Bill C-51 (Historical)

An Act to amend the Food and Drugs Act and to make consequential amendments to other Acts

This enactment amends the Food and Drugs Act to modernize the regulatory system for foods and therapeutic products, to strengthen the oversight of the benefits and risks of therapeutic products throughout their life cycle, to support effective compliance and enforcement actions and to enable a greater transparency and openness of the regulatory system.
It also amends other Acts in consequence and includes transitional provisions and coordinating amendments.

[Carol Skelton, Conservative, Saskatoon—Rosetown—Biggar, SK]

Mr. Jarvis, you mentioned Bill C-51. I didn't hear exactly what you said about it. You felt that there were some new regulations that were going to be helpful in Bill C-51, the new health bill. Is that correct, or did I hear you wrong?

[Don Jarvis, President and Chief Executive Officer, Dairy Processors Association of Canada]

Thank you, Mr. Chairman.

I will respect the patience of the committee members, and I'll certainly stick to eight or nine minutes with my introductory remarks.

Mr. Chairman and committee members, the dairy processors welcome the opportunity of assisting your committee in its study of “Product of Canada” labelling. Our members support the objective of ensuring Canadian consumers get as much information as is practical on their food labels and that only foods, including dairy products, that are of Canadian origin should carry “Product of Canada” declarations.

Here's a little bit about the Canadian dairy processing sector. After the meat industry, we are the second largest employer in the food processing industry, with about 26,000 employees. There are almost 300 federally registered plants across Canada producing fluid milk, cheese, yogourt, ice cream, sour cream, and other standardized and non-standardized dairy products.

DPAC's members include Saputo, a public company; Agropur, the largest cooperative in the country; and Parmalat, an international company with a very successful Canadian operation. These three companies process 75% of all the milk produced in the country. Our other members include Gay Lea, a large Ontario-based co-op; Kraft Canada; the major Atlantic provinces co-ops, Scotsburn and Farmers; ice cream manufacturers like Unilever Good Humor; the two major yogourt manufacturers, Danone and Ultima; and other domestic and international cheese manufacturers.

Together these businesses take just over $4 billion worth of milk produced by Canada's dairy farmers and transform that milk into dairy products worth in excess of $12 billion in the Canadian market. Our customers include, of course, all the major retail, food service, industrial, and further food processors across Canada.

Mr. Chair and committee members, when it comes to the “Product of Canada” designation on dairy products, the dairy product regulations are very clear, and there are very detailed information requirements regarding the ingredients, the place of manufacture, and other information prescribed for all Canadian dairy products. The Canadian dairy processing industry goes to great lengths to display that information on its labels. Let me very briefly describe those requirements:

...every prepackaged dairy product shall be labelled on the principal display panel of the container—

—that's the front of the label—

—with (a) the common name of the dairy product; (b) a declaration of the process of manufacture shown in close proximity to the common name...; (c) a declaration of net contents as required by the Consumer Packaging and Labelling Regulations; (d) a percentage declaration of moisture and milk fat in cheddar cheese; (e) a percentage declaration of milk fat in the case of partly skimmed milk powder, dairy spread, and calorie-reduced butter; (f) a percentage declaration of skim milk powder and whey powder in the case of blended skim milk and whey powder and blended whey and skim milk powder; (g) a statement as to the source of the milk—

—what the dairy product consists of and whether it came from a cow, a ewe, or a goat.

There are four or five specifications required on the front panel of every Canadian dairy product, and

(k) the words “Product of” followed by the name of the country of origin, in the case of cheddar cheese prepackaged in Canada from imported bulk.

On the other part of the label, not the principal display panel or the front of the package:

...every prepackaged dairy product shall be labelled on any other surface, other than the bottom of the container, with (a) the list of ingredients and components—

—according to the food and drug regulations and the dairy product regulations—

...(b) the durable life date and instructions for proper storage of the dairy product...; (c) the words “Product of” followed by the name of the country of origin in the case of an imported dairy product; and (d) the words “Product of Canada” when packed for export from Canada.

...every prepackaged dairy product shall be labelled on any surface of the container....

There's another list of very prescriptive requirements: the registration number, for example, the establishment, where the dairy product was prepared; and the registration number of the establishment in which the dairy product was prepared, with some other specifications, plus a batch number, code number, and lot number identifying exactly the production of that product.

Finally, it reads:

The labelling requirements of this section do not apply in respect of prepackaged individual portions of dairy products that are for sale from automatic vending machines or mobile canteens, or that are served by a restaurant or other commercial enterprise [...].

As you can see, dairy products in Canada provide an immense amount of information already to the consumer. As well, DPAC and its members believe that when it comes to dairy products and the misuse of “Product of Canada” statements and labels, or in advertising, this is already covered by subsection 5(1) of the Food and Drugs Act, and that Bill C-51, which is before the House now, and the changes there clarify and strengthen that important legislation--especially since the word “origin” has been added.

In conclusion, we agree with this study and its objectives and the need to perhaps clarify the guidelines that will ensure consistency of use of “Product of Canada” statements across all food products.

Those are my introductory remarks. Thank you, Mr. Chairman.

Canada Consumer Product Safety Act

[André Bellavance, Bloc, Richmond—Arthabaska, QC]

Mr. Speaker, I am happy to have the opportunity to speak to Bill C-52, An Act respecting the safety of consumer products. My colleague from the Bloc Québécois who is our critic for health issues made a speech earlier today. She confirmed that the Bloc Québécois approved the principle of the bill since the Bloc had already asked the government to make its safety rules concerning dangerous products more stringent to prohibit the fabrication, promotion and marketing of any product that present an unacceptable risk to health. I will come back to that.

Unfortunately, we know that some people succeed in selling toys, food and other products containing dangerous substances. They end up in Canadian markets, on our grocery shelves, and in our children's hands. That should not happen in 2008. One can understand that a few, rare cases may happen, but it seems that the problem has now reached alarming proportions.

The Bloc also called on the government to require manufacturers to inspect their products and show they do not pose a danger to consumers. This burden of proof did not exist—and still does not exist, because the bill has not yet been passed—but it is change we called for some time ago.

I should point out that consumer groups reacted fairly positively to the announcement of this bill, but remain cautious. We always say that no government should be given a blank cheque, especially not this one. We do not know what is going on behind the scenes, and it is always disturbing when we do not know all the ins and outs of a bill. One thing is certain: we can give the government the benefit of the doubt for the time being. Consumers remain cautious, as I said, just as we do.

That is why we will refer this bill to the committee, so that we can hear testimony and examine everything this bill encompasses, just like the related bill, Bill C-51. We will look at the regulations to see how serious the government is in its approach.

Geneviève Reid of the consumer group Option consommateurs stated that it is a step in the right direction, provided there are resources to back it up, the regulations are solid and there is good communication with the public. She was quoted in La Presse on April 9, 2008, after the government announced that it was going to introduce these bills.

As for the obligation for companies to declare any major incident involving one of their products, Ms. Reid says that there will also need to be an incident register where consumers can report incidents. It makes a difference if there is such a mechanism for consumers who have bought items containing dangerous substances or foods unfit for human consumption that have made those consumers ill. People need an easily accessible way to let the government know that there was a problem with a product.

