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View Rona Ambrose Profile
CPC (AB)
Thank you very much, Mr. Chair, and thank you to the committee. I want to thank all of you for the work you do on the health committee. I know many of you are passionate about the issues of health, and I thank you for your commitment to that.
I'm joined by Simon Kennedy, Health Canada's new deputy minister; Krista Outhwaite, our newly appointed president of the Public Health Agency of Canada; and Dr. Gregory Taylor, whom you've met before, Canada's chief public health officer. I know he'll be here for the second half. You might want to ask him about his trip to Guinea and Sierra Leone to visit our troops and others who are working on the front dealing with Ebola. I'm sure he'll have some great things to share with you.
Michel Perron is here on behalf of the Canadian Institutes of Health Research. He's also new. Last time I know you met Dr. Alain Beaudet.
We also have Dr. Bruce Archibald, who's the president of the Canadian Food Inspection Agency. I think you've met Bruce as well.
Mr. Chair, I'd like to start by sharing an update on some of the key issues that we've been working on recently. I'll begin by talking about Canada's health care system, the pressures it's facing, and the opportunities for improvement through innovation. I will then highlight some recent activities on priority issues such as family violence and the safety of drugs in food.
According to the Canadian Institute for Health Information, Canada spent around $215 billion on health care just in 2014. Provinces and territories, which are responsible for the delivery of health care to Canadians, are working very hard to ensure their systems continue to meet the needs of Canadians, but with an aging population, chronic disease, and economic uncertainty, the job of financing and delivering quality care is not getting easier.
Our government continues to be a strong partner for the provinces and territories when it comes to record transfer dollars. Since 2006, federal health transfers have increased by almost 70% and are on track to increase from $34 billion this year to more than $40 billion annually by the end of the decade—an all-time high.
This ongoing federal investment in healthcare is providing provinces and territories with the financial predictability and flexibility they need to respond to the priorities and pressures within their jurisdictions.
In addition of course, federal support for health research through the CIHR as well as targeted investments in areas such as mental health, cancer prevention, and patient safety are helping to improve the accessibility and quality of health care for Canadians.
But to build on the record transfers and the targeted investments I just mentioned, we're also taking a number of other measures to improve the health of Canadians and reduce pressure on the health care system. To date we've leveraged over $27 million in private sector investments to advance healthy living partnerships. I'm very pleased with the momentum we've seen across Canada.
Last year we launched the play exchange, in collaboration with Canadian Tire, LIFT Philanthropy Partners, and the CBC, to find the best ideas that would encourage Canadians to live healthier and active lives. We announced the winning idea in January: the Canadian Cancer Society of Quebec and their idea called “trottibus”, which is a walking school bus. This is an innovative program that gives elementary schoolchildren a safe and fun way to get to school while being active. Trottibus is going to receive $1 million in funding from the federal government to launch their great idea across the country.
Other social innovation projects are encouraging all children to get active early in life so that we can make some real headway in terms of preventing chronic diseases, obesity, and other health issues. We're also supporting health care innovation through investments from the Canadian Institutes of Health Research. In fact our government now is the single-largest contributor to health research in Canada, investing roughly $1 billion every year.
Since its launch in 2011, the strategy for patient-oriented research has been working to bring improvements from the latest research straight to the bedsides of patients. I was pleased to see that budget 2015 provided additional funds so that we can build on this success, including an important partnership with the Canadian Foundation for Healthcare Improvement.
Canadians benefit from a health system that provides access to high-quality care and supports good health outcomes, but we can't afford to be complacent in the face of an aging society, changing technology, and new economic and fiscal realities. That is why we have been committed to supporting innovation that improves the quality and affordability of health care.
As you know, the advisory panel on health care innovation that I launched last June has spent the last 10 months exploring the top areas of innovation in Canada and abroad with the goal of identifying how the federal government can support those ideas that hold the greatest promise. The panel has now met with more than 500 individuals including patients, families, business leaders, economists, and researchers. As we speak, the panel is busy analyzing what they've heard, and I look forward to receiving their final report in June.
I'd also like to talk about another issue. It's one that does not receive the attention that it deserves as a pressing public health concern, and that's family violence. Family violence has undeniable impacts on the health of the women, children, and even men, who are victimized. There are also very significant impacts on our health care and justice systems.
