Migration Health Conference Ottawa March 25-26, 2003 What are the “Players” in Migration? Ronald K. St. John, Director General, Center for Emergency Preparedness.

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Presentation transcript:

Migration Health Conference Ottawa March 25-26, 2003 What are the “Players” in Migration? Ronald K. St. John, Director General, Center for Emergency Preparedness and Response, Health Canada

Acknowledgement Contribution by: Douglas W. MacPherson MD, FRCPC McMaster University

Travellers shy away from international travel War, pneumonia outbreak, North Korea blamed for decline in Air NZ bookings on key international routes Travellers shy away from international travel War, pneumonia outbreak, North Korea blamed for decline in Air NZ bookings on key international routes Air New Zealand 21 March

Migration Health Paradigm Working at the National Level:  history  understanding the federal processes  impacts: local to international  does the paradigm work?

Migration – history Biblical: Oldest regulatory intervention was to prevent disease importation impact on local population. “Inspection, detain, exclude”. Gushulak, MacPherson Population mobility and infectious diseases: The diminishing impact of classical infectious diseases and new approaches for the 21 st century. Clin Infect Dis 2000

Migration – history 500 years ago: “Quarantine” – 40 days “Inspection, detain, exclude”.

Migration – history 1851: 12 European states met in Paris for 6 months, produced 131 sanitation regulations in response to the Asiatic Cholera outbreaks - to regulate the “lazarettos & quarantene”. “Inspection, detain, exclude”.

Migration – history 2001: International Health Regulations “Inspection, detain, exclude”. To regulate the movement of goods, conveyances and people without unduly or adversely impacting on freedom of movement or trade.

Migration – history International Health Regulations (WHO) Provides the international regulatory framework for Quarantine Act and the medical screening provisions in the Immigrant and Refugee Protection Act (2001).

Understanding the federal processes

Migration Health – federal roles and responsibilities Federal level International levels National levels Provincial/territorial

Migration Health – federal roles and responsibilities CIC and HC International levels – NGO – UNHCR, WHO, WTO, WTO; other nations National levels – other federal dept. Provincial/territorial – public health, emergency measures, emergency social services

Immigration – Federal Departments Traditional  CIC  Health Canada New  DFAIT  Sol Gen  RCMP  others

Federal Departments Interests:  Public health  Public safety  Exclusive on excessive demand (social and health)  Labour markets  Trade Interests:  Economic  Trade  Population growth  Human capital  Humanitarian

Citizenship Immigration Canada & Health Canada CIC Programs and Operations Health Canada Health advice and Health Policy

CIC - HC Technical requirements for advice Policy FPT consultation International liaison Program development Research Create TWO inter-departmental groups

CIC-HC Technical Working Group on Immigration Health Technical issues CIC – Medical Services Branch HC – Population and Public Health Branch Reports to the ADM level in CIC & HC Access via ADM to DM and Minister.

Migration Health Task Force non -Technical issues CIC – Medical Services Branch HC – Population and Public Health Branch Reports to the ADM level in CIC & HC Access via ADM to DM and Minister.

Migration Health Task Force Non -Technical issues 2 year mandate (June 2001-June 2002) Working papers “Environmental” scan on FPT, processes, consultations, communications...

Federal Inter-departmental Mechanism

Migration Health Paradigm & Impacts Health Trade Security local international

Migration Health Paradigm & Impacts Health Trade Security local international Globalization

Migration Health Paradigm & Impacts Health Trade Security local international Globalization: transportation, technology telecommunications,

Migration Health Paradigm Does the paradigm work? OR Can we work with the paradigm?

Travellers shy away from international travel War, pneumonia outbreak, North Korea blamed for decline in Air NZ bookings on key international routes Travellers shy away from international travel War, pneumonia outbreak, North Korea blamed for decline in Air NZ bookings on key international routes Air New Zealand 21 March