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Working Together to Support Migrant Worker Health | Janet Mclaughlin | TEDxWLUBrantford


if you’ll humor me I’d like to start off

if you’ll humor me I’d like to start off my talk today with a little thought

my talk today with a little thought

my talk today with a little thought experiment I invite you to imagine what

experiment I invite you to imagine what

experiment I invite you to imagine what it would be like to be born in a country

it would be like to be born in a country

it would be like to be born in a country in which poverty is rampant you and your

in which poverty is rampant you and your

in which poverty is rampant you and your five siblings grow up in a one-room

five siblings grow up in a one-room

five siblings grow up in a one-room Shack without running water all of you

Shack without running water all of you

Shack without running water all of you are expected to pitch in on a small plot

are expected to pitch in on a small plot

are expected to pitch in on a small plot of communal land growing food to sustain

of communal land growing food to sustain

of communal land growing food to sustain yourselves with all of you working

yourselves with all of you working

yourselves with all of you working you’re able to put food on the table but

you’re able to put food on the table but

you’re able to put food on the table but you aren’t able to save enough to

you aren’t able to save enough to

you aren’t able to save enough to improve your housing or other

improve your housing or other

improve your housing or other circumstances you only receive some

circumstances you only receive some

circumstances you only receive some elementary school education and your

elementary school education and your

elementary school education and your life prospects are limited you grow up

life prospects are limited you grow up

life prospects are limited you grow up get married and start your own family

get married and start your own family

get married and start your own family but you have no way to live

but you have no way to live

but you have no way to live independently or to improve life for

independently or to improve life for

independently or to improve life for your kids you noticed in your village

your kids you noticed in your village

your kids you noticed in your village that some families are starting to

that some families are starting to

that some families are starting to improve their Lots they’re building

improve their Lots they’re building

improve their Lots they’re building larger homes with indoor bathrooms and

larger homes with indoor bathrooms and

larger homes with indoor bathrooms and kitchens they can afford electronics and

kitchens they can afford electronics and

kitchens they can afford electronics and nice clothing their kids don’t have to

nice clothing their kids don’t have to

nice clothing their kids don’t have to drop out of school some even go on to

drop out of school some even go on to

drop out of school some even go on to university you realize that among these

university you realize that among these

university you realize that among these families there’s typically a parent who

families there’s typically a parent who

families there’s typically a parent who has gone abroad for work

has gone abroad for work

has gone abroad for work although these families spend much of

although these families spend much of

although these families spend much of their lives apart at least they’re able

their lives apart at least they’re able

their lives apart at least they’re able to better build a better future for

to better build a better future for

to better build a better future for those who stay behind it’s an immense

those who stay behind it’s an immense

those who stay behind it’s an immense sacrifice and as the breadwinner for

sacrifice and as the breadwinner for

sacrifice and as the breadwinner for your family you realize that is one you

your family you realize that is one you

your family you realize that is one you will also be expected to make so you

will also be expected to make so you

will also be expected to make so you consider the options of where to migrate

consider the options of where to migrate

consider the options of where to migrate the typical choice is the United States

the typical choice is the United States

the typical choice is the United States but this is risky first you have to

but this is risky first you have to

but this is risky first you have to somehow come up with thousands of

somehow come up with thousands of

somehow come up with thousands of dollars to pay a human smuggler to help

dollars to pay a human smuggler to help

dollars to pay a human smuggler to help you cross the border with no guarantees

you cross the border with no guarantees

you cross the border with no guarantees of success then you have to risk your

of success then you have to risk your

of success then you have to risk your life crossing a desert or water body

life crossing a desert or water body

life crossing a desert or water body with little food or belongings many

with little food or belongings many

with little food or belongings many people have died this way and you fear

people have died this way and you fear

people have died this way and you fear for your fate

for your fate

for your fate even if you manage to get in you will

even if you manage to get in you will

even if you manage to get in you will then be considered illegal and you’ll

then be considered illegal and you’ll

then be considered illegal and you’ll face the constant threat of deportation

face the constant threat of deportation

face the constant threat of deportation under a president who is vowed to crack

under a president who is vowed to crack

under a president who is vowed to crack down on bad hombres like you and you may

down on bad hombres like you and you may

down on bad hombres like you and you may not see your family again for years you

not see your family again for years you

not see your family again for years you feel overwhelmed by the prospect then

feel overwhelmed by the prospect then

feel overwhelmed by the prospect then you learn of another option there’s a

you learn of another option there’s a

you learn of another option there’s a program in Canada that would allow you

program in Canada that would allow you

program in Canada that would allow you to work for up to eight months a year

to work for up to eight months a year