Family violence can lead to chronic pain and disease, substance abuse, depression, anxiety, self-harm, and many other serious and lifelong afflictions for its victims. That's why this past winter I was pleased to announce a federal investment of $100 million over 10 years to help address family violence and support the health of victims of violence. This investment will support health professionals and community organizations in improving the physical and mental health of victims of violence, and help stop intergenerational cycles of violence.
In addition to our efforts to address family violence and support innovation to improve the sustainability of the health care system, we have made significant progress on a number of key drug safety issues. Canadians want and deserve to depend on and trust the care they receive. To that end, I'd like to thank the committee for its thoughtful study of our government's signature patient safety legislation, Vanessa's Law. Building on the consultations that we held with Canadians prior to its introduction, this committee's careful review of Vanessa's Law, including the helpful amendments that were brought forward by MP Young, served to strengthen the bill and will improve the transparency that Canadians expect.
Vanessa's Law, as you know, introduces the most significant improvements to drug safety in Canada in more than 50 years. It allows me, as minister, to recall unsafe drugs and to impose tough new penalties, including jail time and fines up to $5 million per day, instead of what is the current $5,000 a day. It also compels drug companies to do further testing and revise labels in plain language to clearly reflect health risk information, including updates for health warnings for children. It will also enhance surveillance by requiring mandatory adverse drug reaction reporting by health care institutions, and requires new transparency for Health Canada's regulatory decisions about drug approvals.
To ensure the new transparency powers are providing the kind of information that Canadian families and researchers are looking for, we've also just launched further consultations asking about the types of information that are most useful to improve drug safety. Beyond the improvements in Vanessa's Law, we're making great progress and increasing transparency through Health Canada's regulatory transparency and openness framework. In addition to posting summaries of drug safety reviews that patients and medical professionals can use to make informed decisions, we are now also publishing more detailed inspection information on companies and facilities that make drugs. This includes inspection dates, licence status, types of risks observed, and measures that are taken by Health Canada. Patients can also check Health Canada's clinical trials database to determine if a trial they are interested in has met regulatory requirements.
Another priority of mine is tackling the issue of drug abuse and addiction in Canada. There's no question that addiction to dangerous drugs has a devastating and widespread impact on Canadian families and communities. In line with recommendations from this committee, I am pleased that the marketing campaign launched last fall by Health Canada is helping parents talk with their teenagers about the dangers of smoking marijuana and prescription drug abuse. The campaign addresses both of those things, because too many of our young people are abusing drugs that are meant to heal them.
Our government also recognizes that those struggling with drug addictions need help to recover a drug-free life. From a federal perspective, of course, we provide assistance for prevention and treatment projects under our national anti-drug strategy. We've now committed over $44 million to expand the strategy to include prescription drug abuse and are continuing to work with the provinces to improve drug treatment.
I've now met and will continue to meet with physicians, pharmacists, first nations, law enforcement, addictions specialists, medical experts, and of course parents to discuss how we can collectively tackle prescription drug abuse.
Finally, our government continues to make very real investments to strengthen our food safety system. As only the latest example, I recently announced a five-year investment of more than $30 million in the CFIA's new food safety information network. Through this modern network, food safety experts will be better connected, and laboratories will be able to share urgently needed surveillance information and food safety data, using a secure web platform. This will put us in an even better position to protect Canadians from food safety risk by improving our ability to actually anticipate, detect, and then effectively deal with food safety issues. This investment will continue to build on the record levels of funding we've already provided, as well as the improved powers such as tougher penalties, enhanced controls on E. coli, new meat labelling requirements, and improved inspection oversight.
In conclusion, those are just some of the priorities that will be supported through the funding our government has allocated to the Health portfolio. This year's main estimates, notably, include investments for first nations health, for our ongoing contribution to the international response to the Ebola outbreak in West Africa, and the key research and food safety investments that I have already mentioned.
I'll leave it at that. If committee members have any questions, my officials and I would be very pleased to answer them. Thank you.
John Dalrymple
View John Dalrymple Profile
John Dalrymple
2015-05-04 15:47
Thank you very much. I really appreciate being here. I'm here representing Canada's National Ballet School. Our major funder is the Department of Canadian Heritage, so we're very happy to be at this table today.
