Date:
20050714
Docket:
T-2201-00
Citation:
2005 FC 1633
BETWEEN:
JANSSEN-ORTHO
INC.
Applicant
and
THE
MINISTER OF HEALTH
Respondent
REASONS FOR ORDER
(Public
Version) *
* [Deletion] - This indicates that words
have been deleted to protect confidentiality.
SIMPSON, J.
[1]
This application is brought under section 44 of the Access to
Information Act, R.S.C. 1985, c. A-1 (the “Act”). The Minister of Health
(the “Respondent” or “Health Canada”) has decided to disclose certain of the
applicant’s records in response to an access to information request under the
Act. Janssen-Ortho Inc. (the “Applicant” or “JOI”) resists disclosure of its
records on the basis that they are exempt from disclosure under the provisions
of paragraphs 20(1)(b) and 20(1)(c) of the Act (the “Exemptions”).
THE BACKGROUND
[2]
In response to the filing of thirteen adverse drug reaction reports, JOI
and Health Canada held discussions in 1999 and 2000 about the safety of
Prepulsid and about its withdrawal from the Canadian market. Many of the
records at issue were created by JOI for those discussions.
[3]
The request for access to information, dated June 26, 2000 (the “Access
Request”) related, in part, to those discussions and asked for:
1999,
2000 records, including briefing notes, media lines, testing, on the
department’s actions in assessing prepulsid, including their knowledge of its
adverse effects, other countries’ actions, their review of the drug’s approval
and use for a decade, and consumer, users’ feedback and exchanges with
Janssen-Ortho Inc., on its use, and withdrawal.
[4]
On or about August 23, 2000, Ms. Bujaki of Health Canada identified
several thousand pages of documents as the records which responded to the
Access Request. She reviewed them and recommended disclosure of all
information except that which, in her view, was covered by the Exemptions.
[5]
On September 14, 2000, Ms. Parent of Health Canada accepted
Ms. Bujakis’ recommendation and sent JOI a notice indicating that the
Access Request had been received and that Health Canada intended to disclose
certain records. However, JOI objected to much of the proposed disclosure.
[6]
On November 1, 2000, Ms. Parent again wrote to JOI and advised that
further records would be withheld as a result of JOI’s objections. However,
she also said that Health Canada intended to disclose the balance of the
records on the basis that they did not qualify for exemption under the Act.
The records which Health Canada currently plans to disclose and which are at
issue in this application consist of approximately 212 pages of material. This
material will be described as the “Records”.
[7]
Because this proceeding concerns the confidentiality of the Records, the
application was heard in-camera and the transcripts and Court files have
been sealed pending this decision.
THE EVIDENCE
[8]
The Applicant filed confidential affidavits which were sworn on
April 1, 2001 and February 27, 2003 by Dr. Wendy Arnott. Dr. Arnott is
JOI’s Vice-president of Regulatory, Quality and Medical Services. She is a
pharmacist and also has a clinical doctorate in pharmacy. [Deletion]
[9]
Health Canada relies on four affidavits. The first two are the public
and confidential affidavits of Mr. Durand sworn on May 11, 2001. The
third affidavit is also confidential and was sworn by Ms. Parent on
May 16, 2001. Finally, Mr. Durand swore a confidential reply
affidavit on February 14, 2003.
[10]
Ms. Parent has worked for Health Canada in various positions and
departments for most of her career and is the administrator responsible for the
Access Request.
[11]
Mr. Durand is in charge of the Proprietary and Scientific Information
assessment section of Health Canada’s Therapeutic Products Directorate. He has
held that position since 1996 and has been employed by Health Canada since
1988. Prior to that year, he worked as a pharmacist.
PREPULSID
[12]
Prepulsid (or cisapride) was first marketed in Canada in 1990 for the
treatment of gastrointestinal motility disorders. However, marketing in Canada
ceased on May 29, 2000 in the wake of concerns about its safety. The only
Prepulsid now available in Canada is a generic version manufactured by Apotex
Inc. for Health Canada’s special access program. Although JOI no longer
markets Prepulsid [Deletion].
BASIC PRINCIPLES
[13]
Section 44 of the Act gives JOI the right to apply to the Federal Court
for a review of Health Canada’s decision on the Access Request. The section says:
Third party may apply for a
review
44. (1) Any third party to
whom the head of a government institution is required under paragraph
28(1)(b) or subsection 29(1) to give a notice of a decision to disclose a
record or a part thereof under this Act may, within twenty days after the
notice is given, apply to the Court for a review of the matter.
