay—Columbia B.C.

Conservative

Jim Abbott ConservativeParliamentary Secretary for Canadian Heritage

Mr. Speaker, let me begin by saying that the motivation for this proposed legislation is highly laudable. My hon. colleague's intentions in pursuing this project so diligently are commendable.

What is also clear given all we know about the likelihood of labelling having the desired outcomes is that Bill C-251 will not achieve its intended results.

The evidence presented to the Standing Committee on Health in 2005, on a nearly identical bill, Bill C-206, is unequivocal in concluding that in the absence of a wide range of other strategies to encourage Canadians to engage in safer alcohol use, warning labels alone will not result in an overall reduction in hazardous alcohol consumption or specific risk behaviours, such as drinking and driving or preventing the dangers of FASD.

Today, I want to speak about the unintended consequences which will likely result from mandatory labelling. As has previously been pointed out in interventions before the committee, an organization in Quebec, Éduc'alcool, came to the following conclusion when it looked into the pros and cons of alcohol warning labels:

Reviews and primary studies concerning the impacts of the U.S. alcohol warning label experience, whether written by independent researchers or those employed by the alcohol industry, agree fairly closely that impacts on drinking behaviour are either non-existent or minimal.

What is particularly worrisome is that the legislation proposed might not just fail to accomplish its objectives, but it could actually produce unanticipated and unwelcome consequences that could inflict another form of harm on some of our constituents.

Another huge concern is that the bill, if passed as it currently reads, would mean that all alcohol beverages currently on the market would be in violation of the new law once the bill would be enacted. The legislation would not allow companies adequate time to redesign the labels and implement the labelling requirements. The business community also stressed that Bill C-251 is inflexible in allowing different coming into force dates for small and large businesses. This is a major concern in my constituency as it could potentially cause unnecessary complications for my constituents.

What is vexatious is that interveners speaking on behalf of these regions and industries at the health committee in 2005 acknowledged that such legislation is well intended but misdirected. They worried that it could be detrimental to the economic well-being of people living in areas like mine.

Other points frequently raised are the implementation costs of the bill and its effectiveness. The costs associated with mandatory labelling would be significant, likely in the millions to make, pass and enforce regulations. It is valid to argue that this money could be better spent elsewhere.

The real concern is that the funds badly spent on warning labels might prevent the implementation of a more comprehensive strategy in the future. This House has been told over and over again by the provinces, the food and beverage service industry, as well as groups like Mothers Against Drunk Driving that a comprehensive strategy is essential to have a meaningful impact on the problem of alcohol abuse.

The majority of witnesses who have previously appeared before the standing committee have said that many of the established targeted programs currently in place have a much better chance of success than warning labels. There were strong arguments against diverting funds from these proven programs to underwrite the costs of warning labels which have not been proven to have a measurable effect on drinking patterns.

There is also the issue of potential trade and charter challenges which could further impose costs on the government. A representative from the Department of Justice has indicated that a violation of freedom of expression protected under section 2(b) of the Charter of Rights and Freedoms would have to be justified under section 1 of the charter, and justification requires evidence that labels work. That evidence is lacking.

Something else to consider is that Canada must ensure it respects its international trade obligations in imposing technical regulations, including labelling requirements, on imported products. These would apply to any regulations to implement the legislation. No such consideration has been made in the creation of this bill as it currently stands.

Mr. Speaker, do not get me wrong. There is no doubt about the dangers of fetal alcohol spectrum disorder, FASD, and drinking and driving, nor does anyone dispute the detrimental impacts alcohol can have on individuals and their families. However, all of these are problems of abuse or improper use, and based on the evidence presented by an array of expert witnesses, those behaviours are not likely to be changed because of alcohol warning labels.

Furthermore, in its September 2006 report, “Even One is too Many: A Call for a Comprehensive Action Plan for Fetal Alcohol Spectrum Disorder”, the Standing Committee on Health did not call for the implementation of warning labels on alcoholic beverage products.

There can be no debate that the Government of Canada takes this problem very seriously with its annual investment of some $100 million in a vast array of prevention, education and treatment programs. There is no question that the health minister is determined to do even more.

The point I am making is that labels cannot solve every behavioural and health problem. It takes a complete, comprehensive plan, properly resourced, put into action.

I can also assure the House that I am not implying that the underlying goals of Bill C-251 lack merit. I have nothing but praise and respect for my hon. colleague's efforts to draw national attention to the problems associated with excessive alcohol consumption. I am simply pointing out that this legislation does not provide the airtight arguments needed for its adoption and that it could unintentionally produce unexpected and undesirable results.

For all these reasons, I am unable to support this bill.

Food and Drugs ActPrivate Members' Business

November 19th, 2007 / 11:30 a.m.
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Bloc

Christiane Gagnon Bloc Québec, QC

Mr. Speaker, thank you for giving me the floor this morning. Bill C-251, which was introduced by the member for Mississauga South, reopens the debate on Bill C-206 sponsored by the same member. In fact, it reopens the debate on labeling alcoholic beverages with warnings about alcohol consumption.

I would like to remind this House that 200 countries have rejected this idea and that New Zealand recently rejected this idea after a lengthy debate.

We have to ask ourselves whether this is an effective way of reaching the various target groups and whether it would be problematic to affix warning labels on bottles. When we talk about alcohol consumption, we are really talking about alcohol abuse. A number of members of the scientific community who are researching alcohol consumption say that placing warning labels on alcoholic beverages might be alarmist. This opinion may not be shared, as we can see in this House this morning. A number of stakeholders have yet to express their views, but each person's perception is different. The issue is how we want to help target those who are affected by fetal alcohol syndrome, such as women and children, as well as people who drive while drunk or who endanger their health.

In my opinion, we really need to look at this issue in depth. Is this the best way to combat alcohol abuse, which has an impact on people's lives? I want to be clear: we are not denying the effects of alcohol abuse on pregnancy, for example, or on driving or heath, as I said earlier. And we are not denying that those effects are completely avoidable. In our opinion, targeting and rigour are the keys to effectively fighting this scourge.

A number of stakeholders shed light on this issue when we had to decide whether we were going to vote for or against this bill. Combatting alcohol abuse requires serious action, based on convincing and conclusive data.

Consequently, we must invest in research. Our government must support targeted research to combat alcohol abuse. A great deal of research has been done in the past 15 years, and I will give an example of the effects of alcohol abuse in Quebec. Obviously, everyone knows that alcohol abuse is a problem. Statistics prove this. Surveys have been done of Quebeckers. Still, members will be surprised to learn that more than 85% of alcohol abusers understand how alcohol affects health.

As I said, we have to find a way to reach the most vulnerable members of our society and achieve a better understanding of these behaviours. We also have to consider those who refuse to be reached through awareness campaigns. I think that is the best way to fight alcohol abuse. It is also important for governments to get involved, as I said earlier.

A Quebec organization called Éduc'alcool asked members of the Groupe de recherche sur les aspects sociaux de la santé et de la prévention, also known as GRASP, to research the social aspects of health and prevention, an issue these scientists have been investigating for 15 years.

Together with a group from the Université de Montréal, this research group analyzed all available research on the subject and found that, when combined with other communication tools and methods, a warning label can be an effective way to make some consumers more aware of the phenomenon.

However, such measures are not effective when it comes to changing behaviour or reducing consumption. They are totally ineffective.

A whole research team analyzed all available research. They also asked a number of centres in Canada and abroad to provide any information they had. In all, over 100 studies were submitted to GRASP, which reviewed all of them.

Personally, what I found striking was the second part, because that is what we have to address. Research suggests that putting a warning label on is not an effective way to change behaviour or reduce consumption, and that a label is useless when it comes to reaching those who consume the most, that is, the target groups, including pregnant women and their fetuses. It is clear that there are consequences for the health and behaviour of children. I believe that this body of research is very important. We are not talking about one study, but about many.

I will now say a few words about Éduc'alcool in Quebec. The purpose of this organization is to educate the general public, young people in particular, and to promote moderation because most people drink in moderation. Many ad campaigns have been run in newspapers and on television. These campaigns have been very targeted; there are ten or so in Quebec. If I have enough time, I will talk about a few of them. These campaigns address all target groups: young people, women, university students, college students and primary and secondary school students.

Drivers are another group that has to be targeted. Various health partners have joined forces with these different ad campaigns. The Brewers Association of Canada is also associated with a foundation that has been set up to address alcoholism.

Éduc'alcool also wanted to examine the historical and cultural context of drinking. We know that a historical and cultural context exists. The first nations are very affected by fetal alcohol syndrome. Why not intervene in very affected groups? Some scientists, or those who have done research on this problem, say that using labels might give the impression that the problem is not so bad, which defeats the purpose.

In Quebec, a lot of money has been invested in this. Éduc'alcool has invested $20 million to educate Quebeckers, generate initiatives and mobilize partners. To that we could also add the free air time the organization often receives on television. Other advertising has also been done. If we add all of this together, these initiatives are worth more than $60 million. And we are seeing results.

That is not to say we do not need to be vigilant or support research. Some might think that because we oppose this bill we do not care about this issue, but we would like to see a different approach, with awareness campaigns and independent foundations. We could also ask those who produce alcoholic products what they might do to help show people that excessive drinking is harmful to health. It is harmful to drink and drive. These are the groups we need to involve to help fight the trend toward excessive drinking. There are also health benefits when we consume less alcohol.

I might have a few—

Food and Drugs ActPrivate Members' Business

November 19th, 2007 / 11:20 a.m.
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Conservative

Rob Merrifield Conservative Yellowhead, AB

Mr. Speaker, it is a privilege for me to stand and comment on this legislation put forward by the hon. member for Mississauga South. He has worked very hard on this issue over a number of years. He has brought the issue before the House a number of times and it has reached the health committee a couple of times. I particularly want to refer to the last time it was before committee, when I had the opportunity to chair that committee and to see exactly what the merits of this piece of legislation might be.

I think it is important for us to understand that FASD is a very serious problem in this country and has to be dealt with in a very comprehensive way. FASD is not a simple thing. It devastates families. It devastates our health care system and our court system with regard to its major impact on the human costs as well as the health costs.

As we look at FASD, we can imagine how a parent feels who, because of the consumption of alcohol, has a child that is afflicted with this disease. Parents have terrible guilt knowing that they have negatively impacted and handicapped a child unintentionally through something that certainly could have been prevented.

We really need to get a handle on this problem through something that is a lot deeper than putting a label on a bottle of alcohol or dealing with it from that perspective. I will get into exactly why I believe this has to be much deeper and more aggressive than that.

I will illustrate this by suggesting that right now we are in a season when many Canadians go big game hunting. Anyone who has ever gone big game hunting knows that it is very easy to be led off the trail by seeing a rabbit track while tracking big game in the snow. I would suggest that this is what we are doing with this legislation here: if the hunter chases the rabbit track, he is still hunting, but he will miss the mark. He will miss what really needs to be done in looking after the needs of his family for that winter. I will get into that a little later.

I would suggest that this bill is a rabbit hunt rather than a big game hunt. I would suggest that this issue is much bigger than rabbits and has to be dealt with in a more comprehensive way, rather than putting a label on a bottle and thinking that we have dealt with the problem.

What I would say to the hon. member is that we must look at the evidence we looked at in the health committee as to whether putting a label on a bottle would actually work or not. We had many witnesses talk to us about the issues and about whether labelling would be substantive and would actually do the job or not. The fact of the matter is that a significant number of the witnesses, although it would not be quite fair to say most of them, suggested that putting labels on bottles of alcohol would not make any significant change in the behaviour of individuals with regard to whether they would drink or not drink while pregnant.

In fact, there are some statistics with regard to drinking alcohol that have come forward since this piece of legislation and a similar piece of legislation, which I think was Bill C-206, brought forward in 2005. Since the early 1990s, 90% of Canadians who drink have been aware that heavy alcohol consumption during pregnancy has a negative impact on the fetus. Since the 1990s, that number has gone up significantly. At the present time, according to the most recent information we have, 99% of Canadians know that drinking during pregnancy harms a fetus.

If we simply put a label on a bottle of alcohol to inform the public that it causes problems for the pregnant mother, it is not going to do more than what is already out there as far as information to that pregnant mother is concerned. The message has to be deeper and more aggressive.The solutions have to be more aggressive. The message for the mother must say that if there is the potential of being pregnant any amount of alcohol could potentially cause significant problems for the child.

