That, in the opinion of the House, provincial and local health authorities and health care workers should receive the maximum possible support from the federal government in handling the H1N1 flu pandemic and related vaccination efforts, and the Government of Canada should therefore immediately: (a) allocate the full $400 million set aside for pandemic response in the 2006 budget to support additional medical staff for vaccinations and patient care; (b) increase support for emergency planning to help local health authorities cope with long line-ups and shortages of both vaccines and health care workers; and (c) divert the money now being spent on needless, partisan advertising of government budgetary measures to a new public awareness campaign to keep Canadians informed with essential up-to-date information throughout the pandemic.
She said: Mr. Speaker, I will be splitting my time with the member for .
Canada is clearly struggling in the midst of this H1N1 pandemic. The role of the federal government is to prepare Canadians, to lead Canadians and to inform Canadians, and in all three dimensions, the government has failed in its duties and thereby failed Canadians. Our motion is an attempt to rectify this situation.
In 2003, SARS dealt a humbling and poignant wake-up call regarding the serious need for improvement in public health in Canada. Forty-four people died; many more were sick, and our economy suffered from the lowering of real GDP by approximately $1.5 billion, or 0.15% of the GDP.
Former health minister Anne McLellan asked Dr. David Naylor and the National Advisory Committee on SARS and Public Health to provide a third-party assessment of current public health efforts and lessons learned for ongoing and future infection control. In his report, “Learning from SARS: Renewal of Public Health in Canada”, Dr. David Naylor stressed that Canada needs to create a national face for public health that will play a leading role in any future health crises. His report is a blueprint for federal leadership in a public health crisis. His report said that in any response to a public health emergency, there needed to be better cooperation, collaboration, communication and a clarity of who does what, when.
Canada had to learn from the hard lessons of SARS and look at the outbreak as a reminder, warning and opportunity to renew the public health system. Disease prevention around the world is only as strong as its weakest link. Canada needed to provide a strong link, and for that the federal government had to take responsibility and help rebuild the frayed public health infrastructure in Canada.
In the section called “Federal Funding to Renew Public Health across Canada”, Dr. Naylor's report said:
The public health infrastructure needs strengthening at all levels, and this in turn suggests the need for earmarked federal funding that is not currently provided...
The availability of these funds underscores our assumption that any new federal spending on public health should be matched in some respects by P/T spending. But without earmarked federal monies for public health, P/T spending will be drawn, as always, to personal health services and opportunities for leverage and coordination will be lost.
[Translation]
The postscript states:
The SARS story as it unfolded in Canada had both tragic and heroic elements. The toll of the epidemic was substantial, but thousands in the health field rose to the occasion and ultimately contained the SARS outbreak in this country. The committee emphasizes that in drawing lessons from the SARS outbreak, our intent has been not to “name, shame, and blame” individuals, but rather to move and improve systems that were suboptimal. The challenge now is to ensure not only that we are better prepared for the next epidemic, but that public health in Canada is broadly renewed so as to protect and promote the health of all our citizens. It is to these latter ends that the committee's recommendations have been offered. We believe the recommendations represent a reasonably comprehensive and affordable starting point for strengthening and integrating public health at all levels in Canada. As our colleagues in government contemplate these recommendations, the committee commends to them the vision of Benjamin Disraeli who, on introducing his Public Health Act to British Parliament in 1875, remarked that public health was the foundation for “the happiness of the people and the power of the country. The care of the public health is the first duty of a statesman”.
Less eloquently, the committee in closing repeats the simple question we put earlier to all health ministers, finance ministers, and first ministers: If not now, after SARS, when?
[English]
As ministers in Paul Martin's government, we did much to act on Dr. Naylor's recommendations. We put in place the Public Health Agency of Canada; appointed Dr. David Butler-Jones as Canada's first Chief Public Health Officer; and created the public health network for Canada, in which all 13 jurisdictions could plan with the federal government the health and safety of Canadians.
As I mentioned Monday evening, during the emergency debate, in the 2004 budget we put in place a trust fund for the provinces of $100 million to build the capacity for front line public health. The budget stated:
$100 million will be made available to relieve stresses on provincial and territorial public health systems that were identified during the SARS outbreak, and to help the provinces and territories address their immediate gaps in capacity by supporting front-line activities, specific health protection and disease prevention programs, information systems, laboratory capacity, training and emergency response capacity.
That was federal leadership. However, in 2007 the Conservative government cancelled the fund. In its 2006 budget, it booked, thankfully, $400 million for pandemic response, a contingency. It said:
This budget provides $1 billion over five years to further improve Canada’s pandemic preparedness—$600 million to be allocated to departments and agencies and $400 million to be set aside as a contingency. (...) The $400-million contingency would only be accessed on an as-needed basis, if a pandemic were to occur or the current planning environment were to change significantly—for example, if significant human-to-human transmission were confirmed, resulting in an elevated pandemic risk or if the World Health Organization declared a higher level of pandemic risk. The contingency would be used to enhance Canada’s preparedness if an elevated pandemic risk were to occur and to address increased operational requirements during a pandemic influenza outbreak, for example to maintain emergency operations at a higher state of activity.
