Hon. Jane Cordy: Senator Gold, I want to follow up on a question that I asked October 4 on behalf of Cliff Williams, a Nova Scotia senior who is relying on the new Canadian Dental Care Plan to access dental services.

As I stated in my last question, one third of Canadians do not have dental insurance, and one in five avoid dental services because the price is prohibitive. We know that dental care is health care. I applaud the government for its commitment to providing financial assistance to those Canadians who face barriers in accessing dental services by bringing forward the new dental care plan.

A government media release from March 31 — from which you read your answer to my question on October 4 — simply says that by the end of 2023, the Canadian Dental Care Plan will become available to uninsured Canadians under 18, persons with disabilities and seniors with an annual family income of less than $90,000.

Senator Gold, Mr. Williams’ question is a simple one: When will the benefits be available to eligible seniors? As there are only a few weeks until the end of 2023, is the government still guaranteeing that the benefits will be available before the end of the year?

Senator Cordy: Thank you for that, Senator Gold.

My next question follows up on what you said. Will you reach out to the minister and report back to the Senate with an update and updated information for seniors? Then, when I or other senators get phone calls, we can give them some updated information, perhaps with some goalposts as to when certain things could be happening. That would be helpful for us.

Hon. Jane Cordy: Senator Gold, by the government’s own estimation, one third of Canadians do not have dental insurance and one in five avoid dental services because the price is prohibitive. We know that dental care is health care. Poor oral health can lead to a myriad of other health issues and a deterioration of quality of life. I applaud the government for its commitment to providing financial assistance to those Canadians who face barriers in accessing dental services by bringing forward the new Canadian Dental Care Plan.

My question today is from Cliff Williams, a Nova Scotia senior, who is relying on the new program to access dental services. To date, the government has been vague with specifics about when the benefit will be available to all eligible Canadians.

Senator Gold, could you tell Mr. Williams when he and other Canadian seniors will be able to access the dental services under the new Canadian Dental Care Plan?

Senator Cordy: Thank you, Senator Gold. I know that families with children 12 and younger have had access to dental benefits under the interim Canada Dental Benefit. Have there been lessons learned from the rollout of the interim Canada Dental Benefit that will be applied to the new Canadian Dental Care Plan when it becomes accessible to eligible seniors?

How will the Canadian Dental Care Plan be communicated to eligible Canadians when it finally becomes available because it’s important that seniors know what the program is and whether or not they are eligible?

Hon. Jane Cordy: Thank you very much for that invitation. I will certainly follow through if I hear from the advocates. Thank you very much for that, Senator Gold.

Newborn screening for sickle cell anemia is an important tool for prevention and early diagnosis. Currently, only a select number of provinces and territories screen for sickle cell anemia. I’m pleased that former premier Stephen McNeil of Nova Scotia supported an approved newborn screening in my province in 2013 — 10 years ago.

Will funds under this program be available to the provinces and territories to help establish uniform screening policies across the country? What are the anticipated timelines for allocating the different funding streams to the provinces, territories and organizations?

Hon. Jane Cordy: Senator Gold, in March of this year, the government committed up to $1.5 billion over three years to establish the first-ever national strategy for drugs for rare diseases — that is really good news.

On Monday, we marked the sixth National Sickle Cell Awareness Day in Canada. An estimated 6,000 Canadians live with sickle cell disease/anemia. After speaking with patients and advocates this week, the announced drug strategy for rare diseases has raised hope, but also uncertainty. Senator Gold, sickle cell advocate groups and associations are concerned that their input might not be considered, or that they won’t be included in the government’s advisory council, which is promised to be established by this summer. How can advocates get a seat at the table to ensure that sickle cell anemia is not left out, and to ensure that new drugs will finally be available to those with sickle cell anemia?

Hon. Jane Cordy: My question is for Senator Gold.

