# Health Canada

Health Canada (HC; French: Santé Canada, SC) 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. 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—presently Kamal Khera—as part of the federal health portfolio. 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—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.

## Organization

Health Canada's leadership consists of:
* Minister of Health
* Deputy Minister
* Associate Deputy Minister

### Branches

The following branches, offices, and bureaus (and their respective services) fall under the jurisdiction of Health Canada:
* Health Canada
** Office of Audit and Evaluation
*** Departmental Audit Committee
*** Director General / Chief Audit Executive's Office
*** Internal Audit and Special Examinations
*** Program Evaluation Division
*** Performance Measurement Planning and Integration
*** Practice Management
** Chief Financial Officer Branch
*** Departmental Performance Measurement and Evaluation Directorate
*** Departmental Resource Management Directorate
*** Financial Operations Directorate
*** Internal Control Division
*** Materiel and Assets Management Directorate
*** Planning and Corporate Management Practices Directorate
** Communications and Public Affairs Branch
*** Ethics and Internal Ombudsman Services
*** Marketing and Communications Services Directorate
*** Planning and Operations Division
*** Public Affairs and Strategic Communications Directorate
*** Stakeholder Relations and Consultation Directorate
** Controlled Substances and Cannabis Branch
** Corporate Services Branch
** Departmental Secretariat
** Health Products and Food Branch
*** Assistant Deputy Minister's Office
*** Biologic and Radiopharmaceutical Drugs Directorate
*** Food Directorate
*** Marketed Health Products Directorate
*** Medical Devices Directorate
*** Natural and Non-prescription Health Products Directorate
*** Office of Nutrition Policy and Promotion
*** Policy, Planning and International Affairs Directorate
*** Resource Management and Operations Directorate
*** Therapeutic Products Directorate
*** Veterinary Drugs Directorate
** Healthy Environments and Consumer Safety Branch
*** Consumer and Hazardous Products Safety Directorate
*** Environmental and Radiation Health Sciences Directorate
*** Policy Planning and Integration Directorate
*** Safe Environments Directorate
**** Climate Change and Innovation Bureau
**** Water and Air Quality Bureau
**** New Substances Assessment and Control Bureau
**** Existing Substances Risk Assessment Bureau
** Legal Services
** Opioid Response Team
*** Controlled Substances Directorate
*** Opioid Response Team Directorate
** Pest Management Regulatory Agency
** Regulatory Operations and Enforcement Branch
** Strategic Policy Branch

### Partner agencies

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:
* 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).

#### International collaboration

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.

## Labs and offices
### Offices

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

### Laboratories

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

## Compliance and Enforcement Directorate

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.
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.
Compliance and Enforcement Directorate is divided into six distinct programs:
* Canada Vigilance Program
* Controlled Substances Program
* Inspectorate Program
* Pesticide Compliance Program
* Product Safety Program
* Tobacco Control Program

### Canada Vigilance 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.
Pharmacovigilance related to Adverse Events Following Immunization (AEFI) is a shared responsibility between Health Canada and the Public Health Agency of Canada.

## Related legislation

Acts for which Health Canada has total or partial responsibility:
* 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

## Special access program

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

## COVID-19 response

The chief medical advisor of Health Canada, Supriya Sharma, as of April 2021, oversees the COVID-19 vaccine approval process in Canada. On 29 March 2021, Sharma supported the National Advisory Committee on Immunization's declaration of a pause for the administration of the AstraZeneca vaccine to Canadians under the age of 55.

## Criticisms

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.
On 10 September 2012, a report on CBC Television questioned the safety of drugs sold in North America. 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.

## Drug approvals process

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.
It has been suggested that government entities should make use of rolling submissions, as was done for COVID-19 vaccines, to proceed with the examination of partially complete submissions and accept new information as it becomes available, and also that drugs already approved in other jurisdictions should be approved more rapidly to avoid redundancy.