ARCHIVED - 2007-08 Part II - Main Estimates

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Health

Department
Assisted Human Reproduction Agency of Canada
Canadian Institutes of Health Research
Hazardous Materials Information Review Commission
Patented Medicine Prices Review Board
Public Health Agency of Canada

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Ministry Summary

Vote	(thousands of dollars)	2007-2008	2006-2007	Difference
		Main Estimates	Main Estimates
	Health
	Department
1	Operating expenditures	1,690,951	1,674,444	16,507
5	Grants and contributions	1,225,859	1,189,350	36,509
(S)	Minister of Health - Salary and motor car allowance	75	73	2
(S)	Contributions to employee benefit plans	111,378	111,530	(152)
	Total Department	3,028,263	2,975,397	52,866
	Assisted Human Reproduction Agency of Canada
10	Program expenditures	12,834	9,022	3,812
(S)	Contributions to employee benefit plans	642	659	(17)
	Total Agency	13,476	9,681	3,795
	Canadian Institutes of Health Research
15	Operating expenditures	42,439	41,252	1,187
20	Grants	822,476	786,765	35,711
(S)	Contributions to employee benefit plans	4,606	4,648	(42)
	Total Agency	869,521	832,665	36,856
	Hazardous Materials Information Review
	Commission
25	Program expenditures	3,024	3,019	5
(S)	Contributions to employee benefit plans	482	493	(11)
	Total Agency	3,506	3,512	(6)
	Patented Medicine Prices Review Board
30	Program expenditures	10,584	5,800	4,784
(S)	Contributions to employee benefit plans	891	712	179
	Total Agency	11,475	6,512	4,963
	Public Health Agency of Canada
35	Operating expenditures	438,390	299,278	139,112
40	Grants and contributions	189,271	179,306	9,965
(S)	Contributions to employee benefit plans	30,681	28,005	2,676
	Total Agency	658,342	506,589	151,753

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Department

Strategic Outcome

Strengthened knowledge base to address health and health care priorities.

Program Activity Descriptions

Health Policy, Planning and Information
The Health Policy, Planning and Information program activity provides advice and support to the Minister, the Departmental executives and to program branches in the areas of policy development, intergovernmental and international affairs, strategic planning, program delivery and review and the administration of the Canada Health Act . It also contributes to improved health outcomes for Canadians by promoting the increased and more effective use of information and communications technologies; by improving access to reliable health information; by providing policy research and analysis to support evidence-based decision-making; by working with official language minority communities and others to improve access to health services in the official language of choice; and by taking into account Canadians' privacy expectations with respect to health information.

Strategic Outcome

Access to safe and effective health products and food and information for healthy choices.

Program Activity Descriptions

Health Products and Food
Health Canada is responsible for a broad range of health protection and promotion activities that affect the everyday lives of Canadians. As the federal authority responsible for the regulation of health products and food, Health Products and Food Branch (HPFB) evaluates and monitors the safety, quality and effectiveness of thousands of drugs (human and veterinary), vaccines, blood and blood products, biologics and genetic therapies, medical devices and natural health products, as well as the safety of the foods we eat. It also provides useful information about risks and benefits related to health products and food so that Canadians can make informed decisions about their health and well-being.

Ongoing regulatory responsibilities span the life cycle of health products and food, from clinical trials to surveillance, compliance and enforcement. Challenges associated with rapid advances in technology and scientific breakthroughs have also resulted in the growth of an unprecedented number of biologics, genetic therapies and vaccines and genetically modified and other novel foods. These challenges are met by drawing on sound science and effective risk management in evidence-based decision-making. These disciplines are integrated into daily operations, and together with our health promotion activities, they enable timely access to safe and effective health products and food for Canadians.

Strategic Outcome

Reduced health and environmental risks from products and substances, and safer living and working environments.

Program Activity Descriptions

Healthy Environments and Consumer Safety
Under this program activity, Health Canada has a mandate to address many elements of day-to-day living that have an impact on the health of Canadians. These include drinking water safety, air quality, radiation exposure, substance use and abuse (including alcohol), consumer product safety, tobacco and second hand smoke, workplace health, and chemicals in the workplace and in the environment. Health Canada is also engaged in other health and safety related activities, including the Government's public safety and anti-terrorism initiatives, inspection of food and potable water for the travelling public, and health contingency planning for visiting foreign dignitaries. The broad national mandate flows from legislation including the
Food and Drugs Act , the Controlled Drugs and Substances Act , the Hazardous Products Act , the Radiation Emitting Devices Act , the Canadian Environmental Protection Act , the Tobacco Act and others. Results are delivered through partnerships and by an active presence throughout every region of the country.

