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Crucial Fact

  • Her favourite word was human.

Last in Parliament October 2015, as Conservative MP for Kildonan—St. Paul (Manitoba)

Won her last election, in 2011, with 58% of the vote.

Statements in the House

Organ Donations December 5th, 2011

Mr. Chair, I want to go back to the February 2011 CIHR transplantation workshop held in Montreal with 60 participating members from the transplantation community and potential partners who provided valuable information on how best to address the current challenges in the field of transplantation and improve related clinical outcomes through innovative research programs.

I would like the member to expand on one of the recommendations by the group of 60 participating members. They recommended teams and networks that foster collaboration across the fields of research in partnership with public and private sector partners be formed with the purpose to forge the necessary linkages among transplant communities, support common platforms in infrastructure databases, operating procedures and encourage training. It seems to me that this is a very important recommendation.

I know the member opposite is a medical doctor so I think she could address this very eloquently in terms of the importance of what these linkages would be.

Organ Donations December 5th, 2011

Mr. Chair, I thank my colleague for being here tonight to contribute to this very important debate.

A national registry was brought up. I wonder if the member is aware that the living donor registry is a national registry? Is the member aware that provincial jurisdiction is around the delivery of health care, and the federal jurisdiction is for the safety of the cells and the organs?

We have to work collaboratively with all parties, and that includes the public. The safety of the organs is of paramount importance to a recipient. When patients need a donation, the first thing is that they are afraid. They are afraid that something is going to go wrong. They have the organ or stem cell donation to deal with and the effects of the drugs.

What recipients want is a collaboration among all parties. Ultimately the doctors on the ground and the medical experts are the ones who look at the variables around that donation to see if this is going to work.

Did my colleague hear earlier that there are two new registries coming up? One is for very hard to match kidneys and one is a non-kidney registry. Is the member aware of that? Does he think this is a step forward?

Having said that, what else does the member think could be done?

Organ Donations December 5th, 2011

Mr. Chair, my colleague made a very insightful speech on this very important topic.

The federal government is responsible for the safety of donated organs from the perspective of product safety. The safety of human cells, tissues and organs for transplant regulations, the CTO regulations, came into force on December 7, 2007. How did Health Canada consult with stakeholders on these new regulations?

Organ Donations December 5th, 2011

Mr. Chair, I would like some clarification and to ask a question.

The member opposite was talking about the first phone call and that the first person served gets the kidney. Organ donation or stem cell donation are a little more complicated than that. To get a match is extremely difficult.

We searched far and wide in our family. It was two and a half years before my husband actually got a match. It was five years from the time he first learned of the cancer. Then all sorts of things have to be done. Is it a compatible match? All sorts of things happen. It is not first come, first served at all. It is a registry.

As I said in my speech, there are two registries that are forming in Canada. One is for the hard to match kidney, and one is for all non-kidney patients across Canada. On top of that, there is the living donor registry.

However, we need to do more and that is why we are here tonight. That is why we are putting the spotlight and focus on it.

Is the member aware that this will be a good step forward? Is there anything else she would like to add to that?

Organ Donations December 5th, 2011

Mr. Chair, is the member aware that there is a national registry? The living donor exchange is a national registry.

The delivery of health care is a provincial matter, but the federal government takes care of the safety of the actual organs. Our government, along with our provincial and territorial partners, has asked the Canadian Blood Services to develop a plan for an integrated organ and tissue donation and transportation system. That speaks to what my colleague said in her speech. She is extremely aware that this has to be done.

Perhaps my colleague could expand on that because this request has already been made by our government. I do not know if my colleague is aware of that or not, but it should reinforce the need for this to happen. I am proud our government is doing that.

Organ Donations December 5th, 2011

Mr. Chair, the effects of drugs from a transplant can be very horrendous. My husband underwent a stem cell transplant and waited a very long time to get a donor. Eventually, the donor came from abroad. The effects of drugs, like tacrolimus, which is one he took, can cause lots of things, like essential tremors. It can make the heart and kidneys very fragile. It was a stem cell to overcome cancer. There are many types. We have talked about kidney donations tonight but there are many other types of donations.

These are extremely big challenges and ones that people need to be aware of. That is why having this workshop in Montreal and going over these very important aspects of donation is of paramount importance.

Organ Donations December 5th, 2011

Mr. Chair, I would be very pleased to do that.

