Bill C-37 (Historical)

An Act to amend the Controlled Drugs and Substances Act and to make related amendments to other Acts

This enactment amends the Controlled Drugs and Substances Act to, among other things,
(a) simplify the process of applying for an exemption that would allow certain activities to take place at a supervised consumption site, as well as the process of applying for subsequent exemptions;
(b) prohibit the importation of designated devices — unless the importation is registered with the Minister of Health — as well as prescribed activities in relation to designated devices;
(c) expand the offence of possession, production, sale or importation of anything knowing that it will be used to produce or traffic in methamphetamine so that it applies to anything that is intended to be used to produce or traffic in any controlled substance;
(d) authorize the Minister to temporarily add to a schedule to that Act substances that the Minister has reasonable grounds to believe pose a significant risk to public health or safety, in order to control them;
(e) authorize the Minister to require a person who may conduct activities in relation to controlled substances, precursors or designated devices to provide the Minister with information or to take certain measures in respect of such activities;
(f) add an administrative monetary penalties scheme;
(g) streamline the disposition of seized, found or otherwise acquired controlled substances, precursors and chemical and non-chemical offence-related property;
(h) modernize inspection powers; and
(i) expand and amend certain regulation-making authorities, including in respect of the collection, use, retention, disclosure and disposal of information.
It makes related amendments to the Customs Act and the Proceeds of Crime (Money Laundering) and Terrorist Financing Act to repeal provisions that prevent customs officers from opening mail that weighs 30 grams or less.
It also makes other related amendments to the Criminal Code and the Seized Property Management Act.

Controlled Drugs and Substances Act

[John Aldag, Liberal, Cloverdale—Langley City, BC]

Mr. Speaker, I am pleased to rise today to speak in support of Bill C-37, an act to amend the Controlled Drugs and Substances Act and to make related amendments to other acts. The bill is part of the Government of Canada's comprehensive approach to drug policy, one that strikes a balance between public health and public safety.

Last year in my province of British Columbia, over 900 people died of drug overdoses. This was an 80% increase from 2015 and we now know that the opioid fentanyl was disproportionately responsible for these deaths.

As the medical community has known for some time and as the general public is becoming increasingly aware, fentanyl is a difficult drug to combat. When used legitimately, it is a powerful pain suppressor which can help people who are suffering with acute and chronic ailments. However, when used inappropriately, incredibly small doses can be fatal.

What has become evident to my community is that illicit fentanyl has become both widely available and far too easy to obtain, so today I stand in the House not only for my riding of Cloverdale—Langley City or even as a British Columbian, but for all Canadians who have been or may be affected by the opioid crisis.

Central to the Government of Canada's efforts to help individuals and communities affected by the current drug emergency is the reintroduction of harm reduction as an integral part of our country's narcotics strategy. This bill includes changes to streamline the application process for new supervised consumption sites, which I believe is not simply a compassionate course of action but a responsible and evidence-based decision which has been proven to save lives.

This important public health initiative will be partnered with the recently announced Canadian drugs and substances strategy. This strategy is built on four pillars: prevention, treatment, harm reduction, and enforcement, which will be grounded in a strong evidence base to bring about a decrease in both the manufacture and consumption of illicit opioids and the tragic incidence of overdose deaths across our country.

This government knows that while we must address the public health perspective in dealing with the crisis at hand, we must also deal with the illicit drug supply issue. That is why Bill C-37 addresses problematic drug use from all sides and includes proposals to respond to controlled substances obtained through illicit sources.

Canada's drug control laws are centred on the Controlled Drugs and Substances Act, also known as the CDSA. This act serves the dual purpose of protecting public health and maintaining public safety.

The CDSA provides controls over drugs that can alter mental processes and that may result in harm to one's health and to society when misused. This is done by regulating the legitimate use of controlled substances and prohibiting unlawful activities, such as the import, export, and trafficking of controlled substances and precursors.

As I discussed earlier, problematic and illegal substance use coupled with an illicit drug supply that has become increasingly more dangerous has led to a spike in overdoses and deaths. This risk is especially pertinent to fentanyl given its extreme potency and difficulty to detect in other so-called recreational drugs. Our government is committed to protecting public health and safety by curbing production and trafficking of banned substances. Bill C-37 would amend the CDSA to provide the necessary tools to do so.

At the end of 2016, the Government of Canada added six fentanyl precursors to the list of controlled substances under the CDSA to help address the illegal production of fentanyl and related drugs. If passed, Bill C-37 would provide a wider array of effective tools to fight the illegal production and trafficking of all dangerous narcotics, including fentanyl and carfentanil.

In addition, many overdoses have come as a result of ingesting drugs that appear identical to legitimately produced pharmaceuticals. These drugs are made without adequate controls and often contain unpredictable amounts of high potency and potentially lethal substances, such as fentanyl and carfentanil.

