The Institute for Occupational Health and Safety Development condemns the Inter-Agency Task Force Resolution 148-B [1] and demands for its revocation. Its provisions not only threaten jobs, but also make it almost impossible for people to carry out with their daily lives.

Requiring mandatory vaccination without clear guidelines on determining adequacy of vaccine supply, on top of the gross inequality of vaccine distribution outside NCR [2], puts workers at risk for unemployment or dismissal, especially in provinces. Forcing workers to spend on testing in exchange for vaccination pushes them further into debt. Providing incentives to business establishments with better vaccination practices forces workers to get the jab or lose their job at the expense of their employer’s profit. And, limiting access to transportation, and public and private establishments with preferential treatment in government services to those vaccinated creates selective freedom to those already privileged with abundant vaccine supply, leaving the rest of the population locked down and farther behind.

All of these absolve the government of its responsibility to control this pandemic through comprehensive, free, and accessible testing, tracing, treatment and prevention measures, and shift the burden to individual efforts once again.

For a better control of this pandemic, we urgently call on the government to:

1) Publish data on vaccine supply, distribution and percent vaccinated per priority group and per region. In addition to transparency, this is needed to highlight how the rest of the country is faring relative to NCR. This will identify areas of concern, which the national government should focus on in terms of vaccine allocation, and the local government, its citizens and various organizations can engage with through increased information campaigns, consultations, and dialogues for better vaccination coverage.

2) Ramp up on-site vaccination among workers especially in special economic zones (SEZ’s). Evaluate the onsite vaccination mandate in Special Economic Zones, as stated in Philippine Economic Zone Authority Memorandum Circular 2021-040 [3]. The mechanism to have this done is already laid out, whether it is to establish own vaccination sites, mobilize vaccination teams from the local government, or coordinate with the National Vaccines Operations Center. Yet the vaccination coverage of the A4 priority group has not reached 50% in Region III, IVA, VII despite including Pampanga, Cavite, Laguna, Batangas, Rizal, and Metro Cebu in the priority of vaccine allocation [3,4] If we truly want to reach herd immunity, this protocol should be revisited, modified, and ramped up to reach greater coverage among our essential workers, which comprises 35.5 million of the population [5].

3) Provide paid vaccine leave for a minimum of three (3) days to accommodate the actual schedule for vaccination and rest days for its adverse effects.Similar to the difficulty in COVID case detection and close contact identification, the lack of compensation for days missed at work poses a hindrance for workers in getting the vaccine. Providing paid vaccine leaves will bring us one step closer to having workers vaccinated.

4) Guarantee compensation for vaccine-related adverse effects. Since COVID-19 vaccines are operating under Emergency Use Authorization only [6], we cannot completely allay the fears that individuals have on the uncertainty of its side effects. While we can present results of the studies showing how rare they are, the assurance of medical and financial support for side effects would make more of us at ease to receive the jab. It is the government’s responsibility after all to be accountable for these as it is the one who granted permission to have COVID-19 vaccines used. There is an allotted 500 million pesos under the indemnity fund for these situations and it should be used accordingly [7].

5) Require COVID-19 and vaccine education campaigns at work. Workers spend most of their time in the workplace and this should be maximized to bridge the gap on information regarding COVID-19 and vaccines. While numerous materials are available on television and social media, these are often inaccessible due to limited internet connection, access to television, and time for seeking out news. Most of these are presented in a language that is difficult to understand for most and will not tackle unique and personal concerns they may have. Instead of putting their jobs on the line in exchange for vaccination, we should not tire of listening to their concerns and providing correct, relevant, and timely information to allow them to make an informed choice.

6) Ensure that all workplaces to have functioning Occupational Safety and Health (OSH) committees. It is alarming that the lack of organized OSH committees is listed in the top 3 violations among the 70,902 establishments inspected by DOLE-DTI until Oct. 31 [8]. Together with it are non-submission of monthly compliance reports online and failure of safety officers to ensure strict implementation of minimum health protocols. Clearly, we cannot expect consistent implementation and regular monitoring and evaluation of COVID-19 protocols without trained personnel who are knowledgeable on these and the hazards in the workplace. OSH programs, including mandatory lectures on COVID-19, vaccines and other health concerns are anchored on these committees and will not be sustainable without them. Given their role, it is high time that DOLE enforces all establishments to have OSH committees and uphold the OSH Law. Besides providing training, require employers to make them eligible for regular employment with adequate benefits and pay to reflect the value that they hold and encourage more individuals to take up these roles.

7) Support workers’ OSH committees. Workers need to take an active role in the protection of their safety and health and this can be achieved through the establishment of their own committees. Through this, they can elevate their concerns, craft solutions specific to their situation, and modify current practices for more effective implementation of protocols, including information dissemination among co-workers especially when it comes to COVID-19 and vaccines. Through OSH training and close coordination with the company-led OSH committee, this will provide a more comprehensive approach, with a check and balance system, in creating a safe and healthy workplace. These workers’ OSH committees are needed now more than ever as workers are left to look after their own welfare.

8) Provide free, accessible, and timely testing. Vaccines alone will not put an end to the pandemic. From the beginning, emphasis is placed on an effective system for case finding, contact tracing, treatment, and prevention but this is yet to materialize. Using routine testing as punishment rather than as the initial step for case finding will prevent us from determining the actual burden of COVID-19 infection in the country.

