16 November 2020

Locals are again being urged not to let their guard down and to continue to get tested if they have even the mildest COVID-19 symptoms.

As testing numbers drop, health authorities are warning the virus could take hold again at any stage despite current numbers being low if we become complacent about testing.

Dr Dong Hua, who is operating the GP-led respiratory clinics testing for COVID-19 at Campbelltown and Fairfield, encouraged locals to be cautious after the detection of COVID-19 at Glenfield sewage treatment plant last month.

“Anyone who has even the mildest of symptoms of COVID-19 – like a runny nose or scratchy throat, cough, shortness of breath, fever, loss of smell or loss of taste – should be tested so we can prevent another outbreak from happening,” he said.

All local residents are reminded you don’t need all symptoms to have COVID-19, if you have just one of those symptoms, get tested.

South Western Sydney Primary Health Network (SWSPHN) Chief Executive Officer, Dr Keith McDonald PhD, said it was important that testing numbers remained high.

He said eliminating local transmission was the aim now.

“High testing rates are our best weapon to find and stop community transmission of COVID-19,” he said.

“I urge everyone to continue practicing good hand hygiene and social distancing despite the current local cases seeming to be under control. Our community has done an amazing job to combat this virus but we’re not quite there yet.”

Find a  full list of local respiratory clinics, flu assessment clinics, pop up clinics and local drive-thru clinics operated by private pathology on our website.

COVID-19 Testing options

 

19 October 2020

NSW Health has requested the below message and attached protocol be shared with GPs:

As a result of the COVID-19 pandemic, some four-year-old children are at risk of missing out on the crucial monocular visual acuity test prior to the start of school that has typically been provided by the NSW Health StEPS Program at preschools and childcare centres. The intent of the StEPS program is to detect vision problems at an age when reliable vision screening can be achieved and treatment for childhood ocular conditions is more effective than when they are older. There is a current media campaign encouraging parents to book their child in for a screen before they start school.

The GP leads of NSW Health’s Primary Care Community of Practice are in agreement that GPs and practice nurses are well placed to encourage parents to book their child in for a screen, refer children to their local StEPS Co-ordinator for more information on where to access screening, or to directly provide vision screening for four-year-old old children who have not been able to access the StEPS Program this year.

Please see:

• www.health.nsw.gov.au/StEPS for contact details of your local StEPS Coordinators to enable referrals to catch-up StEPS clinics

• The clinical protocol for four-year-old vision screening should you need further guidance on the screening process.

If you need more information about the StEPS Program, please contact your local StEPS Co-ordinator.  If you would like to speak to the Ministry of Health about this approach, please contact Caroline Holmes, Principal Program Officer, Health and Social Policy at  Caroline.Holmes@health.nsw.gov.au or on 9391 9961.

08 October 2020

South Western Sydney Primary Health Network (SWSPHN) has welcomed the Federal Government’s recognition of the importance of primary care in combatting the spread of COVID-19 with the extension of funding for temporary MBS telehealth items and testing at GP-led respiratory clinics in Tuesday night’s Federal Budget.

Additional funding to ensure the National Medical Stockpile continues to provide access to medicines, PPE medical supplies and equipment during the pandemic is also timely.

SWSPHN Chief Executive Officer, Dr Keith McDonald PhD, said supporting general practices and our community through the challenges of COVID-19, and ensuring locals continued to access healthcare for their chronic conditions and everyday needs, had been key focuses of SWSPHN during the past six months.

“We welcome the extension of Medicare subsidised telehealth – a vital measure to keep both our primary carers on the frontlines of this pandemic and our community safe – and testing for COVID-19 through the GP-led respiratory clinics,” he said.

“Both are important components of our response to the pandemic and essential to reducing community transmission of the virus.

“Our region has embraced telehealth. Of the 228 general practices in South Western Sydney who submit data to SWSPHN, patients have accessed care via a standard consultation with their GP 593,436 times – 574,948 via phone and 18,488 via video – in the past seven months.

“They have also recognised the importance of COVID-19 testing with more than 341,100 COVID-19 tests carried out across the region since January.

“The Government has fast-tracked electronic prescribing which improves access to medicines in response to COVID-19. SWSPHN is currently supporting the rollout of ePrescribing across our region.”

