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Good morning, everyone. Pursuant to Standing Order 108(2), we're going to move forward with our study on poverty reduction strategies.
We are very pleased to have members of the Kuujjuaq contingent join us here in Ottawa today. As many of you know, we did our best to get to Kuujjuaq as part of the travel component of our study. It wasn't the weather in Kuujjuaq that held us up, but the weather here. We were about to leave and the charter was frozen solid. We were very disappointed not to be able to get up there. I know we're going to do our best to do that in the future. Maybe there are other studies we can pursue that will afford us the opportunity to visit that part of the country.
However, I am very pleased, as a consolation, to have you here today to meet with us.
I want to recognize that we have, representing the NDP, Madame Boutin-Sweet, who is stepping in once again.
Thank you and welcome.
We have a first-timer to the committee, MP Nicola Di Iorio.
I would like to welcome the communications officer, Marie-Christine Vanier, and the administrative technician, Linda Roy Makiuk, from the Kativik Municipal Housing Bureau. From the Nunavik Regional Board of Health and Social Services, we have Françoise Bouchard, director of public health.
We have only the two groups here today, so I will allow a 10-minute opening. We're going to start with the Kativik Municipal Housing Bureau.
The next 10 minutes is yours.
Thank you for the invitation.
[Translation]
Ullaakkut. Good morning.
My name is Marie-Christine Vanier, and I am the communications officer for the Kativik Municipal Housing Bureau, KMHB.
I want to begin by thanking you for the opportunity to give you an overview of an important organization in northern Quebec, the Kativik Municipal Housing Bureau, a key organization that provides housing for almost all Nunavik citizens, Inuit.
We were expecting you and we were very happy to welcome you to Kuujjuaq. We even prepared bannock, which we ate to your health.
When we talk about housing in Nunavik, you will understand that we are talking about social housing.
The KMHB is a non-profit organization whose main objective is to acquire and administer housing for low to moderate income individuals or families. It manages and administers a social housing stock of 3,144 units in 14 Nunavik communities. In each of those communities, we have a local housing office, a housing manager, and a maintenance and repair team.
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Hi. My name is Linda Roy Makiuk. I work as an administrative technician for the client services of the KMHB office. I'm also the ambassador for the Pivallianiq program.
The Inuit of Nunavik were nomadic for thousands of years, living in tents and igloos. The people survived one of the harshest climates on the planet by being ingenious with their hunting, fishing, and trapping skills and through strong leadership. They did what they had to do to survive and to take care of their families.
In 1998 the Kativik Regional Government and the Quebec government signed a framework agreement concerning the Kativik region, which included the establishment of a housing management structure that was to reflect the reality of the region. This was to be named the “Kativik Municipal Housing Bureau”. The KMHB's 2015 housing needs survey determined that there were 3,912 individuals or families who lived in 2,884 social housing units. According to Statistics Canada, Nunavik suffers from the worst overcrowding situations in Canada.
The KMHB was the first out of the more than 500 housing bureaus in Quebec to operate at the regional level. The KMHB's board of directors is composed of up to seven members chosen from the region to represent the concerns of the municipalities, the tenants, and the socio-economic groups. The SHQ wanted the KMHB to function like any other housing bureau in Quebec, but it soon became apparent that in almost all aspects the KMHB had to be different, because social housing in Nunavik was different.
The KMHB has about 150 employees, of which more than 75% are Inuit.
Since 2000, the KMHB has added over 1,400 units to its stock due to various housing agreements with Canada and Quebec, for a total of 3,144 housing units in Nunavik.
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As Ms. Roy Makiuk said, Nunavik is a special region with unique realities that are very different from those in the rest of Quebec. We have to constantly take them into account in our operations.
I will give you a series of figures.
Nunavik's total population is about 12,000 people, 90% of whom are Inuit. The region's demographics are very different from those in the rest of Quebec. The population is increasing faster than elsewhere. From 2006 to 2011, the number of households increased by 11.8%, while that increase was 4.7% elsewhere in Quebec. As a result, even if homes are added every year, we cannot even catch up with the population growth.
The number of children in Nunavik is 3.2 per woman, while elsewhere in Quebec, it is 1.6. Moreover, 70% of the population is under 35 years of age.
In closing, the cost of life in Nunavik is 148% higher than in the rest of Quebec.
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The housing issue in Nunavik concerns everyone. Everyone is affected. The KMHB is facing significant challenges. I will mention a few of them.