9) Increase the capacity of the health care system at the level of the community. Time and again the pandemic showed us how our health care system is focused on cure rather than prevention. The unequal capacities of the local government to provide adequate and affordable care pushed patients to flock to tertiary hospitals in Manila, which were already filled as COVID-19 cases rose.

While the call for increase in budget allocation for health, hiring of healthcare personnel, adequate pay and social protection, and provision of proper hospital facilities remain, it is important to recognize that health care services should not be decentralized. These should be funded by the national government based on the needs of each community to ensure hiring of adequate personnel, provision of uniformed services with a good standard, and access to appropriate facilities all over the country.

Similar to the power a workers’ OSH committee holds, a well-supported community health system can address concerns specific to their area and modify programs to be more effective in their setting. This could have been the mechanism by which faster control of COVID-19 transmission and wider vaccine coverage could be achieved. This should become the norm to strengthen primary care at its roots and prevent losing lives due to lack of access to care.

People’s health is the government’s responsibility and should be reflected in its policies. The unvaccinated are already at an increased risk to succumb to fatal COVID-19 infection and this resolution will only push them closer to their deaths as it cuts off their access to services necessary for life. While vaccination of a significant number of the population is needed to achieve protection for all, multiple factors should be addressed for better vaccine coverage rather than taking the easy way out and imposing punishment on those unvaccinated.

Let us not allow this administration to further pit us against each other for services that everyone is entitled to receive as citizens of this country.

Scrap IATF Resolution 148-B!

No to mandatory vaccination!

Provide comprehensive informed consent to all!

Bakuna, trabaho, ayuda at serbisyo para sa lahat!

[1] Inter-Agency Task Force for the management of emerging infectious diseases (2021). Resolution No. 148-B. Retrieved from https://iatf.doh.gov.ph/…/20211111-IATF-Resolution-148B…

[2] ABS-CBN News (2021, Nov 17). COVID-19 Tracker Philippines. Retrieved https://infogram.com/1p20r9gmmkvgnkf0vde62j0vkvfr0qkpxgm

[3] Philippine Economic Zone Authority (2021). Memorandum Circular No. 2021-040. Retrieved http://www.peza.gov.ph/documents/mc2021040.pdf

[4] National Vaccines Operation Center (2021, Nov 10). COVID-19 Vaccine Daily Bulletin No. 253

[5] Cordero, T. (2021, May 29). NEDA: 35.5M workers included in simplified A4 vaccination priority group. GMA News Online. Retrieved https://www.gmanetwork.com/…/neda-35-5m-workers…/story/

[6] Food and Drug Administration. Emergency Use Authorization. Retrieved https://www.fda.gov.ph/list-of-fda-issued-emergency-use…/

[7] Congress of the Philippines (2021, Feb 26). Republic Act 1152: An Act Establishing the Coronavirus Disease 2019 (COVID-19) Vaccination Program Expediting the Vaccine Procurement and Administration Process, Providing funds therefore, and for other purposes. Retrieved https://www.officialgazette.gov.ph/…/20210226-RA-11525…

[8] Bureau of Working Conditions (2021, Oct 31). The report on the Monitoring of Compliance with Joint Memorandum Circular 20-04A. Retrieved https://bwc.dole.gov.ph/jointmonitoringresult

COVID-19 has already been recognized and declared as a work-related and occupational disease, in order to support workers who risk their lives daily to keep their families alive, and thereby keep the country alive.

However, without adequate safety protocols at work, immediate availability of vaccines, and a well-equipped health care system to protect the healthy and treat the sick, workers are again placed in a vulnerable position.

Workers need financial assistance that they can use to fight off infection, start over once they recover, or unburden their families of some of the cost of losing them, if they unfortunately succumb to the disease.

The Institute for Occupational Health and Safety Development (IOHSAD), Metal Workers Alliance of the Philippines (MWAP), BPO Industry Employees Network (BIEN) and Nexperia Phils. Inc. Workers Union (NPIWU-NAFLU-KMU) present the following recommendations:

(1) Include jobs that carry out essential activities covered by the recognition of COVID-19 as a work-related and occupational disease. By providing essential goods and services to the public, these jobs expose their workers to numerous individuals with unknown COVID-19 status daily.

With risks associated with the type of interaction, duration of interaction and ventilation in the workplace, the following workers should be granted automatic recognition that their COVID-19 infection is occupational:

(a) Those with direct contact with the offending agent or event:
>> Workers in any healthcare setting providing face-to-face services: health care workers, admin staff, nursing aids, maintenance personnel, pharmacy and laboratory staff, security personnel, among others.
>> Contact tracers and screeners for COVID-19 symptoms
>> Personnel assigned in isolation or quarantine facilities

>> Garbage collectors, regardless of area of work

>> Those administering COVID-19 tests outside hospital settings

(b) Those who have direct interactions with various individuals

>> Service workers including those involved in accommodation and food service activities, education, arts, entertainment and recreation, activities of households as employers, delivery riders, courier services or transport of essential goods
>> Those involved in non-Covid-related face-to-face health care services such as those providing outpatient consultations, dialysis services, physical and occupational therapy, mental health services, and palliative care, including those that provide home visits.
>> Workers in government offices
>> Bank employees

>> Those who work in public transport, whether sea, land or air

>> Those who perform field work: engineers,

>> Barbers/hairdressers

(c) Those who stay in close proximity to other co-workers or clients because of the nature of their work

>> Construction industry workers

>> Manufacturing industry workers

>> Garment/retail industry workers

(d) Those who stay in enclosed spaces and perform activities that increase the release of respiratory particles for a prolonged period of time [1,2]

>> BPO workers, who talk for a long period of time

(e ) And the like

(2) Consider as compensable COVID-19 infections contracted while working from home.

