Evidence of meeting #38 for Health in the 43rd Parliament, 2nd Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was doses.

A recording is available from Parliament.

On the agenda

MPs speaking

Also speaking

John Ossowski  President, Canada Border Services Agency
Stephen Lucas  Deputy Minister, Department of Health
Theresa Tam  Chief Public Health Officer, Public Health Agency of Canada
Iain Stewart  President, Public Health Agency of Canada
Bill Matthews  Deputy Minister, Department of Public Works and Government Services
Matthew Tunis  Executive Secretary, National Advisory Committee on Immunization
Clerk of the Committee  Mr. Jean-François Pagé
Denis Vinette  Vice-President, Travellers Branch, Canada Border Services Agency

11 a.m.

Liberal

The Chair Liberal Ron McKinnon

I call this meeting to order.

Welcome, everyone, to meeting number 38 of the House of Commons Standing Committee on Health. The committee is meeting today to study a number of matters relating to the emergency situation facing Canadians in light of the COVID-19 pandemic.

I would like to welcome the witnesses. From Canada Border Services Agency, we have John Ossowski, president, and Denis Vinette, vice-president, travellers branch; from the Department of Health, Dr. Stephen Lucas, deputy minister; from the Department of Public Works and Government Services, Mr. Bill Matthews, deputy minister; from the National Advisory Committee on Immunization, Dr. Matthew Tunis, executive secretary; and from the Public Health Agency of Canada, Mr. Iain Stewart, president, and Dr. Theresa Tam, chief public health officer.

We'll start with statements from our witnesses.

Let's begin with Mr. Ossowski, please, for five minutes.

11 a.m.

John Ossowski President, Canada Border Services Agency

Good morning, Mr. Chair and members of the Standing Committee on Health.

Thank you for inviting me to participate in this discussion today.

I am pleased to be here to respond to your questions about how the Canada Border Services Agency is implementing and enforcing border measures during the pandemic. I am here with Denis Vinette, vice-president of the travellers branch at the CBSA.

Since the start of the pandemic, the CBSA made its pandemic response a priority. To help keep Canadians safe and protected, the Government of Canada has put in place emergency border measures to limit the introduction and spread of COVID-19 and its variants in Canada.

CBSA border service officers apply over 90 acts and regulations to safeguard Canadians. Over the last year, we have also implemented the provisions of 50 orders in council that apply to foreign nationals and residents of Canada. The OICs are designed to restrict travel and establish public health requirements so that we can reduce the spread of the virus into Canada. The measures have resulted in 96% less air traffic and a 90% drop in non-commercial traffic entering Canada by land, compared with pre-pandemic volumes.

It's important to point out that Canadian citizens, permanent residents and people registered as an Indian under the Indian Act have a right to enter Canada. However, all travellers seeking to enter Canada go through enhanced screening measures by CBSA border service officers, and must meet testing and quarantine requirements to keep Canadians safe, unless they qualify as exempt.

Of course, some cross-border travel is necessary to maintain the flow of goods and services critical to our economy and our people. The majority of individuals crossing in vehicles at the land ports of entry are essential service providers, such as truck drivers and nurses. We must continue to strike a balance between keeping Canadians safe and keeping the economy running.

Data shows that Canada’s pre-arrival, on-arrival and post-arrival testing requirements, and quarantine requirements, are working. For example, over 99% of travellers entering Canada have either complied with the pre-arrival testing requirement or were exempt from it.

The CBSA continues to work with other Government of Canada organizations on the pandemic response. Our agency works in close co-operation with the Public Health Agency of Canada to implement and uphold the public health measures that are recommended at the border. The last year has shown that the CBSA is able to rapidly adapt its operations to put new processes, rules and orders in place. We are certain that we will be able to continue to respond to new and evolving measures, including the potential use of proof of vaccination credentials, to facilitate travel and manage the border.

