Madam Speaker, I will be sharing my time with the Parliamentary Secretary to the Prime Minister. I thank you for providing me with the opportunity to participate in this very difficult debate.
Governments created the Krever commission to examine all the information, to hear from many witnesses and to report on findings of fact about the blood tragedy of the 1980s. Justice Krever's final report is a comprehensive and exhaustive examination of the events. He recognizes the significance of the period 1986 to 1990 as a time when the Canadian blood system could have responded better with appropriate risk reduction measures.
After fully examining the facts Justice Krever advised us that rather than waiting for full scientific proof the Canadian Red Cross could and should have acted in a way similar to what occurred in the United States in 1986.
On the issue of the blood supply in general there can be no doubt of the government's continuing strong commitment to resolving the problems associated with Canada's blood system and to restoring public confidence. We fully understand the need to take appropriate action to rebuild public confidence in the blood supplies.
Any solutions must be governed by three principles. First, the safety of the blood supply must always come first. Second, a fully integrated approach is essential. Third, accountabilities must be clear and the system must be transparent.
The key to success lies in the proper governance of the system. That means we need an effective system of accountabilities, management structures and processes that control the safe supply and use of blood and blood products.
As we move toward a new system for regulating and safeguarding Canada's blood supply, it is important that we discuss thoroughly the details of the new system.
Questions have been raised about the role of the regulator during the transition of responsibilities for governance to the Canadian blood services. Let me review some of the basics.
The regulator's role is to set the standards for safety of the blood system and to ensure that they are met. Over the past several years Health Canada has taken decisive action to improve blood safety, and blood safety will continue to be a priority for the department in the future.
Health Canada regulates the collection and manufacturing of blood and blood products. Health Canada has a comprehensive approach to improvement calling for co-ordinated initiatives in many different parts of the department with the cumulative effect of overall strengthening and improving the blood system safety.
Health Canada is involved in strengthening standard setting and inspection of the blood system, in improving the development of test kits used in blood safety and in facilitating public health intelligence with an emphasis on bettering blood science.
Each of the individual improvements noted contributes in its own way to ensuring that Canadians continue to have a supply of safe, effective blood and blood products when they are required.
The regulator must provide guidance to the operator on how to meet these requirements. Health Canada is in the process of developing guidelines on the regulatory requirements for blood establishments.
Health Canada is also working with the blood transition bureau to advise on regulatory issues during this transition and is working closely with the bureau to communicate regulatory requirements.
Health Canada will also continue to provide guidance to the blood transition bureau and will evaluate any submissions according to established standards.
These are urgent matters and Health Canada fully recognizes that urgency. It has therefore made a strong commitment to give such evaluations top priority. Health Canada has undertaken a major initiative to improve the surveillance and investigative capacity of Canada's public health system. Blood science and blood borne infections, old and newly emerging ones, are at the forefront of this initiative.
The department is building the capacity to answer basic medical and scientific questions by taking an approach guided by principles of consensus building, priority setting, expertise and strong national and international linkages.
Health Canada has established a blood borne pathogens unit to carry out consensus planning, development surveillance, investigation programs, design projects and activities to address the needs that are identified.
Health Canada is building a network of experts and information to include federal, provincial, academic, professional, clinical and public communities to focus the extensive research capacity that exists in Canada on the demanding questions that remain in the blood system.
The goal is to co-ordinate a consortium of research agencies in Canada, including the Medical Research Council, National Defence, Health Canada's national health research and development program, the National Research Council, the Networks of Centres for Excellence and the private sector so that priority applied research agendas for blood borne pathogens can be developed.
This strategy of consensus building will help all partners move beyond collaboration toward total commitment and achieve consensus answers to urgent questions about blood borne diseases.
The department is forging strong international links to ensure that Canada's public health intelligence keeps pace with developments in other parts of the world, putting Canada's various health protection partners in a strong position to trigger effective scientific action.
Over the past several years Health Canada has proven by its actions in areas which fall under its responsibility that it is committed to keeping Canada's blood system safe and of the highest quality.
The year 2000 problem, a central information management issue facing many organizations, is being addressed diligently through several contingency plans. Health Canada has also made a commitment to expediting reviews of information related to the implementation of the year 2000 compliant system.
The initiative of Canada's governments to take action on the national blood system marks an important mutual commitment to achieve a common goal, and that is ensuring the safety of the Canadian blood system and supply.
Health Canada carefully monitors developments at all levels in the blood system. The department will continue to regulate any changes that fall within its jurisdiction. It will take the lead to direct changes which in its view will further strengthen that system.
In his interim report Justice Krever advised Canadians that “safety is an absence of risk”. He also said “safety is an absolute and can never be achieved”. Health Canada believes that all of partners and participants in the national blood system have to strive constantly to reduce health risks and ensure the blood supply is as safe as it can be.
The department has shown leadership on blood safety and it will continue to take an aggressive leadership role in making Canada's national blood system second to none.
We can see from this brief review that Health Canada is taking the necessary steps to ensure that the transition to a new blood system is smooth and successful, and that we will have a system in which all Canadians can have confidence.