Any location other than the regular workplace is considered an alternative workplace [3]. It is important to remember that (a) there is on-going community transmission of the virus in the whole country [4], (b) not all household members are working from home but all have multiple interactions with each other daily and use common areas frequently, and (c) household members need to leave the house and interact with multiple individuals for purchase of essential goods for work and for the home.

Given these factors, exposure to COVID-19 while working from home is inevitable. Contracting COVID-19 while working from home should therefore be considered work-related and compensable as well.

(3) Provide a special lane or department for processing ECC COVID-19 related benefits in the nearest ECC office.

Processing applications via the SSS/GSIS creates a bottleneck as these agencies also handle other types of benefits. By allocating a separate lane or department with adequate personnel to facilitate reviewing COVID-19 claims, outcomes of applications can be relayed faster, and benefits can be released in a timelier manner.

(4) Recognize a positive rapid antigen test result as a valid form of documentation of COVID-19 infection.

RT-PCR testing for COVID-19 remains costly and PhilHealth coverage is not enough to shoulder the cost. Due to the increased out of pocket spending, some companies opt to carry out rapid antigen tests. While not the best for diagnosis, rapid antigen tests are considered reliable in any of the following:

(a) symptomatic individuals, if done within 5-7 days of the onset of symptoms
(b) asymptomatic close contacts, if done within 4-11 days after their last exposure to the probable or confirmed COVID-19 infection

Under these conditions, a person with a positive test is already considered a confirmed COVID-19 case [5,6].

(5) Remove any limitations on the number of applications for COVID-19 claims.

 The immune response generated from a previous COVID-19 infection has been shown as long-lasting [7-9] but little is known as to how well it can protect an individual from succeeding infections. In fact, if unvaccinated, those previously infected still have twice the risk of getting infected compared to their vaccinated counterparts [10]. Their antibodies have also been seen to be less potent against newer variants [11]. And, even among those fully vaccinated, breakthrough infections are still occurring [12]. As more SARS-CoV-2 variants surface, the possibility of getting infected and re-infected also increases. Given the mutating nature of the disease, all individuals face the danger of getting infected multiple times. Therefore, regardless of the number of times a worker contracts COVID-19 infection, he or she should be eligible to apply for a claim.

(6) Establish a schedule for feedback regarding claim applications.

Our workers have been left waiting for months now for the outcome of their applications, leaving them uncertain of the next steps to take. Updating follow-up mechanisms and releasing the outcome of applications within 7 days will provide workers assurance that their claim is being processed and will allow them to immediately prepare an appeal, if needed.

The Delta variant has been declared as the dominant cause of COVID-19 infections in the Philippines [13]. It is known to be more contagious because an infected person carries 1,000 times more viral particles than when infected with previous variants [14] and can infect 5-8 people within seconds to minutes [15]. This has numerous implications for the current protocols in place in the workplace and community as transmission is expected to occur in interactions even beyond 1 meter or in less than 15 minutes [2,16]. Should our current practice fail to adapt to these changes [17], despite improving compliance, outbreaks will most likely occur.

Furthermore, the Delta variant has been seen to cause severe diseases especially in the unvaccinated [18]. Should our vaccination continue at the pace of 387, 176 jabs per day, with only around 2 million out of 35 million essential workers fully vaccinated [19], severe disease among a large fraction of workers can be expected. Given a severe disease requiring hospitalization in a health care system with at least 73% of ICU beds nationwide already occupied [20], numerous deaths can be anticipated. Multiple infections have already been recorded in several workplaces, and we should not wait until we lose more lives to this disease.

Now more than ever, the Employee Compensation Commission and the Department of Labor and Employment should ensure timely provision of COVID-19 related benefits and publish well-defined guidelines for this purpose.

References:

[1] Jones N R, Qureshi Z U, Temple R J, Larwood J P J, Greenhalgh T, Bourouiba L et al. Two metres or one: what is the evidence for physical distancing in covid-19? BMJ 2020; 370 :m3223 doi:10.1136/bmj.m3223

[2] Center for Disease Control and Prevention (07 May 2021). Scientific Brief: SARS-CoV-2 Transmission https://www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/sars-cov-2-transmission.html

[3] Department Order No. 202 Implementing Rules and Regulations of Republic Act No. 11165 Otherwise known as the “Telecommuting Act”

[4] CNN Philippines (31 August 2021). WHO confirms community transmission, dominance of Delta variant in PH. https://cnnphilippines.com/news/2021/8/31/Delta-variant-community-transmission-dominant-Philippines-WHO.html

