Bernard Hickey: The case for mandatory vaccines in the workplace – The Spinoff

Businesses are scrambling to convince vaccine-hesitant staff to get the jab, but some are warning that vaccination will need to be mandated in certain workplaces if we want to get the rate over 90%.

Follow When the Facts Change on Apple Podcasts, Spotify or your favourite podcast provider.

A lot of people dont like the government telling them what to do when it comes to injecting something made in a laboratory into their arm. The line between personal freedom and societal responsibility is a fraught one at the best of times, and Covid has skewed and blurred and broken it in all sorts of unexpected and tricky ways.

Thats why the government has been wary until now about mandating vaccination, and has only in recent months made mask-wearing mandatory in public indoor spaces. It took nine months of Covid before the government finally crossed the rubicon to make masks mandatory on public transport and on planes. Mask wearing only became mandatory for all public-facing essential services staff in level four last month.

Now Aotearoa faces an existential challenge to get vaccination rates up as close to 100% as possible, as fast as possible, if it is to have any hope of returning to something like normality and of keeping the gate of Fortress NZ at least slightly ajar. Business leaders, managers and directors are now having to face up to a set of ethical, legal, communications and HR challenges that could make or break them, and decide whether the nation gets the ultra-high vaccination rate it needs.

Their problem is they are doing it without the voice of the state to back them up with law. Vaccinations were only made mandatory for all MIQ workers, airport staff and port staff in July, and even then privately-employed port and airport workers did not need to have their first dose until September 30. Bizarrely, vaccination is not yet mandatory in the healthcare sector nor in retail, hospitality, public transport, schools and universities.

In this weeks episode of my podcast When the Facts Change, I talked to Business NZ CEO Kirk Hope, a key player in the decision in March 2020 to lock down the economy hard and fast. I also talked to Oceania Healthcares GM of nursing and clinical strategy, Dr Frances Hughes. Oceania has a workforce of nearly 3,000, making it one of New Zealands biggest retirement home and aged care companies, and its 45 rest homes boast close to 4,000 residents.

Both Hope and Hughes want to see the government make vaccinations mandatory in the most crucial workplaces in the country, with Hughes calling specifically for mandatory vaccines for workers in the healthcare sector.

An obvious hurdle is current government policy, acknowledged Hope.

The government has always maintained a consistent line that they want it to be voluntary, that their preferred processes for it to be voluntary. And by and large, thats how theyre planning on getting 80 odd percent of the population vaccinated for workplaces, he said.

But employers are worried they wont be able to keep their workplaces and customers safe with unvaccinated workers. They point to the fact that the government has already mandated vaccines for some workplaces.

For now, most businesses cant sack employees on existing employment contracts if theyre not vaccinated. They can write the vaccination clause into new contracts, but thats not going to solve the problem for existing staff.

Directors are particularly worried, since they are personal liable if they run a business in a way that means their staff are not safe. Allowing an unvaccinated person to come into work could lead to Covid being spread to others, or, paradoxically, that unvaccinated person catching it from vaccinated coworkers and being hospitalised as a result. Or worse. A worker could refuse vaccination, get Covid at work, and the director could be prosecuted for keeping that worker on staff, even though the law says they cannot sack the worker for remaining unvaccinated.

The question of what to do about workers who refuse the vaccine will become increasingly pressing over the next few months (Photo: Kuncoro Widyo Rumpoko/Pacific Press/LightRocket via Getty Images)

At the moment, the best an employer can do is to send an unvaccinated employee to work in a different role or location that prevents them from being exposed, or exposing customers or other staff to the risk. The more infectious delta strain and the inability of the vaccine to entirely stop transmission has put business managers and directors in the invidious position of having to keep staff on payroll who are physically endangering their colleagues and themselves.

Not every business has a quiet and empty place to send a staff member, however.

If youre thinking about a small business that might be exposed to the border, they wouldnt have very much scope at all. So theyll be trying to encourage the staff to get vaccinated, and have their teams encouraging each other to get vaccinated for workplace reasons, for family reasons, particularly where theres a high level of exposure, Hope said.

But that wont be enough to get up over 90%, given the latest surveys show vaccine hesitancy rates still around 20%.

There will be a large cohort of existing employment contracts out there, where if people push back and say, actually, we dont want to be vaccinated, we dont want this to be part of our employment relationship, and its none of your business, theres not very much that an employer can do about it, Hope said.

Oceania Healthcares Frances Hughes and BusinessNZs Kirk Hope (Photos: supplied)

Oceanias Frances Hughes has been in this position right from the start of the pandemic. As soon as Covid-19 reached our shores she had to immediately scramble to ensure all staff wore all the correct PPE and masks, and followed the procedures to keep themselves and residents safe. It was a frightening time, especially as we watched Covid race through rest homes overseas, killing thousands.

Hughes has taken a pragmatic approach to working with staff who, in some cases, have been fearful and hesitant about getting vaccinated.

We did a lot of work with our managers, having talks dealing with hesitancy, giving information, having lots of videos. We had our director of education and research a clinical pharmacologist doing one-to-one talks to staff on understanding the virus, understanding the Pfizer vaccine, she said.