The ballet school has been around for 55 years. We're basically committed to the idea of demonstrating the relevance of dance to every individual in Canada. Dance improves quality of life, it improves health, it has emotional and cognitive benefits, whether you're watching it or doing it. Our principal role in that process, and it has been this way since the founding of the organization, has been to train Olympic-calibre young people to become the great performers and stars of tomorrow, and that remains a steadfast principle of the school.
Something that has been significant for us as we've been moving forward thinking about the future of our art form and the future of our organization is how do we demonstrate that relevance more broadly? Typically, you have a small population of individuals who have been exposed to dance at a young age, and those are the people we're relying on to become the audiences of tomorrow, so we wonder about the rest of the young people in Canada, and what about the rest of the aging populations in Canada for whom dance can also be a significant benefit?
We started a program called Sharing Dance, and that's really what I want to talk about in my presentation today. Sharing Dance is an umbrella program that has three streams. Stream number one is designed for young people. What it really does is to support school teachers in the public school system across the country, delivering the curriculum that is already in the physical education curriculum, and it's related to dance. When I was a kid—and it's still the same in many schools today—you did lane square dancing for three gym classes, and that was about it for your exposure to dance. The reason is because there are very few dance specialists in your average public school. It is part of a larger physical education curriculum, so we feel we have a role to play in helping teachers bring more dance into the classroom.
Our second stream deals with aging populations. There are brain issues that come with aging that are dramatically impacted by regular activities related to specialized dancing, specifically a Dancing With Parkinson's program that we've been running at the school.
The third stream is something called Sharing Dance Day, which is an opportunity to give a very accessible fun dance routine to the whole community that both of these streams can participate in, and anyone else who is involved. Once a year we have a multi-generational celebration of dance in Canada, and as we build towards 2017 our goal is to have a million Canadians involved in this program over the course of the 150th birthday year.
Sharing Dance addresses major social issues. I think that's an important thing for any art style or any arts sector to look to do. It's not enough to say fund the arts for arts' sake. We really need to look at what some of the broader issues are in society. Childhood obesity and a lack of physical activity are major priorities for most Canadians. There's a lack of resources for arts, dance, and even physical education activities in most public schools. They're all on the decline. The emotional health of our young people is something people are concerned about. Then the issues that come with aging, as we have a baby-boom aging population, is another priority for Canadians. We believe that efforts to get dance in the community can impact all of these things positively.
For the remainder of my presentation, I thought I would tie what I have to say to the points that were given to me in the outline for this appearance.
To start with, you were looking for feedback on how dance can define and express various aspects of Canadian culture. We know from the programs we deliver in the school systems, that some students can't express themselves in English as they would like. The good thing about dance is the way that it's inclusive, so it lets them experience a more level playing field with their classmates. That applies as well to students who have significant physical challenges or mobility issues.
Kids have an interest in dance, often from their cultural background, and giving kids more opportunities to dance in the classroom allows them to tap into that. Dance really celebrates our differences, but also highlights our sameness at the same time, because while the styles of dance may be different from different cultures, we all tell the story the same way.
Another question we wanted to address was how young Canadians, in nurturing and developing their physical and musical skills, can benefit from dance. You were looking for information on the health benefits of dance specifically. Well, dance is an excellent form of physical activity. There probably isn't another art form that has the same level or quality of physical activity connected to it. In fact, there have been studies done at the Arizona State University, as well as the National Cancer Institute in the United States, showing that the metabolic equivalent intensity levels of dance as delivered in a classroom context often exceed the vast majority of any other typical source of classroom activities, including playing hockey, basketball, baseball. So we're looking at an activity that has all the emotional and cognitive benefits that come with an art form but, in fact, have superior physical benefits to those we've been traditionally relying on in the school system. Those mental and emotional benefits are incredibly significant.
We acknowledge that kids today are dealing with a great number of complex stresses, and having the ability to foster social skills and emotional well-being through a creative activity is something that's really important. Also, having that specialty so we can give that back to the community is significant for us as a large arts organization.
The last piece I'd like to say about that is that about 15% of Canadian kids get access to dance through recreational activities their parents pay for. But that means 85% of kids are getting access to formal dance activities only through the school system. So we think this is a huge opportunity to really make an impact.
In terms of the impact on local economies, really, in a nutshell, we're looking at building the audiences of tomorrow. There's no way you can expect somebody to really care about dance performed at the most avant-garde, creative, or high ballet Olympic level if they've never been exposed to it as a child. It's fundamental and there's tons of research to demonstrate that.