[5] Health Technology Assessment Council (30 April 2021). Use of Rapid Antigen Test Kits for the Diagnosis of COVID-19 (April 2021 Assessment) https://hta.doh.gov.ph/2021/05/07/use-of-rapid-antigen-test-kits-for-the-diagnosis-of-covid-19april-2021-assessment/

[6] Philippine Society for Microbiology and Infectious Diseases (28 May 2021). Philippine COVID-19 Living Recommendations https://www.psmid.org/philippine-covid-19-living-recommendations/

[7] Reynolds, S. (26 January 2021). Lasting immunity found after recovery from COVID-19. National Institutes of Health. https://www.nih.gov/news-events/nih-research-matters/lasting-immunity-found-after-recovery-covid-19

[8] Turner, J.S., Kim, W., Kalaidina, E. et al. SARS-CoV-2 infection induces long-lived bone marrow plasma cells in humans. Nature 595, 421–425 (2021). https://doi.org/10.1038/s41586-021-03647-4

[9] Abassi, J. (14 July 2021). Study Suggests Lasting Immunity After COVID-19, With a Big Boost From Vaccination. Journal of American Medical Association. https://jamanetwork.com/journals/jama/fullarticle/2782139

[10] Cavanaugh, A.; Spicer, K., Thoroughman, D., Glick, C., & Winter, K. (13 August 2021). Reduced Risk of Reinfection with SARS-CoV-2 After COVID-19 Vaccination — Kentucky, May–June 2021. Morbidity and Mortality Weekly Report Center for Disease Control and Prevention

[11] Planas, D., Veyer, D., Baidaliuk, A. et al. Reduced sensitivity of SARS-CoV-2 variant Delta to antibody neutralization. Nature 596, 276–280 (2021). https://doi.org/10.1038/s41586-021-03777-9

[12] Center for Disease Control and Prevention (23 August 2021). Possibility of COVID-19 Illness after Vaccination.

[13]Cabico, K. (31 August 2021). WHO says Delta variant now dominant in Philippines. PhilStarhttps://www.philstar.com/headlines/2021/08/31/2123862/who-says-delta-variant-now-dominant-philippines

[14] Viral infection and transmission in a large well-traced outbreak caused by the Delta SARS-CoV-2 variant https://virological.org/t/viral-infection-and-transmission-in-a-large-well-traced-outbreak-caused-by-the-delta-sars-cov-2-variant/724

[15] Department of Health (08 Aug 2021). What you need to know about the Delta Variant

[16] ABC News (2021). What we know about the fleeting spread of the COVID-19 Delta variant in Sydney. https://www.abc.net.au/news/2021-06-24/covid-delta-kappa-variant-spread-in-fleeting-moment-nsw-vic/100238680

[17] National Public Radio (27 Aug 2021). Coronavirus FAQ: How do the rules of 6 feet and 15 minutes apply to the Delta variant? https://www.npr.org/sections/goatsandsoda/2021/08/27/1031753581/coronavirus-faq-how-does-the-6-feet-15-minutes-rule-apply-to-the-delta-variant

[18] Center for Disease Control and Prevention (26 August 2021). Delta variant https://www.cdc.gov/coronavirus/2019-ncov/variants/delta-variant.html

[19] Department of Health and National Task Force on COVID-19 (29 August 2021). Vaccine statistics

[20] Department of Health (01 Sept 2021). DOH COVID-19 Case Bulletin #536

• 

Free, expansive, and timely testing. The government is far from reaching its testing capacity target of 100,000 tests per day with an average of 30,000-50,000 tests daily _[1]. It even condones putting price caps on antigen tests and is unable to lessen the cost of RT-PCR tests in private laboratories _[2-3]. With companies having different capacities to shoulder expenses but having the same responsibility to comply with protocols in order to remain operational, workers are forced to bear the costs. They are left to choose between spending almost a week’s worth of pay so they can be tested immediately or waiting in uncertainty so they can be tested for free by their LGUs. It is only when this conflict is addressed that the true extent of the infection can be visualized and control measures can be adjusted appropriately.

• 

Swift and efficient contact tracing. This administration is able to identify only 6 contacts for every single person infected _[4]. There are many reasons for this — from lack of personnel to incomplete disclosure of contacts by workers. Workers fear admitting symptoms and even infection because of the “no work, no pay” policy and possible discrimination _[5]. This has led to multiple outbreaks, repeated company closures, and surges of infection in provinces. Crucial to breaking the chain of transmission is establishing the contacts among cases and placing them in quarantine before they infect others. This is especially important in workplaces with high traffic areas such as barracks/dormitories, locker rooms, canteens, bathrooms, and time-in and time-out stations that pose the threat of starting an outbreak. It is only when at least 37 contacts per infected person is traced do we stand a chance of containing COVID-19 successfully.