This was to be a contingency for pandemic response.
We learned that the government put the reserve fund into five annual packages of $800 million and each year, without a pandemic, the money disappeared. If we do not use it, we lose it.
We learned, in a response on the order paper, that no amounts were allocated from the contingency or spent in 2006-07, 2007-08 and 2008-09. This is unacceptable. The money just disappeared out of the fund. It would be like putting away money in a fund in case we had to replace the roof or the furnace and every year it does not happen, we just take the money back out of the fund. This was to be an airtight fund. We were to break glass in the event of a pandemic.
It is time for the government to put the money back in the box and break the glass. and give those dollars to provincial and territorial local public health authorities that are reeling from the lack of certainty on vaccine delivery and a poor public awareness campaign that has Canadians still with 20 questions when they get to the front of their seven-hour line.
Dr. Naylor's report was very clear about federal leadership required in public health emergencies, but also the need for dollars from the federal government directed to local public health. Yet, the government has reversed the progress, and now the people of Canada are paying.
Platitudes and talking points will not work. Local public health urgently needs funding and, as well, the dollars from the contingency must be made available to help health care providers deal with the increasing numbers of sick people and very sick people.
Every member of this House must look to the situation on the ground in their ridings where they will see the need for the measures proposed in today's motion. We must look forward. We must redouble our efforts to get the resources to our health professionals so that they can get the job done.
We know that lives will be saved and additional sickness avoided the sooner we have a significant percentage of the population immunized. We know that local public health officials are describing that they do not have enough resources to mount mass immunization campaigns or school campaigns or to hire back retired nurses. We know that this virus can make people very sick, with long stays in ICUs, and we need to be ready.
The minister says that she is working with the provinces and territories. The minister has had one meeting which has a drive-by appearance where she was asked for H1N1 resources and isotopes. She refused to listen. She then unilaterally decided that the provinces and territories would pay for 40% of the costs of the vaccine and 100% of the costs for administering the vaccine, and for all other aspects of the response.
They need federal government support. The federal government must assume its proper responsibility, as Dr. David Naylor prescribed six years ago, after the devastation of SARS.
The role of the federal government is to prepare Canadians, to lead Canadians, and to inform Canadians. In all three dimensions, the government has failed in its duties. We urge our colleagues to support the motion for the health and safety of Canadians.
:
Mr. Speaker, I would like to commend the hon. member for her remarkable work, which stems from her experience as a family doctor.
[English]
This is a debate in which the opposition seeks to put forward concrete and practical solutions to help the country through the situation it is dealing with on H1N1, but it is also an opportunity for us to highlight the fact that this is a government that does not seem to understand the proper functions of government, which are to plan, to inform and to lead. There is no more basic area where the government has to show competence and compassion than in public health.
[Translation]
From the beginning of this crisis there has been a flagrant lack of preparedness by the Conservative government. The H1N1 flu appeared for the first time on April 23, in Mexico. By the end of July, more than 35 governments had placed their order for the vaccine. The Conservative government did not order the vaccine until August 6.
This delay goes a long way to explaining the confusion that reigned in September and October.
[English]
The Conservatives started vaccination behind many other countries. China, Australia, United States, Sweden, Japan and the United Kingdom, all began vaccinations before Canada, which did not begin its vaccination program until October 26.
[Translation]
The Conservatives did not properly plan the vaccination of pregnant women. We have already talked about that. There was total confusion in the public information for pregnant women. This is a total failure of their duty as the government.
[English]
The Conservatives only used one vaccine supplier even though the Chief Public Health Officer, Dr. David Butler-Jones, has said that the government's contract allows it to purchase vaccine from other providers. We want to know why the Conservatives have not done so.
[Translation]
The men and women at the GSK plant in Sainte Foy are working day and night, but they cannot meet the demand because of this government's delays.
[English]
Another area in which we begin to understand why the failure to plan does not just go back to this summer but it goes back over four years is the fact that the government had no emergency preparedness plan whatever for emergencies in general. One of those emergencies obviously is pandemic planning.
Four years ago the Conservatives should have begun that planning process to put a plan in place. They have not done so. The Auditor General has now pointed this out to the country and the country begins to understand that this is a problem that did not just begin with planning failures this summer, it tracks back in fact to the beginning of the government's mandate.
It is a failure to plan but it is equally a failure to inform. The Conservatives consistently failed to give Canadians credible information about the vaccine. On April 28 the told this House, in response to questions from this side of the House, that the government would stockpile H1N1 vaccine, but it did not happen. On August 12 the health minister told the country that the government was prepared for this fall's outbreak, but it was caught off guard. On October 20, just two weeks ago, the health minister told Canadians that the vaccine would be available to all Canadians in early November and just late last week she began to say, “Well actually, we do not mean early November, we actually mean we might get it done by Christmas”.
It is this constant inability to get a clear story out to Canadians that has caused enormous confusion and anxiety in Canadian families. One of the reasons why this has occurred is that the Conservative government chose as a deliberate strategy to spend more than $60 million promoting its own economic action plan and only one-tenth of that on public information. This seems to me a scandalous display of partisanship when the clear duty of government is to inform the public about public health risks.
