Australian Reports of the Virus Spread

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I think we are all frustrated that the Vic HQ pause has been as long as it has been, and I suspect politics, or at least fear of political repercussions has played a part. But improving the HQ has also been key.

From the ongoing coverage that in the news in Victoria it has been evident that they are making a number of changes.

Older hotels have been discontinued.

New ones like the Novotel have been added. It is interesting to note that the medi- hotels which had especially upgraded HVAC late last year have not had any breaches, despite them having the bulk of positive cases (ie all HQ travellers that turn positive get sent there)

Plans are full steam ahead for cabin style quarantine at an airport, or even two airports (Avalon and Melbourne).

Talk on vaccinating household contacts, greater room spacing and other aspects such as PPE have bobbed up in the news from time to time.

I think the other aspect is that they want all the staff to have been properly vaccinated before they resume full throttle. And by all staff I mean everyone required to run the facilities 24/7 with all shifts and days off covered, as well as anyone else involved including transport workers, airport staff etc.

For example one of the early dedicated vaccination facilities that was set up was located at Melbourne Airport.

It’s commendable that they set up that vaccine clinic but there is absolutely zero excuse for Victoria to not be taking their share of returned travelers right now, in fact weeks ago they should have been doing it.
 
From what I understand of the recent HQ breaches in Australia and NZ most if not all were probably due to aerosolization causing CV19 to get out into the corridors. When HQ was first proposed as a model it was thought that the virus did not aerosolize unless invasive procedures like intubation were used. When it was realised that this was not the case, is when we in Australia should have been moving away from the typical HQ that was being used around Australia. Now HQ was necessary at the time as we needed a quick option, but a year is too long to not have improved matters.

One breach of 3 in Vic probably due the use of the nebuliser, but the others,. including in NZ, probably are just being due to that random infected people are just a lot more infectious than most and are probably generating very high viral loads. Then overlaying this is that as per my earlier posts I think to that at some facilities that inadequate HVAC has played a role in this ie Sydney hotel using room air- conditioners. Plus other wild cards can be open windows with drafts (ie the Brisbane Hotel that was abandoned), Units that dry the air as they do not have adequate humidity control, which then aerosolize the virus, adequate fresh air as a %, etc. Or even just a guest chilling their room too much which will cause a pressure difference, which then causes the air to move. The Avalon outbreak is the odd one out in recent times and was probably caused by allowing people who had a good chance of being infected to freely come and go with relying only on an honesty policy for quarantine to occur.

So better HVAC, and no openable windows will help. Separate cabins (which can then have openable windows)even better. But some travellers will have medical problems and so will need HQ near a major hospital. Better protocols will help too. But to not expect to ever have a breach is unreasonable.

But having said that there is to myself no reason why HQ for travellers into Vic could not have been resumed after only a week or two. Or at least no public reason that I have heard.
 
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I am not sure I understand your question. Can you restate it please so I can answer it properly. Thank you.

PS All jurisdictions including Victoria are vaccinating HQ and Border Workers and all have been for some time..

More a comment that Victoria could have restarted their repatriation process long ago, and continued their vaccination process at the same time, as all other states are doing and seem to be doing that rather well. Fingers crossed on that, as always.
 
No point wading....if it’s not seen personally it’s all fake news.

Thanks! - I actually thought I was going crazy. I first heard it publicly about 24 hours ago on the radio and before that because of my line of work about 1.5/2 weeks ago. And posted as such...

Even without knowing from other sources blind Freddy could see that is what they were planning as you say.... but anyway, bridge water!

But yes ‘overlooked’ clearly to fit another narrative ;)

Moving on!
 
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More a comment that Victoria could have restarted their repatriation process long ago, and continued their vaccination process at the same time, as all other states are doing and seem to be doing that rather well. Fingers crossed on that, as always.

Yes, fully agree.
 
And all official now:


Victoria will resume international flights on April 8

Victoria will resume international flights on April 8 with 800 passengers a week.
The decision has been made after a review of hotel quarantine which has blamed ventilation for the spread of the virus which triggered Victoria’s third lockdown.

