:
Mr. Chairman and members of the committee, thank you very much for your invitation today. It's a privilege to appear before you to share some thoughts on my mandate as the independent investigator of the listeriosis investigation review.
Last year Canadians witnessed a tragic event that eventually cost the lives of 22 citizens. This tragedy was caused by food that was assumed to be safe but was not. I was asked by government to lead this investigation, and I am proud as a Canadian to do what I can to better understand this matter of great importance to us all--to understand what happened during 2008 in the listeriosis outbreak and how to prevent a similar recurrence.
The event shook the confidence of Canadians in the safety of food products and in the food inspection system. Canadians expect their food to be safe. They expect an inspection system that works. They expect to be informed in a timely and clear manner when there is a problem, and they expect all levels of government to cooperate effectively in the best interests of the public.
I recognize that members of this committee have a key role to play in the efforts currently under way to ensure that our food safety system is second to none in the world. I take this responsibility seriously. Both this committee and the independent investigation I'm conducting can make significant contributions that will help prevent a tragedy such as the one we experienced last summer from happening again. That is why, when I was approached, I agreed to lead a non-partisan investigation into the outbreak of last summer.
I was appointed by the Governor in Council on January 20, 2009, to lead the review with a specific mandate to examine the events, circumstances, and factors that contributed to the outbreak; review the efficiency and effectiveness of the response of the federal organizations in conjunction with their food safety system partners in terms of prevention, recall of contaminated products, and collaboration and communication, including communication with consumers; and make recommendations based on lessons learned from that event and from other countries' best practices to prevent a similar outbreak in the future and remove contaminated products from the food supply.
I know you're aware that my investigation is ongoing. We're just partway through it, and as such, I am limited in what I can say publicly. This is an important point. While I understand that people want clarity, conclusions, and recommendations that can be acted on as soon as possible, I have the obligation to respect my mandate and not prejudge what I'm hearing and learning over the course of the investigation. I would be doing Canadians a disservice by drawing conclusions before all the evidence was in and analyzed.
What I can say, however, is that the evidence trail is being followed wherever it leads, and I intend to make substantive, clear recommendations that have a common purpose to improve the safety of Canadians in respect of the food they eat. I therefore ask the understanding of committee members in appreciation that this will guide my response to members' questions. I am pleased, however, to discuss today the approach we are taking with the investigation. My mandate requires me to deliver findings and recommendations by July 20 of this year, and I'm confident that the report will be substantive and on time.
We're currently engaged in an in-depth review of events that led to the tragedy last summer, with a particular focus on understanding what happened; what each of the three key federal organizations--the Public Health Agency of Canada, CFIA, and Health Canada--as well as Maple Leaf Foods did, when, and why; analyzing the quality and timeliness of the responses of the three federal agencies; determining the adequacy of actions taken to date in response to the outbreak; and advising on improvements that should be put in place based on what happened last summer, taking into account advice and practices elsewhere in the world.
I can assure you that a key focus for me is identifying improvements so this never happens again.
Our work is guided by five principles: access to the most accurate and complete information available; independence from all parties, both inside and outside government; systematic investigative techniques; external expert advice; and consideration of all legitimate viewpoints to ensure that the approach is fair, collaborative, and constructive.
I wanted to deal with each principle in a bit more detail. First, on ensuring access to the most accurate and complete information available, I am very pleased to report that the investigation has received extraordinary collaboration from the three federal organizations engaged in this issue, as well as Maple Leaf Foods. We've also had fruitful and open and ongoing discussions with senior provincial officials and their chief medical officers of health, including from the Province of Ontario.
To date, we have received significant documentation, which is now under careful examination, and this documentation complements and supports the more than 100 meetings, visits, and investigative interviews that have been completed or are planned in the preparation of our report.
Our investigative team has a mix of backgrounds and expertise. Our team has experience in food safety, public health, long-term care, regulation, and governance. Our team also includes physicians, forensic document experts, and independent investigative legal counsel.
We have a group of external expert advisers, and I'm going to name them for you: Dr. John Carsley, a public health expert, currently a medical officer of health with Vancouver Coastal Health in B.C., previously from Montreal, with a specific expertise in epidemiology; Dr. Walter Schlech from Dalhousie University in Nova Scotia, a listeria expert in the immunocompromised, and Dr. Schlech was involved in the first recorded event to identify listeria in food in the 1980s; Dr. Mansel Griffiths, a food-borne micro-organism expert from the University of Guelph, who is a director of the Canadian Research Institute for Food Safety, well known to industry as the industrial dairy chair in microbiology; Dr. Bruce Tompkin from Illinois, a microbiologist and practical expert in food safety, with a deep experience, a lot of practical experience, who has worked with some of the largest U.S. meat producers--Swift, Beatrice, Armour, ConAgra--and in this role he served as a plant hygiene expert; and last, Dr. Michael Doyle, a microbiologist from Georgia, who is now directly involved in the American peanut recall and the pistachio recall.
On the principle of independence, it is important to me that this review is conducted with full independence. I strongly believe that independence, coupled with the collaborative approach we’ve adopted, gives us the best opportunity to understand what happened and gives us our best chance at constructive suggestions for improvement. As well, our legal counsel is specialized in discovery processes. We have the assistance of forensic document experts to identify key evidence in the data we have received.
On the principle of fairness, it is our goal to treat everyone engaged in this process with respect, an open mind, while ensuring we have basic procedural fairness.
In conclusion, Mr. Chairman, I want to reassure you and the members of the committee that our investigation is moving forward and we are receiving the full cooperation of all participants. We are on target for a completed and substantive report by July 20.
I believe your committee and this investigation share a common intention to get to the bottom of what happened last summer. Why did the 2008 listeriosis outbreak end in tragedy, 22 deaths, and the suffering caused to Canadian families and communities? Like you, we are seeking recommendations to reduce the risk and the consequences of future outbreaks.
Thank you, Mr. Chairman, for the opportunity to appear today. I look forward to your questions
Thank you, Mrs. Weatherill, for being with us, albeit it may be at a time when you're not able to give us as much as you probably would like, or could, if you were indeed at the end of your report and we actually had it to look at and you were able to explain what has transpired. So I appreciate the fact that you're here trying to deal as best you can with some of the situation.
