Informed, engaged communities for health

Support non-profit public interest journalism

As Tamil family released, Federal Government urged to close Christmas Island and address pandemic detention risks

An Australian Human Rights Commission report today called for the closure of the Christmas Island detention facility and for significant cuts to the numbers of asylum seekers, refugees and others held in immigration detention across Australia to protect against the spread of COVID-19.

The call came as much attention was focused on the departure of one family from Christmas Island, with Sri Lankan asylum seekers Priya and Nades Murugappan and their Australian-born daughters Tharnicaa and Kopika finally permitted to leave the remote facility where they have been held for two years.

Nicole MacKee and Marie McInerney write:

The Australian Human Rights Commission has urged the Federal Government to reduce COVID-19 risks in its crowded immigration detention centres and facilities by significantly reducing the number of people held and to close the Christmas Island detention centre, northwest of Australia.

So-called Medevac asylum seekers and refugees, brought to Australia from Nauru and Manus Island for medical care and now held in Alternative Places of Detention (APODs) like motels in Melbourne and Brisbane, are among the priority groups listed by the Commission for release into community detention.

The ‘Management of COVID-19 risks in immigration detention’ review, released by Human Rights Commissioner Ed Santow, warns that COVID-19 pandemic “is a serious threat” for people held in Australia’s immigration detention network, and makes 20 recommendations to mitigate this risk.

“COVID-19 can spread quickly in enclosed, confined spaces such as detention. A high proportion of people in immigration detention have pre-existing health conditions—a factor that can worsen the health impact of people who contract COVID-19,” he said.

The fight continues

The report comes amid warnings that the release from Christmas Island of Sri Lankan asylum seekers Priya and Nades Murugappan and their Australian-born daughters Tharnicaa and Kopika is “only a stop-gap solution”, given the family remains in community detention with no change to their visa status.

Supporters of the Murugappan family have vowed to keep fighting until the Federal Government grants the family a visa and allows them to return to the Queensland town of Biloela.

The Royal Australasian College of Physicians (RACP), a signatory to the Open Letter sent by nine medical groups to Home Affairs Minister Karen Andrews calling on the Australian Government to release the family from immigration detention, today welcomed the decision to allow the Murugappan family to live in the community in Perth.

It urged the Government to ensure the family “is provided with all necessary healthcare, education and social supports to facilitate this transition and support good health and wellbeing for the whole family”.

Speaking on RN Breakfast about his report, Human Rights Commissioner Ed Santow also urged the Government to show compassion to the Murugappan family and give them “long-term certainty”.

“We really think this is a unique situation and they should treat it as such,” said Santow, adding that the Murugappan family had a very close connection with the Biloela community.

Pandemic priorities

Santow acknowledged the achievement where, to date, no-one detained in Australia’s immigration detention facilities had tested positive to the virus, and only a small number of people working in these facilities had tested positive, but he said the pandemic posed “an ongoing, serious threat”.

Many other countries, such as the United Kingdom, Canada and the United States, had responded to this risk by reducing the number of people held in closed immigration detention—by around 39 percent, 66 percent and 69 percent respectively, he said.

“By contrast, the immigration detention population in Australia increased by nearly 12 percent in the six months since the COVID-19 pandemic was declared in March 2020—resulting in significant strain across the immigration detention network as facilities operate close to or at their regular capacity,” Santow said.

His report said the Federal Government and Home Affairs Department should “take urgent steps to significantly reduce the number of people in immigration detention facilities by releasing people into community-based alternatives to closed detention, such as community detention, unless an individual assessment identifies security risks that cannot be managed in the community”.

It said the following groups should be prioritised for release:

  • people assessed to be at risk of health complications if they contract COVID-19
  • refugees and asylum seekers transferred from Nauru and PNG for medical assessment treatment, and
  • those accommodated in dormitory-style accommodation in low-medium security compounds.

While re-opening of the North West Point detention facility at Christmas Island had provided some capacity relief, the Commission said “this is not an appropriate solution to address increasing numbers and overcrowding”, and that isolation and lack of sophisticated healthcare facilities would make it more difficult to respond as effectively as possible to a possible outbreak.

Given a range of issues related to the remoteness of the facility, “as a matter of urgency, the Australian Government should decommission the use of all immigration detention facilities on Christmas Island,” it said.

Speaking on RN Breakfast, Santow said there were limited acute healthcare facilities on the island and “so, if there were an outbreak, God forbid, it would potentially be catastrophic.”

Harsh, prison-like

The Commission also makes a number of recommendations to improve physical distancing, warning that most people in immigration detention facilities share bedrooms with at least one or two other people, sleeping in bunks and living in a layout that makes it impossible to keep 1.5 metres apart.

It also called for special attention for people with pre-existing health conditions, saying it had been advised that, as at 28 September 2020, 247 people in closed immigration detention were assessed as particularly vulnerable to COVID-19.

“Where it is unsafe to remove those people from closed detention, at the very least they should be accommodated in single rooms with separate bathroom facilities,” it said.

The Commission also said that measures that restrict an individual’s basic rights—such as freedom of movement—”must be reasonable, necessary and proportionate to addressing COVID-19 risks”.