Remediation works are ongoing in hotels and more than 4,000 quarantine workers have had their first dose of the vaccine.

As more hotels ventilation is improved the state will take up to 1,120 returned passengers a week.




Numbers of travellers contingent of ventilation upgrades being completed

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Acting Victorian Premier James Merlino is speaking in Melbourne.

He has outlined that "international returning flights can resume at the number of 800 per week from the 8th of April, and 1,120 per week from the 16th of April."


"We have been very transparent in terms of the decision-making and why we are able to make this announcement today, the review into the vacant strains has been released in full to the Victorian community."
He said the ventilation system works will need to be completed before having those numbers in hotel quarantine.

He said the work that was taking place included upgrading exhaust fans and rebalancing ventilation.



PS> It seems that they have done a lot of work on examining airflows to try and ensure that air does not move from the room into the corridors and to put it simply the systems now will "suck" air from the room better out through the ducting. This should most likely see some air being pulled from the corridors too (Though even better if they were separate, but being a hotel there is only so much one can do). Aspects also check such as bathroom fans which may have been affecting the airflows in some rooms. Each hotel has been individually assessed. So some may ask why wasn't this done before. I suspect it was, but that a lot more detailed analysis will have been done this time including pressure testing.

Also note that the medical hotels had their HVAC upgraded last year and have had no issues. So this probably now means that the minimum standard has been raised for all.


 
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Some more detail on how the virus was possibly spread and the changes made in Vic HQ.


So what's different this time?

Government reviews have essentially found ventilation and airflow at hotels had been allowing coronavirus to spread from people inside a room to workers in hallways and to other guests.
The government says a team of health experts and engineers are assessing every single room in every hotel used in the program to make sure that when a door is opened, air from a room doesn't rush out, and instead air from the hallway goes in.
COVID-19 Quarantine Victoria head Emma Cassar said the hypothesis was that it was about "ventilation and viral load".
"From the Park Royal matter, we had four positive cases where we had a number of openings of the doors where that viral load and the movement of the air could have moved that virus into the corridor," she said.
"And certainly the same for Holiday Inn with the use of a nebuliser.
"The CHO [Chief Health Officer] describes it as having viral loads in clouds being pushed under the door."
So any room found to have a such ventilation issue will be modified by, for example, changing exhaust and toilet fans.


So from that and what was indicated yesterday HVAC is being upgraded, and other factors that may cause undesirable pressure differences modified, so that you have a negative pressure in the room relative to the corridor. This would not be to the standard of a medical grade negative pressure room, and no airlock, but obviously much better than not ensuring this.

I would note my earlier comments too on how on how open external windows or doors can easily result in airflow from the room into a corridor.


Which hotels are being used?

With the exception of the Novotel & ibis Melbourne Central, the government has not revealed which hotels will be involved in the revamped quarantine program.
But it has said three hotels have successfully completed all the ventilation modifications required and two more have partially completed those changes.
Fourteen other hotels are being looked at, but require more work or assessment.
The government says by mid-April most of these hotels should have completed the necessary modifications to be part of the scheme.
That's one reason why passenger numbers will be capped at 800 a week to begin with, before eventually rising to 1,120.

I thought we were going to build a special facility near an airport?

We still might be.
Acting Premier James Merlino says 10 sites outside of Melbourne CBD have been shortlisted for a potential quarantine hub facility.
One of those will be named as the potential site by the end of April.
Even once that happens, the government thinks the planning and construction of a site will take another six months, so it might not be necessary.
However the government will continue moving ahead with the idea in case a "hyper-infectious" strain develops or the site is deemed necessary for future disasters.
"This is a changing virus and we are learning as we go", Mr Merlino said.
A Victorian government team that has visited the Howard Springs facility in the Northern Territory says any hub in Victoria should house about 250 residents.
But purpose-built facilities for children, families and people with disabilities will still be needed.