Since the beginning of the pandemic, we have supported the government’s efforts to establish strong measures to secure Canada’s borders and to help prevent further introduction and transmission of COVID-19 and its variants into Canada. We have demonstrated our resolve and willingness to adjust restrictions based on scientific evidence. I am very proud of the work CBSA officers have done, and will continue to do, to protect Canadians and the Canadian economy in the face of this pandemic.

I would be happy to respond to questions from committee members.

Thank you.

11:05 a.m.

Liberal

The Chair Liberal Ron McKinnon

Thank you, Mr. Ossowski.

We'll go now to Dr. Lucas, deputy minister.

Please go ahead for five minutes, please.

11:05 a.m.

Dr. Stephen Lucas Deputy Minister, Department of Health

Thank you, Mr. Chair.

It's a pleasure to be here along with colleagues from the CBSA, PSPC, Public Health Agency of Canada and NACI.

My remarks today will focus on the actions that Health Canada has taken to keep Canadians safe during this pandemic.

Health Canada is the regulator for health products, including therapeutic products, vaccines and medical devices. Our scientists review health products for their safety before they can be sold in Canada.

Early on, we recognized the need to facilitate the authorization of COVID-19 treatments and vaccines, given that in the early stages of the pandemic none were available. Health Canada expedited the review of COVID-19 clinical trial applications, treatments and medical devices through the use of interim orders so that Canadians could have access to the products they needed to keep safe. We have authorized 265 disinfectants, more than 4,500 hand sanitizers, 645 medical devices and two treatments.

In the context of treatments and vaccines, rolling reviews permitted manufacturers to submit their requests for authorization before they completed all of the clinical trials, allowing Health Canada to evaluate the data of promising candidates as it became available.

As you know, Health Canada has authorized five different COVID-19 vaccines. Ongoing monitoring of the safety and effectiveness of these vaccines is a priority for Health Canada. We also require evidence of product quality before each lot of vaccine is distributed in Canada. This is true for the Janssen vaccines received on April 28 that contained drug substances that were manufactured at the Emergent site in the United States. Health Canada continues to work closely with Janssen and our international partners, including the United States Food and Drug Administration, to confirm the quality of the supply, given the issues reported by the USFDA after its inspection of the Emergent facility in April.

Let me take a moment now to say a few words about testing and screening, which, along with public health measures and vaccines, help to slow the spread of COVID-19.

As of May 15, the department had approved 68 test kits, including 17 rapid tests. More than 27 million rapid tests have been shipped to the provinces and territories. In addition, as of May 18, the Government of Canada has provided almost 1.5 million rapid tests directly to private and not-for-profit organizations in critical sectors across the country. These rapid tests used in screening programs can help to identify pre-symptomatic and asymptomatic cases so they can be isolated early to help stop the spread of COVID-19 in workplaces and other settings.

As vaccine rollout continues, testing and screening remain important in protecting public health and supporting reopening.

Now more than ever, Canadians need access to virtual health care services.

The government is supporting the expansion of virtual care in Canada, which will help reduce the pressure on health systems and provide Canadians with needed health services and authoritative information in a safe and secure manner through telephone, text or video conferencing, in addition to face-to-face visits.

In May 2020, the government announced an investment of $240.5 million to increase access to virtual services and digital tools to support Canadians' health and well-being, and $150 million of that funding is being provided to provinces and territories through targeted bilateral agreements. In addition, Canada Health Infoway will receive an additional $50 million to support provinces and territories in their efforts to implement these new virtual health initiatives and work with the Canadian Institute for Health Information on content standards for virtual care.

In conclusion, we continue to work closely with provinces, territories and other partners to adapt to the challenges of delivering health care during the pandemic.

I look forward to answering your questions.

Thank you.

11:05 a.m.

Liberal

The Chair Liberal Ron McKinnon

Thank you.

We'll go now to Dr. Tam.

Dr. Tam, please go ahead for five minutes, please.

11:05 a.m.