Every year, thousands of Canadians receive transplants of solid organs, stem cells and pancreatic islet cells. End stage renal, liver, lung, heart, pancreatic and small intestinal failures are now treated by organ replacement. For cancer, stem cell transplantation can be a cure. However, there are currently more than 4,000 Canadians on wait lists for organ transplants and far more than can be accommodated by the current rate of organ donation. Achieving a good quality of life for these patients remains a challenge.

The CIHR transplant workshop participants identified the need to improve both the quality and quantity of living and deceased donor organs, and improve our understanding of the mechanisms and pathways mediating transplantation related infection inflammation. These kinds of challenges have happened after an organ transplant. Even some of the drugs that are used toward ensuring there is no rejection is a challenge as well.

Overcoming the rejection and establishing long-term tolerance to grafts are an important aspect to this. Tacrolimus is a drug that my husband had some challenges with when he had his transplant. Further recommendations are developing improved therapeutics to sustain graft survival with few adverse side effects and expediting their uptake into clinical practice, establishing tailored transplantation polices and programs for children and other vulnerable populations, and developing national standards of clinical care and mechanisms for the long-term follow up of Canadian transplant recipients. This was a very important workshop in Montreal.

Organ Donations December 5th, 2011

Mr. Chair, I know my colleague, being a medical doctor, is very well aware of the challenges that people have in this area. It takes every Canadian to be aware of the need for these organ donations and to put the fear factor away where so many people are afraid to donate.

I was quite surprised to find, when I came to Parliament Hill and out there in the community, how little I knew, how little the public as a whole knew and how little parliamentarians knew and know about organ donation or stem cell donation. As the member so eloquently put, often it is a family member, or something that happens within a family, that causes almost a forced awareness. In our busy lives there are so many things to do, with jobs and everyday life, that we often are not confronted with that.

This is a dialogue that needs to be here in Parliament on an ongoing basis. It needs to be between the provinces, the territories and the federal government, and, as we are doing this evening, we need to put the spotlight on the urgency of organ donation for our country.

Organ Donations December 5th, 2011

Madam Chair, as my colleague knows and what has been mentioned earlier, the actual delivery of health care is under provincial jurisdiction. The safety of the actual organs is in the federal jurisdiction. However, as I outlined in my speech earlier, the collaboration in all fields needs to be between federal, provincial and territorial jurisdictions. Not only that, it needs to be with each Canadian citizen. That is why earlier I asked my colleagues what they can do. We need to have the big picture through the federal, provincial and territorial collaboration that is happening now.

It is happening now when we hear about the national living donor registry that is in place right now. I heard one of my colleagues say that nothing has happened in the last five years. Lots have happened in the last five years. More has happened in the last five years than ever before. This is collaboration between the federal, provincial and individual Canadians. We are all responsible to ensure that everybody knows that kidneys and other organs are needed to save lives.

Organ Donations December 5th, 2011

Madam Chair, it is heart-wrenching to see a friend, family member or colleague suffer from organ failure. The impact is significant on both the individual and the family.

Patients must spend hours hooked up to a dialysis machine instead of spending time with their loved ones. Parents know that their child must take a cocktail of drugs every day and spend time in the hospital rather than being out in the playground with friends. It is very worrisome. Organ failure also threatens individuals' autonomy and their ability to support themselves and their loved ones.

It is uplifting to hear and read the stories of people who get a second chance at life following a successful organ transplant. It is inspirational to know how it is made possible through the generosity and altruism of organ donors.

I would like to take this opportunity to underline the generous spirit of people who have already donated an organ or who have made the decision to do so, whether to someone they know or to a stranger.

A significant milestone was recently achieved in Canada on organ donation and transplantation. Just last week it was announced that the 100th successful kidney transplant was completed through the Living Donor Paired Exchange Registry.

This registry, which is the first Canada-wide organ donation registry, was launched two years ago by Canadian Blood Services in partnership with transplant programs across the country to help address the shortage of organs in need. This registry, with support of all the provinces, illustrates what can be achieved through cross-country collaboration.

Approximately 4,000 Canadians are waiting for an organ transplant. In 2009, there were approximately 1,000 organ donors in Canada and more than 2,000 transplants of solid organs were performed.

However, many patients remain on waiting lists. Roughly 200 Canadians die each year while waiting for an organ transplant. Three-quarters of the 4,000 patients on the organ waiting list need a kidney transplant.

