Showing posts with label occupational disease. Show all posts
Showing posts with label occupational disease. Show all posts

Tuesday, August 20, 2024

Last Night at the Strip Club

CBC Gem is airing a short documentary titled Last Night at the Strip Club. The auto-ethnography examines the impact the COVID-19 had on sex worker Andrea Werhun. Werhun was employed as an exotic dancer in the spring of 2020 and had to make some significant changes to her work due to COVID.

There are a couple of reasons to spend 12 minutes on this film. First, first-person discussions of sex work are rare enough that they're worthwhile to watch. They offer a useful counterpoint to more academic work. Stripping, in particular, is something of which I haven't seen a lot of first-person Canadian accounts. 

Second, Werhun is quite articulate about her experiences. The way she adapted to COVID shows a lot of savvy. The documentary predates her recent book Modern Whore: A Memoir, which I haven't yet read (and is apparently to be a film shortly).

-- Bob Barnetson

Thursday, December 14, 2023

Disaster responses, OHS and COVID

One of many tasks of OHS practitioners is to plan organizational responses to disasters. The most common kind of workplace disaster we develop plans for are building fires. In fact, the laws passed in the wake of the Triangle Shirtwaist Fire are some of the earliest forms of OHS regulation.

In planning a response to a fire (hint: get out), it can be useful to know how people respond to rapidly evolving, high-stress, low-frequency events and why they respond that way. Last week, I ran across a 2004 article entitled “Why people freeze in an emergency: Temporal and cognitive constrains on survival responses

Basically, the author looked at the literature, examined disaster inquiry reports, and interviewed a bunch of disaster survivors to verify the existence of freezing behaviour in disasters and quantify it. He concluded:

Responses to unfolding disaster can be divided broadly into three groups.

In the first group, between 10‐15% of people will remain relatively calm. They will be able to collect their thoughts quickly, their awareness of the situation will be intact, and their judgment and reasoning abilities will remain relatively unimpaired. They will be able to assess the situation, make a plan, and act on it.

The second group, comprising approximately 75% of the population, will be stunned and bewildered, showing impaired reasoning and sluggish thinking. They will behave in a reflexive, almost automatic manner.

The third group, comprising 10‐15% of the population, will tend to show a high degree of counterproductive behavior adding to their danger, such as uncontrolled weeping, confusion, screaming, and paralyzing anxiety (Leach, 2004).

This finding is important because, generally speaking, the mechanisms we create to allow people to protect or save themselves in such situations requires them to take immediate and sensible action (e.g., use fire exits, put in a life vest, open an emergency exit on a plane). If only 10-15% of people can be relied upon to do so, then these mechanisms likely won’t achieve their desired result (i.e., nobody dies).

The author attempts to explain maladaptive emergency behaviour by conjecturing that sub-optimal responses are related to our brains’ information-processing limitations. He asserts that, when faced with a novel event, our brain requires time to assess it, develop a plan, and execute it.

Disasters, which are novel and complex and involve significant stress, often unfold too quickly for us to meaningfully react. However, he says, since your brain can select among a pre-existing behaviours much faster than it can design new behaviours, training on how to respond can attenuate this effect. (This is why we do fire drills and why you get a safety briefing before every time a plane takes off.)

The explanation advanced by this article has intuitive appeal (i.e., it sounds plausible on first blush), but the question is whether the explanation is correct. Recall that the conclusion (i.e., brain too slow) is conjecture, rather than the results of any empirical testing. I spent some time looking for evidence that this conjecture was correct and didn’t find much (although this isn’t my field and maybe I looked in the wrong places; I also ran into a bunch of paywalls that I could not get past).

What I found was:
So maybe there is something to the original author’s explanation for this well documented phenomenon but YMMV. An important barrier to proving it is simulating the necessary degree of stress in an experiment.

The reason this article came up in my feed (I think on Bluesky but maybe Twitter) is that someone was likening the three-group typology to explain people’s reactions to Covid. Basically the asserted that the calm, muddled, and counterproductive groups in the 2004 disaster study are analogous to active avoiders, passive avoiders, and minimizers.

This analogy was intuitively appealing, bolstered by the seeming authority of the original study. It is useful, though, to deliberate a bit about whether the disasters that the original article looked at (e.g., a ferry sinking or a plane catching fire) is similar enough to Covid for conjectured explanation to apply. A key difference that jumps almost immediately to mind is the time scale.

