ASEQ-EHAQ

Projects / ECRoB

ECRoB

Empowering Community and Removal of Barriers

A federally funded, multi-year national initiative to advance the recognition, accommodation, and inclusion of people living with Multiple Chemical Sensitivity (MCS) across Canada. ECRoB connects legal, medical, environmental, and disability sectors to dismantle barriers and build accessible communities for all.

Federally FundedNational ScopeBiologicalSocialLegalFragrance-FreeMulti-year
National research collaboration

ECRoB is funded in part by the Government of Canada's Social Development Partnerships Program – Disability Component. ASEQ-EHAQ leads the project with national partner organizations committed to MCS inclusion.

About the Project

What Is ECRoB?

ECRoB stands for Empowering Community and Removal of Barriers. It is a multi-year national initiative designed to advance the recognition and accommodation of Multiple Chemical Sensitivity (MCS) as a disability across Canada.

The project takes a multi-sectoral approach, connecting legal, medical, environmental, and disability communities to create systemic change. ECRoB produced national survey data, practical accommodation tools, a national network of educators, and freely available published resources for all Canadians.

By sharing knowledge across sectors, ECRoB works to ensure people living with MCS can access the accommodations, care, and inclusive spaces they have a right to — in workplaces, healthcare, schools, and public life.

The Name

What ECRoB Stands For

E
Empowering

Building the awareness, capacity, and practical tools that enable people with MCS to exercise their rights, request accommodation, and participate fully in society.

C
Community

Connecting organizations, educators, healthcare providers, legal advocates, and people with MCS across Canada in a shared network committed to inclusion.

R
Removal

Systematically identifying and dismantling the chemical, social, legal, and environmental barriers that prevent people with MCS from accessing spaces and services.

of
connecting word

B
Barriers

The real, everyday obstacles faced by people with MCS: fragranced products in shared spaces, inaccessible healthcare and workplaces, lack of legal knowledge, and systemic discrimination.

Why ECRoB Is Needed

MCS in Canada: The Evidence

These figures from Statistics Canada establish the scope of MCS as a public health and disability rights issue — and the urgency of ECRoB’s work.

251K
Statistics Canada CCHS 2020

People in Québec reported a diagnosis of MCS, representing 3.4% of the provincial population

1.13M
Statistics Canada CCHS 2020

Canadians nationally reported MCS, representing 3.5% of the population

41%
Statistics Canada CCHS 2020

Of people with MCS are not working — compared to 24% of the general Canadian population

Statistics Canada CCHS 2015–2016

More likely to report poor or fair health and face significant barriers to healthcare access

90%
Health Canada / US EPA

Of time Canadians spend indoors — where VOC exposures from products are concentrated

2025
AMA Policy H-135.902

AMA adopted policy recognizing fragrance sensitivity as substantially limiting major life activities

Project Objectives

Three Core Goals

ECRoB was designed around three interconnected goals that together advance access, awareness, and inclusion for people living with MCS across Canada.

01

Raise Awareness of Legal Rights

Educate people with MCS and other disabilities about their legal rights to accommodation in workplaces, healthcare settings, and public spaces — so they can exercise those rights with confidence.

02

Build a National Educator Network

Create trained educators who can deliver workshops across Canada, teaching organizations, employers, and service providers about MCS as a disability and the accommodations required for full inclusion.

03

Strengthen Cross-Sector Connections

Build bridges between legal, medical, environmental, and disability communities to collectively address accessibility barriers — including fragranced and toxic products that prevent people with MCS from accessing spaces.

The Four Pillars

ECRoB Content Areas

ECRoB’s work is organized across four interconnected pillars. Each contains original research, practical tools, Q&A resources, and video content on that dimension of MCS. Click each pillar to expand.

Biological science

The Biological pillar covers the medical and scientific understanding of Multiple Chemical Sensitivity — how the body is affected by chemical exposures, neurological and immunological mechanisms, and the current research evidence.

  • Neurological sensitization and how repeated exposure lowers symptom thresholds
  • Immune system involvement and inflammatory responses to VOC exposure
  • Multi-system symptoms: respiratory, neurological, cardiovascular, gastrointestinal
  • Clinical screening tools: BREESI and QEESI validated instruments
  • 1999 Consensus Criteria and updated diagnostic approaches
  • Research findings from the Robins/Molot/Peris IJERPH study
  • Connection between MCS, Long COVID, and post-viral sensitization

Social inclusion

The Social pillar addresses how MCS affects employment, housing, family life, relationships, and participation in public life. It provides practical tools for workplaces and service providers.

