March 25, 2020
Serious Concerns of Frontline Workers
in Ontario
The Danger of Suspending Health Workers'
Contracts
![](../images2020/WorkersEconomy/Slogans/110302.buf.wis.sol.034crop3.jpg) ![](../images2020/WorkersEconomy/Slogans/100501-HamiltonMayDay-09cr2.jpg) ![](../images2020/WorkersEconomy/Slogans/160601-Toronto-OntarioInjuredWorkersDay-13cr5.jpg)
• Nurses Demand
Collaboration on Redeployment During COVID-19
• Seventy Per Cent of
Hospital Staff Dissatisfied with Government's
Protective Measures - Ontario
Council of Hospital Unions/CUPE
Proposals Which Deserve Consideration
• Transform
Provincially-Owned Casinos into Reserves for
Health Care - Enver Villamizar
• City of Niagara
Falls Mayor Calls for Support for Health Care
Workers
Serious Concerns of Frontline
Workers in Ontario
The Danger of Suspending Health Workers'
Contracts
On March 21, the Ontario government announced
it would use its emergency powers to override
hospital staff's contracts and issued an
emergency order giving hospitals the power to
reassign, change shifts, cancel leaves and
vacations, have contractors brought in to
supplement the workforce and have volunteers and
non-bargaining unit people do bargaining unit
work. On March 23, a similar order was issued
for long-term care. The orders last for 14 days
and can be renewed for a further 14 days and
then would have to be passed into law to remain
in effect.
Pointing out that under Ontario labour law,
hospital workers have very limited rights to
refuse unsafe work and do not have the legal
right to strike as other workers do, the Ontario
Council of Hospital Unions of the Canadian Union
of Public Employees (OCHU/CUPE) said in a press
release:
“It is profoundly unfair to a dedicated mostly
female hospital workforce who due to the lack of
protective masks, face shields and other
equipment are already in harms way and greater
risk of COVID-19 infection that the Ontario
government gives itself broad powers to take
away their workplace rights,” says Michael
Hurley president of the Ontario Council of
Hospital Unions (OCHU/CUPE).
"But if our
members are willing to sacrifice themselves to
provide high quality care, they deserve to be
consulted about what changes are needed in the
workplace to accommodate the emergency, and they
have not been. The government order is
unnecessary, disrespectful and coercive," Hurley
said.
"Why is the female dominated hospital
workforce, who have stepped up to deliver high
quality care with limited resources and some of
whom are already falling ill from COVID-19,
treated so badly by this government?" asks
Hurley. "First the Ontario government fails to
order enough masks, face shields and gloves,
then it waters down its standard for protection
for health care staff to suit its supply
shortage and then it gives itself broad powers
to take away many of their workplace rights
without a word of consultation."
Hurley is reminding the government that
despite the extraordinary time for Ontario and
globally there has been no difficulty
transferring staff from closed day clinics and
outpatient surgeries to screening centres and to
other services.
"We would certainly help to overcome any such
problem. Hospital workers have been there and
will be there for the people of Ontario as the
pandemic intensifies. We can be counted on,"
Hurley says. "But if our members are willing to
sacrifice themselves to provide high quality
care, they deserve to be consulted about what
changes are needed in the workplace to
accommodate the emergency, and they have not
been. The government order is unnecessary,
disrespectful and coercive."
Hurley is urging the government to use its
emergency powers to order Ontario industry to
produce masks and ventilators, which are in
short supply. Both will be needed to protect the
health care workforce from infection and the
sickest of COVID-19 patients.
"Our members want to focus on care, and they
do not want to be distracted from that. We need
the government to ensure that this order expires
as scheduled. An extension would be very
problematic."
OCHU/CUPE’s 40,000 members work at 120 sites of
more than 60 hospitals in Ontario.
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Nurses Demand Collaboration on Redeployment
During COVID-19
The Ontario Nurses'
Association (ONA) represents more than 68,000
registered nurses and health care
professionals in Ontario, as well as 18,000
nursing student affiliates, providing care in
hospitals, long-term care facilities, public
health, the community, clinics and industry.