Dr McDonald said he was pleased with the prioritisation of investment in mental health, given the dual challenges of the summer’s bushfires which impacted our Wollondilly and Wingecarribee communities, and COVID-19 in 2020.

“More than $50 million has been allocated across the country to support frontline emergency distress and trauma counselling; expansion of existing mental health services; and supporting communities in recovery community grants,” he said.

“With this funding SWSPHN will enhance existing commissioned services for children, young people and adults to enable services to provide outreach to community and frontline workers such as Rural Fire Service volunteers, with a particular focus on Wollondilly, Wingecarribee and Camden. We will also be providing community grants focused on building community resilience.”

Dr McDonald said SWSPHN was committed to action on suicide prevention and supported investment in suicide prevention initiatives in the Federal Budget including the $13.4 million to extend the National Suicide Prevention Trials for a further year and $2 million for further crisis support through Lifeline and Kids Helpline.

“In the last 12 months we’ve worked with South Western Sydney Local Health District and those with lived experience of mental health concerns to develop our Regional Mental Health and Suicide Prevention Plan,” he said.

“In addition, we hosted co-design sessions with almost 100 community members earlier this year to develop an innovative grants approach which will focus on supporting activities to improve the mental health and reduce the rates of suicide in men.”

 

Other key budget measures include:

National Immunisation Program

The government is investing $49 million over four years in the National Immunisation Program to improve protection for those most at risk from potentially fatal meningococcal and pneumococcal diseases. For the first time, the meningococcal B vaccine is available for free to Aboriginal and Torres Strait Islander infants under two years. A catch-up program will be available until 30 June 2023 with about 20,000 Indigenous children expected to be vaccinated each year. 

Supporting senior Australians

The government is investing $408.5 million to improve the care and quality of the aged care system in response to the COVID-19 pandemic and urgent issues raised by the Royal Commission into Quality and Safety in Aged Care. It is also delivering an additional 23,000 home care packages at a cost of $1.6 billion providing support for senior Australians who want to live in their homes for longer.

Aboriginal and Torres Strait Islander health

The government is investing $4 billion in Indigenous health funding over the next four years, including $975.5 million in 2020–21. From 1 July 2020 the Government has also provided an extra $90 million to Aboriginal and Torres Strait Islander community-controlled health organisations under a new funding model and $35 million in 42 projects in areas such as ending avoidable Indigenous deafness, ending avoidable Indigenous blindness and helping to eradicate chronic kidney disease. A further $33 million is being provided through the Indigenous Australians’ Health Programme to expand Aboriginal and Torres Strait Islander primary healthcare services.

17 September 2020

South Western Sydney Local Health District will hold online information sessions to keep community and religious leaders informed of the latest COVID-19 advice and guidance so they can support their community, family and friends with the correct information about the virus.

If you are interested in attending any of the sessions on 25 and 28 September, submit an Expression of Interest by COB Wednesday, 23 September to balwinder.sidhu@health.nsw.gov.au

Find out more about the sessions

02 September 2020

COVID-19 Testing Criteria | Specific Clinician Directions for Tuesday 1 September 2020

Please note NO CHANGES REQUIRED for today TUESDAY 1 SEPTEMBER 2020 12MD

 

COVID-19 TESTING CRITERIA

Source (also available in reference link): https://www.health.nsw.gov.au/Infectious/covid-19/Pages/case-definition.aspx#increase

Symptoms of COVID-19 include fever (≥37.5), cough, sore throat, shortness of breath (difficulty breathing), loss of smell and loss of taste.

  • Other reported symptoms of COVID-19 include fatigue, runny nose, muscle pain, joint pain, diarrhoea, nausea/vomiting and loss of appetite. In more severe cases, infection can cause pneumonia with severe acute respiratory distress.
  • NSW Health recommends that anyone with respiratory symptoms, loss of sense of smell or taste, or unexplained fever should be tested for COVID-19.

 

This is especially important for:

  1. anyone who lives or works in a high risk setting, including healthcare facilities, aged care and other residential facilities, schools, prisons, and other closed settings
  2. Aboriginal and Torres Strait Islander people
  3. people who are close contacts of a confirmed case
  4. people who have returned from overseas in the last 14 days
  5. anyone admitted to hospital.

