Health Canada

Health Canada

Santé Canada
Department overview
Type	Department responsible for federal health policy in Canada
Jurisdiction	Canada
Headquarters	Ottawa, Ontario
Employees	9,848 (2023–24)[1]
Annual budget	C$6.842 billion (2023–24)[2]
Minister responsible	Marjorie Michel, Minister of Health
Deputy Ministers responsible	Greg Orencsak, Deputy Minister Eric Costen, Associate Deputy Minister
Website	health.canada.ca/index-hc-sc.php

Health Canada (HC; French: Santé Canada, SC)^{[lower-alpha 1]} is the department of the Government of Canada responsible for national health policy. The department itself is also responsible for numerous federal health-related agencies, including the Canadian Food Inspection Agency (CFIA) and the Public Health Agency of Canada (PHAC), among others. Since 2012, the CFIA has operated as a separate agency but continues to report to the Minister of Health for food safety matters.^[3] These organizations help to ensure compliance with federal law in a variety of healthcare, agricultural, and pharmaceutical activities. This responsibility also involves extensive collaboration with various other federal- and provincial-level organizations in order to ensure the safety of food, health, and pharmaceutical products—including the regulation of health research and pharmaceutical manufacturing/testing facilities.

The department is responsible to Parliament through the minister of health as part of the federal health portfolio.^[4] The deputy minister of health, the senior most civil servant within the department, is responsible for the day-to-day leadership and operations of the department and reports directly to the minister.

Originally created as the "Department of Health" in 1919—in the wake of the Spanish flu crisis^[5]—what is known as Health Canada today was formed in 1993 from the former Health and Welfare Canada department (established in 1944), which split into two separate units; the other department being Human Resources and Labour Canada.^[6]

Health Canada's leadership consists of:^[7]

• Minister of Health
• Deputy Minister
• Associate Deputy Minister

The following branches, offices, and bureaus (and their respective services) fall under the jurisdiction of Health Canada:^[7]

In their responsibility of maintaining and improving the health of Canadians, the Minister of Health is supported by the Health Portfolio, which comprises Health Canada as well as:^[8]

• Public Health Agency of Canada;
• Canadian Institutes of Health Research;
• the Patented Medicine Prices Review Board; and
• the Canadian Food Inspection Agency

Additionally, Health Canada is a corporate partner of the Canadian Association of Emergency Physicians (CAEP).^[9]

In December 2016, Health Canada approved the purchase of a new botulism antitoxin called heptavalent botulism antitoxin (BAT) from the American-based company Emergent Biosolutions, a global specialty biopharmaceutical company. The PHAC has identified botulism as a likely biological terrorist threat.^[10]

• Office of the Cameron Visiting Chair
• Office of the Chief Dental Officer
• The National Office of WHMIS
• Nurse Recruitment
• Public Services Health Medical Centre

• Laboratory Centre for Disease Control
• Sir Frederick G Banting Research Centre

The Compliance and Enforcement Directorate provides support to Health Canada by enforcing the laws and regulations pertaining to the production, distribution, importation, sale, and/or use of consumer products, including but not limited to: tobacco, pest control materials, drugs and medical devices, biologics, and natural health products.^[11]

The Directorate conducts inspections and investigations to ensure that products are safe, of good quality, and properly labelled and distributed, in order to better protect Canadians from potentially harmful products and consumables.^[12]

Compliance and Enforcement Directorate is divided into six distinct programs:^[13]

• Canada Vigilance Program
• Controlled Substances Program
• Inspectorate Program
• Pesticide Compliance Program
• Product Safety Program
• Tobacco Control Program

Health Canada's Canada Vigilance Program (CVP) "collects and assesses reports of suspected adverse reactions to health products marketed in Canada," including prescription and over-the-counter medications, natural health products, biotechnology products, vaccines, blood products, human cell products, human tissue products, human organs, disinfectants and radiopharmaceuticals. The program has been in effect since 1965.^[14]

Pharmacovigilance related to Adverse Events Following Immunization (AEFI) is a shared responsibility between Health Canada and the Public Health Agency of Canada.^[15]

Acts for which Health Canada has total or partial responsibility:^[16]

• Assisted Human Reproduction Act
• Canada Health Act
• Canadian Centre on Substance Abuse Act
• Canadian Environmental Protection Act
• Canadian Institutes of Health Research Act
• Cannabis Act
• Controlled Drugs and Substances Act
• Comprehensive Nuclear Test-Ban Treaty Implementation Act
• Department of Health Act
• Financial Administration Act
• Fitness and Amateur Sport Act
• Food and Drugs Act
• Hazardous Materials Information Review Act
• Hazardous Products Act
• Patent Act
• Pest Control Products Act
• Pesticide Residue Compensation Act
• Quarantine Act
• Radiation Emitting Devices Act
• Tobacco Act & Act to Amend the Tobacco Act (sponsorship)

Acts which Health Canada is involved or has special interest in:

• Broadcasting Act
• Canada Labour Code
• Canada Medical Act
• Canada Shipping Act
• Canadian Food Inspection Agency Act
• Emergency Preparedness Act
• Energy Supplies Emergency Act
• Excise Tax Act
• Federal-Provincial Fiscal Arrangements Act
• Feeds Act
• Immigration and Refugee Protection Act
• National Parks Act
• Nuclear Safety and Control Act
• Non-Smokers Health Act
• Queen Elizabeth II Canadian Research Fund Act
• Trade Marks Act

Health Canada has a special access program that health care providers may use to request medications that are not currently commercially available in Canada.^[17]

The chief medical advisor of Health Canada, Supriya Sharma,^[18][19] as of April 2021, oversaw the COVID-19 vaccine approval process in Canada.^[18][20]

In March 2021, the National Advisory Committee on Immunization made a declaration of a pause for the administration of the AstraZeneca vaccine to Canadians under the age of 55.^[19][21]

By 2023, Health Canada had authorized multiple vaccines and boosters, including Pfizer-BioNTech, Moderna, AstraZeneca, Novavax, and bivalent boosters, under both regular and rolling submissions.^[22]

An editorial published by the Canadian Medical Association Journal has called for Health Canada to more strictly regulate natural health products. The editorial cited weaknesses in current legislation that allow natural health products to make baseless health claims, to neglect side-effects research prior to products reaching market, and to be sold without being evaluated by Health Canada.^[23]

On 10 September 2012, a report on CBC Television questioned the safety of drugs sold in North America.^[24] The Canadian Press reported that Health Canada is secretive regarding inspections about drugs manufactured overseas, leaving the public unsure about the safety of these drugs.^[25]

Health Canada aims to provide responses to pharmaceutical innovators within 300 days of submitting a drug for review. However, for submissions filed between 2015 and 2019, only 33 percent received a response within that target. Fully 18 percent waited over a year, and almost 5 percent over two years. The average delay for a standard review was 335 days. Health Canada's accelerated pathway for approval dubbed "conditional compliance" reduces its target timeline to 200 days, but its actual average delay was still 302 days, and only 8 percent of applicants received responses within the 200-day target.^[26]

Since 2022, Health Canada has implemented "Agile Regulations," expanding the use of rolling submissions and greater reliance on trusted foreign regulators to accelerate market approvals.^[27][28]

• Health care in Canada
• Public Health Agency of Canada
• First Nations Health Authority
• U.S. Department of Health and Human Services (HHS)
• Centers for Disease Control and Prevention (CDC)
• Food and Drug Administration (FDA)
• European Medicines Agency (EMA)
• Japanese Ministry of Health, Labour and Welfare (MHLW)
• National Centre for Disease Control (NCDC)

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