In a press
release dated March 22, ONA is demanding that
health care employers work with
them should it become necessary, during the
COVID-19 pandemic, to redeploy nurses and
other health care professionals to other sites
and locations within the same employer. The
press release was written in response to the
Minister of Health's order released the day
before
which gives hospitals free rein to suspend
certain provisions of their collective
agreements. It
allows them to cancel and postpone services and
redeploy health care workers, change their
assignments and work schedules, replace
unionized workers with contractors, defer or
cancel
vacations, absences or other leaves, and
unilaterally change other working conditions.
"Registered nurses and health care workers know
how to pull together during a crisis and
under intense pressure. We have had lots of
practice, including during SARS," writes ONA
President Vicki McKenna, RN. "We know that we
are in a crisis and remain committed to
caring for patients. If not done carefully and
thoughtfully, any redeployment of nurses and
health care professionals could put both
patients and frontline nurses at risk."
The ONA is also reminding health care employers
as well as the Ontario government that
they must take into account the fact that most
nurses are women who have to balance work
and other responsibilities, including child
care, every day.
The ONA also points out that "It must be a
priority to keep nurses and health care workers
safe and ensure that redeployment is carried out
as smoothly as possible -- with as little risk
to our patients as possible. We are not a
barrier to a well-coordinated and appropriate
response to the pandemic, we are part of the
solution."
The President of the ONA also informs that the
union is going to meet with the Ontario
Hospital Association and will urge health care
employers across the province to work with the
ONA and its local leaders as the province faces
down the pandemic.
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Seventy Per Cent of Hospital Staff
Dissatisfied with Government's Protective
Measures
- Ontario Council of Hospital
Unions/CUPE -
More than 2,400 hospital staff took part in an
urgent Ontario-wide conference call on March 21
sponsored by the Ontario Council of Hospital
Unions (OCHU) focused on the impact of COVID-19
on them as they care for the sick.
Throughout the information-based call, several
key questions were posed to the hospital
workers. When asked if they believed that the
Ontario government has taken all the necessary
steps to protect their safety and that of the
people they care for at work, only 30 per cent
said yes. Asked if they had the personal
protective equipment (PPE) to keep them and the
people they care for safe at work, 77 per cent
answered, no.
"We need health
care workers to be as protected as they can be
from being infected from Coronavirus so that
they can continue to care for the sick," says
OCHU president Michael Hurley. "The position of
the Ontario government puts health care staff at
risk because it downplays the possibility that
the virus is airborne. We lived this same
nightmare during SARS, when the authorities told
us that virus was not airborne and were proved
wrong, but only after many Ontario health care
staff had fallen sick and a number had died. We
won't repeat that experience if we can help it."
China's rate of infection of health care staff
is just over 3 per cent. There, health care
staff wore full-body protective gear, including
goggles, complete head coverings, N95
particle-filtering masks, and hazmat-style
suits. In Italy, which follows a protocol like
Ontario's, the infection rate among health care
staff is over eight per cent.
Eighty-one per cent of the 2,400 hospital
staff on the call said they are suffering from
stress, anxiety, depression and insomnia due to
the COVID-19 pandemic.
OCHU is the hospital division of the Canadian
Union of Public Employees (CUPE) which in
Ontario represents about 45,000 hospital nurses,
cleaners, dietary, trades workers,
administrative and ward clerks. An alliance of
unions (including OCHU/CUPE) representing
250,000 health care staff in the province,
recently urged the provincial government not to
dilute guidelines on PPE for health care on the
basis that there is a supply shortage.
"Staff who are screening or coming into
proximity of suspected or confirmed COVID-19
patients, should be given full protective
equipment, including N95 masks. Now, as JAMA,
the Lancet and other respected medical journals
and voices call for health care staff to treat
this virus as if it could be airborne, we are
asking for the ability to meet that standard and
to protect ourselves, so that we can continue to
provide care for the people of Ontario," says
Hurley.