Pest Control Product Regulation
To help prevent unacceptable risks to people and the environment, Health Canada regulates the importation, sale and use of pesticides under the federal authority of the Pest Control Products Act (PCPA) and Regulations. The scope of work is extensive with more than 5,000 registered pesticides - including herbicides, insecticides, fungicides, antimicrobial agents, pool chemicals, microbials, material and wood preservatives, animal and insect repellents, and insect- and rodent-controlling devices.

Ongoing regulatory responsibilities constitute the majority of the work under this program activity. Using internationally accepted approaches and protocols, Health Canada conducts science-based health, environmental and value assessments. Pesticides are registered only if the health and environmental risks are considered acceptable, and if the product is effective. Health Canada sets maximum pesticide residue limits for food commodities under the Food and Drugs Act . Older pesticides are re-evaluated to determine if their use continues to be acceptable under current scientific approaches. Health Canada facilitates, encourages and maximizes compliance with the PCPA and the conditions of registration and develops and promotes the use of sustainable pest management practices and products in cooperation with stakeholders.

Strategic Outcome

Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians.

Program Activity Descriptions

First Nations and Inuit Health
The objectives of the First Nations and Inuit Health program activity include improving health outcomes; ensuring availability of, and access to, quality health services; and supporting greater control of the health system by First Nations and Inuit. Together with First Nations and Inuit, the First Nations and Inuit Health Branch through its regional offices, delivers public health and community health programs on-reserve, these include environmental health and communicable and non-communicable disease prevention, and provision of primary health care services through nursing stations and community health centres in remote and/or isolated communities to supplement and support the services that provincial, territorial and regional health authorities provide.

The First Nations and Inuit Health program activity also supports targeted health promotion programs for Aboriginal people, regardless of residency (e.g. Aboriginal Diabetes Initiative) as well as counselling, addictions and mental wellness services. The Non-Insured Health Benefits coverage of drug, dental care, vision care, medical supplies and equipment, short-term crisis intervention mental health services, and medical transportation is available to all registered Indians and recognized Inuit in Canada, regardless of residency.

Program by Activities

(thousands of dollars)	2007-2008 Main Estimates						2006-2007
			Budgetary			Total	Main
	Operating	Capital	Grants	Contributions	Less:		Estimates
				and other	Revenues
				transfer	credited
				payments	to the vote
Health Policy, Planning and Information	86,494	. . . . .	111,755	65,437	. . . . .	263,686	288,541
Health Products and Food	287,041	1,429	5,900	4,000	41,206	257,164	261,982
Healthy Environments and Consumer
Safety	301,573	1,971	4,855	40,791	15,704	333,486	290,699
Pest Control Product Regulation	57,827	. . . . .	. . . . .	. . . . .	6,975	50,852	51,763
First Nations and Inuit Health	1,133,921	1,483	30,000	963,121	5,450	2,123,075	2,082,412
	1,866,856	4,883	152,510	1,073,349	69,335	3,028,263	2,975,397

