Public Health Agency of Canada’s 2026-27 Departmental Plan

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At a glance

This departmental plan details the Public Health Agency of Canada (PHAC)'s priorities, plans, and associated costs for the upcoming three fiscal years.

These plans align with the priorities outlined in the Mandate Letter, as well as PHAC's Vision, mission, raison d'être and operating context.

Key priorities

PHAC identified the following key priorities for 2026–27:

  • Support the mental and physical health of Canadians through the promotion of improved health behaviours to reduce the risk of chronic disease as well as suicide prevention efforts
  • Prepare for and respond to public health events such as infectious disease outbreaks, pandemics, and emergencies
  • Increase vaccination rates in Canada overall and reduce gaps in vaccination among populations with lower coverage
  • Reduce the emergence and spread of antimicrobial resistance (AMR) and promote responsible use of antimicrobials
  • Work with domestic and international partners to strengthen health security and support a strong, sovereign Canada
  • Advance data and information management in public health to ensure the responsible collection, use, and sharing of data
  • Lead and enable relevant, timely, and credible science and innovation while striving to address mis- and disinformation related to public health

Comprehensive Expenditure Review

The government is committed to restraining the growth of day-to-day operational spending to make investments that will grow the economy and benefit Canadians.

As part of meeting this commitment, PHAC is planning the following spending reductions:

  • 2026-27: $12,700 000
  • 2027-28: $72,600,000
  • 2028-29: $88,800,000

It is anticipated that these spending reductions will involve a decrease of approximately 53 full-time equivalents by 2028–29.

PHAC will achieve these reductions by doing the following:

  • improving how it operates and refocusing some programs, while keeping the essential work that protects Canadians' health and safety;
  • simplifying how programs are delivered by combining grants and contribution programs into larger funding streams, focusing spending on PHAC's core public health priorities, supporting partners that can clearly show results, and allowing programs to be more flexible and responsive;
  • improving how it plans and manages contracts to better match needs and reduce costs; and
  • cutting administrative costs by standardizing processes, clarifying roles and responsibilities, making better use of IT systems, and removing duplicate work.

The figures in this departmental plan reflect these reductions.

Highlights for PHAC in 2026–27

Launch of the renewed Canadian Task Force on Preventive Health Services

In 2026–27, PHAC will launch a renewed Canadian Task Force on Preventive Health Services as an External Advisory Body, incorporating recommendations from the 2025 External Expert Review (EER) report to make preventive health care guidelines more inclusive, transparent, and responsive to the needs of Canadians. The Agency will provide secretariat and scientific support to the Task Force to develop clinical practice screening guidelines and resources.

Canada's Pandemic Preparedness Plan

In 1988, Canada was among the first countries in the world to develop a national pandemic plan, which focused on pandemic influenza. Over time, this plan evolved into "Canadian Pandemic Influenza Preparedness: Planning Guidance for the Health Sector" (CPIP). Although its focus is to guide Canada through an influenza pandemic, it still provided a crucial foundation for the COVID-19 pandemic response.

Canada learned a great deal from the COVID-19 pandemic, and gained valuable lessons on how to respond to diseases that could cause a pandemic. Working together with federal, provincial, territorial and First Nations, Inuit and Metis partners, as well as interest holders and subject matter experts, PHAC has used these lessons to build on the CPIP and develop a more comprehensive "Canada's Pandemic Preparedness Plan". This plan will be published in 2026–27, and will focus on guiding Canada through pandemics caused by respiratory infectious diseases. Going forward, PHAC will develop approaches for the ongoing socialization, maintenance and continuous improvement of the Plan.

Advancing international engagement to build Canada's health resilience

The Agency will leverage opportunities to improve the health and well-being of people in Canada and support Canada's role in strengthening global health by deepening existing key multilateral and bilateral relations and exploring relationships with new and emerging partners. In 2026–27, PHAC will deepen collaboration with international partners, including the European Union and the United Kingdom, and ensure that public health priorities and interests are reflected in the negotiation, implementation, and review of trade agreements. PHAC will also conduct surveillance to allow for early detection and risk assessment of domestic and international public health threats, which will trigger notifications and public health alerts, including reporting to the WHO under the International Health Regulations, as needed.

Strengthening Evidence and Public Trust in Public Health

In 2026–27, PHAC will support research to close critical knowledge gaps in public health measures and ensure its guidance is grounded in strong scientific evidence. For example, the Health, Attitudes, and Behavioural Insights Tracker (HABIT) survey will examine public trust in the Agency, science, and experts, along with attitudes toward surveillance, health literacy, artificial intelligence, and emerging health issues such as H5N1 and measles. These insights will deepen understanding of trust levels, reveal how trust influences health behaviours, and support the development of effective, evidence-based communication strategies to guide decision-making.

In 2026–27, total planned spending (including internal services) for PHAC is $1,527,423,768 and total planned full-time equivalent staff (including internal services) is 2,854.

Summary of planned results

The following provides a summary of the results the department plans to achieve in 2026–27 under its main areas of activity, called "core responsibilities."

  • Core responsibility 1: Health promotion and chronic disease prevention

    Planned spending: $341,209,439

    Planned human resources: 489

    In partnership with provinces and territories, PHAC will strive to mitigate chronic disease and promote better health by conducting public health research and supporting community-based projects. The Agency will support those living with chronic diseases such as dementia, promote mental health and strengthen suicide prevention measures, address diabetes through the Framework for Diabetes in Canada, and support children and adults in adopting healthy behaviours.

    More information about Health promotion and chronic disease prevention can be found in the full plan.

  • Core responsibility 2: Infectious disease prevention and control

    Planned spending: $744,827,133

    Planned human resources: 1,326

    In the coming year, efforts will be directed toward protecting Canadians by reducing the spread of infectious diseases. PHAC will work to improve vaccination coverage rates, combat antimicrobial resistance, prepare for and respond to infectious disease threats, and continue to be a trusted source of science and evidence-based information for Canadians.

    More information about Infectious disease prevention and control can be found in the full plan.

  • Core responsibility 3: Health security

    Planned spending: $257,026,945

    Planned human resources: 584

    Planned initiatives for this year will involve mitigating risks linked to pathogens and toxins, within the purview of Canada's Human Pathogens and Toxins Act, including legislative and regulatory improvements, managing health concerns related to travel, and preparing for public health events and emergencies. The Agency will work to strengthen compliance and modernize oversight related to biosafety and biosecurity, monitor and address communicable diseases and other travel-related health risks at the country's borders, and strengthen Canada's readiness for health emergencies.

    More information about Heath security can be found in the full plan.

For complete information on PHAC's total planned spending and human resources, read the Planned spending and human resources section of the full plan.

From the Minister

The Honourable Marjorie Michel, P.C., M.P.

The Honourable Marjorie Michel, P.C., M.P.
Minister of Health

I am pleased to present the 2026–27 Departmental Plan for the Public Health Agency of Canada (PHAC). The Plan outlines priorities for the year ahead and serves as a roadmap to the approaches the Agency uses to help protect public health across the country. Evidence consistently shows that early investments in public health deliver significant benefits—ranging from longer life expectancy and reduced strain on health-care systems, to stronger economic performance that is driven by a healthier population.

Looking ahead, PHAC will continue working with federal, provincial and territorial partners to strengthen cross-sector coordination that promotes healthy living and increases physical activity, striving to prevent chronic disease and enhancing overall physical and mental well-being. The Agency will advance prevention, management, and treatment efforts by continuing to implement the Framework for Diabetes in Canada and supporting diverse community-based projects. Additionally, PHAC will maintain its support for the National Autism Network to address key autism priorities.

PHAC will further strengthen mental health and suicide prevention efforts by supporting key initiatives like the Kids Help Phone and the 9-8-8: Suicide Crisis Helpline, and by funding projects that encourage positive mental health and reduce mental health inequities. The Agency will work to prevent family violence by delivering and testing interventions designed to influence knowledge, skills, attitudes, and behaviours.