The report of the Standing Committee on Health, which looked into this, was entitled in part, “Even One is Too Many”, suggesting that the message has to be more aggressive than just putting a label on a bottle that says if a woman is pregnant, drinking may harm the fetus. We have to make sure that the message goes much farther than that.

An individual from my riding who came to see me worked with women whose children were born with FASD. We had a long discussion about the situation, about the impact on these people, and about how we could deal with the problem in a much more aggressive way.

We have talked about a comprehensive program here and about what needs to be done. The hon. member who has moved forward this piece of legislation is suggesting that we just put on a label and that would initiate a comprehensive plan.

The individual who came to see me talked about her experiences in working with FASD children and their mothers. She suggested that the best way to combat this, based on her experience, is to make sure that if an individual has one child with FASD, she never has another child who is a victim of FASD, and that she be dealt with in as comprehensive a way as possible so that there is a support system that comes around that individual.

The issue is not just the person who goes partying on the weekend, drinks too much and is not aware of it. It is more about the binge drinking. It is on first nations reserves. It is in dysfunctional families, where individuals are addicted to this product and have no opportunity to have a support system around them to make sure they can deal with the problem at hand.

This individual who came to me is suggesting that if we really want a comprehensive plan we should work in conjunction with the provincial governments to deal with FASD and the delivery of health care systems in a comprehensive way. We should make sure that we do everything we possibly can to give support to those individuals so that FASD is not repeated.

When we looked at this piece of legislation, we also saw that putting a significant amount of money into putting on labels would have a negative impact on some of the small and medium sized brewers. It would take money away from where they have already designated it to deal with this issue. Putting a label on a bottle, which really does not accomplish the goal, would have a negative impact on their industry, on their businesses and on taxpayers.

I have a real concern about this. People might ask why we do not put a label on a bottle. They might ask what harm it would do. The harm it will do is that, as the government before this one has done with so many things, some think we can just go a little ways toward the right thing and that means actually accomplishing it. They chase the rabbit, even though they are big game hunting, and think that when they catch the rabbit everything is going to be fine.

That is an absolutely inappropriate way to look at this issue. This issue is much too serious for us to think that just putting a label on a bottle will solve the problem. In fact, when we were last in committee, the hon. member actually brought in bottles from the United States and a number of countries and showed the committee the labels on the bottles. The labels on those bottles were so small and so insignificant that one almost would have to bring out a magnifying glass to read them clearly. If one were in a poorly lit room and not seeing very well, or drinking at all, one would not be able to identify the label on the bottle or the significance of it.

Let us look at tobacco. We have very aggressive and abrasive labelling on tobacco packages. I am not so convinced, nor are the statistics convincing, that putting even those very aggressive and abrasive labels on cigarette packages is changing things. Really, what is changing cigarette smoking in this country is banning it from public areas and having so much peer pressure applied to the citizens of this country that it becomes unfashionable to smoke in the presence of other people, particularly children. We need to make sure in regard to FASD that drinking while having the potential of being pregnant is unfashionable as well.

I could go on about how this would negatively impact the industry for no good reason, but my time is just about up and I really want to say that we need to look at legislation that comes into this House and deals with the issue in an aggressive way. We need to deal with the issue in a way that does not just paper over what needs to be done, but actually does something that is aggressive and effective for the citizens of this country.

For that reason, I will not be supporting this piece of legislation. Although the intent of the hon. member is right and goes in the right direction, the bill does not deal with this issue in the way it needs to be done.

Committees of the HouseRoutine Proceedings

November 28th, 2005 / 3:30 p.m.
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Liberal

Paul Szabo Liberal Mississauga South, ON

Mr. Speaker, I move that the eighth report of the Standing Committee on Health, presented on Monday, April 11, be concurred in.

For the information of the House, I only intend to make a couple of comments on this matter. It has to do with Bill C-206, health warning labels on the containers of alcoholic beverages. The bill passed by a 90% plurality in the House at second reading. It was referred to committee.

As a consequence of the proceedings, the members of the committee wanted to explore the opportunity with Health Canada to have a comprehensive strategy for addressing fetal alcohol syndrome. That was not forthcoming at the time. As a consequence, this report was issued, recommending that the House not further deal with Bill C-206. The members also passed a motion that Health Canada be asked to table a comprehensive strategy dealing with Bill C-206, fetal alcohol syndrome, and that was done in June.

Therefore, it is my sincere wish that the House vote no on the concurrence motion that I have presented today so together we can move forward on a comprehensive public education campaign, including health warning labels on the containers of alcoholic beverages, to address fetal alcohol syndrome, the preventable tragedy.

SupplyGovernment Orders

June 7th, 2005 / 4:35 p.m.
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NDP

Peter Stoffer NDP Sackville—Eastern Shore, NS

Mr. Speaker, I want the hon. member from the Winnipeg area to know that he has our full support in this initiative.

I do not want to be too critical but sometimes a party's voting record comes back to haunt it. In March 2003, I introduced Bill C-206, which would have allowed caregivers the opportunity to take time off work to care for their loved ones under a palliative situation.

The hon. member was absolutely correct when he said that the motion was a wise investment of tax dollars and would be a saving in the long run. Those are the exact words I used in my motion in terms of allowing people the opportunity to leave their place of employment, care for their dying loved ones, collect employment insurance and have their job protected at the same time. It is the exact same benefits that a person would receive from maternity benefits.

Unfortunately, the previous leader of the Alliance Party, the current leader of the Conservative Party and the finance critic for that party voted against my bill. We cannot have a national strategy unless we deal with the caregivers concerned who deal with those people under the serious concerns of rehabilitative or palliative care.

My bill has been reintroduced as Bill C-256 and has had first reading. It has almost the exact wording as what was voted against by some members of his previous party.

Would the member support a strategy that would allow people who care for dying relatives the opportunity to stay at home, collect employment insurance, have their job protected and provide their relatives who are under palliative care the options that they deserve, which is the desire to be surrounded by their loved ones, to be surrounded in the setting of their choice and, of course, to be free of pain?

I wonder if the member who spoke so eloquently to this motion, which we support, would rise up and mention that.

Committees of the HouseRoutine Proceedings

April 19th, 2005 / 1:05 p.m.
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Etobicoke North Ontario

Liberal

Roy Cullen LiberalParliamentary Secretary to the Minister of Public Safety and Emergency Preparedness

Mr. Speaker, I am pleased to rise and participate in the debate on a motion which would accept the report of the Standing Committee on Health on Bill C-206. First, I would like to congratulate the member for Mississauga South for his very diligent work on Bill C-206, an act to amend the Food and Drugs Act, warning labels regarding the consumption of alcohol.

What the committee dealt with, when it reviewed the private member's bill, was the idea of putting warning labels on bottles of beer, wine and spirits warning against the consumption of alcohol. The member's intent is very well-founded. We know that he has taken a very keen interest in the effects of fetal alcohol syndrome and has made quite a study of it. We know he has very good intentions when it comes to his bill.

However, we need to focus on the process where his bill was reviewed by the Standing Committee on Health. That committee had witnesses from a broad spectrum of stakeholder groups. In the wisdom of committee members, after hearing all the testimony, they decided that the bill should be defeated and that the committee ask the Minister of Health to present a comprehensive plan to the committee by June 2, outlining a strategy for helping people who drank irresponsibly, including drinking and driving and fetal alcohol syndrome. That was a very sound recommendation.

The question of the labelling came up and pre-empted the review of the Department of Health and the Minister of Health of a very thoughtful drug strategy. We should not rush ahead with putting labels on bottles of spirits, wine and beer until we have a look at that comprehensive program. A caution is also warranted because there does not seem to be any evidence, notwithstanding the member for Mississauga South's best intentions, that putting warning labels on bottles will have any impact whatsoever.

In fact, it will put an additional cost burden on industry without any appreciable benefit. We are trying to reduce the incidence of drinking and driving, drinking while pregnant and drinking while operating heavy machinery. The information in studies that have been done in Canada tells me that 96% of women know they should not drink while pregnant. If we survey pregnant women, 99% know they should not drink while pregnant. If we do the same survey about drinking and driving or drinking and operating heavy equipment, a full 95% or thereabouts of people know that they should not drink if they are going to operate heavy equipment or drive.

If the objective is to educate people, people already know this. Therefore, I wonder what we will accomplish. What we will accomplish is that we will put an additional burden on the beer industry, the wine industry and the spirit industry. They will have to move resources from programs that already work, and we know they work very well.

For example, at committee we heard a witness who formed a company called TAXIGUY. The firm operates across Canada. If people want to get a lift from a bar because they have had too much to drink, TAXIGUY has a 1-800 number. Drivers will pick them up, drive them home and the next morning they will come back and help them find their car. That program is funded partly by companies like Molson and Labatt and partly by MADD.

The industry would have to review all these programs. I know the beer industry for example does some tremendous work with fetal alcohol syndrome. It has worked with a group called Motherisk which has a hotline for pregnant women who can phone and talk about drinking and pregnancy.

There is a host of responsible drinking programs that the beer industry and other industries support. The industry would have to review those. We could ask review those for what purpose? It would be so they could absorb the cost of putting labels on bottles where there is no evidence to suggest that these have any effect or impact. They have had warning labels in the United States for many years and there is no evidence whatsoever that labels have any impact.

If we look at the mechanics of it, what about if one goes to a bar and gets a glass of draft beer? What if one goes to a reception and gets a glass of wine poured? There are no labels. I think the impact of this measure is very dubious at most.

What we really need to focus attention on, in my judgment, is the drinker who drinks in excess and drives for example, and these are repeaters. We need to deal with them. It is not the casual drinker who is the problem. The same thing applies to women who are pregnant. It has been shown statistically that some 60% or thereabouts of women who drink when they are pregnant will do it again and again. They will repeat that kind of behaviour. Putting a label on a bottle I do not think will have any impact.

For these reasons, I will support the motion. The health committee looked at this very carefully. Let us accept its recommendation. Let us get a strategy from the Department of Health and then see if labels are part of that strategy or not.

Committees of the HouseRoutine Proceedings

April 19th, 2005 / 12:45 p.m.
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Conservative

James Lunney Conservative Nanaimo—Alberni, BC

Mr. Speaker, I am pleased to enter the discussion on this very important issue calling for concurrence of the House in the ninth report of the health committee. This basically it is a motion where the health committee is asking that Health Canada work with stakeholders to complete and present a comprehensive strategy and plan to address fetal alcohol syndrome.

I will begin by acknowledging the member for Mississauga South. I did mention this earlier in a small intervention but I think all members appreciate the efforts of the member over many years to advance this cause before the House. I personally, as a member of the health committee who sat through the debate and discussion, am pleased that it came before the committee. I think we all learned a lot about it and I am hopeful that we will see this issue advanced.

What is fetal alcohol syndrome? It is the leading cause of developmental disability among Canadian children. It was first established as a medical diagnosis in 1973. That makes it rather modern as something that has been recognized in the medical world.

Fetal alcohol spectrum disorder, FASD, is not one set of symptoms alone. It is a spectrum of disabilities associated with prenatal exposure to alcohol. The issues range from very mild symptoms to very severe mental disability and deformity.

While preventable, fetal alcohol spectrum disorder is a complex, multifaceted public health and social issue. It affects Canadians from all walks of life but, interestingly enough, we know that there are some communities that have been affected far more significantly and more profoundly. Certainly in our first nations and Inuit communities it has been disproportionately devastating.

The bottom line is that alcohol for a pregnant woman is a disaster and the only way to ensure or guarantee a safe pregnancy is to avoid alcohol entirely. However the message is not that a single glass of wine for a pregnant woman will be a disaster in itself. It is the multiple drinks, the binge drinking or the heavy dose of alcohol that can be extremely destructive to the fetus.

There is a huge range of serious physical and mental defects. It varies with the amount, the timing and the frequency of alcohol consumed and depends upon a number of factors, perhaps the genetics of the fetus and the mother or the overall state of health.

What has been done? I think this is significant. Since the early eighties there has been a patchwork of awareness campaigns and activities that have grown to support women at risk as well as to meet the needs of people in communities affected by FASD. More research, monitoring and evaluation of individual initiatives have increased in recent years.

Some of the programs that came before committee were quite significant. In the province of Quebec, statistics show that fetal alcohol syndrome is even more prevalent in Quebec than in other provinces. The province has responded with a very good educational program. Some of the tools that Éduc'alcool has put out for public awareness are actually very good. They are making an impact. They are out in the schools. They are being used in the communities and in the clinics and there is a real effort to get the information out.

The program promotes moderation; how to behave with our children, whatever their age; and that prevention begins with the family. It provides very good practical advice for parents on how to behave with children, whatever their age and whatever the risk to which the children are exposed.

