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Results: 106 - 120 of 200
View Marc Miller Profile
Lib. (QC)
We recognize that students learning at home must use electronic equipment. They certainly cannot do so without access to the Internet. It's a challenge even in the most modern homes, so imagine what it's like in the scenario you just mentioned.
With respect to Nunavik, we need to talk about the commitment we have in common with the Quebec government. It is a shared responsibility.
View Marc Miller Profile
Lib. (QC)
I would say that, when it comes to British Columbia, this work is done principally through FNHA, but as for the general question, we have been moving in real time in terms of our stockpile to a turnaround time of 24 hours. Now FNIHB and the resources that we have at our disposal serve essentially the health care and the essential service community inside indigenous communities. Our response time has improved to a 24-hour turnaround.
Clearly at the beginning, we saw some confusion across Canada with respect to how, when and where PPE was being used and deployed, and conversations as to need. Obviously, the clear message to us that we had to take action on was that we had to increase our communication with communities to see, first and foremost, what the protocol was for PPE. Very simple things become quite complex and intricate, particularly in a northern remote scenario, like donning and doffing, which has become a commonplace expression now. There was also proper use of PPE and how and when it's used in conjunction with testing.
I would leave the remaining portion of this question to Dr. Gideon.
Could you just add a bit, Val?
View Marc Miller Profile
Lib. (QC)
I believe there are more, but Val can answer that.
View Marc Miller Profile
Lib. (QC)
Just as an update to your prior question, MP McLeod, we actually have 77 GeneXpert machines that are deployed.
What I would say is that one of the lessons we learned from H1N1 is that we didn't want nursing staff or people going in and out on an emergency basis from communities. They themselves become vectors, particularly in situations where they're obviously in there to care and to help. This is why we have quite an elaborate protocol, whether it is isolating before they go in or other methods, to accommodate any specific scenarios. This has been a huge logistical challenge, which has included charters as well. We're conscious of this.
In terms of specific examples of nurses themselves becoming vectors, I suspect you mean that they were not themselves infected solely and then prevented...but were infected and then spread.... I would defer to Val or Dr. Wong to answer that, but, based on all the briefings I've received, it has been exceedingly rare.
View Marc Miller Profile
Lib. (QC)
Thank you so much for that important question, because it is a testament to the challenges we faced and the strict policy and legal authorities we all faced within our departments and how we've all had to think a bit outside the box in order to address where the vulnerabilities are expressing themselves, and that includes the 50% or more indigenous population that lives “off reserve”. More often, the typical iteration of that is large urban centres like Montreal, Toronto, Ottawa, Vancouver, Calgary and Edmonton, but it is also the reality in places like La Loche, where we saw one of the largest outbreaks. This is something that's near and dear to MP Vidal's heart, because I know of his engagement in ensuring that proper resources were deployed in those communities.
We have acknowledged that challenge, because those vulnerabilities exist, but when you're talking about intricate overlapping jurisdictions, obviously there's an execution challenge in the delivery of health care, which is primarily and exclusively, in those cases, the jurisdiction of the provincial or territorial governments. This has been a challenge within the strict authorities of the funds that we appropriated.
We knew from the very beginning that $15 million dedicated to “urban supports” was wildly insufficient, which is why we procured $75 million to distribute across a wide network of organizations and grassroots-based organizations that are really doing some of the key work in keeping people safe, whether that's food security, cultural supports, or keeping doors open. I think of the Native Women's Shelter of Montreal, which is doing incredible work in keeping people safe, alive and well surrounded during this pandemic. I look at some of the mobile supports in downtown Toronto, which I think Pam was instrumental in announcing and pushing for. This is the result of advocacy across parties. There isn't a single party that didn't approach me to say, you have to do more for indigenous communities that are in urban settings. It has yielded results in areas that I mentioned previously, in supporting harm reduction models in various forms, whether it's a wet shelter or other supports for people who are perhaps not getting a safe supply, or the food security I mentioned earlier.
These are all elements where we see what I call a “jurisdictional hole”, where the federal government has not been present, and provincial and territorial supports, for whatever reason, have not been there. COVID doesn't check the Constitution before it infects someone, and where we've seen it, it goes after those who are most vulnerable. The indigenous communities that came together, the Métis, Dene.... La Loche is an incredible example of a very alarming spread at the outset of COVID, where 200 people were infected in a community that has had its challenges, but they rallied together with an emergency response team. We supported it with financial supports, and they were able to stamp it out, and that's amazing work.
In part, it is the federal government's response to a very tricky jurisdictional question where we could not close our eyes to it, but also because of the advocacy of voices that go across party lines. I think we need to keep going together in lockstep on this issue, because we're not out of the woods on COVID specifically, and there are needs that are, we must acknowledge, unmet, and we are not meeting them currently, whether we look at ourselves or at the provincial governments.
Thank you, Adam, in particular, for your advocacy, because I know how you've interacted with our.... This isn't a throwaway thank you; this is a real thank you and I mean it, in every single thing you do, because I know you've been passionate about this.
View Marc Miller Profile
Lib. (QC)
As you rightly note, Gary....
First, thank you for the advocacy work. I've noted it in prior sessions, but I think it's worth repeating. Your team has been linking up with our department and advocating in very complex situations, particularly what's been going on in La Loche and the response at all levels of government to support...the spread of COVID in northern Saskatchewan.
At the heart of this.... The MMIWG calls to action are not for a federal response only, nor is Crown-Indigenous Relations and Northern Affairs responsible. It is entirely a whole-of-government, civil society, provincial and territorial response.