to work for up to eight months a year traveling back and forth on an airplane

traveling back and forth on an airplane

traveling back and forth on an airplane you’d be legally employed so you’d be

you’d be legally employed so you’d be

you’d be legally employed so you’d be active you’d be able to access certain

active you’d be able to access certain

active you’d be able to access certain protections like health care each year

protections like health care each year

protections like health care each year you’d be able to save a little bit more

you’d be able to save a little bit more

you’d be able to save a little bit more to feed and educate your kids and to

to feed and educate your kids and to

to feed and educate your kids and to build your home you apply to your

build your home you apply to your

build your home you apply to your government’s Ministry of Labour you go

government’s Ministry of Labour you go

government’s Ministry of Labour you go through an interview and you take part

through an interview and you take part

through an interview and you take part in a medical exam to ensure that you’re

in a medical exam to ensure that you’re

in a medical exam to ensure that you’re a healthy and able to handle demanding

a healthy and able to handle demanding

a healthy and able to handle demanding work you were thrilled to hear when

work you were thrilled to hear when

work you were thrilled to hear when you’ve been accepted you attend an

you’ve been accepted you attend an

you’ve been accepted you attend an orientation session in which you are

orientation session in which you are

orientation session in which you are warned to work hard and obey your

warned to work hard and obey your

warned to work hard and obey your employer’s you reminded that there are

employer’s you reminded that there are

employer’s you reminded that there are thousands of other workers in line ready

thousands of other workers in line ready

thousands of other workers in line ready to take your place then you wait you

to take your place then you wait you

to take your place then you wait you don’t know when you will leave or where

don’t know when you will leave or where

don’t know when you will leave or where you will go in Canada one day you were

you will go in Canada one day you were

you will go in Canada one day you were called and you’re told to go to the

called and you’re told to go to the

called and you’re told to go to the airport it’s your first time on an

airport it’s your first time on an

airport it’s your first time on an airplane and when you arrived you’re

airplane and when you arrived you’re

airplane and when you arrived you’re taken to a little-known gem of the world

taken to a little-known gem of the world

taken to a little-known gem of the world called Brantford Ontario it’s freezing

called Brantford Ontario it’s freezing

called Brantford Ontario it’s freezing when you land and you don’t have any

when you land and you don’t have any

when you land and you don’t have any warm clothes you don’t know anyone and

warm clothes you don’t know anyone and

warm clothes you don’t know anyone and you don’t speak the language you have to

you don’t speak the language you have to

you don’t speak the language you have to rely on your employer for pretty much

rely on your employer for pretty much

rely on your employer for pretty much everything from your access to food

everything from your access to food

everything from your access to food housing health care and work it’s

housing health care and work it’s

housing health care and work it’s crucial that you maintain a good

crucial that you maintain a good

crucial that you maintain a good relationship with them because their

relationship with them because their

relationship with them because their positive evaluation is what will

positive evaluation is what will

positive evaluation is what will determine if you can come back the next

determine if you can come back the next

determine if you can come back the next year you discover that the work is

year you discover that the work is

year you discover that the work is harder than you expected you work 10 to

harder than you expected you work 10 to

harder than you expected you work 10 to 14 hour days six to seven days a week

14 hour days six to seven days a week

14 hour days six to seven days a week often in extreme temperatures with

often in extreme temperatures with

often in extreme temperatures with repetitive bending and lifting and

repetitive bending and lifting and

repetitive bending and lifting and constant pressure to work faster

constant pressure to work faster

constant pressure to work faster sometimes you’re exposed to chemicals

sometimes you’re exposed to chemicals

sometimes you’re exposed to chemicals you notice a rash developing and pain

you notice a rash developing and pain

you notice a rash developing and pain in your back that’s getting worse you

in your back that’s getting worse you

in your back that’s getting worse you feel overwhelmed with sadness missing

feel overwhelmed with sadness missing

feel overwhelmed with sadness missing your family you know that you’re

your family you know that you’re

your family you know that you’re entitled to health care but you haven’t

entitled to health care but you haven’t

entitled to health care but you haven’t yet been given a health card and you

yet been given a health card and you

yet been given a health card and you don’t want to complain or ask for time

don’t want to complain or ask for time

don’t want to complain or ask for time off because you don’t want to stand out

off because you don’t want to stand out

off because you don’t want to stand out or do anything to risk losing your job

or do anything to risk losing your job

or do anything to risk losing your job when your symptoms don’t resolve you

when your symptoms don’t resolve you

when your symptoms don’t resolve you realize you need to do something so on

realize you need to do something so on

realize you need to do something so on the one night when you and all of your

the one night when you and all of your

the one night when you and all of your other co-workers are bused into town to

other co-workers are bused into town to

other co-workers are bused into town to buy groceries you wait in a long line

buy groceries you wait in a long line

buy groceries you wait in a long line I’ve had a walk-in clinic only to be

I’ve had a walk-in clinic only to be

I’ve had a walk-in clinic only to be seen by a doctor who doesn’t speak your

seen by a doctor who doesn’t speak your