It also provides advice on how to interact with 8 to 11 year olds and what type of messaging parents should have. It provides advice on how to behave with 12 to 14 year olds who are now increasingly in the risk range as their possibility of pregnancy rises. It also provides advice on dealing with 15 and 16 year olds. Statistics show that some 24% of 16 year olds drink alcohol just about every week. These, I believe, are Quebec statistics because it is the Éduc'alcool program that is providing the information. Just 23% of 16 year olds have never had a drink. They are at risk.

The program goes on to give advice on how to behave with 17 to 18 year olds who increasingly are vulnerable to peer pressure and have more access and more economic capability of accessing alcohol in quantities that could be destructive.

Some of these programs include influencing young people not to drink and drive and to make the right choice.

Efforts have been made in recent years to address education, important initiatives to getting the information out.

It is estimated that 9 babies in 1,000 born in Canada have fetal alcohol syndrome, which is about 1 in 100. It is the leading cause of developmental disability. The costs to society are high. Without taking into account the lost potential and opportunity, which is not measurable for individuals, the direct costs have been estimated to be about $1.5 million per person. That is a huge cost to society.

It is also known that we are facing a lifelong disability when a fetus is damaged at this early developmental stage, that it can be prevented and that we need to be taking some action to reduce the cost of morbidity and the terrible affliction on society.

The essence of Bill C-206 was that we should go out and label alcoholic beverages. I think there are some advantages to be later addressing this with other nations because we have with the United States, for example, some 15 years' experience with labels. The member for Mississauga South had brought us examples of labels from some products. The label on a beer bottle, for example, was around the neck. It was in a text that was either vertically orientated or in a colour that made it nearly invisible. We might wonder why some of those labels are ineffective but when we look at them it is clear that we need a microscope and some special lighting to read the message at all.

We saw other labels that were brought in that were clearly visible. The problem is that after a whole range of initiatives were tried, no one could really provide the committee with any evidence that these labelling initiatives had actually had an impact. In fact, it seems that in spite of the labelling things have become worse and the incidents of fetal alcohol syndrome continues to increase.

The significant thing about Canada addressing the latter issues is that in spite of the fact that some people think it is a good idea to put labels on there and it might feel better that we are doing something, we do not want to take an initiative just so we can feel a little better if the initiative will not be effective. It seems to me that the government has enough initiatives that turn out to be ineffective or misdirected.

We might mention some common examples, like a gun registry that turns out to be ineffective or misdirected, or a range of other issues that are actually misdirected, or the criminal justice with concurrent sentences. Someone gets a five year sentence but in fact receives concurrent sentences. People have committed crimes that are maybe two crimes that call for five years, but they get only a five year sentence and then get statutory release and are released early.

We have a lot of messaging that goes out that turns out to be ineffective.

On the labelling issue, while we want labelling and there may be a way to make labels effective, the evidence is not clear that is the primary direction in which we should be going, and the committee has therefore asked for a comprehensive plan.

We were startled, as committee members, to hear that although Health Canada officials had been working on a strategy for several years and meeting with stakeholders, they were giving indications that although they felt they were closer to a strategy for fetal alcohol syndrome, they felt they were nowhere near a comprehensive plan for the whole range of managing alcohol.

What the committee wants and what we want to propose is that Health Canada put some emphasis on this matter and come up with a comprehensive plan that would include a wide range of issues.

I want to bring up an issue that came out of committee that many people listening to the debate may not have heard. I actually raised the issue with the member for Mississauga South earlier in a question but I think he missed the point I was trying to raise.

The point I was trying to raise came out of a report to the committee by Dr. Gideon Koren, who is involved with Motherisk and the Hospital for Sick Children. The good news is that after some 10 years he reported that some 15 studies in animals showed that administering antioxidant vitamins, vitamin E, vitamin C, vitamin A, lowers or eliminates the risk to the fetus in animals. Thank goodness CIHR has funded some studies to demonstrate this in human beings.

A little good news came out of the study and it is an inexpensive way to begin protecting people. The information did not surprise me because we know antioxidant vitamins mitigate a whole range of chronic degenerative diseases. It would be very good news indeed if we could recommend and make sure that people at risk, particularly young mothers and women who are consuming, were getting antioxidant vitamins to reduce the risk.

We are asking the House to endorse a comprehensive strategy which might include labelling, include greater public awareness and put some real funds into making sure we advance a program that works.

Committees of the HouseRoutine Proceedings

April 19th, 2005 / 12:45 p.m.
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Conservative

Steven Fletcher Conservative Charleswood—St. James, MB

Mr. Speaker, if a comprehensive strategy is put forward I hope it would include elements that would require Bill C-206 to be redundant. If they decide that labels are necessary, then that needs to be given serious consideration.

The one thing that really struck me during the hearings was the fact that one of the industry representatives said that if it were part of our constructive strategy and it were shown that labels would in fact change behaviour then they would have no objections to doing so. That buy in by stakeholders is important and that may be one of the great legacies of their participation in this process.

Committees of the HouseRoutine Proceedings

April 19th, 2005 / 12:45 p.m.
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Liberal

Paul Szabo Liberal Mississauga South, ON

Mr. Speaker, I thank the member for Charleswood--St. James--Assiniboia for his thoughtful and constructive participation in the hearings at committee and the counsel he gave to all his colleagues on the issues facing us and the difficult question about warning labels and the likelihood of their affecting behaviour as opposed to simply informing people or improving their awareness.

Some suggestion was made that labels in a vacuum would not do anything special other than satisfy the obligation or the duty to inform.

Should Health Canada table with the House a comprehensive strategy laying out its argument that the strategy would be enhanced by having health warning labels on the containers of alcoholic beverages, would my colleague support Bill C-206 calling for those labels?

Committees of the HouseRoutine Proceedings

April 19th, 2005 / 12:35 p.m.
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Conservative

Steven Fletcher Conservative Charleswood—St. James, MB

Mr. Speaker, I will be splitting my time with the member for Nanaimo—Alberni.

I commend the member for Mississauga South for fighting on this issue for so long. His fight against the negative effects of irresponsible alcohol use, fetal alcohol syndrome disorder and drinking and driving, to name only two, has been inspirational.

The member deserves much credit for the momentum building toward a comprehensive FASD strategy. I and the Conservative Party wholeheartedly share his concern about FASD and drunk driving. My party supports the intent of the member's bill but, unfortunately, not the bill itself. Simply put, it has not been proven yet to be the best way to address the problem it seeks to solve.

The eighth report of the health committee recognizes the ineffectiveness of alcohol labelling, highlights the costs associated with it and recommends that the House proceed with a comprehensive FASD strategy that may or may not include warning labels.

The Standing Committee on Health voted almost unanimously in favour of a more comprehensive strategy. In fact, the vote was ten to one.

The eighth report contained reasons why the committee recommended that a label only strategy proposed by Bill C-206 be replaced with new comprehensive FASD and drunk driving strategies. All witnesses and committee members agreed that FASD and drinking and driving were serious problems that demanded action.

We know that these issues cause untold suffering on those affected by them. However very little evidence was put forward to indicate that alcohol labels would be an effective way of preventing either FASD or drunk driving. Labelling certainly works for a variety of purposes but for FASD and drunk driving, given the intended targets of the messaging, labelling may be ineffective.

The implementation of Bill C-206 would have cost the federal government significant dollars to implement and maintain. A diversion of these resources to labelling at the expense of targeted programs may not be cost effective. The implementation of the bill would have likely raised trade and charter questions which would have imposed further costs on the government.

Many witnesses calling for a comprehensive FASD strategy did not feel that the first dollars should be committed to labelling initiatives.

There was constant concern that if the government moved ahead with labelling that it would be able to claim that the problem was addressed and would not feel compelled to do what was really needed. The cost of labelling would have crippled many smaller breweries, distillers and wineries.

A leaked cabinet document indicated that Health Canada was aware of the ineffectiveness of labels in preventing FASD and drunk driving. In the letter, however, Health Canada acknowledged that to not support Bill C-206 would look bad politically.

This is no way to draft legislation. This is no way to govern. Laws should not be justified based on how they will be perceived. Laws should be passed based on sound research and well proven facts.

The majority of witnesses who appeared before the committee told members that established targeted programs currently in place to address FASD and drunk driving had a much better chance at success than warning labels.

The Conservative Party of Canada believes that a comprehensive strategy that may or may not include warning labels is the best way to tackle FASD. We therefore support the motion to concur in the eighth report of the Standing Committee on Health. The Conservative Party will demand that the alcohol beverage industry play an active role in the new strategy. Although the industry has played a part in previous initiatives, it must do more and will therefore be called upon to take a leading role in a comprehensive strategy.

The committee supported the motion by the member for Yellowhead that the committee call upon the government to present to the Standing Committee on Health a new strategy for the prevention of fetal alcohol spectrum disorder to be developed by Health Canada and its stakeholder groups by June 2, 2005. The motion will be tabled at a later date.

The health minister has indicated that he is serious about preventing fetal alcohol spectrum disorder and has told the House of Commons that his department is working toward a comprehensive strategy for FASD based on proven and established best practices. The Conservative Party hopes that Health Canada will develop, release and implement that strategy as soon as possible and the motion by the member for Yellowhead will hopefully accelerate that process.

As a member of Parliament for Manitoba, FASD is a serious problem. I was also involved with Teens Against Drinking and Driving at a very young age. In fact, the program was set up at my high school so I am aware of these challenges. However I want to ensure that if efforts are made they are not done in a haphazard way but in a manner that will ensure we get the maximum impact on the population that these programs will be targeting.

Therefore I hope that we will work together as a nation to reduce the occurrences of FASD and drinking and driving to basically nothing. Only together will we make that happen. I ask that we all support the member's intent of Bill C-206 but that we wait to see a comprehensive strategy that may or may not include alcohol labelling. We have to do the work required.

Committees of the HouseRoutine Proceedings

April 19th, 2005 / 12:25 p.m.
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Liberal

Paul Szabo Liberal Mississauga South, ON

Mr. Speaker, let me begin by indicating to all members and to the public, which is very interested in this subject, that the concurrence motion that I have on the order paper with regard to Bill C-206, which would allow it to continue to report stage and third reading, is still on the order paper. As a result of having this concurrence motion, which will require a comprehensive strategy by June 2, I will defer in calling that motion on the bill itself and the eighth report of the health committee until we receive the comprehensive strategy. If it calls for health warning labels, I would be more than happy to move the concurrence motion so we could continue working on Bill C-206.

Therefore, for those who are interested the bill is not dead.

I want to ask the member a question about a matter which appeared in the Globe and Mail on February 7. There was an interview with one of the representatives of the beverage alcohol industry. The individual was quoted as saying that there had been extensive meetings with Health Canada in regard to the framework and strategies, even to the extent that discussions were held on labelling beverage alcohol with regard to ingredients and also allergens.

It appears Health Canada already is quite engaged with the issue of labelling as it relates to ingredients and allergens. It would then raise this question, and I hope the member could shed some light on it. If the argument is that labelling does not work, why would we consider labelling of ingredients and allergens, but not consider information with regard to the risks associated with misuse of alcohol?

Committees of the HouseRoutine Proceedings

April 19th, 2005 / 12:15 p.m.
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West Nova Nova Scotia

Liberal

Robert Thibault LiberalParliamentary Secretary to the Minister of Health

Mr. Speaker, we could say a lot of words here. A lot could be said about why the private member's bill did not succeed through committee in its current form. More importantly, though, I think we should talk about why this process did work and how it did work. Perhaps it did not achieve the outcome that we would all have liked, especially the mover, the member for Mississauga South, who has done a lot of arduous work on this. He has done a lot of hard work for a number of years. He is an expert in the matter.

A lot of people in the House supported sending the bill to committee so that it would have full study. I think we have to see that where the system worked for the private member's bill was in bringing an increased level of awareness to the House, to all parties and to Canadians to make sure that people understand the horror of diseases like FASD, fetal alcohol syndrome, the risks in the operation of machinery, the danger to general health with misuse of alcohol and other drugs, and the effects that improper use has on families and on communities generally.

We have had a very good debate on that. Now we have a follow-up to one element of it. We listened to reports. Committees should do that. All parliamentarians from all parties worked very hard at the committee. Perhaps Canadians become disenchanted with parliamentarians when they watch the House and listen to the arguments, name calling, screaming and accusations, but I think those who followed the committee would have seen people working very hard and very seriously, asking good questions of a lot of experts and of people with their protected interests, of course, who came to the committee, were able to testify and were asked questions by all members in a very good manner.

