Pandemic Threats and the Need for New Emergency Public Health Legislation in Canada
Identifieur interne : 001087 ( Pmc/Checkpoint ); précédent : 001086; suivant : 001088Pandemic Threats and the Need for New Emergency Public Health Legislation in Canada
Auteurs : Kumanan WilsonSource :
- Healthcare Policy [ 1715-6572 ] ; 2006.
Abstract
The 2003 outbreak of Severe Acute Respiratory Syndrome (SARS) exposed serious limitations in Canada’s ability to respond to a public health emergency. Considerable progress has been made since SARS in addressing these limitations, including the creation of the new Public Health Agency of Canada. A remaining contentious question is whether there is a need for new federal emergency public health powers. Approaches to public health problems are best handled through collaborative processes, recognizing the critical importance of the local public health response. Nevertheless, this paper argues that a legislative back-up plan must be available to the federal government in the event that collaborative relationships break down. At the minimum, legislation should give the federal government the authority to have guaranteed access to surveillance data during a public health emergency. The legislation should also consider providing the federal government with the authority to devote the nation’s resources to the management of an emergency at its earliest stages. However, any legislative approach must be combined with the development of appropriate capacity at the national level to ensure that new powers can be adequately utilized and that required funding reaches public health officials at other levels of government.
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PubMed: 19305702
PubMed Central: 2585432
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PMC:2585432Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>The 2003 outbreak of Severe Acute Respiratory Syndrome (SARS) exposed serious limitations in Canada’s ability to respond to a public health emergency. Considerable progress has been made since SARS in addressing these limitations, including the creation of the new Public Health Agency of Canada. A remaining contentious question is whether there is a need for new federal emergency public health powers. Approaches to public health problems are best handled through collaborative processes, recognizing the critical importance of the local public health response. Nevertheless, this paper argues that a legislative back-up plan must be available to the federal government in the event that collaborative relationships break down. At the minimum, legislation should give the federal government the authority to have guaranteed access to surveillance data during a public health emergency. The legislation should also consider providing the federal government with the authority to devote the nation’s resources to the management of an emergency at its earliest stages. However, any legislative approach must be combined with the development of appropriate capacity at the national level to ensure that new powers can be adequately utilized and that required funding reaches public health officials at other levels of government.</p>
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<pmc article-type="discussion" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Healthc Policy</journal-id>
<journal-id journal-id-type="publisher-id">LP-HPL</journal-id>
<journal-title>Healthcare Policy</journal-title>
<issn pub-type="ppub">1715-6572</issn>
<publisher><publisher-name>Longwoods Publishing</publisher-name>
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<article-categories><subj-group subj-group-type="heading"><subject>Discussion and Debate</subject>
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<title-group><article-title>Pandemic Threats and the Need for New Emergency Public Health Legislation in Canada</article-title>
<trans-title>Les menaces de pandémie et le besoin d’avoir de nouvelles lois sur les services de santé publique d’urgence au Canada</trans-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Wilson</surname>
<given-names>Kumanan</given-names>
</name>
<degrees>MD</degrees>
<degrees>MSC</degrees>
<degrees>FRCP(C)</degrees>
<role>Associate Professor</role>
<aff>Faculty of Medicine, Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON</aff>
<role>Research Associate</role>
<aff>Institute of Intergovernmental Relations, Queen’s University, Kingston, ON</aff>
</contrib>
</contrib-group>
<author-notes><corresp>Correspondence may be addressed to: Kumanan Wilson, MD, MSc, <addr-line>14EN 220</addr-line>
<addr-line>Toronto General Hospital</addr-line>
<addr-line>University Health Network</addr-line>
<addr-line>200 Elizabeth St.</addr-line>
<addr-line>Toronto, ON</addr-line>
<addr-line>M5G 2C4</addr-line>
<email>Kumanan.Wilson@uhn.on.ca</email>
.</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>11</month>
<year>2006</year>
</pub-date>
<volume>2</volume>
<issue>2</issue>
<fpage>35</fpage>
<lpage>42</lpage>
<permissions><copyright-statement>Copyright © 2006 Longwoods Publishing</copyright-statement>
<copyright-year>2006</copyright-year>
<copyright-holder>Longwoods Publishing</copyright-holder>
</permissions>
<abstract xml:lang="EN"><p>The 2003 outbreak of Severe Acute Respiratory Syndrome (SARS) exposed serious limitations in Canada’s ability to respond to a public health emergency. Considerable progress has been made since SARS in addressing these limitations, including the creation of the new Public Health Agency of Canada. A remaining contentious question is whether there is a need for new federal emergency public health powers. Approaches to public health problems are best handled through collaborative processes, recognizing the critical importance of the local public health response. Nevertheless, this paper argues that a legislative back-up plan must be available to the federal government in the event that collaborative relationships break down. At the minimum, legislation should give the federal government the authority to have guaranteed access to surveillance data during a public health emergency. The legislation should also consider providing the federal government with the authority to devote the nation’s resources to the management of an emergency at its earliest stages. However, any legislative approach must be combined with the development of appropriate capacity at the national level to ensure that new powers can be adequately utilized and that required funding reaches public health officials at other levels of government.</p>
</abstract>
<trans-abstract xml:lang="FR"><p>L’épidémie de syndrome respiratoire aigu sévère (SRAS) de 2003 a fait ressortir les sérieuses limitations dans la capacité du Canada à réagir à une urgence de santé pu-blique. Depuis le SRAS, on a réalisé d’importants progrès dans la réduction de ces limitations, y compris la création de la nouvelle Agence de santé publique du Canada. Une question reste cependant en litige, à savoir, s’il faut établir de nouveaux pouvoirs fédéraux en matière de santé publique d’urgence. Les solutions envisagées pour résoudre les problèmes de santé publique se prêtent mieux à des processus de collaboration qui tiennent compte de l’importance critique d’une intervention locale en matière de santé publique. Néanmoins, cet article soutient que le gouvernement fédéral doit disposer d’un plan de rechange advenant le cas où les relations de collaboration se détériorent. À tout le moins, les lois devraient donner au gouvernement fédéral l’autorité d’avoir un accès garanti aux données de surveillance pendant une urgence de santé publique. Les lois devraient également conférer au gouvernement fédéral l’autorité de consacrer les ressources du pays à la gestion d’une situation d’urgence à ses tout débuts. Cependant, toute approche législative doit être combinée avec la mise en place de ressources adéquates à l’échelon national afin de s’assurer que les nouveaux pouvoirs soient utilisés à bon escient et que les responsables de la santé publique d’autres paliers de gouvernement aient accès au financement dont ils ont besoin.</p>
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