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Recours en
révision du tiers
44. (1) Le tiers
que le responsable d'une institution fédérale est tenu, en vertu de l'alinéa
28(1)b) ou du paragraphe 29(1), d'aviser de la communication totale ou
partielle d'un document peut, dans les vingt jours suivant la transmission de
l'avis, exercer un recours en révision devant la Cour.
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[14]
On an application under section 44, the Court is required to conduct a de
novo review of the Records Health Canada proposes to disclose (Air
Atonabee v. Minister of Transport (1989) 27 C.P.R. (3d) 180 (FCTD)).
[15]
In H.J. Heinz Co. of Canada Ltd. v. Canada (Attorney General),
[2003] F.C.J. No. 344, 2003 FCT 250 at paragraph 9, Justice Layden-Stevenson
set out the applicable principles and I adopt them in this case. She said:
I begin with a review of basic
principles. Subsection 2(1) of the Act contains its purpose, which is to
provide the public with a right of access to information in records under the
control of the government. Exceptions to that right of access should be limited
and specific: Canada Packers Inc. v. Canada (Minister of Agriculture),
[1989] 1 F.C. 47 (C.A.) ...; Dagg v. Canada
(Minister of Finance), [1997] 2 S.C.R. 403 ... Public access ought
not be frustrated by the courts except in the clearest of circumstances. It is
a heavy burden of persuasion that rests upon the party resisting disclosure: Maislin
Industries Limited v. Minister of Industry, Trade and Commerce, [1984] 1
F.C. 939 (T.D.) ...; Rubin v. Canada (Mortgage and Housing Corp.),
[1989] 1 F.C. 265 (C.A.) ...; Canada (Information Commissioner) v. Canada
(Prime Minister), [1993] 1 F.C. 427 (T.D.). The standard of proof to be
applied in reviewing exemptions under subsection 20(1) of the Act is that of a
balance of probabilities: Northern Cruiser
Co. v. Canada, [1995] F.C.J. No. 1168, (1995), 99 F.T.R. 320 n. (F.C.A.).
THE EXEMPTIONS
[16]
The Exemptions deal with confidentiality and harm. They are found in
paragraphs 20(1)(b) (confidentiality) and 20(1)(c) (harm) of the Act and
provide that:
20. (1) Subject to this
section, the head of a government institution shall refuse to disclose any
record requested under this Act that contains
. . .
(b) financial, commercial,
scientific or technical information that is confidential information supplied
to a government institution by a third party and is treated consistently in a
confidential manner by the third party;
(c) information the
disclosure of which could reasonably be expected to result in material
financial loss or gain to, or could reasonably be expected to prejudice the
competitive position of, a third party; or
. . .
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20. (1) Le
responsable d'une institution fédérale est tenu, sous réserve des autres
dispositions du présent article, de refuser la communication de documents
contenant_:
. . .
b) des
renseignements financiers, commerciaux, scientifiques ou techniques fournis à
une institution fédérale par un tiers, qui sont de nature confidentielle et
qui sont traités comme tels de façon constante par ce tiers;
c) des
renseignements dont la divulgation risquerait vraisemblablement de causer des
pertes ou profits financiers appréciables à un tiers ou de nuire à sa
compétitivité;
. . .
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Confidentiality
[17]
In broad terms, JOI says that the Records contain confidential
information about scientific, commercial and technical matters and that they
were created in confidence and treated as confidential within JOI and its
affiliates. It also says that they were transmitted to Health Canada in
confidence and treated as confidential by Health Canada. Health Canada
acknowledges the truth of these submissions but says that the fact that the
Records were treated as confidential documents in 1999 and 2000 is not dispositive
of the applicability of the confidentiality exemption. Health Canada submits,
and I agree, that other matters, such as whether the information in the Records
has been made public, must be considered.
[18]
In this regard, I adopt the comments made by Justice MacKay in Air
Atonabee, supra at pages 13 and 15. There he said:
The second requirement under subsection 20(1)(b), that the
information be confidential, has been dealt with in a number of decisions.