Testing of hotel residents for COVID-19 also doubles

Previously people were tested twice during their 14 day stay but now it will be four times, with potential testing after 14 days if required.
There is also a plan for hotel quarantine workers to have received at least the first dose of a COVID-19 vaccine.
Deputy Chief Health Officer Allen Cheng said as frontline workers, most would have been given the Pfizer vaccine.
"90 per cent of staff have received their first dose and protection starts about 10 or 12 days after that first dose," Professor Cheng said.
"A lot of the staff are getting their second dose now and the complete protection would be kicking in."
 
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Positive case in Brisbane.

Gentlemen....start your border closures....(Gladys won't close)

 
Positive case in Brisbane.

Gentlemen....start your border closures....(Gladys won't close)


Sigh.... does the highly strung WA government work Fridays??

Almost half a million of the most at risk Australians have already been vaccinated, surely surely this will calm a response....?
 
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Sigh.... does the highly strung WA government work Fridays??

Couple of hundred of thousands of the most at risk Australians have already been vaccinated, surely surely this will calm a response.
A really significant test of where we are at as a nation.

Gotta admit - it's getting more difficult being on tenterhooks whenever the word positive gets thrown around.
 
Positive case in Brisbane.

Gentlemen....start your border closures....(Gladys won't close)

So the source of the positive in sewage maybe. Let’s hope they find where he got it from quickly and do only specific lockdowns. In the community a week though.
 
Well the problem with the latest Queensland case is that it is a genuine MYSTERY case, the guy doesnt work in HQ or healthcare, and hasnt returned from overseas. Expect WA to slam the border shut when they wake up.
 
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Well the problem with the latest Queensland case is that it is a genuine MYSTERY case, the guy doesnt work in HQ or healthcare, and hasnt returned from overseas. Expect WA to slwm the border shut when they wake up.
I wouldn't expect much different from Victoria, on recent form.

Destroy tourism on the eve of school holidays? Ah yes, that's been done before.
 
Well the problem with the latest Queensland case is that it is a genuine MYSTERY case, the guy doesnt work in HQ or healthcare, and hasnt returned from overseas. Expect WA to slwm the border shut when they wake up.

WA has over 40,000 of their most at risk population vaccinated (not including the Federally administered nursing homes in WA as well).

Surely now some common sense from the Treasurer/Premier/Dictator 🤪
 
Vic resumption of HQ is very low volume, only 800 arrivals a week so still not pulling weight in raw numbers nor proportionate to population (outperformed by NSW, Qld, WA, SA and NT on arrivals cap per 100k population). Plus they didnt need to make the changes they are before resuming, could have been done in parallel. The arrivals pauses both of them gone well beyond any justifiable period.
 
WA has over 40,000 of their most at risk population vaccinated (not including the Federally administered nursing homes in WA as well).

Surely now some common sense from the Treasurer/Premier/Dictator

There has been little logic by WA, and election result has only emboldened McGowan. Im sure he will point out that 1a only vaccinated at risk in aged care, and that there are many equally at risk in 1b i.e. oldies and imuno compromised living at home who only started being eligible this week and because they get oxford are 3 months away from full vacvination. Whereas those who got pfizer in 1a will be fully vaccinated by Easter.

When there is a known source or strong hypothesis of source i.e a HQ worker then easy to quickly isolate contacts, and instill calm in the states that tend to over react but genuine mystery means likely more cases lurking in community, so harder to sell the stay calm message.

Im sure NSW will take the Qld restrictions apply to those in NSW who have arrived from the affected areas of Queensland in last 5 days route. Temperature checks for arriving flights from area. Would be lovely to see other states be equally pragmatic, but history shows mystery cases will be met with panic as vaccinations are not yet sufficiently progressed.
 
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From what I'm hearing, the case is still a "mystery" case as the source of infection is not yet definitively proven. However, there is a very robust hypothesis. Which is why they've been quite confident about the timeline that he was infected last Friday (as opposed to potentially any time earlier last week).
 
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