Informed, engaged communities for health

Search
Generic filters
Filter by Categories
@WePublicHealth2021
#CroakeyLIVE #Budget2021Health
#GreenHealthForum22
#MHReform
#OutOfTheBox
#QldVotesHealth
#RCIADIC30Years
#RuralHealthJustice
#TRIPSwaiver
2021 Floods
Budget2020Health
Bushfires
Co-design
community control
COVID-19
Croakey Conference News Service
#16nrhc
#2020ResearchExcellence
#21OPCC
#BackToTheFire
#FoodGovernance2021
#GiantSteps21
#Govern4Health
#GreenHealthForum21
#HealthClimateSolutions21
#HealthReImagined
#HearMe21
#ICEM22
#IndigenousClimateJustice21
#NAISA22
#NNF2021
#NNF2022
#RANZCP2021
#RANZCP2022
#RethinkAddiction
#RTP22
#SAHeapsUnfair
#ShiftingGearsSummit
#ValueBasedCare
#WCepi2021
#YHFSummit
Choosing Wisely National Meeting 2022
Equally Well 2022 Symposium
GiantSteps22
Croakey Professional Services
#CommunityControl
#COVIDthinktank21
#KidneyCareTogether
ACSQHC series
ACSQHC series 2019
ACSQHC series 2020
ACSQHC series 2021
ACSQHC series 2022
CATSINaM 25 Years
Lowitja Indigenous knowledge translation series
NHLF series
Croakey projects
@WePublicHealth
@WePublicHealth2020
@WePublicHealth2022
#CommunityMatters
#CoveringClimateNow
#CroakeyLIVE #USvotesHealth
#CroakeyREAD
#CroakeyVOICES
#CroakeyYOUTH
#HealthyCOP26
#HousingJusticeAus
#JusticeCOVID
#LookingLocal
#MRFFtransparency
#OutOfPocket
#TalkingTeeth
AroundTheTraps
Caring for the Frontline
COVID SNAPS
COVIDglobalMHseries
Croakey longreads
CroakeyEXPLORE
Gavin Mooney
ICYMI
Inside Story
Journal Watch
Summer Reading 2019-2020
The Conversation
The Health Wrap
TOO MUCH of a Good Thing
CroakeyGO
#CroakeyGO #NavigatingHealth
#GamblingHarms
#HeatwaveHealth
Mapping CroakeyGo
CroakeyNews
Cultural determinants of health
Digital platforms
Donor-funded journalism
Donor-funded journalism – 2020
Donor-funded journalism – 2021
Donor-funded journalism – 2022
Elections and budgets
Federal Budget 2019-20
Federal Budget 2020-21
Federal Budget 2022-23
Federal Budget October 2022
Federal Election 2022
SA election 2022
The Election Wrap (2022)
Victorian election 2022
Federal Budget 2021-22
Global health and climate change
2019-20 climate bushfire emergency
asylum seeker and refugee health
Climate emergency
disasters
Ebola
extreme weather events
flooding 2011
Flooding 2022
Global health
NHS
NSW 2022
NZ Election 2017
WHO
health
Healthcare and health reform
abortion
adverse events
Aged care
Allied healthcare
Australian Medical Association
cancer
cardiovascular disease
child health
Choosing Wisely
Chronic conditions
co-payments
Cochrane Collaboration
complementary medicines
conflicts of interest
death and dying
diabetes
digital technology
disabilities
e-health
emergency departments and care
Equally Well
euthanasia
evidence-based issues
general practice
genetics
health & medical marketing
Health and aged care workforces
health and medical education
health and medical research
Health Care Homes
health ethics
health financing and costs
Health reform
health regulation
HIV/AIDS
hospitals
HRT
infectious diseases
influenza
international medical graduates
journal articles
LGBTIQ
medical marijuana
Medicare Locals
men's health
Mental health
MyHospitals website
National Commission of Audit 2014
National Health Performance Authority
naturopathy
NDIS
NHMRC
non communicable diseases
Nursing and midwifery
oral health
organ transplants
out of pocket costs
pain
palliative care
paramedics
pathology
Pharmaceutical Benefits Scheme
pharmaceutical industry
pharmacy
Pregnancy and childbirth
Primary Health Networks
Primary healthcare
private health insurance
Rural and remote health
Safety and quality of healthcare
screening
sexual health
Social media and healthcare