Contemporary Covid behaviours are the result of a lengthy process. While Covid is a novel event, the time-scale is not the same as the disasters that the original author explored (where the speed of the disaster may have outpaced decision making).

So, while the proportion of active avoiders, passive avoiders, and minimizers may (or may not) mirror the groupings in the disaster study, the similarities between disasters and Covid are likely superficial and coincidental. Thus, we ought not put much stock in the claim that the 2004 study is in any was applicable or instructive to understanding Covid responses.

-- Bob Barnetson

Tuesday, October 3, 2023

Climate change and safety: treeplanters and wildfire smoke

A few weeks back, the Tyee ran a story on the effect of increasing levels of wildfire smoke on tree planter OHS. This story is interesting because it looks at the effect of climate change on worker safety.

There are several reasons why this particular hazard and worker group are worth examining:
  • Intensity of exposure: Tree planters often work in close proximity to wildfires and their work is physically demanding (increasing respiration and heart rate). Consequently, they are likely to have one of the highest intensities of exposure to wildfire smoke.
  • Duration of exposure: In addition to long working days, most tree planters live in camps (e.g., tents) and lack any respite from the smoke in their off hours. This means these workers have a much longer duration of exposure than, say, a worker who might face dust in the workplace but then go home to clean air at the end of the day.
  • Lack of specific controls or OELs: There are no specific occupational exposure limits (OELs) for wildfire smoke and general OELs for dust were not designed with wildfire smoke (which has very tiny particles) in mind.
  • Latency: Injuries due to inhalation often have long latency periods and murky causality, thus the link between the work exposure and the ill-health can be hard to see.
  • Proxy for nonworkers: The exposures experienced by tree planters can be useful in predicting larger population effects caused by increased wildfire effects (essentially the dangerous working conditions experienced by these workers create a natural experiment).
  • Compliance: PPE slows tree planting work. Tree planters are generally paid on piece-rate basis. This pay structure basically forces tree planters to trade off their own health against their need to earn an adequate income and almost certainly reduces compliance. Contractors also have production targets, which means they too have an incentive to trade worker safety for profit.
A notable take-away from the article is the complete lack of a regulatory response to the risk posed by wildfire smoke. WorkSafeBC acknowledges the risk but can’t be arsed to issue any directives. Alberta’s OHS minister couldn’t even be bothered to respond to the reporter. This likely reflects regulatory capture of regulators by the forestry industry.

By contrast, Oregon and California require air quality monitoring and the availability of respirators when air quality gets to a specific point. This doesn’t mean these controls are adequate, but they are at least something.

-- Bob Barnetson

Thursday, June 1, 2023

Alberta's 2021 Injury and Fatality Report

Alberta released some injury-related reports in April. Here are the highlights from the 2021 Workplace Injury, Illness and Fatality Statistics report:
  • A 12% increase in accepted injury claims (exclusive of COVID claims). 
  • Youth (15-24) continue to have the highest adjusted disabling claim rate (but the lowest fatality rate (likely influenced by the importance in long-latency occupational diseases to overall fatality rates).
  •  There were 135 fatalities accepted by the WCB, including 25 from COVID.
COVID-related claims accepted by the WCB totalled 6814 injuries and 25 deaths. The rules around compensability mean this is a significant undercounting of work-related COVID.

Table 3 (reproduced below) shows a pretty good summary. There was a significant drop in non-COVID injuries in 2020, which likely reflects the drop in employment during COVID (plus the crash in oil prices).
 


It is not clear to me what effect changes in the WCB legislation had on these numbers (I’d need to think a bit more about when the effect of those changes would start to show up).

Controlling for the size of the workforce (the rate per 100 person years worked) we see a drop in the rate of injury. As employment numbers and oil prices bounce back up in 2021, we see numbers and rates start to increase.

-- Bob Barnetson

Wednesday, March 29, 2023

AU’s ergo program symptomatic of organizational dysfunction

Almost 100% of staff at Athabasca University (AU) work from home, at least part of the time. This is up from about 50% prior to COVID. The shift to permanent home offices was partially motivated by the cost savings associated with shifting operating costs (e.g., office space and equipment, utilities) onto workers.

The sudden move to working at home in March of 2020 due to COVID resulted in significant concerns among workers about both the financial and ergonomic implications of home work. Three years later, AU has launched new, online ergonomic training for staff.