Clearly, this information will not necessarily be released immediately. The necessary checks will be made to determine whether this product did in fact pose a problem. If consumers are involved in the process, the result could be even more information about certain incidents that might happen.

I do not question the relevancy of the bill. With all those recalls in recent months and years, whether they involve toys or food, there is reason to be concerned. It was time the government did something about this issue.

Earlier, I had a discussion with the hon. member for Malpeque, because we both sit on the Standing Committee on Agriculture and Agri-Food. We are very concerned about food recalls. These recalls always target food that comes from other countries. This was the case with spinach, cantaloupe, carrot juice, pear juice, and pork that came from abroad and contained melamine.

It was not intended for human consumption, at least I hope, but animal feed was contaminated. As regards this specific issue, there is still a void in the legislation. No one is responsible for ensuring that we feed safe food to our pets.

The result is that some pets have died. And we know how people are attached to their animals. Personally, I have always lived with a cat. I have always had a cat since I was born. I still have a female cat that is almost 15 years old now. I feed her well and she weighs 17 pounds. She is a little overweight.

All this to say that pet owners expressed their concerns when that happened. I would like the government to take note of it, so that we can fill this void in the legislation when we have the opportunity to examine these things in committee, whether it is through this bill, or another one.

Food safety has been seriously challenged in recent years. In a few moments, I will share some numbers with those who are listening. As I was saying earlier, during questions and comments, whenever officials from the Canadian Food Inspection Agency appear before the committee, we always ask them questions about food inspection, not only once it is in Canada, but also at the border, and even abroad.

Earlier, the reciprocity in standards was mentioned. That is important. Some pesticides, insecticides and other chemicals used in producing the fruits and vegetables we eat are forbidden for use in Canada. In some cases, it is a good thing. There are too many products that have been used without their safety being truly established. Measures are being taken to make sure that some products are used under surveillance and some products are prohibited.

Unfortunately, some products come from China, India and even the United States. I do not want to single out only developing countries. The United States also made the political and social choice to authorize the use of some pesticides and some chemical products. That is their decision.

In Canada, we do not allow these products. Unfortunately, foods grown in those countries can get through all testing and end up in our stores. That is an issue we raise every time the Canadian Food Inspection Agency appears before us. We are told that the issue is under scrutiny and that the products sold here are up to our standards and that inspections are done.

However, we know that there is a lack of inspectors. The hon. member for Malpeque was right when he said earlier that every time there are talks about increasing the number of inspections and inspectors and raising the budget the agency has to do the job, we must not make the farm producers pay for it. It is the government's responsibility to make sure that all food and other products entering Canada are safe.

We too often see that foods produced using pesticides that are forbidden in Canada can find their way into our grocery stores.

Earlier, I spoke about the lack of inspectors. I wonder if Bill C-51 solves this problem. They say they want to increase the number of inspectors or improve the chances of having an inspection. However, upon reading the bill, I have serious doubts about the government's willingness to actually conduct more inspections.

Knowing that we import goods from China, India or even the United States—they come from all over—and the source of a product, why do the inspectors not go there to see what is happening? In terms of the environment, you do not need to watch TV for long or read about what is happening to know that in China, for example, environmental standards are quite lax. Personally, I would not even drink the water used to grow these products, these fruits and vegetables. Some concerns expressed by consumers are certainly understandable. We could do an on-site check of what is used to grow crops. It would be an advantage to have more inspectors to do that.

Therefore, it is not the relevance of the bill that concerns me, but the lack of resources allocated to the front lines. It is one thing to increase fines for guilty parties, but the priority should be given to inspections and reciprocity of health standards. We spoke about reciprocity earlier. It goes without saying that our beef producers, for example, have to deal with unfair competition. We know that, in the United States, beef producers are not required to dispose of specified risk materials, as are our beef producers, who presently absorb the costs. That is a serious problem.

Earlier today we debated Bill C-33 on biofuels. We think there may be an interesting opportunity for biodiesel, but nothing is officially in place yet. It is not yet possible for our producers to make money with specified risk materials. Right now these represent an additional expense for them. Consequently there is unfair competition from American producers. We need to examine reciprocity.

I also wonder about the Conservatives' lack of judgment with respect to the safety of toys and foods.

[André Bellavance, Bloc, Richmond—Arthabaska, QC]

Mr. Speaker, I want to thank the hon. member for Malpeque for his speech. We sit together on the Standing Committee on Agriculture and Agri-Food. The hon. member mentioned the Canadian Food Inspection Agency. Like me, he meets the representatives of the agency quite regularly in committee.

I was wondering about something—and I would like the opinion of the hon. member for Malpeque, who was once the parliamentary secretary to the Minister of Agriculture and Agri-Food. In Bill C-52 specifically—and Bill C-51 as well—it is a matter of having more power for inspections. When representatives of the Canadian Food Inspection Agency come to committee—and the hon. member for Malpeque can certainly confirm this—we always ask them whether they have the means to conduct enough inspections.

The hon. member spoke of the reciprocity problems the beef producers were experiencing in terms of specified risk material. There was also talk of the problems related to the pesticides and insecticides used on imported fruit and vegetables. Those products are banned here. However, we end up with fruit and vegetables from countries where those products are still being used. I have always felt that the Canadian Food Inspection Agency does not have enough inspectors or resources to do its work properly.

Does the hon. member see any improvement to that problem in this bill? Having greater power of inspection is one thing, but we probably need to provide more inspectors and more money to the agency for it to do its work properly.

[Wayne Easter, Liberal, Malpeque, PE]

Mr. Speaker, I am pleased to speak to Bill C-52, the Canada consumer product safety act.

I was here earlier and I listened closely to the minister's remarks. He did go to some considerable length to make it sound like the government was taking strong action where maybe previous governments had not taken the kind of action necessary. I do think it is important that I set the record straight in that regard. It was several times that we recognized in the previous government that greater consumer protection was necessary and that there needed to be new authorities implemented in terms of the protection for consumers and consumer products and, in particular, in the area of food.

In the previous Parliament, there was the introduction of Bill C-27 which would have moved forward in a lot of those areas, taking strong measures, especially in the area of labelling, of bringing up to date quite a number of bills that required modernization and giving greater authorities for CFIA and other agencies to deal with imported product, hoaxes and threats of putting foreign products into food or threatening that on the grocery store shelves. It was really the Conservative opposition of the day that prevented that from happening.

I am glad the Conservatives have now seen the light and are bringing forward a bill that we very much believe is a step in the right direction.

I agree with many colleagues who have previously spoken that this does need to go to committee. We need to look at the details to ensure there is nothing in the fine print that we should be concerned about. As a party we will be moving this forward to committee. We see it at this stage as a step in the right direction. It is an issue that exploded after, basically, the lead scare on toys from one nation that exports those products to Canada.

In reality, we have to look at both bills. We are here to speak to Bill C-52, but we have to look at both Bills C-51 and C-52 because they are intertwined and both have to move forward to committee.

As I indicated, we are committed as a party to improving the safety and health of Canadians. We believe this debate should occur at committee. We believe it is important to strengthen the regulatory process to ensure that Canadians have access to the safest consumer products that can be made available and to ensure that the products are labelled properly so that consumers do in fact know what they are buying.