• 

Urgent provision of paid pandemic leaves. Employers’ “no work, no pay” policy and contractualization schemes that are being legalized by the government have long caused workers to choose between their job or their health _[6]. These forces workers to work despite being sick, and makes them hesitant to identify their close contacts, leading to multiple workplace outbreaks, company closures and even lay-offs. The legislation of House Bill 7909 or the Paid Pandemic Leave Bill aims to minimize that choice by requiring the government to uphold both workers’ jobs and health. Ensuring that financial assistance will be extended not only to those infected or tagged as close contacts but also those providing care for their sick family members and those placed on floating status, the law empowers workers to evaluate themselves truthfully and admit to having symptoms. This then paves the way for better case identification, efficient contact tracing, and successful containment of infection. The employers can also benefit from this, with less company closures, decreased cost on testing and treatment, and increased workers’ productivity. The economy can benefit from greater labor participation, continued development of skilled workers, and continued operation of businesses. With these in place, an efficient system of case identification, contract tracing, isolation, quarantine, and treatment is created, and the country can be saved from having repeated lockdowns. It is only when paid leaves are given that these positive effects are realized and optimized.

• 

Appropriate compensation for workers infected with COVID-19. Workers daily face the risk of contracting COVID-19. The government should care for workers when they become sick — especially given its failure to protect them. While it has been difficult to claim compensation in the past year, the recognition of COVID-19 as an occupational disease is supposed to ease the process _[7]. Three months after the release of this board resolution, however, it still has no Implementing Rules and Regulations. This has left workers and labor advocates uncertain of what to expect from this policy. Workers have been waiting for months for the result of their compensation claims. While it is difficult to pinpoint sources of infection, the hazard posed by COVID-19 cannot be easily eliminated from the workplace. The existing protocols — including personal protective equipment use — are inadequate to protect workers from getting infected. Workers should receive due compensation for contracting COVID-19 at work. This can help those previously infected to recover financially and lessen the anxiety of testing positive and the guilt of identifying contacts for tracing. These would improve infection control at work.

• 

Immediate, organized and information-backed vaccine roll out. The government’s goal of achieving herd immunity this year will remain unattainable if deployment does not increase from the current average of 270,000 doses per day _[8]. At this rate, herd immunity can be achieved only in 1.4 years_[8]. In fact, out of the targeted 35.5 million frontliners in essential workers to be vaccinated, less than one million have been fully vaccinated_[9]. On top of the shortage in the global supply in vaccines, concentration of the available supply in NCR, and non-compliance with the prioritization list, the shift to an online system has further made vaccines inaccessible to workers as most cannot afford gadgets or internet connection_[4].The unvaccinated now run the risk not only of being infected with severe COVID-19 but also being sent to jail or kept at home _[10,11]. Mandatory vaccination should be rejected and mandatory information and education campaign and informed consent must be strengthened. The country has a better chance of attaining herd immunity if it provides free and accessible vaccines to all workers regardless of job status.

• 

Increased health care system capacity. This administration’s non-prioritization of health has forced the long-standing inadequacies of the health care system to support an impossible number of patients. The health care system has crumbled under the pressure of the pandemic. The increase in bed capacity and health infrastructures without the corresponding increase in health care workers, increase and prompt pay for those in service, and on-time arrival of needed medical devices and personal protective equipment has  further demoralized healthcare workers _[12-13]. The conversion of tertiary and specialty hospitals to COVID-19 referral centers and the continued decentralization of health services have displaced patients with other diseases and robbed the latter of options for care_[14]. The greater budget allocation to the Department of Public Works and Highways has deprived the Department of Health of funding and pushed our health care system deeper into the grave _[15]. Health is a right and it is the responsibility of the government to uphold it especially in the middle of a pandemic. While those with COVID-19 require immediate attention, the health care system should not have to choose whom it caters to. The health of all Filipinos matter, and can only be ensured if these glaring issues are corrected before we lose both our health resources and countrymen to this pandemic.

• 

As a public health issue, the government’s pandemic response should be formulated with the participation of the public. If mutual understanding among all parties is achieved, cooperation will then follow. This will require an interdepartmental approach serving the best interest of the people. The sorry state that the country is in at present reflects the administration’s refusal to listen to the public. Those who are exposed to the problem are always the ones closest to the solution.

More than 1 million cases of COVID-19 infection later, workers are still recovering from the painful effects of this administration’s repeated lockdown schemes. The loss of 5.8 million jobs, the increase in the hunger rate to 16.8% and the increase in poor households to 49% in the past year have all left workers in fear _[16-19]. This fear is magnified by Metro Manila’s return to Enhanced Community Quarantine _[20]. One thing is for sure: the threat of the Delta variant and the lack of social protection caused by the government’s Bayanihan Act 3, its Covid-19 response law, is not a good combination_[21,22].

References:

[1] Gonzales, C. (2021, March 30). Gov’t aims for 100,000 COVID-19 tests a day to help contain spread. Philippine Daily Inquirer. https://newsinfo.inquirer.net/1412869/govt-aims-for-100000-covid-19-tests-a-day-to-help-contain-spread

[2] Department of Health (2021, July 27). Advisory: Price cap for COVID-19 rapid antigen testing

[3] Department of Health (2020, Nov 27). Department Circular No. 2020-0391: Price range for COVID-19 Reverse Transcription-Polymerase Reaction (RT-PCR) testing

[4] Bonquin, C. (2021, July 13). Test, trace, treat: Finding the weakest link in PH’s COVID-19 response. CNN Philippines. https://www.cnn.ph/news/2021/7/13/COVID-19-pandemic-response-Philippines-SONA-Duterte.html

[4] Kilusang Mayo Uno Press Briefing (2020, July 29). Workers react to possible hard lock down. https://fb.watch/75Fvt7qTdn/

[6] Committee on Labor and Employment (2020, Dec 11). Deliberation on House Bill No. 7909, entitled, “An Act Mandating Paid Pandemic Leaves in the Private Sector in Light of a Declared Global Pandemic”. https://fb.watch/75FqqAp7m4/

[7] Employee Compensation Commission (2021, May 4). Board Resolution No. 21-04-14

Conditions for the Compensability of COVID-19 under the ECC List of Occupational and Work-Related Disease or Annex A of the Amended Rules on Employees’ Compensation (EC).

