Aged Care Insite Issue 118 | Apr-May 2020 | Page 8

news The entrance to the Dorothy Henderson Lodge in Sydney. Photo: Jane Dempster Sector reeling from virus We chart the course of COVID-19 in Australia and its effects on the aged care sector. By Conor Burke I n a matter of only four months the coronavirus pandemic has changed the way we live, perhaps forever. As Australia is in the early stages of its version of the crisis, those looking at China, Europe, the US and elsewhere could have cause to worry about further spread of the virus. However, through strict border controls and near lockdown conditions, Prime Minister Scott Morrison believes that we are seeing a flattening of the curve, and it is clear that we are yet to feel the full force of this pandemic. As a result, aged care facilities have been subject to strict lockdown procedures since mid-March, and as this coronavirus appears to be more infectious and faster spreading than influenza – which last year affected approximately 310,000 Australians with 900 deaths – we could see these lockdowns last for the foreseeable future. COVID-19 TIMELINE Cases of COVID-19, as a result of contracting coronavirus, were first identified in Wuhan, the capital of Hubei province in Central China, which has a population of more than 11 million. On January 7, officials announced they had identified a new virus, according to the WHO. On January 11, China announced its first death, and two days later the first foreign case was confirmed in Thailand. 6 agedcareinsite.com.au By January 23, Wuhan had been effectively shut down, with all planes, trains, buses, subways and other forms of transport cancelled and stopped from leaving the city. At this point, only 581 cases had been confirmed globally (571 in China) with seven deaths, all in Hubei. January 25 saw the first Australian cases, as four men, three from NSW and one from Victoria, presented with symptoms. All four had recently flown back to Australia from China and had been in Wuhan. By January 30, the WHO had declared the new coronavirus a “global emergency”. The government was preparing for a potential outbreak at an aged care facility by early February, urging people to stay away from aged care facilities and isolate themselves at home if they had travelled to mainland China within the past 14 days or had come in contact with a confirmed case of novel coronavirus in that same period. But it was not until March 4 that we saw the first outbreak, which occurred at the Dorothy Henderson Lodge, a BaptistCare facility at Macquarie Park in Sydney’s northwest. An aged care worker at the facility contracted the virus, and subsequently 16 residents and five staff have confirmed cases of COVID-19, with seven others who had contact with them also infected. As panic gripped the nation and shoppers started to hoard basic items, such as toilet paper and pasta, shops like Woolworths and Coles introduced dedicated hours for older Australians and those with disabilities. “I would think that we could make a decision as a network in the next 24–48 hours,” IGA chief executive Fred Harrison recently told Nine. “[Yesterday] I went into our Mount Eliza store and a customer I knew came up and spoke to me and said that a senior lady down the aisle is absolutely crying her eyes out. I said, ‘Why, what’s wrong?’ She said she had been into the store eight consecutive mornings to buy toilet rolls, but we had none, and she was beside herself.” As confirmed cases increased, so too did government measures to curb the spread. On March 17, Morrison announced that visitors who are sick or anyone returning from overseas would be barred from going to aged care facilities. Only short visits to residents at facilities would be allowed, with a maximum of two people once a day. Any visits would have to take place in a resident’s room or designated space, barring any communal areas, and Morrison urged everyone to practise social distancing of 1.5 metres. He also reiterated that any staff who had been overseas, and anyone who had been in contact with a confirmed COVID-19 case, would not be able to enter a facility. This also applied to anyone who didn’t have up-to-date flu vaccines. All visiting school groups were barred from aged care, as was any outside entertainment. Children under the age of 16 could only visit with special exemptions. Morrison has said that palliative care restrictions would be left to the discretion of the facilities, as long as they adhered to the general social distancing principles already expected of the general population.