At the end of the day the decision was made that perhaps it was not the time to go alone in a stand-alone fashion on labelling, but that we needed a comprehensive strategy. The committee reported on that and the member for Yellowhead put a motion to the committee, which was supported nearly unanimously if not unanimously, if my memory serves me. It was very well supported that we get a report and get some action from the Department of Health, that the Department of Health appear and talk about its comprehensive strategy on FASD and that we see what it is preparing.

I think that is very good. If we get that element out and get people working together in the right direction, then the member's work is not lost. I believe he worked very hard. We cannot lose it. We cannot have that work go for nothing. No member of Parliament and no Canadian benefits from that. We have to build on the work that has been done to date and look forward to a comprehensive strategy in the future, which may very well include labelling. It has to have the participation of all players. The alcohol industry, I understand and I certainly hope, has been served notice that it has to be a player at the table. It is the product the industry profits from that is a risk to our society in many ways and society has to be informed. The question remains on what is the best way to inform.

We are now talking about one element of it, fetal alcohol spectrum disorder, about which the member for Mississauga South has written and with which he is very familiar. He will be encouraged, I hope, by the moves that will be made by government and by other sectors of our society over the coming years. I hope we see a day when we have the complete elimination of FASD; certainly we have to see a reduction and that starts with awareness.

It is our intention to be present at the committee with the future strategic directions of the government's activities on fetal alcohol syndrome, as stated in the motion. The government will support the motion. We will present a document that will highlight the involvement of key partners and stakeholders, as well as the gaps, the challenges and the opportunities in current fetal alcohol spectrum disorder activities. We will speak on how we plan to address these challenges and opportunities.

The health portfolio has been working with other departments and agencies, the provinces and territories and aboriginal groups as well as a host of community based partners on a comprehensive approach to fetal alcohol spectrum disorder. Its objective is to address the critical gaps and pressures caused by FASD and provide individuals and organizations working with groups that are at risk with the tools and resources they need to reach and educate prospective parents.

As profound as the impact may be for affected individuals and their families, the cost of FASD is steep for society. Canadian taxpayers will spend an additional $1.5 million over the lifetime of each affected individual in extra health care, education, welfare, policing and criminal justice costs.

Consider that given the incidents of 9.1 cases of FASD per thousand births, there are an estimated 280,000 people in Canada currently living with this fully preventable disability. We believe that the most effective approach is one which focuses on awareness and on prevention. That is what the experts and academics who have studied this issue tell us works best.

For example, research shows that women are more likely to turn to their health care providers for information on alcohol during pregnancy. This reinforces that it is important to educate the range of health care professionals. Supporting health and allied professionals will enable them to deal more effectively with their people at risk and help reduce the risk factors.

To this, a lot has been accomplished already. Among the many activities completed to date, the department has published a framework for action on FASD. The Public Health Agency of Canada also conducted and published a national survey of health care professionals on their knowledge and attitudes on FASD. It has also supported the development and publication of Canadian diagnostic guidelines to assist teams of health care providers in identifying affected individuals.

In 2000 and again in 2002, Health Canada conducted public opinion surveys to gauge public awareness and general knowledge about FASD and alcohol use during pregnancy. The intelligence gathered through this process helped to shape common messages on FASD. Those were developed by the department in partnership with the provinces and territories. Posters and pamphlets using these messages were prepared and distributed to the public. Health Canada subsequently conducted limited awareness campaigns using these materials.

That is not all. Working in partnership with Thyme Maternity and News Canada, the department had newspaper articles published aimed at increasing public awareness of FASD and the need to avoid alcohol during pregnancy. Of particular importance to organizations working with high risk groups, the Public Health Agency has funded eight projects the country through the national FASD strategic projects fund. Through these projects, tools, resources and training programs are being developed and are used by community-based organizations to prevent FASD and to improve the prospects of people living with this disability.

A lot of work is also being done at regional levels to support local projects that will help reduce the incidents of FASD and improve outcomes for those affected.

This is just the beginning. Work currently underway will create greater knowledge and understanding of the impacts of pre-natal alcohol exposure and support prospective parents and affected individuals and their families. For instance, focus group studies are being conducted among women to gauge their acceptance of the current messages. The information obtained from these studies will help form a healthy pregnancy campaign, which is under development, targeting women of child-bearing age with health messages around pregnancy, including alcohol and FASD.

Another sample is a series of literature reviews being undertaken that focuses on alcohol use by pregnant women and the alcohol consumption rates of women of child-bearing age. Research is also being carried out on FASD training opportunities and public awareness activities across Canada.

Momentum is building all across the country to address many of the challenges Bill C-206 proposes to resolve. National multi-stakeholders meetings were recently held in Ottawa, including one to follow up on the publication of the diagnostic guidelines. A symposium on FASD was held as part of ongoing discussions on Canada's alcohol strategy and a national framework in substance use and abuse.

A survey of allied professionals' knowledge, attitudes and behaviours regarding FAS is currently being planned. The result of this survey will provide baseline information on FASD knowledge among such groups as correctional officers, teachers, social workers, nurses and other front line workers dealing with affected individuals. The public health function that they provide is paramount to FASD harm reduction and prevention.

An analysis of disability laws and regulations and the evidence necessary to declare FASD as a disability is also being compiled. The first nations and Inuit health branch of Health Canada is developing culturally appropriate screening and diagnostic tools. There will be a new call for proposals for the national FASD strategic project funds.

This says nothing of the plethora of activities taking place in the regions of the country. Health Canada and the Public Health Agency of Canada are working hard to ensure that their efforts merge seamlessly with those of community based organizations in the provinces and territories. They are ensuring that prevention and awareness measures are not limited to the health care domain.

FASD is an issue that cuts across sectors and jurisdictions. All these activities contribute to a comprehensive approach that seeks to reduce the risks and tragic consequences of prenatal alcohol exposure. That, as witness after witness told the Standing Committee on Health, is exactly what is needed if we are to produce meaningful results.

Make no mistake. This is precisely what the Minister of Health has indicated he intends to do. All parties are well aware that the health minister is serious about preventing FASD. He has told the House of Commons that his department is working toward a comprehensive strategy for FASD based on proven and established best practices.

Do not forget that while I have focused on challenges specific to FASD, I remind my hon. colleagues that there is a broad range of important programs at play, including Canada's drug strategy, the alcohol and drug treatment and rehabilitation program, the drug strategy community initiative funds and the national native alcohol and drug abuse program, in addition to the national fetal spectrum disorder initiative.

It is important to remind ourselves that while the committee did not see fit to go through with the bill as proposed, the committee did not say, or I certainly did not as a member of the committee, that there was not a benefit to alcohol labelling. I believe what has been said by most witnesses at the committee and by the committee's decision at the end is that it is not in the interest of Canadians to proceed on a one-off basis on this one element, but that it is important to have a strategy. It is important to inform Canadians on the risk of alcohol abuse and drug abuse generally and to give the tools to the communities so they can help those affected individuals and so they can identify those who are at risk.

We should all be thankful of the hard work done by the member for Mississauga South, the information that it gives to the public, the baseline work that it provides to committee in the House of Commons and the anticipation of resolutions to these very serious matters in the future.

Committees of the HouseRoutine Proceedings

April 19th, 2005 / 11:10 a.m.
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Bloc

Réal Ménard Bloc Hochelaga, QC

Mr. Speaker, it is a pleasure for me to take part in this debate on a motion introduced by my Conservative Party colleague relating to a report adopted by the Standing Committee on Health.

The entire debate started after the hon. member for Mississauga South introduced a private member's bill. I was listening earlier to the remarks by that member and sponsor of the bill, and I believe that the background needs to be given.

Nevertheless, I want to commend the member for his perseverance here. He has been interested in this issue for many years—a decade—already. There is also a lesson in it for us. In politics, it is essential to have motivations or beliefs. It cannot be said that the member has no convictions.

However, we must also admit that good intentions do not always make the best policies. If we have anything to learn from the history and experience of Bill C-206, introduced by our colleague from Mississauga South, it is that we must always listen to what witnesses have to say.

When this bill was studied in the House at second reading, most opposition health critics came out in favour of it in principle. We were, of course, in favour of warning labels being made mandatory on bottles containing more than 1% alcohol. That alone struck us as a good idea.

The beauty of the parliamentary system does not, however, reside solely in the work of the House, important as it certainly is, but also in committees. A good forty hours were invested in committee in studying this bill more closely. We came to realize that, unfortunately, scientific evidence did not support the solution proposed by the hon. member.

Everyone has acted in good faith on this: the government, the opposition parties, the parliamentary secretary, all have worked very hard. They all wanted to come up with the best possible legislation, keeping two objectives in mind: combating the harmful effects of alcohol and providing the most pertinent possible information.

With the exception of a few organizations such as MADD and the Canadian Medical Association, which were in favour of the principle, after considerable scrutiny, those who had analyzed the bill in depth did not recommend that we pass it in its present form.

I have heard my colleague draw a parallel with the regulations adopted a few years ago when I was on the Standing Committee on Health. I am, in fact, rather proud of being both the youngest member of the committee and the oldest, in years of experience, having been a member since 1999. So I was on the Standing Committee on Health when it reviewed the tobacco regulations. I think there was a considerable difference between those two bills, however. Why? When the government introduced the tobacco regulations, the difference was this:

First of all, the scientific studies. The Canadian Cancer Society alone submitted a pile of scientific studies on the harmful effects of tobacco, and these were provided to all parliamentarians.

Second, there was a fundamental difference in that the cigarette manufacturers are obliged to rotate the messages.

The regulations called for a dozen or so different messages a year, staggered at different times, so that no sense of easy familiarity with the medium could develop. If a person is exposed to the same message for months or years on end, it loses its effect. That is the first distinction.

Another distinction that was pointed out to us is that serving alcoholic beverages in a glass is not the same as in a bottle. People are served in glasses in licensed establishments and not in bottles. Consumers are therefore not directly exposed to the message. That is a very important difference.

Third, an organization as large as Éduc'alcool, with its likeable director general, Hubert Sacy, popularized what is probably one of the best known advertising campaigns. If people were asked—especially Quebec residents—what is Éduc'alcool's slogan, 80% to 90% would certainly say, “Moderation is always in good taste”.

Éduc'alcool is a not for profit organization, in this case, a consortium independent of the government. It brings together people representing brewers, the Société des alcools du Québec, universities and researchers, who have managed to implement far more effective educational methods than those proposed in the bill.

It is interesting that in Quebec we have a regulation adopted several years ago that requires alcoholic beverage producers to give a certain percentage of their revenues for awareness campaigns. Under the regulation, which is administered by the Régie des loteries et courses du Québec, they may give those funds directly to an organization that does preventive work or to one that does research, but one way or another, a certain percentage established by regulation must be given to ensure that there is an awareness campaign.

The scientific evidence, the facts and research that were available, did not point in a direction that would make us feel comfortable supporting the action suggested by the member for Mississauga South. That is why the Bloc Québécois proposed amendments. We would have felt better if the Quebec model had been used as the basis. We do not want an approach that says we are going to slap on regulatory labels if we are not certain they will be seen and read.

The hon. member for Mississauga South is right to remind us that it is their corporate duty. We cannot allow companies to make profits the way breweries and distilleries do without being good corporate citizens. Most of these companies do have in-house programs that provide safe ride home services, for instance, or information on the negative effects of excessive drinking on society.

Éduc'alcool submitted a research summary. They summarized the research available mostly in the United States and Canada, but also in Europe. They submitted a document outlining the impact of mandatory labelling.

We are not saying this was pointless. It is certainly not as black and white as that. In fact, the hon. member for Laval—who took an interest in this issue in committee—and I would never make such a blanket statement.

Consumers are indeed provided with some information, but there is no scientific evidence proving that mandatory labelling changes, in any way, the behaviour of people with drinking problems or a serious addiction to alcohol, people commonly referred to as heavy drinkers. Let us be honest, mandatory labelling has absolutely no effect on them.

Canadian Institutes of Health Research was represented at the committee by Ms. Nadeau, the Vice-Chair and herself a psychologist. She asked us to think about three consequences.

First, the approach of the hon. member for Mississauga South was somewhat lacking in nuance. He intimated that alcohol consumption of itself was reprehensible. In scientific terms, however, an occasional glass of red wine with a meal at the Cage aux Sports or elsewhere in good company, whatever may be your preference— The fact is that a little glass of red wine from time to time savoured in good company as one of life's little pleasures never did anyone any harm.

