Mr. Speaker, it is with great pleasure that I rise today to address this important bill, Bill C-5, an act respecting the establishment of the Public Health Agency of Canada.
Before I begin, I welcome the member for Surrey North to this place and thank her for her intervention this morning. I found her comments to be very informative. It is clear that she was a nurse before she came to this place.
She said that the health of Canadians is of utmost importance to members of Parliament. She commented on the SARS crisis in 2003 and how people were afraid for lives, especially people in Ontario and the GTA. She talked about the need for leadership, and I could not agree more.
The member for Surrey North may agree with me when I say the Minister of Health provided the leadership to the people of Ontario at that most difficult time. He has received a lot of praise for the work he did during that crisis. Canadians can take a lot of comfort in the fact that the Minister of Health will oversee the Public Health Agency of Canada and the Chief Public Health Officer. He will be at the helm, God forbid, should another crisis such as the SARS outbreak take place.
This important legislation is key to the implementation of the government's vision of a renewed and strengthened public health system for Canada. As we all know, preventing and managing chronic and infectious diseases, as well as promoting good health, is key to a healthier population and to reducing pressure on the acute health care system.
The legislation underlines the government's commitment to promote and protect the health of Canadians. It would not only bring greater visibility and prominence to public health issues, but it would also support policy coherence across the health sector.
The bill also responds to the recommendations made by Dr. David Naylor and Senator Michael Kirby in the wake of the SARS outbreak. In their report both Dr. Naylor and Senator Kirby recommended that the Government of Canada establish a new public health agency. Further, provinces and territories and public health stakeholders have called for a federal focal point to address pubic health matters with the appropriate authority and capacity to work with other jurisdictions in preparing for and responding to public health threats and emergencies.
The legislation responds to those recommendations by establishing a statutory footing for the Public Health Agency of Canada. It would establish the agency as a separate organization within the health portfolio. In this regard, the agency would support the Minister of Health in exercising his duties, powers and functions in public health. In doing so, the minister recognizes the importance of continuing to foster collaborative relationships with federal, provincial, territorial and municipal governments as well as with international organizations and public health experts. The preamble of Bill C-5 further reinforces the agency's desire to work in cooperation with the provinces and territories.
A key aspect of the Naylor and Kirby report was their recommendation to appoint a Chief Public Health Officer for Canada. Specifically, Dr. Naylor recommended that a Chief Public Health Officer head the new agency in addition to serving as an independent credible voice on public health nationally. The legislation responds to that recommendation by formally establishing the position of the Chief Public Health Officer. Specifically, the legislation confirms the position, duties and powers of the Chief Public Health Officer and recognizes his unique dual role as both the deputy head of the agency and Canada's lead public health professional.
As the deputy head of the agency, the Chief Public Health Officer will be accountable to the Minister of Health for the day to day operations of the agency. In this role the Chief Public Health Officer will support the Minister of Health in fulfilling his public health mandate. He will be expected to advise the minister on public health matters and to inform policy development in these areas, along with the deputy minister of Health Canada and other deputy heads within the portfolio.
As the lead adviser to the minister on public health matters, the Chief Public Health Officer will help to ensure that public health issues are well represented in the health policy making process. At the same time, provisions within the proposed legislation will ensure greater policy coherence across the health portfolio by reinforcing the responsibilities of the deputy minister of Health Canada for supporting the minister in coordinating efforts across the portfolio.
Further, as a deputy head within the federal system, the Chief Public Health Officer also has the standing to engage other federal departments on key public health issues. As one example of this kind of work, over the past several months Dr. Butler-Jones has been working closely with the deputy minister of Public Safety and Emergency Preparedness Canada and the president of the Canadian Food Inspection Agency to strengthen Canada's pandemic and avian influenza preparedness.
As the deputy head, the Chief Public Health Officer is also able to mobilize the agency's considerable public health resources to respond quickly to emerging threats to the health of Canadians. This departmental model gives the Chief Public Health Officer considerable responsibilities while ensuring continued ministerial accountability for federal activities in public health.
In addition to his role as deputy head, the legislation also recognizes the Chief Public Health Officer's role as Canada's lead public health professional, with demonstrated experience in the field. As part of this role and in response to the strong expectations of public health stakeholders and Canadians, the Chief Public Health Officer will also serve as a credible and impartial voice on public health issues.