Essentially, staff have been told to take online training and figure out how to adjust their home workplaces to be ergonomically adequate by April 30th. A key question is whether AU will fund any necessary purchases to make a home office ergonomically adequate? The answer is, of course, no.

Will there be additional funding to support any needs identified as a result of this assessment?
No. All home-office-based team members have been provided with Home Office Support Funding. This included $1,000 in 2020 and another $1,000 in 2022. Team members will be provided with an additional $800 Evergreening Fund every 6 years.

It was certainly appropriate for AU to respond to shifting operating costs onto workers in 2020 with a small, taxable payment (which might have bought a desk and chair and lamp). The taxable 2022 payment of $1000 (or $800) was negotiated in lieu of a wage increase so was essentially self-funding by workers.

In both cases, that money has already been spent by most workers. For this reason, it is not available to resolve any current ergonomic issues. (This reflects that AU rolled out the training and payment in the wrong order.)

Overall, this initiative is pretty typical of AU:
  • A long-standing problem is addressed belatedly and inadequately.
  • The workers are made responsible for solving the employer’s problem (i.e., unsafe workplaces).
  • The employer gaslights the workers about it, in this case by referencing financial assistance that is only available if you have a time machine.
So what are AU workers likely going to do? Some staff will take the training, either because they are rule followers or because they are being explicitly paid to do so (e.g., tutors). I expect the rest of staff won’t bother to take it or will take it but not implement many of the recommended changes because it will require them to spend their own money to solve an institutional problem.

This program (which is, at least superficially, a good idea) is a microcosm of how AU operates. Essentially, the administration “talks away” problems instead of addressing them and staff learn to tune out or superficially comply. The result is widespread distrust of leaders and staff disengagement.

The aftermath of the 2022 staff engagement survey results (released two weeks ago) pretty much mirrors this. Staff disengagement has been identified as such an issue it was added to the institutional threat register at last week's Board of Governor's meeting. That doesn't mean anything is being done to fix it, though.

Senior executives are heavily messaging that the results are “sobering” but not actually doing anything about it. This is the performative “talking away” of problems that fixes nothing. Staff are, of course, onto this strategy, with only 30% believing senior leaders will do anything, because successive executives have talked away problems for years and years:



Middle managers seem to be taking two approaches to the results. Some are earnestly (I think) asking for staff feedback. This ask is basically flopping because of the long-standing “big bosses who cried wolf” dynamic to problems. For example, in my meeting of people who are basically lead hands, there was just dead silence in response to the ask for feedback. Others middle managers are framing the results as a consequence of inadequate communications.

It is true that gaslighting and victim blaming are communications strategies that are inadequate. But, since this approach has gone on for most of a decade and intensified over time, it is likely this is an intentional strategy, not some sort of oopsie. Last week’s framing of engagement by the HR director as “good” because it encourages staff to work harder is essentially an admission that the employer doesn’t care about staff except as the means to an end.

For staff, disengagement (whether active or passive) is a very sensible response to a traumatizing workplace. The other response I’m seeing is people over-engaging, which is leading to burn out. This is pretty hard to watch, but perhaps some people need to hit rock bottom before they’ll change their behaviour. I know that I did.

-- Bob Barnetson

Tuesday, November 29, 2022

More on COVID and OHS

Back in September, I blogged about how Alberta’s OHS inspectors seemed unwilling to address uncontrolled aerosol hazards in a workplace. My suspicion was that they and public-sector employers were facing political pressure from the government to ignore the risk posed by COVID to workers.

In October, an Alberta court ruled that the Minister of Education’s direction to school boards banning mandatory masking was ultra vires (she would need to enact a regulation). A month later, the UCP cabinet passed a regulation banning masking mandates as well as barring schools from switching to online-only classes. 

At the time this regulation was passed, schools were seeing unprecedented levels of staff and student absenteeism due to illness (due to a combination of COVID, RSV, and influenza—all airborne illnesses). Barring masking and online classes removed two very effective ways employers can control the spread of these diseases and protect workers (and children) from serious (and potentially fatal) illness.

Yesterday, Premier Danielle Smith announced that MLAs are calling organizations that are in receipt of government funding and asking them to rescind mandatory vaccine mandates. (At this point, vaccination provides modest protection against contracting COVID but does a good job attenuating the consequences of getting COVID. This still makes vaccination a useful component of any hazard--control strategy.).