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Proposals
Which Deserve Consideration
Transform Provincially-Owned Casinos into
Reserves for Health Care
- Enver Villamizar -
One proposal that is being made to expand the
health care capacity to respond to the COVID-19
pandemic is for casino operations and hotels
that are now shuttered to be transformed into
field hospitals or quarantine facilities for
health care workers. In Ontario for example, the
Ontario government through the Ontario Lottery
and Gaming corporation owns three casinos which
have hotel capacity. There is interest from
workers who work in the casinos and their union
as well as some locally elected officials in
cities such as Windsor and Niagara Falls. The
proposal should be taken seriously. Such a move
could add a total of 1,052 beds, providing a
reserve.
The casinos in Ontario that currently have
hotels and the number of rooms in each are:
Caesars Windsor: 389 rooms in Forum
Tower and 369 rooms in Augustus Tower
Casino Rama, Orillia: 289 rooms
Niagara Fallsview Casino Resort: 374
rooms
![](../images2020/HealthCare/File/Casino_Windsor_hotel_towers-Wikipedia-crop.jpg)
Caesars Windsor (Wikipedia)
Great Blue Heron Casino in Port Perry is
currently building an expansion, including a
100-room hotel for July 2020 (that could be
shifted to be used for medical purposes).
The workers who work in these casinos have been
laid off but could be reorganized and trained to
prepare the casinos for the possibility of being
used as reserve health care facilities. The
workers who normally work in these casinos know
them best and how to clean them. They could work
with relevant professionals in sanitation to
ensure that they are up to standards required
for the new purpose. This would first and
foremost mean intense cleaning to begin with and
covering carpeted rooms with a different surface
to prevent storage of pathogens. Using plywood
covered by proper materials could permit such a
shift.
In the case of Caesars Windsor, it has two
towers which are separated spatially and would
be an ideal setup for health care workers to be
housed, with patients infected with COVID-19 who
need monitoring but not intensive care in
separate facilities. The casinos have full side
kitchens, conference facilities and cleaning
facilities.
Approximately half of the nurses in Windsor and
Essex County work in Michigan across the border.
On March 25, Michigan had the fifth highest
number of confirmed cases of COVID-19 in the
U.S. at 2,295. Of these, 705 were in Detroit,
where the bulk of the Canadian nurses work.
These nurses as well as other health care
professionals are currently going back and forth
across the border on a daily basis and should
have lodging separate from their families so
they do not pass the virus to them should they
become infected. Such a reserve of capacity
could support both the Canadian and U.S. working
class and people and deserves serious
consideration. The U.S. which relies on the
nurses and others to work under difficult
conditions in their hospitals should pay for
providing places for them to stay during the
pandemic to help keep them and others safe and
prevent unnecessary transmission of the virus.
In Windsor there are two schools of nursing, one
at the University of Windsor and the other at
St. Clair College. The city also has degree and
diploma programs in medical laboratory science
and a school of medicine. The human resources
exist to make this proposal a reality. It could
then be rolled out as a model for other casinos
across Canada to be repurposed. Where there is a
will, there is a way! The working people in
these communities should seriously consider this
proposal and work out how it can be made to
happen.
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City of Niagara Falls Mayor Calls for
Support for Health Care Workers
On March 22, the St. Catharines Standard
reported that Niagara Falls Mayor Jim Diodati
said, "Health care workers who may, through
their job, be exposed to COVID-19, don't want to
go back to their families and risk infection,
So, if they can live temporarily in isolation in
a hotel room, I think it's a safer approach to
protecting our health care workers and their
families." Diodati said the public health
department and the Niagara Health hospitals
system is evaluating a number of hotel
properties to determine if the suggestion is
viable. He said hotels could also play a role in
fighting the pandemic by, if needed, becoming
makeshift field hospitals. "We have to prepare
for anything and everything," he said. "We can
be proactive. In the event we need a field
hospital, we don't need to build a hospital like
they did in Wuhan. We have a bunch of hotels
that are sitting empty. I thought it was really
generous of the hotels to want to be part of the
solution."
Oakes Hotel is one of the properties offering
to help. "What may not be known to people is the
province has the right to commandeer hotels in
times of crises," said Doug Birrell, Chief
Executive Officer at Oakes Hotel and Executive
Director of the Niagara Falls, Canada Hotel
Association.
"They can do it, we're just making it easier
for them. I think all of the major properties
have embraced the idea."
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