Mr. Speaker, I am pleased to participate in the debate on Bill C-42. It is an important bill.
I have had the opportunity to be a member of the Standing Committee on Health and to work on a number of issues which relate to public health and safety. I participated on a committee with regard to HIV-AIDS. There was quite an education for all members of Parliament who had that opportunity.
As I indicated in the question that I posed to the hon. member who just spoke, recent events in Canada's history in fact are the reason Bill C-42 is now before us. The significant public health threats that I am referring to are the SARS outbreak, the West Nile virus, the avian influenza. They have prompted the medical community and policy makers to work together to respond in a better fashion to public health threats.
If we were to look at the results of the assessment of how the SARS situation was responded to, we would find there were very serious problems. Many of those problems were related specifically to the lack of preparedness. There was a lack of a number of procedures which would normally be in place, as any reasonable person would consider with regard to public health and safety matters.
When I talk about the Government of Canada of the day, I am talking more specifically about the departmental part of the government. When we talk about the Government of Canada, sometimes people look at it solely in the context of the party that currently forms the governing party. The Government of Canada is an enormous institution with enormous responsibilities involved in virtually every aspect of Canadian life.
If we were to look at some of the history, we would find that virtually every department of the Government of Canada, every bureaucracy, had a website section on SARS updates. That has to tell us something about the way the machinery of government looked at things in approaching an issue such as SARS. There were, I believe, 17 different websites that Canadians were asked to look at if they wanted an update. If it was industry, the government had an industry perspective. If it was health, obviously it was health related issues. Seventeen different websites were established in the Government of Canada.
That tells us that within the culture of the bureaucracy there seems to be a lack of continuity, a lack of cooperation and a lack of sharing of information. Continuity, cooperation and information sharing are vital in terms of national emergencies as they relate to public health and safety issues. In this case that we are debating, with regard to health issues, they are extremely important.
In responding to the SARS outbreak, the government of the day established a national advisory committee on SARS and public health. Its mandate was to provide a third party assessment of the current public health efforts and lessons learned relating to ongoing and future infectious disease control. That committee was chaired by Dr. David Naylor.
The committee made several recommendations for legislative changes to better address the risks emerging from public health threats. One of those recommendations back when that group was started in 2003 was to make amendments to the Quarantine Act. As a consequence of the SARS outbreak, it was detected that there were circumstances created in which public health and safety were not protected to the appropriate extent that one would expect.
The good news is that Dr. Naylor did his job. The bad news is that we are here in 2007, some two or three years later, and a bill of this importance is still at a very early stage in the legislative process. We have to ask ourselves why that is. Why is it that when we have an important issue it does not get priority?
In fact, there is an explanation, and it also shows what can happen when in fact we do move too quickly on a bill. What happened as a consequence of the recommendations was that a bill was brought forward. That bill was passed and received royal assent, but one of the things we found was that the bill passed by Parliament in some haste was inoperative in some respects.
As a consequence, we now have before us Bill C-42, which is going to correct the inoperative provisions and in fact bring that recommendation to fruition in terms of a complete piece of legislation that is going to better address the needs of Canadians.
The modernization of this act addresses urgent issues because the act that was passed and given royal assent was inoperative in some aspects, and the act obviously is in respect to communicable diseases in Canada and abroad.
It also represents a complementary step, one that we may want to revisit, but the reality is that there was a series of legislative initiatives to strengthen Canada's public health system. We do not have a comprehensive way of dealing with public health and safety issues. We have a series of things. We tend to chunk things down into smaller pieces.
I can make an assessment of or give an opinion on whether or not those legislative initiatives in fact represent the most efficient mode in terms of legislative productivity or effectiveness, but notwithstanding that, we do have a number of legislative initiatives to strengthen Canada's public health system, initiatives that also include the creation of the Public Health Agency of Canada and the Office of the Chief Public Health Officer.
Having been a member of the health committee and even having had private members' initiatives, I had at one point recommended the creation of something akin to the U.S. Surgeon General. I thought that we should in fact have a physician general of Canada, the reason being that over the years Health Canada has become involved in a broad range of very controversial issues and has become somewhat of a political football when it suits people's needs.
When we have activists, I think of things like the hepatitis C issue, the blood issue, and the reproductive technologies issues, where there is a political debate about the propriety of making certain legislative changes or initiatives. Health Canada as an organization has become somewhat politicized by the various activities that have gone on, not by its own choice, but certainly that has affected, I would suggest, the public's perception of Health Canada and what Health Canada represents and can do for Canadians.
I can recall visiting the U.S. Surgeon General's website on many occasions. If members were to do that, one of the things they would find is that there are sections for young people, for children and youth. There is another section for seniors, a section for women and so on. If there are health and safety issues related to a particular demographic, there is a portal to go through. It is very user friendly.
That same kind of user-friendliness would not be found at the Health Canada website. People have concerns about issues that come out, whether it be how they protect themselves against infectious diseases or what a quarantine means. For example, Mississauga's Trillium Hospital just had a significant outbreak of C. difficile. People died of the most serious and dangerous strain of C. difficile. What were they doing about it, people ask, and how do they find out about it?