But I will carry on with how the committee and Canadians look at how your investigation was formed—albeit late, as has been indicated. The Prime Minister talked about it last September, and it is no fault of yours when it actually started. Your appointment didn't come until January, and now, rather than getting a report—which we could have had in March if indeed it had been done by the government, when we thought it had—we're not actually looking at a final report as part of this committee, which you might have been the person to defend here and explain to us.
We're now faced with a situation where your timeline is actually after the timeline of this committee, which is problematic, to say the least. It would have been advantageous for the committee to look at your report, simply because it would have been more fulsome in helping all of us understand what happened--because that's really what we want to do--and to find a way to assure Canadians that it won't happen again.
So it really it is a case of having all Canadians understand that their food supply is safe.
I think part of the problem we're having in the opposition is the way the committee has been structured and how it looks to Canadians, who are looking to have their faith in the system reaffirmed and know they truly have a safe food system. Of course, part of that is the terms of reference of your mandate, which require you to report back directly to the Minister of Agriculture, a minister of the crown, rather than you as independent investigator reporting directly to Parliament, which would give Canadians a sense that the results were being reported back directly to them—albeit I'm not accusing anyone of changing or nuancing anything.
There are a few things I think you can answer, and I'll put them out here. As we understand, there are numerous documents and hand-written notes here and there in the Department of Agriculture and PMO dealing with this particular situation. Do you know they exist, and have you been able to get them? Will you be getting them, if you haven't received them already?
The second part of the question, which ties in with this, is whether you know through communications logs that Maple Leaf Foods was in contact at least 24 times with various ministries just prior to the outbreak, during the outbreak, and subsequent to the outbreak. Have you had an opportunity to see those? Did you know that they exist, and will you, if you haven't already, be looking at those particular documents?
Ms. Weatherill, I'd like to welcome you to the subcommittee.
As you know, the subcommittee is a complement to the work we see you doing as an independent investigator. We're looking forward to your doing a thorough job, in spite of what the opposition seems to be saying. We know that's not going to be easy, because there's a lot of misinformation out there. We appreciate your being here today. It takes courage and commitment to come.
The Prime Minister has confidence in you. He said when he asked you to do this job:
Protecting the health of Canadian families and the safety of the Canadian food supply is of paramount importance to our government. I am confident that Sheila Weatherill has the expertise required to independently examine the factors that contributed to the listeriosis outbreak and make recommendations on how to prevent a similar occurrence in the future.
I think the reason he made that statement is based upon your qualifications. Mr. Storseth touched a bit on that in his point of order, but I would like to read into the record some of that background, and maybe you might want to complete it if I don't have it all here when we're done. I think it's important that people understand there's much more to you than Mr. Easter, in particular, has portrayed in some of his comments.
It's my understanding that you are an experienced health professional and highly regarded in your field. You have earned your B.Sc. in nursing and post-graduate diploma in public health from the University of Alberta. You have the high honour of being named one of Canada's 100 most powerful women by the Women's Executive Network in not just 2003 but I understand 2004, 2005, and 2006, and that you were admitted to its hall of fame in 2007. In July 2006, you were appointed a member of the Order of Canada. In November 2006, the Prime Minister appointed you as a member of his Prime Minister's advisory committee on the public service. You've talked a little bit about that, and I certainly think that's a tribute to you that you've made the decision to contribute to that committee as well. These are all laudable achievements showing your professionalism.
Your experience in the field of health issues—and Mr. Storseth can probably talk more to this than I can—includes your time as president and CEO of Capital Health in Edmonton, Alberta, from 1996 to 2006. Recently you've done important work in support of the heart institute in Alberta, including the development of the Mazankowski Alberta Heart Institute, which is western Canada's first heart institute.
And I understand that's not all. You also have experience serving on many boards of directors, including being an associate member of the faculty of nursing at the University of Alberta, and have served previously on boards such as the Conference Board of Canada, the Canadian Institute for Health Information, the Association of Canadian Academic Healthcare Organizations, and the Edmonton YMCA.
Mr. Easter had mentioned the Prime Minister's mandate to you. I think this is a short version of what he said, but you were charged to independently examine the factors to prevent a similar reoccurrence. They say your credibility is not something they're questioning, but it seems to me that at least two of the parties indicated they're not prepared to let you do your work before they judge whether you're capable of doing that. I think it's disappointing that they seem to want to see you fail at this.
I just want to ask this. Do you feel you have the authority to independently examine those factors and to make the conclusions you feel you need to in order to prevent a similar reoccurrence? Are you comfortable with the mandate you've been given?
Thank you, Ms. Weatherill, for being part of this investigation and this committee report that we're going to have by the end of June, before we break for summer.
Following this, we have the Public Health Agency of Canada coming in. There seems to be some innuendo today that actually there are some things happening behind the scene that you don't have the opportunity to investigate. In fact, there's more than innuendo that your investigation isn't going to be thorough because it isn't going to get reported; that it's going to go to the minister, and the minister isn't likely going to make it public.
I can tell you that this report of yours will be made public, the one that you're going to produce. The public needs to know what will be in it. So that's recognizing a little bit about what's coming afterwards.
At Monday's meeting--I wasn't able to be here, but I have the notes from it--both Maple Leaf and CFIA said that they're fully cooperating with you.
I guess we're going to have to say a few things over and over again, because the innuendoes keep coming: well, maybe they are cooperating, but are you actually getting the papers; are you getting the documents? But you're saying yes, you have millions of pages of documents.
So the statement is correct that what you're asking for, what you're needing...and not necessarily asking for; it's what you need. Is there full disclosure of all the documents that you know of that you're getting?
:
In spite of what my colleagues might be inferring about innuendo or looking for the proverbial conspiratorial theory in the closet, this is really about Canadians' faith in their food supply. When it comes to faith, there's a different parameter than in hard science. When you take the leap from one plus one equals two, which is an accepted value that we know how to compute, to actually having faith, there's a difference. One needs to have something beyond one plus one equals two. One has to believe that you showed them one and then you showed them another, so that you can come up with two. That leads to faith that you've actually done it correctly. So this isn't an issue, at least not for this member.
