Madam Speaker I rise today to speak in the House of Commons about Bill C-237, an act to establish a national framework for diabetes, a disease that affects members of my family.
I first heard about this disease when I was a child. I was told that my father's half-sister had diabetes and that she had problems with the sugar levels in her blood. Then, when I was a teenager, a cousin who is my age was diagnosed with this disease. My mother was her godmother, so together with her mother, we supported her during months of treatment at Hôpital Sainte-Justin.
It was a great shock for her because she had to get used to a new diet, pricking herself several times a day and avoiding the complications that can be associated with diabetes. She rebelled because she was tired of having to follow so many rules to control her blood sugar levels.
In recent months, I have been the Bloc Québécois critic for seniors, and naturally I have been dealing with this issue. In my speech, I will remind members of the elements of this bill that my party supports and explain the effects of the pandemic on those with this disease. Finally, I will call for better investments in research, which is the key to a cure.
The enactment provides for the development of a national framework designed to support improved access to diabetes prevention and treatment. It asks that the Parliament of Canada recognize the need to be proactive in the fight against diabetes and that the Government of Canada develop and implement a national framework for diabetes.
The bill provides for the strategy to be designed in consultation with the provincial governments and Quebec. If the bill moves forward, the Bloc Québécois must ensure that the national framework reflects the demands of Quebec and respects its jurisdiction. The bill invites stakeholders to a conference for the purpose of developing a national framework and determining the main focuses that should be included: explanations on diabetes, identification of needs, promotion of research, promotion of knowledge sharing, analysis of what is already being done to achieve health care equality and so forth. The bill gives the government one year to develop the strategic framework and five years to report on its effectiveness.
It is important to note that this disease is on the rise in Canada, and that it entails significant expenses for patients and for the system. On behalf of myself and the Bloc, I would like to take this opportunity to remind everyone that Canadian health transfers must be increased to 35% right away, no strings attached. The same thing is happening in Quebec, where cases have been rising steadily since 2000.
At this point, I would like to go over a brief history of the fight against diabetes in Canada. It began between 1999 and 2005, when the first Canadian diabetes strategy was developed. The Canadian diabetes strategy was launched in 2005, and it was then incorporated into the integrated strategy on healthy living and chronic diseases.
In 2006, the strategy began funding multi-sectoral organizations dedicated to fighting chronic disease. A number of advances came about during that period, including self-management of the disease, thanks to the development of guides for people with diabetes; the dissemination of information about the disease, thanks to data collected by the Public Health Agency of Canada; and the Canadian Best Practices Portal.
In 2009, the Public Health Agency of Canada, Health Canada and the Canadian Institutes of Health Research established a partnership with Diabetes Canada, Diabetes Québec and the Juvenile Diabetes Research Foundation. From then on, funding of research projects and public awareness were part of the fight against diabetes.
Since 2016, the Canadian diabetes strategy has been part of Health Canada's Centre for Chronic Disease Prevention and the strategic plan 2016-2019. This plan is very general and contains more statements of principle than meaningful measures. The main elements are practically the same as in previous plans: support research, collect and share data and mobilize various stakeholders.
Since 2019, Diabetes Canada has been promoting Diabetes 360o, a framework calling on the federal government to create and fund a national strategy.
Although health care is a provincial jurisdiction, the federal government must play a role, especially when it comes to prevention. Because obesity and diabetes are so closely linked, governments must develop strategies to promote awareness and healthy living habits. Over time, several measures have been designed to do just that. I will give an overview.
With regard to labelling, although there have been many changes in this area, the government systematically runs into problems with lobby groups representing beverage companies and producers, for instance. This idea comes up regularly in discussions. The objective would be to change labels to make them easier for consumers to read or to make space on soft drink labels to inform the public about the harmful effects of obesity.
The government also promotes physical activity, which we care a lot about. Ongoing measures include awareness campaigns, the promotion of physical activity and tax credits for sports activities.
In addition, the government promotes healthy eating, or maintaining a healthy body weight. That is an important part of preventing and controlling diabetes.
Although it is sometimes difficult to strike a balance between economic interests and promoting healthy eating, as the debate surrounding Canada's food guide showed, the public still needs to be informed and needs to develop healthy eating habits.
I would now like to talk briefly about diabetes among indigenous people. For many reasons, the prevalence of type 2 diabetes is four to five times higher in certain indigenous communities than in the general population.
The Government of Canada is aware of the problem and is investing an average of $50 million per year through the aboriginal diabetes initiative, a Health Canada program that involves working with indigenous people to reduce health inequalities.
For indigenous communities, there are three components to the fight against diabetes. First, there is prevention, in the form of awareness campaigns on healthy lifestyle habits that can prevent obesity and the risks related to diabetes. Then there are annual screening tests for high-risk individuals, so they can be treated as soon as possible and avoid complications. Finally, there is treatment, which ensures that people from indigenous communities who have diabetes get treated in accordance with the guidelines, in order to reduce morbidity and mortality.
As for the cause, or should I say causes, of this major disparity, might the government's inaction to improve the situation on indigenous reserves have something to do with it? The answer is in the question. An ounce of prevention is worth a pound of cure.
Third, I would like to remind hon. members of the consequences that the pandemic is having on diabetics. Given their condition, they are being asked to self-isolate to avoid COVID-19 and the resulting complications. They are also experiencing economic repercussions.
I would like to note that back home in Shefford, the diabetes health forum, which had been organized by Les Diabétiques de la Haute-Yamaska to raise awareness of this disease, unfortunately had to be cancelled last March.
However, over Zoom, I was able to meet with Juliette, from the Kids for a Cure Lobby Day organized by JDRF. I salute her for her courage. She and her organization made three recommendations.
The first recommendation is that the Government of Canada should mark the 100th anniversary of the discovery of insulin by making a new $15-million investment in partnerships to cure diabetes between JDRF and the Canadian Institutes of Health Research.
The second recommendation is that, as recommended in the first annual report of the disability advisory committee, Canadians who receive a life-sustaining therapy, such as insulin therapy, should be eligible for the disability tax credit.
The third recommendation is that, as recommended by the Standing Committee on Health in its report entitled “A Diabetes Strategy for Canada”, the Government of Canada should invest in the implementation of a national diabetes strategy, Diabetes 360o, designed to achieve different results depending on the type of diabetes.
We are therefore in favour of the development of a strategy for Canada, on condition that it respects the requests of the provinces and Quebec and areas of shared jurisdiction. It should be noted that Diabetes Canada and Diabetes Québec already hold an annual conference. We are wondering what this additional conference might be and what benefit it could have on the community.
In closing, for all these reasons, I decided to accept the invitation and light up my office with beautiful blue lights as a sign of solidarity on World Diabetes Day, which was November 14. Let us take action.