Early Canadian public health
Q1. What was one major public-health consequence of the 1845 cholera outbreak in British North America?
ANSWER ✓ It encouraged stronger organized responses to infectious disease, including quarantine and
public-health record keeping.
Study Note: Cholera outbreaks exposed weaknesses in sanitation and disease control and contributed to greater attention
to organized public-health measures.
Legislation
Q2. Which federal law was used to control the entry of infectious disease through arriving vessels?
ANSWER ✓ The Quarantine Act.
Study Note: Quarantine legislation gave authorities powers to inspect and control vessels and people when communicable
disease threatened communities.
Q3. What was the purpose of the Sick Mariners Act?
ANSWER ✓ To provide medical care and related assistance to sick or injured seamen in Canadian waters
and ports.
Study Note: The legislation reflected the need to protect maritime workers and communities while providing organized
medical support.
Federal health administration
Q4. In what year was the federal Department of Health established in Canada?
ANSWER ✓ 1919.
Study Note: The federal Department of Health was established in the post–World War I period as health administration
became more organized nationally.
Public-health history
Q5. What pandemic affected Canada during 1918–1919?
ANSWER ✓ The influenza pandemic, commonly called the Spanish flu.
Study Note: The pandemic caused substantial illness and death and demonstrated the importance of surveillance, public-
health communication, isolation, and community measures.
Veterans
Q6. What federal department was created to address the needs of returning veterans after World War I?
ANSWER ✓ The Department of Soldiers' Civil Re-establishment.
Study Note: Veteran rehabilitation and welfare became major federal responsibilities after the First World War and later
evolved through changes in government departments.
Q7. What federal department became responsible for veterans' services in 1944?
ANSWER ✓ The Department of Veterans Affairs.
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,Study Note: Veterans Affairs Canada was established to administer programs and services for veterans and eligible
dependants.
Federal health administration
Q8. What was a major purpose of the Department of National Health and Welfare?
ANSWER ✓ To administer and coordinate federal health and social-welfare responsibilities.
Study Note: The department brought together federal responsibilities involving public health, health services, and social
programs.
Drug regulation
Q9. What was the purpose of the Food and Drugs Act?
ANSWER ✓ To help protect the public by regulating the safety, quality, labeling, and marketing of food,
drugs, and related products.
Study Note: Federal food and drug regulation developed to reduce risks from unsafe or misleading products.
Q10. Why was drug regulation important in Canada?
ANSWER ✓ To protect people from unsafe, ineffective, contaminated, or misleadingly marketed health
products.
Study Note: Regulation establishes standards for product quality, safety, labeling, and oversight.
Q11. What is the main public-health purpose of pre-market drug review?
ANSWER ✓ To assess whether a health product meets required standards for safety, efficacy, and quality
before authorization.
Study Note: Pre-market review is a risk-control step that helps ensure products meet regulatory requirements before being
marketed.
Q12. What is a drug monograph?
ANSWER ✓ A standardized document describing approved indications, dosing, warnings, contraindications,
and other product information.
Study Note: Monographs support consistent, evidence-based information about authorized products.
Q13. What is pharmacovigilance?
ANSWER ✓ The detection, assessment, understanding, and prevention of adverse effects or other
medicine-related problems.
Safety monitoring continues after a product reaches the market because uncommon or long-term risks may
emerge with wider use.
Q14. Why are adverse drug reactions reported?
ANSWER ✓ To help identify potential safety signals and improve the safe use of medicines.
Study Note: Reports contribute to post-market surveillance and may lead to updated warnings or other regulatory action.
Q15. What is a controlled substance?
ANSWER ✓ A substance subject to additional legal controls because of risks such as misuse, dependence,
diversion, or harm.
Study Note: Controlled-drug rules govern activities such as prescribing, dispensing, storage, and record keeping.
Q16. Why are drug labels regulated?
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,Study Note:
ANSWER ✓ To ensure important information is presented accurately and consistently.
Study Note: Clear labeling supports informed use and reduces medication errors.
Q17. What is a product recall?
ANSWER ✓ A process used to remove or correct a product when it presents a safety, quality, or compliance
concern.
Study Note: Recalls are an important risk-management mechanism when a marketed product no longer meets
requirements.
Q18. What is the role of a regulator in drug safety?
ANSWER ✓ To establish and enforce standards and monitor products throughout their life cycle.
Study Note: Regulatory oversight includes authorization, compliance activities, and post-market safety monitoring.
Q19. Why is lot or batch identification important?
ANSWER ✓ It allows a specific group of products to be traced during investigations or recalls.
Study Note: Traceability helps regulators and manufacturers identify affected products quickly.
Q20. What is the difference between efficacy and safety?
ANSWER ✓ Efficacy concerns whether a treatment produces the intended benefit; safety concerns the risks
associated with its use.
Study Note: Both benefit and risk are considered when evaluating health products.
Public health
Q21. What is public health?
ANSWER ✓ Organized action to protect and improve the health of populations and communities.
Study Note: Public health focuses on populations rather than only one individual patient.
Q22. What is disease surveillance?
ANSWER ✓ The ongoing collection, analysis, interpretation, and communication of health information.
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, Study Note:
Surveillance helps detect trends, outbreaks, and emerging health threats.
Q23. Why is sanitation important in infectious-disease prevention?
ANSWER ✓ It reduces exposure to pathogens through safer water, waste disposal, food handling, and
environmental conditions.
Study Note: Poor sanitation can facilitate transmission of many infectious diseases.
Q24. What is quarantine?
ANSWER ✓ Restriction of movement or activities of people who may have been exposed to an infectious
disease during the relevant risk period.
Study Note: Quarantine differs from isolation, which applies to people who are already infected or ill.
Q25. What is isolation?
ANSWER ✓ Separation of people who have a communicable infection from others to reduce transmission.
Study Note: Isolation is an infection-control measure for people known or suspected to be infected.
Q26. What is immunization?
ANSWER ✓ Administration of a vaccine or other immunizing agent to stimulate protection against a disease.
Study Note: Vaccination is a major population-health intervention for preventing infectious disease.
Q27. What is herd or community protection?
ANSWER ✓ Reduced transmission that occurs when a sufficiently large proportion of a population is
immune.
Study Note: High levels of immunity can help protect people who cannot be vaccinated or who respond poorly to
vaccination.
Q28. What is health promotion?
ANSWER ✓ The process of enabling people and communities to increase control over factors affecting
health.
Study Note: Health promotion includes supportive environments, education, policy, and community action.
Q29. What is primary prevention?
ANSWER ✓ Action taken to prevent disease or injury before it occurs.
Study Note: Examples include immunization, healthy lifestyle support, and injury-prevention measures.
Q30. What is secondary prevention?
ANSWER ✓ Early detection and intervention to identify disease at an earlier stage.
Study Note: Screening programs are a common example of secondary prevention.
Canadian health system
Q31. Which level of government has major responsibility for administering health-care services in Canada?
ANSWER ✓ Provincial and territorial governments.
Canada's health system is federally influenced but largely administered by provinces and territories.
Q32. What is the Canada Health Act intended to do?
ANSWER ✓ To establish national criteria and conditions related to insured health services and support
publicly funded health care.
Study Note: The Act sets principles and requirements associated with Canada's publicly funded health-care system.
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