There's no issue about folks not trying hard. Everyone has the best intentions at heart. They want to assure Canadians that they have a safe food system, because we all happen to be consumers of that food. There's nobody on the other side, on this side, or out there watching who doesn't eat. We all have to eat, so it is imperative that we all feel that it's absolutely safe. Part of the dilemma we face is making sure Canadians have their faith in the system restored. It's been shaken, and justifiably so. Twenty-two individuals died last year in this country from listeriosis. That has shaken the faith of Canadians in their food supply. They need to have their faith restored.
This is not so much to suggest that something untoward is happening as it is to help make sure we actually open all of the doors, look under all of the rugs, ask all the right folks, seek out all the right questions, and actually come back and tell folks that we found it all, and restore their faith. That's part of the dilemma we face. That's a difficult task no matter who ends up having to do it, whether it's you as the independent investigator, this committee, government, those of us in the food safety business, or those who produce the food. It's going to be a significant challenge as we go forward.
There are some technical questions on this. There is the documentation you're asking for. No doubt you have a list—you talked about having forensic auditors, and they'll have a list. In your mind, will that list be part of the report? If not, do you think it should be?
One of the ways to restore the faith is for folks to be able to look through a list of documents that were requested and received. Perhaps someone will ask if you requested a document that you hadn't thought of. You would then ask for it, and it would become a supplement to the report. This would help to restore the faith. The knowledge that we looked everywhere humanly possible will go a long way towards restoring people's faith. I can't emphasize that word enough, because we can see that people have lost faith in the food supply and its safety. That really is a great change. So that's one of my questions.
I've sat on investigations before. Quite often the terms of reference are written for us and we just accept them because we're okay with them. Sometimes we get input into those terms of reference, because we see them as being too broad or too narrow, and we need to move this around based on our experiences going into the investigation. Please comment on this if possible.
I'll leave it at that for the moment.
Let me start this way, Ms. Weatherill. As an individual, a former minister, who has gone before a public inquiry and has spent many hours before a public inquiry and come out clear at the end of the day, I think this investigation just doesn't get there. Now, that's not your fault, and I accept your word that you will do the best you can do. I sincerely believe you in that and I do believe you will come up, as you said, with reasons why it happened and how it happened.
But there's a broader concern here. We live in a system of government that is supposed to hold and accept ministerial responsibility. This investigation doesn't go there. I would say to the government members, in terms of the ministerial responsibility, that it cuts both ways. Yes, it can be found that you erred, or also it can be found that you didn't err—the error was somewhere else in the system and you no longer have to deal with that cloud over your head, which I will admit is a relief when it happens.
I think we've determined from the discussion here today that you really have no way of assessing political responsibility in terms of your investigation. I submit to you—I go back to my original point—that I am worried that you are being used in a way so we don't have to deal with the question of the involvement of the PMO or the minister's officer. I say that in all sincerity, and there are questions around there.
The other point—let's make clear—that we've determined thus far today is that you do not have the power to subpoena witnesses; you depend on goodwill. You do not have the legal authorization to demand documents, although you do believe you're getting full cooperation. One of the people who is indicating to you that you are getting full cooperation is the minister himself; he said so before this committee on February 10. The fact of the matter is that he's the minister who should be under investigation.
So there are some concerns here, so let's be honest and just lay them on the table.
Now, here's just a note of caution, going forward, on the agencies you're involved with, and we'll leave the minister and the PMO alone.
I would suggest you maybe read the minutes of this committee. I hope it doesn't get political. This is a committee to look at the food safety issue. I am very, very, very concerned. I can't express enough concern about the statements that were made by the president of the Canadian Food Inspection Agency on Monday. In my view there was an attempt...and I quote her: “It is quite clearly industry's fundamental responsibility to produce safe food”. I would caution you in your discussions with the agencies that they not try to transfer blame to the industry. Michael McCain has taken a lot of responsibility, yes, indeed. In my view there's a higher authority in this country that is responsible for food safety in this country, and that's the government, its various institutions, and its ministers. I just express to you a word of caution in that regard. Do not allow the agencies to transfer blame to the industry, because Michael McCain was the only face we had out there at the time accepting responsibility in assuring Canadians on public safety. I just raise that as a note of comment.
My question to you is about your secretariat, and I know people are seconded or not. Can you assure us at least that in your secretariat your investigations, people being seconded are not from areas of the federal government that are directly under potential implication here? Agriculture and Agri-Food Canada, Health Canada, Canadian Public Health Agency, CFIA, Industry Canada, the Prime Minister's Office, and the Privy Council Office are all in one way or another implicated here. Do you have any staff from those offices that you know of? You may not know, and I'm not going to force you to it, but could you get back to us on this, if you don't?
:
Mr. Chair, I'm disappointed to hear Mr. Easter, because it seems he's already made conclusions.
I get the sense that he wants failure out of the investigation you're doing. The reality is that this investigation is set up to succeed, it's set up to be open, and it's set up to be transparent. I think that is frustrating the opposition. We can see this today in some of the things they've been pointing out. They want to find blame; they want to find political damage.
The problem is that this government has set this up so that it will work, so that it will open up the facts and will, as we said earlier, independently examine the factors that contributed to the listeriosis outbreak and make recommendations. I understand how that may frustrate him.
Also, I want to point out that he sees grounds for criticism in your not having the power to subpoena and not having the power to demand documents. You have indicated multiple times today that this has not been an issue; that you've been able to obtain the information you need and have been able to obtain cooperation of witnesses as you've wanted it. This is a red herring that the opposition can't be allowed to get away with putting forward.
I would like to talk to you about one of the issues that came up the other day. That is that both Maple Leaf and CFIA indicated, as a root cause of the listeriosis outbreak, that biological material was deep in the slicers in establishment 97B, which ended up being the breeding ground for listeria.
Mr. McCain said that Maple Leaf had had positive test results for listeria in the environment for a few months before the outbreak, but because the mandatory reporting had been cancelled in 2005 under the Liberal government, they didn't feel the need to report this. Brian Evans expanded on this point, that environmental testing is critical to seeing a problem. I think he pointed out that it might not have identified this specific issue, but at least the information would have indicated that there was a trend of some sort. That's why the government has acted and on April 1 made a number of changes to the protocols.