We know that hospitals and the delivery of health services are through the provinces, but the Government of Canada has a broader responsibility because sometimes we have these breakouts of infectious diseases. It was shown that the particular cases in Mississauga were related to the very serious outbreak that took place in Quebec. Now we have found out that there has been a migration, in one way or another, from Quebec to Mississauga and in fact to northern Ontario, where some cases of this particular deadly strain of C. difficile have been found.
This, as we can imagine, would raise a lot of questions for ordinary Canadians about their safety and security. They want to know if they have to be concerned about going to those hospitals. Answers to such questions would be found at the U.S. Surgeon General's site, but we would not find the answers at Health Canada's site. As a matter of fact, we would find it very difficult to navigate that site.
If Health Canada is monitoring the debate on this bill, I would suggest that it have a very careful look at the user-friendliness of its website. In recent years there have been some serious problems with regard to contagious diseases and the kinds of things that may be transported in a number of fashions, but I am not sure that on Health Canada's public website we would find what we are doing and how we are caring for Canadians' best interests.
If that is the case, and I believe it is, then this bill is not going to really be as effective as it could be, because we do not have the linkage to deal with Canadians directly in plain and simple language to give them the assurances they are looking for.
I raise this because it is an important issue. It is very likely that these are going to be continuing occurrences. Certainly the West Nile and the avian flu are not going away. I suspect that C. difficile is not going away. I suspect that SARS, whatever it is, is not going away in terms of the possibility of it being migrated into Canada. There are things that we do have to protect ourselves.
In terms of looking at the bill in some specificity, one thing members will note is that it creates two classes of officials, environmental health officers and screening officers. These officials, along with quarantine officers, oversee the screening, assessment and, if necessary, the detention of people, vessels, goods and cargo that represent a public health risk. The presence of these officers strengthens our national preparedness, obviously, for future potential public health risks, including an influenza pandemic.
As we can see, the bill in itself is not terribly complicated, but it does have a couple of issues associated with it that make the current bill, which did receive royal assent, operable. That would be a good thing to do. It would have been a good thing to do at the beginning of Parliament, not 14 months after an election.
With all due respect, I question very seriously whether or not the government has its eye on the ball for the safety and security and priorities of Canadians, particularly when we see some of the things that are on the table. We have been jumping around all over the place. In fact, one thing we see, and which has been discussed in this place many times, is a series of justice bills, and every one of those bills is a very discrete item that has an amendment to the Criminal Code of Canada.
In past Parliaments, we have come forward with omnibus bills. There are a number of initiatives that could be amended or updated in the Criminal Code and they could have been brought forward, but politically it looks a lot better if we bring in 10 bills to do something that could be done in one, because then members can say, “Look how active we have been”.
What it does, and this is the real shame, is grind the system to a halt. The justice committee can do only so much work. It can deal with only so many bills at a time. It has to work through these bills, but many of the same witnesses will be there over and over again. I think Canadians should know that there is a little bit of game playing going on in terms of the legislative process. I am sure that we will hear more about this in the coming days.
I want to also comment on the principal provision, which is an amendment to section 34 of the current Quarantine Act. As I have indicated, the Quarantine Act had initially been part of the health protection legislative renewal package, but this new bill has to provide some technical amendments to bring into order section 34 of the Quarantine Act, which has already received royal assent.
More specifically, on section 34 of the Quarantine Act, clause 1 proposed amendments to section 34 and established the duty of operators of certain conveyances to report to authorities: (a) any reasonable grounds to suspect that persons, cargo or other things on board could cause the spreading of communicable disease listed in the schedule appended to the bill; (b) if a person on board has died; or (c) any prescribed circumstance that exists.
When we look through the rest of the bill, we see a couple of other cleanup items, which effectively relate to the reporting responsibilities of the operator of the vessel. Indeed, it basically means reporting to the point of nearest entry, but there are some circumstances. For instance, if a plane going from London to Toronto had a problem on board, it probably would land in Newfoundland, the nearest point of landing.
Interestingly enough, and some people may wonder why, there is a proviso in the bill as the legislation now stands that the reporting obligations are limited to marine and air community supports. The rationale is that approximately 94% of international flights arrive in Canada through six international airports where there are established quarantine stations and the presence of a quarantine officer. They are Vancouver, Calgary, Toronto, Ottawa, Montreal and Halifax, although there are as well other airports that have such facilities.
Finally, the bill has an amendment to schedule which in fact lists the various matters that are subject to be reported under this bill. Clause 5 provides that the proposed amendment to section 34 comes into force on the day that Bill C-42, this bill, comes into force.
I believe we are going to find that there is support from all parties for this bill, but knowing that a particular bill was rushed through and had some technical problems, it bears repeating that there should be some concern that such a bill could not have been brought forward to the House in a more expeditious fashion to show the true priority that Canadians place on public safety and health.