So we feel that investments to get dance activities to kids are huge for the future of our art form. We are also looking at programs through which we can identify specific kids with real leadership ability and provide immersion experiences for them.
In terms of how the government supports dance in Canada, as I mentioned, 10% to 15% of Canadian youth are in formal programs. As the largest dance training organization, we recruit from that small slice of actually engaged dancers every year to join our professional ballet program. So, there are really untold numbers of kinesthetically gifted youth, with the potential to have amazing dance careers, who are yet to be discovered because they haven't been exposed to the art form yet. The great thing about it is that while this might help us find more Olympic-calibre amazing dance artists in Canada, this creates an opportunity for all Canadian youth to enjoy these benefits.
In terms of encouraging our dancers to stay in Canada, I think if you go back to the argument of building a really strong audience for tomorrow, then there will be more artists who stay in Canada. Many dancers go to Europe because their work is valued there more often than it is valued here. I think funding in these programs to demonstrate the relevance of dance more broadly will make that value emerge here in Canada.
Finally, we're looking for information on how we can assist dancers who are recareering. Also, as the organization that runs the largest teacher training program for professional ballet teachers as well as recreational teachers in Canada, we know that the opportunity to expose more youth to dance will actually build and support a larger recreational dance community, providing more teaching opportunities and more jobs for dancers as they recareer.
I'm happy to answer any questions, and thank you again for the time.
Frank Clegg
View Frank Clegg Profile
Frank Clegg
2015-04-23 15:45
Mr. Chair and committee members, I'd like to thank you for the invitation to speak with you this afternoon and for deciding to invest committee time on Safety Code 6.
When I ran the Canadian operations for Microsoft, I learned that it is critical to focus on process. Today, as a board member for Indigo Books and Music, my role has shifted more towards governance and oversight. In both roles, process is critical to success. Government is the largest corporation of all, so process is of paramount importance. As someone who regularly examines success and failure, I believe I can explain why the Safety Code 6 process is a failure by all metrics and has left Canadians unprotected.
There is a book written by Nassim Taleb called The Black Swan, a focus on very low-probability, high-impact events that aren't supposed to happen. Oil spills, train derailments, and airplane crashes are some of the events in this category. Taleb calls these “black swan” events.
If one decides that all swans are white and refuses evidence of black swans, then one will conclude that all swans are white. Black swans are rare, but they do exist. Unfortunately, experts convinced themselves that these events had zero probability. They did not plan appropriately and people died.
The American Academy of Environmental Medicine is an international organization of physicians and scientists that has predicted, among other things, the rise in multiple chemical sensitivity, which is now protected in many public policies. Regarding the unprecedented increase in wireless devices, the academy forecasts “a widespread public health hazard that the medical system is not yet prepared to address”.
I believe Health Canada's analysis focuses on identifying and counting white swans, while ignoring black swan evidence. Health Canada's representative informed this committee on March 24:
...some of these studies report biological or adverse health effects of RF fields at levels below the limits in Safety Code 6, I want to emphasize that these studies are in the minority and they do not represent the prevailing line of scientific evidence in this area.
In other words, black swans exist.
In your handout—I don't know if you have it, as we put it in for translation—is a document entitled “Analysis of 140 Studies Submitted by Canadians for Safe Technology (C4ST) During the Public Comment Period on Safety Code 6”. A chart in that document shows that Health Canada accepts that there are in fact 36 studies all passing Health Canada's quality criteria showing harm at levels below Safety Code 6.
As a Canadian, I find this confusing. As an executive, I find it inexcusable.
Of the 36 studies Health Canada deemed satisfactory, cancer is linked in six of them. In 13 of them, the brain and/or nervous system is disrupted. In 16 studies, Health Canada admits that biochemical disruption occurs. Finally, seven high-level scientific studies indicate an effect on intellectual development and/or learning behaviour. All of these studies show impacts with radiation below Safety Code 6 limits. How was this black swan evidence evaluated?
In our two-year investigation, C4ST has determined that Health Canada doesn't even have the proper software required to access, summarize, and analyze the large number of relevant studies. If our group of learned and qualified volunteers can uncover 140 studies, how many more are being missed or ignored?
Health Canada references its weight-of-evidence approach. It is unclear how many studies you need to outweigh 36 studies that show harm, especially to children. I just can't fathom why Health Canada is not highlighting these studies and prioritizing their implications. Despite requests to publish the weight-of-evidence criteria as per international standards, Health Canada refuses to do so. Even the recent 2015 rationale document does not provide this critical information.