Are you in a situation now to make any comment about those protocols and about whether you feel they've improved the situation? Or is this something on which you want to reserve judgment?
:
Thanks very much. I apologize for gatecrashing your committee. I'm very grateful, and if you come to Australia, we'll let you gatecrash one of our committees as a consequence.
I chair the Senate Select Committee on Agricultural and Related Industries in Australia. At the present time I'm doing an inquiry, in which you would be interested I'm sure, into the global cartel and monopoly behaviour of fertilizer companies. Eighty-five per cent of the world's rock phosphate is controlled by five companies.
Another committee that I'm chairing has the terms of reference for how we in the future will produce food that's affordable to the consumer, sustainable to the environment, and viable to the farmer--in other words, make it worthwhile for the farmer to get out of bed and be paid a reasonable margin for his work, against the background of things like consolidated retailing--that is, market pairing in retailing--the cartels of fuel and fertilizer, the effect of climate change, and a range of other issues.
The science we've collected in Australia shows that in Australia over the next 50 years.... The rainfall is in decline now, and this year if there isn't a serious, major rainfall event in southern Australia, the main river system is going to fail. It will stop flowing. Our biggest dam is down to 4%. Three of our rivers have three months' supply left in them. In the Murray-Darling Basin in Australia, where we have 6.2% of Australia's run-off--23,000 gigalitres--we do 73% of our water farming. If the science is 30% right on the prediction for the future, we're going to have to reconfigure the way we've settled and we do business in rural and regional Australia. There are big opportunities in the north, which for us is more or less an agricultural frontier.
Against that background, I would be interested in coming to terms with the doubling of the global food task in the next 40 years. The science is telling us that 30% of the agriculture capacity of Asia, where two-thirds of the world's population will live in the future, could go out of production. We decided to have a look at how Australia can continue to make its contribution to the global food task. I'm sure that's an issue that would interest the people in Canada. We are a net exporter of food. Our scientists at the CSIRO, our senior science base, is telling us that unless we get up to speed with technology and come to terms with what's going on, we will have no wheat to export by the year 2070. At the present time we export $4.2 billion worth of food.
Against that background, and with your indulgence, Mr. Chairman--and I'm very grateful for the opportunity to address your committee--we in Australia were interested in the consolidated retailing side with the ACCC as our supervising body. At a parliamentary level, we have challenged some of the findings of the ACCC. For instance, the ACCC said in an investigation they conducted that there wasn't a problem in fertilizer sales in Australia. One company has 73% of the wholesale sales and 100% of the manufacture, and yet they said there wasn't a monopoly. So we challenged that. We're now undoing that monopoly. We are bringing into production a couple more phosphate mines, which again will treble our phosphate capacity.
In our retailing, we have two companies, Coles and Woolworths, that control 70% of our retailing. I note from my notes that you have five companies that control 60% of your retailing. We have two companies that control 70-odd per cent. The United States, I notice, has five companies that control 40%. What I was interested in is whether you, by regulation.... I spoke to the person from your ACCC equivalent this morning, who said that for them as the regulator, if there isn't 35% of the market tied up by one body, it's not an issue. I was just wondering where you fellows were up to. We'd be interested; you seem to be doing better than we are.
Swift, the Brazilian company who has just taken over CONAGUA's interest in Australia—will have 40% of the kill in Australia. We note that our farmers are getting between 40% and 50% less per beast at the farm gate, and our consumers are paying 40% to 50% more at the supermarket than the Americans are.
I'm just interested to hear how you're getting on here in Canada.
In Australia we are very concerned about the failure of the Doha Round, but from my perspective...and bear in mind I am not in the government, but I am chairing a select committee. I was in the previous government, but I am well connected in the present government. Anyway, Mr. Chairman, the committee that I chair has never had a dissenting report, because we are not in the business of playing politics with people's livelihoods.
Doha has very many complexions, and you would have to say that you would go into it with a conservative outlook on the outcome. When you have players like China in the market, which has a non-market currency, it now has the capacity with sovereign risings to go into the market and buy other people's sovereignty, which is an issue for us in Australia. They're wanting to buy into Rio Tinto for the sovereign funding, much the same way as we have an approach in Australia today from the United Emirates to buy, in a big way with a sovereign fund, into some of our agricultural land.
Now, we are of the view that the global food task has to be modelled by the planet, because you can't eat dividends. There are some complexities, and there are certainly many distortions in the market for a number of reasons, and Australia is sometimes accused of distorting the market through its acquisitions via security barriers for entry. Your beef would be one, with the BSE barrier that we've put up. Australia is clean, green, and free of foot and mouth, BSE, and most major diseases.
We have an issue at the present time, for instance, with bananas. Our banana industry is free of disease. The Philippines are putting pressure on to bring bananas in. New Zealand is putting pressure on to bring apples in. We do not have fireblight disease. So these are the sorts of issues that are very much high in the minds of the Australian electorate, the Australian people, because we are essentially clean, green, and free.
We are almost first cousins with Canada, but we are, shall I say, not all that optimistic about Doha because of the major distortions in the market. A free market issue...you're from Quebec, you have a confined market situation with poultry, pork and dairy. That's a decision for your government and your people. We have an open market. We have serious problems at the present time with the carbon trading principles of the future. I couldn't get today an answer out of your ministry on whether agriculture is going to be in or out of the carbon system. We can't get an answer from our government, and the opposition...we're not too sure what to do either. But I can tell you that at $17 a tonne, every irrigated dairy farmer in Australia is insolvent; at $40 a tonne, 35% of the production costs of beef is the tax. These are pretty serious issues.
I'd love to have half a day here to have a yarn with you all. I could give you my pure and full thoughts, but I don't have the time today.
:
Thank you, Mr. Chair. I want to thank the committee for the opportunity to speak here and to acknowledge this very important examination into the listeriosis outbreak of the summer of 2008.
Here with me today are Dr. Frank Plummer, the Public Health Agency's chief science adviser and head of the National Microbiology Laboratory in Winnipeg, and Dr. Mark Raizenne, director general of our Centre for Foodborne, Environmental and Zoonotic Infectious Diseases.
