Aged Care Insite Issue 118 | Apr-May 2020 | Page 21

coronavirus special What myths are you seeing out there about this coronavirus? That it’s an airborne virus; we have no evidence for that. It’s a droplet-spread virus, as far as we can tell, and that accounts for all the spread that we’ve seen. Also, that this virus is a bioweapon – that’s a pile of crap and should be dismissed as such. There are lots of myths, but a lot of them are technical and rubbish. Is the government currently, in your opinion, doing as much as it could possibly do? Everything in terms of planning and response that’s going on is fantastic. Australia’s really well placed, and we’ve been doing it all year, ever since we first found out this thing had a pandemic potential, which scientists suspected early on. The only thing I would say is we need a bit more communication to the community about the specifics, the details of what they can do to feel like they’re in control. Also, we need to explain the use of words like ‘pandemic’ and what they really mean, and not speak too technically to the wider community. When people are in front of microphones, they should try to keep it as simple and clear as possible. Allowing people to be anxious, but not in any way encouraging panic, is a really important message, and it’s very subtle and hard to get across, but it’s one that would probably save us some time. Should we have used our natural defence as an island continent and potentially shut borders much earlier by watching the spread in other countries? Hindsight is always 20/20, so really that question is something you’re probably not going to know for a little while. If we all wanted to live in our own houses and not make contact with anyone, that would be perfect, but we kind of can’t do that either. It’s got to be a balance, and everybody’s responding to the evidence at hand. We’ve seen a big and fairly dreaded modelling study come out recently giving us all an indication of how bad things could be if we don’t enact drastic measures, but perhaps we could do some other things like improve testing and case and contact finding through that. That also has the benefit of reducing any peaks or preventing us from having a big peak. At the moment, with the cases going up at the speed they are, we aren’t going to see a peak. Obviously, we’re going to see the cases rise to large numbers. It’s just whether that will continue on or stop. And that depends on how we react. China recently recorded a day without a new case, and Wuhan has gone five days. If we look at the rates in China and how it’s peaked and fallen off, can that give us an estimate of how long it might last here? It can give us an estimate. We can be looking at the numbers there to give us a rough idea, but we are really doing things differently from China. I think everybody’s doing things differently from China. We know what we want to see, but we can’t predict whether it’ll work. We need to wait and see. China has done well, but of course it has a lot of [imported cases now due to travel], so it’s seeing what the rest of the world has already seen. And it has to keep on top of that as well. And as more and more things come back online in China, those cases could become sources for new outbreaks. As we know, a lot of asymptomatic and mild cases happen that get buried in the noise and the common causes of the cold, the flu season, and that sort of thing. It will still be easy to miss cases coming into a country, so it could well flare up again. And China knows that, and it’s prepared for that. I believe I saw you tweet about stocking up on supplies, and I believe you were probably the first one to say that we should all be doing it, and there’s been some criticism about your comments. Why do you think people are critical of that idea? Oh look, I’m going to wear the criticism. I don’t care. I would rather be prepared by having two weeks’ worth of stuff as is recommended by various authorities; for example, NSW Health’s planning webpage, where it talks about planning for pandemics and various things like that. We based it off facts. We think it’s important to have something in the pantry in case, not because there’s a zombie apocalypse coming, but because truck drivers, people who deliver our food around the country, are also going to get sick. They’re also going to have kids that get sick, and they may have to stay home and look after them. This could lead to interruptions in supply. I don’t think it’ll be continuous. I don’t think it’ll affect water or power, but I think it could happen, and we need to have something in the cupboard so that if we have to stay home for a while because the government says, “Let’s try to mitigate the spread. Everybody stay at home, don’t go to work, don’t go to school,” then we’re prepared. I’m thinking back to a conversation I had around January with someone who told me that SARS completely disappeared and no one knows why. Is this true? SARS is an extinct virus. We do know why. There’s some guesswork that it’s because of summer, but more likely and more realistically it’s because of all the massive amount of hard work from public health that went into finding every case, tracing all the contacts, and quarantining and isolating the sick or soon to be sick people. That process is what worked. China did it brilliantly and has done it pretty well this time too, because it has experience. It’s managed this one quite well, but it’ll probably get overwhelmed at some point. But that’s why SARS was stopped, not through some magic weather change. Also, the virus didn’t spread as well as this one does. This one already spreads almost like a common cold and flu-like virus, so it has an ability to spread. Would you stick with all the recommendations we’ve had so far: social distancing, washing hands, testing if needed? Yes. We should do everything we can to control things as individuals, such as hand washing, not touching our face, staying away from sick people, not going to work if we’re sick, and listening to the authorities. However, on a grander scale, social distancing is going to be the best way to keep us apart. That’s what we have to do. This is a very old-fashioned way of doing things, but humans haven’t changed their biology through their evolution to prevent viruses from infecting them. We have to use these old fashioned measures to stop what is just a biological process, essentially. It’s the only thing we’ve got. Apart from that, there’s not a lot of other things that we can do until we get a vaccine to prevent more spread and transmission.  ■ agedcareinsite.com.au 19