I want to say that I've seen a great deal of leadership on this issue from Dr. Ed Ellis from the Public Health Agency of Canada, and he's a hero of this process. I would just say that when you have a TB program, let alone an HIV or hepatitis or cancer program, in which there are different leaderships, jurisdictions, you are going to get fragmentation, and that may be okay for hepatitis or cancer--I don't think it is--but not for tuberculosis. One has to have a single program in each province, and the medical officer of health will then have to answer for what goes on in his or her region according to the performance targets. To do otherwise is to allow for the variance between some areas of Canada, where personalities are pigheaded and effective and they get along, they cooperate, and other areas where there's a disconnect and non-communication.
On April 20th, 2010. See this statement in context.