Strengthening Medicare Taskforce 2022
suicide
surgery
swine flu
telehealth
tests
TGA
trauma
women's health
youth health
Indigenous health
#CTG10
#NTRC
Acknowledgement
cultural safety
Indigenous education
Lowitja Institute
NT Intervention
social and emotional wellbeing
Uluru Statement
WA community closures
News about Croakey
Public health and population health
#PreventiveHealthStrategy
#UnmetNeedsinPublicHealth
air pollution
alcohol
consumer health matters
COVIDwrap
environmental health
Fetal Alcohol Spectrum Disorders (FASD)
food and nutrition
gambling
Government 2.0
gun control
health communications
health impact assessment
Health in All Policies
Health inequalities
health literacy
human rights
illicit drugs
injuries
legal issues
marriage equality
Media Doctor Australia
media-related issues
Monkeypox
nanny state
National Preventive Health Agency
obesity
occupational health
physical activity
plain packaging
prevention
Public health
Public interest journalism
road safety
sport
sugar tax
tobacco control
transport
vaccination
violence
Web 2.0
weight loss products
Royal Commission
Social determinants of health
commercial determinants of health
discrimination
education
Housing
justice
Justice Reinvestment
NBN
Newstart/JobSeeker
poverty
Racism
social policy
Summer reading 2020-2021
Summer reading 2021-2022
Tasmanian election 2021
The Croakey Archives
#cripcroakey
#HealthEquity16
#HealthMatters
#IHMayDay (all years)
#IHMayDay 2014
#IHMayDay15
#IHMayday16
#IHMayDay17
#IHMayDay18
#LoveRural 2014
Croakey Conference News Service 2013 – 2019
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016
#CPHCEforum16
#CRANAplus2016
#IAMRA2016
#LowitjaConf2016
#PreventObesity16
#TowardsRecovery
#VMIAC16
#WearablesCEH
#WICC2016
2017 conferences
#17APCC
#ACEM17
#AIDAconf2017
#BTH20
#CATSINaM17
#ClimateHealthStrategy
#IAHAConf17
#IDS17
#LBQWHC17
#LivingOurWay
#OKtoAskAu
#OTCC2017
#ResearchTranslation17
#TheMHS2017
#VMIACConf17
#WCPH2017
Australian Palliative Care Conference
2018 conferences
#6rrhss
#ACEM18
#AHPA2018
#ATSISPC18
#CPHCE
#MHED18
#NDISMentalHealth
#Nurseforce
#OKToAsk2018
#RANZCOG18
#ResearchIntoPolicy
#VHAawards
#VMIACAwards18
#WISPC18
2019 Conferences
#ACEM19
#CPHCE19
#EquallyWellAust
#GiantSteps19
#HealthAdvocacyWIM
#KTthatWorks
#LowitjaConf2019
#MHAgeing
#NNF2019
#OKtoAsk2019
#RANZCOG19
#RANZCP2019
#ruralhealthconf
#VMIAC2019
#WHOcollabAHPRA
Croakey Professional Services archive
#CommunityControl Twitter Festival
Croakey projects archive
#IndigenousHealthSummit
#IndigenousNCDs
#JustClimate
#JustJustice
Croakey register of influence
Croakey Register of Influencers in Public Health
Croakey Register of Unreleased Documents
Naked Doctor
Poems of Public Health
Summer Reading 2016-2017
Summer Reading 2017-2018
The Koori Woman
Wonky Health
CroakeyGO archive 2017 – 2018
CroakeyGo 2017
#CroakeyGO Adelaide 2017
#CroakeyGO Melbourne 2017
#CroakeyGO Newcastle 2017
#CroakeyGO Sydney 2017
CroakeyGo 2018
#CroakeyGO #QuantumWords 2018
#CroakeyGO #VicVotes 2018
#CroakeyGO Albury 2018
#CroakeyGO Callan Park 2018
#CroakeyGO Carnarvon 2018
#CroakeyGO Marrickville 2018
#CroakeyGO Palm Island 2018
Elections and Budgets 2013 – 2019
#AusVotesHealth Twitter Festival 2019
#Health4NSW
#HealthElection16
Federal Budget 2009-2010
Federal Budget 2010
Federal Budget 2011
Federal Budget 2012-2013
Federal Budget 2013-14
Federal Budget 2014-15
Federal Budget 2015-16
Federal Budget 2016-17
Federal Budget 2017/18
Federal Budget 2018-19
Federal Election 2010
Federal Election 2013
Federal Election 2016
Federal Election 2019
NSW Election 2015
NSW Election 2019
NT Election 2016
Qld Election 2015
Victorian Election 2014
WA election 2021