Through prevention and education efforts, harm reduction initiatives, as well as improved data and evidence collection, the Agency will guide public health actions to address the illegal drug crisis. In addition, PHAC will continue to respond to the complex and persistent crisis, with a particular focus on supporting communities and populations at increased risk of substance use-related harms.

PHAC's national and international leadership will help prepare for and respond to public health threats, such as outbreaks of communicable diseases. The Agency will lead initiatives focused on increasing vaccination rates across the country, including monitoring coverage and uptake drivers through behavioural science research to guide strategies to address hesitancy, and publishing expert guidance to support provincial and territorial decision making on vaccination policies and programs. PHAC will also track and respond to the spread of sexually transmitted, zoonotic, respiratory, and vaccine preventable infectious diseases, as well as antimicrobial resistance (AMR), tuberculosis, and foodborne illness outbreaks.

Furthermore, PHAC will strengthen its oversight of human pathogens and toxins within the purview of the Human Pathogens and Toxins Act to advance health security goals in biosafety and biosecurity. Through the National Microbiology Laboratory, PHAC will work with the international community to contribute to the global public health fight against deadly diseases, such as COVID-19, the Ebola virus, and other emerging infections. PHAC will also continue its efforts to mitigate the spread of AMR through a coordinated One Health approach, identifying linkages between human, animal, plant and environmental health to address threats brought on by AMR. Additionally, the National Emergency Strategic Stockpile will continue to maintain medical asset capacity, such as personal protective equipment, vaccines and pharmaceuticals to respond to potential public health events in Canada.

PHAC remains committed to scientific excellence and innovation. By promoting greater transparency, openness, and collaboration in its scientific work, the Agency will reinforce its standing as a science-driven organization and a trusted source of public health information for Canadians. This approach will also position PHAC as a key hub for sharing Canada's public health expertise with the global community.

Health equity considerations will guide all the Agency's actions across its policies, programs, and initiatives to facilitate improved access to the conditions and opportunities that are essential for resilience and optimal health.

PHAC is working in 2026–27 to integrate the use of Artificial Intelligence (AI), developing and using AI tools to increase productivity, decrease operating costs, and improve service delivery. As in previous years, PHAC employees will play a central role in delivering the initiatives outlined in this plan. I am grateful for their ongoing efficiency, innovation, expertise, and resilience. I also extend my appreciation to the many public health workers who will help support the well-being of Canadians in 2026–27.

I encourage everyone to read the 2026–27 Departmental Plan to learn more about the Agency's work this upcoming year.

Plans to deliver on core responsibilities and internal services

Core responsibilities and internal services

Core responsibility 1: Health promotion and chronic disease prevention

Description

Promote the health and well-being of Canadians of all ages by conducting surveillance and public health research and supporting community-based projects which address the root causes of health inequalities and the common risk and protective factors that are important to promoting better health and preventing chronic disease.

Quality of life impacts

Health promotion and chronic disease prevention activities contribute to the Health Domain ("Self-rated health," "Self-rated mental health," "Health-adjusted life expectancy," "Children vulnerable in early development," and "Physical activity") of the Quality of Life Framework for Canada. All activities in this core responsibility also support the Good Governance Domain ("Confidence in institutions") and activities supporting community-based interventions contribute to the Society Domain ("Sense of belonging to local community" and "Someone to count on"). The fairness and inclusion lens is integrated through the application of Sex- and Gender-based Analysis Plus (SGBA Plus) and an equity-informed approach in program design and implementation, and the sustainability and resilience lens is applied with long-term considerations incorporated into program planning.

In addition to directly contributing to the above-mentioned Quality of Life domains, health promotion and chronic disease prevention activities also bring co-benefits for other aspects of quality of life. For example:

Indicators, results and targets

This section presents details on the department's indicators, the actual results from the three most recently reported fiscal years, the targets and target dates for Health promotion and chronic disease prevention. Details are presented by departmental result.

Table 1: Result 1.1: Chronic diseases and conditions are monitored and prevented

Table 1 provides a summary of the target and actual results for each indicator associated with the results under Health promotion and chronic disease prevention.

Table 1: Result 1.1: Chronic diseases and conditions are monitored and prevented
Departmental Result Indicators Actual Results 2026–27 Target Date to achieve target
Rate of newly diagnosed diabetes mellitus cases (types combined), excluding gestational diabetes, aged 1 year or older, per 100,000 population Footnote a
  • 2022-23: 605 per 100,000 (95% confidence intervals (CIs): 603-608)
    Source: CCDSS 2020-21
  • 2023-24: 703 per 100,000 (95% CIs: 700–706)
    Source: CCDSS 2021-22
  • 2024-25: 736 per 100,000 (95% Cis: 733-738)
    Source: CCDSS 2022-23

754

(95% CIs: 750-757)

Oct. 31, 2027

Health-adjusted life expectancy (HALE) at age 65, in years Footnote b
  • 2022-23: 15.1 years
    Source: Statistics Canada 2020
  • 2023-24: 15.3 years
    Source: Statistics Canada 2023
  • 2024-25: 15.3 years
    Source: Statistics Canada 2023

15.5 years

Mar. 31, 2030

% of adults (18-79 years) in Canada with obesity Footnote c
  • 2022-23: 24.3%
    Source: CHMS 2018-19
  • 2023-24: 24.3%
    (Source: CHMS 2018-19)
  • 2024-25: 24.3%
    (Source: CHMS 2018-19)

26.2%

Mar. 31, 2030

% of children (5-11 years) and youth (12-17 years) in Canada with obesity Footnote c
  • 2022-23: 10.1%
    (Source: CHMS 2018-19)
  • 2023-24: 10.1%
    (Source: CHMS 2018-19)
  • 2024-25: 10.1%
    (Source: CHMS 2018-19)

11.7%

Mar. 31, 2030

Footnote a

This indicator measures the number of new cases of diabetes diagnosed in the population in a particular year over the total population at risk for diabetes in a particular year. Data comes from the Canadian Chronic Disease Surveillance System (CCDSS); new data are released annually in October. Diabetes incidence rate should remain below or within the 95% confidence interval of the baseline year (i.e., 750-757). Changes in diabetes incidence may be driven by multiple factors, including (but not limited to) the COVID-19 pandemic, differences in healthcare seeking behaviour, the availability and use of healthcare services, as well as true changes in health status. As such, use caution when interpreting this indicator. Estimates are age-standardized to the 2021 Canadian population. Additional trending over time and disaggregation by age, sex and geography can be found on the Canadian Chronic Disease Surveillance Data Tool and the Health of People in Canada Dashboard.

Return to footnote a referrer

Footnote b

HALE at age 65 is calculated by Statistics Canada on a periodic basis and data can be found at https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=1310037001. HALE at age 65 is calculated using two steps. Step 1, the health status of the population (household and institutionalized) is estimated using the Health Utility Index by sex and age group. Step 2, life expectancy is calculated using a modified Sullivan method. Age and sex specific person-years lived are adjusted based on the health status calculated in Step 1. Additional disaggregation by sex and geography can be found on the Health of People in Canada Dashboard.

Return to footnote b referrer

Footnote c

These indicators rely on measured BMI data from the Canadian Health Measures Survey (CHMS). As of 2025, new data from the CHMS will be reportable every 2 years. The COVID-19 pandemic disrupted data collection for the CHMS, resulting in a gap in reporting between 2018-19 and 2023-24. This indicator measures the number of people that are classified as obese according to Body Mass Index (BMI). For adults, obesity is defined as BMI>= 30.0 kg/m2. For children, obesity is defined using age and sex specific BMI cut-offs based on the World Health Organization (WHO) definition. Actual results based on crude rate. Additional trending over time and disaggregation by age and sex can be found on the Health of People in Canada Dashboard.

Return to footnote c referrer

Table 2: Result 1.2: People in Canada are supported to improve their physical and mental health, and health behaviours

Table 2 provides a summary of the target and actual results for each indicator associated with the results under Health promotion and chronic disease prevention.