  • Employment barriers: 41% of people with MCS not working vs. 24% general population
  • Workplace accommodation strategies for employers and HR professionals
  • Hiring tradespersons: safe renovation practices for people with MCS
  • Housing challenges and the critical need for low-emission options
  • Impact on family life, relationships, and social participation
  • Reducing stigma and misunderstanding in community settings

Legal rights

The Legal pillar covers the rights of people with MCS under Canadian law, how to request accommodation, province-specific rights, and the jurisprudence that supports recognition of MCS as a disability.

  • MCS recognized under Canadian human rights frameworks as a disability
  • Right to reasonable accommodation — what it means and how to request it
  • UN CRPD Concluding Observations explicitly reference MCS and Canada
  • Province-specific rights and how to file complaints in each jurisdiction
  • CNESST jurisprudence: cases from 2012 and 2013–2017
  • Model accommodation request letter and exposure/symptom journal

Fragrance-free

The Fragrance-Free Research Hub contains 10 published resources on scent-free policy design, the health impacts of fragranced products, and practical guides for creating accessible environments.

  • Why fragrance-free environments are essential for MCS accessibility
  • How to design, implement, and monitor scent-free policies
  • Health impacts of air fresheners: a public health concern
  • Facts vs. myths: laundry products and their health impacts
  • Canadian database of scent-free policies (2023)
  • Guidance for inclusive laundry facilities in shared buildings
  • Video series: Hidden Face of Perfume, Being Fragrance-Free

How ECRoB Does Its Work

Three Research & Outreach Strategies

01

Measuring Knowledge & Awareness of MCS

National surveys and questionnaires distributed to measure existing awareness of MCS among the general public, healthcare providers, and employers — establishing a baseline and identifying critical education gaps across Canada.

02

Developing a Practical Guide for Inclusion & Accommodation

A plain-language, accessible guide developed for employers, service providers, educators, and individuals — providing step-by-step guidance on accommodating people with MCS in workplaces, institutions, and public settings.

03

Public Awareness & National Outreach

Research findings, resources, and accommodation tools disseminated through workshops, newsletters, social media, partner networks, and the ECRoB website — reaching Canadians in every province and territory.

Fragrance-Free Research Hub

10 Published Resources on Going Fragrance-Free

Fragranced products contain volatile organic compounds (VOCs) that can trigger debilitating symptoms in people with MCS. These 10 freely downloadable resources are for organizations, individuals, and policymakers on creating scent-free, accessible environments.

01

The Importance of Being Scent/Fragrance-Free

Why fragrance-free matters for inclusion and accessibility — the case for scent-free practices in every shared environment.

Read / Download →
02

Fragrance-Free for People with Disabilities

Fact sheet demonstrating how fragrance-free environments benefit people with MCS, asthma, COPD, autism, migraines, and other conditions.

Read / Download →
03

How to Be Scent/Fragrance-Free

Practical tip sheet for individuals and organizations on making healthy product choices and educating others about fragrance-free practices.

Read / Download →
04

Design, Implement & Monitor Scent-Free Policies

Step-by-step guide for workplaces on creating and enforcing fragrance-free policies to accommodate people with MCS.

Read / Download →
05

Scent/Fragrance-Free Educational Poster

Downloadable thank-you notice for establishments implementing fragrance-free policies — signals an inclusive, accessible environment.

Read / Download →
06

Inclusive Laundry Facility Notice

Educational notice for shared laundry facility users requesting fragrance-free, least-toxic products to protect people with MCS.

Read / Download →
07

Database of Scent-Free Policies in Canada (2023)

A national database of establishments — workplaces, healthcare settings, schools — that have implemented scent-free policies.

Read / Download →
08

Q&A: Being Scent/Fragrance-Free

Common questions and answers covering what fragrance-free means, why it matters, and how individuals and organizations can make the transition.

Read / Download →
09

Health Impacts of Air Fresheners: A Public Health Concern

Factsheet on the serious health impacts of air fresheners, including chemicals linked to asthma, hormonal disruption, and cancer.

