The House of Commons Standing Committee on Science and Research met to study antimicrobial resistance (AMR), hearing from seven witnesses: Dr. Louis-Patrick Haraoui, Dr. Gerry Wright, Professor Kevin Outterson, Dr. Henry Skinner, Dr. Joseph Rubin, Dr. Dao Nguyen, and Maud de Lagarde.
Dr. Haraoui argued that armed conflicts are powerful drivers of AMR, as urban warfare destroys infrastructure and releases toxins that force bacteria to evolve resistance mechanisms, and he warned that resistant pathogens from war zones can spread globally through medical evacuations and refugee movements. He recommended that Canada champion international efforts to make the intersection of AMR and armed conflicts a global health and security priority.
Dr. Wright stated that AMR cost Canada $1.4 billion and caused 5,400 deaths in 2018, and he noted that Canada lacks a dedicated CIHR AMR research panel, which disincentivizes young investigators from entering the field. He recommended increasing overall CIHR funding with a dedicated AMR stream and creating a Canadian equivalent of the U.S. SBIR program to bridge the gap between academic discovery and commercialization, noting that his lab’s new antibiotic risks moving abroad without such support.
Professor Outterson explained that antibiotics must be kept on the shelf to delay resistance, which drives companies into bankruptcy under volume-based payment models, and he argued that both push incentives (like CARB-X) and pull incentives (like revenue guarantees) are essential. He recommended Canada contribute approximately $6 million Canadian per year to CARB-X and implement a pull incentive of about $13 million U.S. per drug per year, noting that Canada currently ranks last among G7 countries in making new antibiotics available.
Dr. Skinner noted that the AMR Action Fund has invested $1 billion U.S. but has not invested in any Canadian companies, because the broken market makes antibiotic development financially unviable for private investors. He recommended that Canada move forward with its 2023 budget commitment to a pull incentive pilot program, with a financial commitment large enough to attract participation, and that the design address hospital-level barriers to accessing new antibiotics.
Dr. Rubin highlighted three areas needing support: evidence-based antimicrobial stewardship for companion animals, global collaborations to tackle AMR in low- and middle-income countries, and harmonization of veterinary diagnostic testing methods across Canada. He recommended grants for stewardship research in companion animal practice, international capacity-building, and national harmonization of susceptibility testing and reporting protocols to improve passive surveillance and stewardship.
Dr. Nguyen described AMR as an immediate crisis, noting that carbapenem-resistant bacteria rates have risen tenfold in Canada over 15 years and that academic research is a critical source of innovation but lacks resources to translate discoveries into solutions. She recommended strong leadership with a dedicated entity to coordinate across sectors and jurisdictions, and resources commensurate with the problem, citing HIV funding as a comparison where Canada invested $80 million annually at the height of that epidemic.
Maud de Lagarde noted that regulating antibiotic use in animals can help public health, though the direct link between agricultural antibiotic use and human resistance is relatively small. She recommended more research on the role of the environment in spreading resistance genes, and she stated that environmental samples are not currently included in most surveillance programs.
The committee received a notice of motion from Mr. Baldinelli proposing a study of at least four meetings on the federal government’s approach to artificial intelligence, with appearances from the minister, officials, and industry representatives. The chair announced that the next meetings would continue the study on private sector investment in R&D, that the chief science adviser is being scheduled, and that documents for the criteria study may take at least six months to translate.
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