Essential to making these illegal drugs are pill presses and encapsulator devices that allow illegal producers to turn out thousands of counterfeit pills or capsules in a very short time. This presents a significant risk to public health and safety.

That being said, pill presses and encapsulators are also used in legitimate manufacturing processes in the pharmaceutical, food, and consumer product industries. This is why a registration system is being proposed. This new requirement would impose minimal burden on legitimate manufacturers. Importers of pill presses and encapsulators would simply have to register with Health Canada prior to bringing these devices into this country. Importation of these devices without proof of registration would be prohibited and border officials could detain those arriving without proper registration.

Changes are also being proposed to help information sharing between Health Canada and the Canada Border Services Agency about the importation of pill presses and encapsulators, as well as with law enforcement agencies in the course of an investigation.

In addition to the registration of imported pill press and encapsulator equipment, Bill C-37 would broaden the scope of pre-production activities associated with the production of illegal drugs. Pre-production activities include buying and assembling the chemical ingredients or industrial equipment with the intention of using it to make illicit narcotics. The offences and punishments would be extended to capture equipment and chemicals not currently listed in the CDSA schedules.

Bill C-37's proposed amendments to the Customs Act would also allow border officials to open incoming international mail weighing 30 grams or less if there are grounds to suspect it contains goods which are prohibited, controlled, or regulated under another act of Parliament. This would allow border officials to open packages that are suspected to contain substances intended for use in the production of illicit drugs. It is in response to substantial evidence that illicit drugs, such as fentanyl, are being brought into Canada through the postal system. As was noted by a member previously, 30 grams may seem like a small amount, but it is equivalent to approximately 15,000 lethal doses of fentanyl.

The changes proposed in Bill C-37 are an important part of the government's multi-faceted plan to address the growing opioid crisis in Canada. The bill would provide law enforcement agencies with the tools they need to take early action against suspected drug production operations and to respond to the ever-changing illicit drug market.

At the end of 2016, news of over 10 overdose deaths in one night in British Columbia highlighted an already alarming and tragic situation, and the opioid crisis has not gone away since the beginning of the new year. Instead, it gets worse, as hard-working emergency responders and public health officials struggle to keep up with the increasing number of those afflicted. Unfortunately, I witness this challenge in my own riding of Cloverdale—Langley City, one of Canada's communities most affected by the opioid crisis. Sadly, my constituents are not alone in facing this issue.

As we in this House study legislation from day to day, we must often ask ourselves: What will be the direct result of this legislation, this action? With Bill C-37, we have an opportunity to pass legislation that would directly save lives. There is currently tremendous work being done to combat this issue, such as the RCMP's Surrey outreach team, which has been effective in addressing addiction and homelessness issues in the local community. This team responded to 55 overdoses in just two weeks and has continued saving lives in the city of Surrey. While the individual efforts of police detachments and public health officials have resulted in positive results at the local level, these front-line responders need federal assistance and a national framework to tackle the issue.

The sooner Bill C-37 becomes law in Canada, the sooner it can help those most afflicted by this ongoing public health emergency. I trust that all members of the House understand the importance of this bill and hope that they will support it.

I would like to close with a comment relating to an earlier speaker, who talked about needing to take a family approach to this crisis. I would like to remind all members that we have seen 900 deaths in B.C. in the last year. Those are 900 families affected by this tragic opioid crisis. It is only by working together across all parties that we will actually be able to make Canadians safe, focus on families, give them a safe and healthy upbringing, and deal with those who are facing crises in their lives.

[Doug Eyolfson, Liberal, Charleswood—St. James—Assiniboia—Headingley, MB]

Mr. Speaker, to clarify, fentanyl is an opioid. However, the fact is that Health Canada has a strategy on opioid use, which is separate from Bill C-37. We are addressing that problem, and we are addressing a separate problem with Bill C-37.

[Doug Eyolfson, Liberal, Charleswood—St. James—Assiniboia—Headingley, MB]

Mr. Speaker, the Government of Canada and Health Canada's action on opioid misuse does in fact address these problems, with improved public education and prescribing practices, a number of issues that will help to address this. Are these issues addressed in Bill C-37? No, they are not. Is Bill C-37 our only weapon in the fight against opioid misuse and overdose? No, it is not.

[Dianne Lynn Watts, Conservative, South Surrey—White Rock, BC]

Mr. Speaker, I have a question because I know this is a multifaceted issue. There are many streams and it is a very complex. The member spoke about saving lives and said that the injection sites would do just that. I do not have any disagreement with that.

However, I have before me just a random snapshot of 12 kids who are dead. They were aged 21, 23, 24, three at 21. A Delta mother lost two of her children within 20 minutes of each other, both kids in their 20s. We are talking about deaths, overdoses and adolescents.

Could the member please tell me how Bill C-37 would address that issue for those adolescents who are taking pills and not using injection sites?