If we took a little survey here, even among my ascetic neo-Bolshevik friends, rigorous at work and disciplined in bed, I would be very surprised to find a member of the NDP caucus who has not at some time raised a glass of red wine in a toast. I would be very surprised if there were no parliamentarian here who does not consume alcohol in moderation on occasion. I would in fact be very surprised that the hon. member for Mississauga South is abstemious to the point of excluding any sort of alcohol from his life.

The fact is that the message the bill sent lacked subtlety, according to what Éduc'alcool told us. Terrorizing people is not the best way to educate them and neither is the cut and dried approach. A little glass of red wine never did anyone any harm.

Second, my colleague from Laval will speak later and develop this idea further—the warnings proposed by the member for Mississauga South included one on driving under the influence of alcohol, which could indeed be harmful. However, there was a warning that alcohol consumption during pregnancy could harm the baby. This is true.

My colleague from Laval asked about funding for the publication of a brochure that was distributed wherever this information would be useful, with the result that surveys revealed that 90% of women were aware of the hazards of excessive consumption of alcohol during pregnancy.

Éduc'alcool shouldered its responsibilities and worked with the Quebec health and social services department and the Collège des médecins du Québec. I do not know how it works in English Canada, but the LCSCs and Quebec hospitals display posters with this kind of information. However, the intention is not to traumatize or terrify, but rather to gently provide relevant educational information, which is essential for reaching the target audience.

I believe that, at times, the member for Mississauga South had a small tendency to believe that the message had to be stern and categorical, rather like the Lacordaire movement of earlier days, sometimes neglecting the nuances. I think that this was not the best approach.

Once again, we believe that the Quebec model is extremely important; I am talking about the coalition created around Éduc'alcool, with awareness campaigns and obviously some in-house programs by the major national brewers, but above all with Éduc'alcool taking the lead. This organization visits, for example, the university campuses.

Éduc'alcool has raised our awareness with anti-binge drinking campaigns. I am addressing the pages in particular. I am asking students to always stay in control. The end of term and exam time can be stressful. People want to party. They wind up on campus, where there may be drinking games. This trend started a number of years ago. Such activities should be avoided. I am warning our friends in particular, the pages, who are so dear to us. They have done an excellent job this session. I ask my colleagues to applaud them for their devotion during the entire session.

Committees of the HouseRoutine Proceedings

April 19th, 2005 / 10:25 a.m.
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Conservative

Colin Carrie Conservative Oshawa, ON

Mr. Speaker, it is a real pleasure and an honour for me to speak on this topic.

I would like to commend the member for Mississauga South for fighting for this issue for so long. The fight against the negative effects of irresponsible alcohol use, fetal alcohol spectrum disorder and drunk driving to name only two, has been inspirational. He deserves much credit for the momentum building toward a comprehensive fetal alcohol syndrome strategy.

It has been estimated that nearly 1% of live births are children with fetal alcohol spectrum disorder. These statistics are certainly alarming, as many families and women are not getting the warnings or are failing to be properly educated about consuming alcohol during pregnancy.

Consumers of alcohol must choose if they want to drive or operate machinery. They have to choose to consume the alcohol, knowing that it may affect their health. However, a child born with fetal alcohol spectrum disorder did not choose to have this disorder and perhaps the parent did not have the opportunity to choose as well. However, children born with fetal alcohol spectrum disorder will have to deal with the disorder for the rest of their lives.

What are the effects of fetal alcohol spectrum disorder? Health Canada has included some as being: intellectual defects and learning disabilities, hyperactivity, attention and/or memory deficits, inability to manage anger, difficulties with problem solving, pre-natal and post-natal growth deficiencies, early school dropout, alcohol and drug abuse problems themselves later on, problems with securing and maintaining employment, homelessness, trouble with the law and mental health problems. Indeed, the latter are very serious and a public threat.

The Public Health Agency of Canada has further estimated that lifetime extra health care, education and social services, and costs associated with the care of an individual with fetal alcohol spectrum disorder are $1.4 million U.S.

Other studies have suggested that over 25% of those behind bars may have been exposed to alcohol in the womb. I learned so much about this disorder in committee. A statement was respectfully submitted to me by Sheila Burns, the project coordinator of Fetal Alcohol Spectrum Disorder in Durham region. She said:

Since the identification of the teratogen Thalidomide, the medical community has been examining the damage caused by alcohol exposure to the developing fetus. Research is now clear that even moderate drinking during pregnancy can cause damage. No culture, no socio-economic group is spared.

Health Canada reports 1:100 Canadians have some level of damage caused from in-utero alcohol exposure. The results: high suicide rates, family breakdowns, criminal behaviour, drug and alcohol addictions, mental illness and homelessness. The implications are staggering and the toll enormous. The disability is life long and cannot be cured. It can be managed, but only at a huge cost to our society. The disability is preventable.

Durham region has been working hard to coordinate awareness initiatives, promote education and coordinate support services. They have longed for more support and warning labels are a part of that.

We have learned in the health committee that we need a comprehensive approach. We, in the Conservative Party, wholeheartedly share the concern of the member for Mississauga South about fetal alcohol spectrum disorder and drunk driving. The party supports the intent of the member's bill, but not the bill itself. Put simply, there is a more comprehensive way and a better plan to address the problem it seeks to solve.

The eighth report of the committee recognizes the ineffectiveness of alcohol labelling, highlights the costs associated with it, and recommends that the House proceed with a comprehensive fetal alcohol spectrum disorder strategy that may or may not include warning labels.

The Standing Committee on Health voted almost unanimously in favour of a more comprehensive strategy. The eighth report contains reasons why the committee recommends that the label only strategy proposed by Bill C-206 be replaced with new comprehensive fetal alcohol spectrum disorder and drunk driving strategies.

All witnesses and committee members agreed that fetal alcohol spectrum disorder and drunk driving are serious problems that demand action. We know that these issues cause untold suffering on those who are affected by them.

However, very little evidence was put forward to indicate that alcohol warning labels in themselves are effective at preventing either fetal alcohol spectrum disorder or drunk driving. Labelling certainly works for a variety of purposes. It will help improve awareness. However, for fetal alcohol spectrum disorder and drunk driving, given the intended targets of messaging, labelling by itself is ineffective.

The implementation of Bill C-206 would have cost the federal government significant dollars to implement and maintain. The diversion of these resources into labelling at the expense of targeted programs would not have been cost effective. The implementation of the bill would have likely raised trade and charter questions, which would have imposed further costs to the government.

Many witnesses called for a comprehensive fetal alcohol spectrum disorder strategy. They did not feel that the first dollars should be committed to just this labelling initiative. There was consistent concern that if the government moved ahead with labelling, it would be able to claim that the problem was addressed and would not feel compelled to do what is really needed. That is why I am so encouraged to see this motion and how it is unfolding today.

The cost of labelling would have crippled many smaller breweries, distillers and wineries. For an economic impact, this was significant and we had to address these concerns.

What surprised me was a leaked cabinet document which indicated that Health Canada is aware of the ineffectiveness of labels in themselves in preventing fetal alcohol spectrum disorder and drunk driving; but in the letter, Health Canada acknowledged that not to support Bill C-206 would look bad politically.

This is no way to craft legislation; this is no way to govern. Laws should not be justified based on how they will be perceived; laws should be based upon sound research and well-proven facts.

The majority of witnesses who appeared before the committee told members that established targeted programs currently in place to address fetal alcohol spectrum disorder and drunk driving have a much better chance of success than warning labels alone.

The Conservative Party of Canada believes that a comprehensive strategy that may or may not include warning labels is the best way to tackle fetal alcohol spectrum disorder. We therefore support the motion to concur in the eighth report of the Standing Committee on Health.

The Conservative Party of Canada will demand that the alcohol beverage industry play an active role in this new strategy. Although the industry has played a part in previous initiatives, it must do more and will therefore be called upon in taking a leading role in developing the strategy. The committee supported Mr. Merrifield's motion:

Pursuant to Standing Order 108(2), and a motion adopted by the Committee on Thursday, April 7, 2005, your Committee recommends that the government present a new strategy for the prevention of Fetal Alcohol Spectrum Disorder to the Standing Committee on Health, to be developed by Health Canada and stakeholder groups, by June 2, 2005.

This motion will be tabled. The health minister has indicated he is serious about preventing fetal alcohol spectrum disorder and he has told the House of Commons that his department is working toward a comprehensive strategy for fetal alcohol spectrum disorder based on proven and established best practices.

The Conservative Party of Canada hopes that Health Canada will develop, release and implement its strategy as soon as possible. Mr. Merrifield's motion will--

Committees of the HouseRoutine Proceedings

April 19th, 2005 / 10:10 a.m.
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Conservative

Rob Merrifield Conservative Yellowhead, AB

Mr. Speaker, I move that the ninth report of the Standing Committee on Health, presented to the House on Friday, April 15, be concurred in.

This is a very important motion. The committee has discussed this issue and I must give accolades to my hon. colleague for Mississauga South. I salute him for his conviction and determination. For over a decade he has been working on trying to get warning labelling for alcohol. It is not so much because of the warning that we have to salute the hon. member, necessarily, but for his determination in his attempt to bring awareness to this issue.

The member for Mississauga South introduced Bill C-206 and the health committee took a serious look at this piece of legislation. The committee was looking for a more comprehensive program. Because of that, we listened to a number of witnesses from across the board and across the spectrum of industry and health groups and so on to understand what we should be doing with regard to this piece of legislation.

Before I get into the details, I would like to say that I will be splitting my time with the hon. member for Oshawa.

When the committee took a serious look at this, we had to ask if we should do something with this or not. We concluded that the bill should not go ahead the way it is written. There was no testimony that would necessarily support moving ahead with this bill in a way that would do what the mover of the bill intended, which is bring awareness to individuals who are using and consuming alcohol to the point where they would refrain from using alcohol, which in turn would allow us to eliminate the terrible scourge of fetal alcohol syndrome in the country. The motion was eight to one, which is fairly unanimous.

Why then would we bring this motion to the House and actually pass it at committee? I believe that the newspaper reports on this issue, most of the people who work in the Department of Health and most industry people have the wrong idea of the health committee regarding this issue. It was not that we disagreed with the issue. It was that we wanted to do something significant which would actually accomplish the goal and the intent of the mover. The goal is a notable one and is worthy of consideration.

What the committee decided was to have the House concur with the motion. We had the Department of Health come to committee and report to us and that was the most startling piece of testimony the committee heard. We heard that the Department of Health was not going to report on a comprehensive program at all in order to accelerate the work the department said it has been doing for a considerable number of years with regard to fetal alcohol syndrome. The department said it would not lay a comprehensive plan before the committee or the House or even the minister .

This is not the message we need to send to the Department of Health. It is not the message we need to send to the Minister of Health. What we need to send to the Minister of Health through the power of this House is a message to impress upon him and the department the need for that comprehensive program.

It is in light of this that we bring forward our motion. I will read the motion into the record because members must have all of the wording of the motion to understand exactly what we are saying. The motion is as follows:

--that the government present a new strategy for the prevention of Fetal Alcohol Spectrum Disorder to the Standing Committee on Health, to be developed by Health Canada and stakeholder groups, by June 2, 2005.

Many members in the House will say they cannot support this because we are asking the department to come up with something by June 2, but let us look at the testimony that came from the Department of Health to the health committee. The department said it has been working on this for a number of years. The department said the work was pretty well finished.

In fact, the testimony says that the department is much further along on this than it is on many other areas of alcohol use. When we look at the testimony given in committee and at what the department has said it is doing, compared to what it has said it is going to do, we understand very clearly that we must have some action.

We do not need more studies. We do not need more consultation. This has been consulted to death. We understand that we have a serious problem. Nine out of 1,000 babies born in this country are born with fetal alcohol syndrome. It is a significant problem. Fetal alcohol syndrome is very serious. It affects hundreds of children born each year. They begin life with a serious strike against them and it is something they have to live with for their entire lives.

We need to do something about it and Health Canada can do something about it, but only if we give officials the pressure that is needed to be able to push them to action. This motion that I am asking the House to concur in will do just that. It will impress upon the Department of Health and the minister the need to actually move to action.

I can already hear the other side suggesting that we cannot ask a department to do something within that short a time period. We certainly can because we know that it has the ability to do it. We know it is a long way along on this issue already. We know that this is just a matter of sitting down and tweaking.