Senator Gold, as we enter cold and flu season, on top of the increasing COVID numbers that we are seeing, families are experiencing an alarming rise in children’s illnesses across the country. The Children’s Hospital of Eastern Ontario here in Ottawa has reported that between the months of May and September, the hospital saw the busiest months in the organization’s 50-year history. Officials with the hospital are pointing to a surge in flu and COVID-19 cases. They have seen about 10 times more patients with respiratory syncytial virus, or RSV, now than before the pandemic. The virus, which disproportionately affects small children, features symptoms including fever, runny nose and coughing, and can lead to difficulty breathing.

As parents try to alleviate these symptoms for their children with medications from the local pharmacy, they are often finding empty shelves. Last week, Health Canada released a statement recognizing the shortage of infant and children’s acetaminophen and ibuprofen, but gave little to no details about how they plan to address this situation. Health Canada says the shortages are because of an increase in demand, but shelves have been empty for months, Senator Gold.

Why are the shelves empty? Also, Senator Gold, could you provide us with details on how Health Canada plans to increase the supply of these much-needed products and get them to families who most need them?

Senator Cordy: Thank you, Senator Gold. I am very pleased to hear that Minister Duclos is speaking to the manufacturers and that they are looking for other producers for those types of medication for families.

The assumption would be that demand for such products would be very similar to that for the same products south of the border, but anecdotal evidence — and that is people telling stories to the media — from families who have been to the United States report that they are not seeing the same empty shelves in the U.S. as we are seeing here in Canada.

What is the reason for the drastic shortage of infant and children’s products in Canada? What are the barriers that are specific to Canada and Canadian distributors that are preventing these products from getting to Canadian shelves, and what will Health Canada do to ease these barriers so that we will have products? I am really pleased that you told us earlier that Minister Duclos is speaking to providers, but it seems that if we are having shortages in Canada, very often it is reflected in the United States or the reverse. But that does not seem to be the case. Is there a reason for that? If there is, can we work at finding solutions?

Hon. Jane Cordy: Senator Gold, last week I received your response — or I guess it was the minister’s response — to my questions from November 25 and December 15 regarding clarification on vaccine status and travelling internationally. We know, and it was reiterated in your response to my questions, that the Government of Canada adjusted its travel health notice from a level 3 to a level 2, meaning the government will no longer recommend that Canadians avoid travel for non-essential purposes.

As government recommendations are lifting and we’re now moving into warmer weather, Canadians are beginning to make travel arrangements again. However, the same concerns and uncertainty I raised in my previous questions exist regarding vaccination status and the types of vaccinations, specifically mixed vaccinations, which will be accepted in other jurisdictions.

I completely understand, as stated in your response or the response of the minister from last week, that every country has the sovereign right to decide their own entry restrictions and border measures. However, in the same response, I was given a rather vague answer that, “Canada has successfully engaged other countries to recognize Canadians who have received mixed vaccine schedules as being fully vaccinated.”

Senator Gold, with which countries have Canada successfully engaged to recognize mixed vaccinations? Will the Government of Canada make this information readily available to the public?

Senator Cordy: Thank you, Senator Gold. I will quote another sentence or two from the response that I received:

The Government of Canada respects the sovereign right of other countries to decide their travel restrictions and border measures and will continue to monitor the situation and provide updated travel advice to Canadians.

We all acknowledge that every country has their responsibility and the right to make their own decisions. It’s easy to just tell Canadians to contact the country of destination, but Canadians look to their own government first to find that information. If I were travelling, I would go to the Government of Canada website before I would go to the website of the country to which I am travelling.

If the government is telling us that they have successfully negotiated with other countries, then they should be able to share this information with the public.

My question of you is, would you remind the government that travel information and vaccine requirements must be easy to understand for Canadians and the information must be easily accessible on the Canadian website?

Hon. Jane Cordy: Senator Gold, my question this afternoon is a follow-up to my questions from November 25 regarding the vaccination status of Canadians and their ability to travel, particularly to the United States. Although, with the news we received this week, I am guessing there will be a lot less travel across the country and certainly across borders.

