Canada’s health and long-term care industries are bracing for staff shortages and layoffs, as deadlines for vaccine mandates loom across the country, with unions pushing federal and provincial governments to soften hard-line stances.
For hospitals and nursing homes, a shortage of workers would strain the already overburdened workforce dealing with nearly two years of the pandemic. The uncertainty sparked by vaccine mandates underscores the challenges on the road to recovery.
Devon Greyson, assistant professor of public health at the University of British Columbia, said officials are steering into uncharted waters with mass vaccine mandates, and it’s not clear how workers will respond.
“A shortage of workers can mean people’s health and well being. It’s scary,” Greyson said.
However, he added, “we’re in an ethical situation where it’s also scary not to ensure that all health workers are vaccinated. So it’s a bit of a Catch-22.”
To tackle staff scarcity, at least one province is offering signing bonuses to nurses. Provinces including Quebec and British Columbia have made it mandatory for healthcare workers and nursing staff to be vaccinated to continue working in their respective fields.
Prime Minister Justin Trudeau also unveiled one of the strictest vaccine mandates in the world last week, saying unvaccinated federal employees will be sent on unpaid leave and making COVID-19 shots mandatory for air, train and ship passengers.
Layoffs have are started to hit, with one hospital in southern Ontario last week dumping 57 employees, representing 2.5% of staff, after its vaccine mandate came into effect. A long-term care home in Toronto put 36% of its staff on unpaid leave after they refused to get vaccinated, the Canadian Broadcasting Corp reported.
British Columbia will place staff at its long-term care and assisted living sector on unpaid administrative leave if they fail to get at least one shot by Monday.
Some 97% of long-term care staff in Vancouver and the surrounding areas have at least one dose as of Oct. 6, the province said. But northern B.C. has only 89% of staff with at least one dose, although the data was still being updated.
The province recently changed the deadline, giving more time for people to receive their second vaccine dose. “It is because we know we have a very limited healthcare resource,” Dr. Bonnie Henry, the province’s medical officer, said.
‘POLITICAL’ DECISION
Quebec is offering C$15,000 bonuses to help attract and retain about 4,300 full-time nurses. Some 25,000 healthcare workers who are yet not fully vaccinated ahead of an Oct. 15 deadline risk suspension without pay, said Christian Dubé, the province’s health minister.
Some 97% of all staff in University Health Network, which operates medical facilities in and around Toronto, Ontario, has been vaccinated ahead of Oct. 22, with efforts underway to find backup for the remaining.
Daniel Lublin, a Toronto-based employment lawyer, called the mandates “very political” and based on the majority view that vaccines are good. “The fallout is that it’s another segment of the Canadian workforce that is going to be faced with job loss if they choose not to vaccinate.”
The Public Service Alliance of Canada (PSAC), which represents 215,000 federal workers, said while the union supports the government’s vaccination stance, its members who do not get inoculated should not be punished.
“Especially when remote work options are available that do not jeopardize the health and safety of co-workers and allow our members to continue to serve Canadians,” said Chris Aylward, PSAC president.
Treasury Board, which oversees the public administration, is engaged with PSAC and other labor representatives about the implementation of the mandate, a government source said.
Louis Hugo Francescutti, an emergency room physician in Edmonton, said he worked with several people who were continuing to refuse vaccination, even though it would cost them their jobs when the mandate takes effect on Oct. 31.
Alberta has one of the lowest vaccination rates in Canada, and its hospitals have been overwhelmed by the fourth wave.
“We’re so under the water right now that losing a couple of people who don’t want to get vaccinated – it’s going to be sad (but) the impact will be minimal,” Francescutti said.
(Reporting by Moira Warburton in Vancouver,; Additional reporting by Allison Lampert in Montreal, Steve Scherer and Julie Gordon in Ottawa; Editing by Denny Thomas and Chizu Nomiyama)
HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.
The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.
Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.
“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”
The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.
A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.
Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.
“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.
Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.
The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.
“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.
This report by The Canadian Press was first published Sept. 11, 2024.
ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.
Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.
Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.
Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.
The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.
“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.
Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.
Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.
Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.
A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.
This report by The Canadian Press was first published Sept. 10, 2024.
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