To ensure his or her credibility with stakeholders and the public, the legislation would give the Chief Public Health Officer the authority to communicate directly with stakeholders and to provide Canadians with information on public health matters. I think that addresses one of the concerns the member for Surrey North, that the Chief Public Health Officer has the authority to communicate directly with Canadians. He or she would be able to prepare and publish reports on public health issues.
In keeping with the government's focus on strengthening accountability, the Chief Public Health Officer will also be required to submit to the Minister of Health, for tabling in Parliament, an annual report on the state of public health in Canada. This requirement will not only provide greater transparency to Canadians, but it will also support the government's direction for an increased role for deputies in strengthening government accountability.
As the House knows, Dr. Butler-Jones has been serving in the Chief Public Health Officer role since September 2004. He brings to this position a considerable background in public health practice and years of demonstrated leadership in the field, in government settings at all levels, as well as within the non-profit sector. The proposed legislation gives parliamentary sanction to office of the Chief Public Health Officer, confirms the appointment of Dr. Butler-Jones for the remainder of his specified term and gives him the legislative authority to speak out on issues of public health. The Chief Public Health Officer must be an impartial, credible voice on public health matters.
Stakeholders have made it clear that they expect the Chief Public Health Officer to be an independent voice, able to drive real change by speaking out on public health matters and issuing reports. Making the Chief Public Health Officer Canada's lead public health professional and ensuring that future chief public health officers have qualifications in the field of public health will help confirm this credibility with stakeholders and Canadians.
The credibility of the Chief Public Health Officer is also reinforced by the fact that he can communicate directly with the public and stakeholders and can report on public health problems and solutions. The Chief Public Health Officer's expertise, status and power to communicate make him a visible symbol of the federal government's commitment to protect and promote the health of Canadians.
The dual role of the Chief Public Health Officer is unique among deputy heads of departments at the federal level. We acknowledge that there will be a healthy tension between these two roles.
On the one hand, the Chief Public Health Officer will be an integral part of the health portfolio with direct responsibility for the operations of the agency, for providing advice on public health to the minister and for carrying out the policy direction of the government.
On the other hand, the Chief Public Health Officer will be an impartial spokesperson on public health with an interest in maintaining the scientific and ethical credibility of the office. For example, the Chief Public Health Officer can work with his provincial colleagues in the pan-Canadian public health network to receive information and advice. With the authorities granted to him in legislation, the Chief Public Health Officer can then communicate and provide Canadians with the best public health advice.
We see this dual role being inherent in the nature of the office, but one that is manageable and demonstrates this government's commitment to accountability.
It is also not without precedent, as Dr. Naylor has noted in his report that the chief medical officers in both Manitoba and British Columbia have the authority to communicate and act independently when they deem it to be in the best interests of the health of their citizens, while remaining accountable to the governments they work within.
More recent, in 2004 the province of Ontario made amendments to its legislation to grant the chief medical officer of health more independence.
In light of the many potential threats facing Canadians from a possible influenza pandemic, to combatting chronic diseases such as cancer, to dealing with the persistent challenges of obesity and other health risk factors, public health is an important priority of this government. As such, the government considers that the dual role attributed to the Chief Public Health Officer by the proposed legislation will ensure the attainment of the two policy objectives mentioned above.
The Chief Public Health Officer will be firmly situated within the health portfolio where he or she can advise the government and play a meaningful role in a coordinated government-wide response to ongoing and emerging public health threats and issues. At the same time, it is very clear that Canadians want and expect the nation's lead public health official to have both the necessary qualifications and the mandate to speak out on matters affecting their health.
Canadians can be assured that the government understands the importance of having a Chief Public Health Officer whose overriding interests must be the health of Canadians. I believe the legislation strikes the correct and necessary balance between the dual roles of a chief public health officer, ensuring that the office has the ear of the government and the independence to first and foremost be a servant of the public interests.
I would like to take a moment to thank Dr. Butler-Jones for the great work that he has done. He has an extensive background in public health. Most recently, he served as the medical health officer for the Sun Country Health Region in my home province of Saskatchewan, only approximately 100 kilometres from my home town of Estevan, Saskatchewan. Sun Country is located in Weyburn, Saskatchewan. The public health care of Canadians is in good hands with Dr. Butler-Jones.