Support non-profit public interest journalism
Search
Generic filters
Filter by Categories
@WePublicHealth2021
#CroakeyLIVE #Budget2021Health
#GreenHealthForum22
#MHReform
#OutOfTheBox
#QldVotesHealth
#RCIADIC30Years
#RuralHealthJustice
#TRIPSwaiver
2021 Floods
Budget2020Health
Bushfires
Co-design
community control
COVID-19
Croakey Conference News Service
#16nrhc
#2020ResearchExcellence
#21OPCC
#BackToTheFire
#FoodGovernance2021
#GiantSteps21
#Govern4Health
#GreenHealthForum21
#HealthClimateSolutions21
#HealthReImagined
#HearMe21
#ICEM22
#IndigenousClimateJustice21
#NAISA22
#NNF2021
#NNF2022
#RANZCP2021
#RANZCP2022
#RethinkAddiction
#RTP22
#SAHeapsUnfair
#ShiftingGearsSummit
#ValueBasedCare
#WCepi2021
#YHFSummit
Choosing Wisely National Meeting 2022
Equally Well 2022 Symposium
GiantSteps22
Croakey Professional Services
#CommunityControl
#COVIDthinktank21
#KidneyCareTogether
ACSQHC series
ACSQHC series 2019
ACSQHC series 2020
ACSQHC series 2021
ACSQHC series 2022
CATSINaM 25 Years
Lowitja Indigenous knowledge translation series
NHLF series
Croakey projects
@WePublicHealth
@WePublicHealth2020
@WePublicHealth2022
#CommunityMatters
#CoveringClimateNow
#CroakeyLIVE #USvotesHealth
#CroakeyREAD
#CroakeyVOICES
#CroakeyYOUTH
#HealthyCOP26
#HousingJusticeAus
#JusticeCOVID
#LookingLocal
#MRFFtransparency
#OutOfPocket
#TalkingTeeth
AroundTheTraps
Caring for the Frontline
COVID SNAPS
COVIDglobalMHseries
Croakey longreads
CroakeyEXPLORE
Gavin Mooney
ICYMI
Inside Story
Journal Watch
Summer Reading 2019-2020
The Conversation
The Health Wrap
TOO MUCH of a Good Thing
CroakeyGO
#CroakeyGO #NavigatingHealth
#GamblingHarms
#HeatwaveHealth
Mapping CroakeyGo
CroakeyNews
Cultural determinants of health
Digital platforms
Donor-funded journalism
Donor-funded journalism – 2020
Donor-funded journalism – 2021
Donor-funded journalism – 2022
Elections and budgets
Federal Budget 2019-20
Federal Budget 2020-21
Federal Budget 2022-23
Federal Budget October 2022
Federal Election 2022
SA election 2022
The Election Wrap (2022)
Victorian election 2022
Federal Budget 2021-22
Global health and climate change
2019-20 climate bushfire emergency
asylum seeker and refugee health
Climate emergency
disasters
Ebola
extreme weather events
flooding 2011
Flooding 2022
Global health
NHS
NSW 2022
NZ Election 2017
WHO
health
Healthcare and health reform
abortion
adverse events
Aged care
Allied healthcare
Australian Medical Association
cancer
cardiovascular disease
child health
Choosing Wisely
Chronic conditions
co-payments
Cochrane Collaboration
complementary medicines
conflicts of interest
death and dying
diabetes
digital technology
disabilities
e-health
emergency departments and care
Equally Well
euthanasia
evidence-based issues
general practice
genetics
health & medical marketing
Health and aged care workforces
health and medical education
health and medical research
Health Care Homes
health ethics
health financing and costs
Health reform
health regulation
HIV/AIDS
hospitals
HRT
infectious diseases
influenza
international medical graduates
journal articles
LGBTIQ
medical marijuana
Medicare Locals
men's health
Mental health
MyHospitals website
National Commission of Audit 2014
National Health Performance Authority
naturopathy
NDIS
NHMRC
non communicable diseases
Nursing and midwifery
oral health
organ transplants
out of pocket costs
pain
palliative care
paramedics
pathology
Pharmaceutical Benefits Scheme
pharmaceutical industry
pharmacy
Pregnancy and childbirth
Primary Health Networks
Primary healthcare
private health insurance
Rural and remote health
Safety and quality of healthcare
screening
sexual health
Social media and healthcare
