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Tania Bubela and colleagues examine how fragmented responsibilities and accountability for public health data hindered Canada’s pandemic response Canada’s public health system was reformed after its 2003 severe acute respiratory syndrome (SARS) outbreak, which was the worst outside of Asia with 438 cases and 44 deaths.1 Ensuing national and provincial inquiries led to the creation of the national Public Health Agency of Canada (PHAC) to coordinate Canada’s preparation for and response to public health threats.2 Subnational public health agencies were also created or strengthened to function as regional centres for disease control.1 These actions should have put Canada in a good position to respond to the covid-19 pandemic.34 Despite these reforms, Canada experienced serious failures during the covid-19 pandemic failures. Memories faded rapidly after SARS, and if history is not to repeat itself, government and health system leaders must strengthen the country’s public health a

Kristy yiuDavid naylorSharmistha mishraAndreea maneaSharone strausJocalyn clarkTania bubelaCanadian institutes of health researchPublic health ontarioRoyal society of canadaPublic healthCanadian pharmacist associationCanadian medical associationHealth canadaUniversity of ottawaCanadian nurses association