[Translation]
We also need to talk about the lack of leadership in all these areas, a lack of leadership and coordination between the federal government, the provinces and the territories.
[English]
My colleague evoked the need to invest $400 million. It was in the 2006 budget. The clear intention of that 2006 budget, a Conservative budget, was to provide resources so that we could have front-line public health services at the level that a modern civilized country like Canada should have. Instead, the money was not spent and we are now in a situation of frantic improvisation by hard-pressed public health authorities who deserve better from the federal Government of Canada, that is to say, leadership and clear direction.
The , instead of accepting responsibility for these failures, has said, “We do not deliver health care”. The fact is that these pandemics do not care about jurisdictions. The role of the federal government is to provide coordination, planning and investment, and to burden share with hard-pressed local, provincial and territorial authorities.
We have had clinics shut down in Alberta, New Brunswick and Manitoba. We have had Ontario hospitals saying that they do not have room for any potential surge of H1N1 patients. In St. John's and Halifax local authorities report dwindling vaccine supplies. This is unworthy of a country of our reputation, and the failure is squarely at the door of the Conservative government.
The himself has been absent throughout this matter. At a moment when we would expect a Prime Minister to stand up and take leadership of this issue, he has been entirely absent.
[Translation]
He has not met with the premiers of the provinces and the territories nor with health officials. He has not shown any leadership during this crisis.
[English]
I want to remind the House that this is not the first public health emergency in which the government has failed to respond. We had the nuclear medicine fiascos, not one interruption of nuclear medicine but two on this government's watch. Now we have the H1N1. It begins to resemble a pattern of negligence, a pattern of incompetence, a pattern of “we just do not care about this issue”, and behind all of that, it seems to me, is an ideological disposition which holds, “What do we care? This is not the function of a federal government”. This side of the House believes passionately in the role of an active and compassionate federal government in providing leadership in the protection of the public health of Canadian citizens.
We on this side are attempting to do our job. We raised questions about the H1N1 epidemic the minute it made its presence known, its presence evident in Mexico. The minute it was sequenced in Canada, we began to ask for action. We have been asking for action consistently, and today's opposition motion puts forward extremely concrete proposals that are meant in a constructive spirit. Their chief intent is for the federal government to step up and provide resources to hard-pressed provincial and territorial authorities. We feel that this, if done, would begin to restore Canada's reputation as a country with a first-class public health system right across the country.
I want to make it clear that the Auditor General's report, which makes it clear that there has been a complete failure to provide comprehensive national emergency planning, adds an additional dimension to this debate, which has come to our attention, thanks to her excellent report. In the light of the Auditor General's report, the supply day motion now under debate, standing in the name of the member for , merits amendment.
I now, therefore, move:
That the motion be amended by adding the following:
...and (d) implement the recommendations of the Auditor General of Canada pertaining to emergency management as set forth in Chapter Seven of her 2009 fall report to the House of Commons.
:
Mr. Speaker, I will be sharing my time with the hon. member for .
The hon. member for has put forth a motion concerning the H1N1 flu pandemic. This motion comes in three parts. The first part asks for the maximum possible support from the federal government in handling the H1N1 flu pandemic. I am pleased to say that this objective has been achieved, and more.
Second, it has requested that $400 million be reserved for pandemic preparedness. So far, we have spent over $1 billion for pandemic planning. This has helped us plan and prepare for this pandemic and the onslaught of the second wave.
However, what I disagree with is the partisan politics the opposition continues to play, to the detriment of all Canadians. These partisan politics are harmful in two ways. First, they are adding to the confusion that has been reported through the media and needlessly worrying Canadians. This confusion is dangerous and counteractive to the objectives of the expert medical advice given to us.
Second, it is using a motion regarding the H1N1 pandemic to stop the government from conducting its regular business. Our economic action plan is solid and has enabled our country to weather the recession far better than other countries.
I want to take a moment to offer my sincere appreciation and gratitude to the many Canadians patiently working through this pandemic virus outbreak with us and to the front-line workers who are working tirelessly to vaccinate as many Canadians as fast as possible.
Canadians, their governments, medical experts and health workers alike know that H1N1 is a preventable disease. That is why we are turning out in unprecedented numbers for the vaccine.
Together we are spreading the word about taking real concrete action instead of spreading myth and confusion. We are demonstrating a sense of social responsibility that is simply unparalleled in the history of public health in this country. As the vaccine campaigns continue into December, we believe all of our efforts will pay off.
All of this work deserves to be supported and built upon, not overlooked and criticized. We are all in this together and we need to continue our co-operation.
This government and our provincial and territorial counterparts have been making real concrete and tangible efforts to protect the health of Canadians. Ensuring timely access to a safe and effective vaccine for every Canadian who needs and wants to be immunized has been a cornerstone of the Canadian pandemic influenza plan for the health sector.