Transfer Payments

(dollars)	2007-2008	2006-2007
	Main Estimates	Main Estimates
Grants
Health Policy, Planning and Information
Grants to eligible non-profit international organizations in support of
their projects or programs on health	1,535,000	1,925,000
Health Care Strategies and Policy, Federal/Provincial/Territorial
Partnership Grant Program	96,033	96,033
Grant to the Canadian Patient Safety Institute	8,000,000	8,000,000
Grant to the Health Council of Canada	10,000,000	10,000,000
Grant to the Canadian Agency for Drugs and Technologies in Health	17,403,967	17,403,967
Grant to the Canadian Institute for Health Information	24,720,000	19,740,000
Grant to the Canadian Partnership Against Cancer	50,000,000	. . . . .
Health Products and Food
Grant to the Canadian Blood Services: Blood Safety and Effectiveness
and Research and Development	5,000,000	5,000,000
Natural Health Products Research Grant	400,000	400,000
Health Canada Post-Doctoral Fellowship Program	500,000	500,000
Healthy Environments and Consumer Safety
International Commission on Radiological Protection	5,000	5,000
Grant to eligible non-profit international organizations in support of
their projects or programs on health	600,000	600,000
Health Canada Post-Doctoral Fellowship Program	500,000	500,000
Grant to the Canadian Centre on Substance Abuse	3,750,000	3,950,000
First Nations and Inuit Health
Nunavut Medical Travel Fund	10,200,000	10,200,000
Northwest Territories Medical Travel Fund	3,200,000	3,200,000
Yukon Medical Travel Fund	1,600,000	1,600,000
Grant to the Government of Yukon for the Territorial Health Access
Fund and Operational Secretariat	6,333,334	6,333,333
Grant to the Government of Northwest Territories for the Territorial
Health Access Fund	4,333,333	4,333,334
Grant to the Government of Nunavut for the Territorial Health Access
Fund	4,333,333	4,333,333
Total grants	152,510,000	98,120,000
Contributions
Health Policy, Planning and Information
Women's Health Contributions Program	2,850,000	2,850,000
Health Care Strategies and Policy Contribution Program	37,356,240	29,097,840
Contribution to the Canadian Institute for Health Information	2,230,000	2,230,000
Contributions Program to improve access to health services for official
language minority communities	23,000,000	23,000,000
Health Products and Food
Contribution to strengthen Canada's organs and tissues donation and
transplantation system	3,600,000	3,600,000
Natural Health Products Research Contribution	400,000	400,000
Healthy Environments and Consumer Safety
Payments to provinces and territories to assist in ensuring access for
Canadians to effective alcohol and drug treatment and rehabilitation
programs and services	13,200,000	14,000,000
Contributions in support of the Federal Tobacco Control Strategy	15,759,000	15,759,000
Drug Strategy Community Initiatives Fund	11,832,588	9,935,588
First Nations and Inuit Health
Payments to Indian bands, associations or groups for the control and
provision of health services	227,903,381	217,906,031
Contributions for First Nations and Inuit Health Governance and
Infrastructure Support	185,313,328	167,266,578
Contributions for First Nations and Inuit Community Programs	219,913,539	211,120,456
Contributions for First Nations and Inuit Health Facilities and Capital
Program	51,275,042	51,885,290
Contributions for First Nations and Inuit Health Benefits	131,862,740	118,282,514
Contributions for First Nations and Inuit Health Protection	12,169,441	9,724,800
Contributions for First Nations and Inuit Primary Health Care	121,197,000	119,742,200
Contributions for Bigstone Non-Insured Health Benefits Pilot Project	8,487,200	8,240,000
Contribution to the Organization for the Advancement of Aboriginal
People's Health	5,000,000	5,000,000
Total contributions	1,073,349,499	1,010,040,297
Items not required
Indian Residential Schools Mental Health Support Contribution
Program	. . . . .	2,500,000
Health Policy Research Program	. . . . .	3,090,000
Contributions for the Primary Health Care Transition Fund	. . . . .	75,600,000
Total items not required	. . . . .	81,190,000
Total	1,225,859,499	1,189,350,297

Note: The Canadian Agency for Drugs and Technologies in Health was formerly known as the Canadian Coordinating Office for Health Technology
Assessment in the 2006-2007 Main Estimates.

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Assisted Human Reproduction Agency of Canada

Strategic Outcome

Protection and promotion of the health and safety of Canadians against the risks associated with assisted human reproduction technologies.

Program Activity Descriptions

Licencing and Enforcement of a Regulatory Framework for Assisted Human Reproduction Technologies
The Assisted Human Reproduction Agency of Canada would achieve this objective by the following means:

• issuing licences for controlled activities and for facilities used by qualified persons or organizations;
• assessing applications against licence requirements, including scientific and ethical considerations;
• conducting periodic inspections of assisted human reproduction clinics, service providers or research to ensure compliance; and
• enlisting the participation or support of other recognized organizations in the development of other supporting policy instruments, for example, standards, guidelines and accreditation models.