Table 2: Result 1.2: People in Canada are supported to improve their physical and mental health, and health behaviours
Departmental Result Indicators Actual Results 2026–27 Target Date to achieve target
Percentage of people, aged 18 years or older, who said their health was "very good" or "excellent" Footnote a
  • 2022-23: 58.8%
    Source: CCHS 2021
  • 2023-24: 53.8%
    Source: CCHS 2022
  • 2024-25: 52.2%
    Source: CCHS 2023

52.0%

Mar. 31, 2027

% of people in Canada (aged 18 years and older) who said their mental health was "very good" or "excellent" Footnote b
  • 2022-23: 58.7%
    Source: CCHS 2021
  • 2023-24: 54.8%
    Source: CCHS 2022
  • 2024-25: 53.8%
    Source: CCHS 2023

53.7%

Mar. 31, 2027

% of people in Canada (aged 12–17 years) who said their mental health was "very good" or "excellent" Footnote c
  • 2022-23: 66.2%
    Source: CHSCY 2019
  • 2023-24: 66.2%
    Source: CHSCY 2019
  • 2024-25: 58.4%
    Source: CHSCY 2023

62.0%

Mar. 31, 2027

% of children and youth, aged 5 to 17 years, that accumulate an average of at least 60 minutes of moderate-to-vigorous physical activity per day Footnote d
  • 2022-23: 43.9%
    Source: CHMS 2018-19
  • 2023-24: 43.9%
    Source: CHMS 2018-19
  • 2024-25: 43.9%
    Source: CHMS 2018-19

48.3%

Mar. 31, 2030

% of adults who meet physical activity recommendations by accumulating at least 150 minutes of moderate-to-vigorous physical activity per week Footnote d
  • 2022-23: 49.2%
    Source: CHMS 2018-19
  • 2023-24: 49.2%
    Source: CHMS 2018-19
  • 2024-25: 49.2%
    Source: CHMS 2018-19

53%

Mar. 31, 2030

Footnote a

This indicator relies on data from the Canadian Community Health Survey (CCHS) and is reported annually. It measures the percentage of the population who self-rate their health as being "excellent" or "very good" (vs. poor, fair or good) and is expressed as a proportion of the total population. Additional trending over time and disaggregation by age, sex and geography can be found on the Health of People in Canada Dashboard.

Return to footnote a referrer

Footnote b

This indicator relies on data from the Canadian Community Health Survey (CCHS) and is reported annually. It measures the percentage of the population who self-rate their mental health as being "excellent" or "very good" (vs. poor, fair or good) and is expressed as a proportion of the total population. Additional trending over time and disaggregation by age, sex and geography can be found on the Health of People in Canada Dashboard.

Return to footnote b referrer

Footnote c

This indicator relies on data from the Canadian Health Survey on Children and Youth (CHSCY) and is measured annually. It reports the number of youth aged 12-17 years who report their mental health is "very good" or "excellent".

Return to footnote c referrer

Footnote d

These indicators rely on device-measured data from the Canadian Health Measures Survey (CHMS). As of 2025, new data from the CHMS will be reportable every 2 years. The COVID-19 pandemic disrupted data collection for the CHMS, resulting in a gap in reporting between 2018-19 and 2023-24. Both indicators are based on the Canadian 24-Hour Movement Guidelines' age-specific physical activity recommendations for adults (i.e., at least 150 min of moderate-to-vigorous physical activity per week) and children and youth (i.e., at least 60 min of moderate-to-vigorous physical activity per day). Additional trending over time and disaggregation by age and sex for children and youth can be found on the Health of People in Canada Dashboard.

Return to footnote d referrer

Additional information on the detailed results and performance information for PHAC's program inventory is available on GC InfoBase.

Plans to achieve results

The following section describes the planned results for Health promotion and chronic disease prevention in 2026–27.

Gender-based Analysis PlusFootnote 1

PHAC will disaggregate surveillance data by socio-demographic and socio-economic factors to analyze mental health, substance-related harms, and healthy living across diverse groups. Frameworks such as the Positive Mental Health Indicator Framework, the Suicide Surveillance Indicator Framework, the Physical Activity, Sedentary behaviour and Sleep Indicators, and the Child Maltreatment Indicator Framework strengthen the Agency's ability to assess health inequities and guide responsive policies and programs.

Through its Health Inequalities Data Tool and Inventory of Interventions to Reduce Health Inequalities, the PHAC-led Pan-Canadian Health Inequalities Reporting Initiative (HIRI) will continue to provide data on health and social inequalities and on strategies to guide equity-informed policy and programs. In alignment with PHAC's core responsibilities, the Health Inequalities Data Tool will continue to provide data on inequalities in diabetes, early childhood development, mental health and well-being, health behaviours, immunization, and conditions that shape community vulnerability to climate change, such as food insecurity. Through HIRI, PHAC will continue to collaborate with Indigenous partners, including the First Nations Information Governance Centre to support Indigenous-led reporting on wellness and well-being.

PHAC will apply SGBA Plus to public health programming to ensure equitable and inclusive outcomes for Canadians. For example:

The Canadian Task Force on Preventive Health Services will integrate SGBA Plus and equity considerations throughout its guideline development process to ensure that guidelines are inclusive, equitable and take into account Canada's diverse population and health systems.

Also in 2026–27, PHAC will collaborate with federal partners to publish studies on substance-related deaths, examining individual and area-level factors and substance combinations through the Overdose Crisis Data Program (OCDP) – a joint initiative with Health Canada and Statistics Canada that securely integrates datasets for social and intersectional analysis.

Planned resources to achieve results

Table 3: Planned resources to achieve results for Health promotion and chronic disease prevention

Table 3 provides a summary of the planned spending and full-time equivalents required to achieve results.

Table 3: Planned resources to achieve results for Health promotion and chronic disease prevention
Resource Planned
Spending

$341,209,439

Full-time equivalents

489

Complete financial and human resources information for PHAC's program inventory is available on GC InfoBase.

Program inventory

Health promotion and chronic disease prevention is supported by the following programs:

Additional information related to the program inventory for Health promotion and chronic disease prevention is available on the Results page on GC InfoBase.

Summary of changes to reporting framework since last year

Core responsibility 2: Infectious disease prevention and control

Description

Protect Canadians from infectious diseases by predicting, detecting, assessing, and responding to outbreaks and new threats; and contribute to the prevention, control and reduction of the spread of infectious disease among Canadians.

Quality of life impacts

Infectious disease prevention and control initiatives contribute to the Health Domain ("Self-rated health" and "Health-adjusted life expectancy"), the Environment Domain ("Natural disasters and emergencies," and "Climate change adaptation"), the Prosperity Domain ("Investment in in-house research and development"), and the Good Governance Domain ("Confidence in institutions") of the Quality of Life Framework for Canada. A fairness and inclusion lens is integrated through the application of SGBA Plus and an equity-informed approach in program design and implementation. A sustainability and resilience lens is applied through long-term considerations that are incorporated into program planning.

Preventing and controlling infectious diseases also brings co-benefits to other quality of life aspects for Canadians. Examples include:

Indicators, results and targets

This section presents details on the department's indicators, the actual results from the three most recently reported fiscal years, the targets and target dates for Infectious disease prevention and control. Details are presented by departmental result.

Table 4: Result 2.1: Infectious diseases are managed through detection, prevention, and control efforts

Table 4 provides a summary of the target and actual results for each indicator associated with the results under Infectious disease prevention and control.