Health Canada dismisses scientific evidence unless it shows harm where the microwave levels are strong enough to heat your skin. The notion that microwaves are not harmful unless they heat your skin is decades out of date. The core premise of this white swan dates back to Einstein's theory that non-ionizing radiation cannot cause harm, or if it does, it must heat tissue to do that. Albert Einstein passed away the same year Steve Jobs was born. To think that science has not evolved since then is classic white swan thinking. It's part of a process predetermined to fail.
Health Canada says on its website today that there is no chance that Wi-Fi or cellphones can harm you because it has studied all the science, but when pressed under oath, Health Canada officials give a more fulsome answer. In Quebec Superior Court in September 2013, Health Canada senior scientist James McNamee admitted that Health Canada only assesses risk based on the thermal effect, i.e., the heating of tissue.
Unfortunately, Canada has not invested the necessary time nor had the balanced opinion of experts necessary to undertake a proper review. Our research has uncovered that the Health Canada author of Safety Code 6 has published papers demonstrating his bias towards this topic.
In a few hours over three days, this health committee has spent more time speaking with scientific experts who believe there is harm from wireless radiation below Safety Code 6 than all of Health Canada combined. You can't find black swans when you don't talk to the experts who've identified them.
There is a fundamental business rule: you can't manage what you don't measure. It is clear that Health Canada not only doesn't follow that rule but even resists it. A memo obtained under access to information to the Minister of Health in March of 2012 revealed that Health Canada “does not support the recommendation to establish an adverse reaction reporting process specifically for RF exposures”. The memo goes on to state that “consumer complaints...may be directed to...the web-based system...under the...Canada Consumer Product Safety Act”. This is an inadequate solution and, I believe, a missed opportunity.
I refer you to the C4ST fact sheet. I think you have it. I'd like to highlight three examples from that fact sheet: Health Canada's Safety Code 6 is among the countries with the worst guidelines in the world; Canada has fallen behind countries such as France, Taiwan, and Belgium in protecting Canadians; and finally, Health Canada wasted over $100,000 of taxpayers' money, as the Royal Society report is not an independent review.
Health Canada also states that Safety Code 6 is a guideline and that other organizations at the provincial and local levels of government are free to implement lower levels as they see fit; however, that's not the reality of what happens. We have witnessed school boards, power and water utilities, Industry Canada, and manufacturers depending on Health Canada's analysis, and frankly, abdicating to it. They don't perform their own analysis.
Safer solutions exist. There are several situations in Canada regarding cell towers where the proponents have voluntarily offered to restrict radiation exposure, in some cases to thousands of times less than Safety Code 6. There is a solution in Iowa for smart meters that use a wired meter that provides a safer, more secure solution at a lower cost.
Given that our track record in North America is not successful regarding such products as tobacco, asbestos, BPA, thalidomide, DDT, urea-formaldahyde insulation, and many others, use of the precautionary principle of prudent avoidance should be recommended until the science proves beyond reasonable doubt that there is no potential for harm.
For the last three years, science has published a new study every month that shows irreparable harm at levels below Safety Code 6. That is why we're asking the committee to take three decisive steps.
First, conduct a national campaign to educate Canadians about methods to minimize exposure to RF radiation, ban Wi-Fi in day care centres and preschools, and ban the marketing of wireless devices to children.
Second, protect individuals who are sensitive to RF radiation by accommodating them with safer levels of wireless exposure in federal workplaces and federal areas of responsibility.
Third, and finally, create an adverse reporting system for Canadians and a publicly available database to collect improved data regarding potential links between health effects and exposure to RF radiation.
Parallel to the above, recommend that Health Canada conduct a comprehensive systematic review, subject to international standards, regarding the potential harmfulness of RF radiation to human health, with a scientific review panel that is balanced in opinion. It was a textbook case of black swan thinking that has led to this failure of Safety Code 6.
In conclusion, C4ST volunteers found 36 black swans that Health Canada agrees are high quality. How many would be available if Health Canada sincerely looked? Better yet, how many black swans will it take before Health Canada takes serious actions? Thank you very much.
View Hélène Laverdière Profile
NDP (QC)
I think this is key.
Mr. Morley, I did not get a chance to ask what your opinion is on the need to help build public health systems. Do you have any comments on that?