I want to set the record straight about the responsible, well thought out and entirely appropriate decisions the Government of Canada has taken on this file. Vaccines protect Canadians from becoming infected and helps prevent the spread of disease in our communities and, not surprisingly for the H1N1 flu outbreak, vaccines are a critical part of our public health response.
Canada's regulatory authorities have long recognized the unique challenges that would be posed by an influenza pandemic resulting from a completely novel strain virus like H1N1. New vaccines typically take years to be authorized, but in an influenza pandemic of the sort we are currently experiencing where infection has spread rapidly around the world in a few short months, standard vaccine development and regulatory processes are simply not viable.
In 2007, Health Canada began working with the WHO, the USFDA and others to establish a type of safety data that would be required to allow for the eventual approval of a vaccine in the event a pandemic was declared. Advance planning has meant we were able to move quickly on vaccines.
As soon as the WHO identified the novel H1N1 influenza strain, our process and expectations were clearly laid out for our manufacturer. Any potential roadblocks or ambiguity about the process forward had been cleared.
As many are aware, Canada's H1N1 vaccine supplier is GlaxoSmithKline. All provinces and territories in Canada agreed there was a strong public health rationale for securing a domestic vaccine production capacity in Canada. This reduced the risk of having to scramble for supplies at the last minute, compete with other countries or face the risk of products being stuck at border crossings. All governments had that foresight.
Just a few years ago, few countries and very few people were interested in influenza. The manufacturing capacity was much lower and there were not necessarily the options open to us today. Adjuvants, for example, were not an option until we saw an H5N1 emerge, prompting further influenza vaccine research and development.
Our domestic manufacturer actually has an adjuvant to offer, while others do not have similar new technology. This is one reason why, following a competitive tendering process, GSK was the successful bidder. At the time, Canada's public health community applauded this forward-looking, pro-active decision.
Because we had a guaranteed supplier able to meet all of our vaccine requirements, we could make an informed decision regarding our vaccine order. GSK's manufacturing facility and processes had already been assessed by our regulator. The company knew in advance what safety data requirements it had to meet for its H1N1 vaccine to be approved. As a result of this, we knew there would be no regulatory delays in getting vaccines to Canadians.
In short, for opposition members who have been quick to criticize and use this pandemic shamefully for partisan needs, I say this. To date, more than six million doses of adjuvanted H1N1 flu vaccine have been delivered to the provinces and territories. That is currently more H1N1 flu vaccine per capita than any other country in the world.
Let me be clear. All decisions that have involved the purchase, medical advice and roll out of the vaccine have been done in agreement with the provinces and territories. This government has also worked closely with first nations and the provinces to ensure that vaccination was a key component of the overall strategy to fight the H1N1 influenza.
We have ordered enough H1N1 flu vaccine for every Canadian from coast to coast to coast who needs and wants to be immunized. No one will be left behind, and, yes, the H1N1 flu vaccine, a safe and effective vaccine, will be available to Canadians in a timely way.
Looking back to June of this year, I am reminded about what our Chief Public Health Officer said. He said that if all went well, the vaccine would be ready by the end of October. He said that the goal would be to get enough vaccine for all Canadians by Christmas.
Four months later, the reality is we had the vaccine ready by the end of October, and our goal is still to get enough vaccine out to Canadians by Christmas.
We have not cut corners on safety. We have acted in a responsible and deliberate way that balances the need to ensure a safe and effective vaccine is available with the need to stay ahead of any outbreak.
This is a tough balancing act, but we believe we have the balance right.
Since the new virus surfaced in April, we have made hundreds of difficult decisions, all guided by the best available science and expert advice. We have informed Canadians about these decisions every step of the way. We have been upfront with everyone about the global challenges we are dealing with in this worldwide pandemic.
Last week witnessed the beginning of the largest mass immunization campaign in Canadian history. Because we knew it would be impossible to vaccinate everyone at one time, the Government of Canada, in co-operation with the provinces and territories, jointly determined sequencing guidelines for the distribution of the H1N1 flu vaccine. This was done to ensure that vaccine programs could target priority groups first, allowing those who needed the vaccine most to get it first.
I want to assure the House that the Government of Canada, along with the provinces and territories, have been working diligently to distribute and administer the H1N1 flu vaccine as quickly, safely and broadly as we possibly can. The Government of Canada has been in constant contact with GSK and the provinces and territories and is sharing information with the provinces and territories on each week's supply.
Canada's supply is secure. The contract with GSK is to produce enough vaccine to meet Canadians' needs first. There has been constant communication, both at the working level and at the senior management level, to share information on vaccine availability in each jurisdiction.
Again, I want to express my gratitude and appreciation to the many health care workers working at clinics. These are very challenging and unique circumstances they are working under. Jurisdictions are giving more vaccine per day than they ever have given in history.
Together, all governments are ensuring Canadians will be able to have access to our number one defence in this pandemic, and that is the H1N1 vaccine.
:
Mr. Speaker, I would like to focus my remarks on pandemic planning and communications. I want to preface my remarks by stating that without the Canadian pandemic influenza plan, adopted in 2006, our current goals would not be attainable. This includes ensuring access by December to a vaccine for all Canadians who need and want one. It includes ensuring that every level of government, medical professionals and scientific experts are involved and collaborate along the way so the right decisions are made based on the best medical evidence.
