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Health
Ministerials Paragraphs Related to the Theme Paragraphs VII Summit

- Antigua and Barbuda - Argentina - Bahamas - Barbados - Belize - Bolivia - Brazil - Canada - Chile - Colombia - Costa Rica - Dominica - Dominican Republic - Ecuador - El Salvador - Grenada - Guatemala - Guyana - Haiti - Honduras - Jamaica - Mexico - Nicaragua - Panama - Paraguay - Peru - Saint Kitts and Nevis - Saint Lucia - Saint Vincent and the Grenadines - Suriname - Trinidad and Tobago - United States - Uruguay - Venezuela -
Reports
Date:  6/20/2010 
Canada has a federal system of government, with most health-related responsibilities falling within the remit of provincial authorities. Under the terms of the Canada Health Act, “the primary objective of Canadian health care policy is to protect, promote and restore the physical and mental well-being of residents of Canada and to facilitate reasonable access to health services without financial or other barriers.”

Health Canada is the federal department responsible for helping the people of Canada maintain and improve their health. One of the goals of Health Canada is to improve the health outcomes of First Nations and Inuit people, ensure the availability of, and access to, quality health services and to support greater control of the health system by First Nations and Inuit. This includes the delivery of community-based health programs on-reserve and in Inuit communities, as well as the provision of drug, dental and ancillary health services to First Nations and Inuit regardless of residence. Canada supports programming in Aboriginal communities in maternal child health, mental health, addictions and chronic disease prevention.

In keeping with its Aid Effectiveness Agenda, in 2009, the Canadian International Development Agency announced its international assistance would focus on three themes including Securing a Future for Children and Youth. Under this strategy, the Canadian International Development Agency supports initiatives to improve child survival, including maternal health.

Through Memoranda of Understanding with Brazil, Mexico, and the US and participation in regional workshops hosted by the Pan American Health Organization, Canada has shared best practices in health care with partners in Latin America.
Paragraphs: 26 Paragraphs VII Summit: -

Date:  6/20/2010 
Canada’s Maternal Child Health Program (MCH) for First Nations Communities provides an investment of $110 million over five years to enable home visiting by nurses and family visitors for pregnant women and families with young children. The goal of the program in First Nations communities is to support pregnant women and families with infants and young children to reach their fullest developmental and lifetime potential. In the north of Canada, the program enhances disease prevention and health promotion activities provided by the provincial/territorial governments.

The Canadian Perinatal Surveillance System monitors and reports on determinants and outcomes of maternal, fetal and infant health in Canada. The evidence obtained helps to inform health care and public health programs, practices and policies.

At the international level, Health Canada has co-organized international workshops on indigenous maternal and child health and midwifery. Canada is a founding and active member of the International Clearinghouse for Birth Defects Surveillance and Research, the objective of which is to share information and research to prevent birth defects and to ameliorate their consequences.
Paragraphs: 27 Paragraphs VII Summit: -

Date:  6/20/2010 
The World Health Organisation Collaborating Centre (WHOCC) on noncommunicable disease policy housed in the Public Health Agency of Canada provides leadership in Canada and the Americas in reducing the burden of non-communicable diseases (NCDs). WHOCC strengthens multi-sectoral collaboration in the adoption of complementary policies and actions, such as through the Partners Forum, a global health partnership for non-communicable diseases in the Americas. WHOCC works with the Canadian Society for International Health to examine best practice mechanisms to facilitate the development of strategic partnerships to implement the direction given in the Summit Declaration. WHOCC participates in the development of innovative social science models to predict socio-economic impacts of health policy pertaining to non-communicable diseases prevention and control. It also fosters international collaboration and shares findings and expertise to promote comprehensive and integrated preventive and control programs, partnerships and policies.

The Government of Canada funds the Canadian Partnership Against Cancer, a not-for-profit corporation whose mandate is to implement the Canadian Strategy for Cancer Control, a plan developed in consultation with more than 700 cancer experts and survivors.

The prevention of smoking, particularly among youth, remains an important priority for Canada. In October 2009, the Cracking Down on Tobacco Marketing Aimed at Youth Act was passed to ban the use of appealing additives including flavours in some tobacco products. It also established minimum package sizes for certain tobacco products and further restricted tobacco advertising.

The Government of Canada remains fully committed to the objectives of the Framework Convention on Tobacco Control and is active on a number of working groups supporting its implementation.
Paragraphs: 28 Paragraphs VII Summit: -

Date:  6/20/2010 
Canada’s National Anti-Drug Strategy (NADS) addresses illicit drug use across the country in order promote healthier and safer communities. Components of the strategy include a mass media drug prevention campaign to discourage young people from using drugs, and funding of community-based prevention initiatives.

