In recent weeks, the strain of the COVID-19 pandemic on our healthcare and economic systems has received no shortage of commentary. Slightly less remarked, on but no less important, are the social and psychological effects of the novel coronavirus outbreak. Most acutely, workers on the front lines of the pandemic have been put in a position that is bound to strain both their mental and physical health. Healthcare providers have been selflessly risking their lives to save others and have directly witnessed the human costs of the pandemic. Those with a family member or friend battling COVID-19 in hospital have been forced to deal with a tremendous amount of stress and uncertainty. Others are in the process of grieving after losing a loved one to the disease.
On a societal level, there are very real psychological costs to the social distancing measures needed to flatten the curve. It is commonly said that humans are a social species by nature, meaning we evolved to live in close contact with others in tight knit social groups. Physical distancing measures work directly against our ingrained sociability by disrupting the meaningful in-person social interactions that form an invaluable part of our lives. Over the past six weeks many Canadians will have likely spent more time alone than at any time during the past six years. While some may find the solitude and isolation to be rejuvenating, others may find that these same situations give rise to feelings of loneliness.
Like many other highly developed countries, the structure of Canadian society poses an unprecedented challenge to our ability to collectively navigate the social consequences of the novel coronavirus. More Canadians now live alone than ever before, making thousands of people vulnerable to feelings of isolation and loneliness. Elderly Canadians and those without the tools to connect with others virtually will find it particularly difficult to combat these emotions.
Of course, physical isolation is not the only source of stress that will challenge people’s mental health throughout the pandemic. For many, reduced income will be a source of profound anxiety and stress as they worry about how they are going to make ends meet. Beyond merely providing people with economic security, work also brings meaning to people’s lives and is a critical part our identities. Without the constant of steady employment, millions of Canadians will likely be experiencing a sense of dislocation and aimlessness.
And although the physical symptoms of coronavirus may discriminate by age, its effects on people’s mental health effects do not. Children and young adults are also vulnerable to depression and anxiety brought about by the COVID-19 pandemic. For youth already dealing with mental health issues, the closure of schools has meant the loss of an important coping mechanism. Grade 12 students are likely wondering how the pandemic will impact their senior year while thousands of young adults are worried about the job market they will be graduating into.
Given the widespread impact of the pandemic on our mental and physical health, this moment demands unprecedented levels of social solidarity from all of us. Many have already risen to the challenge in what some have called the care-mongering movement. Facebook groups allowing people to arrange to deliver groceries to seniors or those in self-isolation were formed just days after the announcement of social distancing measures. Island medical students were quick to offer childcare services to health care workers battling the pandemic on the frontlines. Zoom , Skype or Facetime calls to check in on friends and family have become a regular occurrence. But as the pandemic drags on and more of us get accustomed to our new social reality, we need to ensure that we remain unwavering in our commitment to others. We need to continue to keep the elderly and those living alone emotionally connected to the outside world. We must to continue to respond to requests from charities and community-based organizations when they are made. And we need to continue to check in on vulnerable friends and family members to give them the support they need.
Nonetheless, despite the inspiring levels of social solidarity shown throughout the pandemic, local communities cannot be expected to bear the burden of COVID-19’s social ramifications on their own. It is the responsibility of the government to provide people with the mental health resources they need for the duration of this crisis. To date, governments across Canada and organizations focused on delivering healthcare have stepped up to migrate existing services online and to provide new services where required. If you or someone you know is struggling with mental health issues as a result of the pandemic numerous external supports are available. No one is alone – we are all in this together.
Bc211 is a province-wide information and referral service that receives calls from those interested in helping seniors with basic needs such as grocery shopping, pharmacy drop-offs and check-ins. To register for the program, please visit the BC211 website.
Bounceback is a free program which assists adults and youth 15+ dealing with anxiety and depression by giving them the skills and strategies to manage these issues. British Columbians can register for free by visiting the BounceBack website.
The Ministry of Children and Family development is offering intake services and mental health counselling online and through the phone. To access these services please call your closest Child and Youth Mental Health clinic.
Foundry is providing youth aged 12-24 with counselling, peer support, primary care, and family support through voice calls, video, and chat. Those interested in accessing these services should visit the Foundry website.