seen by a doctor who doesn’t speak your language who doesn’t understand your

language who doesn’t understand your

language who doesn’t understand your issues and who rushes you through the

issues and who rushes you through the

issues and who rushes you through the appointment without your health card

appointment without your health card

appointment without your health card you’ve asked to pay you waited so long

you’ve asked to pay you waited so long

you’ve asked to pay you waited so long in line that you don’t even have time to

in line that you don’t even have time to

in line that you don’t even have time to get your groceries before the bus

get your groceries before the bus

get your groceries before the bus departs for the farm you just decide

departs for the farm you just decide

departs for the farm you just decide it’s not worth taking healthcare and

it’s not worth taking healthcare and

it’s not worth taking healthcare and you’re resolved to working through your

you’re resolved to working through your

you’re resolved to working through your pain and your rash and your sadness all

pain and your rash and your sadness all

pain and your rash and your sadness all of which only get worse so what I just

of which only get worse so what I just

of which only get worse so what I just described is one example of the reality

described is one example of the reality

described is one example of the reality of about 50,000 men and women who come

of about 50,000 men and women who come

of about 50,000 men and women who come from countries like Mexico and Jamaica

from countries like Mexico and Jamaica

from countries like Mexico and Jamaica to grow the food we eat here in Ontario

to grow the food we eat here in Ontario

to grow the food we eat here in Ontario and throughout Canada as temporary

and throughout Canada as temporary

and throughout Canada as temporary foreign agricultural workers these

foreign agricultural workers these

foreign agricultural workers these workers have been coming here year after

workers have been coming here year after

workers have been coming here year after year for over half a century here’s one

year for over half a century here’s one

year for over half a century here’s one of the first crews around 1966 yet few

of the first crews around 1966 yet few

of the first crews around 1966 yet few Canadians have ever heard of them and

Canadians have ever heard of them and

Canadians have ever heard of them and even fewer have ever interacted with

even fewer have ever interacted with

even fewer have ever interacted with them they work in one of the most

them they work in one of the most

them they work in one of the most demanding and dangerous industries in

demanding and dangerous industries in

demanding and dangerous industries in our country they normally earn minimum

our country they normally earn minimum

our country they normally earn minimum wage and they pay our taxes and into

wage and they pay our taxes and into

wage and they pay our taxes and into employment insurance even though they

employment insurance even though they

employment insurance even though they can never receive the benefits employers

can never receive the benefits employers

can never receive the benefits employers often say that their operations could

often say that their operations could

often say that their operations could not survive without migrant workers

not survive without migrant workers

not survive without migrant workers why can’t farms attract enough Canadians

why can’t farms attract enough Canadians

why can’t farms attract enough Canadians to do these jobs well this is one

to do these jobs well this is one

to do these jobs well this is one example of a real job at seeking workers

example of a real job at seeking workers

example of a real job at seeking workers for an Ontario farm employers are

for an Ontario farm employers are

for an Ontario farm employers are required to post ads like this before

required to post ads like this before

required to post ads like this before they can apply for temporary foreign

they can apply for temporary foreign

they can apply for temporary foreign workers it reads must be able to work in

workers it reads must be able to work in

workers it reads must be able to work in a fast-paced environment repetitive

a fast-paced environment repetitive

a fast-paced environment repetitive tasks

tasks

tasks handling heavy loads attention to detail

handling heavy loads attention to detail

handling heavy loads attention to detail sitting standing for extended periods

sitting standing for extended periods

sitting standing for extended periods bending approaching kneeling physically

bending approaching kneeling physically

bending approaching kneeling physically demanding in hot dusty outdoors and then

demanding in hot dusty outdoors and then

demanding in hot dusty outdoors and then cold confined spaces $11 an hour with

cold confined spaces $11 an hour with

cold confined spaces $11 an hour with experience must work seven days a week

experience must work seven days a week

experience must work seven days a week does this sound like your kind of a

does this sound like your kind of a

does this sound like your kind of a dream job I think you can imagine why

dream job I think you can imagine why

dream job I think you can imagine why there wasn’t a lineup of Canadian

there wasn’t a lineup of Canadian

there wasn’t a lineup of Canadian workers seeking this position yet for

workers seeking this position yet for

workers seeking this position yet for many migrant workers this job may be

many migrant workers this job may be

many migrant workers this job may be their best shot at improving lives for

their best shot at improving lives for

their best shot at improving lives for their families migrant workers have

their families migrant workers have

their families migrant workers have become the invisible backbone of our

become the invisible backbone of our

become the invisible backbone of our local agricultural economies and

local agricultural economies and

local agricultural economies and communities including this one the red

communities including this one the red

communities including this one the red areas on this map indicate those at the

areas on this map indicate those at the

areas on this map indicate those at the highest concentration of migrant workers

highest concentration of migrant workers

highest concentration of migrant workers as you can see the majority of them work