We are not telling the department it has to actually do anything except come up with a plan of what it is going to do to be able to accomplish the goal of the intent of the mover of Bill C-206. That is very easy to accomplish. It is something that needs to be done, because failure to do it means that we will do nothing. Doing nothing on this issue is not appropriate for the legislators of the House, for people who come together to make the laws of this land to protect society, from itself in many cases and from issues in society that are harmful.

This is a motion that I believe everyone in the House should think very seriously about; I was going to say soberly about, but I do not want to use the pun lightly. I do want to impress upon the House how serious a problem this is and how important it is for us to look at it from all angles.

We did hear from the alcohol industry, which asked why we should put all of our attention on labelling. It would cost it a significant amount of dollars and dollars are not going to come out of thin air, said the industry; they can come out of either the consumers who use it or the already existing programs that deal with fetal alcohol syndrome disorder.

We did not think it was appropriate for us to just say “let us put a label on every bottle” and then walk away from it thinking we had done the politically correct thing while not actually accomplishing any good. I do not think that anyone in the House necessarily wants to play politics with an issue this serious. What we really want to do is accomplish the goal, which is to prevent individuals from having fetal alcohol syndrome. We heard testimony about how devastating it is when pregnant women are involved with alcohol. At each stage as the fetus is developing, the alcohol retards and destroys the growth pattern.

The argument was about whether this happens in the early days of pregnancy, the middle or the end, but the reality is that it happens in all of these stages. The testimony was compelling enough that we should impress upon anyone who has the potential of being pregnant to leave alcohol alone, to not become involved with it. It is also important to mention that a woman who is pregnant and has one or two drinks should not become alarmed. What this does say is that we should leave it alone if at all possible so that we do not retard the development of the fetus.

How do we win on these kinds of issues? We win the same way we won on drinking and driving. We have not won completely but we certainly have made a paradigm shift in society. Now if someone drinks at a party and wants to drive, people stop that person before he or she gets into that vehicle, whereas 30 years ago they would help the person into the car. That was a paradigm shift. Peer pressure becomes a powerful thing. We need to use that same pattern when it comes to fetal alcohol syndrome and mothers who are drinking.

My time is nearly up but I do want to impress upon the House how important this motion is, because it will be debated here for three hours and we will actually go to a vote in the House. Votes in the House should mean something. When they mean something, the department and the industry should take the nod from what the House is saying. We have a responsibility here and I ask members to consider that as they vote for this motion.

PetitionsRoutine Proceedings

April 18th, 2005 / 3:25 p.m.
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Liberal

Paul Szabo Liberal Mississauga South, ON

Mr. Speaker, I also have a petition. I had hoped to rise on a motion with regard to Bill C-206. Unfortunately the Speaker's arrangements require that to be delayed.

However, I would like to present a petition which is also on the subject matter of marriage. It is a petition we have heard hundreds of times in this place.

The petitioners would like to draw to the attention of the House that the fundamental matters of social policy should be decided by elected members of Parliament and not by the unelected judiciary, and that the majority of Canadians support the current definition of marriage.

The petitioners therefore call upon Parliament to use all possible legislative and administrative measures, including the invocation of section 33 of the charter, commonly known as the notwithstanding clause, to preserve and protect the current definition of marriage, which is the union of one man and one woman to the exclusion of all others.

Committees of the HouseRoutine Proceedings

April 11th, 2005 / 3:05 p.m.
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Conservative

Rob Merrifield Conservative Yellowhead, AB

Mr. Speaker, I have the honour to present, in both official languages, the eighth report of the Standing Committee on Health.

The committee has considered Bill C-206, an act to amend the Food and Drugs Act, warning labels regarding the consumption of alcohol, pursuant to Standing Order 97.1. Your committee recommends that the House of Commons not proceed further with the bill.

Food and Drugs ActPrivate Members' Business

February 9th, 2005 / 5:30 p.m.
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The Acting Speaker (Hon. Jean Augustine)

It being 5:30 p.m., the House will now proceed to the taking of the deferred recorded division on the motion at second reading stage of Bill C-206 under private members' business.

Call in the members.

(The House divided on the motion, which was agreed to on the following division:)

HealthOral Question Period

February 7th, 2005 / 2:45 p.m.
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Vancouver South B.C.

Liberal

Ujjal Dosanjh LiberalMinister of Health

Mr. Speaker, I want to commend the hon. member for doing the kind of work that he has been doing over the last number of years. He has a bill, Bill C-206, before the House, and I want to ensure that we give him the support that his bill needs.

I also want to tell the House that Health Canada is developing a comprehensive strategy to deal with FAS and other alcohol abuse issues right across the country that have social and economic consequences.

Food and Drugs ActPrivate Members' Business

February 7th, 2005 / 11:55 a.m.
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Etobicoke North Ontario

Liberal

Roy Cullen LiberalParliamentary Secretary to the Minister of Public Safety and Emergency Preparedness

Mr. Speaker, I am pleased to speak to Bill C-206, an act to amend the Food and Drugs Act (warning labels regarding the consumption of alcohol). I too would like to congratulate the hon. member for Mississauga South for all the work he has done on this issue over years. I know how passionate he is about the issue. I congratulate him on bringing this issue before the House of Commons.

I know what he has been going through. I strove for a number of years to get my private member's bill into the House. I know he certainly has the best of intentions. However, I will not be supporting the bill.

There are two large breweries in my riding, Labatt and Molson. I have worked with the brewers for many years. I am told on some pretty good authority that these warning labels will not be effective. They have shown not to be effective in the United States. They have had no appreciable impact on the amount of drinking that goes on when women are pregnant, or when people are operating machinery or driving.

Surveys done in Canada have shown that some 96% of Canadians are aware of the relationship that exists between excessive alcohol consumption and birth defects. Among women of child bearing age the level of awareness is even higher. It moves to 98%. When it comes to drinking and driving, the researchers do not even track that any more because a full 99% of respondents in the early 1990s recognized that drinking alcohol impaired a person's ability to drive a car.

Those are important statistics. While we all agree that irresponsible drinking is something we should not be supporting, the brewing industry in Canada has been working on a lot of very important and effective programs with respect to the responsible use of alcohol, and beer in particular. In fact the industry is very proactive in discouraging people from the irresponsible consumption of alcoholic products, especially beer.

The brewers have also done a lot of work on the effects of fetal alcohol syndrome, fetal alcohol effect. As my colleague from Weston pointed out they have been supporting mother risk. There is a toll free line which helps women understand the importance of the linkage between drinking and pregnancy.

With respect to the comments by my colleague from Alberta, there is a natural tendency to say that if it works for cigarettes, it should work for beer, spirits and wine. The problem is that if one has a few cigarettes probably no one would argue that it is good for one's health; whereas if one drinks responsibly, a couple of beers a week, in fact it is good for one's health. It is the abusive drinkers who are the problem. We are not going to get rid of abusive drinkers by putting labels on bottles. What about draft beer? What about beer that comes in bulk, in taverns, et cetera?

Respectfully, I will not be supporting the bill.

Food and Drugs ActPrivate Members' Business

February 7th, 2005 / 11:35 a.m.
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Conservative

Werner Schmidt Conservative Kelowna, BC

Mr. Speaker, I would like to address the House in terms of an experience that I had shortly after I moved into the Kelowna area of British Columbia.

Within three months of moving into the area, a serious accident occurred involving a gentleman under the influence of alcohol. He drove his car through a red light on a main highway and killed a beautiful young lady who was a college student and doing exceptionally good work. She was a bright young lady and beautiful to behold. She had tremendous marks during her second year in university and it seemed like she had a major professional career before her.

She was killed by someone who had consumed alcohol in an irresponsible manner. The man who drank that excessive amount of alcohol knew the effects of alcohol. He had been told about them many times. In fact, he had been incarcerated from time to time because he had been drinking while driving and doing other things he should not have been doing. He knew what the difficulties were. I am quite sure labelling would not have made any difference to this man.

I want to refer to another case. Driving in a traffic circle and on her way home, a teacher was hit broadside by a person under the influence of alcohol. She is now in a wheelchair. She had a successful career and was an excellent counsellor. Both teachers and students went to her for advice. Even though she has a physical disability now, caused by someone who used alcohol irresponsibly, she is still an effective person.

My wife was a kindergarten teacher who has since retired. She saw the evidence of fetal alcohol syndrome many times. She was sad about the fact that young women would consume alcohol while they were bearing a child.

One could argue that there is absolutely nothing good about the fact that alcohol is being consumed in the world. That is not the issue however. The issue is the excessiveness and the irresponsible use of alcohol by certain individuals.

All of the speakers so far this morning have not referred at all to the other part of this issue which is the health benefit of drinking wine. Science has documented very clearly that responsible and moderate consumption of wine, particularly red wine, has significant health benefits, including decreasing bad cholesterol, raising good cholesterol, and contains anti-oxidant cancer fighting properties.

If we were to label wine bottles in the same way as we label other alcoholic beverages, and there is no distinction made in Bill C-206, then we should tell the world as well that there are some benefits in drinking certain kinds of alcoholic beverages. Moderate and responsible consumption of wine has been linked with helping to guard against coronary heart disease and prostate cancer.

I must presume that the premise of the bill is to educate the public. If that is the case, then I suggest that labelling would not be the best educative tool that we could find in the world. There are many ways to educate young people and adults. There are many ways to appeal to the responsibility of adults.

The other day I was in the presence of a group of young people in a pub. Some of them were consuming too much alcohol, but they had identified one of their group to be the designated driver. They knew they were going to be driven by a person who was not under the influence of alcohol. These young people would have been judged impaired, but they were going to be the passengers in the vehicle, not the ones driving.

We need to educate our young people. I was so proud the other day of a group of young ladies, some of whom were pregnant, and they would not touch one drop of liquor. They were very responsible. They knew exactly what the implications were. None of those people needed to have a label on a bottle and here we are making absolutely no distinction between one kind of consumption and another kind of consumption, as if it is all bad.

It is the universality of this, almost as if any rule could affect absolutely every situation. This is illogical. It does not square with the facts and there is no truth to the matter that doing this would in fact decrease the consumption of alcohol.

I want to refer back again to the American experience in this regard. In 1989, the following label was put on alcoholic beverage bottles:

Government Warning: (1) According to the Surgeon General, women should not drink alcoholic beverages during pregnancy because of the risks of birth defects. (2) Consumption of alcoholic beverages impairs your ability to drive a car or operate machinery and may cause health problems.

I agree. There is no difficulty with that at all. I have a tremendous aversion to the excessive consumption of alcohol.

However, to suggest that this is going to prevent drinking is a very long stretch because here is what happened. Between the years 1989 and 1993, the number of women who reported drinking while pregnant in the United States increased. Four years of experience looked at this and did the labelling do anything to solve the problem? It did not. Therefore, why do we not focus on educating young people and ensure that they understand what the implications are? We can do anything we want with the knowledge that is around this.

The person who invented dynamite never, ever understood that it was going to be used to destroy other people. But we have that knowledge. We can do with that knowledge what we will. We can do good with it or we can do bad with it. We can misuse it and be bad or we can use it for benefit. Look at what dynamite has done. It has done tremendously good things in our society. It has helped construction everywhere.

Therefore, let us not take one rule and simplify it in such a way that suddenly it is going to solve all our health problems, that we will solve the excessive and irresponsible use of alcohol and that it will be done by labelling a bottle to say that this could cause trouble. It will not work.

Food and Drugs ActPrivate Members' Business

November 24th, 2004 / 6:15 p.m.
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West Nova Nova Scotia

Liberal

Robert Thibault LiberalParliamentary Secretary to the Minister of Health

Madam Speaker, it is a pleasure to rise to discuss this important bill and to congratulate the member for Mississauga South who literally wrote the book on this subject. We thank him for bringing this to the House's attention once again.

Today, on the occasion of the second reading of Bill C-206, legislation that proposes warning labels on alcoholic beverages, I am pleased to have this opportunity to share my thoughts about this important initiative.

Our government recognizes that when it comes to alcohol consumption, the majority of adult Canadians drink responsibly and in a manner that is not harmful to their health. These citizens are mindful of the facts about alcohol and of the hazards of drinking excessively. They know, for example, that chronic alcohol abuse is linked to a host of chronic neurological disorders and diseases affecting the heart, liver and other organs.

They also know that alcohol can seriously harm a child born to a woman who consumes alcohol during pregnancy. An expectant mother who drinks during her pregnancy risks exposing her baby to fetal alcohol syndrome disorder. This is a medical term that is used to describe an array of disabilities and diagnoses associated with prenatal exposure to alcohol.

