Gday Lapdop I appreciate your point of view but if you research COVID-19 it was reported very late in January and it was reported that it was in Vietnam during December. Some Doctors in Bejing had reported strange lung infections in the middle of last year. Given the shady information, we are being given in my opinion coronavirus has been around for a lot longer than 3 months.
If you talk to many of your friends and acquaintances many that travelled to
Given how contagious coronavirus is and the fact that around 150,000 Australians travel to China each month back in 2018 (this figure would have been higher for 2019/2020 pre lockdown), I think it would be nieve to think the probability of transmission from China to Australia would have been any different. Given the symptoms of death is very similar to coronavirus and Influenza, I would have to question how many of the elderly passed away prior to March and was not recorded as coronavirus.
As far as social distancing goes I think google tracking showed Australians were pretty good for the first 2 weeks of the shutdown and strayed after that. Australia was also very fortunate that the queues outside of Centrelink and the interiors of Bunnings, Woolworth's and Coles were mysteriously immune for coronavirus infection and transmission.
Maybe the fact that when they tested 4 prisons in the USA and found that 3300 tested +ve to Covid-19, the 96% who were asymptomatic may explain Australia's good fortune. From my perspective given the symptoms of Covid-19 in most people are so mild the only statistic that quantifies how bad COVID-19 is the death toll. As it stands today, after a minimum of 6 months spreading itself around the world it is only 0.00321794871% of the world's population with an average age of 80, many already dying of something other than Covid-19. During the same period, 23.75 million people or 0.30448717948% of the world's population have died and most were old. That is of the 150,000 people that die in the world each day, mostly aged, only o.9% of the 150,000 died WITH Covid-19. This figure could be as low as 0.1% that actually died FROM Covid-19. No wonder the masses are getting restless and want out of this mess.
I think Australia has been fortunate in that we have been in our warmer summer period and pre influenza peak period (it is possible to be a Covid-19 victim stat and have both and cancer). We also have a great health system and we are not as densely populated. The most overriding factor though for this good fortune though is that COVID-19 is not the Spanish Flu or HIV.
The link below shows the different opinions of some of our doctors. The question begs, why haven't we heard their opinions on TV in a public forum? After reading some of these no wonder the public has no idea on what is going on. I think most GP's underlying concern was not to panic the public, but Morrison and his advisors have excelled in doing just that.
https://www1.racgp.org.au/newsgp/professional/chief-medical-officer-update-on-coronavirus-testin
Column 1 0 Dr Marita Anne Carman 13/03/2020 8:48:14 PM 1 I have had a patient who worked in a nursing home who had a urti with no other risk factors for covid19. Her employer insisted that she get clearance from covid19 before she could return to work. Is this reasonable to test?
Column 1 0 Dr Tawhid Mohamed Sayed Hassanien 13/03/2020 8:49:42 PM 1 Peter Dutton the immigration minister DID not fulfil any of the above criteria. He however did contract COVID-19 virus. Myself and any general practitioner can still contract these cover-19 outside the guidelines. We have duty to protect ourselves first. Lack of resources is not our first priority.
Column 1 0 Dr Manal Matty Saka 13/03/2020 8:50:40 PM 1 In a country like Australia, why Gps do not have enough PPEs and testing kits????And you are asking for our help!!!
Column 1 0 Dr Cho Oo Maung 13/03/2020 8:58:54 PM 1 Corona Virus...Supportive treatment. If you know the result, how much would you change the outcomes. Is this benefit enough to compare the cost ?Monitor people with URTI symptomsEncourage self quarantine until cough sneeze settled.Early identification and Antibiotic treatments for Extreme age and people with chronic disease.Practice Healthy life style ... refraining from smoking, drinking alcohol, using drugs.Meditation ; sleep 7-9 hours ; healthy eatingEating 1/4 of Raw Onion ; 1 cm of Ginger ; 1 clove of Garlic ; 1 G of Vit C every day.Stay away from CrowdRefrain Travelling to high incidence countriesMask only for who is coughing and sneezingThat is all we should do.Why wasting money and resources for testing so much and Outraging.affecting down turn of our Economy.That looks like mismanagement of this virus.
Column 1 0 Dr Yucel Guldali 13/03/2020 9:11:03 PM 1 I wonder what will happen when the epidemiological criteria is no longer relevant ie when everyone with a cold is a suspected case?! This could happen in a matter of weeks.