as you can see the majority of them work

as you can see the majority of them work in southern Ontario in the area

in southern Ontario in the area

in southern Ontario in the area surrounding where we are right now these

surrounding where we are right now these

surrounding where we are right now these men and women are our unseen neighbors

men and women are our unseen neighbors

men and women are our unseen neighbors how many of you ate a fruit or a

how many of you ate a fruit or a

how many of you ate a fruit or a vegetable today good well I hope you did

vegetable today good well I hope you did

vegetable today good well I hope you did they’re good for you if you did you

they’re good for you if you did you

they’re good for you if you did you tasted the product of their labor we are

tasted the product of their labor we are

tasted the product of their labor we are all connected to migrant workers so for

all connected to migrant workers so for

all connected to migrant workers so for the past 12 years I’ve had the privilege

the past 12 years I’ve had the privilege

the past 12 years I’ve had the privilege of conducting research with migrant

of conducting research with migrant

of conducting research with migrant workers and their families here in

workers and their families here in

workers and their families here in Ontario as well as in Mexico and Jamaica

Ontario as well as in Mexico and Jamaica

Ontario as well as in Mexico and Jamaica I traced the health issues that they

I traced the health issues that they

I traced the health issues that they experienced and the barriers that they

experienced and the barriers that they

experienced and the barriers that they often encounter to accessing healthcare

often encounter to accessing healthcare

often encounter to accessing healthcare workers compensation and other

workers compensation and other

workers compensation and other protections now many aspects of what I

protections now many aspects of what I

protections now many aspects of what I discovered shocked and saddened me but

discovered shocked and saddened me but

discovered shocked and saddened me but one of the most frustrating was the

one of the most frustrating was the

one of the most frustrating was the workers inability to access the health

workers inability to access the health

workers inability to access the health care system to which they are legally

care system to which they are legally

care system to which they are legally entitled when they needed it my

entitled when they needed it my

entitled when they needed it my colleagues and I and various community

colleagues and I and various community

colleagues and I and various community and labor groups have written about this

and labor groups have written about this

and labor groups have written about this situation in numerous articles and

situation in numerous articles and

situation in numerous articles and reports we’ve met with politicians and

reports we’ve met with politicians and

reports we’ve met with politicians and we’ve testified to parliamentary

we’ve testified to parliamentary

we’ve testified to parliamentary committees despite the risks many

committees despite the risks many

committees despite the risks many migrant workers have also spoken out

migrant workers have also spoken out

migrant workers have also spoken out they’ve started petitions they’ve held

they’ve started petitions they’ve held

they’ve started petitions they’ve held rallies to protest for better rights yet

rallies to protest for better rights yet

rallies to protest for better rights yet even with this ample evidence of the

even with this ample evidence of the

even with this ample evidence of the problems facing migrant workers little

problems facing migrant workers little

problems facing migrant workers little has changed

has changed

has changed when our government didn’t act we

when our government didn’t act we

when our government didn’t act we started to look for community-based

started to look for community-based

started to look for community-based solutions I learned of a group called

solutions I learned of a group called

solutions I learned of a group called the occupational health clinics for

the occupational health clinics for

the occupational health clinics for Ontario workers or ocal now these are

Ontario workers or ocal now these are

Ontario workers or ocal now these are clinics that specialize in occupational

clinics that specialize in occupational

clinics that specialize in occupational health and they’re multidisciplinary

health and they’re multidisciplinary

health and they’re multidisciplinary teams when all Kyle learned that the

teams when all Kyle learned that the

teams when all Kyle learned that the problems facing migrant workers they hit

problems facing migrant workers they hit

problems facing migrant workers they hit the ground running to provide

the ground running to provide

the ground running to provide specialized places where workers could

specialized places where workers could

specialized places where workers could receive free care with the assistance of

receive free care with the assistance of

receive free care with the assistance of translators at times and can places

translators at times and can places

translators at times and can places convenient to them like at shopping

convenient to them like at shopping

convenient to them like at shopping malls or worker support centers or even

malls or worker support centers or even

malls or worker support centers or even soccer matches which it turns out is

soccer matches which it turns out is

soccer matches which it turns out is very handy if you happen to get a soccer

very handy if you happen to get a soccer

very handy if you happen to get a soccer ball to the head so at first these

ball to the head so at first these

ball to the head so at first these efforts were very informal with a doctor

efforts were very informal with a doctor

efforts were very informal with a doctor nurse and translator showing up in

nurse and translator showing up in

nurse and translator showing up in communities and seeing if any workers

communities and seeing if any workers

communities and seeing if any workers needed alt and it didn’t take long

needed alt and it didn’t take long

needed alt and it didn’t take long before many clients were interested in

before many clients were interested in

before many clients were interested in seeing receiving the services now after

seeing receiving the services now after