The Government of Canada has been engaged in a number of initiatives and strategies aimed at raising public awareness about the harms related to alcohol consumption so that consumers can make informed choices. With this in mind, I would like to outline for the House the efforts to date of Health Canada in addressing the potential hazards of alcohol consumption.

I should point out that, since 1999, Speeches from the Throne have included significant commitments to raising public awareness about the harm of alcohol consumption.

During that period, the Government of Canada has made firm commitments to fight FAS in aboriginal communities and has promised to significantly reduce, by the end of the decade, the incidence of the syndrome in affected communities.

I will get back to this in a moment and explain the initiatives undertaken by our government to fulfill its promise to fight FAS.

First, the government's actions regarding alcohol consumption and public health should be put in their proper context.

There are four areas within the federal health portfolio and each one plays a vital role in protecting our citizens: Health Canada's Healthy Environments and Consumer Safety Branch, the First Nations and Inuit Health Branch, the Health Products and Food Branch, and the Public Health Agency of Canada.

Within HECSB resides the drug strategy and controlled substances program. This is the focal point within the federal government for harm reduction, prevention, and treatment and rehabilitation initiatives concerning alcohol, drug use and abuse.

The program works collaboratively with other federal departments, and provincial and territorial governments. It provides national leadership research and coordination on substance use and abuse issues.

The program is responsible for enhancing prevention, education, health promotion and treatment activities. Its efforts seek to reduce the demand for drugs and to address the harmful effects of excessive alcohol consumption. This program also manages the Controlled Drugs and Substances Act and its regulations, and plays the lead federal role in the coordination and implementation of Canada's drug strategy.

Health Canada's approach to addressing alcohol abuse has focused on three core areas. First, there have been community-based initiatives undertaken to address prevention, health promotion, treatment and harmful reduction issues.

Second, Health Canada has launched public awareness campaigns targeting young people, in particular, on substance use and abuse, to inform Canadians and help them make educated decisions on health and lifestyle.

A round table for young people will be held in February 2005, under the drug strategy and controlled substances program. The purpose of this event is to engage young Canadians in a serious and ongoing dialogue on substance abuse, including issues relating to alcohol consumption and other relevant matters.

The third area of activity for the department has been to engage in best practices for front line health and social services providers concerning substance abuse treatment as well as rehabilitation. In addition, the department's alcohol drug treatment and rehabilitation program provides funding to provinces and territories to facilitate access to treatment for vulnerable populations such as women and youth. The department continues to engage in activities to reach out to Canada's young people to discuss this social and public health matter.

Let me now turn to what Health Canada is doing to combat fetal alcohol syndrome disorder. We have taken significant strides to improve the outcomes for individuals, families and communities affected by pre-natal alcohol exposure. In January 2000 the Government of Canada announced a sustained investment, a three year, $11 million national initiative. The initiative continues at an annual budgetary allocation that is shared between the Public Health Agency of Canada and Health Canada's First Nations and Inuit Health Branch.

There has also been an increase in funding for FASD initiatives. In 2002 the Government of Canada provided an additional $15 million annually, as part of the five year, $320 million federal strategy on early childhood development. This investment was further bolstered in 2004 by a $2 million investment over two years. The funding will help accelerate the implementation of national activities such as screening and diagnostic work on FASD, as well as education and training for health care providers.

These investments to date are making it possible to engage in ongoing public education, increase professional awareness, training and capacity development, as well as develop early identification and diagnostic tools to combat FASD.

If I may, I would like to point out some of the special initiatives designed to fight FAS.

We have undertaken activities to coordinate, cooperate, consult and liaise with our provincial and territorial partners and with non-governmental organizations, aboriginal organizations and other stakeholders.

Canada is also actively involved in the detection, diagnosis, follow up and monitoring of FAS. We are working to improve the diagnostic tools that will help us detect those who may suffer from FAS.

We are also working to develop resources that will help us communicate effectively the lessons learned.

Canada is also investing in national leadership and policy development on FASD. We want to ensure that our country continues to be recognized for its world leading FASD researchers.

In addition, we are finding ways to build community capacity and develop direct program delivery. Health Canada remains steadfast in its commitment to protecting Canada's most vulnerable citizens from the harmful effects of alcohol. It remains just as committed to ensuring that all Canadians have the facts they need to make responsible choices when it comes to alcohol consumption.

Before I conclude my remarks, I would like to take a moment to share with the House some thoughts from an international perspective on the matter of warning labels on alcoholic beverage containers.

Measures to implement some form of warning labels on alcohol have been implemented in nine countries including, Australia, New Zealand, some jurisdictions in the United States, and Canada. The results from these initiatives have not been encouraging. The available data suggests that women at high risk of consuming alcohol during pregnancy do not appear to be influenced by warning labels on alcoholic beverages.

Moreover, while there is still a modest increase in the level of awareness of the labels and their message, they have no impact on either risk perception or on behaviour patterns related to drinking.

That alcohol can be potentially harmful, especially to a child born to a mother who consumes alcohol when pregnant, is not a matter of debate. What remains a matter of much discussion is whether warning labels, be they voluntary or mandatory, are effective in producing measurable and lasting results. That is why the work that awaits the standing committee is so vitally important.

When they review Bill C-206, committee members will have to weigh the benefits of implementing the mandatory or voluntary labelling of warnings about the risks relating to alcohol consumption and they will have to consider initiatives that were taken by other countries, which indicate the measure failed to achieve the expected results.

In any case, I am looking forward to the animated debates that will surely take place in committee on this bill.

Food and Drugs ActPrivate Members' Business

November 24th, 2004 / 6:05 p.m.
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NDP

Judy Wasylycia-Leis NDP Winnipeg North, MB

Madam Speaker, I am delighted to speak in this debate.

However, I have to say that this is a sad day in many ways. We are debating an idea that has already been approved by the House. May I remind members that the essence of Bill C-206 was exactly the intent of the motion passed by the House on April 23, 2001.

The motion I am referring to was introduced by myself, but was the result of previous work done by the member for Mississauga South and reflected a whole history of effort being put into the issue of fetal alcohol syndrome. The motion said that we believe that warning labels are an essential part of a comprehensive strategy for increased public awareness. The motion called on the government to implement the idea of labels on alcohol beverage containers, warning that drinking during pregnancy can cause birth defects.

That motion was overwhelmingly supported by members in this place. The vote was 217 to 11. That was three and a half years ago. Three and a half years ago the government could have acted on the will of this place and the wishes of the Canadian people. It chose not to act. Why?

I appreciate the comments of the member for Charleswood—St. James—Assiniboia, but I have to take issue with part of his comments. The government did not act because of pressure by the industry. The beer lobby is so great in this country. It does not want anything to mar its perfect product. It has resisted every step of the way any intelligent approach to a very serious problem in our society today.

May I remind members that three and a half years ago when the motion was passed by the House of Commons, the then minister of health, Allan Rock, said, “I want to assure the committee and particularly my friend, the member for Winnipeg North, that we shall follow through with a sense of urgency on this issue”.

That followed on the work done by my colleague, the member for Mississauga South, who has championed this issue for many years, which led to a previous bill or two being placed before the House and before the Standing Committee on Health, only to see the Liberal government refuse to take concerted action to implement the will of this place.

I am upset today. I am sad today because in fact we are talking about a breach of parliamentary privilege. We are talking about a denial of democratic rights. We are talking about a snub of the democratic process. It is high time we said to the government: Respect the will of this place. Do not be influenced by the big corporate interests just because it hurts their pocketbook. Do something that makes sense.

In this case, although we do not have reams of data and it is hard to collect empirical research to show the direct link between labels on bottles and the fact that there is less of an incidence of fetal alcohol syndrome, we know that labels work. Even if we do not have reams of data to prove it, we know that even if one person in our society today reads that label and decides not to drink while pregnant and avoids giving birth to a child with fetal alcohol syndrome, we will have done this nation a great service. We will have ensured that that child is able to live in dignity and without costing millions of dollars to the rest of society because of the supports that would have been needed.

Let us get this straight. This is a complementary policy to a broad range of tools that must be used to combat fetal alcohol syndrome. It is one way as part of a broader strategy to reach out and prevent this tragic incidence of fetal alcohol syndrome in our society today.

Let me remind parliamentarians that roughly 3,000 Canadians are born each year with fetal alcohol syndrome. Surely that is enough for us to act. Simply put a label on a bottle so some people will take note and avoid the foolishness of drinking while pregnant.

It has been done in the United States for 10 years. Look at the ludicrous situation here in Canada. We produce liquor, wine and beer and if we want to export those products to the United States, we have to put a label on them. However, here in this country we say that we cannot do it, that it is impossible, that we are going to put our efforts into other things that might make more of a difference.

We are not saying do not do other things. We are saying do this as part of a package. Do it because it makes sense. Do it because it is good public policy. Do it because it is a humanitarian and compassionate thing to do.

I want to commend the member for Mississauga South for his decade or more of work on this issue. I appreciated his support when I introduced my motion back in 2001. He helped me ensure that we had a majority win in this place. Today he is forced to bring in a bill because his own party did not choose to act on the will of Parliament. I commend him for that courageous stance. I hope that this time we can convince the government to act.

Since that day in April of 2001, when this motion was passed, some new developments have happened. Internationally, other countries have taken action. I want to report on the fact that in France, the government has made it a requirement for alcohol manufacturers to put labels on their products warning of the dangers of drinking during pregnancy. Brewers in Britain have begun a campaign of voluntary health labelling. They have taken it upon themselves because they recognize the importance of this issue. In New Zealand, a parliamentary committee has recommended mandatory labels on alcoholic beverages.

We are not talking about some out of date, quirky idea that just does not have any bearing in reality. We are talking about a very specific, concrete initiative that does make a difference, that must be part of a total package if we are going to look at cracking down on the incidents of fetal alcohol syndrome in our society today.

Since my motion in 2001, the Canadian Medical Association has been very vocal about supporting this idea. On September 9, it said:

Canada's doctors once again called for action to help eliminate the “preventable tragedy” of fetal damage caused by alcohol use...“Fetal alcohol syndrome (FAS) is one of the most frustrating conditions we face,” says CMA President Albert Schumacher...“It carries a huge economic burden for society and has a major impact on the quality of life of our patients...” Unfortunately, the tragedy is played out in Canada more than 3,000 times a year...CMA policy calls for: the federal government to require warning labels on all alcoholic beverages sold in Canada; [and] a ban on advertising of alcoholic beverages on radio and television and in print.

It goes on to condemn the government for refusing to act on the will of this place and to put in place an important public health policy.

I am sorry we are here having this debate again. We could be debating another issue, but I am grateful to the member for Mississauga South for using his valuable time and limited access to private members' initiatives for bringing this forward again. Maybe, just maybe, it will make a difference. Maybe this time we will not hear just rhetoric from the Minister of Health.

Last night in the House, the Minister of Health said:

When I got here I felt I should take a look at it. I have been very interested in it. I am very supportive of the approach taken by the hon. member. In fact, I support the efforts of our own member for Mississauga South--

He says he is looking at it and that he is serious about it. Maybe this time we will see this important initiative acted upon and implemented before the end of this Parliament.

Food and Drugs ActPrivate Members' Business

November 24th, 2004 / 5:55 p.m.
See context

Conservative

Steven Fletcher Conservative Charleswood—St. James, MB

Mr. Speaker, I am pleased to speak to the bill brought forward by the hon. member for Mississauga South. Bill C-206 asks the government to enact legislation or regulations requiring mandatory labelling of alcoholic beverages with appropriate warnings, such as, “alcoholic can impair judgment” and “alcohol can be harmful to an unborn child”.

I agree with the intent of what the hon. member is trying to accomplish but I have a few reservations about the method. I believe the intent of the bill is to raise awareness about the dangers of alcohol consumption. Although alcohol is widely accepted in most societies around the world, over-consumption for both brief and extended periods of time is recognized as harmful to one's health.

Consumption of alcohol is also harmful to expectant mothers and their babies. The effects of alcohol ingestion during pregnancy are generally manifested in a disorder called fetal alcohol syndrome. The effects of FAS are tragic. Fetal alcohol syndrome is a series of mental and physical birth defects that include cognitive disabilities, growth deficiencies, central nervous system dysfunction, cranio-facial abnormalities and behavioural maladjustments.

FAS has had, and continues to have, a major impact on our society. According to the National Organization on Fetal Alcohol Syndrome, FAS is the leading known preventable cause of cognitive disabilities and birth defects.