Strengthening Medicare Taskforce 2022
suicide
surgery
swine flu
telehealth
tests
TGA
trauma
women's health
youth health
Indigenous health
#CTG10
#NTRC
Acknowledgement
cultural safety
Indigenous education
Lowitja Institute
NT Intervention
social and emotional wellbeing
Uluru Statement
WA community closures
News about Croakey
Public health and population health
#PreventiveHealthStrategy
#UnmetNeedsinPublicHealth
air pollution
alcohol
consumer health matters
COVIDwrap
environmental health
Fetal Alcohol Spectrum Disorders (FASD)
food and nutrition
gambling
Government 2.0
gun control
health communications
health impact assessment
Health in All Policies
Health inequalities
health literacy
human rights
illicit drugs
injuries
legal issues
marriage equality
Media Doctor Australia
media-related issues
Monkeypox
nanny state
National Preventive Health Agency
obesity
occupational health
physical activity
plain packaging
prevention
Public health
Public interest journalism
road safety
sport
sugar tax
tobacco control
transport
vaccination
violence
Web 2.0
weight loss products
Royal Commission
Social determinants of health
commercial determinants of health
discrimination
education
Housing
justice
Justice Reinvestment
NBN
Newstart/JobSeeker
poverty
Racism
social policy
Summer reading 2020-2021
Summer reading 2021-2022
Tasmanian election 2021
The Croakey Archives
#cripcroakey
#HealthEquity16
#HealthMatters
#IHMayDay (all years)
#IHMayDay 2014
#IHMayDay15
#IHMayday16
#IHMayDay17
#IHMayDay18
#LoveRural 2014
Croakey Conference News Service 2013 – 2019
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016
#CPHCEforum16
#CRANAplus2016
#IAMRA2016
#LowitjaConf2016
#PreventObesity16
#TowardsRecovery
#VMIAC16
#WearablesCEH
#WICC2016
2017 conferences
#17APCC
#ACEM17
#AIDAconf2017
#BTH20
#CATSINaM17
#ClimateHealthStrategy
#IAHAConf17
#IDS17
#LBQWHC17
#LivingOurWay
#OKtoAskAu
#OTCC2017
#ResearchTranslation17
#TheMHS2017
#VMIACConf17
#WCPH2017
Australian Palliative Care Conference
2018 conferences
#6rrhss
#ACEM18
#AHPA2018
#ATSISPC18
#CPHCE
#MHED18
#NDISMentalHealth
#Nurseforce
#OKToAsk2018
#RANZCOG18
#ResearchIntoPolicy
#VHAawards
#VMIACAwards18
#WISPC18
2019 Conferences
#ACEM19
#CPHCE19
#EquallyWellAust
#GiantSteps19
#HealthAdvocacyWIM
#KTthatWorks
#LowitjaConf2019
#MHAgeing
#NNF2019
#OKtoAsk2019
#RANZCOG19
#RANZCP2019
#ruralhealthconf
#VMIAC2019
#WHOcollabAHPRA
Croakey Professional Services archive
#CommunityControl Twitter Festival
Croakey projects archive
#IndigenousHealthSummit
#IndigenousNCDs
#JustClimate
#JustJustice
Croakey register of influence
Croakey Register of Influencers in Public Health
Croakey Register of Unreleased Documents
Naked Doctor
Poems of Public Health
Summer Reading 2016-2017
Summer Reading 2017-2018
The Koori Woman
Wonky Health
CroakeyGO archive 2017 – 2018
CroakeyGo 2017
#CroakeyGO Adelaide 2017
#CroakeyGO Melbourne 2017
#CroakeyGO Newcastle 2017
#CroakeyGO Sydney 2017
CroakeyGo 2018
#CroakeyGO #QuantumWords 2018
#CroakeyGO #VicVotes 2018
#CroakeyGO Albury 2018
#CroakeyGO Callan Park 2018
#CroakeyGO Carnarvon 2018
#CroakeyGO Marrickville 2018
#CroakeyGO Palm Island 2018
Elections and Budgets 2013 – 2019
#AusVotesHealth Twitter Festival 2019
#Health4NSW
#HealthElection16
Federal Budget 2009-2010
Federal Budget 2010
Federal Budget 2011
Federal Budget 2012-2013
Federal Budget 2013-14
Federal Budget 2014-15
Federal Budget 2015-16
Federal Budget 2016-17
Federal Budget 2017/18
Federal Budget 2018-19
Federal Election 2010
Federal Election 2013
Federal Election 2016
Federal Election 2019
NSW Election 2015
NSW Election 2019
NT Election 2016
Qld Election 2015
Victorian Election 2014
WA election 2021