seeing receiving the services now after learning of the occupational health

learning of the occupational health

learning of the occupational health needs facing workers oka also started

needs facing workers oka also started

needs facing workers oka also started hosting information based prevention

hosting information based prevention

hosting information based prevention workshop sometimes in partnership with

workshop sometimes in partnership with

workshop sometimes in partnership with employers who allowed them onto their

employers who allowed them onto their

employers who allowed them onto their firms but these were all very exciting

firms but these were all very exciting

firms but these were all very exciting developments but the capacity of these

developments but the capacity of these

developments but the capacity of these efforts to meet all the needs of migrant

efforts to meet all the needs of migrant

efforts to meet all the needs of migrant workers was limited we needed more hands

workers was limited we needed more hands

workers was limited we needed more hands on deck so in partnership with some

on deck so in partnership with some

on deck so in partnership with some Laurier colleagues and some community

Laurier colleagues and some community

Laurier colleagues and some community groups we founded the migrant worker

groups we founded the migrant worker

groups we founded the migrant worker health project with aim to educate other

health project with aim to educate other

health project with aim to educate other healthcare providers about the issues

healthcare providers about the issues

healthcare providers about the issues and encourage them to make their

and encourage them to make their

and encourage them to make their services more accessible we made a

services more accessible we made a

services more accessible we made a website and printed resources and we

website and printed resources and we

website and printed resources and we gave presentations around the province

gave presentations around the province

gave presentations around the province now sharing the information was helpful

now sharing the information was helpful

now sharing the information was helpful but it didn’t solve the problem many

but it didn’t solve the problem many

but it didn’t solve the problem many clinicians indicated they would love to

clinicians indicated they would love to

clinicians indicated they would love to do more but they didn’t have the

do more but they didn’t have the

do more but they didn’t have the resources it’s hard to convince people

resources it’s hard to convince people

resources it’s hard to convince people to spend money on a population that has

to spend money on a population that has

to spend money on a population that has no voting power we were starting to get

no voting power we were starting to get

no voting power we were starting to get used to disappointment but then we met

used to disappointment but then we met

used to disappointment but then we met with Donna crips

with Donna crips

with Donna crips the CEO of the Hamilton Niagara haldeman

the CEO of the Hamilton Niagara haldeman

the CEO of the Hamilton Niagara haldeman Brant local health integration network

Brant local health integration network

Brant local health integration network now that’s the mouthful so we’ll just

now that’s the mouthful so we’ll just

now that’s the mouthful so we’ll just call it the Lyn now when I told Donna

call it the Lyn now when I told Donna

call it the Lyn now when I told Donna about the challenges facing migrant

about the challenges facing migrant

about the challenges facing migrant workers she seemed genuinely concerned

workers she seemed genuinely concerned

workers she seemed genuinely concerned and so she invited us to give a

and so she invited us to give a

and so she invited us to give a presentation to her and some staff at

presentation to her and some staff at

presentation to her and some staff at the Linn office shortly after the Lyn

the Linn office shortly after the Lyn

the Linn office shortly after the Lyn announced

announced

announced would be provided for specialized

would be provided for specialized

would be provided for specialized clinics for migrant workers this was

clinics for migrant workers this was

clinics for migrant workers this was great but just having the funding wasn’t

great but just having the funding wasn’t

great but just having the funding wasn’t enough we also needed dedicated people

enough we also needed dedicated people

enough we also needed dedicated people to provide the services so two community

to provide the services so two community

to provide the services so two community health centers or CHCs

health centers or CHCs

health centers or CHCs quests in Niagara and Grand River right

quests in Niagara and Grand River right

quests in Niagara and Grand River right here in Brantford rose to the challenge

here in Brantford rose to the challenge

here in Brantford rose to the challenge to make services accessible for workers

to make services accessible for workers

to make services accessible for workers they really had to think outside of the

they really had to think outside of the

they really had to think outside of the typical box of healthcare provision

typical box of healthcare provision

typical box of healthcare provision hours had to be on evenings and weekends

hours had to be on evenings and weekends

hours had to be on evenings and weekends which isn’t when doctors normally love

which isn’t when doctors normally love

which isn’t when doctors normally love to work they have defined

to work they have defined

to work they have defined spanish-speaking translators and they

spanish-speaking translators and they

spanish-speaking translators and they had to find locations that were

had to find locations that were

had to find locations that were convenient to workers to overcome the

convenient to workers to overcome the

convenient to workers to overcome the transportation barriers so each Center

transportation barriers so each Center

transportation barriers so each Center examined the resources and contexts in

examined the resources and contexts in

examined the resources and contexts in their own communities and determine the

their own communities and determine the

their own communities and determine the best way to make it work the Grand River

best way to make it work the Grand River

best way to make it work the Grand River CHC partnered with the Simcoe superstore