An element of the NADS is a Treatment Action Plan with five goals: to promote collaboration with provinces and territories to support drug treatment systems and services where gaps exist; to enhance treatment and support for Aboriginal populations; to support addiction research; to provide extra-judicial diversion and treatment programs for young offenders with drug-related problems; and to develop new tools to refer youth at risk to treatment programming.

The Government of Canada provides $59 million per year through the National Native Alcohol and Drug Abuse Program (NNADAP) to support 54 treatment centres, as well as drug and alcohol prevention services in over 500 First Nations and Inuit communities across Canada.
Paragraphs: 30 Paragraphs VII Summit: -

Date:  6/20/2010 
Canada is committed to sustaining and renewing the health care system, including through:

• accelerating primary health care renewal so that citizens routinely receive needed care from multidisciplinary organizations or teams;
• facilitating access to an appropriate health care provider 24 hours a day, 7 days a week;
• accelerating the development and implementation of electronic health records, including e-prescribing and telehealth;
• increasing emphasis on health promotion, disease and injury prevention, and chronic disease management; and
• facilitating coordination with other health services.

Canada is also committed to providing high-quality health care to First Nations people and Inuit. Nurses and home care workers are examples of the health staff working with Aboriginal communities.
Paragraphs: 31 Paragraphs VII Summit: -

Date:  6/20/2010 
Canada’s Pan-Canadian Healthy Living Strategy focuses on healthy eating, physical activity, and their relationship to healthy weights. Canada published an annual report on the implementation of the strategy, as well as a nutritional best practice guide entitled Bringing Health to the Planning Table - A Profile of Promising Practices in Canada and Abroad.

Canada produces Physical Activity Guides for children, youth, the general population and seniors that communicate Canada’s physical activity guidelines and provide information about how to be active. The Government of Canada also funds ParticipACTION’s physical activity awareness campaign.

To promote healthy eating among Aboriginal people, Canada has adapted Canada’s Food Guide to create a special Food Guide for First Nations, Inuit and Métis which includes current information on eating well and incorporating “country foods” or traditional diets. The publication is available in Inuktitut, Ojibwe, Plains Cree and Woods Cree.
Paragraphs: 32 Paragraphs VII Summit: -

Date:  6/20/2010 
Canada promotes nutritional programs aimed at vulnerable groups, such as through the Public Health Agency of Canada’s community-based children’s programs - the Canada Prenatal Nutrition Program (CPNP) and the Community Action Program for Children. CPNP funds community-based groups to support pregnant women facing conditions of risk.

Canada supports and promotes breastfeeding as the optimal means to provide nutritional, immunological, and emotional nurturing to infants. The Government of Canada is supportive of the work of the Breastfeeding Committee for Canada to implement the WHO-UNICEF Baby-Friendly Hospital Initiative in Canada.

The First Nations and Inuit component of the Canada Prenatal Nutrition Program is a community-based program with a goal of improving maternal and infant nutritional health with a particular focus on those at high risk. It supports activities related to nutrition screening, education and counseling; maternal nourishment; and breastfeeding promotion and support. This program primarily targets pregnant women and women with infants up to twelve months of age in First Nations and Inuit communities.

At the international level, the Canadian International Development Agency contributes to efforts to fight malnutrition, for example, through support for the Government of Bolivia’s national nutrition program. This project addresses vitamin deficiencies and aims at strengthening health facilities and the capacities of health personnel.
Paragraphs: 33 Paragraphs VII Summit: -

Date:  6/20/2010 
Canada acknowledges the complexity involved in meeting commitments outlined in the International Health Regulations (IHR) and is committed to advancing progress both domestically and internationally. Canada has a detailed plan for implementing the IHR across federal and provincial/ territorial jurisdictions, through a network of IHR Champions representing each affected federal department and all 13 provinces and territories.

Capacity assessments have been completed for surveillance and response, as well as at five identified points of entry: three international airports and two marine ports. The findings of the assessment indicate that Canada meets the minimum core capacity requirements of the IHR. However, Canada's approach is to go beyond the minimum requirements and further strengthen the public health system.

