Letter to Premier on Paid Sick Days, Coronavirus & Influenza

Add your name to this open letter from Ontario health providers (scroll down to sign). If you have any questions, please contact [email protected]. --

February 4, 2020

To: Doug Ford, Premier of Ontario
Christine Elliott, Deputy Premier and Minister of Health
Monte McNaughton, Minister of Labour, Training and Skills Development

Cc: Dr. David Williams, Provincial Chief Medical Officer of Health
Dr. Theresa Tam, Chief Public Health Officer of Canada
Dr. Eileen De Villa, Medical Officer of Health Toronto Public Health
Dr. Gary Garber, Medical Director, Infection Prevention and Control
Sandra Callery, Director, Infection Prevention and Control, Public Health Ontario
MPP Peggy Sattler, Employment Standards Opposition Critic
MPP France Gélinas, Health Care Opposition Critic
MPP Michael Coteau, Labour Critic
MPP John Fraser, Health and Long-Term Care Critic
Patty Hajdu, Minister of Health for Canada

Subject: Workers unable to follow Coronavirus health advice because of Ford’s labour laws

Dear Premier Doug Ford, Minister Christine Elliott and Minister Monte McNaughton:

On January 27, 2020 public health officials confirmed the first case of the novel coronavirus in Toronto. There is a second presumptive case. Public Health officials recommend that if you have mild cold-like symptoms, you should stay home while sick, avoid close contact to help protect others, and practice routine hand washing and disinfecting surfaces.

In fact, for many infectious conditions, like gastroenteritis and the yearly flu, the advice is almost identical. However, recent labour law changes under the Ford government mean that workers cannot follow this advice. In 2019, the provincial government rolled back paid sick day policies directly impacting the health of Ontarians. These policies have:

• Reduced job-protected Personal Emergency Leave (PEL) from 10 to 8 days, with zero paid sick days.

• Changed job-protected PEL from being flexible to prescriptive and rigid, with 3 days for personal illness, 3 days for a family emergency, and 2 for bereavement.

• Reinstituted a provision that allows employers to require sick notes from health providers when workers access their emergency leave.

Under current legislation, many workers in Ontario cannot follow their health providers’ recommendations to stay at home and rest because it means forgoing their wages. This includes workers in high-risk settings, such as those with food preparation duties, especially the handling of ready-to-eat foods, working in acute care or long-term care facilities, and working with children in childcare.

The medical literature consistently states that employees with no sick leave are more likely to go to work and expose others to infection. Additionally, research shows that workers have no choice but to send their children to school sick because they cannot afford to take unpaid time off or afford childcare. A lack of paid sick days results in children and adults transmitting infections at school and work, exacerbating contagion throughout the province.

A study on the 2009 H1N1 pandemic in the US, a country with no national paid sick day policy, found that 8 million people went to work while infected, spreading the illness to an additional 7 million people.

Evidence shows that paid sick days are a vital measure to decrease the spread of illness and ensure proper recovery. In the context of recent concerns with the novel coronavirus in Ontario, we consider the current provincial labour laws to be a serious threat to the health and safety of Ontarians.

In September 2019, the federal government implemented 5 PEL days for all federally-regulated workers, 3 of which are paid. In Quebec, a similar policy exists, providing workers with 5 days of PEL, 2 of which are paid. Our patients in Ontario must also be able to stay at home and recuperate from new and existing infectious threats. They will be unable to do so unless they have paid sick days.

Employment standards in Ontario provide workers with no paid sick days, only 3 days of job-protected leave for personal illness, and workers can be required to provide a sick note in order to access this leave. These provisions do not meet the health needs of Ontarians and create a direct individual and public health risk to Ontarians. We call on the provincial government to reinstate 10 days of flexible Personal Emergency Leave days, 7 of which need to be paid, and an end to mandatory sick notes.