As I indicated, we also think it is necessary for these bills to have a proper review and also necessary to ensure that witnesses on both sides of the question, people with the technical and the legislative expertise, be invited to committee to go through the bill in detail.

Currently a lot of the information about consumer products is done on a voluntary basis. I think we know that this is just not as adequate as it should be.

This new bill, then, will prohibit the sale, import, manufacture, packaging, labelling and advertising of consumer products that may pose a risk to consumers. While voluntary recalls will continue to happen, inspectors named under the act or by the minister will now be able to order the recall of a consumer product.

In the past, I have expressed in the House some concerns about the way some of the ministers in the government use their authority. I have just a note of caution. These authorities are there for a purpose, not for an ideological agenda. They are there to protect consumers and to ensure that consumers have the safest products available. They are not there for purposes other than that. I want to point that out at the beginning.

On the area of labelling, we read about it in the press almost daily now, and it relates mainly to food products. With the intertwining of the bills, I think it is important to mention this. I did have the opportunity in December and January, with a colleague, to meet consumers and the farm community on the whole issue of our regulatory system in Canada as it applies to, yes, consumer products, but certainly and mainly to food products that are on grocery store shelves.

One area that Canadian farmers are really concerned about is that a double standard applies to them. They face a tougher regulatory regime than do their competitors, yet their competitors' products end up on Canadian grocery store shelves in competition to those of our farmers, who face that tougher regulatory regime.

Canadian farmers face double standards from their own government regulations by taking on costs to meet high food safety and environmental standards only to watch imports that do not meet the same standards price them out of the supermarkets. There are a lot of examples in that regard.

We have to ensure that with this bill coming in, and with tougher regulations and more inspections, Canadians who are meeting these standards are not disadvantaged. We cannot allow that to happen. I will use a couple of examples that I know well from the agricultural arena.

For the health of Canadians, Canada has established rules to eliminate feeds using specified risk materials from cattle in order to eradicate BSE, yet the United States has not imposed those same rules, and Canadians continue to import and consume those beef products from the United States. We cannot allow that situation to continue.

Gencor, a plant in western Ontario, closed about five or six weeks ago. It was killing 700 older cows a week. The reason it closed was that its cost regime for removing specified risk materials put it at a disadvantage with U.S. plants. It went out of business, with the loss of 120 jobs and a processing plant for Canadian product.

With these new regulations on consumer protection and under Bill C-51 on food protection and labelling, et cetera, we have to ensure that at the end of the day our industry is not put at a disadvantage. We have to be on a level playing field with the United States.

As well in the farm sector, although this bill does not specifically relate to the Pest Management Regulatory Agency, the bill does relate to Health Canada. It has authority over the PMRA, which is responsible for pesticides in this country. Some pesticides are banned in Canada because they are deemed unsafe for the health of farm workers applying the product, yet Canada allows imports using these pesticides because they meet Canadian food residue limits.

Here is what we have. We do not allow the use of this pesticide or herbicide because it may have an impact on workers. Therefore, even though it may be a cheaper product, a producer is not allowed to use it in this country because of its impact, as I say, on workers. Yet we will allow the product produced with that herbicide and by foreign workers onto our grocery store shelves, and again our farmers are not competitive.

I make this point. As Canadians consume these imported products, Canada is no longer protecting the safety of farm workers. We are simply exporting the problem to foreign workers in exchange for cheaper foods and undermining the potential of Canadian farmers. It is another example of how Canadians are disadvantaged. They are important measures, yes, and they are measures that need to be taken in terms of workers. We should not be exporting--we can, I guess, but we should not be--our moral responsibility to other countries and disadvantaging our own in the process.

What I am saying is that Canada cannot have it both ways. Imported products that do not meet or do not even have to meet Canada's domestic production standards undermine Canada's high domestic standards for food safety. Canadian farmers are not only competing in a regulatory system that impedes them in the international markets, but they are operating in a regulatory environment that gives their international competitors the advantage in domestic markets.

I have to make that point, because with these new bills and these new regulatory authorities, with greater authority for the minister, all of which are important, we have to ensure consumer product safety but we also have to ensure that Canadian producers and, indeed, Canadian importers are not disadvantaged as a result.

The last point I would make is one that we have heard a lot about recently. In fact, the Standing Committee on Agriculture and Agri-Food is holding hearings in this area. The Prime Minister, along with the Minister of Health and the Minister of Agriculture, mentioned this issue when they announced the introduction of these bills. It is the whole issue of product of Canada labelling.

I raised this question earlier with the Minister of Health. The fact of the matter is that one can buy product of Canada olives in Canada. One can buy product of Canada grapefruit juice. One can buy product of Canada orange juice. I do not know of anywhere in this country where we grow olives. I do not know of too many grapefruits or oranges being grown in Canada, so why would such a package on a grocery store shelf read “product of Canada” when those products are being sold here?

The fact is that the definition is wrong. When Canadian consumers go to the grocery store shelf, they should feel confident that what they are buying is indeed a product of Canada. Under the current definition, that is not the case. The current definition is that 51% of the total package costs occurred in Canada. It really has nothing to do with what is in the package.

That has to change. As the Standing Committee on Agriculture and Agri-Food, we are looking at it. It has to change and relate to the product that is in the package itself, because I firmly believe that if Canadians are given the choice, they will veer toward buying the product that is indeed produced by Canadians, knowing the kind of regulatory and environmental regime we are under and knowing that it is supporting other Canadians in their economic activities.

Certainly I want to emphasize to the minister and to the government as a whole the absolute urgency of dealing with product of Canada labelling. It is a very serious matter. It has to be dealt with in a comprehensive way.

There has been some suggestion that we could go to voluntary labelling as well and that may be a possibility. The bottom line is that Canadians need a strong regime to define what indeed is a product of Canada and what is not.

We do see Bill C-51 and Bill C-52 as important in that they modernize our regulatory regime for consumer products in Canada. The government has to go further than what is currently stated in these bills. We must get a definition of product of Canada. The bottom line is that there has to be truth in labelling. That is what consumers want and it does not matter whether it is a widget, a computer, an apple, an orange or a piece of steak. People want absolute certainty that there is truth in the labelling on what they are buying. There has to be a regulatory and enforcement regime around that to make it stick.

Our party is committed to improving the safety and health of Canadians. We have attempted to do that in the past. As I mentioned earlier, there was some opposition from members in the Conservative government. We support measures which strengthen the regulatory process to ensure that Canadians do have access to the safest consumer products.

We look forward to reviewing the details in the legislation at committee to ensure that it is as accountable, transparent and effective as possible for Canadians. We do see this as a step forward. We look forward to the discussions in committee, some of the technical briefings, and some of the witnesses who will come forward with information that will be useful to all of us in the House to ensure that at the end of the day this is the best legislation possible for the interests of Canadians and for Canada as a whole.

[Judy Wasylycia-Leis, NDP, Winnipeg North, MB]

Mr. Speaker, I am pleased to join in this first debate on Bill C-52, which is long overdue, long awaited legislation dealing with protecting consumers from dangerous toxic products. I say long overdue because this matter has been before the House on a repeated basis, year after year, for as long as I have been in this place, which is some 13 years, and I am sure long before that.

