I go back to what I said previously: each province has to have a vertical tuberculosis control program. This is frowned on by some people in public health. It isn't to say that the director of tuberculosis control is a world unto him or herself, and in fact they should be responsible to the chief medical officer, but the tuberculosis control program in each province must be single, vertical. It can be horizontal at the community level, and should be horizontal at the community level, but the control and the decision-making and the program itself must be a vertical program. That's anathema to some public health individuals, I understand that, but it's the only way TB is going to come under control in Canada.
On April 20th, 2010. See this statement in context.