BOARD RESOLUTION NO. 21-04-14: Conditions for the Compensability of COVID-19 under the ECC List of Occupational and Work-Related Disease or Annex A of the Amended Rules on Employees’ Compensation (EC)

[8] Bantay Bakuna (2021, July 25). COVID-19 vaccination tracker as of July 18, 2021.

[9] DOH, IATF, NTF Covid-19 Vaccine Statistics as of July 25, 2021

NEDA (2021, May 28) Gov’t expands A4 priority group list, vaccination rollout to focus on areas with highest risk. https://www.neda.gov.ph/govt-expands-a4-priority-group-list-vaccination-roll-out-to-focus-on-areas-with-highest-risk/

[10] CNN (2021, June 22). Philippine President Rodrigo Duterte threatens to jail those who refuse Covid-19 vaccine. https://edition.cnn.com/2021/06/21/asia/philippines-duterte-covid-vaccine-jail-intl-hnk/index.html

[11] Geducos, A. (2021, July 29). ‘Don’t go out!’ Duterte orders authorities to escort unvaccinated people home. Manilla Bulletin. https://mb.com.ph/2021/07/29/dont-go-out-duterte-orders-authorities-to-escort-unvaccinated-people-home/

[12] The Solidarity of Health Advocates and Personnel for a Unified Plan to Defeat COVID-19  (SHAPE UP) Media and Public Briefing (2021, March 16). One year into the lockdown of incompetence. https://fb.watch/75IsVEbTtQ/

[13] Coalition for People’s Right to Health Press Briefing (2021, July 30). Dapat Lapat. https://fb.watch/75IC7ARei-/

[14] Lasco, G, & San Pedro, J. (2020, June 7). The “covidization” of health care. Philippine Daily Inquirer. https://opinion.inquirer.net/130544/the-covidization-of-health-care

[15] IBON Foundation (2020, September 23). The 2021 Budget: Infrastructure over health, aid and MSME support. IBON. https://www.ibon.org/the-2021-budget-infra-over-health-aid-and-msme/

[16] IBON Foundation (2021, March 23). Unemployment at record high, worse than reported. https://www.ibon.org/a-year-after-lockdown-unemployment-at-record-high-worse-than-reported/

[17] Lalu, G. (2021, July 13).  16.8% hunger rate calls for new round of cash aid for poor – Bayan. Philippine Daily Inquirer. https://newsinfo.inquirer.net/1459313/with-survey-revealing-high-hunger-rates-bayan-stresses-need-for-new-cash-assistance

[19] Dela Pena, K. (2021, July 14). Pandemic sinks PH poor even deeper. Philippine Daily Inquirer. https://newsinfo.inquirer.net/1459565/pandemic-sinks-ph-poor-further

[20] Romero, A. (2021, July 31). Metro Manila back to ECQ from August 6 to 20. The Philippine Star. https://www.philstar.com/headlines/2021/07/31/2116472/metro-manila-back-ecq-august-6-20.

[21]Department of Health Press Release (2021, July 22). DOH: Government further intensifying COVID-19 response with local transmission of delta variant

[22] Bajo, A. (2021, June 29). Zarate slams Duterte admin for “sleeping” on Bayanihan 3. GMA News. https://www.gmanetwork.com/news/news/nation/793347/zarate-slams-duterte-admin-for-sleeping-on-bayanihan-3/story/

WORKERS’ COVID-19 VACCINE DEMANDS

1. Free vaccinations for all workers!

According to the Department of Labor and Employment Labor Advisory No. 03 Series of 2021 o Guidelines on the Administration of Covid-19 Vaccines in the Workplace, “No cost of vaccination in the workplace shall be charged against or passed on, directly or indirectly, to the employees.”

This means that any billing that companies make for vaccines and related processes is contrary to this Labor Advisory. Thus, we will stand for FREE any vaccination program in the workplace.

2. Vaccines for all workers, regular and contractual!

In companies with immunization programs, there should be no room for discrimination. Regardless of the worker’s employment status, whether regular or contractual, he or she has the right to be vaccinated.

Unions must insist on including contractual workers in the company’s vaccination program.

3. Vaccination is voluntary and should not be mandatory! Instead, information awareness and education campaigns about the vaccine should be launched in the workplace.

Assert the right of every worker to “informed consent”. Everyone has the freedom to decide on whether they will receive the vaccine or not. Workers who refuse to be vaccinated cannot be penalized or fired.

At the same time, companies should be required to conduct information awareness and education campaigns about the vaccine among workers.

