Health committee  If I may, I'll begin. Certainly, I would say that all of those are important aspects. Again, one of the things that's a challenge within Manitoba is that geography-wise we're spread out, and the tendency is for services to be concentrated in the Winnipeg region. We know that we need more and better local services throughout the provinces.

Health committee  Any of the above.

Health committee  As we look at other trends, certainly things move, and I would say that there's a kind of “drug of the day”. We know absolutely that the jurisdictionals don't fit with just the borders. We see movement, and I certainly would see that as a possibility—absolutely.

Health committee  Perhaps I will add something to that. There's something important that we see in Manitoba, and I always like to reiterate this point when we talk about substance use and issues related to that. It's always important to take it to the deeper level and look at underlying causes, such as trauma.

Health committee  Good morning. My name is Ginette Poulin. I am the medical director of the Addictions Foundation of Manitoba. It is a great honour for me to be here to discuss this issue we are currently facing in Manitoba. While we do understand that there are issues with methamphetamine across the nation, certainly in Manitoba we've been seeing significant impacts that have been stressing not only our health care system but our social system and our justice system.