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Mr. Speaker, the following questions will be answered today: Nos. 873, 874 and 875.
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Question No. 873--Ms. Kirsty Duncan:
With respect to disaster risk reduction (DRR) and recovery: (a) what is the current value of the government’s infrastructure including, but not limited to, energy, social, tourism, and transportation infrastructure, and what are the government’s contingency liabilities; (b) what percentage of the national budget is devoted to DRR, (i) what stand alone DRR investments has the government made in each of its budgets since 2006, (ii) what percentage of each budget has been allocated to hazard proofing sectoral development investments and, if such allocations have been made, (iii) what amount has the government invested by sector, broken down by budget; (c) what monies have been provided for a national policy and legal framework with decentralised responsibilities, (i) what monies are required, (ii) what are the operational requirements, (iii) what human resources are required; (d) what dedicated resources are available to implement DRR plans and activities, (i) what monies are required, (iii) what are the operational requirements, (iii) what human resources are required; (e) what monies have been allocated to the national multi-sectoral platform; (f) what are the existing resources in regards to systems that monitor, archive and disseminate data on key hazards and vulnerabilities, (i) what monies are required, (ii) what are the operational requirements, (iii) what human resources are required; (g) what would be required to put in place a national public alerting system that would warn Canadians of imminent or unfolding threats to life in place in terms of (i) financial resources, (ii) personnel resources; (h) what resources are allocated to national risk assessments, (i) what monies are required, (ii) what are the operational requirements, (iii) what human resources are required; (i) what resources are allocated to local risk assessments, (i) what monies are required, (ii) what are the operational requirements, (iii) what human resources are required; (j) is information on disasters available to all stakeholders, and what are the resources allocated to ensure data availability, (i) what monies are required, (ii) what are the operational requirements, (iii) what human resources are required; (k) what resources are allocated to countrywide public awareness campaigns to stimulate a culture of disaster resilience, with outreach to urban and rural communities, (i) what monies are required, (ii) what are the operational requirements, (iii) what human resources are required; (l) what are the existing resources regarding economic and productive sectoral policies and plans aimed at reducing the vulnerability of economic activities in the event of a disaster, (i) what monies are required, (ii) what are the operational requirements, (iii) what human resources are required; (m) what resources are allocated to the planning and management of human settlements incorporating DRR elements, including enforcement of building codes, (i) what monies are required, (ii) what are the operational requirements, (iii) what human resources are required; (n) what resources are allocated to disaster risk of major development projects, (i) what monies are required, (ii) what are the operational requirements, (iii) what human resources are required; (o) what resources are allocated to national programmes aimed at making schools and health facilities safe in the case of an emergency, (i) what monies are required, (ii) what human resources are required; (p) what are the institutional commitments for financial reserves and contingency mechanisms in place to support effective response and recovery, (i) what monies are required, (ii) what human resources are required; (q) are procedures in place to exchange relevant information during hazard events and disasters, (i) what monies are required, (ii) what human resources are required; and (r) are procedures in place to undertake post-event reviews, (i) what monies are required, (ii) what human resources are required?
Hon. Vic Toews (Minister of Public Safety, CPC):
Mr. Speaker, the information requested would require extensive manual research and analysis that would require a significant amount of time as well as human and financial resources to complete, which is not feasible in the allotted amount of time.