According to CBC, Smith said:
"For instance, the Arctic Winter Games wanted $1.2 million from us to support their effort and they were discriminating against the athletes, telling them they had to be vaccinated," Smith said at a news conference in Edmonton on Monday.

"So we asked them if they would reconsider their vaccination policy in the light of new evidence and they did."
There was no indication what “new evidence” was offered to this organization. And, while no formal policy linking receipt of funding to rescinding vaccine mandates appears to exist (yet), the implicit threat to current and future funding is pretty clear.

At this point, I think the data is clear that public-sector employers have been told to (and, in some cases, legally enjoined from) taking the steps necessary to control occupational diseases. The government is also likely interfering in the enforcement of OHS laws (although the evidence here is more anecdotal). Not surprisingly, the result is a high level of avoidable work-related illness:



The data in the table above understates COVID claims in the public-sector because teachers are, for the most part, outside of the ambit of workers’ compensation legislation in Alberta.

What can workers do? Well, worker can wear masks, although single-person masking is much less effective than group masking. Workers might also get together and agree to group masking in the absence of employer support.

Work-refusal are also an option. But, since OHS seems unwilling to engage with aerosol hazards, refusals are likely to only work if they are carried out by a group that is prepared to risk sanction for engaging in an illegal strike. I see no appetite for supporting this kind of job action in Alberta’s labour movement.

Finally, workers can remember that the UCP was happy to sacrifice their health and their lives (and the health and lives of their children) in order to cater to anti-vax voters and cast their ballot in the next election with that in mind.

-- Bob Barnetson

Friday, October 28, 2022

Alberta KB decision on government edicts prohibiting mandatory masking in workplaces

Recently, I blogged about how the UCP’s changes to joint health and safety committees has basically rendered them ineffective. I used the elimination of masking mandates at Athabasca University (and other PSEs) as an example of how the internal responsibility system and the external responsibility system were failing workers.

Of note was the direction given PSE institutions by the Minister of Advanced Education to drop masking requirements. My position was that the Minister did not have the authority to order institutions to not comply with the OHS Act (which obligates them to take all reasonably practicable steps to protect workers from occupational hazards, such as COVID).

Yesterday, a Court of King’s Bench decision dropped that is relevant. In it, the judge notes that the Minister of Education, who prohibited school boards from requiring mandatory masking, had overstepped her authority. The nub of it was that the Minister needed to issue such direction in the form of a regulation, rather than just make a statement. Absent a regulation, the Education Act empowers school boards to make their own policies.

Presumably, PSE boards of governors would be in the same situation as school boards since section 59 of the Post-Secondary Learning Act (which addresses the power of PSE boards) is very similar to the language in the Education Act. That is to say, boards are not enjoined from implementing mandatory masking (or vaccination) policies simply because the Minister of Advanced Education said so.

If cabinet enacts a regulation (under the Regulations Act) enjoining boards from implementing masking policies, we them to consider whether such a regulation trumps the requirement set out in section 3 of the Occupational Health and Safety Act that boards, as employers, must take all reasonably practicable steps to protect the health and safety of workers. This includes an obligation, under section 9 of the OHS Code to control hazards.

This is all mostly an academic matter for two reasons. 

First, COVID-related policies in Alberta PSEs seem to fall clearly into the “minimizer” camp and decisions about protections are simply left to individuals. Basically, there is no political will among campus administrators to protect workers or students from COVID. 

Individualizing OHS issues (e.g., “you can wear a mask if you like”) ignore that masking is most effective when it is uniformly adopted. This makes intuitive sense: if everyone masks, we have two layers of protection against aerosol transmission versus one layer under the current "wild west" policy approach. This approach also ignores that ventilation (something only an employer can address) can reduce transmission.

Second, as I wrote about in September, Alberta’s OHS officers seem unwilling to engage with the hazard of aerosol transmission. This seems like an enormous dereliction of duty given Alberta’s workplace COVID stats (the screen cap below is from October 28, 2022--note the sectoral distribution of COVID claims...). Clearly COVID is a serious workplace hazard in Alberta. The only sector that seems to still recognize that is health care.