4. Paid Vaccine Leave Now! The government should allocate funds for the wages of the workers on the days of his/her vaccination!

DOLE must provide funds in the form of paid leave for workers who will be absent from work when they get vaccinated. Workers must be paid and receive wages on the days of their vaccination.

In the event that there are adverse or bad side effects from the vaccine and the worker is taken to the hospital, the government must cover the cost of treatment. Also make sure that workers recovering from the adverse side effects of the vaccine receive cash aid from the government.

**These demands were formulated and discussed during the online Workers’ Consultation (Konsultahang Manggagawa) organized by Iohsad Philippines last June 25, 2021.

We are thankful to Defend Jobs Philippines for reaching out and inviting us to be part of #2Doses: Jabs & Jobs, a workers’ education campaign for vaccination and employment for all.

“Amid health and economic crisis, these are the doses we need.”

Defend Jobs Philippines and the Institute for Occupational Health and Safety Development (Iohsad) will partner in conducting the “#2Doses: Jabs and Jobs” workers education campaign for vaccination and employment for all.

The #2Doses Campaign aims to raise awareness and educate the Filipino workers on the importance and necessity to get vaccinated amid the COVID-19 pandemic.

It also aims to challenge the government to speed-up and step-up its vaccination programs as well as to massively create decent and regular jobs for all workers.

We aim to amplify the need for vaccines and employment as key and fundamental solutions to resolve the health and economic crisis of our workers during this pandemic and national public health emergency.

For more questions and partnership, please contact us our Campaign Secretariat at 09155670410.

We also invite workers to share vaccination plans or programs in their workplaces by posting their #KwentongBakuna stories on their social media accounts or send them to bantaycovidsatrabaho@gmail.com. Your stories/questions/testimonials/suggestions will help us in designing our plans and activities for this campaign.

Maraming salamat at laging mag-iingat! Please follow our Facebook pages (Defend Jobs Philippines and Iohsad Philippines ) for our Jabs and Jobs activities and announcements.

Mada-download dito ang ating e-book na Kwentong Covid/Kwentong Trabaho.

Inedit ni Teo S. Marasigan, dinisenyo ni Dino Brucelas, at inilathala ng Institute for Occupational Health and Safety Development o IOHSAD. Ang imahe sa pabalat ay likha ni Luigi Almuena.

Maraming salamat! Mabuhay ang manggagawang Pilipino!

After more than a year of the longest lockdown in the world, Covid-19 cases in the Philippines continue to rise, peaking at 15,000 in just one day. The socio-economic conditions continue to worsen, while the country’s already weak healthcare system has completely broken down. As we near April 28 International Workers’ Memorial Day and May 1 International Labour Day, we strengthen our demands to save workers’ lives.   

The government has failed to strengthen the country’s healthcare system. Hospitals are overwhelmed and overran due to lack of facilities, equipment, and staff. Hospital beds are fully booked with Covid patients, leaving no room for other sick and even emergency cases. Last year, an estimate of 1,245 healthcare workers were infected, 27 of whom had died (21 doctors and 6 nurses). We have then demanded to fast-track and prioritize the protection of health workers and other front liners through production and distribution of personal protective equipment (PPE), and implementing hazard benefits and mass hiring. Yet, as of April 11 this year, the number of infected healthcare workers reached 16, 510 while a total of 86 had died.

The government has failed to protect workers’ safety and health. While countries all over the world underwent economic crisis due to work stoppage, workers bore the brunt of reviving the receding economies. In the name of doing business, workers’ safety and lives have been traded off.

The Department of Labor and Employment (DOLE) recorded 7,781 confirmed Covid cases in 2,234 workplaces. While this does not present the actual total number of infected, especially due to lack of mass testing and aggressive contact tracing, the highest recorded cases belong to regions of big labor force population. In the recent surge of Covid cases, the National Capital Region (NCR), Region IV-A, Region III and Region VII recorded the highest cases. These regions have the greatest number of manufacturing ecozones and information technology parks and centers. According the data of Department of Health (DOH), the age group 20-49 recorded the highest number of positive cases, presenting a high probability of these belonging to the labor force population.

Last year, when companies and workplaces went back to full operation, cases of Covid outbreak occurred in occupation sites such as Taguig Construction Site (300 construction workers), Metro Rail Transit (200 employees), business-processing outsource sites in different regions (415 workers), companies in special economic zones of Laguna (more than 400 workers), manufacturing company in Central Luzon (more than 200 workers), and a food manufacturing plant in Cavite (more than 700 tested positive.) For returning overseas Filipinos, a total of 16, 233 were tested positive as of April 11, fourteen of whom had died.

Amid the pandemic, workers’ health has become more vulnerable due to the economic systems in place. Without free mass testing and treatment, workers are not convinced to take the necessary measures to ensure their health and safety. This coupled with meager wages, lack of cash aid from the government, and “no work, no pay” scheme, contributes to the workers’ fear of losing daily income.