These establish that the information must be confidential in its nature by some
objective standard which takes account of the content of information, its
purposes and the conditions under which it was prepared and communicated (per
Jerome A.C.J. in Montana, supra at page 25). It is not sufficient that the
third party state, without further evidence, that it is confidential (see,
e.g., Merck Frosst Canada Inc. supra; Re Noel and Great Lakes Pilotage
Authority Ltd. Et al. (1987) 45 D.L.R. (4th) 127 (F.C.T.D.)).
Information has not been held to be confidential, even if the third party
considered it so, where it has been available to the public from some other
source (Canada Packers Inc. V. Minister of Agriculture, [1988] 1 F.C. 483
(T.D.) and related cases, appeal dismissed with variation as to reasons on
other grounds, [1989] 1 F.C. 47 (F.C.A.)), or where it has been available at an
earlier time or in another form from government (Canada Packers Inc., supra;
Merck Frosst Canada Inc., supra). Information is not confidential where it
could be obtained by observation albeit with more effort by the requestor [sic]
(Noel, supra). As outlined by Jerome A.C.J. in earlier cases dealing with
subsection 20(1)(b):
It is not sufficient that [the
applicant] considered the information to be confidential. It must also have
been kept confidential by both parties and must not have been otherwise
disclosed, or available from sources to which the public has access.
(Maislin Industries Ltd. v. Minister for Industry, Trade and
Commerce et al., [1984] 1 F.C. 939; 10 D.L.R. (4th) 417, 80 C.P.R.
(2d) 253 (T.D.) at p. 257 C.P.R.); (D.M.R. Associates v. Minister of Supply
& Services (1984), 11 C.P.R. (3d) 87 at 91 (F.C.T.D.)).
My review of the authorities, facilitated in part by submissions
of counsel, is undertaken in order to construe the term “confidential
information” as used in subsection 20(1)(b) in a manner consistent with the
purposes of the Act in a case where the records in question under control of a
government department consist of documents originating in the department and
outside the department. This review leads me to consider the following as an
elaboration of the formulation by Jerome A.C.J., in Montana, supra, that
whether information is confidential will depend upon its content, its purposes and
the circumstances in which it is compiled and communicated, namely:
a) that
the content of the record be such that the information it contains is not
available from sources otherwise accessible by the public or that could not be
obtained by observation or independent study by a member of the public acting
on his own,
b) that
the information originate and be communicated in a reasonable expectation of
confidence that it will not be disclosed, and
c) that
the information be communicated, whether required by law or supplied
gratuitously, in a relationship between government and the party supplying it
that is either a fiduciary relationship or one that is not contrary to the
public interest, and which relationship will be fostered for public benefit by
confidential communication.
Harm
[19]
JOI submits that the pharmaceutical industry is highly competitive and
that other companies could obtain a competitive advantage from access to the
Records. JOI says that, even though Prepulsid was withdrawn from the market in
2000, competitors working on similar or successor drugs might obtain
information from the Records which would accelerate their work or help them
improve the manner in which they interact with Health Canada on drug safety
issues. Health Canada, on the other hand, says that JOI’s submissions are
speculative and, therefore, do not satisfy the requirements for an exemption
from disclosure based on harm.
[20]
The law on this topic is also set out by Justice MacKay in Air
Atonabee, supra. There he said:
In the case of subsection 20(1)(c) there are two circumstances
under either of which, as alternatives to the criteria in other subsections and
to each other, information is exempt from disclosure, that is:
1) where
the disclosure of the information could reasonably be expected to result in
material financial loss or gain to a third party, or
2) where
the disclosure of the information could reasonably be expected to prejudice the
competitive position of a third party
Both of these circumstances require
a reasonable expectation of probable harm (Canada Packers Inc. v. Canada
(Minister of Agriculture, [1989] 1 F.C. 47 at paragraph 22) and speculation
or mere possibility of harm does not meet that standard (Saint John
Shipbuilding Limited v. The Minister of Supply and Services, (Unreported,
Court File No. T-1682-87, October 3, 1988 (F.C.T.D.) at pp. 6-7). I have
followed these cases in deciding this application.
THE RECORDS
[21]
At Volume III of its Motion Record, JOI has included copies of the
Records which remain in dispute. They have already undergone deletions as a
result of earlier discussions between JOI and Health Canada and nothing in this
decision is intended to reverse or in any way affect those deletions.
[22]
What I must decide is whether further deletions are warranted.