David Morley
View David Morley Profile
David Morley
2015-04-23 12:31
You had mentioned Ethiopia and I think in the health system in Ethiopia, which is one that UNICEF and the Government of Canada and the Government of Ethiopia have worked on a lot, they have been training and equipping community health workers who go out around the country. There are two things I think in the kind of big picture that we see where this works. Three years ago in the Horn of Africa there was a famine. There was a famine in Somalia and there wasn't in Ethiopia. Why? Ethiopia had that grassroots.... It is the same climate, they're next to each other, but the health system in Ethiopia worked. Two months ago when Bill Gates was here I was part of a small meeting with the minister and some other NGO people. His comment was about Ethiopia—he didn't know that you were going to say this—but Bill Gates said that if Ebola had hit Ethiopia there would have only been one case because they have a strong health system that's out into the communities.
Helen Scott
View Helen Scott Profile
Helen Scott
2015-03-31 11:19
Thank you, both of you. Those were excellent. It's tough shoes to follow such eloquent speakers, but I want to start just by saying thank you to all of you. I know of your work and of your leadership and your roles. I'm very grateful, as a Canadian mom, for your focus and your energy. I've had a chance to travel and work with some of you more closely and I'm very, very grateful for how hard you work.
I'm privileged to have the opportunity right now in my career to coordinate the efforts of the Canadian Network for Maternal, Newborn and Child Health. This is a partnership of over 80 Canadian organizations focused on maternal, newborn, and child health. My colleagues here at the table sit within the network, so we speak from a common voice in many ways. Our organizations work in over 1,000 regions around the world to improve the lives of women, their newborns, and their children. We were officially created in 2012, shortly after the launch of the Muskoka initiative.
We have three key objectives.
The first is we know that we need to do a better job of being accountable in measuring results. We focus on working with our partners to make sure that we're doing the best possible job of measuring our impact and our outcomes and really tracking where the investment dollars are going, so that we know whether we're doing the best possible job we can with the limited resources that we have.
Our second key objective is to exchange knowledge. We're focusing on measuring results. We're looking to see what the best way to address these causes is, and we're taking that information and making sure that we share it with each other. There's no one in the network who doesn't know that they need to have vitamin A capsules in their implementation programs. I'm not sure five to ten years ago if that was the case.
Our third component is to engage stakeholders. We know that we can't do this alone. We know that through the network, the increased collaboration across sectors has shown itself to be very effective and efficient, so we look to engage more Canadians to join us in this effort. In addition, our experts look for opportunities to advise and inform the Canadian government in their investments.
On that note, I just want to say Canada got it right in 2010 when maternal, newborn, and child health was prioritized. Given the tremendous progress today and what work remains, we know that it's imperative to women and children around the world that this effort continue. We know that improving maternal, newborn, and child health—and Joel has articulated this so well—is foundational to economic growth, to political stability and human security, and it's a critical component of child protection.
I know that you've heard from many of our partners in the past meetings here at the standing committee. I think one of the key messages that they've shared with you is there's no silver bullet on child protection. It's going to require a multi-sectoral and multi-faceted approach. Even though I'm going to speak about one element of that approach, focusing on health, I recognize that this is just one component, albeit a critical one, of the many necessary systems and structures that afford children the opportunity to survive and thrive. I think you had Peter Singer here a few weeks ago. Peter has coined a term that I love, and which I think needs to go in the dictionary, “thrival”. It's not good enough that children survive birth and survive their first five years, they need to thrive. I think that's what we're all focusing on. We're starting to see progress. The mortality rates are dropping around the world. We're starting to see this progress and now is the time that we really need to focus on making sure that these children thrive.
The efforts to improve global health rank among the greatest development achievements. Canada has played such an important role in shaping and supporting global initiatives that have made a significant impact, such as the Global Fund to Fight AIDS, Tuberculosis and Malaria, Gavi, the Global Alliance for Vaccines and Immunisation, which vaccinates millions of children year, the Micronutrient Initiative which is another great example, and of course the Muskoka initiative. Launched at the G8 summit in 2010, the Muskoka initiative has contributed to substantial progress in improving the health of women, newborns, and children, including—and I think this builds nicely on what Joel just said—through galvanizing international support and commitments.