-- Bob Barnetson

Friday, September 2, 2022

Reflections on the efficacy of joint committees during COVID

 As Labour Day rolls around, I’ve been giving some thought to the two-and-half years I spent as a worker rep on Athabasca University’s joint health and safety committee (JHSC). While the employer had long had a JHSC, it was effectively non-functional until the government changed the rules to make JHSCs mandatory (which better empowered the worker reps). 

I say non-functional because workplaces hadn’t been inspected for years, there were dozens and dozens of unidentified and uncontrolled hazards, and staff did not receive basic OHS training (among other deficiencies) The single biggest OHS issue during my time on the committee was, not surprisingly, COVID. 

Early COVID response

When I raised the issue of COVID with the committee in early 2020 (before the pandemic arrived in Alberta), I basically got laughed out of the room by the employer reps and no action was taken. Some worker reps had their union pressure the employer to act (including transitioning to working from home, suspending travel and eliminating the sick note requirement). It also published a blog to alert workers to things they could do in the absence of an institutional response. 

This approach is pretty in keeping with what we know about the most effective tactics worker reps can adopt to get achieve change through JHSCs (which can only make recommendations). The employer basically adopted the union’s recommendations a week later and AU transitioned to working from home.

Transitioning to Working from Home

This transition to working from home was not without its difficulties, including several OHS issues. These included serious ergonomic issues as staff were now working from wherever they could find space in their homes and many were using small laptop computers, sometimes with inadequate internet service. These issues lingered unattended for months. 

There was also a significant workload issue as certain institutional processes were not easily adaptable to online delivery coupled with a huge surge in enrollments. These issues were essentially left to individual staff members to sort out and numerous staff reported very high working hours and rapid burnout.

Workload problems were compounded by the departure of 53 staff (5% or so) who had taken a buyout option, overall heightened stress due to the pandemic disruption (including school and daycare closures), and social isolation. All of these issues were left unattended for long periods of time.

The union continued to work with its members to identify issues the university would need to address when it re-opened. As it happens, AU did not ever return to in-person working and the university used the two-years to slowly advance its plan to eliminate on-site work entirely (including closing two of its course campuses and classifying most of its staff at home-based workers). 

Aerosol spread and hazard protocols

During COVID it became clear that the main method of transmission of the virus was through aerosol spread (although transmission by touching and droplets was also possible). Very loosely speaking, aerosol spread basically means the virus hitches a ride from an infected person to others on water molecules that an infected person exhales. The molecules with the virus can then be inhaled by people in the surrounding area. If you inhale enough of the virus, you too can become infected. This is a bigger issue in enclosed spaces than outdoors because virus-laden molecules typically dissipate faster and further outdoors.

The easiest way to understand aerosol spread is to think of it as farting. When you fart, the smelly particles are initially concentrated near the “farter”. But, overtime, the particles spread throughout the room and everyone can smell it. Simply being 6 feet apart (a common COVID protocol to prevent droplet spread from a sneeze or cough) does not protect from aerosol spread. If Travis “farts” and Stacey is 8 feet away across the room, Stacey is eventually going to smell it, right? Same idea with aerosol spread of COVID. The longer you are in close proximity to someone “farting” COVID, the higher the concentration of the virus-laden molecules, and the greater the risk of contracting COVID.

For this reason, effective hazard-control protocols for COVID include not working in enclosed spaces with other people. No exposure means no risk of transmission. If you are sharing spaces, other controls include enhanced ventilation (to reduce the concentration of the virus in the air) and masking. Masking prevents the virus from getting into the air (concentration is lower). And it also prevents someone from inhaling as many particles (which reduces the risk of catching COVID). Vaccination does not seem to control spread very much with Omnicron (so it is not really an effective control strategy); its primary value seems to be reduced severity of the disease.

Re-opening and COVID protocols

In September of 2021, government changes that gutted the effectiveness of JHSCs came into effect. You could literally see the energy go out of the JHSC as the tools the worker members used to keep the employer attentive to its OHS obligations effectively disappeared (e.g., there is no longer any requirement for workplace inspections).

In February of 2022, Minister of Advanced Education Demetrios Nicolaides directed all PSEs to end masking and vaccination protections. Directing post-secondary institutions to end mandatory masking eliminated one of the most effective controls on COVID transmission and placed post-secondary workers at risk of COVID. It also forced institutions to violate the OHS Act because they were no longer controlling workers’ exposure to COVID to the degree reasonably practicable. The Minister of Advanced Education has no authority to direct PSEs to act in this way or to waive the OHS obligations.