Health Information and Knowledge Management for Assisted Human Reproduction Technologies
The Assisted Human Reproduction Agency of Canada would achieve this objective by the following means:

• maintaining a personal health information registry to consolidate health reporting information concerning donors, patients and offspring born of assisted human reproduction procedures to allow for a look-back and trace-back mechanism;
• providing ongoing reports of assisted human reproduction controlled activities, including success rates by assisted human reproduction clinics and results of research, to enable prospective assisted human reproduction users to make informed decisions; and
• providing public information on assisted human reproduction matters or issues via a public website or in other forms such as brochures.

Program by Activities

(thousands of dollars)	2007-2008 Main Estimates		2006-2007
	Budgetary	Total	Main
	Operating		Estimates
Licencing and Enforcement of a Regulatory Framework
for Assisted Human Reproduction Technologies	6,076	6,076	4,320
Health Information and Knowledge Management for
Assisted Human Reproduction Technologies	7,400	7,400	5,361
	13,476	13,476	9,681

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Canadian Institutes of Health Research

Strategic Outcome

Outstanding Research - Best health research supported to create health knowledge responding to opportunities and priorities.

Program Activity Descriptions

Fund health research
Plan, launch and manage competitions and programs for grant funds to facilitate and enable the conduct of outstanding health research, including collaborative programs in investigator-framed and Institute-framed initiatives.

Strategic Outcome

Outstanding Researchers in innovative environments - Strong health research community able to undertake outstanding research.

Program Activity Descriptions

Fund health researchers and trainees
Plan, launch and manage competitions and programs for both salary awards to enable health researchers to devote more time to their research, as well as competitions for training awards to develop future health researchers.

Fund research resources, collaboration and other grants to strengthen the health research community
Plan, launch and manage competitions and programs for grant funds for research-enabling activities, such as networking, provision of new equipment, databases and/or specialized resources. Encourage participation and involvement of stakeholders in the public and private sectors through collaborative enabling programs and competitions.

Develop and support strong health research community through national and international alliances and priority-setting
Plan, launch and manage both Institute support grants that enable Institute activities such as the development of strategic health research priorities and development of alliances, as well as competitions and programs for grant funds for both national and international partnered programs.

Inform research, clinical practice and public policy on ethical, legal and social issues related to health and health research
Undertake consultations to enable inclusive dialogue across sectors, disciplines and communities to lead to greater public engagement, improved knowledge and understanding of the ethical, legal and social issues in the context of health and health research. As well, plan, launch and manage competitions and programs for grant funds to create new knowledge and provide grant funds that enable effective insights pertaining to the ethical, legal and social issues in the context of health and health research.

Strategic Outcome

Transforming health research into action - Health research adopted into practice, programs and policies for a productive health system; and stimulation of economic development through discovery and innovation.

Program Activity Descriptions

Support activities on knowledge translation, exchange, use and strategies to strengthen the health system
Implement strategies to enable the effective dissemination, exchange, synthesis and application of health research results that will lead to improvements in the Canadian health system. As well, plan, launch and manage competitions and programs for grant funds designed to create new knowledge, strengthen Canadian capacity and networks and together with our partners, undertake effective research and knowledge translation of health research.

Support national efforts to capture the economic value for Canada of health research advances made at Canadian institutions
Implement strategies to enable the effective development and commercialization of health research that will lead to a better quality of life for Canadians through improvements in the Canadian health system, products and economy. As well, plan, launch and manage competitions and programs for grant funds to create and transfer new knowledge, strengthen Canadian capacity and networks and undertake effective commercialization of health research.

Program by Activities

(thousands of dollars)	2007-2008 Main Estimates			2006-2007
	Budgetary		Total	Main
	Operating	Grants		Estimates
Fund health research	24,823	468,726	493,549	444,610
Fund health researchers and trainees	8,052	195,537	203,589	217,467
Fund research resources, collaboration and other grants to
strengthen the health research community	2,693	67,266	69,959	68,184
Develop and support strong health research community
through national and international alliances and
priority-setting	4,255	23,828	28,083	28,083
Inform research, clinical practice and public policy on
ethical, legal and social issues related to health and
health research	2,515	3,799	6,314	6,315
Support activities on knowledge translation, exchange,
use and strategies to strengthen the health system	3,018	37,728	40,746	40,733
Support national efforts to capture the economic value for
Canada of health research advances made at Canadian
institutions	1,689	25,592	27,281	27,273
	47,045	822,476	869,521	832,665