Sincerely,

1. Kate Hayman, Emergency Physician, MD
2. Jesse McLaren, Emergency Physician, MD
3. Carolina Jimenez, Registered Nurse, MPH
4. Robyn Beckett, Public Health Professional, MPH
5. Hasan Sheikh, Emergency Physician, MD
6. Lyne Hamel, Infant and Child Development Worker, CYW
7. Amy Soberano, Registered Social Worker, MSW, RSW
8. Nicole Nitti, Family/emergency physician, MD, CCFP
9. Amber Brown, Nurse, RPN
10. Sue Hranilovic, NP-PHC
11. Gary Bloch, Family Physician, MD CCFP
12. Anya Archer, Public Health Professional, MPH
13. Susan Burgess, Primary Care Nurse, RN
14. Joey Lee, Registered Nurse, RN
15. Jessica Arteaga, Registered Nurse, RN
16. Ahmed Bayoumi, Physician, MD MSc FRCPC
17. Alice Gauntley, Research Assistant, MPH
18. Susan Rosenthal, Physician, MD
19. Leslie Solomonian, Doctor of Naturopathic Medicine, ND
20. Michael Dyer, Personal Support Worker, PSW
21. Rosalyn Haffenden, Public Health Nurse, RN
22. Nancy Zhang, Resident Physician, MD
23. Eden Wright, Registered Nurse
24. Madeline McDonald, Medical Student, MSc
25. Danyaal Raza, Family Physician, MD, MPH
26. Donald Cole, Occupational, Environmental and Public Health Medicine Consultant, MD, FRCP(C)
27. Arianna Livadas, Clinical Assistant, MLA/T
28. Cheryl Eadie, Registered Social Worker, MSW RSW
29. Jody Smith, Registered Nurse, RN
30. Julia Barnett, Manager of Urban Health and CTS
31. Emily Bellicoso, Medical Student, BSc Honours
32. Chelsea Gagne, Client Support Worker, BA RSSW
33. Sandra Rivas, Nursing Aid
34. Philip Sweeney, Peer Mentor
35. Lucy Manchester, Family physician, MD
36. Patricia Swick, Social Worker, MSW
37. Peter Saczkowski, Paramedic
38. Bernard Ho, Family Medicine Resident, MD
39. Caryn Green, Family Physician, MD CCFP
40. Alexander Glover, Emergency Physician, MB BCh BAO
41. Cheryl Eadie, Registered Social Worker, MSW RSW
42. Shobana Ananth, Emergency Physician, MD
43. Jesse Bauman, Medical student, BASC, MA
44. Ricky Rodrigues, Research Operations & Access Officer, MSW, RSW
45. Faiza Majeed, Family physician, MD
46. Bryna Levitin, Physician, MDCM, FRCPC
47. Sabrina La Tona, Social Worker
48. Sarah Follett, Family Physician, MD, CCFP
49. Arianne Di Nardo, Herbalist
50. Amanda Whitten, Family Physician, MD CCFP
51. Alissa Tedesco, Palliative Care Physician, MD
52. Sarah Stonehocker, Emergency Physician, MD
53. Melanie Spence, RN
54. Trevor Morey, Physician, MD
55. Jessica Gilbert, Registered Social Worker, MSW, RSW
56. Mariah Hughes, Resident Physician, MD
57. Michaela Beder, Psychiatrist, MD
58. Jennifer Hulme, Emergency Physician, MD, MPH
59. Hayeong Rho, Medical Student
60. Terri-lynn Langdon, Social Worker, MSW, RSW
61. Jasmine Waslowski, Medical Student
62. Giuliana Guarna, Resident Physician, MD
63. Susannah McGeachy, Nurse practitioner, NP-PHC
64. Llijah Pearce, Registered Nurse, RN
65. Edward Xie, Physician
66. Daniel Bierstone, Paediatrics Resident, MD
67. Natalie Munn, Family Physician, MD
68. Jordan Mak, Registered Dietitian, RD
69. Jonathon Herriot, Family Physician, MD, CCFP, BSc, AAHIVS
70. Anne Egger, Nurse Practitioner , RNEC
71. Nisha Kansal, Medical Student, MD Candidate
72. Ankur Chhabra, Public Health Professional, MPH
73. Michael Kruse, Paramedic, MD Candidate 2020, AEMCA, ACP
74. Daniela Graziano, Registered Nurse, RN
75. Victoria Pho, Family Physician, MD
76. Lauren Rodzynek, Paramedic ACP
77. Sehjal Bhargava, Medical Student
78. Kim Hebert, Occupational Therapist, OTReg(Ont)
79. Bev Leaver, Social Worker, MSW