On the one hand, we welcome the Conservatives' move to bring forward legislation that on the surface appears to be concrete, proactive and significant. I say on the surface because as we start to pore through this very detailed legislation, many questions come to mind. We will be carefully scrutinizing the legislation to ensure that all this tough talk about standing up and protecting consumers and getting tough with the industry is going to matter and is going to mean something.

To this point it is hard to fathom that a Conservative government is prepared to stand up to the big toy manufacturers in our country and to the big producers around the world, which are actively bringing their goods into our country as quickly and as expeditiously as possible. It is hard to imagine that the Conservative government is prepared to stand up to this industry and say that Canadians come first, that the safety of people comes first.

However, I will give Conservatives the benefit of the doubt. My colleagues and I will be very interested in seeing how the bill measures up to the tough talk. When I say tough talk, I point out that the government is very good at using the language the health protection movement has been advancing for many years and for which the Canadian Health Coalition has called and for which the New Democratic Party has called for many years. They talk about strengthening and modernizing Canada's safety system. It certainly sounds good on the surface. If there is anything behind those words, it will make a big difference to Canadians who have waited a long time for something to finally happen at the federal level of government around safety of consumer products.

We went through this for so long with the Liberals. It is impossible to recount how many attempts we made to try to move the Liberals, when they were in the government, to the point where they would take some action. Year after year we presented private members' bills. We raised serious incidents, yet we could not bring the Liberals to practise what they preached, which was supposedly believing in the do no harm principle, the precautionary principle, the belief that products on this market should be safe beyond a reasonable doubt, that people, especially young children, should not be exposed to dangerous toxins and that we had to be very careful about testing products and ensuring industry was responsible.

Canadians, after all these years, are getting a little tired of all the talk and no action. When I was first elected in 1999, we heard then about the dangerous toys on the market. We heard about lead or cadmium being in many children's products. We tried to get the government to move. It would not, so we brought forward private members' legislation.

I want to refer to March 10, 1999 when I introduced Bill C-482, an act to amend the Hazardous Products Act. This was very specifically to deal with the fact that toys for young children and babies contained phthalates. There was substantive scientific evidence to show that exposure to phthalates was very dangerous to the health and well-being of children.

Since then, other colleagues have pursued legislation. My colleague from Skeena—Bulkley Valley has introduced similar legislation dealing with exposure to phthalates and other dangerous substances. My colleague from Ottawa Centre has been raising the issue of bisphenol A, just as I and others in the House have done. Repeatedly over the years we have tried to get government, Liberal or Conservative, to act in the face of this dangerous exposure to our children and young people and adults in our society today.

We have something of a possibility today. We have a sign of legislation that could in fact do the job. Listening to the dialogue between the Liberals and the Conservatives, I get the feeling that I am at some sort of board of directors meeting where people are weighing the question of how far we should go to protect consumers without disturbing the profit margins of these companies. It seems like we are talking about bottom lines in terms of corporate survival and corporate health and profit margins as opposed to human health and safety.

Let us not forget that today is a special day for all of Canada. This is a day of mourning for workers in this country who have been injured or have died on the job. When we are talking about exposure to toxic substances, whether it is in terms of workers who are producing the products or consumers who are buying and being exposed to these products, we have to take action in a substantive concrete way. We can no longer simply afford to say nice words and pleasantries around this issue. It is time to actually make a real difference.

We need more than legislative change. We need more than what the Conservatives have brought forward today, even if it is a flawed piece of legislation. We need a cultural change. We need a philosophical change. We need an understanding from government that all processes have to be in place to protect Canadians from dangerous products and toxic toys.

The Conservatives say that they really believe in law enforcement. We hear it all the time. We hear it in terms of crime on our streets and neighbourhood safety. We hear a lot of tough talk. Do we ever hear that kind of tough talk when it comes to producers of toys and consumer products? I do not think we have. The minister will try to say that in this bill the government is getting tough, that there are going to be big fines, that the government will have the power to recall and it is going to send a strong message.

If we look closely at this legislation, we will realize that it is very open-ended and without obligation. There is no requirement on the part of the government to be tough. It says it may be tough, it may recall products, it may fine corporations, it may take action, but there is absolutely nothing explicit in this legislation that says when a toxic product gets on to our shelves and consumers are exposed to that product, the government must and will take firm action. There is nothing that explicit, nothing that definitive in this legislation.

The Conservatives have generated so little trust among Canadians on every front, especially when it comes to the health and well-being of Canadians, especially when it comes to health protection in the face of dangerous drugs, toys, food, exposure to all kinds of toxic chemicals in our environment today. The government has not taken the kind of action that would warrant Canadians believing that it is prepared to go all out, to be tough when it comes to the health and well-being of Canadians.

We have to devote today to talking about the importance of being tough, the importance of doing what we say we are going to do. We have to devote today to the importance of standing up for workers who are killed or injured on the job, and the importance of standing up for Canadians who are exposed to dangerous products and who suffer serious consequences as a result, something that lasts a lifetime. All the talk in the world around recall and tough regulations will not fix the problem, unless we are prepared to make sure that the products coming into this country are as safe as possible.

Unless we apply the do no harm principle, we are no further ahead. If we simply say we are going to continue this buyer beware model that the Liberals started and the Conservatives seem so endeared about, wrap it up with a few little bells and whistles around recall and around big fines, it will not matter, because the products will stay on the market, the danger will be done, and it will be too late.

Sure, it is great to get tough after the fact, but what does that do for the Canadian who is exposed? What does it to for the little baby whose health is ruined for life? What does it do for a whole population whose quality of life has been jeopardized because of this attitude of buyer beware, survival of the fittest, let the market forces prevail when it comes to health and consumer products? That is the challenge we face today.

Our job today is not like the Liberals want to do, to simply give a blanket statement of approval to the Conservatives and say, “Yes, this is good, let us get it to committee. We support it but we just want to fine tune it”. The onus on us today is to really question and dig deep around what it means and what impact it will have.

What good is this legislation if the government does not put in place the resources that are required at the borders to make sure that potentially toxic products do not enter this country? What guarantees do we have from the government that it is so serious about this issue it will put in place the kind of inspection labour force that will do the job?

There was a bit of money in the last budget. By all accounts, if we put it all together and look at the requirements for Bill C-52 in terms of toys and consumer products, and Bill C-51 in terms of food and drugs, the money the government is promising to expend in this area is probably a drop in the bucket when we look at the requirements and the kind of framework that the government has presented to Canadians.

In fact, if the government is that serious about a proactive piece of legislation, then it has to have resources in the field. It has to have inspectors at the border. It has to have the determination to actually test and label and be absolutely rigorous in this field if it is to make any difference.

It is hard to mesh the tough talk from the Conservatives with their wide open, easy as it goes talk around trade. Many of the problems we are facing today have to do with governments that have failed to understand the importance of putting in place fair trade practices. Our borders have been opened up to all kinds of products about which we know very little or have done little in terms of testing and scientific research. It is time, as so many have already said, to take that seriously.