The position of the WHO with regard to a global pandemic has always been it is a question of when, not if. All countries are urged to develop or update their own plans for dealing with influenza. Canada's pandemic plan, developed and adopted by the federal government together with the provinces and territories, has been invaluable in responding to the current H1N1 outbreak. It has helped all governments respond at all levels, from the public health officials to local planners to first responders.
Among other elements, this plan provides a framework to guide the actions of all levels of government for prevention, preparedness and response and implementation activities. In adopting the plan, the federal government also took a number of important steps to strengthen pandemic readiness. We increased surveillance and monitoring of influenza outbreaks to detect cases and clusters of severe or emerging respiratory infections and to effectively prevent and contain their spread.
In addition, national case definitions and standardized laboratory tests and protocols were developed to ensure consistent approaches to diagnosing, managing and reporting cases of severe respiratory infection.
Budget 2006 provided $1 billion over five years, that is from 2006 to 2011, to further improve Canada's pandemic preparedness; $600 million to be allocated to departments and agencies for a variety of pandemic preparedness activities; and $400 million to be set aside as a contingency to be assessed if a pandemic were to occur. This money was used to strengthen federal capacity in seven major areas: vaccines and antivirals, surge capacity, prevention and early warning, emergency preparedness, critical science and regulation, risk communications, and federal-provincial-territorial and international collaboration.
The Public Health Agency of Canada received $384 million over five years to strengthen federal human public health capacity to prepare and respond to the threat of avian and pandemic influenza in several areas: vaccine development capacity and purchase of antivirals and an early warning surveillance in collaboration with the WHO.
In addition, Health Canada received $15.5 million to address public health emergency planning for first nation communities and for regulatory work on vaccines and antivirals.
The Canadian Institutes of Health Research also received funding of $21.5 million. This continues to support over 140 pandemic and influenza-related projects that contribute to managing the current influenza outbreak. This funding was a significant investment that showed foresight, leadership and commitment to the health and well-being of all Canadians.
It is because of this investment that Canada has been on the leading edge of the global response. In fact, other countries have commented on how well Canada has been responding.
Dr. Margaret Chan, Director-General of the World Health Organization, specifically commended Canada for all its efforts. I think Canadians would agree that given the circumstances, we are well prepared on all levels and have responded based on this planning, acting in co-operation and collaboration with the provinces and the territories, following the best medical evidence available at the time.
This government knows how important it is not only to respond but to communicate with Canadians during a pandemic. Inevitably the public will have concerns, fears and many questions about it. We place great value in ensuring all Canadians have the right information to make decisions for their families and for their loved ones.
One of our key responsibilities is to make sure Canadians have reliable, up to date and comprehensive information on H1N1, how to protect themselves and how to manage during the outbreak. Right from the beginning, the Government of Canada has been up front, transparent and diligent in sharing what we knew, and as we learned more about this new virus, sharing that new information as well.
We are learning more about H1N1 every day. We continue to strive to share what we know with Canadians so that they see us as a trusted source of information. We know where Canadians are looking for this information and we are responding to their needs.
If we look at the traffic on the Public Health Agency of Canada website, there were a total of 4.1 million visits to the site between April 24 and November 1. On the 1-800 O Canada information line, a total of 24,247 calls have been received since September 24, nearly all of them from the general public.
On October 13, the Public Health Agency of Canada launched its H1N1 preparedness guide. It is extremely popular among Canadians. To date, 390,000 guides have been ordered via the 1-800 O Canada number, 26,000 copies have been downloaded from our website at www.fightflu.ca, and 650,000 copies have been distributed to 6,550 Canada Post offices. Already a reprint of two million copies is being done this week and distributed to Service Canada and Canada Post.
The launch of the H1N1 preparedness guide was an opportunity for the and Canada's Chief Public Health Officer to meet with people all across the country, including people living in remote and isolated communities, to talk about what the Government of Canada is doing to protect the health of all Canadians during the pandemic.
There is a huge amount of interest and the Government of Canada is keeping up with demand by providing factual, relevant and timely information on this virus. In particular, Canadians want information on the symptoms of this flu and what to do if a loved one falls sick. This information is included in our preparedness guide, on our website, in our marketing campaign and in all our many communications vehicles.
Last Tuesday, after the vaccination clinics had started across the country, we saw a huge increase in visits to the fightflu.ca website that we manage at the Public Health Agency on behalf of the provinces and territories. The all-time high previously was 600,000 visits. We received more than three times that number of visits on Tuesday.
Not only are large numbers of Canadians visiting the site, they are spending more time on these pages, which means they are reading the information and they are going deeper to find additional information. There is also ample evidence that Canadians want to get vaccinated and we are working with all our partners to make sure that they do just that. Our outreach strategy is working, and thanks to our comprehensive approach to collaboration, we are prepared for what may come this winter.