Table 4: Result 2.1: Infectious diseases are managed through detection, prevention, and control efforts
Departmental Result Indicators Actual Results 2026–27 Target Date to achieve target
% of 2 year old children who have received all recommended vaccinations Footnote a
  • 2022-23: 71.4% (2021)
  • 2023-24: 71.4% (2021)
  • 2024-25: 71.4% (2021)

At least 95%

Dec. 31, 2030

Rate of a key antimicrobial resistant infection identified among people in hospitals Footnote b
  • 2022-23: 0.81 cases per 1,000 admissions
  • 2023-24: 0.90 cases per 1,000 admissions
  • 2024-25: 0.92 cases per 1,000 admissions

At most 0.7

(per 1,000 patient admissions for MRSA Blood Stream Infections)

Jun. 1, 2026

Rate of reported first-time HIV diagnoses per 100 000 population Footnote c
  • 2022-23: 4.7 cases per 100,000
  • 2023-24: 6.1 cases per 100,000Footnote d
  • 2024-25: 5.7 cases per 100,000Footnote e

At most 2.5

(cases per 100,000 population)

Dec. 31, 2030

Footnote a

This indicator relies on data from the Childhood National Immunization Coverage Survey (CNICS). The 2021 results are the most recent and will be used until new data is available. While data is typically collected biennially, there were delays in implementing the 2023 cycle of the CNICS survey due to changes in procurement. The planned implementation will take place in 2025, and new results are expected in 2027. The date to achieve the target is December 31, 2030, in alignment with the National Vaccination Coverage Goals (NVCG) 2025-2030 update timelines.

Return to footnote a referrer

Footnote b

This indicator reflects the rate of methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections (BSIs) per 1000 patient-admissions based on data from the Canadian Nosocomial Infection Surveillance Program (CNISP) in accordance with WHO and Global Antimicrobial Resistance Surveillance System (GLASS). MRSA bloodstream infection rates in Canadian acute-care hospitals have remained relatively stable since 2018. Although the overall and hospital acquired MRSA BSI rate has remained stable, the rise in community-acquired MRSA BSI cases during the last decade has been a key factor in the target shortfall.

Return to footnote b referrer

Footnote c

In Canada, the roles and responsibilities for health care services are shared between the federal government and provincial and territorial governments. Promoting overall health and well-being in support of achieving the target is a common goal across many stakeholders. Additional trending over time and disaggregation by age, sex and geography can be found on the Health of People in Canada Dashboard.

Return to footnote c referrer

Footnote d

The rate changed slightly from previous reports because four provinces conducted historical updates of their surveillance data and it was resubmitted. This happens regularly across different surveillance programs. The most up to date dataset is always used for the preparation of our reports. In 2023, the rate was 6.1 per 100.000.

Return to footnote d referrer

Footnote e

Value does not include Québec data as it was not available at the time of reporting. Value to be revised once remaining data are submitted.

Return to footnote e referrer

Table 5: Result 2.2 – Infectious disease outbreaks and threats are prepared for and responded to effectively

Table 5 provides a summary of the target and actual results for each indicator associated with the results under Infectious disease prevention and control.

Table 5: Result 2.2 – Infectious disease outbreaks and threats are prepared for and responded to effectively
Departmental Result Indicators Actual Results 2026–27 Target Date to achieve target
% of reported pathogens of international concern that the Program can accurately test forFootnote a
  • 2022-23: 100%
  • 2023-24: 99%
  • 2024-25: 95%

At least 90%

Mar. 31, 2027

% of multi-jurisdictional enteric illness outbreaks where a source or probable source was identifiedFootnote b
  • 2022-23: 100%Footnote c
  • 2023-24: 60%
  • 2024-25: 64%

At least 60%

Mar. 31, 2027

Proportion of emerging respiratory or vaccine preventable disease threats that meet the criteria for a notification or public health alert for which a public health alert and/or a notification was issued

Exactly 100%

Mar. 31, 2027

% of updated or new guidance developed for emerging/re-emerging respiratory or vaccine preventable infectious diseases threats based on a triggerFootnote e for response to emerging/re-emerging respiratory or vaccine preventable infectious diseases threats
  • 2022-23: Not available
  • 2023-24: Not available
  • 2024-25: Not available

90%Footnote f

Mar. 31, 2027

Footnote a

A target value of 90 percent was determined as a reasonable standard (or benchmark) for the Agency's ability to test pathogens identified by the International Health Regulations in a given year (based on previous results, current capacity, and forward expectations). Note that the wording of this indicator has been updated for clarity, but the methodology remains unchanged.

Return to footnote a referrer

Footnote b

This indicator relies on data obtained from the Canadian Enteric Detection, Assessment and Response System, calculated annually, as the proportion of multijurisdictional outbreak investigations activated in the fiscal year with a source or probable source identified (i.e., not Unknown).

Return to footnote b referrer

Footnote c

There were only 3 multi-jurisdictional outbreaks for the year, which happened to have a source or probable source identified. It is not expected that all outbreaks have a source or probable source identified.

Return to footnote c referrer

Footnote d

Results achieved can be broken down by emerging/re-emerging respiratory infectious disease (ERID) and vaccine-preventable diseases (VPD). The breakdown per year is as follows: 2022-23: ERIDs 100%; VPDs 100%; 2023-24: ERIDs 100%; VPDs 100%; 2024-25: ERIDs 100%; VPDs 100%.

Return to footnote d referrer

Footnote e

A shift in epidemiology, a change in evidence, and other triggers as listed, related to an ERID or VPD signals the need to develop new guidance or update existing guidance for that specific ERID/VPD. These triggers are typically documented in the introduction of the guidance itself and supporting materials. Triggers can include one or more of the following:

  • Shift in epidemiology
  • Change in evidence
  • An action recommended as part of the risk assessment process
  • Need identified by provincial/territorial partners
  • Update/shift in guidance issued by international partners
  • Health Portfolio Operations Centre Incident Management System activation
  • New outbreak, epidemic, pandemic
  • Internal request (e.g., Chief Public Health Officer, President, Minister)

The scope is reflected by the following calculation:

(Number of new and updated guidance for VPDs and ERIDs based on response triggers / Total number of guidance documents required based on response triggers) x 100

Return to footnote e referrer

Footnote f

This target is aspirational and reflects the program's current goal. It will be reassessed once data are available for the 2026–27 fiscal year.

Return to footnote f referrer

Additional information on the detailed results and performance information for PHAC's program inventory is available on GC InfoBase.

Plans to achieve results

The following section describes the planned results for Infectious disease prevention and control in 2026–27.

Gender-based Analysis Plus

In 2026–27, the Agency will continue to apply SGBA Plus in its strategies for preventing, managing, and limiting the spread of infectious diseases. It will also enhance the consistent application of health equity, diversity, and inclusion considerations across its programs, initiatives, and both internal and external services. Plans include improving the reach, accessibility, and cultural relevance of public health resources to better serve priority populations that face higher risks and disproportionate impacts, such as children and youth, older adults, and those living on low incomes.

Data tools and data products on the Health Infobase platform such as the Health of People in Canada Dashboard, which helps Canadians to see how health outcomes can differ based on sex and, where available, age and geographic location, will continue to expand and evolve in 2026–27 as new data becomes available.

PHAC will explore opportunities to increase its capacity to collect disaggregated data to support projects that consider and assess the disproportionate burden of infectious diseases based on socio-demographic and socio-economic factors. For example:

The Agency will also explore opportunities to increase its capacity to engage in laboratory research of infectious pathogens that can disproportionately impact certain populations. Laboratory research will look into the utility of various diagnostic tools and therapeutics, which can be impacted by socio-demographic and socio-economic factors.

Planned resources to achieve results

Table 6: Planned resources to achieve results for Infectious disease prevention and control

Table 6 provides a summary of the planned spending and full-time equivalents required to achieve results.

Table 6: Planned resources to achieve results for Infectious disease prevention and control
Resource Planned
Spending

$744,827,133

Full-time equivalents

1,326

Complete financial and human resources information for PHAC's program inventory is available on GC InfoBase.

Program inventory

Infectious disease prevention and control is supported by the following programs:

Additional information related to the program inventory for Infectious disease prevention and control is available on the Results page on GC InfoBase.