Dr. Theresa Tam Chief Public Health Officer, Public Health Agency of Canada

Thank you, Chair and members of the Standing Committee on Health, for inviting me to speak to you today.

The Government of Canada has taken a whole-of-government approach in its response to the COVID-19 pandemic.

Every day we are achieving important milestones in Canada's vaccine rollout. In just five weeks, we have doubled the number of COVID-19 vaccine doses given across Canada, from 10 million doses administered by mid-April to almost 20 million doses administered to date. As of May 15, 55% of eligible adults have received at least one dose of COVID-19 vaccine.

As outlined in Canada's COVID-19 immunization plan, the goal throughout our campaign has been to enable as many Canadians as possible to be immunized as quickly as possible against COVID-19 while ensuring that high-risk populations are prioritized. In doing so, we will reduce serious illness and death while minimizing societal disruption.

To meet these goals, we have conscientiously relied on the accumulating scientific data, the emerging evidence and the guidance of public health experts to inform our decisions, strategies and recommendations. The Public Health Agency of Canada's vaccine rollout task force has been guided by committees of immunization experts such as the National Advisory Committee on Immunization and through close collaboration with provincial and territorial partners.

Grounding our approach in public health science and equity resulted in the identification of priority populations and the extended dose strategy currently in place. These strategies have been instrumental in meeting our public health goals and maximizing protection both for at-risk groups and the population overall.

Although the national daily number of COVID-19 cases remains high as we continue to feel the effects of a variant-driven third wave, there is reason to be optimistic, as public health measures are demonstrating an impact and vaccination coverage broadens. Over the past seven days, there has been a more than 25% decrease in daily cases, and compared to last week, the number of patients in hospitals has dropped by 10%. Nationally, deaths have decreased by 15% compared to last week.

The success of vaccinating priority populations first, specifically people 70 years of age and older and those living in congregate settings, is borne out by the observation that this age group has the lowest case rate nationally, and its hospitalization rate is also decreasing.

While nationally all age groups are seeing a decline in case rates, people aged 20 to 39 years old now represent the highest rate of infection. As additional age groups become eligible to book vaccines in different jurisdictions across the country, this highlights the importance of everyone stepping up to get their shot as soon as it becomes available to them.

We are committed to removing barriers to vaccination and building vaccine confidence. The success of the vaccination campaign relies on as many people as possible taking part. We are broadcasting this message loud and clear through the nationwide “Ripple Effect” communications campaign launched this week, which uses multiple multiple mass media formats to encourage vaccine uptake. I, myself, am reaching out to key priority groups such as personal support workers and key influencers such as faith leaders and YouTube personalities popular amongst younger adults.

The good news is that a strong majority of adults in Canada have indicated an intention to become vaccinated. However, despite this encouraging finding, we know that we must sustain our pace of vaccination even as coverage rates climb. As case rates come down and there is pressure to relax health measures, there remains a risk that those who face barriers to accessing vaccines will be left behind.

In this regard, community-based efforts to encourage vaccination will be crucial in the coming months. We know from experience that those approaches are effective. For instance, we have seen positive results in vaccine uptake using approaches that engage indigenous leaders and supporting, for instance, urban vaccine clinics operated by indigenous organizations, and we have seen success in reaching racialized and marginalized communities with information about vaccines by engaging individuals in their own languages and on platforms they already use.

Through dedicated funding, we are doing more to support the efforts of those with the expertise and capacity to promote vaccine confidence in their communities, especially in those communities experiencing health and social inequities or that have been disproportionately impacted by the COVID-19 pandemic.

The immunization partnership fund has provided $3 million per year since 2016, supporting 22 projects to increase vaccine uptake. In 2020 an additional $30.25 million was confirmed to fund more than 100 projects focused on capacity for health care providers and community-based programs, specifically social media campaigns, targeted resources and frontline interventions.

The vaccine community innovation challenge, funded with $1.5 million, supports projects in diverse communities to help spread the word about vaccines, increasing vaccine confidence through creative, community-driven and culturally appropriate means.

