Mr. Speaker, I rise this evening to speak to Bill C‑234, which seeks to establish a medal of recognition for citizens and permanent residents who have made a living organ donation in Canada.
The bill is relatively straightforward. It creates and implements this medal, and leaves the details, such as the design, eligibility criteria and the awarding process, to be determined by regulations. Certain exclusions are also provided for members of Parliament, senators and other persons excluded by regulation who would not be eligible to receive the medal. Furthermore, this medal can only be awarded once. The government must submit a report on the implementation of this measure.
It is a fairly straightforward bill that nevertheless exists in a political context, given that it was introduced by the member for Edmonton Manning, who is its sponsor. This is personal for him. He donated part of his liver to his son in 2003, and it should be noted that he had already introduced a previous bill, Bill C‑223, for a national strategy for organ donation. The Bloc Québécois rejected the bill at the time for a number of reasons, but this new version is much more acceptable. As for the positions of the other parties, it is quite simple. From what we have seen so far, I think we are heading toward unanimous support at second reading. It is a fine example of humanity.
However, there is a potential problem, as I mentioned to my colleague earlier. There is overlap with existing awards, such as the annual ceremony held by the Canadian Organ and Tissue Donation Association, the ambassador of health medal, and the good Samaritan medal. It is also important to hear from the Canadian Organ and Tissue Donation Association, Transplant Québec, Héma-Québec, and Canadian Blood Services in committee to avoid duplication of their work and to recognize all that they do. This will be an opportunity to hear from them in committee.
We in the Bloc Québécois will be supporting this bill. We want to highlight Quebec's major historic contribution in terms of organ donation, and I will come back to that a little later. As I said, we are somewhat critical of the fact that the bill fails to explicitly recognize this contribution in its preamble, along with everything that has been done in Quebec. We would actually like to highlight the essential role of Transplant Québec, which was created by Quebec doctors and has been at the heart of the Quebec system for over 50 years now. I will also come back to that a little later. In my speech, I will talk about the roles of the various agencies, provide a historical overview and conclude with a few statistics.
First, Transplant Québec is responsible for organ donation coordination, promotion, research and training. Since 1992, it has managed Quebec's single waiting list, a national feature that is unique to us. According to recent data from 2024, there were 206 donors, 556 transplants performed, and 856 people on the waiting list. The Canadian Organ and Tissue Donors Association holds an annual ceremony to honour living and deceased donors. It was founded in 1983 and promotes organ donation in Quebec and Canada. Since 1987, it has involved several police services and partners in the rapid transport of organs, which is often a vital step. It is the Quebec equivalent of Canadian Blood Services, which is responsible for the rest of the country.
Second, I want to go over a bit of history. I will try to present a somewhat structured timeline to explain and highlight Quebec's important role in the history of transplantation. First, in 1958, the first kidney transplant took place at the Royal Victoria Hospital in Montreal. In 1965 and 1968, the first lung and heart transplants were performed at the Montreal General Hospital. In 1970, three transplant physicians from Montreal founded Métro-Transplantation, the predecessor of Transplant Québec.
Between 1984 and 1992, there was a consolidation, funding from the ministry of health and social services, which granted it a provincial mandate, and the creation of processes for allocating and identifying donors. Finally, in 1985, the Royal Victoria Hospital performed Quebec's first heart-lung transplant, an important historical moment. Between 2001 and 2007, clinical nurses and liaison nurses were deployed. In March 2001, the ministry of health and social services allocated $1.2 million to this pilot project.
Since 2005, world organ donation and transplant day has been celebrated on October 17. It is an opportunity to acknowledge the importance of this gift of life. From 2007 to 2008, the Quebec government consolidated its assets and developed Québec-Transplant. Then, in 2011, the name changed to Transplant Québec.
Third, I would like to present some statistics about women and organ donation. According to Health Canada, 62% of living organ donors in Canada outside of Quebec are women.
According to Health Canada's information on living donors, men accounted for 38% of living donors in 2009, while women accounted for 62% of living donors. Also according to Health Canada, 59% of deceased donors outside Quebec were men and 41% were women. Interestingly enough, gender inequalities are also observed in the field of health and the Standing Committee on Health even conducted a study on those gender inequalities. We can see that there is a significant gender dynamic when it comes to organ donation. Living donors tend to be women, which could reflect social roles such as caregiving or biases in the transplant system.
It is also worth mentioning that older women in particular may be exposed to specific risks. For example, studies outside of Canada show that older women who are victims of domestic violence may suffer from significant comorbidities in terms of mental and physical health. This may be worth noting. Statistics on seniors and organ donation show that there are potential donors aged 60 and over.
According to the Canadian Institute for Health Information report, from 2008 to 2012, approximately 23% of deceased donors in Canada were aged 60 and over. However, there is significant variation between provinces. For example, Quebec had more than 34% of deceased donors aged 60 and over, according to the Canadian Institute for Health Information. The report notes that the estimated “potential” for older donors may be overestimated because there are many deaths in this age group. However, not all of these deaths can lead to safe donations. There are medical risks and exclusion criteria. This must be taken into account when discussing organ donation.
The age of donors in Quebec also comes into play. According to Transplant Québec's official statistics, the average age of deceased organ donors in Quebec between 2015 and 2024 was about 53 or 54 years. Transplant Québec's 2020 report also shows that deceased donor groups are broken down into two age groups: 61 to 70 years and 71 years and over. That is interesting, because it debunks some myths. People can donate organs at a much more advanced age. Organ donation is possible at any age in Quebec. According to the Quebec government's website, the oldest donor was 92 years old.
As I was saying, variations do occur, depending on the province. According to the Health Canada report, the frequency that organs from donors aged 60 and over are used varies greatly depending on the province. Some provinces use them a lot, others a lot less. The report suggests that these differences are likely more a matter of clinical practice than patient needs. The number of seniors is not the only factor. The criteria that organ donation and transplantation teams use to assess and accept seniors' organs also play a role.
This morning, I met with representatives of the Kidney Foundation of Canada. I also took part in the Kidney March in September back home in Granby. During the walk, I had a chance to speak with several living donors. One in 10 people in Canada suffers from kidney disease. That number is probably even higher because of undiagnosed cases. This means that 4 million people are affected, compared to 3.7 million people with diabetes. More than 6.2 million people in Canada are estimated to develop chronic kidney disease. It is the 11th leading cause of death in Canada. These chronic kidney diseases cost the health care system over $40 billion annually. More than 49,000 people in Canada have advanced kidney disease, and 42% of patients are under the age of 65. Of the 4,700 people waiting for an organ donation in Canada, 71% hope to receive a kidney.
I would like to make one final point. I was reminded this morning of the importance of signing an organ donor card in case something happens, as well as the importance of discussing it with one's family before such a thing happens.
We must not forget that prevention is the best medicine. For proper prevention, we need health care transfers, as we have been calling for. We asked for $11.6 billion over five years in the last budget, so we could invest not only in hospitals, but also in the entire system and in all the wonderful individuals who work there, the human resources who care for us every day.
I congratulate my colleague from Edmonton Manning for introducing this bill.