Summary of changes to reporting framework since last year

Core responsibility 3: Health security

Description

Prepare for and respond to public health events and emergencies; address health and safety risks associated with the use of pathogens and toxins; and address travel related public health risks.

Quality of life impacts

Health security contributes to the Health Domain ("Self-rated health" and "Health adjusted life expectancy"), the Environment Domain ("Natural disasters and emergencies"), the Prosperity Domain ("Investment in in-house research"), and the Good Governance Domain ("Confidence in institutions," and "Canada's place in the world") of the Quality of Life Framework for Canada. The fairness and inclusion lens is integrated through SGBA Plus and an equity-informed approach in program design and implementation, and the sustainability and resilience lens is applied as long-term considerations are incorporated into program planning.

More broadly, PHAC's ongoing efforts to prepare for public health emergencies and protect Canadians from risks associated with the use of pathogens and toxins for research, as well as travel-related health risks, also contribute to Canada socioeconomically, as robust legislation, regulatory frameworks, and public health emergency preparedness and response systems are critical to minimizing impacts not only on health but also on the economy and society.

Indicators, results and targets

This section presents details on the department's indicators, the actual results from the three most recently reported fiscal years, the targets and target dates for Health security. Details are presented by departmental result.

Table 7: Result 3.1: Public health risks associated with the use of pathogens and toxins are reduced

Table 7 provides a summary of the target and actual results for each indicator associated with the results under Health security.

Table 7: Result 3.1: Public health risks associated with the use of pathogens and toxins are reduced
Departmental Result Indicators Actual Results 2026–27 Target Date to achieve target
Level of Canada's capacity for oversight of human pathogens and toxins as assessed by World Health Organization criteriaFootnote a
  • 2022-23: 5
  • 2023-24: 5
  • 2024-25: 5

5 (Rating out of 5)

Mar. 31, 2027

Footnote a

This indicator is based on data from the WHO International Health Regulations (IHR) (2005) State Party Self-Assessment Annual Report (SPAR) and is reported annually. It replaces the previous indicator "Percentage of compliance issues in Canadian laboratories successfully responded to within established timelines", which is now tracked as a program inventory indicator.

Return to footnote a referrer

Table 8: Result 3.2: Public health risks associated with travel are reduced

Table 8 provides a summary of the target and actual results for each indicator associated with the results under Health security.

Table 8: Result 3.2: Public health risks associated with travel are reduced
Departmental Result Indicators Actual Results 2026–27 Target Date to achieve target
Level of Canada's capacity for effective public health response at designated points of entry into Canada as assessed by WHO criteriaFootnote a
  • 2022-23: 5
  • 2023-24: 5
  • 2024-25: 5

5 (Rating out of 5)

Mar. 31, 2027

Footnote a

This indicator is based on data from the WHO International Health Regulations (IHR) (2005) State Party Self-Assessment Annual Report (SPAR) and is reported annually.

Return to footnote a referrer

Table 9: Result 3.3: Public health events and emergencies are prepared for and responded to effectively

Table 9 provides a summary of the target and actual results for each indicator associated with the results under Health security.

Table 9: Result 3.3: Public health events and emergencies are prepared for and responded to effectively
Departmental Result Indicators Actual Results 2026–27 Target Date to achieve target
Canada's overall emergency preparedness and response score as determined by the World Health Organization International Health Regulations Monitoring and Evaluation Framework/States Parties Self-Assessment Annual Report (SPAR) ToolFootnote a
  • 2022-23: 90%
  • 2023-24: 90%
  • 2024-25: 94%

90%

Mar. 31, 2027

Footnote a

The SPAR is measured as a score out of 5. For this indicator, the result has been converted to a percentage for ease of understanding.

Return to footnote a referrer

Additional information on the detailed results and performance information for PHAC's program inventory is available on GC InfoBase.

Plans to achieve results

The following section describes the planned results for Health security in 2026–27.

Gender-based Analysis Plus

In 2026–27, PHAC's programs that support Health security will implement a comprehensive strategy to strengthen accountability, capacity, and the integration of SGBA Plus across all operations and governance structures. Priorities include:

Through governance oversight, capacity-building initiatives, and collaboration with internal and external partners, PHAC will institutionalize equity-informed approaches in program design and delivery, from uniform and reservist programs to emergency preparedness, response, and recovery activities. Expected results include strengthened leadership accountability, improved data-driven decision-making, enhanced staff competency, and equitable, inclusive outcomes across programs and services related to Health security.

The Agency will also continue to integrate SGBA Plus considerations across its programs and responses to public health events. In 2026–27, this will include:

The Agency will apply SGBA Plus and integrate health equity considerations when conducting pathogen and toxin risk assessments and in the development of Pathogen Safety Data Sheets. Specifically, certain priority populations are routinely considered (e.g., pregnant people, older adults) to determine whether biological susceptibility or sex-specific differences (at birth) exist and if additional precautions may be necessary when working with these agents.

To incorporate SGBA Plus considerations into its travel health advice, PHAC will offer voluntary intercept surveys to visitors on travel.gc.ca and collect disaggregated data on gender, age, geographic distribution, and race. The Agency will expand messaging to diverse population groups, such as organizations supporting occupational workers, youth, and those visiting friends and family, as part of engagement with key partners and stakeholders.

Planned resources to achieve results

Table 10: Planned resources to achieve results for Health security

Table 10 provides a summary of the planned spending and full-time equivalents required to achieve results.

Table 10: Planned resources to achieve results for Health security
Resource Planned
Spending

$257,026,945

Full-time equivalents

584

Complete financial and human resources information for PHAC's program inventory is available on GC InfoBase.

Program inventory

Health security is supported by the following programs:

Additional information related to the program inventory for Health security is available on the Results page on GC InfoBase.

Summary of changes to reporting framework since last year

Internal services

Description

Internal services are the services that are provided within a department so that it can meet its corporate obligations and deliver its programs. There are 10 categories of internal services:

Plans to achieve results

This section presents details the department's plans to achieve results and meet targets for internal services.

Building a healthy, diverse, and inclusive workplace

PHAC supports employee mental health and workplace wellness. In 2026–27, as part of the Mental Health and Psychological Health and Safety Strategy, the Agency will continue to offer accessible tools, training, and resources to strengthen psychological resilience and well-being across the organization. It will maintain a centralized repository on mental well-being information and resources to ensure employees and managers have easy access to supports. The Agency will support employee engagement and participation in the Mental Health and Workplace Wellness Community of Practice.

Similarly, PHAC is dedicated to fostering a workplace free from racism, harassment, violence, and discrimination, where all employees feel safe and are treated with respect, dignity, and fairness. To achieve this, PHAC will encourage dialogue and strengthen employee networks, ensuring their perspectives and contributions help shape initiatives aimed at addressing systemic racism, eliminating discrimination, and removing barriers to inclusion.

The Centre for Ombuds and Resolution will continue to provide employees at all levels a safe, confidential space to share experiences and seek options, resources, and recourse for workplace issues without fear of reprisal. The Centre will also continue to promote tools and workshops to help employees identify, understand, and respond to discrimination, racism, and microaggressions, while offering conflict resolution training and resources to build skills in communication, emotional intelligence, and inclusion.

Removing barriers to equity

In 2026–27, PHAC will implement the actions outlined in the second Accessibility Plan for 2026-2028, which includes removing barriers and providing ongoing support to employees with disabilities, and ensuring the Agency provides accessible programs and services to the people of Canada.

PHAC will work to address systemic barriers in science by continuing to raise awareness and understanding of anti-racism in science and explore any systemic racism in the structures, norms, and practices of scientific work at PHAC. PHAC is committed to implementing the Anti-Racism in Science Strategy and Inclusive Science Guidelines of Science Based Departments and Agencies, ensuring that programs and science initiatives respond to the diverse needs of Canadians.

