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Australia - 5 in intensive care

Shiloh

Editor, Senior Moderator
Source: http://www.news.com.au/story/0,27574,25619075-29277,00.html

Aussies with pig flu in intensive care

AAP

June 11, 2009 12:46am
FIVE people with swine flu have been placed in intensive care in Victoria and residents at three nursing homes are being tested for the potentially deadly virus.

A Department of Human Services (DHS) spokesman told The Age he could not say how old the five patients were or whether they had an underlying health condition that may have given them complications when they were infected with the virus.

"What the underlying causes of their illness is, I don't know They are certainly not well and need to be managed in ICU,'' he said.

"In one case, the person is in hospital because of trauma, so the H1N1 is unrelated.''

In a written statement, Victoria's acting chief health officer, Dr Rosemary Lester, said health authorities were working with three nursing homes where a number of residents have reported flu-like symptoms.


"As is the usual practice in such instances, symptomatic residents have been isolated and movement of residents and staff has been restricted,'' the statement said.

"Action being taken also includes the restrictions of visitors to the facility until the cases have resolved. Nose and throat swabs have been taken from the symptomatic cases for testing at VIDRL (Victorian Infectious Diseases Reference Laboratory).''

The DHS spokesman would not name the homes or where the five intensive care patients were being treated.


Australia's National Pandemic Emergency Committee will meet on Friday.

The DHS spokesman said the vast majority of the 1011 Victorians with swine flu had experienced mild symptoms.
 
Re: Aussies with pig flu in intensive care

Re: Aussies with pig flu in intensive care

Source: http://www.news.com.au/story/0,27574,25619075-29277,00.html


...residents at three nursing homes are being tested for the potentially deadly virus.

In a written statement, Victoria's acting chief health officer, Dr Rosemary Lester, said health authorities were working with three nursing homes where a number of residents have reported flu-like symptoms.


"As is the usual practice in such instances, symptomatic residents have been isolated and movement of residents and staff has been restricted,'' the statement said.

"Action being taken also includes the restrictions of visitors to the facility until the cases have resolved. Nose and throat swabs have been taken from the symptomatic cases for testing at VIDRL (Victorian Infectious Diseases Reference Laboratory).''



Finally hitting nursing homes? That has not happened in the US yet.

Restricting visitors is normal every flu season. There would be notices not to visit if you have cold symptoms or diarrhea.

I can see them isolating symptomatic residents. Where I think that they will fail is with their staff. I would be very surprised if they really do have a handle on resricting movement of staff. They frequently move staff around to cover areas where they need more help instead of keeping only select staff in the infected areas. Nursing homes are frequently short staffed as well.

They probably have not much PPE available either. Do not expect nursing homes to have N95 masks. They will be lucky if they have decent surgical masks. What I have seen are usually only the very cheapest procedure masks, and very few of them at best. Only one place in over a hundred had fitted staff for N95's in the many that I have worked in as an agency nurse in the US.

Staff is going to get sick in those homes unless the state moves to help them force the homes to be vigilant in protecting them. And, the facilities may require staff to work sick as well. Don't believe it? Au contraire, it happens all the time in hospitals as well as nursing homes to this day.

Perhaps things will be different in Australia. I do not know how their nursing homes or health care facilities are run.
 
Re: Aussies with pig flu in intensive care

Re: Aussies with pig flu in intensive care

I certainly believe you.

Seems that the same situation are in the most of the places worldwide.

...
They probably have not much PPE available either. Do not expect nursing homes to have N95 masks. They will be lucky if they have decent surgical masks.
...
Staff is going to get sick in those homes unless the state moves to help them force the homes to be vigilant in protecting them. And, the facilities may require staff to work sick as well. Don't believe it? Au contraire, it happens all the time in hospitals as well as nursing homes to this day.
...
 
Re: Aussies with pig flu in intensive care

Re: Aussies with pig flu in intensive care

the situation for staff will depend on whether they are working in a government-run or privately-run nursing home. unfortunately i don't know the exact situation as i work in a different state. the plans here in my area include the provision of PPE to nursing home staff from the medical stockpile.

however, i suspect that you are likely to be right for many cases as i gather there is also a high casual work-force - for whom it is a case of "no work no pay" and given financial circumstances there could be a lot of people turning up for work in order to survive financially. i guess this is why in victoria the alert level has risen and gives priority to aged-care facilities and child-care centres over other population groups.

my main concern is for our indigenous population.....
 
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