Let us look at the number of products over the last three or four years that have appeared on the market, but which should have been recalled. Since 2005 there have been 34 products that contained a lead risk, 26 products that were a risk in terms of choking, 5 products that led to head injuries, 5 that led to risk of laceration, 3 that could have meant internal damage from magnets, 3 that put people at risk of being burned, 3 that put people at risk in terms of entrapment, 2 that put people in danger in terms of puncture or impalement risk, 2 that could have caused strangulation, 2 that led to bacteria risk, and 1 a toxic chemical risk. That is an incredibly long list of products that we know about, where there has been some documentation, where consumers raised concerns and where government was forced to react.

How in the world is the government prepared to actually get a handle on this area and apply this bill to make a real difference? Is it going to put a ban on any product that consumers identify as dangerous, which has been backed up by scientific evidence? Do we have a government that is prepared to get that tough? Will it ban a product?

Let us look at the example of bisphenol A. That plastic has been around for a long time. We have been talking about it in the House for many months. There are 150 peer reviewed studies on bisphenol A which talk about the dangerous complications for people's health and well-being, about hormonal imbalance and problems in terms of young kids. There are all kinds of scientific studies showing that that plastic is toxic and dangerous to people's health and well-being. Was there a ban on the products right off the bat? No. What we got last week was a statement from the Minister of Health that the government might ban it, but it was going to give it 60 more days of study. The minister went on to tell parents that the government was going to ban baby bottles made out of bisphenol A but parents should not worry, they should not pull the products off their kitchen shelves, they should just avoid putting boiling water in them.

Is that a proactive approach that guarantees people's safety first? Is that health protection, or is it simply another variation of buyer beware? Consumers have to check out these products and do their own tests. They have to go down to the hardware store and get the tests that tell them whether there is lead in a product. They have to go to a lab to have products tested for other toxic chemicals. They have to take it upon themselves because the government is all talk and no action. Is that what it is all about, or is the bill really going to make a difference?

As I said at the outset, I am willing to give the benefit of the doubt to the government and I look forward to a very serious study of this bill at committee, but I can say that there are some serious problems with the bill as we look at it today. One is the question of the power to ban when products are presented as dangerous. What in the bill will require the government to take very quick, prompt action to ensure that the bad experience of one person does not have to mean a horrible experience for a whole lot of other people?

What in this bill will actually ensure that toy producers, manufacturers of products overseas are being watched closely and required to live up to certain standards? We will never under the present government have the kind of inspection requirements that are needed at the borders to make sure that every product is safe. What is the government doing to indicate to producers overseas that there are certain standards that must be met, or are we simply following a country like China that says it is up to the country receiving the products to make those determinations? How in the world can we continue to operate on that basis?

We have raised many questions over the last few months about the importation of toys in particular, because for young kids and babies, exposure to these toxics is that much more serious at the early stages of life when compared to adults who can tolerate a greater risk.

We have to be very careful if we are serious about preserving and protecting the health and well-being of Canadians. We have actually said in the House that we cannot simply stand back and act tough when big companies like Mattel suddenly decide that government means nothing when it comes to health protection. We are talking about companies that make huge profits. It is up to us and the government of the day to actually stand up and make a difference.

My time is coming to an end in this first round of the debate. I want to conclude by saying that there are many parts of the bill that cause questions and concerns. We will be proposing amendments. We will be looking for some positive response from the government to those amendments. We will be looking forward to working with the Conservatives to make this bill live up to its name of being very tough legislation when it comes to the health and well-being of Canadians, one that is firmly grounded in the do no harm principle as opposed to the buyer beware risk management model. I look forward to the ongoing debate and discussion.

[Robert Thibault, Liberal, West Nova, NS]

Mr. Speaker, it is a pleasure to rise to speak to this bill. I think it is an important bill. It is a welcome action from the Government of Canada. As an opposition party, we look forward to playing our role within Parliament to improve this bill: to ask the proper questions and to hear from Canadians who may have concerns. They may or may not be supportive and may wish to suggest amendments that can be brought to the committee or to the House to ensure that this bill achieves what it attempts to do, which is to protect Canadians.

I am sure the minister will recognize, as will every member in the House, that it is easy enough to protect Canadians. We can make every commercial activity in this country so restrictive that nobody will ever get hurt, but ensuring the protection of Canadians while permitting trade and business to happen, and allowing farmers, producers and manufacturers to do their work, requires a balancing act. As we look at the implementation of this bill, we are going to have to look at whether we can achieve both of those things and make sure that in the future they continue to happen properly and that we do not go too far one way down the slippery slope.

There is a case in my riding right now with the Canadian Food Inspection Agency risking the ongoing success of a long term employer because of an issue of product safety. It is an issue of perceived product safety and how we deal with it. In this case, it has been shown that the product is quite safe, while we cannot give the same level of assurance to the products we buy off the shelf that compete with it. That creates great concern. I look forward to examining how we will do it.

As the member for Malpeque has brought out, we are dealing with two bills. I do not think we can look at these two bills in isolation. That is probably one of the reasons why the government brought forward Bills C-51 and C-52 at the same time. While in the House today we are dealing with Bill C-52, I am looking forward to dealing with Bill C-51.

Bill C-51 has been in the discussion stage for a long time. It has been in the consultation stage and there has been work with industry to bring it forward, but it is a lot less so for Bill C-52, which seems to involve more knee-jerk reactions because of problems that arose, especially in the fall. When we do things quickly or on that basis, there is always risk. As a Parliament and a committee, we are going to have to ensure that we study this properly and make the necessary modifications so that it achieves what it wants to do, which is to protect Canadians.

The principle of the bill, as I suggested, would be difficult to argue with. I think everybody would agree with it. If I were to term it in any one way, it would be to say that it makes people become responsible for their actions and puts some serious financial penalties on people who do not. If people are trying to profit from legitimate activity, they have some responsibility for that. The first responsibility would be the safety of their consumers and customers, as well as their workers and anybody who comes in contact with their products. I think everyone would agree with that principle.

We have to be careful, because here we are talking about the importer, manufacturer, retailer, distributor or whatever person possible being inspected by Health Canada, the Canadian Food Inspection Agency or the Canada Border Services Agency at any time. In my mind, under this law they would all bear the same responsibility.

What we are telling them is that they have to keep a registry and have knowledge of the chain of supply. That is easy enough to do as a distributor who brings into the country a number of products and distributes them. It is easy enough to do as a manufacturer bringing in the inputs, doing some manufacturing changes, transformation, alteration, repackaging and whatnot and putting them out on the market. Then it is easy enough.

It gets a bit more difficult for a retailer who is not part of a large chain. An independent or a smaller operation may have similar products that it buys from a few places. When it is selling from its business it might be difficult to know exactly where each and every product was sold. It might not able to track them.

I am looking forward to seeing what is meant by this and how this tracking would be applied. Are we creating a system that would be very expensive to operate, so expensive that small entrepreneurs will be forced out of the market, especially at the smaller retail level, those that we would typically call “mom and pop” operations?

We have seen it in the feed store industry already. Out of our concern for BSE and our requirements to label and track all the feeds and all the inputs into those feeds, we have come to those sorts of problems.