COVID SNAPS: the urgency of childhood vaccination, hopes for herd immunity and forging lifelong bonds

With predictions that 40 percent of Australia’s unvaccinated population will soon be children under five, childcare is set to become the next COVID frontline amid increasing urgency to roll out childhood vaccination, writes Professor Kathy Eagar, Director of the Australian Health Services Research Institute at the University of Wollongong, in her latest column.

“I am optimistically assuming it will be possible for all 5-12 year olds to be offered the vaccine in time for school Term 1 in 2022. If we can achieve that, we have every chance of achieving close to herd immunity levels in 2022,” she says.


Kathy Eagar writes:

Our quote of the week (anonymous) is: “I find it very suspicious that COVID seems to be only targeting people who didn’t get that ridiculous vaccine. Has anybody else noticed this? Why is the virus only killing those who stand up to the government jab all of a sudden?”

Word of the week is”quaranteam”.

Your quaranteam is the small group of people you spent time with during quarantine and lockdown. For better or for worse, you and your quaranteam now have a lifelong bond.

Australian COVID at a glance

Here is a summary of the COVID state of the nation on 28 October.

Source: covidlive.com.au

Reff round up

The Effective Reproduction number or the Reff or the RO tells you how quickly the virus is spreading. When the Reff is greater than 1.0, cases are increasing. When the Reff is less than 1.0, cases are decreasing. Thanks Professor Adrian Esterman for his daily calculation of the Reff.

NSW: 234 cases and 8 deaths on 29 October. 5-day moving average 277 (301 last week), Reff 0.83 (0.87 last week) – cases have more or less plateaued this week. It could stay like this for some time now because improving vaccination rates are being offset by easing out of lockdown.

Victoria: 1,656 cases and 10 deaths on 29 October. 5-day moving average has dropped to 1,589 (1,965 last week) and the Reff is 0.86 (0.98 last week) – Victoria continues to hover below its peak. With lockdown now ending, it could plateau at this level for quite a while.

