Manitoba Hydro Building Unsafe

I recently wrote that restaurants inside the recently converted Marcello's at Manitoba Hydro should feel more secure than some of their old locations in downtown Winnipeg. I said the issue for Manitoba Hydro might be security outdoors. I was wrong. A knife attack inside the building overwhelmed security who are not equipped to deal with violence. I had thought the mere presence of security and a lot of people, 2000 when full staff are present, would be sufficient for safety. I was wrong. 

Businesses and residents of various places in the city, downtown in this case, are suffering from violence and theft. It isn't useful to downplay it since even very progressive voices, those who live downtown and support businesses there are finding it exasperating that their cars and personal safety are constantly under pressure. The Ashdown Market cited crime as a big issue of why they are shutting down this week. 

The police are responding to arson and bus assaults and they have made some progress. However, some of this has come after a number of convenience stores and restaurants have been burned to the ground. Former hotels have been burned to the ground so that there is no possibility they could be turned into transitional housing. The empty spaces left could be there decades.

The fact that higher levels of security are needed inside buildings with camera and security people in them is scary. It isn't an obstacle for those who don't fear consequences at any time. Calling the police is already too late for those who attack first and have the knife out. The Hydro case is all too common where a subject has a knife and a response can't nearly be fast enough. Or the security that is present is ill equipped for an actual attacker.

People can't feel they will be randomly assaulted any time they are out in the city. Make no mistake people are well aware of where assaults take place and are talking about it.  Manitoba Hydro has no choice to respond or employees and customer will not want to come downtown. In fact, some are questioning the move from Taylor. Others have said they should move the HQ right out of Winnipeg, some joking it should be right out of the province. 

Given the efforts to make the arena area even more a recreation hotspot and supporting existing and incoming business developments, it is in very much a priority to improve safety and security. This isn't just superficial appearances. If businesses and people can't feel they won't be burned down, assaulted or suffer constant threats, you might as well demolish everything downtown. Would be that be the solution. It simply would move the problems even more so across the city.

It would appear that new security will be present this week who can restrain and detain those set out to do harm. And it can't seem like a revolving door. It is staggering that the person arrested for burning down places was re-arrested for more crimes a day later. It just makes people feel there is no hope because there are no consequences for hurting people. It was a huge deal arresting a suspect in the arsons case and just as huge a failure when he was released to do it again. 

Looking at the Manitoba Hydro building by itself though is a distraction. Even if the inside is made safe, it doesn't necessarily mean a worker doesn't get attacked outside the doors. And it isn't limited to the Hydro building. The new Pan Am Clinic is coming to Portage Place and if people are attacked with knives in and around the building, they will hold all level of governments accountable.

Canada is going through a pretty profound addictions, homelessness and violence spike. Truly, overall crime might be down in the country but people won't feel like safe and secure when they hear of random attacks in schools and workplaces. It isn't alarmist if nurses grey list their workplaces. It is a cry for help for real problems. A detachment of police at Health Sciences Centre is probably only the beginning of a full safety audit. Health professionals are going to court to get Shared Health to comply with security measures in the workplace.

It certainly feels like an escalation where we worry about security inside the workplaces and schools. As the awful shooting in B.C. demonstrates, our sense of security hangs by a thread. The trauma of assault and violence doesn't just go away. Communities across Canada are hurting from fear of repeating offences against them. We can't feel unsafe in our homes, our schools and work as well.

It is now up to both public and private sectors to restore not just actual security but a sense of security as well. That could mean continuous assessment of safety which might mean keycode passes to various areas of schools and workplaces. It might mean security that involves more security capable of intervening and not seemingly observing your assault. Cameras are mostly responsive after something has happened. Certainly we need a surge of resources. This is not a time of a committee doing a report that will be available a few years from now. Nurse are already making decisions about where to work now. They won't wait years to protect them from being assaulted. They will leave en masse.

This has to be high priority and will likely be a multi-pronged approach. It is clear though that people are not being overwrought and decisions about where people will live and work are being made about experiences they are having. There really is no more time to waste.

St. Boniface ER Opens

 One of the things that has had last effects is the Pallister plan that saw ERs reduced to three locations, closing an existing and successful Urgent Care and turning former ERs to Urgent Cares. Even the health consultant thought that the closing of Misericordia was ill timed when other Urgent Cares were not yet established. The north, south and east sides of the city were now without ERs. 

Grace Hospitals ER was new and saw an influx of nurses from closed departments but St. Boniface just wasn't ready for what was to come in 2020. The announcement in 2019 by the Pallister government for a new ER for St. B did not come in time for Covid. The hospital had to work on the fly to handle things when they couldn't even cope with regular flu season.

The one surprising feature of the ER is the upward slope to the doors. Better have grandma's tires locked on her wheelchair or she is taking a 100 km ride down to Tache. It seems funny to spend $141 million and you can't have a flat service? Perhaps there is another entrance so someone with the walker doesn't have to push up hill to get it. And heaven forbid there is ice on that surface or people will shoot down that slide like toboggans.

A parking garage for 10 ambulances is a good feature. It is important because this the cardiac center. Every family in the region might have a member who may require an ambulance and being able to get patients into the ER promptly is part what make survival possible. 

The ER itself will be triple the size of the former ER. The former ER was 18,600 square feet and the new one will be 86,200 square feet. The government has said they have been recruiting heavily and have enough staff attracted to working in the new facility. So many staff have been recruited that according to the government, that tenders for Victoria Hospital's re-established ER can begin.

The ER is being promoted as a open concept, inclusive space. These are things that the end users will have to judge. The ER at Health Sciences Center had poor sight lines that were exacerbated by keeping triage nurses at their desks. Subsequently, a man died after no one took into account that he was waiting. In short, a new building can lead to poor outcomes if traffic flows, security, privacy and dignity are not constantly reevaluated.

The Emergency Room of a hospital is only one part of the hospital. If there are not enough enough beds and staff in ICUs and in the various wars, people get trapped in the ERs and in the waiting room. Many people walk away after so many hours. Often people are in the ER all day. The Access hospitals and Minor Injury clinics are helping. Some of the problem is that lack of family doctors for many. Problems fester and an ER visit is often the result. No one is immune from this. If you have a trauma or heart/stroke issue, you can end up in the ER. Or a member of your family is.

This is the first phase of the ER. It will reach full function in 2026. A lot is owed to the St. Boniface Foundation which kicked in $10 million for this building. Increasingly, hospital foundations are being leaned on for building and research. Manitoba has been very fortunate over the years to see foundations grow and grow. However, the cost of health grows just as fast.

As the role of St. Boniface Hospital's role grows, questions have to be asked about the traffic in and around the hospital. Parking becomes a bigger issue every year for staff and patients. It may come to the point where a park and ride system with shuttle bus is employed. It is possible parkades could be built too but they start at about $50 million and rise from there.

More and more hospitals are leaning on their foundations and relentless fundraising. The governments spend billions and still manage to starve certain areas so that infrastructure crumbles. Meanwhile projects often take take more than a decade to get done. So while we can be happy that St. B has a new ER and that by 2026 it will be fully operational, this list of areas to work on is long and exceed the lifespan of most government over two terms. Much like projects like the Red River Floodway, there has to be a buy in by all parties in government, by business, by labour and by the public for a well managed project that is goal oriented.