The Filipino workers continue to strengthen demands for health, safety, and social protection.  Workers’ health and safety is government responsibility, yet our own government has brought us to the brink of death due to sickness and poverty.  On this year’s International Workers’ Memorial Day, also known as World Day for Safety and Health, we remember those who have died due to the pandemic and government negligence, those who have laid their lives in the cause to improve and save workers’ lives. We mourn the dead, consolidate our ranks, and collectively demand:

1. Mass testing and aggressive contact tracing in workplaces!
2. Free and safe vaccine for all workers!
3. Classify Covid-19 as an occupational disease!
4. Cash aid for all!
5. Pass the Paid Pandemic Leave Bill now!

Join the national day of action on April 28, 2021. Wear black shirt and join the social media protest by posting on your individual and organizational social media pages with our demands. At 6:00 PM, join the nationally coordinated candle lighting protest in your homes or offices, and post photos or videos on your pages. These activities will serve as build up actions for the upcoming Labour Day.

Remember the Dead, Fight for the Living! Save Workers’ Lives!

Occupational Safety and Health is a Fundamental Right!

Workers’ Safety from Covid-19 is Government Responsibility!

#IWMD2021

#SaveWorkersLives

The Institute for Occupational Health and Safety Development  (IOHSAD) condemns the massacre of nine activists, the arrest of four more, and the raids of their households. These are further proof of the blatant disregard of Filipinos’ right to life and to live in freedom and in safety under the Duterte government.

Everyone has the right to be treated equally by the law, and should be considered innocent until proven guilty, but uniformed personnel took it upon themselves to deliver their own verdict. Everyone has the right to ask for legal help when their rights are not respected, but these same men withheld the victims’ families access to legal aide. No one should be subjected to cruel, inhumane or degrading treatment or punishment, but these men used excessive force on unarmed civilians resting in their homes in the guise of following orders from higher-ups.

It is the government’s responsibility to uphold human rights for all and it should be made accountable for its actions. We support workers’ unions, pro-worker institutions and people’s organizations in general who are waging a struggle until justice for those massacred is served.

Unionists, labor leaders, union organizers, activists and labor rights defenders in general are the backbone of the fight for healthy and safe workplaces in the country. If workplace health and safety in the Philippines leave much to be desired, it is because these people have been under attack for years. Instead of ensuring the strict implementation of occupational health and safety standards to save the lives of workers, either in the short-term or the long-term, the Duterte government is busy in its killing spree of those people dedicated to fighting for workers’ right to a healthy and safe workplace and other labor rights. Indeed, the picture is that the government is killing these labor rights advocates so the big greedy corporations can go on killing workers in the workplace. Impunity in government upholds impunity in the workplace.

One Friday, President Rodrigo Duterte reiterated his order to kill communist rebels. Just two days after, a synchronized police operation was carried out against unionists and activists in Southern Tagalog region. His regime has long created an environment of danger for labor and human rights defenders and activists, claiming 318 lives from July 2016 to June 2020. With the International Criminal Court already having reasonable basis for trying crimes against humanity for the 20,000 lives lost from Duterte’s drug war, we amplify our call to the United Nations Human Rights Council to conduct an investigation on the human rights situation in Philippines.

For three years now, the Philippines has been listed by the International Trade Union Confederation or ITUC in its Global Rights Index as one of the 10 worst countries in the world for workers. This is not surprising as according to the Center for Trade Union and Human Rights (CTUHR),  53 workers and labor rights defenders have been victims of state-sponsored killings, 30 remain detained over trumped-up charges, 45 instances of union-busting have been recorded from June 30 to December 2018, and 14 violent picketline dispersals by the combined forces of the police, the military, goons, and company guards have been carried out by 2020.

These attacks on workers and labor rights defenders should stop. With these occurring on top of continued surveillance, harassment and intimidation of labor leaders, organizers and unions, IOHSAD challenges the government to accept the High-Level Mission of the International Labour Organization (ILO) to investigate the trade union and human rights violations against workers and labor rights defenders.

We are calling on fellow labor advocates and rights defenders to stand with our brothers and sisters who are no longer with us because of the Duterte regime’s policy of extra-judicial killings. They were taken too soon to become a statistic in this administration’s fight against the insurgency, one that fails to protect the very people it should be serving. Activism is not terrorism, but service to workers and the people. Through the rose-colored lenses of a man who wants to stay in power, however, everyone, except the COVID-19 virus, is a target.

Stop the Attacks! Stop the Killings!

Hands off Unionists!

Hands off Labor Rights Defenders!

Unionism is not Terrorism!

Junk Terror Law!

Defend Trade Union and Human Rights!

Justice for all Victims of Extrajudicial Killings!

Buan, L. (2020). Echanis case sparks new scrutiny of PH government probes into killings.Rappler. Retrieved from https://www.rappler.com/nation/echanis-case-sparks-new-scrutiny-ph-government-probes-killings

Flores, H. (2020). ICC sees crimes against humanity in Philippines drug war.Philippine Star. Retrieved from https://www.philstar.com/headlines/2020/12/16/2064113/icc-sees-crimes-against-humanity-philippines-drug-war

International Trade Union Confederations Global Rights Index (2016-2020)

Center for Trade Union, Inc (2020). Statement on Bloody Sunday Massacre.

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Iohsad Philippines joined thousands of workers in the Global Day of Action for Philippine Workers Resistance last November 30. The workplace safety group joined the call for jobs, health and safety and labor rights protection to all workers.