Column 1 0 Dr Michelle Lian Wellington 13/03/2020 9:11:04 PM 1 Can we please just test suspected cases as per the definition with 1 x flocked swab and 1 PCR test. We have been doing 2 nasal and 1 oral. This would seem a waste under the circumstances.
Column 1 0 Dr Nichola Lea O'Reilly 13/03/2020 9:13:01 PM 1 If there is not enough PPE for our health workforce then you are going to have to lock the country down to stop the spread, morbidity, mortality and toilet paper.
Column 1 0 Dr Jessica Wrigley 13/03/2020 9:30:26 PM 1 If we are expecting 1.5million cases in NSW, what is the plan for ensuring we have adequate PPE, swabs, lab testing capability? If these resources are already stretched now then how are we to contain spread and manage in the near future if we have no clear indication of numbers?We already know there are several instances of community transmission. Keeping the testing limited to those with recent travel history or confirmed contact seems painfully optimistic at this stage.
Column 1 0 Dr Leila Moradi 13/03/2020 9:33:27 PM 1 How is the situation if patient asked for home visit, with common cold symptoms and not other criteria to be a suspected case?
Column 1 0 Dr Rifat Jahan 13/03/2020 9:35:53 PM 1 Before you asking for help from GP’s you should consider why the government were not prepared for this pandemic. You were asking people to be prepared for pandemic without being preparing the health system. Was it not enough to build the panic among general populations with confusing informations? There are cases diagnosed without fulfilling those 2 criteria. Is this a joke or what. You are asking us to be a gatekeeper without even protecting us.., How frustrating that could be. You want to reduce the number of cases? ask the government to go for school, University, child care closer. Make people to work from home. Go for lock down. You want us to take the burden without looking after us... come with us and see how crazy and difficult it is becoming. And the worse is yet to come.
Column 1 0 Dr Azar Mirzaee 13/03/2020 9:45:41 PM 1 I assume when it gets more common we really don't need to have it exactly diagnosed as then isolation is not that necessary, we then need to qualify which patients need treatment. What is more important is to treat every single URTI the way to reduce spending, consider social distance as soon as possible to postpone, slow down community transfer and be vigilant to detect and provide conservative or experimental treatment for who they qualify.We just need as much time as we can it takes compassion and care true leadership .
Column 1 0 Dr George Forgan-Smith 13/03/2020 9:46:35 PM 1 I can’t help but think part of the problem as been the various health ministers making sweeping public statements that all who want to be swabbed will be.On the front line we are seeing people who are scared, who are unwell and genuinely concerned. We have already had an untraced transmission in Victoria.Can we *Please* have some sort of unified statement - not just to the doctors but to the public as well.
Column 1 0 Dr Olga Elizabeth Scaramuzzi 13/03/2020 9:47:09 PM 1 If there are not enough PPE kits, use them only when absolutely necessary: on those with respiratory distress and/or with uncertainty but with serious risks factors that could lead to complications and death.No need to confirm Dg for paper and computer statistics. Consider them as Covid19 as we record already 20 times less incidents then they are in reality( Said Dr Norman Swan).Lighter cases should be quarantined not tested, presumed Covid19 . If deteriorate, then test for Covid19 before starting treatment ( antiviral or antibiotics or both).Do not test only because employer or patients demands.Travelled or not is at this stage is less relevant criterium.Depend on symptoms and their severity. ( But tonsillitis or epiglotitis are not Covid19, please, be sensible).Please do not ignore "octogenarians" as "too old" for your care . Many of them are productive, fit, involved and badly needed in society.
Column 1 0 Dr Tamseela Kausar 13/03/2020 10:00:03 PM 1 Panic and Pandemic, that's the summary of whole situation. Deal with Pandemic by proper public education and awareness on limiting the outdoor activities and lockdown before it gets worse especially if limited resources to start with.Things getting difficult in GP practices as Triage rules seems not applicable anymore.
Column 1 0 Dr Mohammed Muniruzzaman 13/03/2020 10:03:31 PM 1 It appears testing takes the centre stage than taking care of patients. Shouldn’t we keep the things simple: send the patients to the ED who look unwell with risk factors and or with co -morbidities Regardless of testing ? . Otherwise, use your discretion and act sensibly to treat and educate healthy patients with common cold symptoms and viral URTI.