We did a lot of early work, and it has paid off. But at the end of the day, we firstly said very clearly all new employees will be vaccinated. Secondly, if you choose not to be vaccinated, and youre an existing employee, weve got to put you into a mask and do surveillance testing on you. And that will be for as long as you work for us.

The urgent need for rapid testing in business

Easily accessible saliva testing kits and multiple testing facilities will be crucial for businesses forced to keep unvaccinated staff on their payrolls. Both BusinessNZ and Oceania want to see the Ministry of Health urgently open up the landscape for rapid testing kits like those widely available in the UK and elsewhere.

Its been really disappointing in terms of the Ministry of Healths perspective on a range of these tests. We havent got a lot of them in New Zealand. Theyve really provided the rules for [only] one saliva testing provider, Hope said.

Its really frustrating when you look at whats available for businesses and other things. I know that there are a lot of businesses, particularly those that are at the border, who are using nasal pharyngeal testing, but they also use saliva testing, because you can do it more regularly, he said.

Its way less invasive for people who have to have regular tests. And you can do it more regularly because its less invasive and less painful. Its frustrating and an area where where we dont want to fall behind.

Business leaders hope large-scale vaccination events like the one at Aucklands Vodafone Events Cenre in July could help bump our vaccination rate over 90%. (Photo: Justin Latif)

There is a hope that on-site vaccination of staff and their families by very large employers will help get vaccination rates up over 90%, but businesses say at some point the government will have to look at making it mandatory, especially in the riskiest and most crucial workplaces.

Therell be populations in communities who dont necessarily react that well to being told that they must do something, Hope said.

The first port of call is really utilising education, getting as many facts out there about the costs versus the benefits of being vaccinated to as many people as possible about why they should be vaccinated.

But BusinessNZ is already seeing some workplaces ones that operate essential services or economically crucial businesses that New Zealanders depend on for food and export receipts that may need help with regulation or legislation to make vaccination mandatory.

I do think that there quite a strong argument that if there are businesses which are quite important for the economy, but not necessarily essential say theyre a big part of the industry from a production perspective there might be an argument for the government to mandate some of those businesses to have a fully vaccinated workforce because of the flow-on consequence for other parts of the economy if theyre not operating, Hope said.

Theres not going to be a huge number of those businesses, but I think therell be enough of them, because New Zealand is an economy thats made up of some very large players, and then a long tail of much smaller players, he said.

If you take out some of those big players in certain sectors youll have a really, really big impact on a lot of those small players as well.

So I think theres an argument for making it mandatory if it makes it easy for the employer to say, hey, not our call, youve got to get vaccinated were important enough, as a part of the economy.

Hope said BusinessNZ had yet to approach the government to suggest which sectors or businesses would require this mandatory vaccination status, but thinks the need to move in this direction has only got more acute.

It is probably a much stronger argument with delta, to say, actually, we we need all our staff to be vaccinated irrespective of what the job or the role is because theres more likelihood of exposure and transmission.

Hughes has also worked to make mandatory vaccination a last resort. People just need the door open for them. Theres so much garbage of information out there. You just cant leave people there that arent going to get vaccinated, she said.

There are the reasons why people dont get vaccinated, and a lot of its got to do with fear and anxiety. So youve got to get down to that level, and youve got to be open. And youve got to be upfront with them and send them to the right information.

Hughes said some pregnant staff were hesitant at first, but came on board once the official all-clear was given.

But sometimes youve got your anti-vaxxers. Thats a different issue and health professionals, the regulatory bodies for nurses, have come out very strong: theres no tolerance really for anti-vaxxers amongst nurses, she said.

So yes we have had to have some quite strong discussions with people and some people have left our employment. Hughes later told me that no more than a handful of employees had left Oceania over their vaccination status.

She said healthcare workers needed to be told point-blank that wont be able to work in the industry without being vaccinated.

Thats a reality. I do wish the government would come out stronger on this, to be honest, because itll help us. Overseas, theres little to no tolerance of this, she said.

I think they need to mandate that all health care workers need to be vaccinated. I just think it clears the pitch.

Meanwhile, many large businesses are also looking to help with onsite vaccinations. Around 60 large organisations have agreed to work with the Ministry of Health after trial runs by Fonterra, Mainfreight, Fisher and Paykel and The Warehouse.

Hughes points to the success of Oceanias own vaccination programme for residents, staff and their families. She herself is a registered vaccinator and has administered many in recent days.

We are offering dedicated vaccination pop-ups for staff and their families. I was vaccinating earlier this week. I had grandma, grandpa, 14 year olds, our staff members, the mother, we had whole generations. Now half of that family did not speak English. But it was amazing. It was absolutely amazing. They felt safe.

Hope said onsite vaccinations would help bring in many employees worried about having to take time off work or arent comfortable in other settings. He is hopeful New Zealand could get over 80% vaccinated and then look to open up as people see the freedoms others elsewhere have.

I think people will say, actually, we need to move on from the fortress New Zealand.

Follow When the Facts Change, Bernard Hickeys essential weekly guide to the intersection of economics, politics and business on Apple Podcasts, Spotify or your favourite podcast provider.

Subscribe to Rec Room a weekly newsletter delivering The Spinoffs latest videos, podcasts and other recommendations straight to your inbox.

Read more:

Bernard Hickey: The case for mandatory vaccines in the workplace - The Spinoff