This is page numbers 5569 – 5610 of the Hansard for the 17th Assembly, 5th Session. The original version can be accessed on the Legislative Assembly's website or by contacting the Legislative Assembly Library. The word of the day was health.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Miltenberger. Final, short supplementary, Mr. Hawkins.

Robert Hawkins

Robert Hawkins Yellowknife Centre

Thank you, Mr. Speaker. Is the Minister familiar enough with the legislation to find out if it’s all in regulations? In other words, can we make changes easily through the regulations, or is it through legislative initiative we’d have to tackle some of these particular problems? For the everyday folk there’s a real big difference in timing and efforts to change these types of rules and, as such, I look to the Minister to ask, what’s the

easiest way to make these changes if appropriate and certainly where appropriate? Thank you.

Michael Miltenberger

Michael Miltenberger Thebacha

Through regulation and policy would be the best way, but included in my coming back before the end of session with timelines, I’ll highlight some of the things that we think need to be looked at. Thank you.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Miltenberger. Member for Deh Cho, Mr. Nadli.

Michael Nadli

Michael Nadli Deh Cho

Mahsi, Mr. Speaker. My question is to the Minister of Environment and Natural Resources. As of the fall of 2014, the Department of Environment and Natural Resources had wildfire protection plans for 28 communities in five regions.

My question is: Have these plans been revised in light of lessons learned last summer? Mahsi.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Nadli. Minister of Environment and Natural Resources, Mr. Miltenberger.

Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Speaker. In regards to the Member’s question, I would like to just reflect quickly back on his Member’s statement and his acknowledgement and recognition of the foresight of the people of Kakisa, and I just want to acknowledge that I concur with his assessment that what they did was, I think, pivotal in how well they survived the wildfires.

What’s been happening is we’ve been doing a debriefing. We’ve been working internally. We’re going out to the communities now to have those discussions across many of the regional centres, but to have that discussion with communities about things that need to be done in anticipation of the upcoming fire season. Thank you.

Michael Nadli

Michael Nadli Deh Cho

I thank the Minister for his reply. In light of preparing for this season’s forest fire season, has the department assessed the remaining communities at not requiring a wildfire protection plan? For example, Yellowknife, whether indeed a fire protection plan is necessary. Mahsi

Michael Miltenberger

Michael Miltenberger Thebacha

While Yellowknife is blessed with significant natural defences when it comes to fire, every community is looking at their defences and working with ENR to see what needs to be done, what the communities can do, what individuals can do, how do we use our fire crews when they’re not fighting fires, and all those different areas. Every community in the Boreal Forest should have a refreshed type of a strategy as we look forward to the upcoming fire season. Thank you.

Michael Nadli

Michael Nadli Deh Cho

On October 16, 2014, the response to an oral question, the Minister of Environment and Natural Resources committed to share in a critical debriefing report with committee.

What is the status of this report? Mahsi.

Michael Miltenberger

Michael Miltenberger Thebacha

The work has been concluded. It’s been a very comprehensive exercise and we anticipate that by the end of March, early April we’ll be able to share that information. We’ve been looking at it as we’ve developed it, as we’ve talked internally, plus the work we’ve had with the stakeholders in communities and the feedback. Thank you.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Miltenberger. Member for Hay River South, Mrs. Groenewegen.

Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Speaker. My questions today are for the Minister of Health and Social Services. One need only turn on their television lately and watch the news and we will hear about the resurgence of diseases, such as measles, that we had not for many years heard of because of the extensive immunization and vaccination programs that were available through public health.

I’d like to specifically now zero in on the Northwest Territories and ask the Minister if there have been any new cases or have there been any diseases or infections that have surfaced which are related to the immunization or lack thereof. Thank you, Mr. Speaker.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mrs. Groenewegen. Minister of Health, Mr. Abernethy.

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Speaker. Actually, I had a conversation with the deputy minister and the chief public health officer just recently about that exact topic, and the public health officer did confirm to me that there are no cases of things like measles in the Northwest Territories.

We actually have a very high rate of immunizations here in the Northwest Territories. Obviously, we want to continue to immunize as much as possible, so I really appreciate this opportunity to speak to the Members as well as to the residents of the Northwest Territories and just reiterate a comment that the Member made, that over the past 50 years vaccines have saved more lives worldwide than any other public health intervention. Vaccinations are incredibly important and we’re committed to working with our residents to get every resident vaccinated in the Northwest Territories. Thank you, Mr. Speaker.

