(Return tabled) Question No. 447 Ms. Kirsty Duncan: — With regard to diagnosis, treatment, awareness and prevention, and research of eating disorders: (a) do the Canadian Institutes of Health Research (CIHR) and Health Canada (HC) have any statistics about how many Canadians suffer from each of the following conditions, (i) anorexia nervosa, (ii) bulimia nervosa, (iii) binge eating disorder; (b) do the CIHR and HC have any statistics about the average costs of each of (i) anorexia nervosa, (ii) bulimia nervosa, (iii) binge eating disorder to the health system; (c) do the CIHR and HC have any statistics about how many Canadians (i) recover, (ii) relapse, (iii) di ...[+++]e each year as a result of eating disorders; (d) do the CIHR and HC have any statistics about what treatment is available for eating disorders, broken down by province and territory, from (i) daily care to long-term residential care, (ii) how many publicly funded beds are available; (e) do the CIHR and HC have any statistics about how many Canadian psychiatrists specialize in eating disorders, and any statistics or information about what succession planning is in place to replace those who specialize in these disorders, broken down by province and territory; (f) do the CIHR and HC have any statistics about what eating disorders training programs are available for health professionals, and any statistics or information on what succession planning is in place to replace those who serve Canadians with eating disorders, broken down by province and territory; (g) do the CIHR and HC have any statistics about what long-term, publicly-funded residential care facilities are available, (i) the average wait time for treatment by such a facility, (ii) how many Canadians are forced to leave the country for treatment, (iii) the average cost to the family for out-of-country treatment, (iv) the cost to the health care system if the province or territory reimburses families for out-of-country treatment; (h) do the CIHR ...

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which represents education and training courses of a total duration of at least 13 years and six months to 14 years, including at least 10 years’ general education, a further three years’ basic training in the upper-grade public service for healthcare and nursing, and six to 12 months’ special training in a specialised, teaching or management task’.

The report recommends to the community that professional organizations, such as the College of Physicians and Surgeons and the Canadian Medical Association, promote an early referral system designed to educate and support physicians in referring patients to palliative care services at the time of diagnosis of a life-threatening illness and that they recognize that palliative care as a specialty.

While the organisation of health care systems, their funding (ratio of public/private funding) and planning as a function of the needs of the population are a matter for the Member States, this responsibility is exercised increasingly within a general framework on which many Community policies have a bearing (research, public health policy, free movement of persons and services, viability of public funds).

This report made strong recommendations about the development of: regional palliative care centers; a compulsory curriculum for all health care professionals; a specialty in palliative care in both nursing and medicine; and divisions of palliative oncology in every regional cancer centre.