80. M. Karin Ng, Registered Dietitian, MHSc, RD
81. Lindsay Coutts, MEd Psychotherapy Student
82. Christopher Draenos, Registered Nurse, RN
83. Vicki Mcgregor, Registered Nurse, RN
84. Jill Macdonald, Social Worker, MSW
85. Jeremiah Villanueva, Primary Care Paramedic
86. Josiah Osagie, Resident Physician, MD
87. Agatha Vanek, Paramedic
88. Allison Rason, Primary Care Paramedic, A-EMCA, PCP
89. Stephanie Sarmiento, Registered Nurse, RN
90. Angela Musitano, Personal Support Worker
91. Lesley Williams, Personal Support Worker
92. Amanda Walsh, Public Health Nurse, RN
93. Yue Dong, Medical Student, MSc
94. Judy Stanley, Registered Nurse, RN BSCN MN
95. Kelly Whiteway, Paramedic
96. Najib Safieddine, Surgeon MD
97. Fatemah Habib, Medical Student, PhD
98. Rui Pires, HIV Worker, BAH
99. Lily Rico, Paramedic
100. Steve Thuraisingham, Paramedic, ACP
101. Sarah Giles, Emergency and Family Physician, MD
102. Mostafa Atri, Radiologist, MD
103. Ushma Purohit, Medical Student
104. Crystal Chan, Occupational Therapist, OT Reg. (Ont.)
105. Imaan Javeed, Medical Student
106. Flavia Federico, BSO
107. Janine Moloney, Physician Assistant, CCPA
108. Poonam Dhir, Mental Health Counselor, RP, CCC
109. Katherine Grzejszczak, Advanced Care Paramedic
110. Diana Whellams, Medical Microbiologist, MD
111. Alison Charlebois, Family Physician, MD
112. Martin Otarola, Front-Line Shelter Worker
113. Lesley Barron, General Surgeon, MD
114. Vincent Tang, Medical Student
115. Jo Bayes, Registered Nurse PACU/ED, RN
116. Nicole Nitti, Family/Emergency physician, MD CCFP
117. Katrina Hui, Resident Physician, MD, MS
118. Simone Smith, Personal Support Worker, PSW
119. Bonnie Peake, Respiratory Therapist, RRT
120. Maeve Freeman-McIntyre, Outpost Nurse, RN
121. Allison Ouellette Family Medicine Resident, MD
122. Sarah Reynolds, Mental Health Nurse, RN
123. Mallory Cochrane, Family Service Worker, SR
124. Ritika Goel, Family Physician, MD, MPH, CCFP
125. Steve Oldridge, Family Physician, MD FCFP
126. Joyce Rankin, Registered Nurse, RN
127. Benjamin Langer, Family Doctor, MD CCFP
128. Maureen Jamieson, Registered Dental Hygienist, RDH
129. Joanne Diamond-Hayes, Dental Assistant Treatment Coordinator
130. Alyse Schacter, MD
131. Amy Connolly, Registered Social Worker, MSW, RSW
132. Lisa Nussey, Midwife, RM
133. Margaret Hess, Resident Doctor, MD
134. Britt Harrison, Family Physician, CCFP
135. Maxwell Tran, Medical Student
136. Jackie Bellaire, Family Physician, MD
137. Ann Duggan, Family Physician, MD
138. Kathy Hardill, Primary Care Nurse Practitioner, NP
139. Claire Slavin-Stewart, Medical resident, MD
140. Betty Hum, Family Doctor, MD, CCFP
141. Eleanor Colledge, Family Physician, MD
142. Simran Dhunna, Public Health Professional, MPH
143. Marie-Josee Klett, Family Physician, MD
144. Nikhita Singhal, Psychiatry Resident, MD
145. KitShan Lee, Family Physician, MD
146. Eugenie Waters, Family Physician, MD, CCFP
147. Conchita Fonseca, Family Physician, MD
148. Omaima Kobaisy, Family Physician, MD
149. Nimerta Dhami, Registered Midwife, RM
150. Megan Schlorff, Pediatrics Resident, MD
151. Sarah Partridge, Physician
152. Simone Smith, Personal Support Worker, PSW
153. Jennifer Purdy Family Physician, MD
154. Kathy Kortes-Miller, Assistant Professor, MSW, PhD
155. Leonor Separi, Medical Student, BSc
156. Marnie Luck, Naturopathic Doctor, ND
157. Laura Stratton, Family Physician, MD, CCFP
158. Anne Chiarelli, Vision Rehabilitation Therapist, RN