Question No. 874--Ms. Kirsty Duncan:
With regard to the Canadian Institutes of Health Research’s Scientific Expert Working Group: (a) was the Scientific Expert Working Group aware that on December 7th, 2010, Dr. Beaudet assured the Subcommittee on Neurological Disease that “no physician will refuse to see and treat them for complications of a treatment received abroad”; (b) why did the Scientific Expert Working Group state that “media reports that have stated that Multiple Sclerosis (MS) patients who experience complications after Chronic Cerebrospinal Venous Insufficiency (CCSVI) treatment are not being seen by Canadian doctors are not justified”, (i) what patients or patient advocacy groups were interviewed, (ii) what evidence was reviewed, (iii) what action was taken; (c) which of the provincial guidelines for follow up care does the Scientific Expert Working Group support; (d) what was the action undertaken by the government to ensure that all patients receive follow-up care, including patients suffering from complications from CCSVI treatments received abroad; (e) when was the Sub-Committee of the Scientific Expert Working Group formed, (i) why was it formed, (ii) who are the members of the sub-committee, (iii) what prompted a meeting to develop criteria for a recommendation for clinical trials on June 13th, 2011; (f) why did the Scientific Expert Working Group fail to sign a declaration of conflict of interest until June 2011; (g) what specific results were available from the seven MS Society of Canada-funded studies on June 28th 2011; (h) with respect to the Scientific Expert Working Group’s consensus workshop on ultrasound imaging, (i) on what date did the meeting take place, (ii) who was in attendance, (iii) what were the agenda items, (iv) what were the key recommendations, (v) why was Dr. Sandy McDonald not included, (vi) on what items did the group come to consensus; (i) what is the budget for the Scientific Expert Working Group specifically, (i) the monies allotted for 2010-2011, (ii) 2011-2012, (iii) the monies allocated for travel, (iv) the monies allocated for accommodation, (v) why was Agreement no 1148 to be signed at the end of February 2011 for monies that were to be available for 2010-2011; (j) with respect to Agreement no 1148 to support the Scientific Expert Working Group between the CIHR and the MS Society of Canada, (i) was the agreement ever signed and, if so (i) on what date, (ii) who made the grant application for the President’s Fund and on what date, (iii) what was the grant specifically for, (iv) why is the MS Society of Canada responsible for planning, support and implementation of the Scientific Expert Working Group, (v) what action is being taken to ensure that there are no conflicts of interest; (k) how many researchers/research groups applied for the Phase 1/11 clinical trial, and from what institutions; and (l) what has caused the delay in announcing the research team which was to be named by mid-April 2012?
Hon. Leona Aglukkaq (Minister of Health and Minister of the Canadian Northern Economic Development Agency, CPC):
Mr. Speaker, with regard to the CIHR scientific expert working group, the Canadian Institutes of Health Research established a scientific expert working group, SEWG, to monitor and analyze results from seven U.S. and Canadian MS societies funded studies, as well as from other related studies from around the world related to venous anatomy and MS.
On June 28, 2011, the SEWG reviewed data relating to CCSVI presented at international meetings and then were presented the draft results of a systematic review of peer-reviewed publications regarding CCSVI and MS. An update was provided by study investigators regarding progress of the seven North American studies funded by the MS Society of Canada and U.S. National MS Society. At that time, all seven funded studies had made good progress, many were well on their way to having their target number of subjects recruited, and a total of 1,267 individual with MS and controls were expected to be recruited over the course of the studies.
The SEWG is not mandated to make recommendations on the follow-up care of patients who underwent the CCSVI procedure abroad. The working group did not publish any statements on this issue.
Information on the SEWG, including its terms of reference and the highlights of its meetings, is available at: http://www.cihr.ca/e/44360.html. All members of the SEWG agreed to the CIHR confidentiality and conflict of interest policy.
Primary responsibility for matters related to the administration and delivery of health care services falls within the purview of provincial and territorial governments. Several provincial authorities such as the colleges of physicians and surgeons of Alberta, Nova Scotia and Québec, as well as the Ontario Ministry of Health and Long-Term Care have released guidelines and policies to help physicians in their respective jurisdictions make the best medical decisions for MS patients who were treated for CCSVI outside Canada. Information cited above is available from the provincial authorities.
With regard to the consensus workshop, in February 2011, CIHR provided a one-time grant to the MS Society of Canada to provide operational support for the SEWG. This support included the organization of a consensus workshop in September 2011 on ultrasound imaging techniques.
This grant represents a total investment of $317,500, $158,750 per year, and was funded for a two-year period from April 1, 2010 to March 31, 2012. On February 29, 2012, CIHR informed the MS Society of Canada that the grant was automatically extended until March 31, 2013.
The agreement for this grant was signed on March 2, 2011 by Dr. Alain Beaudet, president of CIHR and Yves Savoie, president and chief executive officer of the MS Society of Canada.