 

Further instructions:

  • Routine tests for acute pneumonia/pneumonitis should also be performed where indicated according to local protocols.
  • Any person referred by Public Health for testing or by a GP for testing should be tested regardless of symptoms (even if asymptomatic).
  • Prioritisation of testing is for public health purposes, maintaining essential services and supporting HSC students, the laboratory request form is clearly marked so testing can be prioritised.
  • Clearly mark (written plus yellow highlighter marker) both the sample container and request form as URGENT & CATEGORY:
  • “Urgent – ICU inpatient”
  • “Urgent – ED inpatient”
  • “Urgent – Ward inpatient”
  • “Urgent – Healthcare Worker”
  • ”Urgent – Public health outbreak control”
  • “Urgent – Essential Services Workers”
  • “Urgent – HSC Student”

 

SPECIFIC CLINICIAN DIRECTIONS FOR TUESDAY 1 SEPTEMBER 2020 12MD – PLEASE NOTE BELOW INFORMATION UPDATES REGULARLY

Source (also available in reference link): https://www.nsw.gov.au/covid-19/latest-news-and-updates

  1. CLOSE CONTACTS: Asymptomatic testing and self-isolation immediately and for 14 days, regardless of a negative test for anyone who has been to any of the below locations during the time and dates indicated.

 

  1. Bus route X39. Thursday 20 August, Departure: 6:08pm from Pitt Street opposite Australia Square, Arrival: 6:40pm at Clovelly Road and Carrington Road, Randwick.
  2. Caringbah: Highfield Caringbah. 6pm to 8:30pm on Saturday 22 August (please note: the public has been directed to Self-isolate and get tested immediately if you were at this location for more than two hours at this time and date. Other patrons at this location for less than two hours at this time and date are casual contacts and should monitor for symptoms)
  3. Hunters Hill: Hunters Hill Bowling Club (indoor dining room). 12pm to 2pm on Sunday 23 August.
  4. Marrickville: Anytime Fitness: 7pm to 8pm on Monday 24 August.
  5. Randwick: Fitness First (weights room). 3:30pm to 4:15pm on Sunday 23 August.
  6. Sydney: City Tattersalls Fitness Centre. 8am to 2pm on Wednesday 19 August, 8am to 2pm on Friday 21 August including; Aqua Aerobics from 10am to 10:45am, Stretch Class from 11am to 11:50am & Pump Class from 12:15pm to 1pm. 8am to 2pm on Sunday 23 August. 8am to 2pm on Monday 24 August, 8am to 2pm on Tuesday 25 August (please note: Anyone who attended the Club between Tuesday 4 August and Tuesday 18 August 2020 should get tested for COVID-19, regardless of symptoms, and self-isolate until a negative test result is received. If you receive a negative result, you can leave isolation)
  7. Zetland: Virgin Gym. People who attended the Active Dance class at 7:40pm on Monday 24 August.

 

  1. CASUAL CONTACTS: All other locations are symptomatic testing and self-isolation until a negative test is received

 

Please note: This includes anyone who has been to Queensland in the past 14 days, the public has been directed to monitor for symptoms and get tested with even the mildest of symptoms.

Source (also available in reference link): https://www.qld.gov.au/health/conditions/health-alerts/coronavirus-covid-19/current-status/contact-tracing )

 

COVID-19 TESTING CRITERIA

Please note new process for SHEOC to provide COVID-19 testing criteria

  1. SHEOC provide current case definition https://www.health.nsw.gov.au/Infectious/covid-19/Pages/case-definition.aspx#increase
  2. SHEOC additionally add SPECIFIC CLINICIAN DIRECTIONS from latest public updates   https://www.nsw.gov.au/covid-19/latest-news-and-updates
  3. SHEOC will provide this text to SHEOC/PHEOC Public Health Physician for endorsement for eMR Rapid Response working group to input into eMR every Monday
  4. Due to the nature of this information changing rapidly at present a daily update will be given as SPECIFIC CLINICIAN DIRECTIONS MAY UPDATE EVERY SIX HOURS
  5. SHEOC will provide a daily email to eMR Rapid Response working group by 11am every day including EHNSW-ClinicalApplicationServices@health.nsw.gov.au  (For: SPECIFIC CLINICIAN DIRECTIONS FOR X date 12 MIDDAY)
    1. ENDORSE: 2 people from eMR Rapid Response working group to endorse via email. If changes in locations & dates ONLY NOT REQUIRED.
    2. eMR ENTRY: eHealth will update text into eMR
    3. COMPLETE: eHealth will email group with the specific text entered into eMR to close process

 

31 August 2020

The RACGP’s Expert Advice Matters campaign is encouraging the community not to delay getting their health concern checked during the COVID-19 pandemic.