[Translation]
The work of this subcommittee is an important step towards improving our ability to protect the food supply and the health of our population. While we did much right, there are lessons to be learned as we continue to improve the way we respond to such human health events.
[English]
The listeriosis outbreak was, without a doubt, a tragic event: 22 people died, and at least 57 more fell ill. Any--any--preventable illness or premature death is a concern for us at the Public Health Agency.
Speaking as Canada's chief public health officer, I can say that it is never easy, either personally or professionally, to deal with events such as this one. As a physician, I've spent countless hours with patients and their families. I understand the feelings of pain, fear, and concern that accompany the many illnesses and injuries a body can endure.
I know as well that those who were affected by this outbreak and the officials who managed it all want a better understanding of the circumstances around it. What we can do is ensure that we learn from these events and apply those lessons--using the right information, shared with the right people, at the right time.
Let me turn briefly, Mr. Chair, to how the Public Health Agency goes about responding to an outbreak.
Broadly, the Public Health Agency of Canada is mandated to promote and protect the health of Canadians and to build public health capacity across the country. This of course includes preparing for and responding to any outbreaks that threaten human health.
Public health is, at its heart, a local activity. Events happen in communities and, by and large, are managed locally. As you know, this particular outbreak was first identified in Ontario and was first managed by the Ontario public health authorities, as was appropriate.
When an outbreak spreads beyond a jurisdiction or exceeds its capacity, the Public Health Agency takes the national lead on the human health side. So when the National Microbiology Laboratory linked listeriosis cases in other provinces to the Ontario outbreak, the agency took the lead in coordinating the national investigation and response.
I'd like to speak for a moment about the role of the chief public health officer in an outbreak.
From the very beginning, I was actively managing the agency's response. As both deputy of the Public Health Agency and Canada's chief public health officer, I have a dual role to play during an outbreak.
As such, I directed our staff, including our medical professionals, our scientists, and our epidemiologists, as they conducted their emergency response activities. I also advised the ministers of health and agriculture on the outbreak itself. Finally, I spoke directly to Canadians, stakeholders, and public health partners about issues affecting their health.
We communicated frequently and in a number of ways to the general public and to those groups most at risk. But you can never communicate too much. For all our actions and preparations, there are always challenges inherent in any public health crisis. We anticipate and overcome those challenges as best we can.
Mr. Chair, I'd like to talk a bit about the challenges faced in investigating and responding to outbreaks.
When public health as a system is dealing with food-borne illnesses, the identification of a source is a particularly complex process. We might be sifting through evidence of cases in towns or cities separated by thousands of kilometres. We need to find the people with the symptoms and have cultures taken so that we can then fingerprint the bacteria to find out whether or not they may have come from the same source. We ask people to identify everything that was eaten over the previous weeks to find, hopefully, a common source. Then those sources need to be investigated to see if they can be connected back to the illness. In this case, we were dealing with an illness where the cause was food that was eaten a month or more earlier.
We were able to do this in this listeriosis outbreak thanks to recent enhancements to our tracking and surveillance systems and to the collaboration with our federal and provincial partners. If this had happened five years ago, we probably would not have found it--if at all--until there were many more cases and deaths.
The technological advances we've made, the systems put in place, and the collaborations we've established since the agency was created have made huge differences in our ability to share and compare data and to plan our responses.
One of the constant challenges with food-borne outbreaks is that authorities are only notified once people have already started getting sick. We usually know we're dealing with a severe outbreak only after there are reports of illnesses of much higher than normal numbers. By that time, it is already too late to prevent cases in those already exposed.
The listeriosis outbreak was more of a challenge than usual, because affected food was being consumed in large numbers by those people who were most vulnerable to infection, including seniors in long-term care facilities and hospitals. Unlike most causes of food-borne outbreaks, with listeria only a tiny percentage of those overall who ate the food actually became ill. It was through our ability to connect the dots across many institutions and provinces that the pattern suggestive of a common problem emerged.
The food supply chain is an intricate web that links many parts of food processes and chains together. From the time food is harvested, through processing, production, delivery, purchase, storage, and preparation, up until we put it into our mouths, there are many possibilities for contaminants. Fortunately, there are many people and organizations involved in our safety and health, from government departments and agencies to industry and individuals. We're all partners in food safety.
While we did find the source, and relatively quickly, much of the criticism has centred around the public's need to be informed even more quickly. Clearly, there are lessons to be learned and applied for each part of the system.
One point I would like to emphasize, however, is the importance of getting it right. Speculation on possible causes during an investigation has the potential to do more harm than good. Take the example of the salmonella outbreak in the U.S. that led to hundreds of people in many states, including some in Canada, getting sick. In the U.S., it was publicly communicated that the cause was thought to be tomatoes. These were removed from the market and people stopped eating tomatoes, thinking the problem was solved, only to find out later that the outbreak was actually caused by jalapeño peppers.
Ultimately, we all have to take stock after an event, especially one such as this. There are always lessons to be learned when we look at what went wrong, what went right, what can be improved, and what can be applied going forward. That's why following the outbreak I asked for the agency to develop a lessons learned report, a process that both Health Canada and the CFIA have also undertaken.
The report noted that we did many things right. For example, our outbreak and emergency management staff expertly managed the human health component of the outbreak. The partnerships between departments, agencies, and the levels of government were strong. Our public communications were important. But it's clear that much needs to be improved. It was found that the agency should approve its advance planning and formalize its outbreak policies and practices as well as its communication protocols. We must also work on clarifying our roles and responsibilities in outbreaks, for the public as well as our partners. We also need to strengthen capacity, for both day-to-day operations and surge capacity during outbreaks.
Going forward, I take each and every one of these recommendations very seriously. I've tasked the agency with the implementation of an action plan and response. We're reviewing our disease surveillance systems, updating our response protocols, strengthening capacity for epidemiological analysis and lab testing, and updating our communications protocols. We're also strengthening our capacity at the national lab, and we've been working with the Council of Chief Medical Officers of Health on a listeriosis working group to maintain public health messaging on listeriosis and food safety. Each lesson learned will be applied.