[Doug Eyolfson, Liberal, Charleswood—St. James—Assiniboia—Headingley, MB]

Mr. Speaker, it is an honour to rise today to speak in support of Bill C-37, an act to amend the Controlled Drugs and Substances Act and to make related amendments to other acts. The bill directly addresses the national public health crisis of opioid overdoses and provides measures to prevent increasing harm to Canadians and communities all across the country.

I would like to speak to the importance of two key components of the bill: first, streamlining the process of supervised consumption sites; and second, providing additional enforcement capacities to the Canadian Border Services Agency, which would help prevent illicit opioids from entering Canada through international routes and therefore reduce the risk of controlled substances entering the hands of Canadians.

These components of the bill are critical to Canada's fight against the opioid epidemic currently sweeping across Canada.

As we know, when the previous federal government decided it would not extend the legal exemption for Insite in Vancouver, advocates initiated a legal challenge, which reached the Supreme Court of Canada.

In 2011, the Supreme Court ruled that the health evidence in support of Insite was substantial and opened up the possibility of establishing additional facilities in Canada if there was an appropriate balance between achieving public health and public safety.

This balance was organized into five criteria: first, evidence, if any, on the impact of such a facility on crime rates; second, the local conditions indicating a need for such a supervised injection site; third, the regulatory structure in place to support the facility; fourth, the resources available to support its maintenance; and fifth, expressions of community support or opposition.

Simply put, the legislation removes the burdensome 26 application criteria put forward by the previous government. Instead, it uses the five factors outlined by the Supreme Court of Canada in its 2011 ruling on Insite in order to streamline the process.

It has been established that opioid addiction is typically chronic, lifelong, difficult to treat, and associated with high rates of morbidity and mortality. Our ultimate goal is to reduce, and ultimately help eliminate opioid addiction but we first have to stop people from dying. We know that supervised consumption sites work to do just that.

Just a few of the organizations that support supervised consumption sites are: the Canadian Medical Association, the Canadian Nurses Association, the Canadian Association of Nurses in HIV/AIDS Care, the Public Health Physicians of Canada, the Canadian Public Health Association, the Registered Nurses' Association of Ontario, and the Urban Public Health Network. Furthermore, international organizations, such as the World Health Organization and the Centers For Disease Control and Prevention, are in favour of harm reduction services.

As a member of the Standing Committee on Health, I had the honour of assisting with the swift passage of Bill C-37 through the committee stage. With the current health crisis across Canada, the rapid passage of the bill is imperative. Time is of the essence to help save lives, and as I previously mentioned, a key outcome of the legislation is that the length of time required to process applications for supervised consumption sites would be significantly reduced, while still providing the necessary balance between public health and public safety.

Many witnesses throughout the Standing Committee of Health's study on the opioid crisis stated that there were significant barriers associated with the previous government's Respect for Communities Act and its 26 criteria. The act created an onerous application process for community groups wishing to apply for a supervised consumption site, as evidenced by the lack of applications that have been successful since the legislation was put in place.

For example, three supervised consumption sites were approved last month in Montreal under the previous government's legislation. Although their approval is positive, the time it took to process the application was quite long, as it was submitted in May 2015. That is 17 months the city of Montreal had to wait to assist their vulnerable citizens with opioid addictions. That is too long. I agree the important criteria must be met before supervised consumption sites are established within communities, but the application process must reflect the urgency of the situation. I believe Bill C-37 would do just that.

One significant statement made during the Standing Committee on Health's clause-by-clause on Bill C-37 was by the hon. member for Vancouver Kingsway. He stated, “On the first day that Insite opened, they reversed 15 overdoses”. That is a staggering number of people saved in one day.

By streamlining the application process, Bill C-37 would ensure applications would be approved in a timely fashion, paving the way to save more lives. For example, at Insite there have been over 4,922 overdose reversals, and not a single death has occurred at that facility. Supervised consumption sites save lives and help reduce the spread of HIV and other infectious diseases.

I was shocked to hear that in 2016 in B.C. alone, a total of 914 people died from an overdose, an 80% increase from the previous year. This alarming statistic shows that it is our responsibility as federal members of Parliament to act now.

Another key component of the legislation that I wish to speak to is how the bill addresses the illegal supply, production, and distribution of drugs. One of the key findings of the September 2016 report published by the RCMP regarding the current opioid crisis Canada faced was that China continued to be the pivotal source for illicit fentanyl and its analogues, precursors, other novel emerging opioids, and tableting equipment that supplied Canada-based traffickers.

Bill C-37 addresses this issue by proposing to give Canada's border services officers greater flexibility to inspect suspicious mail, no matter the size, that may contain goods that are prohibited, controlled, or regulated. The current legislation prohibits the CBSA from opening suspicious mail that weighs 30 grams or less. If the CBSA found such a package, it would have to seek the permission of the addressee, which would prove to be difficult. This gap in enforcement capacity is problematic as just one standard size mail envelope, 30 grams, can contain enough fentanyl to cause 15,000 overdoses.