We know that, as of early November, the United States government approved mixed vaccinations for entry into their country, so my question relates to the mixing of vaccinations. From the outset of the national vaccination rollout, the federal government recommended and encouraged mixing vaccinations to get as many Canadians fully vaccinated as soon as possible for the protection of public health. I believe this was a positive approach because many Canadians were vaccinated in a relatively short period of time.

Like Senator Kutcher, I’m particularly proud of my province of Nova Scotia for their vaccination efforts and for the ease of access to testing there. Nova Scotians, as Senator Kutcher said, can pick up free rapid testing kits at vaccination sites, at testing sites, at libraries and even at their local liquor store. It should be like this across the country.

But back to the mixed vaccinations, which is what my question concerns — some Canadians who have mixed vaccinations are left uncertain. Information is not easy to find and can be confusing or contradictory. Only last week, the EU expressly recommended the use of mix-and-match vaccinations. The Centers for Disease Control and Prevention and the Food and Drug Administration in the United States have approved mixed vaccinations. However, this summer, the World Health Organization issued a warning against mixed vaccinations.

There are far too many uncertainties. Understandably, Canadians are confused and worried. Senator Gold, I wonder if you can give us assurances that the federal government will alleviate Canadians’ anxieties regarding mixed vaccinations, particularly in light of the increased spread of the new variants of COVID.

Senator Cordy: Thank you. That was a good message for Canadians — that we should avoid travel if possible — in light of what’s happening. We understand that things can certainly change in a heartbeat, because one week we’re congratulating ourselves on how well we’re doing and the next week we’re discovering that travel will be limited if not non-existent.

Senator Gold, I guess my question then would be: Is Canada working with other countries to help develop uniform global guidelines? Because, as you rightfully said and I said earlier in my previous question, there are differences in international organizations on what they think about mixed vaccinations, and most people try to follow the laws and the rules — which, I guess, are more important than the laws — so what are the rules? And what are the guidelines? I’m curious to know if we’re sharing our information and our guidelines with international health organizations. Are they sharing their knowledge and their best practices with us?

Senator Cordy: That would be great. I understand things are changing on the fly and many people are hoping it changes significantly before spring of 2022.

My supplementary question, Senator Gold, is this: Would you be able to provide us with clarity on the status of Canadians who are ineligible for vaccination in international travel? Specifically, I’m talking about younger Canadians who are under the age of 5. I know that after two years of the pandemic, many Canadian families are anxious to travel again as the world is beginning to open up.

More specifically, my question is about travelling to the United States with young children or grandchildren, as families start to consider spring travel. Will those under the age of 5 be allowed to enter the United States, as they will not be vaccinated?

Hon. Jane Cordy: Honourable senators, my question today is in response to concerns raised to me by a number of Nova Scotians, often when my husband and I were out for walks in our neighbourhood. This concern was expressed by many Canadians who, in good faith and on the advice of Health Canada, received their vaccinations at the earliest opportunity.

Many travel to the United States for business or pleasure during non-COVID times. As we moved closer to reopening our borders, there was much confusion and anxiety about whether the U.S. would allow Canadians with mixed vaccines into their country. It was a relief to many when the U.S. announced last month that, as of November 8, Canadians with any combination of two doses of a COVID-19 vaccine authorized by U.S. regulators or the World Health Organization will be considered fully vaccinated and able to enter the United States.

Senator Gold, my question is this: Does the same apply for other international destinations? Will the Government of Canada make this information readily available to the public? I guess the big thing is, will it be easy to find and understand? Because that’s extremely important.

In the Speech from the Throne this week, the government stated that it had ensured a standardized Canadian proof of vaccination for domestic and international use. Do all international jurisdictions recognize Canadian proof of vaccination? What, if any, vaccinations are or are not internationally recognized? Thank you.