This large-scale and comprehensive approach to informing Canadians is unprecedented in Canadian history. Our extensive preparation and close collaboration with the provinces, territories and public health authorities have enabled us to provide Canadians with a constant flow of clear, factual information to help them deal with this public health emergency. Our pandemic plan is the culmination of an extensive dialogue in collaboration with provincial and territorial public health authorities, health care workers, scientific experts and academics.
It is this foresight and preparation that has enabled Canada to respond as quickly and as effectively as it has to the H1N1 virus. It is the years of comprehensive planning with all our partners that has made our country a global leader before and during this flu pandemic.
:
Mr. Speaker, this afternoon I rise to speak to the official opposition motion, which states:
That, in the opinion of the House, provincial and local health authorities and health care workers should receive the maximum possible support from the federal government in handling the H1N1 flu pandemic and related vaccination efforts, and the Government of Canada should therefore immediately: (a) allocate the full $400 million set aside for pandemic response in the 2006 budget to support additional medical staff for vaccinations and patient care; (b) increase support for emergency planning to help local health authorities cope with long line-ups and shortages of both vaccines and health care workers; and (c) divert the money now being spent on needless, partisan advertising of government budgetary measures to a new public awareness campaign to keep Canadians informed with essential up-to-date information throughout the pandemic.
The Bloc Québécois supports the motion because the federal government must now correct the situation and provide the support that Quebec and the provinces are entitled to expect. They could in turn facilitate the work of local health authorities.
The Bloc Québécois supports the motion to dispel confusion about the second wave of H1N1 pandemic influenza. However, we feel that the motion should be amended to ensure that each level of government continues to respect its jurisdictional boundaries while working to correct the situation.
The purpose of this motion is to allocate additional funding to fight H1N1 pandemic influenza. Following the SARS epidemic in the spring of 2003, which hit Canada hard, the Conservative government allocated $1 billion over five years in its 2006 budget “to further improve Canada’s pandemic preparedness”. That is what was in the budget.
About $600 million was given to various organizations and departments to help them prepare, and another $400 million was set aside for a future crisis. One of the official opposition's arguments that led to this motion was that because such a crisis did not occur during the past three years, the Conservatives used $80 million per year for other things.
I would really like to know for what other things the government thought it could and should use money that was set aside for something as serious as a pandemic. I would like the government to explain, here in the House, what happened to those millions of dollars, which were supposed to be set aside to help Quebec and the provinces should a pandemic occur.
Now it seems that there is $160 million left to deal with this eventuality. Yet the federal government should be able to draw on the entire $400 million initially set aside for pandemic response.
That money should be paid out to ease the burden for Quebec and the provinces, which have to cover the cost of vaccinating people and caring for the sick. That money would help hire more nurses to vaccinate people when the vaccine arrives or help cover the additional cost of caring for the higher number of people severely affected by H1N1 who require hospitalization.
It is important to keep in mind that a collective effort is what is needed. Everyone has to do their part. Everyone has to do their job. At this point, we can see that the government is not doing some of what it should be doing. It must also do its job transparently. Right now, it seems as though information is being given out in dribs and drabs. There is no clear strategy, and the government needs to make an effort to correct this situation.
As I said, the federal government must help the provinces cope with the added pressure on the provincial health care systems.
The motion also suggests that the federal government improve its emergency planning in order to support local health authorities, reduce lineups and address shortages of vaccines and health care workers. It is now officially recognized that the federal government was poorly prepared for the H1N1 outbreak. As recently as yesterday, November 3, the Auditor General, Sheila Fraser, criticized the government for not having a pandemic plan. In fact, the official opposition amended its motion to add the fact that the government must implement the Auditor General's recommendations on emergency management.
The Auditor General's report said this:
Public Safety Canada has not exercised the leadership necessary to coordinate emergency management activities, including critical infrastructure protection in Canada. For example, it has yet to develop the policies and programs that would help clarify its leadership and coordination role for an “all-hazards” approach to the emergency management activities of departments. Public Safety Canada has taken the first step by developing the interim Federal Emergency Response Plan, which it considers to be final although it has not been formally approved by the government. Nor does the Plan include updated or completed definitions of the roles, responsibilities, and capabilities needed for an integrated, coordinated approach to emergency response.
When I see the Auditor General of Canada being somewhat critical of the emergency plan, I recall the committee meetings where officials from various departments came and told us about their preparations. In light of that report, I wonder if, in their presentations to the committee, they did not fail to mention a few things. I think it would be interesting to hear them again on that. Are the departments talking to one another to ensure an overall coordination of government operations, among other things?
When I see the Auditor General suggest that the emergency plan is lacking, I recall the special meeting held in August, when the Standing Committee on Health heard the Minister of Health. She had been making piecemeal announcements week after week. I asked her this: “Madam Minister, do you not think that, instead of making piecemeal announcements, you should be putting forward a comprehensive overall plan of the actions to be taken to respond efficiently and effectively to a potential second wave of the H1N1 flu?” To this day, the government's policy seems to be this kind of piecemeal approach.