Given the prevalence of illicit drugs found in international packages is greater than domestic mail, this measure would only be for international incoming mail. Our border agents need to be given the clearance to inspect these packages to help stem the flow of illicit drugs entering into Canada.

According to the same report by the RCMP, in May and June of 2016 the CBSA intercepted for the first time two separate shipments of carfentanil, which is estimated to be 100 times more potent and toxic than fentanyl and 10,000 times greater than morphine.

Therefore, we know there has been an increase in trafficking and it is our responsibility to equip the Canada Border Services Agency with the tools needed to stop it.

Bill C-37 would save lives, whether that would be by the seizure of a shipment of an illicit opioid by the CBSA or through the nurses at new supervised consumption sites, whose applications would be approved based on the new set of five criteria. This legislation is the next step in fighting the crisis we see across Canada, and I believe this bill is a step in the right direction to help Canadians today.

Many Canadians are one overdose away from becoming another tragic statistic in the ever-increasing Canadian epidemic of opioid addiction. This evidence-based legislation could not be more timely. With these rising fatalities, it is now more important to act. It is my hope that Bill C-37 will be granted the same swift movement through the Senate as it is being granted in the House of Commons. It would enable Canada to tackle this nationwide problem and help to ensure the safety of vulnerable Canadians. The faster it is enacted, the faster it will help save lives.

[Joël Lightbound, Liberal, Parliamentary Secretary to the Minister of Health]

Mr. Speaker, I would like to thank the Conservative Party member for her speech.

I often hear Conservatives on the other side of the House talking as though the communities were never consulted about the bill that we introduced.

I would simply like to remind them that, under paragraph 42(2)(e), some of the information that will be requested by the Minister of Health will be expressions of community support or opposition. That is one of the criteria that must be considered, as set out in the Supreme Court ruling.

With regard to what the member was saying about the importance of education, it is true that people need to stay far away from drugs. I think that everyone agrees on that. At the same time, we cannot stick our heads in the sand and pretend that there are no Canadians struggling with this problem, which is causing too many deaths.

In British Columbia alone, 1,000 people died of drug-related overdoses in 2016. There has also been a major increase in the number of overdose deaths in Alberta. This is a problem in cities all across Canada.

I believe we are taking a fact-based approach. We are trying to reduce the harm that this can cause while still cracking down on the problem. We are doing that by allowing authorities to open packages weighing less than 30 grams, which could contain as many as 15,000 fatal doses, while adopting an approach that seeks to reduce the devastation caused by drugs.

My question is simple. Can the member see the balance that exists in Bill C-37, and can she comment on that?

[Karen Vecchio, Conservative, Elgin—Middlesex—London, ON]

Mr. Speaker, I am very happy to stand today and speak to Bill C-37, an act to amend the Controlled Drugs and Substances Act and to make related amendments to other acts.

I have listened to many of the speakers in the last few debates on this, and everyone is pointing fingers, saying that the other government did not do this and we are doing this, but I am coming here as a mom. I am the official critic for families, children, and social development, and I am thinking about what we can do that is best for our families and best for our communities.

Many people are giving information regarding safe injection sites and why they work, but I am looking at the communities. One of the most important things to me is having a safe community and having a good place to raise my children and all Canadian children. When we are talking about this, we have to go back to why we are putting in these laws. It is about the safety of Canadians, whether it is the safety of those people who are unfortunately addicted or the safety of the families that are living beside injection sites or living in areas where there is a huge drug issue.

When this started being discussed in December, I sent an op-ed to The London Free Press, which is one of our local newspapers. Immediately following that, I set up an appointment with Dr. Christopher Mackie, who is the medical officer of health and the CEO of the mental health unit. Many people thought we would be on different sides. He comes at it in a more liberated way, and I come at it in a more conservative way, basically because of being a mom. At the end of the day, we had basically no things that were not in common. Our concerns were the same. It was all about making sure that when our children go to school, they are safe. It was about making sure that when people are dealing drugs, they are not interfering in our communities. We recognize that it happens, and it is extremely unfortunate that it happens.

What is happening is that we are moving forward on things that we are really not comfortable with. As a mom, when l spoke to Dr. Mackie, I told him about my discussions with my own children regarding marijuana and about why it is so important for families to sit down and have these discussions. Things like marijuana, heroin, opioids, and all of these things are coming into our children's paths much more frequently, and they are something we do not understand.

I am a child of the eighties, and my teenage years were great in the eighties. We heard of cocaine and marijuana, but we did not see it in our small communities.