Patients need reassurance that GPs are still available to give advice on all health matters, safely and easily, and their GP is the best support to turn to.

The digital campaign features adverts and information aimed at culturally and linguistically diverse communities.

People who speak Mandarin, Cantonese, Vietnamese, Hindi and Arabic will find information on the website expertadvicematters.com.au in their language.

The RACGP is inviting our diverse GP community to record messages for their community in any language they speak for the social media campaign.

Learn more about this initiative and the new downloadable assets on the RACGP website.

25 August 2020

Below is a link to the South Western Sydney Local Health District’s infographic of COVID-19 cases, testing and sources of infection across SWS for Tuesday, 25 August.

Download the infographic – 25 August 2020

18 August 2020

Below is a link to the South Western Sydney Local Health District’s infographic of COVID-19 cases, testing and sources of infection across SWS for Tuesday, 18 August.

Download the infographic – 18 August 2020

18 August 2020

The Drug and Therapeutics Advisory Community of Practice (DaTA CoP) has advised against the use of ivermectin in COVID-19 treatment.

The use of ivermectin for COVID-19 has been in the media off and on throughout COVID-19 and there has been recent attention given to a regimen consisting of ivermectin, zinc and doxycycline and promotion of this ‘triple therapy’ regimen for use in the older population.  

The DaTA CoP has discussed the lack of evidence for the use of ivermectin in COVID-19.

It is asking health practitioners to monitor for any reports of use or consumer interest in ivermectin given its wide availability for treating animals.

If there is apparent inappropriate use, the Chief Pharmacist is able to intervene, for example, with regulatory changes. You can notify the NSW Therapeutic Advisory Group via nswtag@stvincents.com.au if any signals emerge that ivermectin might be being used.

 

Advice to the Ministry of Health

Professor Sarah Hilmer, the Clinical Lead of the DaTA CoP, Head of Department Clinical Pharmacology and Senior Staff Specialist Aged Care, Royal North Shore Hospital, has provided the following advice to the NSW Ministry of Health following the media attention regarding ivermectin:

‘Ivermectin has not been demonstrated to be safe or effective in prevention or treatment of COVID-19 in people of any age group. Therefore, it should not be used outside of a clinical trial.  

In the early days of the pandemic, international experience demonstrated the outcomes of using hydroxychloroquine, which looked promising in the laboratory, but when used in haste to treat COVID-19, led to deaths from side effects without benefit. We now have effective systems to investigate potential treatments, some effective treatments for people with severe COVID-19 requiring oxygen in hospital, as well as effective public health measures.  

There are several steps between demonstrating effects of a drug on a virus in a laboratory and determining whether it is effective or safe in people with COVID-19.  The first is working out whether the drug could be delivered at a dose that could kill the virus and still be tolerated by a patient.  

Use of ivermectin triple therapy in aged care proposed in the media is of particular concern.  Older people are particularly vulnerable to the side effects of drugs. Use of drugs without known benefit with known increased risk of harm is not recommended. Some known common side effects of ivermectin that could be very serious in frail older people are gastrointestinal side effects (which can lead to dehydration and malnutrition); and sedation and dizziness (which can lead to delirium and falls). The side effect profile in frail older people and in people who are sick with COVID-19 may be different. Furthermore, ivermectin is cleared by the liver, and the livers of frail older people do not clear drugs as well, on top of the potential effects of COVID-19 on the liver, which could result in drug accumulation and further toxicity. Frail older people also use a lot of other medications, putting them at risk of drug interactions with ivermectin, especially if used as part of a ‘triple therapy’.’

13 August 2020

SWSPHN answers this and other questions about COVID-19

SWSPHN has compiled a list of FAQs to assist community with questions about COVID-19, including symptoms, what being a close contact means and how to self-isolate.

 

What are the symptoms of COVID-19?

Symptoms include fever, cough, sore/ scratchy throat, shortness of breath, loss of taste or smell.

 

Should people with no symptoms get tested for COVID-19?