Part of the calls to action demand from Indigenous Services Canada, when we look in terms of how the civil service reacts to those calls to action within what Indigenous Services Canada does.... What you're getting at the very heart of that, and what the report highlighted as well, is socio-economic conditions, inequalities that unduly and disproportionately negatively affect women and create the conditions that you've highlighted and that we've heard in testimony.
One of those calls to action included what we have rolled out over the last week, the response in capital funding for shelters that support indigenous women who are fleeing violence. Indeed, during COVID, we've seen a significant increase in domestic violence and a corresponding need for those supports with regard to the friendship centres and the various service organizations that do an incredible job with very little resources. Our government moved quite quickly with $50 million, which was wholly inadequate, and then $75 million, which is in the process of being rolled out specifically to organizations that serve indigenous peoples, among those women and children who are fleeing violence.
Again, it's within the responsibility of Indigenous Services Canada as well as other levels of government, at the federal level and across the spectrum of government services and civil society services in Canada. It's one aspect of it, but it is a very important part to the MMIWG response. It can't simply be a piecemeal approach. It needs to be complete and comprehensive. Supports for women in those situations are key, and Indigenous Services Canada has to do its part.
View Marc Miller Profile
Lib. (QC)
Yes. It's an excellent point that you raise, because in my discussions with Chief Mitsuing, as you noted, at the very beginning of my mandate, he was facing a crisis within his community, and it is not unique, but communities have unique needs, particularly in mental health. The solutions lie within communities.
I think one of the criticisms we heard from the chief was the challenge with having solutions that are sort of flown in, or even when it comes to tribal councils and the supports that they have, which are very good, the increased needs are financial and also homegrown. The ability to do that can only be done within infrastructure solutions that are always undercapitalized.
I think that's something we've got to take away and keep working on. We have, indeed, done great work in ensuring that the capital is there for services, buildings and infrastructure that can house that increasing pressure, in particular on mental health—
View Marc Miller Profile
Lib. (QC)
View Marc Miller Profile
Lib. (QC)
Yes, and thank you again for your interaction with our department and ensuring that the needs in your riding are met and heard.
We've been working from the get-go at an accelerated rate. Obviously getting ahead of this curve has been the reason indigenous communities have had such optimistic outcomes, because they've been able to predict and communicate, open that line of communication and make sure that procurement is being done in a timely fashion and distributed.
In the case of Mathias Colomb, there were some movable structures that we were looking at essentially as part of a central procurement to deal with surge capacity to have moveable structures that are in great demand for communities that need isolation capacity or more testing capacity, so the company in question proactively released a press release that frankly mis-characterized what was being sent into the community, and the community, rightly so, reacted. Our department apologized for the miscommunication, but it was an issue of communication in coordination with their pandemic plan.
Essentially what Mathias Colomb wanted, which we have funded to the tune of about $400,000, was repurposing of one of their community centres as part of their pandemic plan and not the movable structures that we were proactively sourcing with a view to distributing them into a variety of communities that have those challenges that have been highlighted to the committee. I think essentially that's the crux of it.
View Marc Miller Profile
Lib. (QC)
I believe so.
You know, the frustration that a number of communities feel existed prior to the pandemic, because we're dealing with socio-economic determinants that make that vulnerability more acute. We're asked to do things in Indigenous Services Canada that we don't have to do in non-indigenous communities, because those conditions don't exist, so that frustration is very real. Ensuring that we communicate and essentially deal the cards that we're dealt and proactively source units for isolation and medical purposes actively, knowing that there has not been an outbreak, is very important.
I think always that the line of communication, making sure local needs are addressed, is important [Technical difficulty—Editor]
View Marc Miller Profile
Lib. (QC)
Manitoba first nations have done an exceptional job. We have worked with the regional chief, with Grand Chief Arlen Dumas, to make sure that we are responding to needs—that has been the core of this—and to make sure that they communicate with our regional teams, knowing that we proactively source the surge capacity material and resources, and to be ready to react on a moment's notice. You know, we take nothing for granted. The resourcing and the work that has been done by first nations to have a first nations-led data approach are exemplary across Canada, and so a lot of the credit is, frankly, owed to local leadership. Obviously, there has been some luck—we can't discount that—but they have been proactive and aggressive. It hasn't occurred yet in Manitoba, but those communities across the country that have reacted the best have let, frankly, medical leadership take the front and allow people to communicate so that you have a health response to, really, a health problem.
View Marc Miller Profile
Lib. (QC)
Ms. Michaud, I want to start by saying that I'm pleased to be speaking in French, especially since I'm currently in Montreal.
To some extent, what happened was the result of the nature of the beast, if I may say so. We had to deal with a very unpredictable and historic pandemic. We had to take action and be proactive in order to source very expensive products and structures. We needed to develop a plan to deal with the epidemic. The plan wasn't supposed to concern just one province, but the entire country.
Indigenous Services Canada assesses all potential outbreaks and vulnerabilities, such as the remoteness or overcrowding of a community. The important thing was to be proactive.
There's considerable demand for movable structures designed to address overcrowding in some communities, for example.
In the case of the Mathias Colomb Cree Nation, there was an agreement to send movable structures to the community. However, the community didn't want them. Instead, according to its pandemic plan, the community wanted to resupply and restructure its community centre. We did this with a $400,000 investment. There was a misunderstanding regarding the press release because the company issued the release hastily. The misunderstanding concerned when things would be done and the nature of what would be developed for the community.
Our department apologized to the community. We're continuing to proactively communicate with its members to ensure that the community can meet all its resupply needs.
When we act urgently, we may make mistakes. We must learn from them.
Results: 106 - 120 of 200 | Page: 8 of 14

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