Everyone is looking at the discussions we are having, but we have to look at them through a family filter. We talk about gender-based analysis. I want to ask every member of Parliament to look at this through the filter of a parent. That is what I am asking.

In the city of London, when they were putting in a methadone clinic, there were discussions about where it would go. There were so many people concerned, because it was going directly across the street from a high school on Dundas Street in St. Thomas. To this day, five years later, it is still a huge concern, because in that pocket of the community, there has been a lot of turbulence, whether it is crime, increased drug use, or things of that sort. What is it teaching our children as they exit from the high school and there is a methadone clinic across the road? What signals are we sending to our children? Is it saying no to drugs or that we are there to assist them?

We are failing our children. We are failing the next generation by not teaching them right from wrong and not teaching them that the use of drugs and hard drugs is difficult. They are going to have addiction issues. They are going to have problems with brain development.

We are not starting at step one anymore. We are going to step 10 and saying, as one of the members said, let us legalize all drugs. I do not know if he was serious, because he was looking at drugs as not being a crime. Let us be serious. It may not be a crime to use drugs, but what does it lead to?

I have a lot of personal experience in my community with my own family's drug use. It is not me personally, but I have been touched intimately because of drugs. I have known people who have passed away. A person I grew up playing baseball with died right before Christmas, in our own community, from taking carfentanil. I knew this gentleman, Jeff. He died at the age of 46. He was a father with children. He had a son he loved like members would not believe and tons of friends. The problem was that he got mixed up with drugs when he was very young, and that is the life that led him down the path to his death.

I think what is happening is that we are blurring what is right and wrong, and we are saying that this is how we are going to help. Why do we not start at the front end, which is education and letting people know how to speak to their children and letting people know that the use of heroin is not right? We give so many reasons for saying that we need to have this. Why do we not start at square one and make it right in the first place?

I believe that we have to have places where we can help people rehabilitate. We know that there is a drug crisis, and we need to do better. Where do we start?

I like 90% of this bill. I think it is really important that when packages come into Canada, they are tested, that we do not allow counterfeit companies that come in to manufacture pills, and that we do not allow pill presses or anything like that. I think it is really important to have legislation against that, because it is helping in the war against drugs, and we know that this is happening.

However, when we start talking about the one piece, the safe injection sites and the fact that there would not be consultations in our communities, that is where I have to say stop. As I said, back in the city of London, where, across from H.B. Beal, they have a methadone clinic, there were many parents who came forward to the Thames Valley District School Board to state their opinions.

In a letter I read last year regarding safe injection sites, a woman spoke about her daughter who, at the age of 13, became addicted to cocaine. The daughter, who went into one of these clinics, at the time said that the ability to get drugs was even easier once these clinics were available to her.

We have to understand that it is not a fix. It is a band-aid approach unless we go into it full scale to help Canadians, whether it is Canadian families or Canadian youth at risk. We need to make sure that we are doing better, and we are not doing that. That is what makes me so concerned.

We are talking about fentanyl. We know that in Vancouver, more than 950 people have died because of it. In my own community, we had six overdoses in one weekend right before Christmas, and unfortunately, one person died.

I was speaking to both the police chief of the city of St. Thomas, Darryl Pinnell, who will be retiring shortly, and the police chief of the city of London, John Pare. I wanted to discuss with them some of their concerns in their cities. To be honest, I thought when I went into this conversation with the police chiefs, we would be talking about prostitution, because we know that there has been some sex trafficking going on in our communities. I thought we would be talking about marijuana and the concern about people driving under the influence of marijuana, but the big issue for the two police chiefs was fentanyl. In the city of London, I know that there have been three different seizures of fentanyl that has come into our communities. I applaud them for doing their great work. However, we have to do more.

We sit here and become so open and so allowing of things, whether we are talking about sexual expression or drug use. We have lost our innocence. As a parent, I can tell members that each and every time I have a conversation with my children, it is about talking about right and wrong. However, when we are watching television, when we are watching the news, when we are seeing things on the Internet, when we are having these discussions, do we not think we are also saying, “Drug use, well, you know, it happens”? It happens, but it has to stop happening. Our job is to change that.

Maybe I am coming out here as a Pollyanna. A gentleman, many years ago, said that I was his Pollyanna. I like to see the positive side. When I look at this, we are starting the wrong way. We should be educating people. We should be having a program and educating people about the use of drugs. Instead, we are allowing it. We are even talking about legalizing all drugs. What the heck?

What really concerns me is that we are going in the wrong direction. I am worried about what we are doing to the future of Canadians. What are we saying? What is right and wrong? Those are some of my concerns.

We can do better. I think we are all just kind of saying that opening these clinics will be fine. It is a band-aid approach. Unless we have wraparound services to allow people to rehabilitate and get off drugs, it is not going to help anybody. It is a short-term cure. Although I understand the need, it is just that, a short-term cure. When the municipalities and the communities are not involved in the decision on where these sites are going to go, we are in trouble.