We are currently 1,030 homes short of meeting housing needs. So we are facing an issue of overcrowded housing, along with the social problems that can cause.
The housing access system is no longer adapted to the needs of tenants or to their reality. Of course, the system supports the less fortunate, while young people who work and live orderly lives are at a disadvantage. That is a problem and a criticism we hear every day from people we see on the street.
There are no roads between the south and the north or between communities. The only way to travel between communities is by plane at the whim of Mother Nature.
We hope to conclude longer-term agreements with governments over the next few years. Some of the benefits would be our ability to ensure better planning for construction projects and reduce costs thanks to a higher purchase volume. We could start building homes earlier in the season, prepare surfaces—pads, as we call the plots on which homes are built—a year in advance. That would give the pads time to stabilize after a winter.
Ground warming and permafrost thaw are becoming more significant every year and are increasingly influencing the stability of the ground and, in turn, existing and future builds. So longer-term planning would help us reduce expenses related to home renovations, since the pads would be more stable and would cause less damage. Longer-term planning would also help us further develop, with our partners, community urbanization, and conceive and design homes that are better adapted to the Inuit way of life.
Let's talk about the coming years. With the arrival of our new executive director, Marie-France Brisson, the KMHB is reinvigorated and is turning the corner. The KMHB's main objectives for the next few years are focused on the same theme—communication.
We want to improve the lines of communication with our tenants, and develop a stronger and more reliable connection in order to create a relationship of mutual trust, but also give them a say in the matter.
Client service will be our priority. We also want to create lasting connections and rebuild a trusting relationship with the tenants. We will work on improving information flow between various departments of the KMHB in order to provide an improved service.
We are developing a housing allocation grid project to better meet the needs of the people and accommodate them.
The more human aspect of housing will be among our concerns, so that we can build while taking into account Inuit cultural identity.
We also intend to develop a strategic plan to define our action plan for the coming years.
Those are the major objectives that will guide the KMHB over the next few years.
Thank you.
Mr. Chair, members of the committee, thank you for having us here to talk to you today about an important issue for us from the health perspective. This issue has been a preoccupation of the Nunavik Regional Board of Health and Social Services for many years. My objective today is to relate to you a decision in regard to health issues that we are facing in Nunavik.
The Nunavik Regional Board of Health and Social Services was created following the James Bay and Northern Quebec Agreement. Our board of directors is made up of 14 representatives from the 14 communities of Nunavik region.
I am the director of public health. As the medical officer of health, I am responsible for all the programs related to promotion, protection, and prevention. As well, the board is responsible for all the planning of health and social services for the region. We also have two hospitals in Nunavik, one on the Hudson Bay coast and one on the Ungava Bay coast. Each village has a community health clinic providing 24-hour services.
Today my statement will include the remarks of Mr. Watt, who is not able to be present today. For us, the housing crisis in Nunavik has been an issue. It's reflected in the overcrowding of many houses and the poor shape of the existing housing and the need for major repairs.
This housing crisis has consequences for all age groups: children, youth, adults, and elders in Nunavik. Considering it from the children's perspective, the Nunavik population, as was mentioned to you, is a very young population. Roughly 40% of our population is under 19 years of age.
Acknowledging that, more than half of them are growing up in overcrowded houses; yet children are among the most vulnerable to inappropriate housing conditions. They are particularly vulnerable to infectious disease. We have some of the highest rates of infectious disease hospitalization rates in Quebec for children under two years old, and we can't escape talking about the psychosocial problems that some adults may demonstrate at home and that have repercussions for our children.
As for our youth, many young Inuit today have moved south to study or work, but they have a hard time when trying to come back. There is no housing available for them. This is a huge loss for Nunavik workplaces, because we can't benefit from their education and experience. Our objective is always to be able to develop Inuit competencies in health care, so that one day my job will not have to be filled by a white halunak from the south. This situation prevents other youth from also pursuing their education down south, because they're not encouraged that way.
In contrast, many adults try to escape the situation. Many move to Montreal, growing the itinerant population of Montreal homeless. Some, sadly, in fact end up on the streets, as they're poorly prepared for urban life.
The elders in Nunavik are the official tenants of their house, and the housing shortage often leads them to share their house, willingly or not, with some of their adult children or grandchildren who have nowhere else to go. Sadly, sometimes this leads to elder abuse situations.
