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2000 April Report of the Auditor General of Canada

April 2000 Report—Chapter 3

Exhibit 3.7—Key Initiatives to Review the Standards for Medical Examinations Since the Auditor General's 1990 Report

Date

Key Stages

1990

Creation of a committee composed of Department and Health Canada representatives to review inadmissibility criteria.

June 1992

The Medical Inadmissibility Review Committee recommends, among other things, that systematic screening for syphilis be discontinued and that the meaning of excessive demand on health care and social services be defined.

February 1993

Introduction of Bill C-86 to amend the Immigration Act by removing references to disability and stating that the meaning of excessive demand would be defined in Regulations. (This section of the Act never came into force.)

August 1993

Publication in the Canada Gazette of a proposed regulation on excessive demand.

August 1995

Section 22 of the Regulations dealing with excessive demand is deemed ultra vires by the Federal Court.

September 1995

Health Canada's Laboratory Centre for Disease Control sets up the Montebello project to develop a model based on scientific evidence so that it will be possible to analyze known, emerging or re-emerging contagious diseases from a migratory point of view. The United States, Great Britain and Australia take part in the project.

October 1997

Department's Policy and Operations Committee approves a proposal to draft regulations concerning excessive demand.

January 1998

The report Not Just Numbers: A Canadian Framework for Future Immigration recommends that the concept of excessive demand be defined by the Federal-Provincial Council on Immigration and Protection and described in the Regulations in such a way that it is transparent and objective. It adds that Health Canada, in consultation with the Department and provincial health ministers, should prescribe medical tests to identify persons who are, or are likely to be, a danger to public health or public safety.

Summer and fall of 1998

Meeting of the Federal-Provincial-Territorial Immigration Health Working Group. The Department consults the provinces on the concepts of excessive demand and danger to public health or public safety.

November 1999

Health Canada advises the Department on routine tests for syphilis and tuberculosis. Research continues on hepatitis B and HIV.