While the motion calls on the federal government to support local health authorities, we are of the opinion that the federal government should step up its prevention strategy to support Quebec and the provinces instead, so that they can in turn make things easier for local health authorities, given that health is a provincial jurisdiction.
The third part of the motion calls on the government to divert the money being spent on strictly partisan advertising to measures to promote public awareness and provide the public with all essential information concerning the H1N1 flu.
I am pleased to hear the Liberal Party say that partisan advertising should be ruled out. I cannot believe that it only now figured that out. Advertising should be for public information purposes only and really be used for that purpose. I hope that putting forward a motion they will be voting for today will make them realize that the various partisan ads they were fond of when in government were no more acceptable than the current government's ads.
It is disappointing when public funds are used for purely partisan purposes to increase a government's or a prime minister's popularity.
I spoke about relevant, accurate and targeted information. There is one example of a time when more information should have been given to the public; when other countries were approving the vaccine but not Canada. The public was confused. Members will recall that the United States approved their vaccine on September 13. Australia approved it on September 18, and France on September 23. Canada had to issue an interim order on October 13 to allow the vaccine to be distributed to the provinces. Furthermore, this interim order was based on European tests conducted on a vaccine similar to the one that would be distributed in Quebec and Canada.
So, after the government had put so much emphasis on waiting for the results of the Canadian tests, we have every reason to wonder why Health Canada decided to approve the vaccine at that point, since an official appearing before the Standing Committee on Health even admitted that aggregate data from around the world were used in making this decision.
Furthermore, the and the head of the Public Health Agency of Canada repeatedly urged the public to get vaccinated. This message was splashed all over the media—on radio, on TV and on the Internet. Now the massive vaccination campaign has been launched, and many Quebeckers and Canadians have heeded that message and are waiting outside vaccination centres.
Centres are having to turn people away by the hundreds, because they do not have enough doses of the vaccine. While the public has responded to the Canadian government's call, the government is being inconsistent, and is giving out conflicting information. At the end of August, the government said that we did not need a list of priority individuals, because Canada had ordered enough doses for everyone. Then, on September 16, the Public Health Agency of Canada announced that high risk individuals would be vaccinated first. This shows that they were managing things as they went along, instead of preparing in advance, which is what we expect from those in charge of Canada's public health.
What is more, it would seem that members of the Conservative government are not sharing their information. While the and the Chief Public Health Officer of Canada were touring the country to encourage people to get vaccinated, the seemed reluctant to follow the advice of a member of his cabinet. On October 15, the Prime Minister said he would get vaccinated if it were generally recommended.
The government only added to the confusion of its message, while its members sent out inconsistent messages, which left some doubt about the effectiveness of the vaccination campaign. After this blunder, it can consider itself lucky that the public responded positively to Health Canada's request and decided to get vaccinated.
We have to make sure the freed-up money goes to Quebec and the provinces, which are responsible for vaccination and health care delivery. The role of the federal government is limited to emergency planning, prevention and the distribution of safe vaccine, areas in which it has clearly failed.
On October 29, the Chief Public Health Officer of Canada announced that the production of adjuvanted vaccine would be reduced, delaying by a few weeks the production and delivery of regular vaccine to the provinces.
During the emergency debate I asked the minister a very simple question: when will things return to normal? When will the number of doses we had been receiving week after week, namely 400,000 doses in Quebec, be distributed again to the provinces? The minister was unable to answer that very simple question. It is a bit distressing to see that the minister was unable to say when this shortage would end. A number of vaccination centres have closed because of this shortage. This really does not make any sense. People are told it is time to get vaccinated and the clinics that were set up have to close because there is no vaccine, which is the federal government's responsibility.
While the line-ups for the H1N1 vaccine are getting longer and the vaccination centres are overflowing, it is unacceptable that the distribution of vaccine has decreased because of this governmental decision, which smacks of improvisation. Quebec, which was receiving 400,000 doses a week, will now have to settle for 101,000 doses this week.
Earlier this week or even late last week, Dr. Butler-Jones indicated that he was only advised of the situation last Thursday. He said he had no way of knowing how popular the H1N1 vaccine would be. The reality is that the federal government is having a hard time keeping up with the demand for the vaccine, while the high risk groups remain vulnerable. It could have made arrangements much earlier, knowing that it would eventually be supplied with 50.4 million doses of the vaccine.
It is asking people to be patient, but during that time a higher percentage of the population runs the risk of being infected. Over the past 10 days, 167 hospital admissions were reported across Quebec. Five people have died in Ontario, including three healthy youngsters. These unfortunate situations soon raised concerns among parents looking to protect the health of their children, but many are unable to act on their concern because of the shortage of vaccines.
At the moment, the shortage of vaccines has been caused by the shift in production from adjuvanted to non-adjuvanted vaccine. The latter was ordered in September, after the WHO indicated it did not have sufficient data concerning the effects of the adjuvanted vaccine on certain groups considered at risk by the Public Health Agency of Canada, including pregnant women. Despite the fact that the WHO had made this fact known in June, when the pandemic started, the government delayed its order for the non-adjuvanted vaccine. In her October 26 press conference, the minister announced that she would be buying doses of the non-adjuvanted vaccine from Australia.
