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Health committee  Regarding mandatory reporting by physicians, the current plan is basically to consider--

May 1st, 2008Committee meeting

Dr. Marc Berthiaume

Health committee  Hospitals, yes. That will help, because some of the serious adverse drug reactions will bring people to consult in an emergency, so that will enable us to identify, maybe earlier, these signals that need to be further investigated.

May 1st, 2008Committee meeting

Dr. Marc Berthiaume

Health committee  Yes, there has been consultation with numerous stakeholders or representatives of the public and patient interest groups, physicians, and industry. The general consensus was that there was not necessarily a net gain in having all spontaneous adverse drug reactions reported, but m

May 1st, 2008Committee meeting

Dr. Marc Berthiaume

Health committee  If I understand your question well, you're wondering how we're going to leverage or how we're going to collaborate more with international agencies to gather more information?

May 1st, 2008Committee meeting

Dr. Marc Berthiaume

Health committee  Based on international references, somewhere between 1% and 10% are reported in Canada. We don't know exactly, because there is no way to exactly estimate the real occurrences. One concept that is important to understand is that a spontaneous ADR system is not necessarily there

May 1st, 2008Committee meeting

Dr. Marc Berthiaume

Health committee  We do have memoranda of understanding with countries such as the United States and the European medicine evaluation agencies, as well as with Australia, Singapore, and Swissmedic. So we do have these types of collaborations; whenever there are emerging safety issues, we can conta

May 1st, 2008Committee meeting

Dr. Marc Berthiaume

Health committee  On the first point, about the definitions, there is currently a definition in the food and drug regulations of an adverse drug reaction. There is also a definition of a serious adverse drug reaction. So these definitions do currently exist in the food and drug regulations. On th

May 1st, 2008Committee meeting

Dr. Marc Berthiaume

Health committee  The technology to give some estimation of the numbers of adverse events that have been reported to Health Canada for a specific drug and/or a specific adverse event is in place now. There's a delay because the adverse events reports have to be processed, looked at by a specialist

May 1st, 2008Committee meeting

Dr. Marc Berthiaume

Health committee  I think it's an area in which we're making step-by-step progress. A recent improvement is the ability to submit spontaneous adverse drug reaction information electronically. There is also now the capacity to search the spontaneous adverse drug reaction database online. Although

May 1st, 2008Committee meeting

Dr. Marc Berthiaume

Health committee  We use the Canadian Adverse Reaction Newsletter as one way of identifying clusters of cases. It's distributed to all physicians in Canada with the Canadian Medical Association Journal. So we have different ways to go back to the physician to--

May 1st, 2008Committee meeting

Dr. Marc Berthiaume

Health committee  So your question is about whether we can identify emerging safety signals in pharmaceuticals. I think tremendous progress has been accomplished in the past few years in that area, especially very recently with the creation of the Canada Vigilance online database. It is a new dat

May 1st, 2008Committee meeting

Dr. Marc Berthiaume

Health committee  Good morning. All marketed health products have risks associated with their use. Prescription drugs, over-the-counter products, biological, vaccines, medical devices and natural health products all have risks. Some of these risks are known at the time of market authorization, bu

May 1st, 2008Committee meeting

Dr. Marc Berthiaume