ACT is now down to very low numbers and a Reff below 0.5.

Queensland, SA, Tasmania, WA, Qld, SA, NT: moving average 0, Reff 0.

Below is a nice summary of the role of vaccine in reducing transmission. It comes from an article by Christopher Baker and Andrew Robinson in The Conversation. It is on my recommended reading list.

Vaccination round up

Here is a summary of vaccination rates by state and territory. The columns to look at are the 0+ columns. These are the percentage of the whole population vaccinated, not just those over 15.

In total, 62.5 percent of the whole Australian population is fully vaccinated (blue ink) and 73.5 percent has had one jab (black ink). ACT heads the list with 75.6 percent of the ACT population fully vaccinated and 83.5 percent of the population having had one jab.

WA and NT are still well behind, with just under half of their population fully vaccinated.

Source: covidlive.com.au

Celebrating a decoupling

First, a quick refresher. Coronavirus is a virus that spreads through the air and that gets into your body, largely via your nose or mouth. COVID is the disease caused by the SARS-CoV-2 coronavirus. Vaccine does not target coronavirus. Vaccine targets COVID.

A national vaccination strategy aims to:

1.     Reduce the number of people who get infected. Coronavirus can still be circulating but the aim of the vaccine is to help your body fight the coronavirus and stop you developing the COVID disease. Infection is measured by case numbers.

2.     Reduce the severity of the disease in those who, in spite of being vaccinated, do become infected. Severity is measured by hospitalisations and by deaths.

Here is a graph showing cases, hospitalisations and ICU admissions during 2020.

There is typically a one to two week lag between cases and hospitalisations. When cases go up, hospitalisations follow about two weeks later. When cases go down, hospitalisations follow about two weeks later.

When vaccine is doing its job, hospitalisations stop following cases and they go their separate ways. Hospitalisations (and deaths) become ‘decoupled’ from cases.

You can see evidence of decoupling in the graph below. The decoupling of cases and hospitalisations began around the last week of August. Cases (the broken black line) continued to increase at a fast rate from August. But the rate of hospitalisations (the blue line) and ICU admissions (the yellow line) did not neatly follow two weeks later.

Thanks Juliette O’Brien (https://www.covid19data.com.au) for these splendid graphs.

By the time that cases and hospitalisations got ‘decoupled’ and went their own ways, vaccination rates for the ‘eligible’ population had hit 54 percent in NSW, 44 percent in Victoria and 57 percent in ACT.  Hospitalisations in the current wave peaked at around 1,500 per day (compared to 700 at their peak in 2020) and have been steadily declining since then.

What we are seeing in this graph is (hopefully) the pattern we can expect to see going forward. Case numbers will always matter but their importance will diminish over time. What will become more important to monitor is hospitalisations, ICU admissions and deaths.

The goal now is to turn this decoupling into a permanent divorce. As many of us already know, a trial separation is rarely enough.

We now need to keep a close eye on hospitalisations and deaths as well as case numbers. Third booster shots will be essential to address waning immunity otherwise cases will start rising again. And the Australian Technical Advisory Group on Immunisation (ATAGI), the Therapeutic Goods Administration (TGA) and the Government need to get a wriggle on so we can start vaccinating the 5-11 year age group. Eventually babies and preschool children will need to be vaccinated too.

We also need to keep an eye on advances in medical care for critically ill COVID patients. I’ll cover that in a future update.

The national baseline for opening up

As Australia opens up, it will be important to monitor changes in cases, hospitalisations and deaths. Here is a table showing cases and deaths since 25 January 2020 when the first case was diagnosed in Australia until Thursday 28 October 2021.

Since January 2020, we have had a total of 165,904 cases of COVID and 1,696 deaths. The case fatality rate so far has been one percent. No one should believe that this is a trivial disease. One in every hundred cases dying is much higher than any flu.

We had 28,408 cases and 909 deaths in 2020 giving a case fatality rate of 3.2 percent. Three quarters of those deaths were in aged care.