Transfer Payments

(dollars)	2007-2008	2006-2007
	Main Estimates	Main Estimates
Grants
Fund health research
Grants for research projects and personnel support	468,726,000	421,408,000
Fund health researchers and trainees
Grants for research projects and personnel support	185,037,000	198,437,000
Canada Graduate Scholarships	10,500,000	10,500,000
Fund research resources, collaboration and other grants to strengthen the
health research community
Grants for research projects and personnel support	67,266,000	65,473,000
Develop and support strong health research community through national
and international alliances and priority-setting
Grants for research projects and personnel support	10,828,000	10,828,000
Institute support grants	13,000,000	13,000,000
Inform research, clinical practice and public policy on ethical, legal and
social issues related to health and health research
Grants for research projects and personnel support	3,799,000	3,799,000
Support activities on knowledge translation, exchange, use and strategies to
strengthen the health system
Grants for research projects and personnel support	37,728,000	37,728,000
Support national efforts to capture the economic value for Canada of health
research advances made at Canadian institutions
Grants for research projects and personnel support	25,592,000	25,592,000
Total	822,476,000	786,765,000

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Hazardous Materials Information Review Commission

Strategic Outcome

Trade secret exemptions within Workplace Hazardous Materials Information System that balance the right of industry to withhold bona fide confidential business information with the right of employers and workers to be provided with complete and accurate information on the health and safety hazards posed by workplace chemicals.

Program Activity Descriptions

Claims Exemption Process
Under this activity, the Hazardous Materials Information Review Commission registers claims for exemption received from a supplier or manufacturer who wishes to withhold critical proprietary information; rules on the validity of the claim; assesses and issues decisions on the compliance of the Material Safety Data Sheet or label to which the claim relates; and administers an appeal process to these rulings.

Program by Activities

(thousands of dollars)	2007-2008 Main Estimates		2006-2007
	Budgetary	Total	Main
	Operating		Estimates
Claims Exemption Process	3,506	3,506	3,512
	3,506	3,506	3,512

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Patented Medicine Prices Review Board

Strategic Outcome

Prices charged by patentees for patented medicines sold in Canada are not excessive and Canadians are informed on pricing trends of medicines, as well as the research and development spending of pharmaceutical patentees.

Program Activity Descriptions

Patented Medicine Prices Review
The Patented Medicine Prices Review Board (PMPRB) is responsible for regulating the prices that patentees charge, the factory-gate price, for prescription and non-prescription patented drugs sold in Canada to wholesalers, hospitals, or pharmacies for human and veterinary use to ensure that they are not excessive. The PMPRB reports annually to Parliament through the Minister of Health on its major activities, analyses of the prices of patented medicines and of the price trends of all drugs, and reports on the research and development expenditures as reported by pharmaceutical patentees.

Program by Activities

(thousands of dollars)	2007-2008 Main Estimates		2006-2007
	Budgetary	Total	Main
	Operating		Estimates
Patented Medicine Prices Review	11,475	11,475	6,512
	11,475	11,475	6,512

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Public Health Agency of Canada

Strategic Outcome

Healthier Canadians and a stronger public health capacity.

Program Activity Descriptions

Health Promotion
In collaboration with partners, the Public Health Agency of Canada supports effective actions to promote healthy living and address the key determinants of health and major risk factors for chronic disease, by contributing to knowledge development, fostering collaboration, and improving information exchange among sectors and across jurisdictions.

Disease Prevention and Control
In collaboration with its partners, the Agency leads federal efforts and mobilizes domestic efforts to protect national and international public health. These include:

• monitoring, researching and reporting on diseases, injuries, health risks and the general state of public health in Canada and internationally; and
• supporting development of knowledge; intersectoral and international collaboration; and developing policies and programs to prevent, control and reduce the impact of disease and injury.