“The buildings used for quarantine inside immigration detention tend to be harsh and prison like, with no or very limited access to outdoor areas. The Government should improve the physical conditions and amenities, and access to support for the duration of a person’s quarantine.

Santow has also advised that quarantine should be used only where medically necessary, concerned that the use of ‘operational quarantine’— for example, where a person is quarantined for 14 days, regardless of symptoms, after an offsite appointment—may not be used only when necessary and put detainees off attending, for example, important medical appointments.

Finally, the report urged that people in immigration detention, and others who work in these facilities, be given priority in the COVID-19 vaccination rollout.

The Department of Home Affairs’ extended response to the report can be read here.

Comments on vaccines from Australian Border Force

Croakey last week lodged a number of queries with the Australian Border Force about the COVID-19 vaccine rollout in immigration detention. It did not provide any details on the timetable or targets, but advised:

  • COVID-19 vaccines will be available free for everyone living in Australia, even if they are not an Australian citizen or permanent resident. The Australian Government wants everyone in Australia to have access to a safe, free, COVID-19 vaccine if they choose to be vaccinated.
  • The Department continues to work closely with the Department of Health in relation to arrangements for the vaccination of persons in held immigration detention.
  • All detention facility staff are eligible under phase 1b of Australia’s COVID-19 vaccine roll-out.
  • Those residing in detention facilities will be offered the COVID-19 vaccination as part of  a whole of facility approach, which is the same approach being taking by other  jurisdictions at  their correctional facilities.
  • The rollout is consistent with the Department of Health’s vaccine rollout strategy nationally, the timeline will depend on supply of the vaccine and consent of individuals to be vaccinated.
  • Healthcare services for detainees are broadly comparable with those available within the Australian community under the Australian public health system.
  • Services are provided through onsite primary and mental health clinics with referral to allied and specialist health providers as required. Acute care is provided by hospitals.
  • Outside of clinic hours, Detention Service Provider staff have access to a nurse-led telephone service, which may include a video-conferencing capability to enable visual review of detainees by a nurse if required. Detention Service Provider staff call an ambulance for emergency care in instances where the Health Services Provider is not onsite.
  • To protect detainees, the Australian Border Force (ABF) has implemented a range of protective and preventative measures in accordance with the Communicable Diseases Network Australia (CDNA) National Guidelines for the Prevention, Control and Public Health Management of COVID-19 Outbreaks in Correctional and Detention Facilities in Australia and public health advice. No detainee in any immigration detention facility has tested positive.
  • Immigration detention COVID-19 management, planning and preparedness has been subject to oversight and inspections by the Commonwealth Ombudsman and Comcare.

    See Croakey’s archive of stories about asylum seeker and refugee health.
    Support our public interest journalism, for health.



    Other ways to support.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Search by: Categories or tags

Search the Croakey Archives

Share on facebook
Share on twitter
Share on linkedin


We are working very hard to ensure Croakey Health Media becomes sustainable into the future. Every donation helps! No amount is too small to make a difference. You can choose to make a one-off donation or become a regular donor. Please donate here.

Please also consider registering at our Patreon account that supports public interest journalism on the climate crisis and health – it’s an easy way to support us through regular donations. Every dollar helps.

Help support non-profit public interest journalism

Public interest journalism is an important determinant of health, due to its roles in accountability and holding power to account, empowering communities, and contributing to health literacy. A strong public interest journalism sector contributes to planetary health and health equity, as well as healthier people, communities, societies, and systems of governance.


We are working very hard to ensure Croakey Health Media becomes sustainable into the future. Every donation helps! No amount is too small to make a difference. You can choose to make a one-off donation or become a regular donor.

Donate now

Please also consider registering at our Patreon account that supports public interest journalism on the climate crisis and health – it’s an easy way to support us through regular donations. Every dollar helps.


Although you can always access Croakey’s articles for free, a convenient way to stay up to date is with our weekly emailed summary of Croakey articles. It is only $60 per year (including GST).  We also offer special rates for bulk deals – for example, for organisations or students.

Subscribe here

More options

Join one of our annual Funding Consortia

Croakey is supported by two main funding consortia, whose contributions help to pay the Croakey News team. We would not be able to operate without our editorial team, who commission, edit and publish articles and also support special projects.

Two membership options are available:

  • $2600 + GST consortium membership.
  • $3600 + GST consortium membership with logo and statement included on four of the weekly Croakey News bulletin as follows: “XXX is a supporter of Croakey and public interest journalism”. This advertisement is provided at a significant discount to our usual advertising rate in the bulletin.

Members of the consortium are provided ten complimentary yearly subscriptions to the weekly Croakey News bulletin (total value $600), and a further discount offered on bulk subscriptions.  Members are acknowledged on the Croakey website with organisation logo on the front page and name and link to your website here.

If you would like to be part of one of the Consortia, please contact us at:

What people say about Croakey

Croakey provides a rare platform to explore public health issues from a range of perspectives. Melissa and Marie have supported #cripcroakey, a series of articles about disability and health, at a time of profound change in disability policy that needs scrutiny and analysis. Croakey’s backing of writers from diverse backgrounds is a fantastic addition to Australian media.

El Gibbs

Award-winning writer; Leading #CripCroakey investigations of disability and health issues

Follow us on social media