CHC partnered with the Simcoe superstore

CHC partnered with the Simcoe superstore to provide evening clinics right inside

to provide evening clinics right inside

to provide evening clinics right inside the grocery store where workers were

the grocery store where workers were

the grocery store where workers were shopping anyway so they could pick up

shopping anyway so they could pick up

shopping anyway so they could pick up their potatoes and their prescriptions

their potatoes and their prescriptions

their potatoes and their prescriptions all in one spot now that’s convenience

all in one spot now that’s convenience

all in one spot now that’s convenience they also offer clinics in Delhi and

they also offer clinics in Delhi and

they also offer clinics in Delhi and here in Bradford out of this lovely

here in Bradford out of this lovely

here in Bradford out of this lovely converted vehicle they recruited

converted vehicle they recruited

converted vehicle they recruited committed local physicians and those

committed local physicians and those

committed local physicians and those from neighboring communities who drive

from neighboring communities who drive

from neighboring communities who drive in and provide the services on the

in and provide the services on the

in and provide the services on the weekends my husband is one of them and I

weekends my husband is one of them and I

weekends my husband is one of them and I didn’t give him much choice in the

didn’t give him much choice in the

didn’t give him much choice in the matter but he says it’s one of the most

matter but he says it’s one of the most

matter but he says it’s one of the most rewarding experiences he’s had as a

rewarding experiences he’s had as a

rewarding experiences he’s had as a doctor a dedicated community pharmacist

doctor a dedicated community pharmacist

doctor a dedicated community pharmacist works late to ensure that workers can

works late to ensure that workers can

works late to ensure that workers can access their prescriptions right after

access their prescriptions right after

access their prescriptions right after seeing the doctor staff and volunteers

seeing the doctor staff and volunteers

seeing the doctor staff and volunteers work tirelessly to promote the clinics

work tirelessly to promote the clinics

work tirelessly to promote the clinics provide interpretation services and

provide interpretation services and

provide interpretation services and assist workers with follow-up in Niagra

assist workers with follow-up in Niagra

assist workers with follow-up in Niagra Quest operates their clinics out of two

Quest operates their clinics out of two

Quest operates their clinics out of two sites one out of a rented walk-in clinic

sites one out of a rented walk-in clinic

sites one out of a rented walk-in clinic and the other in partnership with the

and the other in partnership with the

and the other in partnership with the church quest has also expanded its

church quest has also expanded its

church quest has also expanded its activities into the community offering

activities into the community offering

activities into the community offering primary health care services as well as

primary health care services as well as

primary health care services as well as health information workshops on topics

health information workshops on topics

health information workshops on topics like diabetes and healthy eating a

like diabetes and healthy eating a

like diabetes and healthy eating a community vents and on firms medical

community vents and on firms medical

community vents and on firms medical nursing and Spanish students and faculty

nursing and Spanish students and faculty

nursing and Spanish students and faculty from McMaster and Brock University’s

from McMaster and Brock University’s

from McMaster and Brock University’s staff these clinics on a volunteer basis

staff these clinics on a volunteer basis

staff these clinics on a volunteer basis gaining invaluable learning experiences

gaining invaluable learning experiences

gaining invaluable learning experiences in the process

in the process

in the process collectively these clinics have now seen

collectively these clinics have now seen

collectively these clinics have now seen thousands of clients and in surveys a

thousands of clients and in surveys a

thousands of clients and in surveys a hundred percent of clients reported

hundred percent of clients reported

hundred percent of clients reported satisfaction and a hundred percent said

satisfaction and a hundred percent said

satisfaction and a hundred percent said they had enough time with their provider

they had enough time with their provider

they had enough time with their provider I imagine it would be quite hard to

I imagine it would be quite hard to

I imagine it would be quite hard to replicate those kinds of satisfaction

replicate those kinds of satisfaction

replicate those kinds of satisfaction rates anywhere else in our healthcare

rates anywhere else in our healthcare

rates anywhere else in our healthcare system community volunteer groups in

system community volunteer groups in

system community volunteer groups in both regions with support from these

both regions with support from these

both regions with support from these clinics also host annual health resource

clinics also host annual health resource

clinics also host annual health resource and information fairs hundreds of

and information fairs hundreds of

and information fairs hundreds of workers attend these events where they

workers attend these events where they

workers attend these events where they receive information and support as well

receive information and support as well

receive information and support as well as enjoy free food entertainment and

as enjoy free food entertainment and

as enjoy free food entertainment and gain a sense of inclusion local

gain a sense of inclusion local

gain a sense of inclusion local residents also regularly host social

residents also regularly host social

residents also regularly host social events for workers volunteers discuss

events for workers volunteers discuss

events for workers volunteers discuss the value of these initiatives not only

the value of these initiatives not only

the value of these initiatives not only for the workers but also for the

for the workers but also for the

for the workers but also for the community members many of whom have

community members many of whom have

community members many of whom have formed long lasting friendships with

formed long lasting friendships with

formed long lasting friendships with workers some of whom have even been

workers some of whom have even been