The BC Psychological Association is offering mental health support to any BC resident who is experiencing stress, anxiety, or uncertainty as a result of the COVID-19 pandemic. The organization will provide 30 minute telephone consultations to equip people with skills and strategies needed to manage mental stress induced by the crisis.
Here2Talk provides all students currently registered in a BC post-secondary institution with access to free, confidential counselling and community referral services. These resources are available via app, phone, and the web, and can be accessed by visiting the Here2Talk website.
Living Life to the Full is a Cognitive Behavioural Therapy based course designed to give people the skills needed to cope with stress, anxiety, and depression. The 8-week course is led by a trained facilitator and can be accessed through the Living Life to the Full webpage.
VictimLink BC provides immediate 24/7 support to victims of family or sexual violence through the phone. You can call 1-800-563-0808 or email VictimLinkBC@bc211.ca. VictimLinkBC@bc211.ca to get help.
Virtual community counselling is available for individuals or groups at low or no cost through the Canadian Mental Health Association.
Offered through the YMCA, Y mind is a seven-week mindfulness program targeted at young adults aged 18-30 experiencing depression and anxiety. Those interested in learning more should visit the BC YMCA website.
Youthspace offers online crisis & emotional support chat for those under 30 years old. They’re open every night from 18:00 to 24:00 PST. For more information, please visit the Youthspace website.
The federal government has launched Wellness Together Canada to provide Canadians with mental health support throughout the COVID-19 pandemic. The tool gives users access to free online resources, tools, apps, and connections to trained volunteers and qualified mental health professionals. Please visit the Wellness Together Canada website to find out more.
To find out how to access the numerous support services available to indigenous peoples throughout the COVID-19 pandemic please consult the information provided by the First Nations Health Authority.
Frontline healthcare workers dealing with mental health challenges as a result of the COVID-19 pandemic are able to get support through the mobile response team (MRT). To access these supports healthcare workers can dial 1-888-686-3032 or email MRT@phsa.ca.
The BC Division of the CMHA is planning to provide healthcare workers with an expanded online resource hub which will give them strategies and techniques to improve their mental health and well-being. This resource will be launched April 20, 2020.
The CMHA is planning to launch a phone and text-based peer support service in May 2020 to provide emotional support to healthcare workers. The service will be staffed by former long-term care and home support workers.
If you are experiencing thoughts of distress, despair, or suicide call the CrisisCentre hotline at 1-800-SUICIDE (1-800-784-2433). If you need emotional support or information about other mental health related resources you can call 310-6789. Indigenous peoples can phone 1-800-588-8717 to access culturally safe crisis support.
Over the last two weeks governments across Canada have introduced some of the most far reaching and ambitious programs in recent memory to deal with the economic fallout of COVID-19. The policymakers and civil servants behind these supports deserve to be commended for the speed at which they have acted and for their ingenuity. Despite these unprecedented government interventions into the economy it is becoming increasingly clear that the measures introduced so far are not enough. Many businesses are slipping through the cracks of the available supports and are struggling to make ends meet.
Statistics released by the BC Chamber of Commerce (BCC) and the Canadian Federation of Independent Business (CFIB) on the scale of the economic devastation brought about by COVID-19 are staggering. Two-thirds of the 1,900 businesses polled by the BCC have experienced at least a 50% decrease in revenue and over half are worried that they will face bankruptcy or be unable to resume operations when the crisis subsides. Almost 40 percent of independent businesses surveyed by the CFIB have said that the Canada Emergency Wage Subsidy will not help them and 56% said that they have no fiscal capacity to take on new debt. These statistics released by business advocacy groups are consistent with the daily emails my office has received informing us that the existing measures are not enough. Messages received by my constituency office, ongoing conversations with small businesses and reports from the media highlight gaps in the existing programs. Some of the gaps are outlined below.
The Canada Emergency Business Account is open to businesses with a total payroll between $50,000.00 and $1,000,000.00 in 2019. However, there are many small businesses with 10 to 20 employees whose payroll exceeds the program’s upper limit. For instance, small health, technology and manufacturing companies whose growth the province has been trying to cultivate will be particularly hard hit by the program’s restrictions.
