Mr. Speaker, the response is as follows:
a) Federal budget 2007 included a $300 million contribution to provinces and territories to support the introduction of publicly-funded HPV vaccination programs over the next three years. The funding will be allocated on a per capita basis, including Inuit and First Nations. The First Nations and Inuit Health Branch, FNIHB, has ensured that the wording of the trust fund agreement and HPV operating principles reflect the inclusion of First Nations and Inuits as provincial or territorial residents.
b) FNIHB is collaborating with the Assembly of First Nations, AFN, to increase the cultural relevancy of HPV vaccination program implementation and related educational materials, aimed at both the public and health professionals. The AFN has been engaged to provide feedback on the anticipated impact of the introduction of HPV programs on First Nations, and is working with First Nations communities to understand the knowledge, attitudes and behaviours of First Nations with respect to the HPV vaccine.
c) Statistics reported in the First Nations longitudinal regional health survey 2002/03, the Manitoba cervical cancer screening program 2002 statistical report and the Northern Saskatchewan health indicators report 2004 suggest that pap uptake by First Nations women mirrors that of the general population, including in rural and isolated regional health authority areas. Statistics gathering and review continues, and will inform FNIHB/Public Health Agency of Canada consultations on HPV surveillance research, as well as, information sharing within FNIHB and with the national aboriginal organizations.
d) The FNIHB is working with the Assembly of First Nations to better understand the unique educational and cultural needs of First Nations with respect to HPV vaccine awareness. Once this work is complete, First Nations and Inuit Health Branch will be able to assess the resource requirements to meet the identified need in the on-reserve population.