There is a very well-documented body of evidence that housing circumstances affect the health and well-being of both family and individuals. I think you all have the brief that we have prepared and summarized. I will talk briefly about it today.
Increased humidity leads to increased mould growth and exposure, which could lead, we know, to asthma and other respiratory conditions. Household quality and density have well-documented implications for the spread of infectious disease.
Overcrowding, however, can also have an impact on mental health, with the possible health outcomes including depression, sleep deprivation, and family problems. In a situation in which individuals are already vulnerable, the situation only fuels psychosocial problems.
There's also a negative association between crowded living conditions and educational outcomes. How can a child do homework and concentrate in an overcrowded household?
Women, children, and elders who need alternative housing arrangements are often victims of family violence.
I want to talk specifically about an issue that has kept me and my team really busy in the last years and that is the recurrence of tuberculosis in the north. There is a strong resurgence right now of tuberculosis in Nunavik and the correlation between the housing situation and this resurgence is getting clearer.
First, there is a growing evidence base to substantiate the strong pathways between the incidence of TB and various social and economic determinants, including malnutrition, crowded housing, inadequate ventilation, low levels of sanitation, low socio-economic status, poverty, alcohol and drug abuse, high levels of stress, and poor access to health care.
Transmission of tuberculosis occurs most frequently as a result of prolonged contact and sharing a close environment with an infectious person. Persons who are at the greatest risk of exposure to tuberculosis are those who live and sleep in the same household as an infected person.
Since the beginning of 2000, the incidence of tuberculosis has been rising steadily in Nunavik after decades of decline. We see a strong relationship between the housing crisis we face and the tuberculosis resurgence in Nunavik. It has quickly overwhelmed our health care system.
The health board efforts to contain the recent TB outbreaks will not suffice if the social conditions that contribute to the transmission of the disease are not changed. We are in an endemic situation where each community right now is vulnerable to tuberculosis outbreaks.
In conclusion, for over a century public health in our country has targeted poor sanitation, overcrowding, and inadequate ventilation to reduce infectious disease transmission. While today most Canadians benefit from adequate housing and living conditions, and infectious diseases such as tuberculosis has almost disappeared in our southern parts, the housing situation remains critical in Nunavik, along with the situation with tuberculosis right now.
Thank you.
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Thank you. It's good to be back.
I want to thank the witnesses for being with us today on this important subject of poverty reduction.
My focus and responsibility is to represent Canadian seniors both in the general population and the north. Because you represent the north and the issues there, I'll be focusing my questions on the challenges that seniors face in the north.
I found it interesting that in 2008, the life expectancy of a male in the north was 68 and that it has now been reduced to 64. Life expectancy of the total population of Canada is 79, but in the north it's 15 years less. In the general population right now, one in six people is a senior. In six years it will one in five, and in 13 years it will be one in four. Yet in the north both men and women are living much shorter lifespans—they are expected to, and are—and there is a real concern that as a country we are not prepared for the aging population.
What are the challenges that seniors face in the north? We have heard about elder abuse, and I would like some more comments on that. How does access to housing and the housing shortage affect Canadian seniors?
Canadian seniors need to have their accommodation a little warmer than most of us do because they are not as mobile and physical, so the cost associated with keeping their housing warm is huge. We heard about tuberculosis and the other challenges of access and the need for social interaction. If that interaction includes elder abuse or is heading in that direction, it is very concerning.
Could you share with the committee how poverty reduction and housing affect seniors in the north? What are the challenges facing Canadian seniors in the north? How can the federal government help?
I will open it up to all the witnesses.
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You're right when you say that life expectancy in the north is still lower than it is in the south. We have to look at life expectancy being dependent on a lot of the issues facing our young children, because we still have a high mortality rate among children. We still have a lot of gains to make there.
With the change in lifestyle that has occurred in the last, I would say, 50 years in Nunavik, we're seeing more and more chronic diseases appearing in our regions that were not there before. The lifestyle changes that have occurred from la sédentarisation have resulted in issues for the Inuit accessing country food, all those elements that were very much present in the lifestyles of Inuit years ago and today are challenging for them to access.
For example, if elders don't have a family that hunts and brings them country food, they are losing all of the elements that they grew up with. The change in lifestyle is impacting the quality of life of the elders, and they are often very dependent on being in a family where their sons can keep hunting.
It's hard to talk about all of this without having all the context of living in the north. Take hunting, for example. Access to traditional food right now is very much challenged. Programs to support hunters are very expensive, and not all communities are able to access this capacity. So when we look at quality of life of our elders, we should consider all of these programs that can enhance their quality of life, the things that are dear to them.
