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How Canada's decentralised covid-19 response affected public health data and decision making

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 pub ....

Kristy Yiu , David Naylor , Sharmistha Mishra , Andreea Manea , Sharone Straus , Jocalyn Clark , Tania Bubela , Canadian Institutes Of Health Research , Public Health Ontario , Royal Society Of Canada , Public Health , Canadian Pharmacist Association , Canadian Medical Association , Health Canada , University Of Ottawa , Canadian Nurses Association , Public Health Agency Of Canada , National Advisory Committee , Royal Society Of Canada Covid , World Health Organization , Clinical Research Coordination Initiative , Global Initiative On Sharing All Influenza Data , National Advisory Committee On Immunisations , Public Health Agency , New Brunswick , Nova Scotia ,