Column 1 0 A.Prof Christopher David Hogan 13/03/2020 10:32:22 PM 1 Thank you for your honesty & directness. We are not children & appreciate how significant the problem is.Not that we know we do not have adequate PPE & we do not have adequate test kits this changes our therapeutic focus.As in a flu pandemic it is now time to use clinical criteria to diagnose CoVid-19 because we do not have other criteria.Once we have made a clinical diagnosis, the next question is How sick is the patient? If mild - self quarantine, if moderate - observe & review, if severe- hospitalise.As has been the case in other countries & under the emergency pandemic powers can it be that all new masks & are diverted for medical use only?
Column 1 0 Dr Sebastian Moss 13/03/2020 10:55:58 PM 1 It strikes me that we were being asked not to test for community transmission from unconfirmed cases on the grounds that it doesn't exist (now the reason is being shifted to more of a resource issue). But the only reason it is believed not to exist is because we are not testing for it. Maybe it is much more widespread? Would it not be sensible to have "sentinel" areas that test EVERYONE with URTI symptoms so we can get a better handle on the prevalence of this thing?
Column 1 0 Dr Ahmad Mir 14/03/2020 12:03:30 AM 1 As prof Hogan mentioned , at this point clinical diagnosis is more sensible than finding cases by lab tests. Previous plan does not work now, as the number the cases is rising dramatically. Change the plan before the health professionals gets tired and our resources gets empty!
Column 1 0 Dr Edmund Henry Olszewski 14/03/2020 12:11:25 AM 1 I have been made aware, that testing for frontline gps and health professionals, dreadfully sick with feverish flulike symptoms, will NOT be expedited in Perth at all, despite Urgent written on the request forms! Peter Dutton with less symptoms gets same day tests! Why can’t our tests be as quick as Peter’s?
Column 1 0 Dr Penny Lisa Wood 14/03/2020 12:19:04 AM 1 The Government will be doing the best they have with the information available, and the resources that can be tasked. Attacking them wastes vital energy from the real enemy. The Government can't plan for this, no Government can.If testing slightly unwell people makes no difference to their outcome, we need to save the limited tests for those where it does make a difference.If people are sick, isolate. If you can avoid other people, do it. If you want to save lives, isolate. It's that simple. Testing isn't important.
Column 1 0 Dr Monzur Murshed 14/03/2020 2:21:56 AM 1 After few days, this case definition won’t work. Likely, everyone will request for testing Covid 19. How will you manage then? I believe that we have to think about self samples collection and strict guidelines for managing different stages Covid 19
Column 1 0 Dr Nicola Moll 14/03/2020 7:27:56 AM 1 Hi BrendanI am most happy to help to do whatever we can to stave off this epidemic and to listen to your advice BUT you need to support US. Why are you saying yes to events under 500 people, why aren’t you advising school and university closures and closing off our borders. And most importantly why not NOW. We have no time to lose.How can you expect us to put ourselves and our patients at risk without you motivating and the government acting to do EVERYTHING in their power to stop this epidemic?Please...
Column 1 0 Dr Nzimanyana Mpofu 14/03/2020 8:03:51 AM 1 Lack of testing kits and PPE is not a concern for the clinician. That is a political issue! Our first concern is to do no harm to our patients and ourselves! Inadequate testing of frontline staff is a recipe for rapid spread of the disease. Any symptomatic frontline clinician should be tested regardless of meeting epidemiological criteria.The lethargic boffins at WHO wasted precious time reassuring govts that we were NOT headed for a pandemic when all the evidence pointed to the contrary!! This contributed to the lack of national preparedness in my view. Frankly, I don't think I'm in any position to reassure anyone with URT or LRT symptoms that they do not have COVID-19. The fact remains that even the CMO does not know the true extent of the spread of this condition in Australia at the moment.
Column 1 0 Dr Irandani Anandi Ranasinghe-Markus 14/03/2020 9:03:45 AM 1 Totally agree with Dr Moll. What’s magical about crowds of over 500? A crowd of 50 will do for this virus which is spread via aerosol producing actions such as a sneeze or a cough. Someone who may have a sore throat and cough with no fever may we’ll be incubating the virus and very readily spread it around in those circumstances. Should we not be telling people with even mild symptoms not to attend public places but to stay away from such and get themselves better - and if it is not corona they will!! Alternatively as Dr Moll suggests - alternatively, themselves be tested.