The loss of the traditional ways brings a lot of challenges—for example, alcohol. We've talked about the problems we have. Living in a household where the young today have difficulty finding jobs or the capacity to bring their own value into the household has an impact on the members of the household, and elders are often pressured to use the little revenue they have to support the large family that's in the house.
These are the different issues that I can bring to you. I don't know if my colleague would want to add to that.
Good morning, ladies. Thank you for being here.
A few years ago, I had the opportunity to travel to Nunavik with my colleague Romeo Saganash. We visited five Inuit villages and a Cree village, so I saw the situation with my own eyes. It really affected me.
I remember two homes we visited in Whapmagoostui where the bathroom was black with mould. The home must have been shared by 14 people. As you said earlier, it is difficult for children to study in such an environment; there is no space. I understand how this may lead to mental health issues and violence. Housing is at the root of many things.
In Salluit, we talked to a woman who was the only wage earner in her household. Nine people lived in her home, and her weekly grocery bill was $1,000. You don't become wealthy like that.
You really emphasized the lack of housing. You said that population growth is forcing you to catch up in that area. Homes are being built, but you are unable to catch up because the population is growing. You also said that young people have more difficulty obtaining housing.
How long does an individual whose name is on a waiting list have to wait before they get a home?
That is my first question.
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Thanks. Again, we regret not making it up there. I remember looking forward to seeing what northern Quebec looked like in the winter. I'm from northern B.C., so I have an image of what it looks like, but it would be nice to see Quebec. Nevertheless, here we are.
I have a question that goes back to the original way of life of the Inuit people. Sometimes we think we have the right solution for people, but one that's not necessarily our own. I am of Germanic descent, and my mom is Scottish and Irish. We have our backgrounds, and you have your background. I often wonder whether the solution for you is the current model of housing, given the increasing rates of tuberculosis and other health issues that are occurring from this somewhat unnatural way of life for Inuit.
What do you see? Do you see changes that need to be made to the housing model? We always hear about the need for more money and more houses, but do you see, a little bit outside of that question, which you've already asked us, a need for a change in the way the houses are built or the way things are done? Do you see possibly a hybrid form of a return to the way Inuit used to live? Hunting and gathering used to be the way people survived, and they did it quite healthily, I would assume. They were quite healthy people back in the days previous to the 1700s.
Do you have some thoughts about that, Linda, if you wouldn't mind answering?
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I'll ask that of Françoise.
The reason I brought this issue up is that one thing I think we've seen consistently, with our poverty reduction strategy, is that the key to having somebody succeed in life, to getting off the streets, or—you name it—getting out of their situation of poverty, is giving them a purpose in their life, whether it's a job.... It could be as simple as a job. It could be a career. It could be a multitude of simple things, actually.
I'm just concerned about the people of Kuujjuaq, because their original purpose in life up there, the reason they were up in the northern regions of Quebec, was to survive as hunters and gatherers. That's where they lived. So what can the new purpose be for the people of northern Quebec? I have some questions at hand here—what's the main industry in Kuujjuaq; what's the unemployment rate—but what do you see? What can we give them as a sense of purpose?
There are phrases we've used before: give somebody a fish, feed them for a day; teach them how to fish and feed them for a lifetime. How do we feed the people of Kuujjuaq for a lifetime?
Françoise.
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We know that one key is education. We know that the capacity to acquire the skills and competencies of the jobs already in the north.... There are a lot of jobs in the north; we cannot say there are no jobs. But we have to support the capacity and the factors favouring people getting access to those jobs. Often we don't give them the right conditions.
Housing is a good condition to give people so they have a safe environment to learn in. That's the first step: a safe, secure environment to learn in so they stay in school, so they have the capacity that if they go to school in the south, they know they can come back and have a place to live and enjoy both the traditional ways of life and....
There are people who succeed in doing that today. There are people who do, but it's not everybody. Everybody does not have the ability to do that.
The challenge is that we have to start somewhere. It's all areas. In health care services, we know that the majority of employment here is held by people from down south who come to work up north. Our objective is that one day those jobs will be filled by people in the north. To do that, we have to facilitate access to education and be creative in how we give that education. Right now, for someone living at home in the north, growing up in a small community and having go to Montreal to finish their schooling, it is a big, big change. It's an incredible change. You have to imagine it for yourselves. Let's say you grow up here and are sent to a small community in Africa. You are told, “This is where you have to live for the next three to four years to acquire your skills.” I don't think many of us would stay.