[23]
JOI has provided its submissions by marking the documents with
highlighting and code letters to show the portions at issue and the applicable
exemptions. The code is as follows:
The letter A
marks references to JOI’s [Deletion]
The letter B
marks references to research data studies or reports
The letter C
marks references to adverse event reports
The letter D
marks references to draft materials
The letter E
marks references to draft commercial and financial information
The letter F
marks references to commercial, financial, scientific or technical matters
which have consistently been treated by JOI as confidential or competitively
sensitive information
[24]
Health Canada has provided charts which offer detailed responses to
JOI’s requests for exemptions. This material is exhibited to Mr. Durand’s
affidavits.
THE CATEGORIES
[25]
The parties have divided the Records into the following five categories:
(i) Personal
Information
(ii) Two
Research Reports
(iii) Suspect
Adverse Reaction Reports
(iv) Miscellaneous
items including (a) PowerPoint presentation slides,(b) correspondence (including
a draft of a Dear Doctor letter) and (c) other documents
(v) The
cover letter for the Applicant’s National Library of Medicine search report
[26]
I will deal with each category in turn.
Category (i) -
Personal Information
[27]
Section 19(1) of the Act deals with this topic in the following terms:
19. (1) Subject to subsection (2), the head of a government
institution shall refuse to disclose any record requested under this Act that
contains personal information as defined in section 3 of the Privacy Act.
19. (1) Sous
réserve du paragraphe (2), le responsable d'une institution fédérale est tenu
de refuser la communication de documents contenant les renseignements
personnels visés à l'article 3 de la Loi sur la protection des renseignements
personnels.
[28]
There is a question about whether the names of JOI’s employees fit
within the definition of personal information in section 3 of the Privacy Act,
R.S. 1985, c. P-21. Section 3(i) reads as follows:
(i) the name of the
individual where it appears with other personal information relating to the
individual or where the disclosure of the name itself would reveal
information about the individual,
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i) son nom
lorsque celui‑ci est mentionné avec d'autres renseignements personnels
le concernant ou lorsque la seule divulgation du nom révélerait des
renseignements à son sujet;
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[29]
In this case, the personal information at issue is the names of JOI
employees. None of the individuals have consented to the release of their
names and it is not suggested that the disclosure is in accordance with section
8 of the Privacy Act. Further, JOI argues that the fact that the named
employees were involved in JOI’s dealings with Health Canada in the year
1999-2000 is not publically known.
[30]
In my view, the disclosure of the employees’ names would reveal
information about them which is not in the public domain. This information
includes the fact that they attended meetings, wrote letters and authored
studies related to the interface between JOI and Health Canada about whether
Prepulsid should be withdrawn from the Canadian market. There is nothing in
the Respondent’s affidavit evidence which links the named employees to these
negotiations. The public does not know of their involvement or about their
opinions, suggestions and conclusions.
[31]
Health Canada says that the public is aware that [Deletion]
involvement with Health Canada dealing with the drug’s safety can, therefore,
not be considered confidential. It makes this submission because [Deletion]
name was never publically associated with JOI’s earlier work with Health Canada
on the safety and withdrawal of Prepulsid.
[32]
For these reasons, I have concluded that the names at issue are personal
information which is exempt from disclosure. The following conclusions reflect
this decision. The page references are to Volume III of JOI’s Motion Record.