workers some of whom have even been lucky enough to visit workers in their

lucky enough to visit workers in their

lucky enough to visit workers in their tropical homes during her much less

tropical homes during her much less

tropical homes during her much less desirable winters so these communities

desirable winters so these communities

desirable winters so these communities have gone to great lengths to support

have gone to great lengths to support

have gone to great lengths to support the health of migrant workers

the health of migrant workers

the health of migrant workers recognizing that health depends much

recognizing that health depends much

recognizing that health depends much more than on the physical condition but

more than on the physical condition but

more than on the physical condition but also on a sense of belonging and feeling

also on a sense of belonging and feeling

also on a sense of belonging and feeling cared for it’s truly been a

cared for it’s truly been a

cared for it’s truly been a transformation in front of my eyes from

transformation in front of my eyes from

transformation in front of my eyes from virtually no support to the groundswell

virtually no support to the groundswell

virtually no support to the groundswell that it is today

that it is today

that it is today and it’s all because of the dedicated

and it’s all because of the dedicated

and it’s all because of the dedicated efforts of individuals who saw the

efforts of individuals who saw the

efforts of individuals who saw the problem and wanted to do their part to

problem and wanted to do their part to

problem and wanted to do their part to help but let me be clear these clinics

help but let me be clear these clinics

help but let me be clear these clinics have not solved all of the problems

have not solved all of the problems

have not solved all of the problems facing migrant workers far from it

facing migrant workers far from it

facing migrant workers far from it despite decades of working here Canada

despite decades of working here Canada

despite decades of working here Canada still does not welcome them as

still does not welcome them as

still does not welcome them as immigrants they still face long and

immigrants they still face long and

immigrants they still face long and painful family separations sometimes for

painful family separations sometimes for

painful family separations sometimes for years or decades in a row they’re still

years or decades in a row they’re still

years or decades in a row they’re still largely socially segregated and many

largely socially segregated and many

largely socially segregated and many experienced racism the program leaves

experienced racism the program leaves

experienced racism the program leaves workers very vulnerable and they’re

workers very vulnerable and they’re

workers very vulnerable and they’re dependent largely on the goodwill of

dependent largely on the goodwill of

dependent largely on the goodwill of their employer this varies widely many

their employer this varies widely many

their employer this varies widely many do report negative housing and working

do report negative housing and working

do report negative housing and working environments even the power of the

environments even the power of the

environments even the power of the clinicians to enact change and workers

clinicians to enact change and workers

clinicians to enact change and workers lives is limited by the fact that many

lives is limited by the fact that many

lives is limited by the fact that many workers are too afraid to seek job

workers are too afraid to seek job

workers are too afraid to seek job modifications to improve their ha

modifications to improve their ha

modifications to improve their ha for fear of losing their jobs instead

for fear of losing their jobs instead

for fear of losing their jobs instead they want interventions like medicines

they want interventions like medicines

they want interventions like medicines and stretching exercises that won’t

and stretching exercises that won’t

and stretching exercises that won’t raise the eyebrows of their employers

raise the eyebrows of their employers

raise the eyebrows of their employers when women become pregnant in the

when women become pregnant in the

when women become pregnant in the program they often hide their

program they often hide their

program they often hide their pregnancies forgoing prenatal care for

pregnancies forgoing prenatal care for

pregnancies forgoing prenatal care for fear of losing those jobs when workers

fear of losing those jobs when workers

fear of losing those jobs when workers are seriously injured or when they die

are seriously injured or when they die

are seriously injured or when they die their families are normally left with

their families are normally left with

their families are normally left with little to no support as Canadians we

little to no support as Canadians we

little to no support as Canadians we have a lot of thinking to do about the

have a lot of thinking to do about the

have a lot of thinking to do about the way we treat the most vulnerable in our

way we treat the most vulnerable in our

way we treat the most vulnerable in our society and there is still much work to

society and there is still much work to

society and there is still much work to be done

be done

be done yet the clinic’s have made a major

yet the clinic’s have made a major

yet the clinic’s have made a major difference to address one aspect of

difference to address one aspect of

difference to address one aspect of workers well-being wild there in Canada

workers well-being wild there in Canada

workers well-being wild there in Canada which is providing a truly accessible

which is providing a truly accessible

which is providing a truly accessible form of health care that had otherwise

form of health care that had otherwise

form of health care that had otherwise been absent as one migrant worker told

been absent as one migrant worker told

been absent as one migrant worker told me at these clinics I actually feel for

me at these clinics I actually feel for

me at these clinics I actually feel for the first time as though Canadian people

the first time as though Canadian people

the first time as though Canadian people care about me and I no longer have to

care about me and I no longer have to

care about me and I no longer have to choose between worrying about losing my

choose between worrying about losing my

choose between worrying about losing my job and accessing the health care I need

job and accessing the health care I need

job and accessing the health care I need and the clinic they benefit not only the