Let's do more to facilitate education and programs in the north that are adapted to the north. In our certification process in the south, we have become very rigid, with the claim of the need to ensure safety and benefit and everything else. I understand that. However, we need to understand that we also could be more flexible in the communities to facilitate education programs up north. There is the idea of having a college up north, having facilities where people can learn in their communities in the north. We have to be flexible there.
I can give you an example of that, I think. We have to work with the vision of people being up there and wanting to stay in their communities. They want to grow there. They want to live there. They want to earn a living there. They also want to practice what has built their identity, which is the land, going onto the land and accessing country food. That's part of the cultural identity that is a safety net for suicide prevention and mental health. It's all part of that.
We talked about economic development and education. I'd like to talk about all of that in connection with the building of new housing. I would like your opinion on this.
In my opinion, if more on-site training were offered in the construction trades, culturally adapted training, we could reduce construction costs. We could plan for the longer term, as you said, and we could better adapt things to the climate and the culture, since the workers live there. Do you think we could adopt that type of long-term solution?
Regarding energy sources, I know that Nunavik does not draw its power from the Hydro-Quebec power grid, and that is a problem. Could the federal government provide assistance in this regard, in order to lower construction costs and improve existing and future infrastructure?
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That's a good question.
When you asked about housing's capacity to address the mobility issues that elders may have in terms of adaptation, I was going to say that this is an issue, clearly.
Our communities right now are small, but they're expanding, and they're expanding with a low density. Transportation is an issue for people, especially if they don't have their own vehicles.
Some communities now have community buses. There is transportation so that elders can get to the health services they need or to the grocery store when they need to. However, they are often dependant on their own family members and on the availability of their family members.
I don't know if that responds to your question on mobility issues, but I think it's an issue of urbanization that has not been fully addressed. With the growing chronic issues such as hip problems, walking is clearly not as easy, especially in the winter. They depend a lot on transportation by others, but also on public transportation when available in the community.
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I've been working as a Pivallianiq agent for the past two and half years. What I would do is meet one-on-one with the tenants in their dwellings to see what the conditions are in their homes.
The foundations, the pads, as Marie-Christine was saying, would have to be built two years before the contractors can build on the foundation. I've heard that, under the Quebec government, foundations have to be built two years in advance of the building being constructed. No matter whether it's a business building, or a dwelling, a home, a residence, the foundation has to be built two years before the building is constructed.
That's why we see that the newly constructed buildings, built within the last five years, are all cracked. The windows are cracking, the doors and windows cannot close well, it's cold, and when we get to winter and it's -50°, we have to live in these conditions because of how the contractors built our houses. What I see housing as lacking is the foundations.
I want to greet the witnesses and thank them for being here and for their precious co-operation.
We are talking about a population of 12,000 people with a high birth rate. It is reasonable to assume that families are quite large and have four, five or six people per family. From 2,000 to 3,000 homes were built over a 30-year period. Given the conditions that have been described to us, after 30 years they are outdated or are in very bad shape.
Have you investigated best practices? I will tell you why I am asking you that. It will give you time to think about it.
In the work I used to do, I had the opportunity to travel in the north but I never went, as opposed to you. However, when I saw photographs I thought that those homes were completely inappropriate given the reality of the north—they are even inappropriate to the south. You can imagine the difficulty there is in adapting something to northern realities when we can't even adapt it to southern conditions. However, there are architects and engineers with good brains, artists, people who do manual labour and are very creative.
Have you tried to survey the best practices to design buildings that would be better adapted to the location and conditions as regards their architecture and the materials used?
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That was quick. Thank you. I appreciate it.
I want to thank the witnesses here today.
Thank you very much for coming down and meeting with us. As we said at the beginning, it was heartbreaking not to be able to visit you up north, but who knows what the future will bring? We will jump at the opportunity—though maybe not in February—to get up there at some point.
For the record, I just want to remind folks that we are travelling to Toronto for Friday and will be having the last witnesses and site tours there for this study. Also, I will just remind you that we will not be meeting on Thursday of this week. That meeting is not going to occur.
Thank you all very much. Thank you to everyone who made today possible. I think we are ending with two minutes to spare. That's fantastic. Thank you, everybody.
The meeting is adjourned.