Unfortunately, there are not enough deceased kidney donations to help everyone who needs such a transplant. That is where the Living Donor Paired Exchange Registry comes in. This registry allows someone whose kidney is not compatible with a friend or relative in need of a transplant to donate to a stranger instead. The friend or family member in turn is matched with another person's incompatible donor. Basically it allows for what we call kidney swapping.

Although deceased donation is the type of organ donation most people are familiar with, it is also possible for a healthy living person to donate a kidney. This involves surgery to remove a kidney from the living donor and to transplant it into a patient who needs a kidney. A person can live a healthy life with only one kidney.

Kidney donation is the most frequent type of living organ donation. There are many advantages to live kidney donations. For example, a kidney from a living donor is usually healthier; it may function better and may last longer than a kidney from a deceased donor.

A living kidney transplant is the most successful of all transplant procedures. Not only do these transplants improve and save lives, estimates suggest the savings of a transplant over dialysis to the health care system are significant.

The 100th successful exchange transplant milestone reached by the Living Donor Paired Exchange Registry was just announced on November 29, 2011, exactly one year after it officially became Canada's first national organ donation registry with the last province joining in.

This achievement was made possible through the generosity and compassion of individuals who donated anonymously to anyone in need.

As of the end of October, the registry had 247 donor-recipient pairs registered in the system, as well as 25 non-directed anonymous donors. One of these donors is Ms. Erin Taylor, a 30-year-old emergency room nurse in Edmonton who was recently featured in The Globe and Mail. Ms. Taylor donated her kidney to a stranger in Vancouver. Her generosity triggered a chain of events that resulted in two additional transplants.

It is stories like those that reflect the generous spirit of Canadians and that inspire motivation to do something to help a fellow citizen, whether a friend, relative, colleague or a perfect stranger. In fact, Canada has been doing well compared to other countries in terms of recruiting live donors. We are among the top performing countries in this regard.

In the last 10 years, living donors accounted for more than two-thirds of the increase in the number of organ donors in our country. While this progress is encouraging, we could be doing better, especially for deceased donor rates. This is where Canada lags behind other countries. At about 14 donors per million Canadians, our rate is less than half that of the best performing countries. As I said, that is in the deceased donor part of it.

It is not that Canadians are not compassionate and altruistic. Ms. Taylor's story and that of countless other Canadians prove otherwise. Furthermore, a public opinion poll released last year showed overwhelming support for organ and tissue donation. However, only about half of respondents had actually made the decision to donate their organs at the time of death. Taking the next step to actually register one's intention to donate is crucial to keeping pace with demand.

It is predicted that the need for organs will more than double over the next two decades. Further, at age 20, a person is approximately five times more likely to need an organ transplant in his or her lifetime than to become a deceased donor. With an aging population, with rising diabetes rates and ensuing risk of kidney failure, and with advancing medical technology that makes transplants more possible, it is important to keep up with demand. Just the fact that the number of Canadians living with kidney failure tripled over the past 20 years should be a wake-up call to us all.

We have seen the impact of one of our own parliamentary colleagues in need of an organ transplant in the prime of his years. The time to donate is now.

I understand that two new national organ registries are expected to be launched early next year, one for hard to match kidney patients and one for all non-kidney patients across Canada suffering end stage organ failure. This is extremely important and shows our government's leadership.

These upcoming registries, along with a living donor paired exchange registry, are good news for patients waiting for an organ transplant, However, without donors, too many patients will continue to suffer needlessly.

This government recognizes the need to continue to improve organ donation. There is no doubt about it. That is why our government, along with our provincial and territorial partners, asked Canadian Blood Services to develop a plan for an integrated organ and tissue donation and transplantation system.

Provincial and territorial governments are currently reviewing Canadian Blood Services call to action, which includes its proposals to improve the performance of the donation and transplantation system in Canada. That is how our government is showing massive leadership in this area. We expect these proposals to be made public in the spring of 2012. Again, our government acknowledges that we can and will continue to improve organ donation in Canada.

I invite all members to join me in encouraging our fellow citizens to sign the donor card and discuss their intention to donate with their loved ones. By taking this next step, we can contribute to the inspirational stories of patients getting a second chance at life. I must say that it is so critical because in my own family my husband had to have a stem cell donor. I cannot say how heart-rendering it is to wait and wait for a donor.

I am very proud that our government has taken a giant step forward in collaboration with the provinces and territories to improve the donor registries that we need so badly and are developing so quickly in this country.