If we do not do this correctly, we could bring that type of a problem into where it is not warranted. I will agree that where we have risks to human health, we have to take the appropriate action. If it means that under certain conditions certain individuals or businesses should not be in possession of certain products, then that would be understandable. However, we can very easily throw the baby out with the bathwater if we do not do it properly and if we do not have the proper safeguards.

I have a bit of concern with one of the areas. I had the opportunity to raise it with the minister. I agree with the principle, and I think we all should, that there should be a power to order a recall. I think we understand that. However, if we look at the situation where we are now, we do effect those recalls by negotiations and by discussions. I have not been advised of any situation where the current practices have not worked and where an unsafe product has remained on the market because a distributor, a manufacturer or a retailer refused to remove it from the market. I do not know of any situation like that in Canada. However, it could happen, so the power to recall makes sense.

Sometimes if we give a minister or a department the power to do something, over time it evolves into an obligation to do things, because people test it in the courts or suggest that if that operation had not been done and the minister had effected his power to recall in such and such a case, then we would not have had this operation. Then what happens is that the next time there is a case that looks remotely similar, the minister's inspectors, to protect the Canadian public, as they should, effect or force a recall. That is the risk.

I am not saying that this is what would happen in this instance or in this case, but I would want to be sure that our first actions at all times are negotiations, that they are on the lines of where they are going now, where the inspectors of Health Canada or CFIA are working with the importer or the manufacturer on the Canadian side to see if there is a way to do it without effecting a recall. What happens is that quite often we are able to resolve the situation without human risk, without risk and without bankrupting Canadian corporations. If we effect or force a recall, we could create undue market fears, loss of shelf space for companies and those types of activities, which could become very dangerous. Those are things we absolutely want to avoid.

Let us remember also that we do not have the same sort of power over the people our Canadian manufacturers, distributors, entrepreneurs or importers are competing against, because the regimes in the domestic markets of our competitors might not be the same. I think we have to remember that.

We also have to look at the way it would be administered. Would we be doing this in a way that maximizes the use of the current bureaucracy? Or would we have to replicate everything else and therefore make it more complicated? Are we going to have an importer working with multiple departments to do the same process? Would we have some coordination?

When the finance committee looked at counterfeit products coming into the country, we saw that the Canada Border Services Agency was unable to inspect these products because it was understaffed. There is no way it can do an active inspection so it needs some sort of system that triggers a look at certain imports, stocks or lots. If we expand the requirements without creating a coordinated administration of it, we run the risk of having an overly bureaucratic process.

We have said over and again that we want smart regulations in this country, that we want to streamline red tape and administration processes. This is an excellent opportunity to do it from the onset as we are establishing a new program.

On the question of the penalties being higher, I do not think anybody would argue with that. I think it is a good idea but what people question is whether this has any effect because the penalties are never applied. As there are never charges under the current system, would it be meaningful to increase the penalties? I would suggest that it would be but we need to look at why they are not applied now and whether there are other ways, other than the court process, that we can use.

I was very pleased to see that in the bill the administrative sanction route is being considered where the minister and his inspectors would be able to apply monetary and administrative sanctions on the importer or manufacturer outside the court process a lot faster and more efficiently. I think that is a good idea.

The other thing is the use of injunctions rather than having to charge an entrepreneur, that an injunction can be applied for in court to cease an import, the distribution or certain manufacturing processes or procedures. I think it is a lot better way to go than having to charge and having a long, drawn out court battle that is unsure in all cases and certainly would lead, not necessarily to the protection of an individual's well-being, but certainly would have a negative impact on our capacity to compete.

The question on the effect on competitiveness is important. In that respect, I would like to see the bill dealt with not only by the Standing Committee on Health but also by the industry committee. I have a feeling that at the health committee we will be able to accommodate the people who want to give us that perspective.

How do we implement these principles and not reduce the competitiveness of Canadian business? I think that is what we should be seeking. Our first responsibility is the protection of human health and we cannot for any reason abdicate on that responsibility but we must look to do it in a way that protects our competitiveness in our domestic market, as well as in our exports. I am looking forward at the committee to be able to do these things.

I am pleased that the bill has been brought forward for debate and I believe our party will be supporting the bill going to committee. I look forward to having these discussions at committee, seeing the specifics of the bill, seeing how the implementation will happen and having the opportunity to present amendments at the committee or in the House. I hope officials of the Government of Canada will be prepared to indicate to the committee the order and types of regulations that are called for and what they would look.

We do take a bit of a leap of faith in the House of Commons as members of Parliament when we give powers to the minister or to the government to enact regulations to affect the intent of a bill that is passed by the House because we do not see those regulations again. They are done, in most cases, by order in council and, in very few cases, are they ever brought before Parliament again, either directly or through one of these committees. I think it would be quite useful if government officials could give us an indication or an idea of the type of regulations that will be required in this case.

I look forward to having a more fulsome discussion of the matter at committee.

[Tony Clement, Conservative, Parry Sound—Muskoka, ON]

Mr. Speaker, the member raises some very good points. I can say a couple of things about them.

First of all, obviously Bill C-51 also will be debated in this chamber. I would have liked to do so tomorrow, but we have an opposition day tomorrow. We defer to our friends in the opposition, but the hon. member can expect debate on that bill at some time in the near future.

I share the hon. member's concern about resources. I can assure the hon. member that this is budgeted for in budget 2008, with more inspectors and more assistance for CFIA. I think it is important that we also move forward on the product of Canada issues. My friend, the Minister of Agriculture, is taking the lead on that file, but I am encouraging him, as the member is, to move forward. He will indeed move forward.

I agree with the hon. member. Certainly in my riding of Parry Sound—Muskoka we do not grow olives. It must be the same in Malpeque. Perhaps in Pelee Island there is an opportunity to do so, but that might be the only place in Canada where it is the case.

In all seriousness, these issues do have to be addressed. It is certainly our intention to do so.

[Wayne Easter, Liberal, Malpeque, PE]

Mr. Speaker, further to my colleague's remarks, we certainly are looking forward to this bill and to seeing it go to committee where it can be discussed in detail. It is certainly a positive step forward.

I look at the two bills, Bill C-52, which we are dealing with here today, and Bill C-51, as intertwined. A lot of the concerns we hear on the agricultural side of the equation are about the definition of “product of Canada” and the requirement for truth in labelling in terms of food and so on. One can buy product of Canada olives, but we do not grow too many olives in this country. I think that shows the fallacy of the current definitions.

In the intertwining of the two bills and the requirement for Health Canada and the Canadian Food Inspection Agency, which falls under Agriculture Canada, to work together and be properly resourced, is the financial ability going to be there to resource both sides of the component? Also, looking at the two bills together, are we going to get to truth in labelling so that when Canadians buy a product they can be sure that the definition applies to the products they are buying?

Business of the House

[Peter Van Loan, Conservative, Leader of the Government in the House of Commons and Minister for Democratic Reform]

Mr. Speaker, in last fall's throne speech, our government presented five clear truths to Canadians.

We said we would get tough on crime, maintain our prosperous and vibrant economy, improve the environment and health of Canadians, strengthen our federation and restore Canada's place in the world. Over the past few months we have made significant progress in all of these areas with lowering taxes and debt, extending the military mission in Afghanistan, and passing the Tackling Violent Crime Act to get tough on crime.