The Agency will also work to create a workplace that promotes bilingualism and offers language training, in line with the Action Plan for Official Languages 2023-2028, ensuring both official languages are used internally and in service to Canadians. As part of the Action Plan, managers and employees who communicate with and provide services to Canadians will be supported through a new internal language training program that was launched in 2025–26, and which will be available in 2026–27. Through this language training program, the Agency will increase its capacity in both official languages.

Strengthening workforce capabilities

The Agency is committed to operating as a high-performing organization, even in times of pressure or transition, to ensure the uninterrupted delivery of essential services to Canadians. By leveraging data-driven decisions and developing talent, in 2026–27, PHAC will strengthen its adaptable workforce to meet evolving needs and boost productivity, while prioritizing staff well-being. PHAC will continue to support leadership and management development through the Manager and Executive Learning Pathway, which combines enriched learning opportunities, awareness of internal services, and on-the-job experiences to strengthen leaders' ability to build and sustain high-performing teams. The Agency will also launch a talent management strategy, including a talent management inventory to allow PHAC to leverage existing human resources, and plan for the workforce of the future.

Further, PHAC will advance equitable, inclusive, and barrier-free hiring and retention by using the Government of Canada Workplace Accessibility Passport, supporting persons with disabilities, and implementing strategies for Indigenous, Black, and other racialized employees. Through the advancement of the Inclusion, Diversity, Equity and Anti-Racism Action Plan, PHAC will bolster talent management, performance management, leadership development, and recognition strategies that support the development of a high-performing workforce equipped with essential skills and competencies.

Reinforcing values and ethics

In 2026–27, PHAC will build on its established values and ethics ecosystem, which connects training, tools, guidance, and governance to strengthen a culture where integrity, respect, and accountability guide decisions, relationships, and outcomes. The Agency will align and strengthen its values and ethics practices with guidance from the Clerk of the Privy Council to reinforce ethical leadership, build trust, and sustain a healthy, diverse, and inclusive workforce.

Under the guidance of the Agency's Chief Science Officer and guided by the goals of PHAC's Science Strategy, PHAC will continue to oversee the prudent protection of federal intellectual property and support its application in ways that achieve maximum benefit for Canadians. PHAC will continue to apply ethical oversight to any research involving humans having Agency engagement, while promoting scientific integrity.

Modernizing service delivery, internal operations, and oversight

In 2026–27, PHAC will continue to progress towards becoming a modern, digital-first organization, using innovative technologies to improve decision-making and enhance program and service delivery.

PHAC will continue to implement oversight strategies and foster a culture of transparency, privacy, and security. For example, PHAC will update policies and tools to safeguard and protect people, information, and assets in line with Treasury Board policies, directives, and standards. It will also continue facilitating access to information and implementing the revised Privacy Management Framework by expanding its risk-based approach to initiatives involving personal information. To this end, PHAC will promote training and awareness to ensure Agency vigilance and raise employee awareness, which includes training and communications on privacy, access to information, security, and new technologies to strengthen awareness and compliance.

Focusing on innovation and prudent use of public funds, PHAC will continue work to modernize its financial and corporate functions to improve management and program delivery. Transitioning towards a more sustainable federal posture in alignment with wider Government of Canada priorities and initiatives, the Agency will strengthen budgeting, resource allocation, and business planning, while streamlining services in budget management, contracting, procurement, and workforce management. PHAC will also focus its program delivery by consolidating grants and contributions programs into broader funding streams, targeting investments to core health priorities.

Helping Canadians to better understand public health issues and make evidence-informed decisions

Drawing from scientific research, lived and living experience, and community insights, PHAC will provide Canadians with inclusive, timely, and culturally appropriate information and guidance to counter mis- and dis-information and support public health decisions. PHAC will engage with Canadians through public statements, news releases, press conferences, social media, web content, marketing outreach, and by conducting other promotional initiatives. The Agency will also provide free full-text access to its scientific reports and publications via the Federal Open Science Repository of Canada. PHAC will focus its communication efforts on health promotion, chronic disease prevention, infectious disease prevention and control, emergency preparedness and response, and support priorities such as increasing vaccination rates and promoting positive mental health. We will also continue our efforts at increasing health and science literacy among employees and the public.

Planned resources to achieve results

Table 11: Planned resources to achieve results for internal services this year

Table 11 provides a summary of the planned spending and full-time equivalents required to achieve results.

Table 11: Planned resources to achieve results for internal services this year
Resource Planned
Spending

$154,360,251

Full-time equivalents

455

Complete financial and human resources information for PHAC's program inventory is available on GC InfoBase.

Planning for contracts awarded to Indigenous businesses

PHAC is committed to creating economic opportunities for Indigenous Peoples and advancing the Government of Canada's reconciliation efforts. As part of this commitment, the Agency aims to award at least 5% of the total value of PHAC contracts to businesses owned and led by Indigenous Peoples.

In 2024-25, the Agency continued to face challenges in sourcing pharmaceutical and medicinal products, laboratory equipment and associated supplies, their related repair and maintenance services, specialized storage and warehousing services, medical supplies, health science consultants, and laboratory services from Indigenous businesses due to limited capacity in these highly technical and specialized commodities.

Given the time required to develop capacity in these areas, PHAC anticipates similar constraints in 2026–27 and these categories will continue to be excluded from the 5% target calculation. The Agency remains committed to working with partners like Indigenous Services Canada, Procurement Assistance Canada and Buy Social Canada to assess and monitor Indigenous capacity in these specialized areas and continues to seek procurement opportunities for Indigenous business in other key commodities where capacity is more developed.

Given the challenges due to the specialized and technical nature of the Agency's procurements, the Agency was unable to meet its target for fiscal year 2024–25. Despite these challenges, PHAC, through its Indigenous procurement strategy, will focus on identifying opportunities for Indigenous businesses by:

Table 12: Percentage of contracts planned and awarded to Indigenous businesses

Table 12 presents the current, actual results with forecasted and planned results for the total percentage of contracts the department awarded to Indigenous businesses.

Table 12: Percentage of contracts planned and awarded to Indigenous businesses
5% Reporting Field 2024-25 Actual Result 2025-26 Forecasted Result 2026-27 Planned Result
Total percentage of contracts with Indigenous businesses

1.35%

5.0%

5.0%

Department-wide considerations

Related government priorities

United Nations 2030 Agenda for Sustainable Development and the UN Sustainable Development Goals

In 2026–27, PHAC's work will support the following UN SDGS:

SDG 3: Good Health and Well-Being

In support of this SDG, PHAC will promote health and well-being by supporting projects, programming and surveillance activities which address healthy behaviours and promote the well-being of all Canadians. The Agency will also collaborate with partners to increase knowledge and reduce barriers to accessing health services, and work to build and sustain public confidence in vaccines and enhance uptake. Understanding the current barriers of vaccination coverage among children and adults will help inform the development of effective policies that promote vaccine equity. Lastly, PHAC will strengthen its response capacity and coordination with FPT partners to support public health, reduce the impact of health crises on communities, and promote overall well-being.

SDG 6: Clean Water and Sanitation

PHAC will support this SDG through its administration of the Potable Water on Board Trains, Vessels, Aircraft and Buses Regulations. Through its inspections, PHAC will ensure that passenger transportation operators are compliant with the regulations, that the water on their transport is safe for travelling public consumption and any required actions are addressed in a timely manner.

SDG 10: Reduced Inequalities

The Agency's work will support this SDG through its public health surveillance, which identifies priority populations disproportionately facing health inequalities and undertakes disaggregated data collection and analysis to monitor physical and mental health, including positive mental health, mental illness, suicide and self-harm, family violence, and related risk and protective factors. Additionally, PHAC supports the advancement of this SDG by partnering with community-based organizations, researchers and others in Black communities to generate new evidence on culturally focused programs and interventions that address mental health and its determinants for Black Canadians.

SDG 11: Sustainable Cities and Communities

PHAC will advance this SDG by implementing the Age-Friendly Communities model, ensuring that policies, services, and community structures within the physical and social environment are designed to help older adults live safely, maintain good health, and remain actively engaged in community life.