The consensus workshop was held on September 6, 2012 in Toronto. CIHR employees were not involved in the organization or running of this consensus workshop. The workshop helped with the development of a protocol to be incorporated into the trial design. This protocol was part of the request for applications developed by CIHR. For additional information visit: http://www.researchnet-recherchenet.ca/rnr16/viewOpportunityDetails.do?progCd=10266&language=E&fodAgency=CIHR&view=browseArchive&browseArc=true&org=CIHR#moreinformation.
With regard to research proposals, since researchers must be affiliated with an eligible Canadian institution or organization to apply for CIHR funding, applications were only received from Canadian researchers. To respect privacy and confidentiality, CIHR cannot share the number of applications received and only information regarding the successful applicants is published on CIHR’s website.
In April 2012, CIHR announced that a research team was selected through a rigorous peer-review process to conduct a phase I/II clinical trial on CCSVI. To protect the independence of the institutional research ethics boards, REBs, the names of the research team's members and institutions involved have been withheld until REB approval. Once the selected team received ethics approval for two sites, Vancouver and Montreal, the Minister of Health announced the name of the principal investigator of the study: http://www.cihr-irsc.gc.ca/e/45919.html.
Two additional sites, Winnipeg and Quebec, are still seeking ethics approval, a process that is totally independent from CIHR.
Question No. 875--Ms. Kirsty Duncan:
With respect to disaster management in Canada: (a) what is the current value of government’s infrastructure, including but not limited to, energy, social, tourism, and transportation infrastructure, and what are the government’s contingency liabilities; (b) what are the main types of disasters in Canada and, for each type, (i) how have they increased or decreased for each decade from 1900-2010, (ii) what was the average number of lives lost as a result of these disasters for each decade from 1900-2010, (iii) what was the average disaster management cost for each decade from 1900-2010; (c) when did Aboriginal Affairs and Northern Development Canada begin tracking the number and types of disasters that impact First Nations communities on reserve, (i) what are the main types of disasters on reserve and, for each type, (ii) how have they increased or decreased for each decade since data became available, (iii) what was the average number of lives lost as a result of these disasters for each decade since data became available, (iv) what was the average disaster management cost for each decade since data became available; (d) what are the projected costs of extreme weather events related to climate change for each decade of 2020-2030, 2030-2040, 2040-2050, including but not limited to heat waves and heavy precipitation events, broken down by extreme weather event, (i) what are the projected human impacts, broken down by extreme weather event, (ii) what are the projected economic impacts, broken down by extreme weather event, (iii) what are the projected costs of mitigation, broken down by extreme weather event; (e) when was the national multi-sectoral platform for disaster risk reduction constituted, (i) what are the dates of all meetings to date, (ii) how many women’s organizations are participating and, if none, why not; (f) has a multi-hazard assessment been undertaken for Canada and, if not, why not; (g) is a multi-hazard assessment planned and, if so, (i) when is it planned to begin, (ii) when is it planned to be complete, (iii) what are the human and financial resources allocated for this assessment, (iv) are additional financial or human resources required and, if so, what are they; (h) what research methods and tools for each of multi-risk assessment and cost benefit analysis have been developed, and what is the level of institutional commitment for each of multi-risk assessment and cost-benefit analysis; (i) how does the government ensure that all Canadians are involved in emergency management, namely, (i) individual citizens, (ii) communities, (iii) municipalities, (iv) emergency responders, (v) the private sector, (vi) First Nations, (vii) academia, (viii) volunteer and non-government organizations, (ix) federal, provincial, territorial governments, (x) how is knowledge penetration measured, (xi) how are partnerships deemed effective; (j) what studies has the government undertaken to test Canadians’ knowledge of disaster risk, response, and recovery, and if such studies have been undertaken, (i) what are the details of the studies, (ii) the date undertaken, (iii) the results, (iv) any recommendations; (k) has the government undertaken drills on Parliament Hill to ensure that decision-makers know what to do during a disaster and, if such drills have been undertaken, (i) what are the details of the drills, (ii) the dates undertaken, (iii) the results and (iv) any recommendations; (l) what national and local risk assessments are available to date, and to what extent are each of these assessments comprehensive; (m) do national and local risk assessments take account of regional or trans-boundary risks; (n) have gender disaggregated vulnerability and capacity assessments been undertaken, and, if not, why not; (o) what school and hospital assessments have been conducted, broken down by province