There is reason to be hopeful as we begin to feel the impacts of widening vaccine coverage across Canada, but we're not yet in the clear. Long-range modelling suggests that new cases will continue to decrease if current measures are sustained. We have an important window of opportunity to bring COVID-19 under control in Canada very soon, but it requires two key actions. The first is getting vaccinated as soon as it is possible to do so. The second is continuing to follow public health measures until it is truly safe for them to be relaxed. These two elements will provide the vaccination campaign the environment it needs to yield the highest possible results to protect Canadians and support the reopening that we all so eagerly await.

Thank you.

11:15 a.m.

Liberal

The Chair Liberal Ron McKinnon

Thank you, Dr. Tam.

We'll start our questions now.

Ms. Rempel Garner, please go ahead for six minutes.

11:15 a.m.

Conservative

Michelle Rempel Conservative Calgary Nose Hill, AB

Thank you, Chair.

I will start by directing my questions to Mr. Stewart.

On what day did you become aware of the allegations against Major-General Dany Fortin?

11:15 a.m.

Iain Stewart President, Public Health Agency of Canada

Mr. Chair, honourable member, there are two elements to that question. I first became aware that there was some issue in the third week of March—round about—and then of the specific allegation, moving into a process, I became aware on May 13.

11:15 a.m.

Conservative

Michelle Rempel Conservative Calgary Nose Hill, AB

Thank you.

On what day did you first discuss or correspond with the Minister of Health or any staff within her minister's office regarding the allegation against Major-General Fortin?

11:15 a.m.

President, Public Health Agency of Canada

Iain Stewart

I discussed the allegation with Minister Hajdu on the afternoon of May 13.

11:15 a.m.

Conservative

Michelle Rempel Conservative Calgary Nose Hill, AB

So you were aware that something was going on in March, and you had no correspondence with the minister or any of her staff—

11:15 a.m.

President, Public Health Agency of Canada

Iain Stewart

I did not—

11:15 a.m.

Conservative

Michelle Rempel Conservative Calgary Nose Hill, AB

—until May 13.

11:15 a.m.

President, Public Health Agency of Canada

Iain Stewart

Mr. Chair, honourable member, that's right. I did not raise the March...understanding that it was unclear what exactly was involved, so I did not raise it with the minister.

11:15 a.m.

Conservative

Michelle Rempel Conservative Calgary Nose Hill, AB

Who made you aware of this issue in March?

11:15 a.m.

President, Public Health Agency of Canada

Iain Stewart

In March it was the deputy minister of national defence.

11:15 a.m.

Conservative

Michelle Rempel Conservative Calgary Nose Hill, AB

What was described to you as the issue at that time?

11:15 a.m.

President, Public Health Agency of Canada

Iain Stewart

It was that there was an issue affecting Major-General Fortin, but its nature was not apparent. That was just kind of a heads-up that there was a potential issue.

11:15 a.m.

Conservative

Michelle Rempel Conservative Calgary Nose Hill, AB

Was the potential need to replace Major-General Fortin discussed at that time?

11:15 a.m.

President, Public Health Agency of Canada

Iain Stewart

No. We did not discuss that at that time.

11:15 a.m.

Conservative

Michelle Rempel Conservative Calgary Nose Hill, AB

At what point was the need to replace Major-General Fortin discussed?

11:15 a.m.

President, Public Health Agency of Canada

Iain Stewart

May 13 is when we decided that there needed to be a change.

11:15 a.m.

Conservative

Michelle Rempel Conservative Calgary Nose Hill, AB

Mr. Stewart, did you ask any other questions of your colleague at National Defence after first being made aware of this allegation in March?

11:15 a.m.

President, Public Health Agency of Canada

Iain Stewart

This is an area that involved some kind of situation that would pertain to personal information concerning that person. Also, it was regarding a serving member of the Canadian Armed Forces. It's not a space that the Public Health Agency would get involved in.