A coordinated approach is key. We will further engage all agencies and levels of government. A federal-provincial-territorial engagement strategy is planned. This will ensure that we get everybody's input in designing a strengthened system that is more effective and efficient for everyone to use.
[Translation]
In conclusion, let me say that I await with interest the recommendations of this committee and those of the investigator.
Independent investigation and analysis is tremendously important to us—as a complement to our own reviews and work.
[English]
Canadians expect that we will constantly improve our abilities and that we will learn from the past, anticipate the future, and respond to the unexpected. This is our work.
Thank you. Merci.
:
Thank you, Mr. Chair. I'd like to thank the subcommittee for inviting us to be here this evening.
I'd like to introduce my colleagues. I have with me today Ms. Meena Ballantyne, assistant deputy minister of Health Canada's health products and food branch; and Dr. Jeff Farber, director, bureau of microbial hazards in the food directorate, health products and food branch.
[Translation]
This evening, I would like to point out the support that Health Canada has provided to the Public Health Agency of Canada and to the Canadian Food Inspection Agency. These are services that we provide all year long and in situations involving foodborne illness.
[English]
The Government of Canada's food safety partners—Health Canada, the Public Health Agency, and the Canadian Food Inspection Agency—are committed to protecting the health and safety of Canadians. We are always looking for ways to enhance Canada's food safety system, which is already one of the best in the world. Despite our dedication, the fact is that we were unable to prevent the loss of lives during the listeriosis outbreak of 2008, and that is the bottom line.
The outbreak was, above all, a human tragedy. On behalf of everyone at Health Canada, I'd like to express my sympathy to the families who lost loved ones or had family members who became ill. I'm mindful also of the great anxiety this provoked in all Canadians, and we are deeply committed to learning from this tragedy.
At Health Canada, we're always asking ourselves how we can do things better. As a science-based organization, we are continuously asking whether our policies and practices are keeping pace with the best science available. The Lessons Learned report that we shared with the committee reflects Health Canada's commitment to learning from what worked and what didn't work. I also look forward in this regard to the recommendations that will come from this subcommittee and from Ms. Weatherill's investigation.
Health Canada's role in the federal food partnership is to help build a strong foundation of sound food safety science. Employing the best science available, we work closely with CFIA and the Public Health Agency by performing several key roles.
[Translation]
First, we develop food safety policies, guidelines and standards. For example, we have a policy on Listeria in ready-to-eat foods, which I will say more about shortly.
[English]
We conduct food safety research in our labs and carry out tests for the presence of contaminants in food. In the case of listeria, we work in collaboration with the Public Health Agency to operate the listeria reference service. This service maintains a database for listeria and tests food samples to determine whether there's a link between a suspected outbreak and a specified food source.
Upon the request of CFIA, Health Canada conducts scientific health risk assessments that inform the steps the agency takes to respond effectively and appropriately in a given food safety circumstance.
Through our It's Your Health web publications and other routine seasonal food safety advisories, we furnish periodic science-based information to Canadians so they can protect themselves from food-borne illness.
Finally, as part of our role in delivering public health services to first nations, we provide information to communities about food recalls.
In late July of last year, Health Canada received a routine request from Toronto Public Health to test food samples for the presence of listeria. Three of the eleven samples we tested were found to be positive. Those tests were done within the established timeframes expected for the completion of such testing.
Throughout the duration of the outbreak, Health Canada performed the genetic typing of samples necessary to link human outbreaks and a food source. In fact, Health Canada's laboratories tested over 200 samples from July to September. Some samples were also tested by the Public Health Agency's National Microbiology Laboratory in Winnipeg as part of an agreement to expand lab capacity when required.
Once CFIA and the Public Health Agency were able to make the link between the samples in question and the cases of listeriosis, Health Canada scientists used that information, along with existing scientific knowledge, to prepare several health risk assessments that began in August and continued into the fall.
Throughout the management of the outbreak, Health Canada participated in daily teleconferences with CFIA, the Public Health Agency, and Toronto Public Health to share information and manage the response to the outbreak. Dr. Jeff Farber was present as an expert spokesperson at the daily technical briefings held for the media throughout the outbreak. We reissued our It's Your Health article on listeria. The first nations and Inuit health branch's staff disseminated food recalls and alerts as appropriate in the communities where they work. Overall, our staff worked long hours seven days a week during the outbreak and produced lab results and health risk assessments within accepted time targets. All of our health risk assessments were turned around within 24 hours or less.
I'm aware that some questions have been asked about the time it took to complete lab tests. However, the committee should be aware that these tests were carried out within the timeframes required to obtain scientifically reliable results, and were within international norms. This has been confirmed by the chief medical officer of health of Ontario in his recent report, but it's important for the committee to know that we are also undertaking research to determine whether more rapid testing methods could be developed for the future.
Since the outbreak, we have conducted a lessons learned assessment of what we have learned from the outbreak. We focused on operational considerations.
[Translation]
We posted our assessment on Health Canada's Web site, and we have provided a copy to both this subcommittee and to the person responsible for Ms. Weatherill's investigation.
[English]
We're working with our federal and provincial partners to ensure that roles and responsibilities in an outbreak are clearly defined and that communications protocols are strengthened.
Health Canada has long had in place a policy on listeria. In his remarks to the committee, Michael McCain stated that “The Health Canada policy [on listeria] is based on sound scientific principles and is recognized globally as an appropriate approach to listeria control”. But in keeping with our organizational commitment to constantly review and improve processes, Health Canada is also in the midst of updating the listeria policy to reflect the latest scientific information available. We are undertaking broad-based consultations on the revision of this policy and expect to have it finalized by the end of this fiscal year.
As well, in September Health Canada issued an interim marketing authorization to enable the use of sodium acetate and sodium diacetate as food additives in certain ready-to-eat meats, as these additives can be used to inhibit the growth of listeria.
We are working to build greater surge capacity in our health risk assessment and lab testing functions. This means having enough people to do the work when urgent situations place a greater demand on our labs. During the outbreak, our technical experts worked day and night to perform the tests required.
Our approach will entail enhanced cross-training so that we can draw upon a greater pool of expertise over longer periods of time.