The BC Hydro Small Business Tax Credit defines “small business” as those that qualify for their Small General Service Rate. The effect of this restriction is that numerous businesses with narrow profit margins that use high amounts of electricity (i.e. local restaurants using the medium general service rate) will not be eligible for the benefit. Although BC Hydro does allow payments to be deferred, many of these bills will be due at precisely the same time when businesses will be trying to recover from the crisis.
The original structure of the Canada Emergency Wage Subsidy worked against small businesses who had experienced substantial declines in revenue but were still trying to stay open to provide services to people. Eligibility requirements originally restricted applications to businesses that have experienced at least a 30% drop in revenue when comparing one month this year to same month last year. This restriction would have meant that businesses whose revenue had decreased by 20% or even 29% would not qualify for the subsidy. The direct effects of restricting the availability of the program would have been further layoffs of workers which defeats the announced goal of the support. As it stands, within the foodservice industry 7 out of 10 businesses will continue to reduce staff hours or lay off more employees if their current situation does not improve. Recently announced changes to the bill will allow businesses to qualify for the subsidy if they can demonstrate a 15 percent drop in revenue in March. Companies will also be permitted use January or February as their base line in certain situations. These changes to the legislation show that the government is listening to business owners. However, continued monitoring is needed to determine if they adequately address the bill’s original flaws.
For many small businesses with narrow profit margins, the difference between remaining viable and facing insolvency is extremely thin, making a substantial decline in revenue potentially devastating. Given the financial position of many small businesses, the measures introduced so far may not be enough to keep them afloat. While the wage subsidy does offer some support, many businesses still have substantial fixed costs (i.e. rent, utilities). These businesses are seeing reduced revenue due to disruption in their supply chains and decreased demand in the economy. Furthermore, numerous already overextended business owners feel that they don’t have the fiscal capacity to take out additional loans. The structure of the existing programs also does little to support small businesses reliant on cyclical or seasonally dependent revenue who have recently seen their sales dry up. For businesses in this position tax deferrals or loans will become difficult to finance with their primary revenue source having evaporated.
Going forward, both the provincial and federal government will need to work together to quickly address the gaps in support measures introduced so far. Solutions which have been floated by business groups include: direct payments to business (especially those hardest-hit by the crisis), further reductions in taxes, and supports for businesses unable to pay rent. Other countries may provide models for how to respond as well. Both Norway and Demark have introduced schemes to help companies experiencing revenue losses to pay their fixed costs. Switzerland has launched a program where the small business can apply for interest free loans of up to 10 percent of their annual revenue (SFr500,000 maximum) which are fully backed by the government.
Right now, the current collapse in economic activity is happening at an unprecedented pace. Nearly one quarter of the businesses surveyed by the CFIB stated that they will be unable to make it through the next month without additional support. Within the foodservice industry almost 10 percent of restaurants have already closed and an additional 18 per cent could permanently close by the end of April if current conditions persist. Time is of the essence in getting businesses the support they need.
By expanding the available support programs for small businesses, governments will be reducing the amount of economic hardship experienced by countless numbers of people. Supporting hard-hit businesses will be an incredibly expensive in the short-term. There are major long-term benefits to ensuring that businesses are able to remain operational. Keeping more small businesses solvent throughout the pandemic will help to prevent businesses and workers from needing to re-establish their niches in the economy after the crisis abates. By acting now to support small businesses, governments will be saving central pillars within our communities. These businesses help to make our communities feel like home by providing us with a sense of place and identity. Given the importance of small businesses to our economy and communities, governments must take steps to ensure these businesses are able to emerge successfully from this crisis.
Breaking the chain of transmission of COVID-19 poses an enormous challenge for society on multiple fronts. While we should do everything we can to ‘flatten the curve’, the measures most effective at easing the burden on our public health system also carry heavy economic costs. Social distancing has induced both supply and demand side shocks to the economy by reducing the productive capacity of firms and consumer spending. Nearly every economic sector in BC has been affected by the decrease in economic activity, from big businesses engaged in large-scale projects to small businesses who are the lifeblood of the economy and a pillar in local communities. The downstream effects of the widespread economic disruption brought by efforts to tackle COVID-19 has been mass layoffs of workers, placing many in a precarious economic position. Going forwards, families, businesses, and individuals dealing with sudden economic hardship will require assistance to help them make ends meet.