In May of 2022, Athabasca University altered its COVID protocols (presumably in response to the Minister’s direction). While most staff were expected to continue working from home due to the danger of infection, those staff who were on campus were no longer required to wear masks. This announcement basically says “it is too dangerous for you to come to work but, if you are onsite, don’t worry about wearing a mask”. This contradiction was so stark and evident that staff openly mocked it. It also dramatically increased the risk of aerosol transmission of COVID in the workplace.

The university’s Joint Health and Safety Committee was not consulted about this change. A review of Athabasca University’s hazard assessment revealed no consideration of aerosol transmission or controls. When this was brought to the university’s attention with a request to reinstate masking on campus, these concerns were dismissed and COVID control were further relaxed!

OHS Complaint and Inaction

Canada’s OHS system makes workers and employers jointly responsible for identifying and controlling hazards (the internal responsibility system). When this system fails, workers can file a complaint with government OHS inspectors (the external responsibility system). The existence of government oversight reflects that disputes about hazard identification and control can arise, sometimes via an innocent error and sometimes via a deliberate decision by the employer.

As worker co-chair, I filed an OHS complaint about the lack of controls around the aerosol spread of COVID (this is is how the system works). OHS investigated (without any discussion with workers) and declined to take action. 

When I finally got to speak with the officer to find out what she’d decided (because there is no report-back system and you have to say certain magical words to get the officer to call you back), her explanation of inaction was:
  1. The employer did not identify aerosol spread on its hazard assessment and she could not force them to add it on, and
  2. She could not direct the employer to implement masking (which was explicitly noted in my complaint was NOT my request—I just wanted direction to the employer to develop a control strategy) in the absence of direction by the Chief Medical Officer of Health (CMOH). 
She also noted that she did not see many workers sharing spaces and that they were seated six feet apart. The OHS officer’s explanation for her inaction was defective in a number of ways:
  1. An employer cannot evade controlling a hazard simply by leaving it off a hazard assessment. Allowing this kind of evasion opens the door to employers ignoring all hazards by simply leaving them off the hazard assessment (like come on!). The OHS officer could well have identified the hazard the employer missed and directed the employer to develop a control strategy (which was my explicit request).
  2. The presence or absence of masking guidelines by the CMOH does not limit the ability of OHS officers to direct employer to develop a control strategy for a hazard. Masking is the obvious control, but the employer could also have improved ventilation or prohibited shared spaces. What is likely going on here is that OHS officers have been directed (or perceive themselves to be directed) not to require employers to implement control for the aerosol spread of COVID because of the government’s decision to let’er rip.
  3. The assertion that being six feet apart was an adequate control confuses controls for droplet spread with controls for aerosol spread. I could not have been clearer about this in my complaint. This raises questions about competence in my view.
  4. The absence of many workers working in close proximity is basically saying “well, not too many workers are at risk…”. The OHS Act and Code does not contain a threshold of injury or death that is required before an employer must take action.
The upshot is that both the internal and external enforcement system failed. There is no appeal of the OHS decisions available because workers can only appeal an order, not the absence of an order. About the only bright spot here was that AU was intent on keeping staff off campus while it completed its transition to a near virtual working environment (i.e., 95% of staff working from home full time).

Surprise Re-opening
Over the summer of 2022, AU embroiled itself in a stupid and public fight with the provincial government of AU’s long-pterm efforts to reduce the number of jobs in the local community. As a part of AU’s efforts to resolve this dispute (which imperiled institutional funding), AU announced on August 30 that the remaining two campuses would be open effective September 6. 

As part of the surprise re-opening announcement, new COVID protocols were announced. Basically, they amount to extra cleaning (to address touch spread) and staying home when sick, which is ineffective since (1) COVID carriers are contagious before being symptomatic, and (2) many COVID carriers are asymptomatic. There are no controls for droplet or aerosol spread. Staff are allowed to voluntarily wear masks if they want:
AU no longer mandates wearing masks unless a hazard assessment dictates one is needed; however, we support you wearing a mask if you want to.
This approach individualizes responsibility for preventing the spread of COVID. It is just straight-up negligent because of the lack of droplet and aerosol controls. But the absence of any will by the government to enforce the OHS law means the employer can basically do whatever it wants.

