Chicoutimi—Le Fjord, QC
Mr. Speaker, it is a pleasure to speak to this bill this evening. As I also have the great privilege of sitting on the Standing Committee on Health, I was able to hear the witnesses and experts discuss the bill when it was referred to the committee and to learn about the improvements that we could make to strengthen it. I also saw that the government had a certain agenda.
At the Standing Committee on Health, we essentially sat down together around the table and agreed that this bill should go forward. Obviously, it cannot necessarily be perfect for everyone, although the NDP will support it. There is a consensus in the Parliament of Canada in 2014 that this bill on Lyme disease is to be taken more seriously.
As many NDP colleagues have mentioned, the tick that carries Lyme disease has been moving northward for many years as a result of global warming. Now we must find ways to protect the people living in southern Canada, and increasingly those further north as well, from this tick, which can have a disastrous impact on people’s lives.
Before discussing the more technical aspect of the subject, I feel that the people who are listening to us at home may not know what Lyme disease is. We talk about a tick, an insect. They may not understand.
My speech this evening will focus essentially on what Lyme disease is and what the tick is. Then I will talk about ways to prevent the disease. I will also talk about my region, Saguenay—Lac-Saint-Jean.
I got lucky last week. An excellent journalist from my hometown, Patricia Rainville, published a very good article on Lyme disease in the local newspaper, Le Quotidien. It will be a pleasure for me to read certain interesting excerpts from it.
The disease was discovered in 1977 in the U.S. town of Lyme, Connecticut, where several children were suffering from arthritis. The disease then gradually spread northward. Cases have been recorded in Quebec since 2011, but numbers have skyrocketed since 2013.
Therefore, we can see that the problem will only get worse for the people of Quebec and of Canada. That is why this is the ideal opportunity for the Parliament of Canada to move forward with a bill on the subject.
Once the tick attaches itself to the skin, it can stay there for approximately 72 hours if it is not detected. Seventy-two hours is the length of time it needs to feed, and during that period it can transmit the bacterium that causes Lyme disease.
A person bitten by a tick carrying the bacterium that causes Lyme disease will develop in the first few weeks a red rash more than 5 cm in diameter around the site of the bite. At that point, the disease can easily be treated with antibiotics. If nothing is done in the following weeks, however, the individual may suffer paralysis, swelling of the limbs, heart palpitations, headaches and even meningitis.
Clearly, the tick that carries Lyme disease can have a serious impact on human health. This is why people ideally should try to avoid being bitten by this tick, which could transmit the disease. To prevent infection, it is recommended that people apply mosquito repellent and wear long clothing and closed footwear before entering high-risk areas. Taking a shower and examining one’s body in the two or three hours following exposure is another excellent suggestion.
This is important, particularly since the tick is more likely to be found in wooded areas. Hunters are obviously at risk when they spend long hours in the woods, which is why many hunters have caught Lyme disease.
Ticks infected with Lyme disease have not yet settled in the Saguenay—Lac-Saint-Jean region, which is a good thing for us. Only one case was reported in the hospitals back home last year, but the disease had not been contracted in my region, thank God. There were no cases of Lyme disease in Quebec five years ago, but the blacklegged tick has come a long way since then.
Today, there are a number of cases of infection in Montérégie. Entomologist Robert Loiselle, whom I greatly admire and know personally, is urging the public to be on the lookout:
I have been talking about this for 15 years. The blacklegged tick was well established in the northern United States, but for the past few years we have been seeing more and more of them in southern Quebec, in Montérégie for example. Tourists who come to enjoy nature have to be extra careful and check themselves after a hike or a walk.
At the Agence régionale de la santé et des services sociaux, spokesperson Éric Émond confirmed that a case of Lyme disease had been reported at a hospital in Lac-Saint-Jean last summer, but the bacteria was not contracted here. This year, as I said, no cases have been reported. Obviously, we never know what will happen if we are not careful.
The Quebec ministry of health and social services is asking the public to be careful. Dr. Danielle Auger, director of public health said:
For the past few years in Quebec, we have observed an increase in the number of ticks carrying the bacteria responsible for Lyme disease. The disease can be contracted from a tick bite during activities in wooded areas, including in higher risk areas in southern Quebec, such as the northern eastern townships, southwestern Mauricie-et-Centre-du-Québec and especially Montérégie, where the majority of cases contracted in Quebec have been reported to date.
According to entomologist Robert Loiselle, it is highly likely that the blacklegged tick could end up in my region:
I recently caught a tick, but upon analysis, it was not carrying Lyme disease. Nevertheless, ticks follow the deer populations. It is therefore not outside the realm of possibility that ticks will show up one day.
I do not want to sound overly dramatic, but even my region, in northeastern Quebec, is not safe from Lyme disease. This is a growing problem, but it is also a national problem. Earlier my colleagues from British Columbia and Nova Scotia discussed the situation in their part of the country. People and health authorities are on alert and are turning to the federal government, as are patients and their families, in the hope that it will do something.
That is truly unfortunate because the Conservative government has put nothing forward for years. The NDP has been proactive in this matter since 2008. NDP member Judy Wasylycia-Leis strongly recommended in 2008 that the minister of health implement a national strategy for the diagnosis, treatment and better monitoring of Lyme disease. Yes, the NDP has been talking about it and making it a priority since 2008. The Conservative government, on the other hand, has been dragging its feet for years. That is why I am grateful that my colleague has introduced this bill. At last we can move forward in 2014.
The official opposition health critic has always recommended that such a strategy be adopted, and she supported Bill C-442 when it was introduced. That is an indication of the NDP's good faith.
The requested strategy should have been adopted long ago. Canadians deserve proper tests and care. The onus is on the federal government to improve monitoring of Lyme disease and to establish best practices so that the provinces can understand the disease and adopt more effective evidence-based measures.
Over the years, the Conservatives have taken no initiatives on important health issues such as the coordination of services provided for chronic and complex health problems and funding for innovative screening and treatment measures. The matter before us is one in which the federal government should show leadership in health care and strive to better protect Canadians.
Many patients in Canada report problems with screening and treatment for Lyme disease. The various blood tests conducted to detect the disease often yield inaccurate results. Patients who have Lyme disease may not be diagnosed with it or may be incorrectly diagnosed with multiple sclerosis or chronic fatigue syndrome. Consequently they do not receive necessary care and, as a result, their symptoms worsen. It is important that we move forward to help these patients.