This week is indeed stronger justice system week. We have been successful so far in moving forward on our plan to tackle violent crime with Bill C-31, a bill to amend the Judges Act which has been sent to the Senate, and Bill C-26, our anti-drug law which passed second reading.

However, we will not rest on our laurels. Today and tomorrow we will wrap up our stronger justice system week by hopefully returning our bill on criminal procedure, Bill C-13, to the Senate. We also hope to debate our bill to reinstate modified provisions of the Anti-terrorism Act, Bill S-3, as well as Bill C-45, dealing with our military justice system.

Next week's theme is “putting voters first” because MPs will be returning to their ridings to consult Canadians in their communities.

The following week, we will be examining another priority: “improving the environment and health of Canadians”.

As members already know, our environmental plan announced in the throne speech was adopted by the House last fall.

There is, however, more to be done. We will start by debating Bill C-33. This bill requires that by 2010, 5% of gasoline, and by 2012, 2% of diesel and home heating oil be comprised of renewable fuels. This bill will help reduce greenhouse gases and represents an important part of our legislative plan to reduce greenhouse gas emissions by 20% by 2020.

In addition, we will begin debate on two very important bills concerning food safety and consumer and health products in Canada, namely Bill C-51 to modernize the Food and Drugs Act and Bill C-52to establish An Act respecting the safety of consumer products.

Taking together, these two bills represent an extraordinarily tough and thoroughly new approach to consumer safety. I hope that the opposition will work with the government to ensure these pass through the legislative process in a quick and timely fashion.

[Luc Malo, Bloc, Verchères—Les Patriotes, QC]

Thank you for your presence here today.

In earlier testimony, we heard that there are very few adverse reactions reported and that the figure varied somewhere between 5 and 10%.

I am simply wondering whether the proposed clause 20.7 in Bill C-51, compelling health establishments to advise the minister of adverse reactions to drugs, may have a positive effect on the fact that few events are reported.

At the end of the day, will this provision make the process more effective and will the drugs that are available on the market have less of a chance of causing adverse reactions?

[Judy Wasylycia-Leis, NDP, Winnipeg North, MB]

Thank you, Mr. Chair.

Thanks to all of you for being here. It's a very informative panel.

I want to start with you, Alan Cassels. I've just been skimming through your book, Selling Sickness, and you make an observation that I think we've heard supported at other testimony, that the pharmaceutical industry is working very hard behind the scenes to define and design the latest disorders and dysfunctions in order to create and expand markets. You talk about that with the words “disease-mongering”.

I know we don't have time to get into that whole issue here today, but I would like you to relate that to what we're dealing with in terms of post-market surveillance and with respect to Bill C-51, which is actually about post-market surveillance, supposedly.

The fact that the drug companies that you refer to have been very supportive of Bill C-51 raises all kinds of alarm bells for me, but I don't want to just be subjective about it. I want to know if in fact there is some legitimacy to the argument we have made that the progressive licensing framework will in effect facilitate speedier approval of drugs into the market, and hence cause more safety concerns down the road, as opposed to being a neutral scheme, as the government claims it is.

[Alan Cassels, Pharmaceutical Policy Researcher, School of Health Information Sciences, University of Victoria]

Thank you very much for having me here. I'm surprised there's no snow here. Usually when I come to Ottawa, I like to gloat about how difficult it is back in Victoria, where we're wading through the cherry blossoms and the daffodils.

My name is Alan Cassels. When I told my family last week that I was coming to Ottawa, my 11-year-old daughter, a budding environmentalist, said to me, “Dad, are you going to be increasing greenhouse gases to travel all the way to Ottawa for a ten-minute speech?” I had to explain to her that every day in our country people are being harmed or die because they are taking perfectly legal prescribed drugs. I told her that I didn't want her or her brother, or anyone, for that matter, to die because they or their doctors didn't learn of the potential dangers of prescription drugs. I told her the story of Terence Young, who lost his own daughter when she took a drug they thought would help her. So my daughter said to me, “Okay, Dad, you can go to Ottawa.”

I've been doing drug policy research in British Columbia for 14 years. My research at the University of Victoria is funded by the Canadian taxpayer, mostly through grants from the Canadian Institutes of Health Research and the Ministry of Health. I've never held any stocks or shares in pharmaceutical companies, nor have I ever done any work for the pharmaceutical industry. I mention this specifically because I think it's important. As a researcher, I like to base my assertions on data, and my reading of the data tells me that most of the time, when patient groups—many of those groups, by the way, do vital and important work—have ties to the pharmaceutical industry, they will push for policies to improve the profits of the companies that fund them.

My reading of the data also tells me that the people you've heard from before who demand better transparency of drug information, better regulation, more careful safety screening of drugs, and better warnings are not receiving funding by corporations whose interests are in profits. Those who have gone before me, specifically Michelle Brille-Edwards, Terence Young, and those from the Canadian Women's Health Network, have made some very good suggestions. I support those suggestions, and I hope this committee acts on them.

I also want to tell you that I went to school not too far from here, in Kingston. I went to the Royal Military College of Canada. As an officer in the Canadian Forces, I was a parachutist, a military diver, and a ship's watch-keeping officer. I have two United Nations missions under my belt. I've faced the business end of an AK-47 assault rifle. I've faced minefields in Cambodia, and other sorts of near-death experiences on the high seas. I have two medals for my peacekeeping and one medal for 12 years of service in the Canadian Forces.

I only mention my military experience for one reason. It's because I've come to understand fear and how it tends to motivate people. Let me explain.

This drug that I hold up right now is the most prescribed drug in the history of the world. It's a drug to lower cholesterol, called atorvastatin. It also goes by the trade name Lipitor. Globally, the manufacturer sold $14 billion worth of this drug last year, and in Canada about 14 million scrips for atorvastatin were written for Canadians. In total, more than 20 million prescriptions for cholesterol-lowering drugs, or statins, get consumed in Canada every year, at a cost of over $1.5 billion. That's an awful lot of money for one class of drugs.

Let me tell you three things about high cholesterol.

First of all, high cholesterol is not a disease. It is a risk factor for a disease, but it is treated as a disease in and of itself.

Secondly, taking a drug to lower your cholesterol may save your life. If you are a man and have had a heart attack, it can help prevent another one. The benefit of the drug in these high-risk men is about 3%, which is to say that even in high-risk men, over 90% of the men who swallow these drugs every day for five years will see no benefit in terms of living longer. There's evidence that the drug will not provide any benefits for women, and these drugs provide no benefit for the elderly.

The third thing I want to tell you is that taking a drug to lower your cholesterol could kill you. I don't want to be dramatic about this, because many people who take these drugs don't have any problem with them, but some people who do will experience terrible, severe, and sometimes intolerable adverse effects. The most well-known adverse effect is a disease called rhabdomyolysis. It's a muscle-weakening disease that can cause kidney failure and death.

Cerivastatin, a drug that went under the name Baycol, was very, very good at lowering cholesterol, but it also killed people. It was removed from the Canadian market on August 8, 2001.