The unprecedented economic challenge brought by COVID-19 demands a bold and aggressive response from all levels of government. In the last week both the federal and provincial governments have stepped up to introduce measures designed to assist individuals and businesses struggling with the economic fallout of COVID-19. The following is a list of the supports introduced by each government and how to access them. This page will continually be updated for the duration of the COVID-19 pandemic as new supports are announced and more information becomes available on the existing programs.
Parents who can should care for their children at home
Eligible families will continue to receive the Affordable Child Care Benefit
An employee can take unpaid, job-protected leave related to COVID-19 if they’re unable to work for any of the following reasons:
The COVID-19 leave is retroactive to January 27, 2020, the date that the first presumptive COVID-19 case was confirmed in British Columbia. During this public health emergency, employees can take this job-protected leave for the reasons above as long as they need it, without putting their job at risk. Once it is no longer needed, this leave will be removed from the Employment Standards Act.
Many individuals and businesses are currently enduring tremendous economic stress and anxiety to help save the lives of countless British Columbians. It is the responsibility of government to help these people deal with the consequences of the decision to effectively pause economic activity. All of us want to emerge out of this crisis in a place where the cafes, stores, and restaurants that help to make our communities feel like home are able to resume their operations. And if people who are living pay cheque to pay cheque are going to be asked to socially distance themselves, then they have to be put in an economic position where it is possible for them to do so. Thus, while we are combating this crisis governments will need to act as an insurer of last resort for the people and businesses who need it. The measures introduced within the last 10 days are a good start but will need to be reassessed in short order to determine whether some are slipping through the cracks.
To all of the individuals and small businesses owners who have been emailing throughout the week, thank you for coming forward to share the personal details of your situation. Your voice has been heard and I will continue to advocate for the government to provide people and businesses with the resources to make ends meet.
I continue to closely monitor the rapidly evolving COVID-19 pandemic. I follow and I urge you to follow the advice of British Columbia’s Provincial Health Officer Dr. Bonnie Henry, BC Minister of Health Adrian Dix and the Public Health Agency of Canada. It is critical that we follow credible advice from trusted sources and not fall victim to rumours and inaccurate information. Our BC Health Minister and Provincial Health Officer are doing an exemplary job of keeping the public informed during this public health crisis and I am very grateful for their steady leadership.
While COVID-19 is particularly serious to the elderly and those with compromised immune systems, millennials are also at risk. In a recent study of 2143 pediatric COVID-19 patients in China, it was also noted that:
“Children at all ages were sensitive to COVID-19, and there was no significant gender difference. Clinical manifestations of children’s COVID-19 cases were less severe than those of adults’ patients.”
and that
“of the 2143 pediatric patients included in this study, only one child died and most cases were mild, with much fewer severe and critical cases (5.9%) than adult patients (18.5%).“
So COVID-19 represents a broad, population wide, health risk.
If you are interested in tracking the global advance of the pandemic, Johns Hopkins University has put together an interactive map of the global reach of the COVID-19 pandemic. Of particular note in their analysis is the extent to which the Chinese efforts have controlled the spread of the disease outbreak locally. This shows that the actions imposed by our public health officers work and so it is imperative we listen to and follow their advice.
As a result of the coronavirus, the Oak Bay-Gordon Head constituency office at 219-3930 Shelbourne St. will not be open to the public, but we will continue to provide service to constituents and encourage you to contact us if needed. Please contact us by email at andrew.weaver.mla@leg.bc.ca or by phone at (250) 472-8528. We have taken the step of closing the constituency office for face-to-face meetings to minimize risk to everyone. This is part of social distancing which is so important to reduce the risk of infection.
With the situation changing daily and the constant flood of information about coronavirus, it can be difficult to keep track of the latest public health guidelines and recommendations. While this information may quickly become outdated, this blog post highlights the individual steps that we can all take right now to do our part to reduce the impact of COVID-19 in British Columbia.