Staff have little recourse except to (1) wear their own mask (the efficacy of which will be reduced because masking works best when everyone does it) or (2) try to avoid working on site if possible. Work refusals are unlikely to be effective since OHS has already refused to address aerosol spread and workers can choose to wear their own mask.

The only real option is for one of AU’s unions to file a grievance that AU is failing to address its obligation to provide a safe and healthy workplace under the OHS Act. That will take literally years to reach resolution and AU will likely use the OHS officer’s decision not to issue an order and a defence. Another option is for the unions to organize some kind of illegal walk out (an outcome that I judge to be unlikely).

Upshot

The recent changes to the OHS Act and Code have rendered JHSCs largely useless (which was likely the intent). The government’s political decision to eliminate COVID protections have also rendered the external OHS system ineffective. Together, these factors will create a significant amount of unnecessary ill health (potentially with lifelong consequences). As an OHS researcher and practitioner, I gotta say, this just makes me despair and very happy that I'm close to retirement.

-- Bob Barnetson

Monday, May 9, 2022

2020 national work-related fatality and injury stats

Sean Tucker and Anya Keefe from the University of Regina have released their annual report on workplace fatalities and injuries. This year’s report rolls up the 2020 data but also includes a section on COVID-related injuries and fatalities from 2020 and 2021.

The nub of the report is that, nationally in 2020:
  • There were 924 accepted WCB claims for fatalities, with about two-thirds being caused by occupationally-related diseases.
  • There were also 254,000 accepted claims for lost-time injuries.
Specific to Alberta in 2020:
  • Among provinces, Alberta had the second highest five-year average injury fatality rate, although there was a slight decline noted in 2020’s injury fatality rate.
  • Among provinces, Alberta had the third highest five-year average disease fatality rate, although there was an increase noted in 2020’s disease fatality rate.
  • Among provinces, Alberta had one of the lowest five-year average lost-time claim rates, although there was a slight increase noted in 2020’s lost-time claim rate.
I have nicked the relevant graphs from the report:

Looking at COVID claims:

Alberta had the second highest number of COVID-related fatality claims accepted (31) in 2021.
  • Alberta had the third highest level of COVID-related injury claims accepted (7846) on 2021. There were 4800 accepted in 2020.
Alberta seems to be performing markedly worse than BC (despite BC’s slightly higher population). That said, it is a bit hard to know what to make of COVID claims data at this point because they may be affected by WCB policies as much as anything else.

-- Bob Barnetson



Thursday, March 31, 2022

Alternative-causation arguments effective at sowing doubt

One strategy that manufacturers and employers use to delay the regulation of and liability for harmful substances is to make alternative-causation arguments. Basically, they say that the apparent effects caused by a harmful substance or process are actually the result of something else.

The journal Population Health has an interesting article examining the efficacy of alternative causation arguments on individual uncertainty or false certainty about the risk associated with products.

The upshot is that individuals exposed to industry-generated alternative causation messaging (that downplay the risk of harm) were more likely than a control group to be uncertain or false certain about the harms of certain products. Individuals with lower levels of knowledge about the topic were more likely to be affected.

The suggests that the alternative causation strategy is an effective one. It is one aspect of a well-established playbook of techniques that manufacturers use to avoid or delay regulating hazardous materials.

-- Bob Barnetson

Tuesday, November 2, 2021

2019 workplace injuries and fatalities report

Sean Tucker and Anya Keefe from the University of Regina have released their annual roll up of Canadian workplace injuries and fatalities using 2019 data. Note that this data is for the pre-COVID period, although there is some preliminary 2020 COVID-claims data included in a separate section.

The nub of the story for Alberta in 2019 (again, pre-COVID) is:
  • Alberta continues to have among the highest per capita injury-related occupational fatality rate, which jumped 9% in 2019 over the previous three-year average. 
  • Alberta also has the highest absolute number of injury-related fatalities despite having only about 10% of Canada’s population. 
  • Alberta has the third highest absolute number of disease-related fatalities. 
  • Alberta’s lost-time claim rate also jumped 11% in 2019 when compared the previous three-year average (the biggest jump in Canada)
Oddly, Alberta just announced changes to its OHS legislation (effective December 1) to weaken its already ineffective injury- and fatality-prevention system. The Alberta data in graphical form is below.