SDG 12: Responsible Consumption and Production

PHAC's National Microbiology Laboratory will support this SDG by tracking, monitoring and reporting publicly on the laboratory's waste diversion in order to identify opportunities to reduce the environmental impact of operations.

SDG 13: Climate Action

PHAC's work will support this SDG by contributing to the mitigation of climate change impacts on health including the continued implementation of the National Adaptation Strategy and its associated Government of Canada Adaptation Action Plan.

SDG 17: Partnerships for the Goals

The Agency will support the advancement of this SDG through its contributions to global antimicrobial resistance (AMR) commitments and by implementing the five-year (2023-2027) Pan-Canadian Action Plan on AMR. PHAC will continue to collaborate with FPT and international partners to advance key initiatives under the PCAP, including strengthening surveillance, promoting responsible antimicrobial use, and supporting research and innovation. Additionally, PHAC is fostering meaningful and collaborative partnerships with Indigenous Peoples at the regional and national levels to advance reconciliation and implement the United Nations Declaration on the Rights of Indigenous Peoples Act.

More information on PHAC's contributions to Canada's Federal Implementation Plan on the 2030 Agenda and the Federal Sustainable Development Strategy can be found in our Departmental Sustainable Development Strategy.

Indigenous Reconciliation

The path towards reconciliation with Indigenous Peoples calls on all of us to listen, learn, and act together. PHAC recognizes that advancing reconciliation is central to fulfilling our role as a federal public health agency. These efforts reflect commitments under the United Nations Declaration on the Rights of Indigenous Peoples Act, the Truth and Reconciliation Commission Calls to Action, and the National Inquiry into Missing and Murdered Indigenous Women, Girls, and 2SLGBTQQIA People.

As an Agency, this requires weaving reconciliation principles throughout policies, programs, and initiatives, in partnership with First Nations, Inuit, and Métis Peoples, to develop approaches that reflect their leadership and priorities. In 2026–27, PHAC will prioritize maintaining and expanding strong, respectful relationships with Indigenous partners through meaningful engagement, fostering a culture of humility, aligning efforts with Indigenous public health priorities, and upholding Indigenous Knowledge and Data Sovereignty. Key actions include:

Artificial Intelligence

PHAC continues to build an AI-ready Agency that can develop and use AI tools to deliver on public health functions such as improving disease surveillance, detecting emerging threats, and enabling timely, evidence-based responses to public health issues.

To prepare the Agency workforce for AI adoption, PHAC is creating a repository of employee resources to facilitate increased employee awareness and capability in using AI tools. To advance the deployment of artificial intelligence, the Agency is leveraging modern business intelligence tools such as Power BI, Power Automate, Microsoft Fabric, and other automation platforms. Targeted training initiatives, including hands-on instruction on the use of Power BI, will be delivered to upskill employees. Alongside integrating AI considerations into governance structures and policies, the organization is also implementing change management strategies and strengthening data readiness to support responsible and impactful AI adoption.

PHAC's many initiatives related to AI use have the goals of increasing productivity, decreasing operating costs, and improving service delivery.

Initiatives that have a primary goal of increasing productivity include:

Initiatives that have a primary goal of decreasing operating costs include:

Initiatives that have a primary goal of improving service delivery include:

All initiatives are being advanced in alignment with the Treasury Board of Canada Secretariat's guidance on the responsible use of generative AI and federal digital governance frameworks, ensuring that innovation is pursued in a manner that is ethical, transparent, and secure.

Sex- and Gender-based Analysis Plus

In 2026–27, the Agency will advance health equity by systematically applying SGBA Plus in all its policies, programs, services, and initiatives. Key actions will include:

Key risks

PHAC's risk management training, policy and guidelines were updated in August 2025, providing refreshed guidance to employees on implementing risk management and assessment principles. These updates clarify roles and responsibilities, define risk terminology, and reinforce PHAC's commitment to a proactive and integrated approach to risk.

PHAC's Corporate Risk Profile (CRP) provides a snapshot of the Agency's most significant corporate risks and continues to support the Agency's risk management approach by enabling monitoring and reporting of key risks. Mitigation measures and controls are in place to reduce the likelihood and impact of these risks.

There are five risks identified in the CRP that pose the most significant challenges to PHAC's objectives.

While the current 2022-2025 CRP refreshed in 2024 remains in effect, a full update is underway. As part of the process, PHAC is reassessing the relevance of the five corporate risks previously identified.

The next iteration of the CRP will not be finalized at the time of this Departmental Plan's publication; however, the corresponding Departmental Results Report will reflect updated corporate risks as applicable.

PHAC continues to leverage the new Risk and Compliance Process to identify emerging risks alongside corporate risks while continuing to integrate risk into the organizational culture.

Planned spending and human resources

This section provides an overview of PHAC's planned spending and human resources for the next three fiscal years and of planned spending for 2026–27 with actual spending from previous years.

Spending

This section presents an overview of the department's planned expenditures from 2023–24 to 2028–29.

Graph 1: Planned spending by core responsibility in 2026–27

Graph 1 presents the department's planned spending in 2026–27 by core responsibility and for internal services.

Text description of Graph 1
Graph 1: Planned spending by core responsibility in 2026–27
Core responsibilities and internal services 2026-27 planned spending
Core responsibility 1

$341,209,439

Core responsibility 2

$774,827,133

Core responsibility 3

$257,026,945

Internal services

$154,360,251

Analysis of planned spending by core responsibility

Further analysis for the 2026–27 spending can be found following Table 14.

Budgetary performance summary

Table 13: Three-year spending summary for core responsibilities and internal services (dollars)

Table 13 presents PHAC's spending over the past three years to carry out its core responsibilities and for internal services. Amounts for the 2025–26 fiscal year are forecasted based on spending to date.

Table 13: Three-year spending summary for core responsibilities and internal services (dollars)
Core responsibilities and Internal services 2023-24 Actual Expenditures 2024-25 Actual Expenditures 2025-26 Forecast Spending
Health promotion and chronic disease prevention

448,472,690

402,036,643

399,384,018

Infectious disease prevention and control

3,399,916,165

644,696,934

1,017,384,183

Health security

346,451,222

296,341,343

310,824,331

Subtotals

4,194,840,077

1,343,074,920

1,727,592,532

Internal services

233,691,286

191,839,350

216,373,450

Totals

4,428,531,363

1,534,914,270

1,943,965,983

More financial information from previous years is available on the Finances section of GC Infobase.

Table 14: Planned three-year spending on core responsibilities and internal services (dollars)

Table 14 presents PHAC's planned spending over the next three years by core responsibilities and for internal services.

Table 14: Planned three-year spending on core responsibilities and internal services (dollars)
Core responsibilities and Internal services 2026-27 Planned Spending 2027-28 Planned Spending 2028-29 Planned Spending
Health promotion and chronic disease prevention

341,209,439

335,654,355

279,575,639

Infectious disease prevention and control

774,827,133

628,395,173

618,851,618

Health security

257,026,945

162,378,242

158,522,897

Subtotal

1,373,063,517

1,126,427,770

1,056,950,154

Internal services

154,360,251

117,403,314

116,666,304

Total

1,527,423,768

1,243,831,084

1,173,616,458

More detailed financial information on planned spending is available on the Finances section of GC Infobase.

Table 15: Budgetary gross and net planned spending summary (dollars)

Table 15 reconciles gross planned spending with net spending for 2026-27.

Table 15: Budgetary gross and net planned spending summary (dollars)
Core responsibilities and Internal services 2026-27 Gross planned spending (dollars) 2026-27 Planned revenues netted against spending (dollars) 2026-27 Planned net spending (authorities used)
Health promotion and chronic disease prevention

341,209,439

0

341,209,439

Infectious disease prevention and control

774,827,133

0

774,827,133

Health security

257,976,945

-950,000

257,026,945

Subtotal

1,374,013,517

-950,000

1,373,063,517

Internal services

154,360,251

0

154,360,251

Total

1,528,373,768

-950,000

1,527,423,768

Information on the alignment of PHAC's spending with Government of Canada's spending and activities is available on GC InfoBase.