Read / Download →
10

Facts vs. Myths: Laundry Products & Their Impacts

Educational factsheet separating myths from facts on the health and environmental impacts of fragranced laundry products.

Read / Download →

Published Research

ECRoB Project Reports

All ECRoB project reports are publicly available. These documents capture national survey findings, research methodology, outreach outcomes, and evidence gathered across Canada.

Full Report

Accessible Canada Partnerships Report

Complete overview of ECRoB initiative outcomes, partnership engagement, and project findings submitted under the Accessible Canada framework (December 2023).

↓ Download

Annex 0–3

Report Outline

Structural outline including research questions, methodology, and the findings framework used across the ECRoB project.

↓ Download

Annex 4–7

Surveys, Questionnaires & Polls Report

National survey data measuring awareness and knowledge of MCS among the general public, healthcare professionals, and employers across Canada.

↓ Download

Annex 8–11

Newsletter Report

Findings from ECRoB newsletter outreach: readership data, engagement metrics, and the impact of awareness communications distributed nationally.

↓ Download

Downloads

ECRoB Toolkit & Free Downloads

Every ECRoB resource is freely available to download, share, and use for non-commercial education and advocacy purposes.

ECRoB Pamphlet

Overview of ECRoB initiative for outreach, distribution, and awareness events

↓ Download PDF

Understanding MCS Infographic

Visual one-page overview of MCS — ideal for sharing with employers, colleagues, and healthcare providers

↓ Download PDF

MCS Resources Reference

Comprehensive reference document on MCS supports, research, and resources across Canada

↓ Download PDF

Model Accommodation Letter

Template letter for requesting reasonable accommodation at work, healthcare, school, or public services

↓ Download PDF

Right to Reasonable Accommodation

Plain-language guide to accommodation rights for people with MCS under Canadian law

↓ Download PDF

Exposure & Symptom Journal

Tracking tool for documenting chemical exposures and symptom patterns — essential for accommodation requests

↓ Download PDF

CNESST Jurisprudence (to 2012)

Legal cases supporting MCS accommodation under Québec workplace safety law through 2012

↓ Download PDF

CNESST Jurisprudence (2013–2017)

Legal cases supporting MCS accommodation under Québec workplace safety law, 2013–2017

↓ Download PDF

Recognition

Growing Recognition for MCS

ECRoB's work takes place in the context of expanding international and national recognition of MCS as a serious disability.

AMA Policy H-135.902 (2025)

The American Medical Association adopted policy recognizing fragrance sensitivity as a condition that can substantially limit major life activities, supporting fragrance-free environments and accommodation.

UN CRPD Concluding Observations

The UN Committee on the Rights of Persons with Disabilities explicitly referenced MCS in its Concluding Observations to Canada, affirming equal access, accommodation, and non-discrimination.

Canadian Human Rights Commission

Canadian human rights frameworks affirm the right to reasonable accommodation for people with MCS as a recognized disability in workplaces and public services.

Government of Canada Funding

ECRoB is funded through the Government of Canada's Social Development Partnerships Program — Disability Component, affirming federal recognition of MCS accessibility barriers.

IJERPH Study (Robins/Molot/Peris)

Peer-reviewed research in the International Journal of Environmental Research and Public Health documents MCS prevalence, mechanisms, and impacts on daily life in Canada.

Statistics Canada CCHS 2020

National data confirm 1.13 million Canadians (3.5%) report MCS, with 41% unemployment rates and 3× higher rates of poor self-rated health compared to the general population.

National Network

ECRoB Partner Organizations

ECRoB brought together a national coalition of partner organizations committed to advancing inclusion for people living with MCS. Partners contributed to survey distribution, workshop delivery, resource dissemination, and policy advocacy across Canada.

Partners included disability rights organizations, accessibility specialists, community groups, and housing advocates — each bringing expertise and networks that extended ECRoB’s reach into new communities and sectors.

Accessibility Standards CanadaCouncil of Canadians with DisabilitiesDisability Without PovertyEnvironmental Sensitivities Workshop ProjectRegional & Provincial Organizations

Get Involved with ECRoB

Whether you are a person with MCS, an employer, a healthcare provider, a researcher, or an advocate — ECRoB resources are for you. Download, share, and use them freely.

“Everyone deserves the right to breathe.”

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