Page 731A to
be disclosed after the deletion of the name and position of the signatory at
the top left, the two names in the first line of the third paragraph and all
the words after “sincerely”
Page 732 to
be disclosed after deletion of the name and phone number in the top section on
the page
Page 733 not
to be disclosed
Page 734 to
be disclosed after deletion of the name after the word “From” and the fax and
phone numbers at the top right hand side of the page
Page 735 to
be disclosed after deletion of the last four lines in the fourth paragraph and
all the words after “sincerely”
Page 741 to
be disclosed after the deletion of the first four lines on the page and all the
words after “yours sincerely”
Page 775 to
be disclosed after the deletion of all the words after “sincerely” - see also
paragraph 65
Page 814 see
paragraph 41 herein (page 1 of 32)
Pages 841-845 see
paragraph 41 herein (page 28 of 32 to page 32 of 32)
Page 898 to
be disclosed after deletion of the name following the word “from” and the fax
and phone numbers near the top right side of the page
Page 899A not
to be disclosed
Page 899F not
to be disclosed
Page 899G to
be disclosed after deletion of the name after the word “From” and the last two
lines on the page and the fax and phone numbers near the top right side of the
page
Page 899H not
to be disclosed
Page 899I not
to be disclosed
Page 899J to
be disclosed after the deletion of the name after the word “from” and the fax
and telephone numbers in the top right hand corner of the page
Page 901 not
to be disclosed
Page 902 not
to be disclosed
Page 903 not
to be disclosed
Page 904 to
be disclosed after deletion of name in point 3
Page 924 to
be disclosed after deletion of the name after the word “From” and the last five
lines and the fax and phone numbers near the top right side of the page
Page 926 not
to be disclosed
Page 928 to
be disclosed after deletion of name after word “From” and the last five lines
on the page and the fax and phone numbers near the top right side of the page
Pages 929-932 not
to be disclosed
Page 934 to
be disclosed after deletion of name following word “From” and the fax and phone
numbers near the top right side of the page
Pages 935-936 not
to be disclosed
Page 937 to
be disclosed after deletion of name following the word “From” and all the words
after the words “Dear Ms. Carès”
Page 939 not to be disclosed
Category (ii)
- Two Research Reports
(a) The Appraisal
[33]
The First Report is a thirty-two page document entitled “Cisapride - a
benefit/risk appraisal in view of the CPMP Pharmacovigilance Working Party
Recommendations” (the “Appraisal”).
[34]
The Appraisal is dated April 6, 2000 and was prepared by the Janssen
Research Foundation (“JRF”). It was originally submitted in confidence to the
European Agency for the Evaluation of Medical Products. Health Canada asked
JOI for a copy of the Appraisal during the confidential discussions with JOI in
1999-2000. Accordingly, JOI obtained a copy from JRF and provided it to Health
Canada. The cover page displays a prominent notice which indicates that it
contains confidential information and there is no issue that it was provided to
Health Canada in confidence.
[35]
The Appraisal is a summary of other benefit/risk appraisal reports (the
“Other Reports”). The Other Reports were also provided to Health Canada by JOI
at Health Canada’s request during the discussions relating to the safety of
Prepulsid. Health Canada has agreed not to disclose the Other Reports. JOI
says that, if the underlying reports are exempt, the Appraisal, which is the
summary, should also be exempt. I have not been persuaded by this submission.
In my view, the simple fact that a document is a summary of exempt documents
does not automatically entitle it to an exemption.
[36]
JOI further submits that, although the Appraisal does refer to some
published studies and the conclusions they reached, the public does not know
that JOI accepted the conclusions and relied on them in its discussions with
Health Canada and in its evaluation of Prepulsid. JOI says that these facts
remain confidential.
[37]
Health Canada’s position is that most of the information in the
Appraisal is available in the public domain, albeit in a different format and
that it should therefore be disclosed. In support of this position, Health
Canada has provided the results of its internet searches. This material is
referred in Mr. Durand’s confidential affidavit. In this regard, Health
Canada relies on Cyanamid Canada v. Canada (1992) 45 C.P.R. (3rd)
390 (FCA), in which the Court stated the following:
An alternative argument is advanced under s. 20(1)(c). The
Appellant submits that although the information may be publicly available, it
is not available from a single source. However, if access were granted under
the Act, it would confer an advantage upon the requester by saving him time and
expense of collecting that information from several other public sources and
enable him to construct the “larger picture” to the detriment of the
Appellant. I am not persuaded by this argument.
[38]
Health Canada has also taken the approach that, once reference is made
to a published study, the inquiry about access is over because nothing said in
relation to public information can be confidential. This means that, for
example, the opinions expressed by JOI’s scientists on published material would
not be confidential.
[39]
I have accepted JOI’s submissions on this point. Although the information
in dispute is largely a description of the findings in published studies which
would therefore normally be disclosed, the fact that JOI considers the findings
to be accurate and trustworthy has not been publicized and would only become
known through disclosure. Accordingly, JOI’s references to published studies
will not be disclosed.
[40]
My conclusions below delete personal information and commercial
information including expert advice, opinions, conclusions and information
about the studies the Applicant considered reliable. In my view, this material
has never been published and remains confidential. It is, therefore, exempt
from disclosure.