Emergency Preparedness and Response
The Public Health Agency of Canada provides a national focal point for anticipating, preparing for, responding to and facilitating recovery from threats to public health, and/or the public health complications of natural disasters or human caused emergencies. The Agency applies the legislative and regulatory provisions of the Quarantine Act . It collaborates with international partners to identify emerging disease outbreaks around the globe. Providing leadership in identifying and addressing emerging threats to the health and safety of Canadians through surveillance, risk analysis and risk management activities, the Agency partners with Health Canada, other federal departments, the provinces and territories, international organizations and the voluntary sector to identify, develop and implement preparedness priorities. The Public Health Agency of Canada manages and supports the development of health-related emergency response plans for natural and human caused disasters including the National Influenza Response Plan. The Agency is actively engaged in developing and sponsoring training in emergency preparedness, and coordinates counter-terrorism preparations to respond to accidents or suspected terrorist activities involving hazardous substances. The Agency is a leader on biosafety related issues. It stands ready to provide emergency health and social services, and manages the National Emergency Stockpile System with holdings ranging from trauma kits to complete 200 bed emergency hospitals.

Strengthen Public Health Capacity
Working with national and international partners, the Agency develops and provides tools, applications, practices, programs and understandings that support and develop the capabilities of front-line public health practitioners across Canada. The Agency facilitates and sustains networks with provinces, territories, and other partners and stakeholders to achieve public health objectives. The Agency's work improves public health practice, increases cross-jurisdictional human resources capacity, contributes to effective knowledge and information systems, and supports a public health law and policy system that evolves in response to changes in public needs and expectations.

Program by Activities

(thousands of dollars)	2007-2008 Main Estimates					2006-2007
	Budgetary				Total	Main
	Operating	Grants	Contributions	Less:		Estimates
			and other	Revenues
			transfer	credited
			payments	to the vote
Health Promotion	55,932	10,073	120,413	. . . . .	186,418	. . . . .
Disease Prevention and Control	252,841	22,298	25,330	. . . . .	300,469	. . . . .
Emergency Preparedness and Response	115,905	. . . . .	. . . . .	50	115,855	. . . . .
Strengthen Public Health Capacity	44,443	1,731	9,426	. . . . .	55,600	. . . . .
Population and Public Health	. . . . .	. . . . .	. . . . .	. . . . .	. . . . .	506,589
	469,121	34,102	155,169	50	658,342	506,589

Transfer Payments

(dollars)
	2007-2008	2006-2007
	Main Estimates	Main Estimates
Grants
Health Promotion
Grants to persons and agencies to support health promotion projects in
the areas of community health, resource development, training and
skill development and research	10,073,000	10,073,000
Disease Prevention and Control
Grants to persons and agencies to support health promotion projects in
the areas of community health, resource development, training and
skill development and research	11,163,000	12,019,000
Grants to individuals and organizations in support of public health
infrastructure	125,000	. . . . .
Grant to the National Cancer Institute of Canada for the Canadian
Breast Cancer Research Initiative	3,000,000	3,000,000
Grants toward the Federal Initiative on HIV/AIDS	8,010,000	8,010,000
Strengthen Public Health Capacity
Grants to graduate students and post-graduate students in public health
and university departments in community medicine and public
health	1,731,000	. . . . .
Total grants	34,102,000	33,102,000
Contributions
Health Promotion
Contributions to persons and agencies to support health promotion
projects in the areas of community health, resource development,
training and skill development and research	18,674,000	9,925,000
Contributions to non-profit community organizations to support, on a
long-term basis, the development and provision of preventative and
early intervention services aimed at addressing the health and
developmental problems experienced by young children at risk in
Canada	75,088,000	81,830,000
Contributions to incorporated local or regional non-profit Aboriginal
organizations and institutions for the purpose of developing early
intervention programs for Aboriginal pre-school children and their
families	26,651,000	28,122,000
Disease Prevention and Control
Contributions to persons and agencies to support health promotion
projects in the areas of community health, resource development,
training and skill development and research	10,176,000	2,455,000
Contributions to Canadian Blood Services and/or other designated
transfusion/transplantation centres to support adverse event
surveillance activities	2,197,000	2,402,000
Contribution toward the Federal Initiative on HIV/AIDS	12,832,000	13,100,000
Contributions to individuals and organizations in support of public
health infrastructure	125,000	. . . . .
Strengthen Public Health Capacity
Contributions to persons and agencies to support health promotion
projects in the areas of community health, resource development,
training and skill development and research	8,370,000	8,370,000
Contributions to universities and public health organizations to create
public health workforce development products and tools	1,056,000	. . . . .
Total contributions	155,169,000	146,204,000
Total	189,271,000	179,306,000

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