Adding to the confusion in the message sent to the public, the shift in production and the minister's announcement concerning the procurement of 200,000 doses of non-adjuvanted vaccine from an Australian company, whose product was also approved by interim order, happened just after the WHO approved the adjuvanted vaccine for pregnant women, the original reason for ordering the non-adjuvanted vaccine.
The delay in ordering the vaccine and the approval given through an interim order have done nothing to reassure Quebeckers and Canadians regarding the government's management in its own jurisdictions. As soon as the World Health Organization alerted governments around the world to the risk of a pandemic, the Bloc Québécois doubted the federal government's ability to properly plan for a general outbreak of H1N1.
That is why the Bloc Québécois supports the motion that seeks to clear up the prevailing confusion regarding the second wave of the H1N1 flu pandemic. However, a few small changes still need to be made in order to reassure us that, while fixing the situation, each level of government will continue to respect its areas of jurisdiction.
:
Mr. Speaker, it appears that I have about five minutes left in the debate to give a perspective that I think has been missing from some of the discussion today.
First, I want to thank the Liberals for bringing forward this motion, part of their opposition day debate. I want to say to them that it is probably important for the Liberals in the House to answer questions, more than the Conservatives.
We have identified one of the root causes of the problems we have faced over the last few days to be the fact that we have in place a single source contract that was signed by the Liberals, Prime Minister Chrétien at the helm, at cabinet in 2001 with the company that preceded GlaxoSmithKline, Shire Biologics for $325 million.
That was 2001, when of course we were in the middle of the sponsorship scandal. That was 2001, when the Liberal government at the time suggested that there had to be a company funded in Quebec, thereby excluding most other possible bidders. As a result, a single source contract for producing all pandemic vaccines went to one company, Shire Biologics.
I raise this because I want the Liberals to account for it. I want their members to know and members in the House to know that Canadians are standing in line for vaccination that they believe is necessary for the health and well-being of themselves and their children, who are worried to death about not being able to get the vaccine for asthmatic children, and who are fearful as pregnant women about what, when and how they will get the protection they need. I want Canadians to know the true story, that behind this problem, behind much of the difficulties that we are faced with today, was a decision made by the Liberals eight years ago for political purposes, it would appear.
I am not here making generalizations or casting aspersions, but it would appear that, in fact, there were political reasons for the decision that was made back then and we are paying the price today. It is infuriating for Canadians to realize that the lineups, the lack of access to the vaccine, can be traced back to the fact that we have a single source contract.
I would like to remind the House about the expert testimony we received at the health committee, and the Liberals were there to hear this, from the company that did not get any contract from the government for producing the pandemic vaccine, and that is Sanofi Pasteur. Dr. Rob Van Exan, who came to our committee, said the following:
My comments were based on the fact that we have had a two-supplier process in Canada for the regular seasonal vaccines since 1992, which predates GSK's involvement in this. I've been with Connaught for 30 years, so I remember this. In fact, Connaught was one of the ones that instigated and negotiated the two-supplier system--
He went on to say:
This is a much trickier vaccine to produce on a seasonal basis than any other. The concerns are not only with the virus changing. What about the source of eggs, and what about viruses getting into the eggs or into the chickens? There are so many places for something to go wrong.
That is why we must have a two supplier contract. Why? That is the first question.
How do we fix the problem? The government has suggested that perhaps it will start looking at a two supplier scenario once again, but it is a little too late, is it not? Why did the government, when it was faced with the knowledge of these problems and the single source contract, and the inability to meet demand as it had predicted, not make changes to the contract, not do something to enhance the production of the vaccine?
Maybe it has to do with the fact that the Conservatives are playing the same kinds of games as the Liberals. Maybe it has to do with the fact that the chief lobbyist for GlaxoSmitKline is Ken Boessenkool, who is a well-known Conservative, a close friend of the 's, who served as policy and communications adviser when the Prime Minister was doing his leadership bid, and who more recently became a lobbyist for GSK.
Is it possible that the government did not intervene because the most current version of this drug company was busy lobbying the government and trying to keep hold of this single source of production?
I raise other concerns that we have faced within the last few days that gall Canadians. They now realize that there have been 101 deaths, six since last Thursday when the supply of vaccine dried up and mass immunization clinics across this country were closed. Provinces had to say to people on the priority list that they did not have the vaccine to help them.
I want the House to know that Canadians are galled by the fact that there are Canadians in this country who can go to Medcan, a private clinic in Toronto, or Copeman in Vancouver and get the vaccine they need and want because they have paid $4,000 a year for a membership and are therefore entitled to it.
I thought Conservatives were against that kind of elite access. I thought Conservatives were going to stop the kind of nonsense we saw from Liberals with their entitlements.
Why did the Conservatives not ensure that no private clinic would be able to access this vaccine, and why was the Canada Health Act not upheld?
I also wonder why the government has not been able to present a coordinated strategy with one communication message across this country showing that the vaccine is available and that the government is prepared to do whatever is necessary to save people's lives and to ensure that people get the vaccine they need when they need it.