[41]
I have worked with the version of the Appraisal found at pages 814 to
845 of Volume III of JOI’S Motion Record. Referring to the page numbers in the
Appraisal, I have concluded that access should be provided as follows:
Page 1 disclose
after deletion of information in the section entitled “Authors”
Pages 2, 3
and 4 disclose after deletion of bracketed references
Page 5 disclose
after deletion of the four conclusions preceded by bullets
Page 6 not
to be disclosed
Page 7 disclose
only the last four lines on the page
Page 8 disclose
after deletion of all bracketed references
Page 9 disclose
after deletion of all bracketed references
Page 10 disclose
only the text above the heading at section 2.3 after deleting the bracketed
references
Page 11 disclose
after deletion of all bracketed references
Page 12 disclose
after deleting the last sentence in the 1st paragraph and all
bracketed references
Page 13 disclose
after deleting section 3.1 and bracketed references
Page 14 disclose
after deleting the 1st paragraph on the page and the first sentence
in section 4.1 together with all the bracketed references
Page 15 disclose
after deleting the text of section 4.3 and all bracketed references
Page 16 disclose
after deleting the text of section 5.1 and all bracketed references
Page 17 disclose
after deleting (i) the paragraph beginning with the words “In patients”, (ii)
the last sentence in the paragraph which begins with the words “Several placebo
controlled . . .” and (iii) all bracketed references
Page 18 disclose
after deleting bracketed references and all the text in section 6.1 and the
last sentence above the heading for section 6.1 which starts with the words -
“different inclusion”
Page 19 disclose
after deleting (i) bracketed references, (ii) the text under the heading in
section 7, (iii) the text of the first three paragraphs under the heading in
section 8.1, (iv) the first two sentences in the last paragraph on the page and
(v) the text of the balance of the last paragraph on the page from the words
“In approximately” to and including the word “prolongation”
Page 20 disclose
only the first four lines on the page after deleting the bracketed references
Page 21 disclose
after deleting the text in section 8.2 and the bracketed references
Page 22 not
to be disclosed
Page 23 not
to be disclosed
Pages 24-27 disclose
in full
Pages 28-32 not to be disclosed
(b) The Summary
[42]
The Second Report is entitled “JOI Comments on Issues Analysis Summary”
(the “Summary”). It is found at pages 905 to 923 of Vol. III of JOI’s Motion
Record.
[43]
The Summary is JOI’s response to a document prepared by Health Canada
entitled Issues Analysis Summary. The confidential nature of the Issues
Analysis Summary was established when Health Canada included the following
passage in the document:
Please be advised that this is a confidential document that may
not be disclosed to any parties other than JOI. If the document is to be
disclosed to anyone outside of the Department of Health or JOI, it is necessary
to submit the document for a full review under the ATI Act so that the
confidential information can be severed. You are furthermore advised that this
is a DRAFT document in progress and further amendments may be made.
[44]
The Summary reflected the work of four JRF scientists over a 2-3 week
period and was based on the foundation’s confidential data on Prepulsid. Each
page of the report is clearly marked “Confidential”.
[45]
Although the Summary contains references to some published articles, it
is uncontradicted that it is not publically known that JOI chose to rely on
those articles in its discussions or correspondence with Health Canada or in
its analysis of the risks and benefits of Prepulsid. JOI says that its
analysis and interpretation of a particular reference or published information
is confidential commercial information.
[46]
As was the case with the Appraisal, I have accepted JOI’s submission
that its decision to refer to and rely on published studies is a confidential
fact which is not disclosed by the publication of the study. However, in
addition to study references, much of the Summary involves discussions about
why, in the view of JOI’s scientists, various study results can be challenged.
It also includes their arguments in support of their positions.
[47]
My conclusion is that the entire Summary is exempt from disclosure on
the basis that it is confidential commercial information. In reaching this
conclusion, I have rejected Health Canada’s submission that, once reference is
made to a published study, confidentiality is lost for all the related
commentary and analysis provided by JOI’s scientists.
Category
(iii) - Adverse Reaction Reports For Year 2000
[48]
At the relevant time, Health Canada’s publication entitled “Guidelines
for Reporting Adverse Reactions to Marketed Drugs (Summer 1996)” provided at
page 11 that adverse drug reactions could be reported using either Health
Canada’s form or another form. The other form was used internationally and JOI
chose to submit its reports on the international form. Both forms have a
section for a description of the adverse drug reaction. However, only the
international form asks for the manufacturer’s opinion about causality. The
information about causality is JOI’s opinion about whether the patient’s
symptoms were attributable to Prepulsid. JOI takes the position that the
reported information [Deletion].