We had a dream run for the first half of 2021 with only 1,883 cases and one death.

Our third wave began in Sydney on 16 June 2021 before spreading through NSW, Victoria and the ACT. This third wave has resulted in 135,613 cases and 786 deaths so far. Our case fatality rate for this wave is 0.58 percent. This lower death rate is largely due to keeping COVID out of aged care homes although some improvement is also due to improving vaccination rates.

This is our baseline to measure our success ‘living with COVID’ from here.  If it all goes according to plan, we should expect to see the case numbers fall and the fatality rate significantly reduce. I think it’s realistic to expect the fatality rate to be cut by half. This would reduce our case fatality rate to about 0.25% or 2.5 deaths per 1,000 cases. Nearly all of these will be unvaccinated adults.

The tables below show cases (top table) and deaths (bottom table) by aged group. People under 20 have had more than 45,000 cases and 2 deaths. At the other end of the spectrum, people over 80 have had less than 4,500 cases but 1,024 deaths.

Young people already represent the majority of COVID cases and case numbers in children can be expected to increase from here. With most older people being vaccinated, the coronavirus will concentrate among people who are not vaccinated.

The current prediction is that 40 percent of Australia’s unvaccinated population will soon be kids under five. This will inevitably make childcare the next COVID frontline. This increases the urgency of rolling out childhood vaccination.

Magic vaccination rates

Here is the latest update on vaccination rates for NSW statistical areas. NSW continues to have the highest vaccination rates in the country.

Regions are listed from highest (Baulkham Hills and Hawkesbury) to lowest (Richmond-Tweed). I have also included the 80 percent threshold. These are percentages of people over 16, not the whole population.

In total, 23 areas are at 80 percent or better, up from 17 last week. Five are still to reach the 80 percent threshold. Illawarra has had a 5.6 percent improvement in the last week.

Vaccination and TTS

There was one new case of “Thrombosis with thrombocytopenia syndrome (TTS)” blood clots caused by AstraZeneca vaccine last week.

This brings the total number of cases of TTS to 157 (79 men and 78 women; 86 confirmed and 71 probable cases) from 12.9 million doses of AstraZeneca vaccine:

  • 140 discharged
  • 8 in hospital
  • 8 deaths (6 women, 2 men).

The TTS rate is 157 cases from 12.9 million doses of the AstraZeneca vaccine or 1 case per 82,165 doses. The death rate is one death per 1.61 million doses. The case fatality rate (the chance of dying from TTS if you get it) is 8 deaths from 157 cases or five percent.

School is back but hundreds are closed

Schools are back in NSW but over 100 schools have already been closed because of COVID cases. Here is a link to a great resource by a team who are mapping school closures. They are aiming to map school closures nationally but are rightly focused on NSW and Victoria at this stage.

I find it quite bizarre that this information is not available on every Department of Education website in the country.

Surely parents and the general community have the right to know what schools are open and what schools are closed? We can hardly expect the community to pull together to manage community transmission in a climate of secrecy.

Vaccinating children

A long awaited Pfizer trial testing the COVID vaccine for 5-12 years old has now reported. The trial found that young children were able to tolerate the vaccine well and they produced a strong immune response.

The 2,268 children aged 5 to 11 years in the trial received doses a third the size of an adult vaccine dose, spaced 21 days apart.

The USA Food and Drug Administration determined recently that the Pfizer vaccine is safe and effective for children ages 5 to 11 and it is now expected that Pfizer vaccine will be authorised for US schoolchildren within the next two weeks.

Pfizer reported that the vaccine is more than 90 percent effective at protecting school-age children from serious illness or hospitalisation. This is similar to the level of protection it provides in adults.

While the USA will likely approve vaccination for 5-11 year olds within a fortnight, we will need to wait a little longer.

Our approval processes (ATAGI, TGA, and then a political announcement) will inevitably drag on before we get approval too. I suspect that our inefficient approval processes will not be fast enough to make it in time for school year 2021.