and territory; (p) are systems in place to fully monitor, archive and disseminate data on key hazards and vulnerabilities, and is relevant information on disasters available and accessible at all levels, to all stakeholders; (q) are disaster reports generated and used in planning and, if not, why not; (r) do early warning systems for all major hazards exist, with outreach to rural and urban communities; (s) does a national public alerting system that will warn Canadians of imminent or unfolding threats to life currently exist and, if not, why not; (t) is a national public alerting system planned and, if so (i) when is it planned to begin, (ii) when is it planned to be complete, (iii) what financial resources are allocated, and, are additional monies required, (iv) what human resources are required and, are additional resources required; (u) how is disaster risk reduction an integral component of environment related policies and plans, including, but not limited to Canadian Environmental Assessment Act (CEAA) 2012, land use natural resource management and adaptation to climate change, and what is the level of institutional commitment; (v) will the impacts of disaster risk be taken into account in the environmental impact assessment under CEAA 2012 and, if so, (i) how will disaster risk reduction be incorporated, (ii) what are the disaster risk reduction responsibilities, requirements and procedures for the environmental assessment of projects in which the government has a decision-making responsibility; (w) what information does the Adaptation and Impacts Research Group provide regarding Canada’s vulnerability to climate change and extreme weather events, (i) how many personnel are devoted to this activity, (ii) what financial supports are given to this activity; (x) how are the impacts from our changing climate and changes in extreme weather predicted to impact the assets listed in (a), and what are the projected costs to climate proof these assets; (y) how are social development policies and plans being implemented to reduce the vulnerability of populations most at risk, (i) what is the level of institutional commitment attained, (ii) to what extent is the commitment comprehensive; (z) what specific action has the government taken to reduce exposure and vulnerability including, but not limited to, (i) investment in drainage infrastructure in flood-prone areas, (ii) slope stabilisation in landslide-prone areas, (iii) provision of safe land for low-income households and communities, (iv) stabilisation of its contaminated sites; (aa) what measures have been taken to address gender based issues in recovery; (bb) for each school and hospital assessment listed in (o), are (i) training, (ii) mock drills for emergency preparedness being undertaken and, if not, why not; (cc) are there contingency plans, procedures and resources in place to deal with a major disaster, do they include gender sensitivities and, if not, why not; (dd) what oversight exists of the development and implementation of provincial, territorial and municipal risk assessment processes; (ee) what oversight is being undertaken to ensure private businesses and public sector agencies are undertaking (i) strategic emergency management plans, (ii) business continuity plans in order to sustain essential services to government and Canadians; (ff) what specific training and exercises in support of existing emergency management have been undertaken by the government’s health portfolio, (i) on what dates were these exercises undertaken, (ii) what were the results, (iii) what were the recommendations; (gg) what is included in the Public Health Agency of Canada’s National Emergency Stockpile System, (i) at the 1300 pre-positioned sites across Canada, (ii) is there coverage in areas where First Nations live, and, if not, why not; (hh) what are the procedures in place to undertake post-event reviews, (i) what is the level of institutional commitment, (ii) what human resources are required, (iii) what financial resources are required; (ii) what current activities are being undertaken to systematically incorporate risk reduction approaches into the design and implementation of emergency preparedness, response and recovery programmes in the reconstruction of affected communities, (i) what human resources are being afforded this activity, and what additional resources are required, (ii) what financial resources are being afforded this activity, and what additional monies are required; (jj) how are gender perspectives on risk reduction and recovery adopted and institutionalized; (kk) how are human security and social equity approaches integrated into disaster risk reduction and recovery activities; (ll) what is the status of national programs and policies to make schools and health facilities safe in emergencies, and are additional procedures required to complete the policies; and (mm) what is the level of institutional commitments for financial reserves and contingency mechanisms to support effective response and recovery?
Hon. Vic Toews (Minister of Public Safety, CPC):
Mr. Speaker, the information requested would require extensive manual research and analysis that would require a significant amount of time as well as human and financial resources to complete, which is not feasible in the allotted amount of time.
[English]
:
Mr. Speaker, I ask that the remaining questions be allowed to stand.
The Deputy Speaker: Is that agreed?
Some hon. members: Agreed.