Nationally, there were about 39 accepted COVID-related fatalities and 32,742 accepted COVID-related lost-time claims in 2020. Here is a provincial breakdown.


It is not possible to draw conclusions from this snapshot but tracking and explaining the differences (when you control for population and perhaps the timing of the waves) in accepted cases in BC, AB, ON and QC would be an interesting project.

-- Bob Barnetson

Tuesday, June 22, 2021

Alberta's 2019 injury data released

Alberta finally released its annual report on injuries and fatalities for 2019. Some of the key findings are that, from 2017 to 2019:
  • Lost-time claim numbers and rates are up slightly,
  • Modified work numbers and rates are down some, and
  • Overall, the number of disabling injuries is up slightly (likely population growth related) while the rate is down slightly. 
Industry-related data was not super surprising. Ag and forestry is the most dangerous and saw large growth in injury rates (~24%). I suspect this reflects the implementation of mandatory WCB in agriculture.



Manufacturing, processing and packaging was another sector with relatively high injury rates. We should expect this number to spike in 2020 and 2021 given the COVID waves that swept through the meat-packing plants. We’ll likely also see something similar in the public sector (particularly education and health care). We may also see this in mining, given the oilsands camp outbreaks.

There has been a long-term increase in occupational fatality rates in Alberta.


This has included a long-term reduction in the proportion of fatalities caused by motor vehicles accidents (blue bar in chart below) and an increase in workplace incidents (orange bar).



Claims related to harassment and violence doubled from 2015 to 2019. This may reflect, in part, greater awareness and acceptance of these sorts of injuries as a result of changes to the OHS Act and Code made by the New Democrats.


One of the most compelling charts is buried at the end of the document and it tracks injury rates over 10 years. Combined with the fatality rates chart above, the biggest take-away is that not much has changed. 



This suggests that the injury-prevention strategies mandated by successive Alberta governments (which have emphasized education and voluntary compliance coupled with anemic enforcement) have not really moved the needle on worker injuries or workplace safety.



-- Bob Barnetson












Thursday, May 20, 2021

No evidence paid sick leaves kills jobs

Canada and the US are outliers in historically having no statutory paid sick leave. Alberta’s opposition party has proposed 10 days of leave as a pandemic response measure. This logic of this proposal is basically that paid sick leave would help some sick workers decide to stay home by providing security of employment, income, and benefits. Yesterday, Alberta’s premier called paid sick leave a “job killing” proposal.

A 2010 report by the World Health Organization (in the wake of H1N1) suggests that paid sick leave has benefits that far outweigh its costs in Europe. The benefits include:
  • Access promptly medical care and the opportunity to follow treatment recommendations 
  • Recuperate more quickly 
  • Reduce the health impact on day-to-day functioning 
  • Prevent more series illnesses from developing 
  • Reduce the spreading of diseases to the workplace and community (p.6).
The costs of paid sick leave are mooted to be greater costs (for the state or employers, depending upon the arrangement), loss of productivity, and the potential for abuse by workers (i.e., taking sick days when not sick).

The WHO report suggests European costs are relatively low (averaging just under 200 Euros per year per capita), and paid sick leave is associated with greater productivity.

A US study examined the effect of sick leave mandates in several US cities and states on the number of private sector jobs. These proposals see workers accrue sick leave over time (kind of like; vacation entitlements). The upshot is that there appears to be effectively no impact on jobs numbers (i.e., sick is not a job-killing policy).

A separate study focused on New York’s employer paid sick leave mandate (which extended sick leave to millions of employees) also suggests paid sick leave is no big deal. 
  • Most employers experienced no cost increases and those who did (14%), the majority reports <3% change. 
  • More than 91% of employers reported no reduction in hiring
  • 97% of employers indicated that they did not reduce hours 
  • 98% of employers reported virtually no abuse of sick leave and percentage of no-abuse reported was higher for small businesses. 
  • 96% reported either no decline or an increase in productivity.
Basically, modest statutory sick leave provisions are a significant public health boon and can be implemented at virtually no cost. There is no credible evidence I could find in a quick search that paid sick days are “job killing”.

Not providing sick leave, by contrast, is likely to increase in the spread of COVID (as workers come to work sick for fear of losing their jobs or not being able to pay their bills). In this way, Premier Kenney’s unwillingness to consider paid sick leave is a “worker killing” policy.

-- Bob Barnetson