Canada provided various forms of assistance to help countries in Latin America and the Caribbean implement IHR, including:

• Support from the Canadian International Development Agency to the Pan American Health Organization (PAHO) to strengthen member countries’ pandemic readiness and address H1N1;
• Provision of diagnostic support, and deployment of field epidemiologists by the Public Health Agency of Canada (PHAC) to assist Mexico in responding to H1N1;
• Technical assistance from PHAC to help assess Guyana’s core capacities for surveillance and response;
• Provision of expertise from PHAC to support Caribbean states in implementing IHR in national legislation; and
• Participation in the Global Health Security Action Group (GHSAG), and hosting of GHSAG working groups to improve co-ordination of GHSAG activities and the IHR to better support implementation efforts of the World Health Organization.
Paragraphs: 34 Paragraphs VII Summit: -

Date:  6/20/2010 
The Federal Initiative to Address HIV/AIDS, The Canadian HIV Vaccine Initiative (CHVI) and strategies of provinces and territories are all part of Canada’s response to HIV/AIDS. The Federal Initiative comprises the national surveillance system, funding for scientific research, and support for the HIV prevention and social awareness work of community organizations and national non-governmental organizations. The CHVI invests in developing new HIV prevention technologies, including vaccine research and development. Canada’s publicly-funded health care system means that treatment is available for those who know their HIV status. Canada is developing a renewed prevention framework to address the ongoing challenge of new infections.

The Federal Initiative provides funding to community organizations across the country to improve access to more effective HIV/AIDS prevention, diagnosis, care, treatment and support for the eight key populations most affected by HIV/AIDS in Canada – gay men and men who have sex with men, people who use injection drugs, Aboriginal peoples, people in prisons, women, people from countries where HIV is endemic, youth at risk and people living with HIV/AIDS. In fiscal year 2008-2009, 35 national level projects and 139 community-level projects were supported with actual spending totaling $21.7 million.

At the international level, the Canadian International Development Agency (CIDA) is providing support over three years (2008-2010) to the Global Fund to Fight AIDS, Tuberculosis and Malaria. Canada's Access to Medicines Regime (CAMR), which came into force in May 2005, is part of Canada's support to increasing action to provide much needed medicines in the fight against HIV/AIDS in the developing world. CIDA also provides support to specific projects on HIV/AIDS, such as contributing to UNICEF’s work on the Municipal Services for Adolescent Health and HIV/AIDs Prevention project in Honduras.
Paragraphs: 35 Paragraphs VII Summit: -

Date:  6/18/2010 
Chronic disease surveillance is a component of the Integrated Strategy on Healthy Living and Chronic Disease, providing the Government of Canada with a unique capacity to track national trends in chronic disease and risk factors. The program works with the collaboration of provinces, territories, Statistics Canada, Canadian Institutes for Health Information (CIHI), health professional organizations, and major non-governmental organizations (NGOs). Its focus is on building a national comprehensive chronic disease surveillance system that supports governments and NGOs in making effective investments in prevention.

The program analyses and interprets data on trends for all chronic diseases using available data on deaths from Statistics Canada, hospitalizations from CIHI, and prevalence of chronic disease and risk factors from Statistics Canada surveys. It collects, analyses and interprets new data for priority conditions including: cancer, diabetes, cardiovascular diseases, chronic respiratory diseases, arthritis and other bone and joint conditions, mental illness, and neurological conditions. The program provides easy access to publicly-available data so that health departments, health professionals, researchers, and health charities can customize data analysis according to needs.
Paragraphs: 29 Paragraphs VII Summit: -

Related Resources
Bringing Health to the Planning Table
Canada’s Health Care System
Canada’s National Anti-Drug Strategy
Canadian Alcohol and Drug Use Monitoring Survey
Canadian HIV Vaccine Initiative
Canadian International Development Agency
Canadian International Development Agency and the Americas
Canadian Partnership Against Cancer
Cancer Surveillance On-Line
cancer view canada
Drug Prevention and Treatment
Drug Strategy and Controlled Substances Programme
Eating Well with Canada's Food Guide - First Nations, Inuit and Métis
Emergency Preparedness and Response
Federal Initiative to Address HIV/AIDS in Canada
First Nations, Inuit and Aboriginal Health - Alcohol, Drugs and Solvents
First Nations, Inuit and Aboriginal Health - Diabetes
First Nations, Inuit and Aboriginal Health - Health Care Services
First Nations, Inuit and Aboriginal Health - Healthy Pregnancy and Babies
First Nations, Inuit and Aboriginal Health - Substance Use and Treatment of Addictions
First Nations, Inuit and Aboriginal Health – Family Health
Health Canada
Health Canada – Contact Us
Health Canada – First Nations, Inuit and Aboriginal Health
Health Canada and The Pan American Health Organization
Health Concerns
HIV/AIDS pandemic
not4me
Physical Activity Guide to Healthy Active Living
Public Health Agency of Canada - Contact Us
Public Health Agency of Canada – Maternal and Infant Health
Statistical Profile on the Health of First Nations in Canada
Tobacco
World Health Organization Collaborating Centre
Youth Drug Prevention Campaign