I thank all members for their time and for listening to Karen, the mom, today. That is what I believe, and I wanted to share it with members today.

[Joël Lightbound, Liberal, Parliamentary Secretary to the Minister of Health]

Mr. Speaker, on such an important issue as safe consumption sites, which could, indeed, save lives, according to the vast majority of health experts, facts and evidence, and what we have seen in Vancouver, it has to proceed quickly.

It became a partisan issue. The previous Conservative government responded to the Supreme Court judgment that set out five clear criteria on which to approve sites in communities where they are needed and, instead, provided 26 onerous, lengthy, complicated criteria that made it hard for communities to have the needed safe consumption sites, which prevent sickness and save lives. At this point, we should move forward with Bill C-37.

I would ask the member, going back to what the Supreme Court clearly stated, if it would give more flexibility to provide safe consumption sites, to give exemptions where they are needed, where they save lives, and where communities demand it, like Montreal, which has just received approval after such a lengthy period. It had been asking for these sites for close to two years. Does he feel this would help protect Canadians, as Mayor Coderre said, even if it is sometimes from themselves?

[Steven MacKinnon, Liberal, Parliamentary Secretary to the Minister of Public Services and Procurement]

Mr. Speaker, it is an honour for me to rise in the House to show my support for Bill C-37.

This bill merits the support of all members of the House. I am particularly pleased that our friends in the New Democratic Party are in support of what is, essentially, a public health measure.

There have been debates in this place and elsewhere across the country for over a decade and we saw some of the divisive community fights that ensued in Vancouver and other locales across the country on the issue of substance abuse, community health, and the measures for those who suffer from drug addiction. I applaud my colleagues in the House who support the measures that have now become more and more urgent, so that we may address the public health issues that are raised by the scourge of substance abuse in Canada.

Whether we are talking about the measures taken in Vancouver or the ones taken in Montreal lately, measures that I know are being debated in communities across this country, the process outlined in the bill will be simplified, will take root in communities and among workers at the street level or across the spectrum of public health services who look after those who have substance abuse issues, and those who look to our communities and organizations to provide support.

It is a great pleasure for me to rise to speak on this bill and the principles of it. It has been exhaustively debated and my colleagues have weighed in and supported it very strongly. I thank the members of the party opposite and the New Democratic Party. I urge all members of the House to rise in support of this important legislation.

The House resumed consideration of Bill C-37, an act to amend the Controlled Drugs and Substances Act and to make related amendments to other Acts, as reported (with amendments) from the committee.

Motions in amendment

[Sean Fraser, Liberal, Central Nova, NS]

Mr. Speaker, I am thankful for the opportunity to debate this important legislation, Bill C-37. It is a response to the national opioid crisis that is particularly severe in western Canada but is spreading throughout the rest of the country. To be blunt, given the time constraints, this bill will save lives, and I hope every member of the House supports it.

Over the course of time that I have to address this issue, I want to give a very brief background on the scope of the fentanyl crisis facing our country and then tackle some of the things we can do, such as trying to undercut the illicit market for this devastating drug and ensuring we are treating addiction like a life-threatening chronic illness and not a crime.

The scope of this crisis is extraordinarily widespread. We have heard hon. members from different parties address its widespread nature, but I specifically would like to draw the attention of members the fact that 947 lives were lost in British Columbia in 2016. By comparison, death from motor vehicle accidents in somewhere in the range of a little more than 300. In Ontario, I believe, on average, two people die a day from an overdose of opioids. In my home province of Nova Scotia, we are losing one life approximately every five or six days.

This drug is migrating from the west coast to the east coast. Even though we know it is being manufactured and imported from parts of Asia and that British Columbia has borne the brunt of it so far, we need to act now so we can stem the bleeding that is happening on the west coast and prevent disaster to such extremes from affecting the rest of the country as well.

I find that a few measures in Bill C-37 are very helpful and will help undermine the illicit market for fentanyl. One of the first things we can do is tackle the equipment that is being imported to help manufacture this drug locally, things like pill presses and encapsulators. Bill C-37 would ensure that we would not allow the importation of these devices, thereby helping to prevent the production of the drug locally in the first place.

We are also planning on criminalizing the possession of any kind of equipment that can be used with the knowledge that it can be used toward trafficking in controlled substances, such as the law that currently applies to methamphetamines. This is a common-sense approach that will make it harder to produce and distribute this dangerous drug.

Should this legislation pass, we plan on making changes that will allow border services agents greater latitude to inspect suspicious packages, even though they may be smaller than the current norm allows. Again, the reason for this policy change is simple common sense. The potency of this drug is so much stronger than even heroin or other drugs found on the streets today. This needs to be addressed by ensuring that even the smallest amount can be detected and prevented from coming into Canada in the first place.