Funding

This section provides an overview of the department's voted and statutory funding for its core responsibilities and for internal services. For further information on funding authorities, consult the Government of Canada budgets and expenditures.

Graph 2: Approved funding (statutory and voted) over a six-year period

Graph 2 summarizes the department's approved voted and statutory funding from 2023-24 to 2028-29.

Text description of graph 2
Graph 2: Approved funding (statutory and voted) over a six-year period
Fiscal year Total Voted Statutory
2023-24

$4,428,531,363

$4,272,967,262

$155,564,101

2024-25

$1,534,914,270

$1,379,221,502

$155,692,768

2025-26

$1,943,965,983

$1,877,781,443

$66,184,540

2026-27

$1,527,423,768

$1,462,263,070

$65,160,698

2027-28

$1,243,831,084

$1,191,260,569

$52,570,515

2028-29

$1,173,616,458

$1,121,727,961

$51,888,497

Analysis of statutory and voted funding over a six-year period

A significant decrease in spending was noted from 2023–24 to 2024–25, primarily as a result of the reduction and gradual expiry of time-limited funding for the following:

  • the procurement and distribution of COVID-19 vaccines and therapeutics;
  • the response to the outbreak of mpox in Canada;
  • the procurement of medical supplies and equipment, including personal protective equipment; and
  • support for the Sero-Surveillance Consortium.

The Agency received funding starting in 2024–25 to support investment in the domestic production and manufacturing of vaccines and pandemic preparedness. Initial spending on the initiative was reduced while investments continued to ramp up throughout 2024–25. For 2025–26 and beyond, the Agency is expecting to fully utilize these funds. As the Agency continues to transition to a more sustainable federal posture, its planned spending is expected to decline further over the next three fiscal years as budgetary authorities expire, primarily in the following areas:

  • support for a long-term approach for the renewal of the Agency – from Stabilization to Sustainability;
  • establishing an agile, resilient and adaptive workforce;
  • reduced spending related to the cancellation of a contract for domestic vaccine development and manufacturing; and
  • the 9-8-8: Suicide Crisis Helpline.

In addition, the Agency plans to achieve greater efficiency through the Comprehensive Expenditure Review announced in Budget 2025 by focusing on several key approaches, including:

  • implementing operational efficiencies and a targeted recalibration of its programs, while preserving critical functions that protect Canadians' safety;
  • streamlining its program delivery by consolidating grants and contributions programs into broader funding streams, thus targeting investments to core federal public health priorities that are central to PHAC's mandate, supporting delivery partners that demonstrate clear and measurable public health outcomes aligned with the new funds' objectives, and leveraging increased program flexibility and responsiveness;
  • optimizing contracting through improved demand forecasts and procurement strategies; and
  • reducing back-office expenses by standardizing administrative processes, streamlining roles and responsibilities, leveraging enhanced IT solutions, and eliminating redundancies.

Modernizing its approach to grants and contributions will position the Agency to deliver more agile, cost-effective, and impactful public health programs and services, while respecting provincial and territorial autonomy. This will be achieved by discontinuing several Grant and Contribution programs that are limited in scope, targeted to niche areas, lack measurable outcomes and that are set to sunset in 2025. In some cases, programs may be consolidated with similar initiatives to enhance efficiency.

Decisions on the renewal of initiatives with expiring budgetary authorities will be made in future budgets and reflected accordingly in subsequent Estimates and Departmental Plans.

For further information on PHAC's departmental appropriations, consult the 2026-27 Main Estimates.

Future-oriented condensed statement of operations

The future-oriented condensed statement of operations provides an overview of PHAC's operations for 2025–26 to 2026–27.

Table 16: Future-oriented condensed statement of operations for the year ended March 31, 2027 (dollars)

Table 16 summarizes the expenses and revenues which net to the cost of operations before government funding and transfers for 2025–26 to 2026–27. The forecast and planned amounts in this statement of operations were prepared on an accrual basis. The forecast and planned amounts presented in other sections of the Departmental Plan were prepared on an expenditure basis. Amounts may therefore differ.

Table 16: Future-oriented condensed statement of operations for the year ended March 31, 2027 (dollars)
Financial information 2025-26 Forecast results 2026-27 Planned results Difference (Planned results minus forecasted)
Total expenses

2,309,717,083

2,051,855,504

(257,861,579)

Total revenues

14,921,652

14,658,775

(262,877)

Net cost of operations before government funding and transfers

2,294,795,431

2,037,196,729

(257,598,702)

A more detailed Future-Oriented Statement of Operations and associated Notes for 2026–27, including a reconciliation of the net cost of operations with the requested authorities, is available on PHAC's website.

Human resources

This section presents an overview of the department's actual and planned human resources from 2023–24 to 2028–29.

Table 17: Actual human resources for core responsibilities and internal services

Table 17 shows a summary of human resources, in full-time equivalents, for PHAC's core responsibilities and for its internal services for the previous three fiscal years. Human resources for the 2025–26 fiscal year are forecasted based on year to date.

Table 17: Actual human resources for core responsibilities and internal services
Core responsibilities and internal services 2023-24 Actual full-time equivalents 2024-25 Actual full-time equivalents 2025-26 Forecasted full-time equivalents
Health promotion and chronic disease prevention

675

653

505

Infectious disease prevention and control

2,096

2,015

1,402

Health security

804

747

564

Subtotal

3,575

3,415

2,471

Internal services

616

620

511

Total

4,191

4,035

2,982

Table 18: Human resources planning summary for core responsibilities and internal services

Table 18 shows information on human resources, in full-time equivalents, for each of PHAC's core responsibilities and for its internal services planned for the next three years.

Table 18: Human resources planning summary for core responsibilities and internal services
Core responsibilities and internal services 2026-27 Planned full-time equivalents 2027-28 Planned full-time equivalents 2028-29 Planned full-time equivalents
Health promotion and chronic disease prevention

489

491

477

Infectious disease prevention and control

1,326

968

955

Health security

584

341

324

Subtotal

2,399

1,800

1,756

Internal services

455

360

358

Total

2,854

2,160

2,114

Supplementary information tables

The following supplementary information tables are available on PHAC's website:

Information on PHAC's departmental sustainable development strategy can be found on PHAC's website.

Federal tax expenditures

PHAC's Departmental Plan does not include information on tax expenditures.

The tax system can be used to achieve public policy objectives through the application of special measures such as low tax rates, exemptions, deductions, deferrals and credits. The Department of Finance Canada publishes cost estimates and projections for these measures each year in the Report on Federal Tax Expenditures.

This report also provides detailed background information on tax expenditures, including descriptions, objectives, historical information and references to related federal spending programs as well as evaluations and GBA Plus of tax expenditures.

Corporate information

Definitions

Footnotes

Footnote 1

Gender-based analysis plus (GBA Plus) is a Government of Canada Priority, and is required for government decision-making and evaluation processes. The term "GBA Plus" is used throughout the Government of Canada, while the Health Portfolio uses the term "SGBA Plus" to emphasize the fact that differences between women, men and gender-diverse individuals can be biological (sex related) and/or socio-cultural (gender related).

Return to footnote 1 referrer

Footnote 2

Containment Level 4 is the highest level of biosafety, requiring a self-contained facility with specialized equipment and the maximum level of operational practices.

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Footnote 3

A new program inventory indicator added in 2026–27 captures the percentage of respondents from key populations who reported the adoption of evidence-based HIV, hepatitis C, or related STBBI prevention measures or harm reduction strategies. As this is a new indicator, a benchmark from Year 1 (2022–23) performance data from projects funded under the 2022-2027 CAF and HRF cycle is used to identify the target (70%) and the baseline (70%), reflecting our aim to sustain positive momentum observed after the first year of funding.

Return to footnote 3 referrer

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2026-03-13