But I am optimistically assuming it will be possible for all 5-12 year olds to be offered the vaccine in time for school Term 1 in 2022. If we can achieve that, we have every chance of achieving close to herd immunity levels in 2022.

Pregnancy and vaccination

There has been a lot of commentary on social media claiming that vaccine interferes with fertility and pregnancy. Just to set the record right, it does not.

The latest report on this topic has just been published in The Lancet, one of the most highly regarded medical journals in the world.  It reports on a randomised control study on both fertility rates and birth outcomes after AstraZeneca vaccine. Fertility was unaffected by vaccination, there was no increased risk of miscarriage and no increased risk of stillbirth in women vaccinated before pregnancy.

This adds to a significant body of evidence that vaccination is safe for both mother and baby. There is also a significant body of evidence that COVID infection is dangerous for both mother and baby. The key message is that the best way a mother can protect her newborn is to be vaccinated before or during her pregnancy.

Vaccine hesitancy is old news

‘Vaccine hesitancy’ has all but collapsed in Australia. The latest opinion poll has found that only four percent of respondents are ‘not at all likely’ to get vaccinated and a further two percent say that it is ‘not very likely’.

You can see the trend over time in the graph below and read all about it in the SMH article in the recomended reading list below.

There is nothing like a major outbreak of COVID in combination with the promise of reopening to increase the popularity of vaccination.

Australians are generally very supportive of vaccination and we have extremely high rates of vaccination for other infectious diseases.  With vaccine hesitancy all but gone, we now have every chance of (eventually) reaching 95 percent double vaccination, a rate adequate for herd immunity.

Recommended reading

Vox report: Pfizer’s clinical data puts the US one step closer to a Covid-19 vaccine for younger kids

The Lancet: Fertility rates and birth outcomes after ChAdOx1 nCoV-19 (AZD1222) vaccination

The Conversation: Your unvaccinated friend is roughly 20 times more likely to give you COVID

Sydney Morning Herald: Vaccine hesitancy collapses as most voters back reopening rollout

The Conversation: 40% of Australia’s unvaccinated population will soon be kids under 5. Childcare will be the next COVID frontline

For your viewing pleasure

Not ready to venture out into the new normal COVID world? I recommend you enrol in a course at The Institute for Reopening.

 

For those still not confident about venturing out, I have attached a quiz the whole family will enjoy. Up to 10 answers are allowable. The first family to complete all ten answers wins a prize.

A date for your diary

Third vaccination shots have now been approved and will become available from November 8.

The third dose will be Pfizer for now and eventually Moderna as well. AstraZeneca is being phased out and will not be used.

As I flagged last week, you will be eligible six months after your second jab. So lock a booking into your diary.


Croakey thanks and acknowledges Professor Kathy Eagar for this column, which is based upon a regular COVID update that she emails her networks, combining a mixture of evidence, observation and pithy humour. On Twitter, follow @k_eagar

Bookmark this link to follow the series.


See our archive of stories on COVID-19.

Support our public interest journalism, for health.

Subscribe

Donate

Other ways to support.

 

 

Leave a Reply

Your email address will not be published.

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

Search by: Categories or tags

Search
Generic filters
Filter by Categories
@WePublicHealth2021
#CroakeyLIVE #Budget2021Health
#GreenHealthForum22
#MHReform
#OutOfTheBox
#QldVotesHealth
#RCIADIC30Years
#RuralHealthJustice
#TRIPSwaiver
2021 Floods
Budget2020Health
Bushfires
Co-design
community control
COVID-19
Croakey Conference News Service
#16nrhc
#2020ResearchExcellence
#21OPCC
#BackToTheFire
#FoodGovernance2021
#GiantSteps21
#Govern4Health
#GreenHealthForum21
#HealthClimateSolutions21
#HealthReImagined
#HearMe21
#ICEM22
#IndigenousClimateJustice21
#NAISA22
#NNF2021
#NNF2022
#RANZCP2021
#RANZCP2022
#RethinkAddiction
#RTP22
#SAHeapsUnfair