Column 1 0 Dr Edmund Henry Olszewski 14/03/2020 9:23:38 AM 1 I have been made aware, that testing for frontline gps and health professionals, dreadfully sick with feverish flulike symptoms, will NOT be expedited in Perth at all, despite Urgent written on the request forms! Peter Dutton with less symptoms gets same day tests! Why can’t our tests be as quick as Peter’s?
Column 1 0 Dr Edmund Henry Olszewski 14/03/2020 9:29:59 AM 1 I neglected to mention, Perth testing is strictly 72 hours, dont bother trying to expedite matters and certainly the Covid section of PathWest is not answering there phones!
Column 1 0 Dr Maureen Anne Fitzsimon 14/03/2020 11:06:07 AM 1 When the dust has settled, will the lawyers come circling and blame the GPs?The Government has known for years that a pandemic was coming. Didn’t Rudd stockpile 4 million doses of Tamiflu ( which expired).I realise that the situation on the ground changes every day, but why does it seem that the bones of a clear cut action plan were not in place?GPs are being thrown under the bus.
Column 1 0 SD 14/03/2020 11:15:12 AM 1 I am more worried taking infection home to my parents, partner and kid. It is impossible to know if the patient sitting in consult with/ without flu symptoms has Coronavirus. According to Chinese reports, out of 90000 infections, 3000 were of medical personnel. PPE is an absolute must for GP’s.
Column 1 0 Dr O Gaing 14/03/2020 5:05:15 PM 1 We need to work together to contain the virus. We have to work as per guideline but sometimes hard to get help from the resources. I can see our GP will suffer first and sometimes we feel helpless. Simple things like not enough masks now . I felt bad that I was unable to provide surgical masks to the coughing patients last week as orders were not available. Educating the patient is very important and there are a few patients who do not want to listen at all. Australian need to show solidarity and please stop collecting toilets rolls if you have enough for 2 weeks.
Column 1 0 Dr David Zhi Qiang Yu 14/03/2020 5:50:20 PM 1 Our clinic has nearly run out of masks and non of grows to work as a GPs to protect us as well as to protect our patients. If there is not enough PPE for our health workforce then you are going to have to lock the country down to stop the spread, morbidity, mortality and toilet paper.Professor Brendan Murphy, you are out-of- touch the real world as a doctor and I better call you as a our-of-touch of politician!!!
Column 1 0 Dr David Zhi Qiang Yu 14/03/2020 6:14:10 PM 1 Human to human transmission is already happening in Australian. The Guidelines for testing COVID-19 is not scientific and is not wrong. Why Mr Peter Dutton can been test according to the Guidelines??? As GPs, We should test any patients if we suspect them has Coronavirus infection in the same way other diseases. Professor Brendan Murphy, please ask the government to to get some more COVID-19 test kits from other nations as well as we need PPE to protect us in order to work effectively.Professor Brendan Murphy, you are out-of- touch the real world as a doctor and professor!!!
Column 1 0 Dr Mark Edwin Michael Goss 14/03/2020 6:36:39 PM 1 You have had 4 months to get test kits and PPE at the ready ......... and nothing was done - once again the cries from the medical intelligentsia have fallen on deaf ears.
Column 1 0 Dr Hema Irene John 14/03/2020 7:37:07 PM 1 What happens if you or your GP colleague in your practice tests patient and he is Covid 19 positive, do you close the clinic and keep informing all patients who attended the clinic on that day may be exposedPatients have to go to dedicated centres ,so that GP s can look after their routine patients and not put them at risk.
Column 1 0 Dr Ibtihal Abdul-Amir Khalil Al-Tawil 14/03/2020 11:15:01 PM 1 We already having to much on our plate . Dealing with every day stress .Blamed and shamedI feel We are alone and isolated .Being creative as no guidelineQuestions1-Why patients not tested in the fever clinic or corona clinic ., why tests in Gp clinic which is full of kids ,pregnant ladies and old people coming for immunisation or scripts , back pain or care plan .We don’t have PPE , what should we wear while testing , our old white coat ?2-what is the plan for winterWe started to have flu cases . Common cold and pneumonia cases from now .How to differentiate , can someone tell me .Travel history is not enough ...My suggestionI think we should use the media to educate the public instead of panicking them to buy toilet paper , rice and pastaWe need Simple massageAny Travel , contact with known case and have symptoms,,,go to corona clinic , get tested and stay home in isolationWe need a simple understandable plan1,2,3 points ,for GP AND PUBLIC , please
Column 1 0 Dr Leila Moradi 19/03/2020 10:59:11 PM