[49]
Information about causality was not included in Health Canada’s annual
published summary of all suspect adverse reaction reports. However, it could,
in theory, have been made public if one of JOI’s reports had been chosen as the
subject of an article in Health Canada’s newsletter or if a member of the
public had asked for a copy of one of JOI’s adverse reaction reports. However,
because these events never occurred, JOI says that the reports were not, in
fact, made public and that it therefore had a reasonable expectation of
confidentiality.
[50]
I do not agree. I have concluded that, although they were not made
public, the reports were not treated as confidential documents by Health
Canada. Further, they were not treated confidentially by JOI. They were not
marked “confidential” and there is no evidence that they were submitted to
Health Canada in confidence.
[51]
Since the reports are not exempt from disclosure because of
confidentiality, harm must be considered. The harm alleged is that information
about JOI’s assessment of the problems caused by Prepulsid would enable a
competitor to accelerate its development and marketing of other cisapride-based
drugs. [Deletion] JOI also says that the disclosed information could
be used against it in litigation and that the public interest will be harmed
because, if disclosure is ordered, it will no longer volunteer opinions about
causality.
[52]
Regarding JOI’s submission about the public interest, it would be
unfortunate if JOI decided not to report its views about causality. However,
if Health Canada decides that such information is essential, it can amend its
form and require its disclosure. Further, it is not clear that this submission
is relevant. Paragraph 20(1)(c) of the Act does not speak of harm to the public.
The only harm which triggers an exemption is harm to an applicant.
[53]
The further difficulty is that JOI has not provided evidence about harm
which would allow me to conclude that it faces a reasonable expectation of
probable harm. Given the highly competitive nature of the pharmaceutical
industry, it is conceivable that disclosure of JOI’s views of causality might
assist a competitor. However, speculation is not sufficient to justify an
exemption, particularly when JOI acknowledges that [Deletion] and often
based on heresay and anecdotal information about patients’ experiences.
[54]
It is also my view that the Act’s exemption from disclosure for
information which could reasonably be expected to result in material financial
loss was not intended to cover litigation costs and damage awards. Further,
even if such sums were included, I have no evidence on which to assess the
likelihood of such losses.
[55]
For all these reasons, the complete adverse event reports are to be
disclosed
Category (iv)
- Miscellaneous Items
(a) The Powerpoint Presentation Slides
[56]
The meetings between Health Canada and JOI at which JOI used its
powerpoint presentation slides (the “Slides”) took place on February 4th,
March 24th and April 13th, 2000 (the “Meetings”). It was
during this period, on March 23, 2000 that JOI announced that it would be
voluntarily withdrawing Prepulsid from the US market. As well, on that date,
the US Food & Drug Administration issued a press release about JOI’s
decision. Health Canada agrees that the Meetings were held in confidence but
says that the public would have been aware at that time that JOI would be
meeting with Health Canada to discuss [Deletion]. However, in my view,
this fact does not negate the confidentiality of the Slides.
[57]
There are 47 Slides. JOI says that the deletions agreed to thus far are
insufficient and says that the Slides are confidential in their entirety
because they were presented in confidence at the Meetings and because the dates
of the Meetings, the topics discussed and JOI’s strategy for dealing with
Health Canada on a drug safety issue is all commercial information which has
never been made public. Lastly, JOI says that the names of the JOI personnel
who attended the meetings are personal information which is protected from
disclosure under section 19 of the Act.
[58]
Health Canada acknowledges that the Slides were presented in confidence
but also submits that confidentiality can be lost. It says that, because the
Meetings took place in the year 2000 and because the drug Prepulsid has not
been on the market for almost five years, the Slides are no longer confidential
and the information they contain can no longer be considered commercial.
[59]
It is my view that confidential information remains confidential until
the information becomes public or consent is given to its release. It is also
possible that, after many years, confidentiality could be lost but that loss
would depend on the circumstances of each case. In this case, although
Prepulsid is not on the market, related litigation and drug development are
ongoing. In my view, the passage of time is not relevant to the issue of
confidentiality in the circumstances of this case. Further, with the one
exception described in paragraphs 61 and 62, it is my view that the passage of
time has not affected the commercial nature of the information in the Records.