In addition, Bill C-37 makes serious efforts to divert access of this controlled substance to the underground market by introducing a new scheme that is characterized by monetary penalties to ensure we have a better ability to enforce the laws on the books now. Ensuring that compliance is encouraged, non-compliance is deterred, and that we have an effective mechanism to enforce our rules is a key step in stemming the distribution and production of this drug in Canada.

I would like to spend the remaining time I have on the importance of ensuring addiction is treated like a chronic life-threatening illness rather than a crime. This comes to the key feature of Bill C-37, which is the promotion of safe injection sites. Addicts would have a place where they could get the treatment they needed, rather than turn to the streets and bury themselves in communities where they would not have supports and the outcome of their use of the drug would be far more severe.

In preparing for today's speech, I consulted with medical professionals who had recently done research on this. They explained to me that the research was clear. The traditional approach of detox and abstaining is not one that works, particularly when people successfully try to get off the drug and have episodes of relapse. Their risk of overdose is so much higher because their tolerance is reduced.

If we look at the benefits of harm reduction, there is a handful that, again, appeal to common sense and are borne out on the evidence.

We know that the use of methadone prevents cravings and gives a different kind of high to help reduce addiction. We know that treatment in safe injection sites improves retention for people who do enter treatment. We know that it reduces needle sharing, which reduces the impact. Most important, it reduces death resulting from overdoses of opioids.

[Alexandre Boulerice, NDP, Rosemont—La Petite-Patrie, QC]

Mr. Speaker, I thank my colleague for his comments and kind words.

We need to get back to the basics, the five essential criteria set out by the Supreme Court. Obviously, the safety of our communities is an issue, but this is first and foremost a matter of public health.

I also understand that Bill C-37 is not the whole solution but part of a bigger plan. We understand that. It is also very important to work on prevention.

However, we need to speed up the process today. It is too bad that it has taken so long to get to the vote at third reading and move forward with this. I would also like to know why the Liberal government has not started implementing the 38 recommendations of the Standing Committee on Health, even though the Liberal members of the committee supported them.

[Joël Lightbound, Liberal, Parliamentary Secretary to the Minister of Health]

Mr. Speaker, first and foremost, I want to the thank my colleague from Rosemont—La Petite-Patrie for his speech, and I thank his party for the position it has taken on Bill C-37. Indeed, this bill will ease the criteria so that safe injection sites can be approved quickly in communities where they are needed most.

I agree with my colleague. We know that safe injection sites save lives and prevent the transmission of disease. In response to the Supreme Court ruling, the previous government unfortunately took a highly ideological approach, but at least now we are taking a facts- and evidence-based approach.

With regard to the opioid crisis, which is killing too many people in Canada and needs to be addressed, earlier I listed a whole series of measures the government has already taken to deal with this crisis, Bill C-37 being one of them.

I wonder if the member could talk about the advantages of coming back to the five criteria set out by the Supreme Court, rather than the 26 onerous and convoluted criteria required under Conservative Bill C-2.

[Alexandre Boulerice, NDP, Rosemont—La Petite-Patrie, QC]

Mr. Speaker, I am very touched to be able to rise in the House today to speak to this important bill. I am very touched, but at the same time, I think it is a real shame that we have to talk about this again. This is an extremely important debate. There is likely no other parliamentary debate that is more vital or that will have a greater impact on the lives of Canadians than the debate that we are having right now.

Simply put, it would have been nice if this issue had been resolved years ago because we are now dealing with an urgent situation in our municipalities, in our big cities, and on our streets.

People are dying from overdoses of illegal drugs, particularly opioids, and this is a crisis. Hundreds of people are dying in our communities and on our streets because our facilities are not equipped to adequately respond to this serious substance abuse problem, particularly when it comes to increasingly dangerous and hard drugs. For example, fentanyl is 100 times more potent than heroin, and it is wreaking havoc on our cities and communities.

There is even a fentanyl derivative that is so potent that first responders are now being advised to wear masks and gloves when helping people because, if the drug is inhaled or comes into contact with the skin, it can be deadly for the paramedics and nurses who are in contact with those who need help.

Hundreds of people are dying every day in our streets and alleyways because we have failed to adequately respond to this situation. In all seriousness, this is one case where I am sad to say that our federal government dropped the ball and we have collectively failed. We could have taken measures that would have saved lives. There is a national crisis, and people are dying from lethal opioid injections because of the laws that we pass or fail to pass. This is serious.

Indeed, we in the NDP are calling on the Liberal government to declare this a national emergency and give greater powers and funding to the chief public health officer of Canada, so that he can coordinate efforts to help these individuals. I find it extremely unfortunate that the Conservatives did not respond appropriately to the Supreme Court decision and instead chose to stand in the way of public health stakeholders who wanted to set up safe injection sites to help addicts in crisis.

