Essentially, there is a web of responsibilities. Public health is a local activity. Fundamentally, people get sick locally, issues happen locally, and disasters happen locally. They may happen in a whole lot of places at the same time, but they are local.
So there are provincial and territorial public health acts and local medical officers, nurses, inspectors, and others who manage things—infectious diseases, etc.—locally. Sometimes it just gets too big for them, at which time they engage us. We also operate the reference laboratory in Winnipeg, and others.
At the same time, in terms of planning ahead, we have the public health network, where there is this constant development and review of what are the best policies, programs, and ways of getting at the control of diseases, etc. And then we work internationally.
At the same time, when I was a local medical officer in Sault Ste. Marie, I had a good relationship with my counterparts in Sault Ste. Marie, Michigan, and the upper mainland, and others do that, as we do from state to province and vice versa. These issues cross all our borders, and we need to be in constant communication, and to the extent to which we can coordinate our activities, we'll be more effective doing that.
In terms of what might happen, I'll just give you a very recent example with the case of measles in terms of how Canada would deal with that. We held the students behind because I was not satisfied that we'd minimized the risk sufficiently in that context to allow the students to get on the plane. At the same time, we were in conversation with the Japanese. We let W.H. Njoo know what we were doing, and we were working very closely with local authorities, etc., in terms of how best to manage it.
It was a difficult situation—not easy, very complex—but people pulled together, and fortunately one planeload of students left yesterday and another today, and the remainder, we anticipate, will go home tomorrow.
Again, it was a bit of a disruption, but it did ensure that we did not send some measles on a plane that would potentially infect other people.