and the clinic they benefit not only the

and the clinic they benefit not only the workers but also the employers who can

workers but also the employers who can

workers but also the employers who can depend on healthy workforces the workers

depend on healthy workforces the workers

depend on healthy workforces the workers families who rely on the health of their

families who rely on the health of their

families who rely on the health of their breadwinner and loved one they reduce

breadwinner and loved one they reduce

breadwinner and loved one they reduce pressure on our hospital emergency

pressure on our hospital emergency

pressure on our hospital emergency departments and really they benefit all

departments and really they benefit all

departments and really they benefit all of us who can enjoy healthy local food

of us who can enjoy healthy local food

of us who can enjoy healthy local food there are positive ripple effects all

there are positive ripple effects all

there are positive ripple effects all over the community so the key message I

over the community so the key message I

over the community so the key message I want to leave you with today is that

want to leave you with today is that

want to leave you with today is that society’s problems can be solved little

society’s problems can be solved little

society’s problems can be solved little by little by the strong and dedicated

by little by the strong and dedicated

by little by the strong and dedicated efforts in our communities everyone

efforts in our communities everyone

efforts in our communities everyone involved in these clinics are inspiring

involved in these clinics are inspiring

involved in these clinics are inspiring examples of what can happen when we care

examples of what can happen when we care

examples of what can happen when we care about each other and when we work

about each other and when we work

about each other and when we work together rather than in silos they are

together rather than in silos they are

together rather than in silos they are testament to the power of collaborative

testament to the power of collaborative

testament to the power of collaborative creative community efforts to solve

creative community efforts to solve

creative community efforts to solve complex problems and no one person could

complex problems and no one person could

complex problems and no one person could have achieved all of this on their own

have achieved all of this on their own

have achieved all of this on their own it only works because so many people

it only works because so many people

it only works because so many people offer what they can the pharmacist who

offer what they can the pharmacist who

offer what they can the pharmacist who stays late the doctor who drives in on a

stays late the doctor who drives in on a

stays late the doctor who drives in on a weekend the employer who offers a health

weekend the employer who offers a health

weekend the employer who offers a health workshop on their firm

workshop on their firm

workshop on their firm the health administrator who decided to

the health administrator who decided to

the health administrator who decided to fund the clinic’s

fund the clinic’s

fund the clinic’s the business owner who donated space and

the business owner who donated space and

the business owner who donated space and the many community members who offer to

the many community members who offer to

the many community members who offer to translate or give rides to workers the

translate or give rides to workers the

translate or give rides to workers the clinic’s are some of these parts and

clinic’s are some of these parts and

clinic’s are some of these parts and without each of them working together

without each of them working together

without each of them working together they could not succeed the clinic’s also

they could not succeed the clinic’s also

they could not succeed the clinic’s also worked so well because they are driven

worked so well because they are driven

worked so well because they are driven by people who genuinely care about the

by people who genuinely care about the

by people who genuinely care about the neighbors among us the unrecognized

neighbors among us the unrecognized

neighbors among us the unrecognized people whose dedicated work allows our

people whose dedicated work allows our

people whose dedicated work allows our agricultural economies to thrive migrant

agricultural economies to thrive migrant

agricultural economies to thrive migrant workers make enormous sacrifices to be

workers make enormous sacrifices to be

workers make enormous sacrifices to be here and they contribute essential work

here and they contribute essential work

here and they contribute essential work in our communities the least we can do

in our communities the least we can do

in our communities the least we can do is support them to return home to their

is support them to return home to their

is support them to return home to their families safe and healthy as individuals

families safe and healthy as individuals

families safe and healthy as individuals as communities and as a country we still

as communities and as a country we still

as communities and as a country we still have a long way to go to ensure that the

have a long way to go to ensure that the

have a long way to go to ensure that the migrant workers who live among us are

migrant workers who live among us are

migrant workers who live among us are treated with the dignity and respect

treated with the dignity and respect

treated with the dignity and respect they deserve I invite you to join us in

they deserve I invite you to join us in

they deserve I invite you to join us in whatever way you can towards that goal

whatever way you can towards that goal

whatever way you can towards that goal thank you

thank you

thank you [Music]

[Music]

[Music] [Applause]

”

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