[60]
Against this background, I turn to the individual slides. I will refer
to them using the page numbers in Volume III of JOI’s Motion Record. The
decisions which follow are based, in part, on my determination that the names
of JOI personnel are exempt because they are personal information which
discloses their opinions and, in part, on the confidential commercial nature of
the information. It will be apparent that meeting dates and discussion topics
have not been treated as commercial information.
Slides Page
846 to be disclosed
Pages 847 to
859 not to be disclosed
Page 860 to
be disclosed after deletion of the first two lines
Pages
861-866 not to be disclosed
Page 867 to
be disclosed after deletion of the word Prepulsid
Pages
868-893 not to be disclosed
(b) Correspondence
[61]
The final version of JOI’s “Dear Doctor” letter was made public but the
confidential draft which was sent to Health Canada for comment and discussion,
includes two points which were not in the final version. [Deletion]
The draft “Dear Doctor” at issue is found in Volume III of JOI’s Motion Record
at pages 940 and 941.
[62]
Although the draft letter remains confidential, I am of the view that,
due to the passage of time and the very specific and limited nature of the
information, the letter can no longer be considered commercial. For this
reason, the draft is to be disclosed.
[63]
The other documents in this category are letters relating to Health
Canada’s Special Access Program (the “Program”) and are found in Vol. III of
JOI’s Motion Record at pages 937-939. Health Canada submits that the Applicant
wrote to healthcare professionals in August of 2000 advising that Prepulsid
would not be available through the Program and that confidentiality has
therefore been lost. JOI says that, although the public can be presumed to
know that there were discussions about the Program, the substance of its
proposals is not known and remains confidential. I agree with JOI’s submission
and conclude that this material is not to be disclosed.
(c) Other Documents
[64]
This material includes four letters and a four page chronology. The
page references below are the page numbers on the top right side of the pages
in Volume III of JOI’s Motion Record.
Page 735 to
be disclosed after deletion of the last four lines in the fourth paragraph and
all the words after “sincerely”) - see also paragraph 32 above
Page 739 not
to be disclosed
Page 743 not
to be disclosed
Page 894 to
be disclosed after the deletion of the number in the second line of the second
paragraph and the deletion of the first phrase in paragraph four beginning “on
March 23 and ending “cisapride”
Page 895 to
be disclosed after the deletion of the first two paragraphs; the last sentence
of the third paragraph and the fourth paragraph
Page 896 to
be disclosed
Page 897 to
be disclosed
Page 899 not
to be disclosed - confidential commercial information and personal information
Page 899A not
to be disclosed - see also paragraph 32 above
Page 899B disclose
after deletion of last sentence
Page 899C not
to be disclosed
Page 899D not
to be disclosed
Page 899E not
to be disclosed
Page 899F not
to be disclosed - see also paragraph 32 above
Category (v) The
Cover Letter for the Search Report
[65]
This letter is found at page 775 of Volume III of JOI’s motion record.
It is to be disclosed after the deletion of all words after the word
“sincerely”.
SECTION 25 OF THE ACT
[66]
Finally, I should note that sentences expressing courteous sentiments or
conveying good wishes and gratitude appear in the Records from time to time.
If severed for disclosure these passages would be meaningless scraps of
narrative with no context. It is my view that severance of such material for
disclosure under section 25 of the Act is not reasonable.
CONCLUSION
[67]
The application will be allowed in accordance with these reasons.
“Sandra J.
Simpson”
JUDGE
Ottawa, Ontario
July 14, 2005
FEDERAL COURT
Names
of Counsel and Solicitors of Record
DOCKET: T-2201-00
STYLE OF CAUSE: JANSSEN-ORTHO INC.
Applicant
- and -
THE MINISTER OF
HEALTH
Respondent
PLACE OF HEARING: TORONTO, ONTARIO
DATE OF HEARING: MONDAY JANUARY 24, 2005
REASONS FOR ORDER
AND ORDER BY: SIMPSON, J.
DATED: July 14, 2005
APPEARANCES BY: Paul Schabas / Alice Tseng
For the
Applicant
Suzanne Duncan
For the
Respondent
SOLICITORS OF RECORD: Mr. Paul Schabas / Alice Tseng
Blake, Cassels
& Graydon LLP
199 Bay Street
Box 25,
Commerce Court West
Toronto, ON
M5A 1A9
For the
Applicant
John Sims
Deputy Attorney
General of Canada
For the
Respondent