We have staff on call 24 hours a day, seven days a week, to handle risk assessments in order to help manage food safety situations. The food directorate is also taking steps to streamline testing procedures by standardizing the information we require, and by having one contact point for the rapid flow of information between the partners.
New measures have been implemented to strengthen the coordination of public communications and to enhance the focus on providing information for vulnerable populations.
We're also working to streamline our regulatory processes.
[Translation]
As I mentioned earlier, we take our mandate very seriously at Health Canada. We have an unwavering commitment to doing our part to protect the safety of Canada's food supply.
[English]
Through our Lessons Learned report, we have demonstrated our commitment to learning from this very difficult experience and to being accountable for our performance.
To conclude, our overriding goal now is to work closely with our federal food safety partners, this committee, and the independent investigator to make sure we have the procedures in place to ensure, to the extent science will allow, that an outbreak of this kind doesn't happen again.
Thank you for your attention. We'd be pleased to take your questions.
My questions are mainly around two things: internal and external communications. I am concerned that in the Lessons Learned report from the Public Health Agency of Canada, on Wednesday, August 6, Toronto Public Health informed the Canadian Food Inspection Agency of two listeriosis illnesses, and yet the first mention of fact is on Wednesday, August 13.
I'm concerned that in your opening remarks, Dr. Butler-Jones, you said that when outbreak spreads, or whatever, the Public Health Agency takes the national lead on the human health side. I'm concerned that somehow PHAC should have been involved right from the beginning, and the Canadian Food Inspection Agency should have let you know right up front. I think we all sensed the frustration of Dr. Williams at the press conference on Friday, that it just seemed nobody was talking to one another. Even in these documented conference calls, I would be shocked that the Ontario chief public health officer, in recommendation 4.4, said the federal chief public health officer designate should be the official media spokesman for a national outbreak. Yet that's your job. It's already your job.
Why is that recommendation coming from Ontario? Even in your Lessons Learned report, the first time you speak, your CTV appearance is the end of August. I thought your job was to speak directly down the barrel of a camera and let Canadians know what they can or can't do as soon as anything has entered the food chain. I do not understand from any of you at the table why Agriculture Canada and the Ministry of Agriculture were in any way the lead on this when it had already entered the food chain on August 6.
I am hugely frustrated that somehow everything we learned from SARS in terms of the need for Naylor's 4 C's: collaboration, cooperation, communication, and clarity of who does what when. What on earth happened that you weren't involved even in your own lesson learned? In August they order the conference calls led by CFIA about a week or so later. Why are the conference calls being led by CFIA when it's already in the food chain? I thought that's why we set up the agency and set up the chief public health officer. I don't understand why you weren't in front of Canadians every day, as your job description says. Why on earth was Agriculture in charge once it hit the food chain? We know on BSE that's an Agriculture lead. This had hit the food chain. Why was the Public Health Agency of Canada not the lead and the face of this outbreak to Canadians instead of Michael McCain?
Thank you all for being here.
As we talk about who takes the lead, who takes the role of being the public face, what Mr. McCain said the other evening was—and it's in his report that he presented to us—that he was the public face of listeriosis during the outbreak. He has a reason to be the public face as far as Maple Leaf is concerned, but in my humble opinion, not when it comes to the Canadian public as a whole, when it comes to responsibility for food safety. He certainly has a responsibility for Maple Leaf products, which ultimately were indeed the source of the outbreak, as we've now all identified. He has quite openly said it was true.
But as we started to work through this process, through this timeline that you talk about, Dr. Butler-Jones, there were a number of things, and a number of recalls started to happen from different areas. We've got places like Shopsy's Reuben sandwiches and Mr. Sub, so it goes beyond, in the sense of...albeit those food substances did come from the Maple Leaf product and that particular Bartor Road facility.
The question is this. When did it enter the mind of the Public Health Agency that perhaps this had gone across the border, if you will, from province to province? There is evidence of when it might be pointed out or not. When did you think PHAC really needed to be the front face of this?
I'll be honest with you, as you articulated earlier about your communication process of webcasting, that doesn't get to Canadians in a good way. It gets to certain segments of the population, for certain—probably teenagers more than anybody else. It certainly wouldn't get to somebody like my mother. You're open to the media, and I appreciate the fact that you were open to it, but I would suggest what you needed to do was actually be proactive and be in the media's face so that you became the public face, or someone who was the designate. I use you, sir, as the point person. It doesn't necessarily have to be your face, as you said earlier. It doesn't necessarily have to be yours.
I'm mindful of what the late Dr. Sheela Basrur did in Toronto when the SARS situation happened. Clearly, in the province of Ontario where I come from, she became its face. She became the point where everyone said, “When Dr. Basrur speaks about this particular incident, we're listening.” In this particular case when Michael McCain speaks, we're hearing somebody who's the producer of this particular source, and the first question that gets asked by a lot of Canadians is, “Hmm, is he the person we really should listen to? He's being honest. He's being as fair as he possibly can. But ultimately, does he speak on behalf of the food safety system or does he speak on behalf of Maple Leaf?” That's a dichotomy nobody can really answer in their own mind without looking at it.
I asked a simple question. I think it's simple enough. When did you know? When did you think your organization or Health Canada should have been front and centre of this particular outbreak?
:
Thank you very much for the question.
Mr. Chair, I think there are two aspects to that. For example, the communications we engaged in were not simply the YouTube posting, information on the website, etc., or the media I did, or the newspapers we wrote to. We also wrote to seniors organizations and professional associations, we developed guidelines, etc.—multiple means by which we intended and tried to communicate with the public.
We also had daily technical briefings or press conferences. The initial ones were my deputy chief public health officer and Dr. Raizenne over the weekend when it first started. I started at the beginning of the week, and at that point the media stopped broadcasting them live and did not seem to use clips from that, with me speaking to these issues, in the same way as they referred to Mr. McCain, who appropriately speaks and is a very credible spokesperson for his company but is not the person who can and should speak to it.
Again, it's a lesson learned in terms of how we engage on those things and what gets picked up and heard and understood by the public.