Jane Groenewegen

Jane Groenewegen Hay River South

Now to the issue of whether vaccination immunization is mandatory or voluntary.

At what point does this immunization occur? Now, from having had children myself, I know that the public health nurse, in those days, was involved in this. But how do we track or follow or determine what the uptake of vaccination immunization is and who delivers the actual service? Thank you, Mr. Speaker.

Glen Abernethy

Glen Abernethy Great Slave

Early childhood vaccinations are typically administered through well child programs in health centres and public health centres throughout the Northwest Territories. At this time, I can say that our average coverage rates across the Northwest Territories for the publically funded early childhood vaccinations are between 77 percent and 89 percent, and this is roughly based on just the analysis of what the authorities are doing.

It is difficult to estimate more current or more accurate coverage rates in the absence of an information management system here in the Northwest Territories, but we are moving toward EMR, electronic medical records, which will give us real-time full information so we’ll be able to give the Members the exact uptake on vaccinations here in the Northwest Territories. Thank you, Mr. Speaker.

Jane Groenewegen

Jane Groenewegen Hay River South

Given that some of these diseases that can be prevented through immunization and vaccination are highly contagious, I would like to suggest to the Minister that it would be good if our real data that we can get our hands on would indicate a higher rate of uptake than what he has indicated here today in the House.

I’d like to ask the Minister, is he aware of any resistance to people receiving this service, or would this be more from lack of awareness or knowledge of the immunization and vaccination? Are these numbers reflective of people who would resist having those services for their children? Thank you.

Glen Abernethy

Glen Abernethy Great Slave

As I indicated, we can report 77 percent to 89 percent and that’s based on the data that has been collected. Without real territory-wide electronic medical records, a real solid information system across the Northwest Territories, it does prove difficult to get 100 percent accurate information, which is why we’re moving in that direction so we can give the Members the exact totals.

I do believe, and I do feel, that our immunization rates are higher than this. We haven’t received, and I haven’t had any, strong pushback on vaccination. The early childhood programs are proving to be quite effective. We are also promoting the need and trying to dispel some of the myths around immunizations and vaccines during the National

Immunization Awareness Week, which is usually in April. So we try to get out as much information as we can, but we haven’t had a real strong pushback on immunizations here in the Northwest Territories. Thank you, Mr. Speaker.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Abernethy. Final, short supplementary, Mrs. Groenewegen.

Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Speaker. I’d like to ask the Minister if, in his knowledge and experience, there’s more that we could be doing to promote awareness and uptake on vaccination and immunization. Is there more that we should or could be doing as the Government of the Northwest Territories? Thank you.

Glen Abernethy

Glen Abernethy Great Slave

Considering that the immunization rates in the Northwest Territories are considered high compared to some of the other jurisdictions, I think that’s fantastic, but at the same time, we could always do more. I think it’s dialogue in rooms like this and other rooms, in your constituency meetings, in our health centres, every time we have an opportunity to speak about vaccines and the value and how, as the Member has indicated, they have saved more lives in the last 50 years than any other intervention program, it’s the dialogue that’s important. When you have somebody or you know somebody who is concerned about vaccinations, point them to their health practitioners, who can give them the real information they will need to make an informed decision.

If we’re going to make a bigger difference, it’s about dialogue, conversation and encouraging people to get the right information from credible, reliable sources. Thank you, Mr. Speaker.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Abernethy. Member for Range Lake, Mr. Dolynny.

Daryl Dolynny

Daryl Dolynny Range Lake

Thank you, Mr. Speaker. Since 1969 there have been ongoing sensitive issues of land management of the East Arm of the Great Slave Lake. The question is not what is better – a national part or protected area strategy – the question is, with new devolution authority, do we have the right management and northern tools in place to give all users equal rights and privileges in its consideration? My question today will be for the Minister of Environment and Natural Resources.

In trying to come up with a made-in-the-North approach, can the Minister inform the House, what role has this administration played in negotiations with Ottawa and all stakeholders with respect to the East Arm land management? Thank you.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Dolynny. Minister of Environment and Natural Resources, Mr. Miltenberger.