Quebec relies on hundreds of asylum seekers in long-term care battle against COVID-19

2020/05/11 Leave a comment

The irony given all the Quebec (and elsewhere) rhetoric regarding irregular asylum seekers:

Sarah watches her four-year-old daughter jump around a play structure she’s not allowed on because of the pandemic.

They’re just happy to be outside.

For eight days, Sarah — an asylum seeker from Haiti who crossed the U.S. border into Quebec at Roxham Road three years ago — was bedridden in their small Montréal-Nord apartment, her body feverish and aching.

It had started with some coughing and a slight fever she had tried to brush off at first. Her manager at the private long-term care residence in Ahuntsic where she works as an orderly wasn’t happy when she’d asked to stop working, for fear of bringing the infection home to her asthmatic daughter.

Then more symptoms appeared. She was nauseous, and the cough and fever got worse. A test a couple days later confirmed she had COVID-19.

Now on the mend, three weeks after testing positive, Sarah says: “I’m proud. I was on the battlefield.”

Sarah’s refugee claim was rejected after her first hearing, then again on appeal. Her only hope at staying in the country now is to be granted residency on humanitarian grounds, a process for which she began the application before the pandemic.

Given her precarious immigration status, CBC has agreed not to identify her by her real name.

Sarah is far from the only asylum seeker working on the front lines of the COVID-19 pandemic.

Many ‘guardian angels’ are asylum seekers

Marjorie Villefranche, executive director of Maison d’Haiti in Montreal’s Saint-Michel district, estimates that about 1,200 of the 5,000 Haitian asylum seekers the organization has helped since 2017 have become orderlies.

Frantz André, who helped found the Action Committee for People without Status, an advocacy group that helps asylum seekers settle in Montreal, says there are many more who’ve flown under the radar.

Asylum seekers make up a large portion of the “guardian angels” Quebec Premier François Legault has praised in his daily briefings — the orderlies, or préposées aux bénéficiaires (PABs), working in long-term care homes — who have no guarantee they’ll be allowed to stay in Canada.

“As quickly as they can, they want to find a job — and they’re being directed to jobs that no one else wants to do: the caregivers, PABs, security agents,” André said.

Without status, on the front lines

He and other refugee advocates have been calling on the Canadian government to allow asylum seekers already in the country to stay.

Many of them are hired by temp agencies, which offer people eager to work easy access to the labour market. For seniors’ homes desperately short of staff, the agencies are a source of cheap labour, but they operate with little government oversight.

The workers are often shuffled from facility to facility — a practice Quebec’s public health director, Dr. Horacio Arruda, has acknowledged is contributing to the spread of COVID-19 in long-term care centres, known in the province as CHSLDs.

André says the long hours they put in make the workers more prone to catching the virus and spreading it to their families.

He says it explains why Montréal-Nord, a low-income neighbourhood filled with newcomers, has the highest number of cases in the city.

“When you’re tired, you don’t eat well. You will go back home, and there’s four, five, six and sometimes seven people living in a [one-bedroom]. The chances of the people catching it, the family catching COVID-19, is greater than anywhere else,” André said.

It is also difficult for orderlies working for agencies to adhere to the province’s request that they work in only one long-term care residence, because accepting shifts wherever they’re asked to go is the only way to cobble together full-time work.

Another woman CBC spoke with works part time for a private residence and part time for an agency providing home care. Bouncing between visits to patients’ homes and shifts at the long-term care residence increases the risk of spread, but the woman said she feels she has no choice.

Problematic use of agencies predates pandemic

Long-term care homes have long been reliant on temp agencies to fill staffing holes — and the people the agencies sign on are most often women and newcomers to Quebec.

“Even before the pandemic, they had a lot of trouble finding people to do the orderly work,” said Prof. Nicolas Fernandez, a specialist in the relationship between health-care workers and patients who teaches family and emergency medicine at Université de Montréal.

“The short-term solution is to go to agencies.”

The reliance on temp agencies puts additional stress on CHSLDs struggling to contain outbreaks, said Fernandez, who has also served as a translator for asylum seekers.

CBC reached out to both federal and provincial departments requesting statistics on PABs, including how many are asylum seekers. Quebec’s Labour and Immigration ministries said they did not collect that information.

The Health Ministry didn’t provide a breakdown either, but offered up figures showing the vast majority of PABs are women — 34,821 of 42,340 in both private and public facilities. The average salary in 2019 was $40,551.

Fernandez says the job of a PAB is gruelling and crucial: they are the backbone of CHSLDs.

From the moment they wake up, most residents require extensive care — at least three hours a day — to have qualified for a bed.

“In order for the person to feel cared for, and not just a number, you need someone who is going to be there every day,” he said.

‘There’s no stability’

Sarah worked for two agencies to gain work experience after she finished her PAB course last year. She hated it — travelling as far away from Montreal as Saint-Jean-sur-Richelieu, in the Montérégie, a 50-minute commute made longer by the stops the agency’s van made to pick up other workers.