FAS affects one to three children in 1,000 live births. As a matter of fact, it is suspected that at least one child in Canada is born with FAS, with rates potentially higher than that with our first nations people. In 2003 fetal alcohol syndrome cost the United States $5.4 billion in direct costs and about $3.9 billion in indirect costs.

As members can see from my previous remarks, FAS has far-reaching implications for Canadians, whether it be their personal health or the resources that FAS takes in our health care system. I think we can all agree in the House that FAS is preventable and that we should work harder toward preventing it.

In relation to Bill C-206, I believe that one of the intentions of the bill is to educate and warn pregnant women who are considering consuming alcohol. That is a very important aspect.

Another very important issue surrounding alcohol consumption is driving while under the influence. In 2001 it was estimated that 3,021 individuals were killed in motor vehicle crashes in Canada. MADD Canada estimates that at a minimum, 1,213 of these fatalities involved impaired driving. Moreover, the 1,213 person figure is a conservative estimate due to the underreporting that results from the inability to test surviving impaired drivers and the reliance on police reports.

Given the limits on the 1,213 fatalities figure and adding in water related deaths, it is estimated that there are somewhere between 1,400 and 1,600 impaired crash fatalities in Canada each year. That is about four or five a day. This is tragically astounding. There is no reason for people to die when there is a simple solution: stop driving while impaired.

FAS and impaired driving are the two most compelling reasons to support the bill put forward by the hon. member for Mississauga South. However, as I said at the outset, I have some reservations on the methods in the bill.

While labelling is a compelling course of action, we also have to consider the consequences any action Parliament takes on the industries which will have to follow our lead. I have not seen any research or compelling arguments saying that warning labels on alcohol bottles are an effective tool to cut down on the amount of alcohol people consume. If that information exists, perhaps the hon. member for Mississauga South could provide it for me.

However, it is crucial in considering the bill that those statistics be examined closely.

I do not think the member is looking for Canadians to stop drinking alcohol. I do not believe that is part of what he is trying to accomplish. What he is trying to accomplish is to raise awareness to the problems around alcohol consumption in Canada. For that I commend the member.

However I am still concerned about the labelling of alcoholic beverage containers. If we are going to devote resources to raise awareness, I think it would be best to work in conjunction with industry to develop a plan of action of how the government and the various companies and the citizens of Canada can better solve the issue the hon. member has raised in this bill.

If we need to raise awareness of FAS, let us invite the stakeholders to the table and talk about what needs to be done, groups like the Canadian Medical Association and the Association for Community Living and the impaired driving associations. We need to invite groups and people who have a stake in the decisions made by government, such as MADD and SADD.

We also have to be willing to listen to industry because I am sure it is not averse to taking measures to curb FAS or impaired driving. I do not feel that Canadians would be best served by the government unilaterally imposing regulations necessarily on an industry that we could potentially harm if it is forced to use labels.

I wish to reiterate my earlier point. I do not believe the hon. member wants to stop Canadians from drinking alcohol or to run breweries out of business. However we need to have an approach where we consider everyone, all the stakeholders.

With that, I am hesitant to support the bill. However I am open to receiving more information that could support the labelling of alcoholic beverages. I want the record to show that I support the intent of what the member is trying to address and I look forward to discussing this matter further with him.

On a personal note, I do not drink. I have never drank. I do not even know what alcohol tastes like. That is a personal choice and I am pleased to have made that decision. I know that a lot of people who have tragic events in their lives turn to alcohol abuse and other substance abuse. I think that is tragic. Labelling could help address those issues as well. However I do not at any time want to be perceived to be imposing my personal moral beliefs on to Canadian society, particularly in this instance.

I would also like to note that we need to enforce the laws that are currently on the books. Unlike trans fats which we talked about recently, alcohol is supposed to be restricted to those over 18 years in most provinces. There is a higher age limit in other jurisdictions. We need to enforce those laws and make alcohol less accessible to those who are underage. Those laws exist. We need to do a better job in enforcing them. Society needs to do a better job in encouraging our young people and really everyone to reduce their alcohol consumption, particularly when it is used in an abusive manner.

With that, I would like to say that I support the intent of what the hon. member is trying to do. I am open to receiving more information, but at present I do not know that labelling will meet the goal.

Food and Drugs ActPrivate Members' Business

November 24th, 2004 / 5:30 p.m.
See context

Liberal

Paul Szabo Liberal Mississauga South, ON

moved that Bill C-206, an act to amend the Food and Drugs Act (warning labels regarding the consumption of alcohol), be read the second time and referred to a committee.

Mr. Speaker,I wonder if members know that beverage alcohol is directly or indirectly responsible for: over 19,000 deaths a year; 45% of motor vehicle collisions; 30% of fires; 30% of suicides; 60% of homicides; 50% of family violence; 65% of snowmobile collisions; one in six family breakdowns; 30% of drownings; 65% of child abuse; 40% of falls causing injury; 50% of hospital emergencies; and over $15 billion of additional costs to Canadians.

That should get Canadians' attention.

Bill C-206 seeks to respond to the need to alert Canadians to the risks associated with the misuse of beverage alcohol. Specifically, it calls for health warning labels on the containers of alcoholic beverages to caution expectant mothers and others of those risks. It should be noted that beverage alcohol is the only consumer product that can harm individuals if misused but does not warn them of that fact.

The intended purpose of warning labels is to act as a consumer lighthouse, sending a signal of impending danger.

When I became a member of Parliament in 1993, I became a member of the health committee. In preparation for my work, I examined the work of the committee in the prior Parliament. To my great interest, I found a 1992 report called “Fetal Alcohol Syndrome: The Preventable Tragedy”, which recommended health warning labels. The report concluded:

--there is no question that maternal alcohol consumption can have devastating impacts on the fetus. The basic fact is that when a pregnant woman drinks, her unborn child drinks also; that is, the alcohol in the mother's bloodstream circulates through the placenta into the bloodstream of the fetus. It is possible that the blood-alcohol level in the fetus will remain at an elevated level for a longer period than that of the mother because the immature fetal liver metabolizes the alcohol more slowly.

The report affected me significantly because, despite the widespread and devastating impact of alcohol misuse, I had never heard the term fetal alcohol syndrome. As an active member in my community who had spent nine years as a director of our hospital, I was concerned that I was not aware, but more important, I was concerned that it might be the same with many other Canadians.

Let me now turn to some facts. In one week, as many as 10,000 babies are born in Canada. Of these, 3 are born with muscular dystrophy; 4 are born with HIV infection; 8 are born with spina bifida and 10 are born with Down's syndrome, but 20 are born with fetal alcohol syndrome and 100 are born with other alcohol related birth defects. This should give members an idea of the nature and the severity of this problem.

Fetal alcohol syndrome, commonly known as FAS, is now called the fetal alcohol spectrum of disorders, FASD. Whatever the name, it refers to a group of physical and mental birth defects. Its primary symptoms include: growth deficiency before and after birth; central nervous system dysfunction, resulting in learning disabilities; and physical malformities in facial and cranial areas. The other alcohol related birth defects I referred to involve central nervous system damage like FAS, but without those physical abnormalities.

Since FAS is incurable, most victims will require special care throughout their lives. Depending on the severity, the estimated lifetime cost for the care of an FAS victim ranges from $3 million to $6 million.

The secondary symptoms are also very important: 90% of FAS victims have mental health problems; 60% will be expelled or suspended from school or drop out; 60% will get into trouble with the law; 50% will go to jail or be confined in an institution; 50% will exhibit inappropriate sexual behaviour; 30% will abuse drugs or alcohol; 80% will not be capable of living independently in adulthood; and 80% will have employment problems.

As well, what is very significant is that both the federal and provincial authorities have confirmed their estimates that 50% of the inmates in Canada's jails suffer from fetal alcohol syndrome or other alcohol related birth defects. One-half of the people in our jails are not getting the care and the treatment they require and we have to do something about that as well.

Tragically, these severe problems could have been prevented if the mothers had abstained from alcohol consumption throughout their pregnancies. In September of this year, the Harvard Mental Health Letter reported that 30% to 40% of women drink during pregnancy. As well, today the Canadian Addiction Survey reports that 17% of past-year drinkers are considered high risk drinkers and calls for increased awareness in prevention programs like health warning labels.

I also want to stress that harm to the fetus can also occur at any time during the pregnancy, even during the first month when most women do not even know they are pregnant.

Let me quote the mother of an FAS victim, who said:

My son has fetal alcohol syndrome. He was diagnosed at age eight. I got pregnant between high school and college. I was a social drinker and I have never had any problems with alcohol. I did not know I was pregnant until I was three and a half months along. I stopped drinking then, but it was too late. The damage was done. Though I did not set out to harm my child, I did, and now I need to do whatever I can to make things easier for him.

That tells us a lot about this situation we are dealing with.

Research findings suggest that days 15 to 22 during pregnancy are critical for facial and cranial deformities. That is why women should not wait until they find out they are pregnant before they stop drinking. Over 50% of pregnancies are unplanned. Therefore, if a woman is sexually active and pregnancy is possible, she should abstain from consuming alcohol.

To choose not to abstain is the same as playing Russian roulette with the lifelong health and well-being of the child. There is no recommended safe level of alcohol consumption during pregnancy, and therefore the prudent choice for women is to abstain. Everyone in Canada should know that fact and they should have ready access to the information they need.

Fetal alcohol syndrome is often described as the leading known cause of mental retardation in Canada and the United States, and while it is true that it is as prevalent as both Down's syndrome and spina bifida, FAS is not the cause. The simple fact is that the consumption of alcohol during pregnancy is the one and only cause.

Fetal alcohol syndrome is a societal issue and we all have a vested interest and a role to play in reducing its incidence. It must become our cultural norm that drinking during pregnancy is inappropriate.

Therefore, when we are in the company of a family member, friend, or acquaintance who is drinking and becoming at risk of harming themselves or others, we should intervene in an appropriate fashion to ensure that they do not become just another tragic statistic.

In 1996, health warning labels on the containers of alcohol beverages, as required in the United States since 1989, were unanimously supported by the 10 provincial ministers of health, the Canadian Medical Association, the Canadian Nurses Association, the Addiction Research Foundation and the Canadian Centre on Substance Abuse, among others.

I should also point out that Canadian companies which export alcoholic beverages to the United States are required to put on health warning labels, because that is the law in the U.S. These warning labels, however, are not included on the same products that are sold domestically. Why is that?

Fetal alcohol syndrome and other alcohol related birth defects are a reality in our society and the victims suffer a lifetime of tragic symptoms which rob them of any reasonable quality of life. Their needs place enormous demands not only on the parents but on society as a whole. As such, we all have a vested interest to reduce, as much as possible, the incidence of these incurable but preventable disorders.

In December 1999, the Minister of Justice announced that the government was suing the tobacco industry. In her press conference, she stated that “the defendant's goal of making money is inconsistent with the government's goal of protecting children's health”.

The same can be said about the alcohol industry. It is selling a legal product, but since the product can also cause harm, our health objectives should not and must not be compromised.

In December 1995, my private member's bill to require health warning labels for alcohol passed unanimously in the House at second reading and had full committee hearings, but died due to an election call.

In April 2001, the House considered a motion calling for health warning labels and it passed 220 to 11, a 95% support level from the hon. members of the House of Commons. I am pleased that so many hon. members have shown their knowledge of, interest in and support for this bill, which seeks to reduce the incidence of FAS and other risks associated with the misuse of alcohol.

If we could prevent a small percentage of alcohol related birth defects, the savings in health, social programs and educational and criminal justice costs would be many times more than the cost of our national prevention strategy. More important, we could eliminate so much human misery and suffering, and that is the essence of a caring society.

Food and Drugs ActRoutine Proceedings

October 13th, 2004 / 3:05 p.m.
See context

Liberal

Paul Szabo Liberal Mississauga South, ON

moved for leave to introduce Bill C-206, an act to amend the Food and Drugs Act (warning labels regarding the consumption of alcohol).

Mr. Speaker, fetal alcohol syndrome is 100% preventable and it is the leading known cause of mental retardation in Canada. In addition, alcohol consumption is also the cause of 45% of motor vehicle collisions, 30% of accidental fires, 30% of suicides and I could go on.

I am pleased to reintroduce a bill calling for health warning labels on alcoholic beverage containers. The bill passed at second reading two Parliaments ago. In the last Parliament a motion passed by a vote of 220 to 11, or 95% support for the motion.

It is my pleasure to reintroduce the bill and I look forward to it earning the support of the House.

(Motions deemed adopted, bill read the first time and printed)