As I reminded the parliamentary secretary a few minutes ago, I also find it unfortunate that the Liberal government dragged its feet for 16 months before introducing a bill to fix the mistakes of Bill C-2 passed by the Conservatives. I will come back to this point a little later.

I would like to share some statistics. I am talking about people who are dying because of the lack of health facilities, that is, safe injection sites, particularly in our big cities. This is no joke. In 2016, there were 914 overdose fatalities in British Columbia. That represents an 80% increase over the previous year. Across Canada in 2016, there were about 2,000 fatalities. In December alone in British Columbia, 142 people died of drug overdose. In Vancouver, more specifically, there were between 9 and 15 deaths every week.

In Ontario, there are two deaths per day. Our young people are dying in our streets because we do not have what we need to help them. Supervised consumption sites are proven to save lives. When Insite was finally given the go-ahead several years ago in Vancouver, community officials realized that the number of deaths dropped by 35% in the area surrounding the site.

It works. It works in Vancouver, it works in British Columbia, and it works around the world. It has been proven.

Why have we been unable to respond appropriately? The previous government spread all kinds of prejudices, which is a terrible shame. In 2011, a unanimous Supreme Court ruling authorized Insite and encouraged the government to change the law to define the process. The previous government was very right-wing and focused on repression, and it wanted to turn this into a partisan issue. When that government introduced Bill C-2, it was not to help people involved in public health; it was to create more barriers to setting up these very important sites. That is a terrible shame.

What did the Conservatives do in their day? They added 26 eligibility criteria that had to be met before Health Canada could authorize a supervised consumption site. What was the outcome of that? How many sites were given the green light? Zero. Not one. We are years behind because of that.

Health Canada was unable to authorize the opening of such sites despite the fact that the experts, the scientific community, municipal officials, and the groups that work with addicts every day all wanted them. Montreal had been asking for a supervised consumption site since May 2015. We can say that was a while ago. Every year, between 70 and 100 people in Montreal die of an opioid overdose. How many people could we have saved in that time?

Communities approve of this type of measure. I want to share a few short quotes to that effect. The first one is from Gregor Robertson, mayor of Vancouver. “Every month we lose because of Bill C-2, and an onerous process that's totally unnecessary and overboard, means we're losing dozens of people.”

Denis Coderre, the mayor of Montreal, asked, “What are we waiting for? People are dying.”

Adrienne Smith, health and drug policy lawyer at Pivot Legal Society, said that she feared that while we wait, while we set up working groups and give the Liberal government the benefit of the doubt, hundreds of people could die.

Sterling Downey, a Montreal municipal councillor, asked, “How do you go into the media and announce over a year ago that you're going to open these sites and back off and go radio silent?”

According to another quote, the organizations that are supposed to host the sites don't even dare set opening dates any more. They are stuck in a grey area where, every year for the past three years, they are told that the sites will open in the spring, but it doesn't happen.

I have pages and pages of quotes like that. For years, people have been anxious to help our young people, and the older ones too, but especially the street kids who fall victim to these opioids, these hard drugs.

I think it is a shame that society has lost so much time because some people tried to score political points by holding fundraisers. I would remind hon. members that the director of the Conservative Party sent a fundraising email and used the politics of fear by accusing the NDP and the Liberals at the time of wanting to put our children in harm's way, claiming there would be more syringes in our schoolyards and back alleys. They would have people believe that with injection sites comes increased risk, but the facts say otherwise. If a person enters a supervised injection site and is treated by a professional, that person will be given a course of treatment and drugs to help ween them off the hard drugs. That person will pull through. What does that mean? It means that thanks to supervised injection sites, there will be fewer syringes in the streets, in the parks, and in the back alleys, not the opposite. For years, people have tried to convince us that this is more dangerous, but that is not true.

The NDP moved a motion in the House a few weeks ago. My colleague from Vancouver Kingsway wanted the debate to end and to send Bill C-37 to the Senate so that it could come into force as soon as possible.

It is too bad that the Conservatives refused and blocked the NDP's motion. That is why we would like to see this bill pass through all stages, intelligently and diligently of course, but as soon as possible. We have wasted enough time. We need to save lives.

[Alexandre Boulerice, NDP, Rosemont—La Petite-Patrie, QC]

Mr. Speaker, I thank my colleague for his speech. He pointed out that the NDP, who are progressive, will be supporting Bill C-37, which is finally going in the right direction. However, I am wondering about the following: why, once in power, did the Liberal Party drag its feet for 16 months before introducing a new bill to correct the mistakes made with the Conservatives' C-2?

Even the Minister of Health said at the start that it was not necessary and that they could work just fine with existing legislation. The Liberals are waking up, a bit late, now that we are facing an emergency and a national crisis and people are dying in the streets. Why did the Liberal government change its position at the beginning and then change it again? In the end, we have lost more than a year.