“There’s no stability. Every time, you’re sent to a different place. It gets really stressful,” she said.

For the past couple of months, Sarah has worked in the same private long-term care facility in Ahuntsic.

She loves her work. She likes helping and caring for people. It’s a far cry from the job she had in Haiti, working with a sports organization, but she hopes to be able to stay in Canada and work her way up in the health-care field, possibly becoming a nurse.

In the midst of this crisis, Sarah hopes the federal government recognizes how much asylum seekers have contributed to Canadian society and finds a way for them to stay.

“I hope the government will hear our calls, hear our voices.”

Group wants special immigration program

Those calls grew louder on Thursday, with a community group devoted to the rights of Haitians who crossed into Canada in 2017 asking the provincial and federal governments to implement a special immigration program for those working in CHSLDs.

“We find it hard to believe that these guardian angels may be expelled from the country once the battle is won,” the Concertation haïtienne pour les migrant.es said in an open letter.

“We are counting on your leadership to make a humanitarian gesture to these citizens who are fighting alongside us every day.”

Immigration, Refugees and Citizenship Canada responded to a CBC inquiry about whether the federal government was considering giving asylum seekers already in Quebec special status.

A spokesperson said in an emailed statement that the government would stick with the current process.

“Our immigration system continues to be based on compassion, efficiency and economic opportunity for all, while protecting the health, safety and security of Canadians,” spokesperson Shannon Ker wrote.

Source: Quebec relies on hundreds of asylum seekers in long-term care battle against COVID-19

Filed under Immigration Tagged with , , , ,

Job Losses Higher Among People Of Color During Coronavirus Pandemic as are Nursing Home Deaths

2020/04/24 Leave a comment

Two related articles on racial disparities regarding COVID-19, starting with job losses:

Until a few weeks ago, Melissa St. Hilaire worked the night shift taking care of a 95-year-old woman for a family in Miami.

“I help her to go to the bathroom, use the bathroom, and I watch TV with her, and I comb her hair sometimes in the night,” she said.

But one day in March, the woman’s daughter told her not to come back, saying she wanted to protect her mother during the coronavirus pandemic.

St. Hilaire is black and a Haitian immigrant. And her situation is an example of what early data from this crisis shows: People of color have lost work at greater rates than white workers.

The March jobs data show a number of racial and ethnic disparities in the economic impact of the coronavirus. For example: the share of white people who are employed fell by 1.1% last month. That rate fell by substantially more for black people (a 1.6% drop), Asian Americans (1.7%), and Latinos (2.1%). Economist Christian Weller highlighted this data and more at Forbes earlier this month.

In addition, a survey from the left-leaning Data for Progress found that 45% of black workers have lost jobs or had their hours cut, compared with 31% for white workers. (Samples were not large enough to break out other racial and ethnic groups.)

Losing her job landed St. Hilaire in dire straits. She was able to delay her rent payment after she talked to her landlord.

“​I said to her my situation. She said, ‘OK.’ She understood my situation. She gave me more days,” St. Hilaire said, but she added that shelter isn’t her only concern. “Two weeks before [that], I was out of food. That’s crazy.”

She ended up getting some food supplies from a local aid group. She plans to apply for unemployment and also has a GoFundMe whose proceeds she plans to share with fellow domestic aides.

A big reason for these racial and ethnic gaps has to do with the workplaces that have been hurt most by the economic crisis.

“We know which industries are being hit the hardest,” says Gbenga Ajilore, senior economist at the left-leaning Center for American Progress. “So we look at leisure and hospitality, transportation, utilities, industries that are first ones were hit really hard. We also know service — think hairdressers, salons. We know which ones are getting hit hard, and we know who’s in those occupations.”

People of color — and in the case of domestic workers like St. Hilaire, women of color — are disproportionately in those occupations. Nearly three-quarters of domestic workers were out of work the week of April 6, according to a survey from the National Domestic Workers Alliance.

Similar patterns turn up in other industries hurt most by the coronavirus slowdown. The latest jobs report showed more than 450,000 job losses in leisure and hospitality — a category that includes hotels and restaurants. Black, Asian and Latino workers are all disproportionately represented in the hotel industry, and Latino workers have heavy representation in restaurants.

That includes Erick Velasquez, who is Mexican American and who until recently was head bartender at a Greek restaurant in Houston.

“Everything just happened so quick. We’re watching the news, and they talk about COVID-19, and nobody really thought much about it,” he said. “And then a few days after then that’s when they — the city or the county — closed down dining rooms for restaurants everywhere.”

Velasquez has managed to find a temporary job — helping his fellow laid-off workers. He’s a case worker now at the Southern Smoke Foundation, a nonprofit that supports people in the restaurant industry. And he sees racial and ethnic gaps among the people he’s helping.