For example, Canada was a key leader in galvanizing support for the United Nations Secretary-General's global strategy for women's and children's health, which we call the global strategy. A recently published report on the global strategy highlighted it as the fastest-growing public health partnership in history, with 2.4 million women's and children's lives saved since 2010.
I want to stop for a minute. I'm a statistician by training and we throw around these big numbers and they don't mean very much to us. So just think of a child in your life who you love, and then think of 2.4 million children who are loved and whose lives have been saved since 2010. I mean this is phenomenal. This is something that we should be celebrating. It points to the fact that we know what to do, but we just need to dig in and get this work done.
Here we are in 2015. The world is at a critical juncture to achieving lasting progress in maternal, newborn and child health. To do so, political and financial commitments must be mobilized following Canada's leadership and our footsteps with the announcement of $3.5 billion in May 2014, just a few months ago.
The newly formed Department of Foreign Affairs, Trade and Development provides Canada with the unique opportunity to harness our foreign policy and trade tools to better achieve our development agenda. The multi-sectoral reach of the Canadian network positions us to make unparalleled progress on the ground. We're working with the academics, Canadian universities, Canadian NGOs, Canadian health professional associations, and with doctors, midwives, nurses, and surgeons who are working on the ground.
Together the Government of Canada and the 80 partner organizations of this network will bring a new level of rigour and commitment to seeing our shared aspirations achieved for mothers and children around the world.
Through increased global leadership, the international community can empower women and support increased resilience by strengthening health care systems, fighting infectious diseases, improving sexual reproductive, maternal, newborn, and child health, and ensuring that the unfinished business of the health-related millennium development goals are not lost in the transition to the sustainable development goals that we launch later this year.
We're proposing that Canada make the following commitments, and I should say Canada is so committed. This is a reiteration of some of the work that's already happening. We need to renew commitments and encourage the rest of the world to renew their commitments made under Muskoka and the global strategy for women's and children's health, such as through A Promise Renewed, the every newborn action plan, and Family Planning 2020, and make sure these commitments are met.
We need to welcome and support the renewed global strategy for women's and children's health to be launched in September 2015. We're calling it global strategy 2.0. We need to support the ambitious but achievable goal of ending preventable deaths by 2030 in the post-2015 negotiations and agree to tackle inequality by focusing on those groups that are furthest left behind. I think Caroline spoke so nicely to that.
We need to provide financial and non-financial resources to deliver the post-2015 framework and support countries to raise and spend greater domestic resources on universal public services, including the newly established global financing facility in support of every woman, every child program that will be launched at the financing for development conference in Addis Ababa in July 2015.
We need to deliver an ambitious commitment on aid expenditure in support of increased domestic resource mobilization and align the ODA for the health and rights of women and children, including through the global finance facility.
I want to mention accountability. We need to continue Canada's leadership role in accountability. We need to broaden and strengthen our established global leadership by championing simplified, harmonized maternal, newborn and child health accountability frameworks. Enhanced community basic accountability mechanisms and increased efforts to produce reliable disaggregated vital statistics are critical to strengthening health services delivery.
Vital statistics in civil registration is so boring. It's hard to make it sound interesting. It's critical because when you know a child is born, and when they're registered, that child counts. That child is counted. We can track services, we can track delivery, and we can track the children. That's critical in child protection. It encompasses all of the work that we try to do.
The last point I want to make is that—and I say this a bit humbly because I'm so fortunate to have this opportunity—I see how effective we can be when we work together and when we stop creating silos, have our universities working over here, our NGOs working over here, and we come together. I would stress that we bring together organizations across sectors with different expertise to facilitate their collaboration, especially in country, where, just using Canada as an example, different organizations are working in country and they really need to be collaborating. This is imperative for increased success.
We need to enhance and capitalize on partnerships between governments, civil society, local communities, health care professionals, academic and research institutions, multilateral organizations, global funds that exist, and the foundations. The media is critical as is the private sector in coming along on this journey.
Addressing the rights and needs of women and children is key to creating sustainable change and development. The last five years of the global strategy for women and children's health and the Muskoka initiative launched in Canada, with the hard work of many of you, has shown that well-planned coordinated interventions can achieve results and save lives. Now we need to focus on making sure those children thrive and those women thrive.
The year 2015 is the time to build on this achievement, to renew commitments and support strong strategies that will end preventable maternal, newborn, and child deaths, ensure that those women and children and survive, and improve overall health.
Thank you.
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