Five years after Baycol went off the market, Health Canada issued a public advisory about the risks of rhabdomyolysis. That was on July 12, 2006. Did Canadian doctors read the warning? Did they even see it? Did consumers become concerned and stop taking their statin drugs? Not the way I read it; Canadians swallowed 22 million scrips for statins last year, and the number has risen steadily over the last decade.

Yesterday I searched the Canada Vigilance online database and found 1,173 adverse reports for this drug, atorvastatin. How many people are actually being hurt by this and other statins? The simple answer is that we don't know. Those 1,173 reports could represent between 1% and 10% of people injured by atorvastatin, which means to say that there could be between 11,000 and 111,000 Canadians injured by that one drug alone. There are seven statin drugs on the market in Canada right now.

The pharmaceutical industry spokespeople will tell you that they should be involved in the education of consumers about drugs, but let me show you how they choose to educate consumers. This “toe tag” ad appeared in many magazines and major newspapers across Canada. This one came from the National Post of February 20, 2004. It shows a toe tag hanging off a corpse with the headline, “What would you rather have, a cholesterol test or a final exam?” Here's another example, from Maclean's magazine, of the same ad.

These ads are probably the most egregious example of disease-mongering that this country has ever seen. The ads, which ran in both France and Canada, were the subject of a letter from the World Health Organization to the medical journal The Lancet, complaining that this kind of advertising is undoubtedly driving the inappropriate use of cholesterol-lowering drugs around the world.

How many of the 22 millions scrips for statins in Canada this year are prescribed for men at high risk? Probably three-quarters of those drugs are taken by women, the elderly, and low-risk men who would see no benefit.

The point I want to make is that in Canada we don't control the advertising and promotion of diseases, we don't control the definitions of disease, and we don't provide adequate impartial health or drug information to Canadians or to our physicians. We allow conflicted experts to sit on committees that decide the definitions of disease, and we allow our physicians to be educated by the pharmaceutical industry. This is an industry that spends in excess of $3 billion a year marketing their products directly to Canadian physicians.

So where does the poor patient end up in all of this? In my estimation, Canadians are naked in the pharmaceutical marketplace.

My recommendations for post-market surveillance revolve around stopping bad and misleading information from getting to patients and physicians, and ensuring that we have adequate data before drugs are released in the wider population. I have four recommendations.

First, I think we need a policy on disease-mongering. We need to maintain our current ban on the direct-to-consumer advertising of pharmaceuticals, but we need to go a bit further than that. We actually need more strict control of the advertising of diseases. I call it “disease-mongering” and the industry calls it “disease awareness”.

One place to start is to ask Health Canada some hard questions: What is your policy around disease-mongering? Can you collect data to see if disease-mongering is driving the inappropriate use of pharmaceuticals? What research into disease-mongering have you commissioned? What other steps is Health Canada taking to control it? Instead of trying to deal with patients who may be dying from prescription drugs, how can we stop people from taking drugs they don't need in the first place?

Secondly, we need better information for patients. After all, it's the patients who put drugs like this in their mouths every day. There's a dire need for Canadians to receive approved and regulated information about diseases and drugs provided by an independent, objective source that's free from profit-driven industries.

The Government of Canada recently showed its interest in objective consumer health information by killing funding for the Canadian Health Network, one source of quality, publicly funded information on the Internet. In terms of medical treatments, the Cochrane Database of Systematic Reviews is one of the best sources of independent research behind common health treatment.

A site licence for the Cochrane database, which the Canadian government currently won't fund, would cost about $500,000 per year, so that all Canadians--and not just people like me who work at universities--could access these reviews.

Other groups, like the Common Drug Review and the Canadian Agency for Drugs and Technologies in Health, need our full support and stable, long-term public funding.

The third thing is that we need better objective information and education for physicians. It's not just the patients who need independent information. It's time we recognize that leaving the education of our physicians to the pharmaceutical industry has some downsides. We need better education on prescribing, education that comes from an objective source, preferably one with public funding.

Australia has a national organization called the National Prescribing Service that does probably one of the best jobs in the world of providing physicians with useful, up-to-date, and unbiased information about drugs. Why can't we replicate that here on a national level and with input from the provinces? It would make a great first step in moving towards a national pharmacare plan in Canada.

The last thing is a point about progressive licensing. My suggestion would be that we should learn about drug safety from looking at how other industries operate. I personally think that post-market surveillance needs to be done and it needs to be done better. But to me, it's largely a sad, after-the-fact proposition. We have to do post-market surveillance because we do all the pre-market stuff so poorly.

Could you imagine another industry, say the nuclear industry or the airline industry, where we allow the manufacturer to rely on post-market surveillance for the safety of their airplanes or their nuclear plants? No one would accept the proposition of having the job of the regulator be to count the bodies afterwards and then decide if this is a good technology to expose to a wider population. We would never accept allowing the airline manufacturers to use people as test subjects in terms of the safety and effectiveness of its planes. We demand the nuclear and airline industries to take a zero-risk approach to their products, so why do we accept a lesser standard for products that people consume every day?

In terms of progressive licensing--and this is connected to Bill C-51--I have no idea where this will lead. But I'm left with one question about these current attempts to “modernize” the regulatory environment around drugs. How would a more modern drug licensing regime prevent another Vioxx, another Propulsid--the drug that killed Vanessa Young--or otherwise stop the thousands of Canadians who may be suffering adverse effects of cholesterol-lowering drugs?

Thank you.

[Judy Wasylycia-Leis, NDP, Winnipeg North, MB]

There is a section in Bill C-51 on clinical trials, which I would like you to look at. It's on pages 19 and 20. It would be helpful to have your written comments on that, along with the other request we made to you today.

[Judy Wasylycia-Leis, NDP, Winnipeg North, MB]

Thank you, Madam Chairperson, and thanks to all of you for your excellent presentations.

Patrick, you are right. The government has just tabled two new pieces of legislation that clearly impact on our deliberations today. One is An Act to amend the Food and Drugs Act and to make consequential amendments to other Acts. The second is An Act respecting the safety of consumer products. It will be important for us to hear your reactions to these bills, because that clearly has an impact on anything to do with post-market surveillance. I'm wondering if I can maybe ask all of you, for the benefit of our study on post-market surveillance, if you would be willing to give us a written critique of these two bills from the point of view of this committee's study so that it might enhance our work and our final report. Would all of you be willing to do that?

I have a couple of copies of each of them with me now, so at the end I could leave them with you.

I am concerned that under the guise of modernization we are actually witnessing a legislative approach that might weaken the capacity of government to ensure drugs, foods, and consumer products are put on the market after all precaution has been taken. I'm worried about that because of the focus on progressive licensing. There are pros and cons, but I'd like to ask you what we should look for in terms of this bill to ensure that any focus on progressive licensing doesn't mean we are lowering the bar—as you, Steve and Patrick, said—in terms of what is acceptable, what can be allowed on the market. What should we look for in that regard?

Second, could you tell me just what this might mean? There is a huge set of “whereases” in this bill:

Whereas the Parliament of Canada recognizes that a lack of full scientific certainty is not to be used as a reason for postponing measures that prevent adverse effects on human health if those affects could be serious or irreversible

I am wondering if all three of you could give me a bit of a perspective on that end of the question of progressive licensing in this whole context of what we know has been happening in the department.

Does anybody want to start?