The corona virus spreads very quickly. Without the necessary public health interventions, a relatively small number of cases could quickly turn into an unmanageably large number them. The Washington Post has provides further insight to illustrate how this transmission occurs and can be avoided. We can all take important steps right now to slow the spread of the disease. We slow it down through social distancing and meticulous personal hygiene.
Social distancing involves taking measures to avoid close personal contact with others where the virus can be spread. As a result, many facilities we are accustomed to regularly using, such as restaurants, bars, recreation centers, and retail outlets, are now closing. Although those actively experiencing symptoms are more likely to be spreading the virus, it can take up to 14 days for symptoms to emerge and the virus can be spread to others during this time.
The public health authorities highly recommend taking the following steps:
Beyond just social distancing, the other thing we can all do to prevent the spread of the virus is to practice excellent personal hygiene both at work and at home. This means:
The ultimate goal of these measures is twofold. The first is to protect vulnerable populations (i.e. the elderly and those who are immunocompromised) from contracting the virus. These demographic groups are far more likely to become seriously ill or die from COVD-19. The second is to prevent our healthcare system from becoming so overwhelmed by the virus that it loses its ability to effectively respond. We need to ensure that our healthcare system has the resources, personnel, and capacity to treat those who require hospitalization or become critically ill.
This graphic from the Washington Post illustrates helps to illustrate how social distancing or the lack of social distancing impacts public health outcomes. We’re social creatures by nature and it can be difficult to let go of old habits and practices. Following the advice of experts and public health officials now, to socially distance ourselves and maintain excellent personal hygiene, the situation will be made more manageable for those on the frontlines of the pandemic.
With the rise of social distancing, the normal activities that enrich people’s lives may be increasingly suspended. From playing soccer at a local park to meeting friends at a local pub to going out to a movie, the kinds of activities that have become integral to our social routines will be temporarily disrupted. With the coronavirus bringing a certain degree of social disruption to our lives, it is vital that we work to maintain our social connections.
Social distancing does not have to mean complete social isolation. Make sure that you keep phoning and virtually communicating with friends and family. Reach out to those people who will be spending more time indoors such as the elderly or those with underlying health conditions. Arrange to go for a walk with a friend (keeping one metre apart). Instead of passively consuming content on social media platforms or streaming services, use the digital tools we have at our disposal (computers and telephone) to connect with others. While virtual community does not completely replace close in-person communities, we need to be ready to conduct our more usual activates using the internet or phone lines. People are already conducting activities in virtual space which they would normally have undertaken in person. People are creating yoga classes, church services, and dinner parties online. Taking steps to maintain our social connections will help to keep some semblance of normalcy in abnormal times. It prevents us from feeling apart even if we are physically part.
Getting through the coronavirus pandemic will require a community wide effort to step up and help those who require assistance. Those in self-isolation will need others to help them obtain food, medication, and basic household supplies. Healthcare workers and their families will be going through a stressful time in which we ask a great deal from them. If you know any of these people, consider asking how you can help them. One phone call or conversation can make a huge difference in people’s lives.
For nearly all of us, this will be the first large scale public health crisis that we have experienced. Accounts of the Spanish flu are found in history books. More recently, the world managed to avoid the worst with SARs and H1N1. Modern society is now in uncharted territory, it can be easy to give in to panic, hysteria, and misinformation. Now, more than ever, we need to heed the advice of experts, make individual sacrifices for collective benefit, and extend solidarity to those in need. I am incredibly grateful to all the public health workers on the front lines who are working around the clock to keep us all safe. They should be lauded for their efforts and we all owe them a debt of gratitude. Stay informed, stay safe, and reach out to those require help.
For many of us, it may be difficult to determine whether we have contracted COVID-19. To help determine whether you need further assessment or testing the province has created a self-assessment tool which you can complete for yourself or on behalf of someone else.
If you believe you may have symptoms of COVID-19, or may have been exposed, please call HealthLink BC at 8-1-1, a free-of-charge provincial health information and advice phone line for further instruction. For the deaf and hard of hearing, call 7-1-1 to arrange for safe testing.
In an effort to ease the burden on HealthLink 811, B.C. has set up a dedicated COVID-19 line at 1-888-COVID19 or text at 1-888-268-4319.