Testing of people with no symptoms (ie asymptomatic people) is not recommended routinely. In certain high-risk outbreak settings, the Public Health Unit may consider testing asymptomatic contacts to assist in managing the outbreak. This has occurred a number of times locally, including in response to The Crossroads Hotel cluster, with NSW Health urging anyone who was at the hotel on specific dates to be tested and isolate regardless of symptoms.

 

What is a close contact?

A close contact is someone who has been face-to-face for at least 15 minutes or has been in the same closed space for at least two hours as someone who has tested positive for the COVID-19 when that person was infectious.

 

What should I do if I have close contact with someone who tests positive?

If you are a close contact of a person with confirmed COVID-19 infection, you need to be isolated for 14 days after you last saw that person. You will be notified of the relevant period for isolation by an authorised contact tracer. Home isolation applies to all close contacts, even if you are well.

 

What does home isolation mean?

Home isolation means you must stay home and restrict your normal activities. You cannot go to work, school, childcare, university, recreation facilities or public areas or go shopping. You should not allow people who do not have an essential need to be in your home to visit while you are in isolation.

You can leave your home to seek medical care or because of an emergency but you must wear a surgical mask.

 

What do I do if I test positive?

People who test positive to COVID-19 must isolate after being notified of the diagnosis. You must remain in your home until Public Health officers advise that it is safe to return to normal activities. If your condition deteriorates, you should seek medical attention.

 

What if I’m a close contact and I test negative? Do I still need to isolate for 14 days?

Yes, all close contacts must isolate for 14 days after you last saw the COVID-positive person regardless of testing negative. NSW Health or your local Public Health Unit work with close contacts and COVID positive people to advise on their individual circumstances.

 

Do I need to get retested for COVID-19 if I get symptoms again but my first test result was negative?

A negative test result only means that you did not have COVID-19 at the time of testing. However, that does not mean you will not get COVID-19. If you experience symptoms again, such as a fever, cough, sore/scratchy throat, change in taste or smell, stuffy nose or shortness of breath, get tested.

 

What does my family do if our child has had close contact with a COVID-positive person?

If your child has had close contact with a COVID-positive person, they should as much as possible:

  • remain separated from others.
  • wear a surgical mask when they are in the same room as another person.
  • use a separate bathroom, if available.
  • avoid shared or communal areas and wear a surgical mask when moving through these areas.
  • not share a room with people who are at risk of severe disease, such as elderly people, immunocompromised people, and those who have heart, lung or kidney conditions and diabetes.

In circumstances where your child is not able to separate from other members of your family, the whole family should be isolated for 14 days.

 

When is my family allowed to resume our regular routine?

Following 14 days isolation, if your family remains well you do not require any tests before being released from isolation. If anyone in your family develops any symptoms during the isolation period they should get assessed and tested for COVID-19. If they test negative, they still need to remain in isolation until the original 14-day isolation period finishes.

 

How will my family cope if we need to self-isolate?

Being in home isolation can be frightening, particularly for young children.

NSW Health advise the following tips for coping:

  • Talk about COVID-19 to reduce anxiety.
  • Reassure young children using age-appropriate language.
  • Keep up a normal daily routine as much as possible.
  • Arrange with your employer to work from home, if possible.
  • Ask your child’s school to supply lesson information and homework by email.
  • Keep in touch with family members and friends via telephone, email or social media.
  • Exercise regularly at home.
  • Ask your family, friends or other members of the household to pick up your groceries and medicines for you.

 

How do I keep COVID-safe?

NSW Health advise the following for keeping COVID-safe:

  • Avoid non-essential travel and gatherings. Of particular concern is transmission in venues such as hotels and restaurants, the gym and social gatherings.
  • Anyone feeling unwell – even with the mildest of symptoms such as a runny nose or scratchy throat – must seek testing and self-isolate until they get the result. Stay at home, and do not go to work or catch public transport until you are cleared of COVID-19
  • At all times stay 1.5 m from other people. Don’t go anywhere there is crowding.
  • Clean your hands regularly with soap and running water for 20 seconds or use alcohol base hand rub.
  • Cough and sneeze into your elbow.
  • Don’t host, or go to, a gathering of more than 10 people at home.
  • Don’t go to the gym unless the equipment is thoroughly cleaned before and after customer use by supervising staff or yourself, and there is good spacing between machines and customers.
  • Consider using a mask in situations where you are unable to social distance.