“​Everybody in the restaurant industry is hurting, but more so, it’s the people that you don’t really see when you go into a restaurant,” Velasquez said. “It’s like the back of the house workers, the immigrant community, the people of color.”

There’s also evidence of disparities in who is able to work from home during this crisis: 30% of white people and 37% of Asian Americans could work from home in 2017 and 2018, according to the Labor Department. Meanwhile, only 20% of black people could. In addition, only 16% of Latinos could work from home, compared to nearly twice as many non-Latinos.

The March jobs report that much of this analysis is based on only captured the start of the economic crisis created by COVID-19. The April report, which will be released May 8, will show if racial gaps have persisted.

If those gaps do continue, it could make existing inequalities worse. The unemployment rates for blacks and Latinos, for example, are always higher than the broader national unemployment rate. Wages for blacks and Latinos are also lower than for other groups.

Ajilore thinks it was easier to ignore these types of gaps when the economy was humming along with record-low unemployment. Now, the economic crisis brought about by the pandemic is holding a magnifying glass to those gaps.

​”Once this pandemic hit, then it’s like you see the cracks in the structure,” he said.

Source: Job Losses Higher Among People Of Color During Coronavirus Pandemic

And nursing home deaths in NYC:

There’s one thing that distinguishes the nursing homes in New York that have reported patient deaths from COVID-19. According to an NPR analysis, they are far more likely to be made up of people of color.

NPR looked at 78 nursing homes in New York in which six or more residents have died of COVID-19. In one facility, 55 people have died as of April 20. Ten others report 30 or more deaths.

Seven of the 11 nursing homes with the highest number of deaths report that 46 percent or more of their residents are “non-white.” Most of these “non-white” residents are black and latinx. At one facility, the Franklin Center for Rehabilitation and Nursing in Queens, which reported 45 deaths, 80 percent of the residents are minority, including 47 percent who are Asian.

NPR filed a public records request with the Centers for Medicare and Medicaid Services and collected data on every nursing home in the United States. We focused our analysis on New York because that state has the most deaths of COVID-19, by far.

Fifty-eight percent of the deaths in the state happened in nursing homes in New York City. Those nursing homes, the NPR numbers show, are notable for their high percentages of residents of color.

But even most of the residents who died in facilities in other parts of the state were living in nursing homes that had a high percentage of residents of color. The population in those facilities tend to reflect the demographics of the counties where they were located.

The racial imbalance in the deaths in New York nursing homes reflects another national trend: That among all fatalities, across the country, from COVID-19, black and Hispanic people make up a disproportionate share of the dying.

NPR analyzed other data too, including the federal government’s system for rating nursing homes that gives each facility a star rating from one to five.

In New York state, nursing homes that recorded deaths actually had better quality scores than other nursing homes. Half of the facilities that report deaths get four or five star ratings from Medicare’s Nursing Home Compare website, indications of “above average” or “much above average” quality.

On other indicators, there was little difference between nursing homes with deaths reported and other facilities in the state. Staffing levels were about the same. Their reliance on Medicaid patients — who bring lower reimbursements — was similar, too. Their occupancy rates — which can indicate problems at a facility if low — also were roughly the same.

But the nursing homes with outbreaks were often larger facilities. Three of those facilities have 700 or more residents. Almost half — 38 out of the 78, including some of the largest in the state — are in New York City.

Nationwide, people living in nursing homes and other long-term care facilities make up close to one out of five deaths nationwide from COVID-19, according to The New York Times.

“It is not surprising that this is exaggerated,” Dr. Clyde Yancy, chief of cardiology at Northwestern University’s Feinberg School of Medicine, said of NPR’s findings of the racial imbalance in deaths at nursing homes. He wrote in the Journal of the American Medical Association about the long history of racial disparities in health care and how it plays out now in this pandemic.

For “someone living in a nursing home who has suffered more extensive complications to a disease process because of already embedded health disparities,” says Yancy, “one can only imagine what happens when that individual now is facing coronavirus infection, potential COVID-19 complications.”

Years of inequality can lead to less access to health care, to hard lives and jobs, to a greater likelihood of developing diabetes, asthma and other conditions that now put people in those nursing homes at greater risk.

Nursing homes are now being recognized as one of the front lines of the pandemic. The residents are often frail, they have underlying health problems.

Nurse aides — who work for low wages — do the hands-on care. They get people out of bed, bathe them and take them to the toilet. They and other staffers were some of the last to get masks, gloves and other personal protective equipment. That made it easier for the virus to spread, notes Dr. Dora Hughes, of the Milken Institute School of Public Health at George Washington University.

“For all of our pandemic response, much of our attention has focused, appropriately, on hospitals. But I think for what we’ve seen with the nursing home is a fairly stark reminder that we need to really expand our thinking in terms of essential workers,” says Hughes. “The direct care staff, should have been a greater priority.”

Source: In New York Nursing Homes, Death Comes To Facilities With More People Of Color

Filed under Multiculturalism Tagged with , , , ,