On our visibility, we thought we were trying to be very visible on this and in collaboration with our federal partners, because it is a multi-role. In terms of our role around human health, I can't count the number of times and the number of media, etc., I spoke to, but what they used was often Mr. McCain. So we have some things to think about for how we address that in the future.
:
I'd like to go through the roles of the different players involved, and if you have any comments or corrections to this, I'd be glad to hear them.
It's my understanding that the provinces have the responsibility for leading the investigation of outbreaks, as long as it's within their boundaries, and that includes the investigation itself. They also release communications of issues with respect to human health and the notifications to the public, typically. Is that accurate? And some jurisdictions like Quebec have the authority to conduct recalls.
The Public Heath Agency's role is usually as the first point of contact at the federal level for food-borne illnesses. Is that true? It's in charge of the public health surveillance and then leads the investigation when cases occur in multiple provinces. Is that accurate? They also release communications of issues with a human health impact. Ms. Bennett pointed that out as well.
Health Canada's role is to establish food safety standards and policies, along with decision-making with respect to risk assessment processes. They release communications of issues related to food safety. Is that accurate? I see you nodding.
CFIA's role is to contribute to the investigation and control of food-borne outbreaks through its food safety investigations and recalls, as well as compliance and enforcement activities. It also notifies issues to the public when specific food has been identified.
I note that Dr. Evans noted the other day that CFIA stepped up and took the lead because they felt someone needed to at that point and they were working well with the other agencies. They felt it was appropriate that they do that, and that is why they took that lead.
Finally, and probably most importantly, industry is ultimately responsible for ensuring that the food it produces is safe and that food products are produced, manufactured, imported, stored, and distributed to consumers in a safe manner. It's their responsibility, as well, to identify potential issues and assist with food safety investigations. They also initiate or respond to directions to implement a recall.
Is that a fair summary of the various players involved and their roles?
:
Mr. Chair, I would ask the committee members to have a look at this chart, which was distributed just before we began.
What it shows is a plot of the number of listeria monocytogenes isolates over the months of June, July, and August that we dealt with at the national microbiology laboratory. These are specimens coming in from all across the country. The different colours of red and orange represent listeria monocytogenes that were ultimately linked to the outbreak. The grey will represent other listeria that were the background noise here. On July 18, we found two cases of listeria that had an identical genetic fingerprint that ultimately proved to be part of the outbreak.
It was impossible at that time to know that it was the outbreak strain. On August 1 and August 8, we had two closely related but not identical bacteria that were from Alberta and Quebec, I believe. On August 12, we had results of a whole bunch of listeria that came from Ontario that had the identical strain. That's when we knew we had an outbreak. Those results are communicated in real time to their submitting laboratory, the Province of Ontario. On the next day, August 13, they were posted on what we call the Canadian Network for Public Health Intelligence, which allows front-line public health workers, on a roll-based way, to communicate about events that are happening.
This would have gone out to the entire public health community in Canada that is responsible for food-borne outbreaks. It's a fabulous real-time system that has been put in place since SARS, and this would not have been possible three years ago.
This listeria system for PulseNet is only about three years old. Since the outbreak we've further decentralized this. The system that we use, which we call PulseNet, is fundamentally a virtual laboratory. Laboratories across the country work with the same equipment, the same protocols, the same training, that produce genetic fingerprints, and then they compare them electronically on the database that we maintain.
If you find the same fingerprints in Alberta and Ontario, then it's quite a good chance that there's going to be some kind of link there. Since the outbreak has finished, Ontario has decided that they want to be certified to do that, and they've already been certified. Alberta has also been certified. At the time of the outbreak only Quebec was certified, and that was their choice.
I think we have two very good systems, the PulseNet system and the Canadian Network for Public Health Intelligence system, which lets us detect these kinds of events quickly--and we detected it at the time; there were 10 cases in a country of 30 million people and where there's a high background of enteric illness--and get the information out quickly to the people who need it.
:
So it would be safe to say that you felt that you were in the loop during this process.
There has been some disturbing information here today. I was quite disturbed to hear the role that Ms. Bennett played in Dr. Williams' press conference. Dr. Williams does seem to be a little out of the loop here.
Mr. Chair, I think it's important that I read a letter from Toronto Public Health, dated September 24, 2008, into the record regarding the Maple Leaf Foods plant investigation.
It reads:
This serves to indicate and document our sincere appreciation for the cooperation between the Canadian Food Inspection Agency (CFIA) and Toronto Public Health (TPH) during the investigation of the Maple Leaf Toronto plant, which was linked to the recent listeria outbreak.
The CFIA has lead responsibility for inspection and related activities of a plant such as Maple Leaf Foods during the investigation of an outbreak. However, the Medical Officer of Health has a responsibility under the Health Protection and Promotion Act to prevent, eliminate and decrease the effects of health hazards in the health unit, Toronto in this case. Furthermore, the local Board of Health and the general public wanted to know what actions were being taken to ensure the safety of the food products from Maple Leaf Foods once the plant was allowed to resume production. We would not be able to answer that question without the level of inter-agency cooperation that existed during this investigation.
While attempts are being made at the provincial and national levels to improve inter-agency coordination during outbreak investigations, it is our hope that the networking and cooperation that existed during the Maple Leaf investigation will continue, if not improve, in the future. Please convey our gratitude to the members of your team who facilitated the process and provided timely notification as required.
This seems pretty clear-cut in corresponding with what you're saying about the cooperation that existed at all levels.
I'd like to shift gears a little here. What we're here as a committee to talk about is some recommendations to improve our food safety system, to help reassure Canadians that we indeed have one of the best food safety systems in the world.
I know you are aware of some of the changes that our government has taken recently to improve food safety. We have hired 200 new inspectors and have put forward an additional $113 million for food and product safety.
Ms. Bennett has said she's heard this before; hopefully she'll stop asking questions on this soon.
The Chair: Order.
Mr. Brian Storseth: I'm sure you're aware that our government recently put out new directives for listeria control. For example, we brought back environmental testing for listeria, which the Minister of Health in 2005 had cut. We've also added an additional $250 million in strengthening lab capacity.
Do you feel that these steps are steps in the right direction, and would you feel comfortable in commenting on how some of these steps are going to better our food safety system?