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Australia How six hours could have prevented the tragedy of the Ruby Princess

13:18  14 august  2020
13:18  14 august  2020 Source:   abc.net.au

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Ruby Princess inquiry Commissioner Bret Walker has declined to make any recommendations against NSW Health despite finding it made multiple errors. The ship’s log of acute respiratory diseases, which tracked how many passengers were ill, was not read by all members of the expert panel.

The passengers on the Ruby Princess potentially have much more to complain about but the high court decision will be an important precedent. “It beggars belief that they could have sanitised the ship from top to bottom. “There is a massive issue about disclosure. If passengers had been told that

The independent inquiry into the Ruby Princess slammed NSW Health's "do nothing" decision to allow passengers to disembark without waiting six hours for the results of coronavirus tests.

Commissioner Brett Walker QC said waiting for COVID-19 test results was not "rocket science", but simply an "obvious precaution".

So what should have happened when the cruise liner docked at Sydney's Overseas Passenger Terminal with 120 suspect cases of COVID-19 on board?

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The Ruby Princess leaves Australian waters today over a month after docking in Sydney. But how would the coronavirus pandemic look in Australia if the ship had never arrived? As of Wednesday, about one in every 10 cases of coronavirus in Australia could be linked to the Ruby Princess .

We could have dropped an anchor to allow us to gather some more facts.” Commissioner Bret Walker SC asked Butchart: “ Had you ever experienced anything like The inquiry heard on Tuesday that the Ruby Princess was allowed to dock after a second call from the same Border Force officer.

The inquiry set out in detail the steps that could have prevented at least 663 COVID-19 cases across Australia.

The swabs should have been tested

In late February, NSW Chief Health Officer Kerry Chant asked the cruise industry to collect COVID-19 swabs when people on board were tested for the flu.

When the Ruby Princess set sail from Sydney on March 8, there were 25 swabs on board and when it docked on March 19, 13 coronavirus swabs had been taken.

But around 2,600 passengers were allowed to disembark as the samples were taken to a lab.

The report said the swabs, which were taken off the ship at 3:00am, should have been immediately tested.

In fact, the findings said, a team from NSW Health should have boarded the ship and taken their own COVID-19 swabs from any person showing any symptoms of an acute respiratory illness.

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NSW Police say the investigation into the Ruby Princess could take six months. In the case of the Ruby Princess , the question will be what senior employees, crew or the corporation itself knew about the health of the What's being done nationally to prevent coronavirus outbreaks in aged care?

The Ruby Princess , with crew only onboard, docks at Port Kembla. Fuller said the government had taken the decision to dock the Ruby Princess because of the regular supplies that need “Cases that we could have averted by decanting people in a more ordered way with face masks and taking them

"These swabs should have been sent for urgent testing," the findings said.

Disembarkation should have been delayed

The disembarkation of the vessel was at the centre of a stoush between the NSW Government and the Australian Border Force (ABF), who blamed each other for the misstep.

Last month it was revealed that it was ultimately an ABF officer who gave the vessel clearance to disembark.

"At the conclusion of ABF's customs and immigration checks, someone from the Ruby Princess crew asked whether the vessel had clearance to disembark and [Officer O] responded 'yes'," the Commonwealth's submission to the Commission of Inquiry said.

The findings said a decision should have been made that pratique — that is, the permission to disembark — would not be given until all test results were known.

Passengers and crew should have been confined to their cabins while this happened.

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Crew members from the Ruby Princess as it docked at Sydney’s Overseas Passenger Terminal on 8 February, the month before it travelled to New Zealand and returned with cases of coronavirus on board. Photograph: Don Arnold/Getty Images.

On Tuesday, the Ruby Princess was off the east coast of the southern Philippine island of Mindanao en route to Manila. The ship departed Port Kembla in Wollongong almost a fortnight ago. April 5: A criminal investigation is launched into how passengers were able to disembark without health checks.

This may have led to additional onboard transmission, the findings conceded.

But ultimately, the risk of this, as professors Kelleher and Grulich noted in their expert report, "could have been ameliorated to some degree by giving masks to people in these cabins and by disinfecting surfaces in the cabins".

Isolation and contact tracing should have taken place

Waiting for these test results would have been a matter of just six hours.

"Once the first positive tests results were known — a matter taking perhaps six hours — all passengers and crew should have been considered suspect cases for COVID-19 regardless of symptoms," the findings said.

"It follows that all passengers and crew would then have been characterised as a 'close contact' of a confirmed case."

But passengers of the vessel disembarked instead, and at least 663 cases of coronavirus and at least 22 deaths eventuated.

Enforced quarantine should have followed disembarkation

The inquiry found people on board should have gone straight into quarantine after they left the Ruby Princess.

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As the Ruby Princess sailed towards Sydney Harbour on the night of March 18, phone calls, emails and text messages flew The results of those tests were still pending when passengers poured out of the ship over the course of four-and-a-half hours , into public and private transport, and disappeared.

The ACT’s chief minister, Andrew Barr, has said the ACT could take part in trials of easing This does not signal the end of the drought, but you can read about what it means for communities on the river WA is reporting six new cases overnight, four of which are from a cruise ship. There will also be eight

All passengers and crew — around 3,800 people in total — should have been taken by "secure transport", the findings said, and placed in "enforced quarantine".

"No consideration of personal liberty, inconvenience, or cost is any answer to not putting in place secure transport and enforced quarantine in the circumstances facing the Ruby Princess on 19 March," the findings said.

Every passenger and crew member of the Ruby Princess should have been tested while in quarantine, with those who tested negative released as appropriate.

It would have been a large-scale operation and perhaps seen as an inconvenience by some passengers who had no symptoms of the virus.

But, the report said, "the risk of asymptomatic and pre-symptomatic spread of the disease warranted that all passengers and crew be placed in quarantine, not just symptomatic passengers and crew".

Ultimately, the report found, sending almost 3,000 people into quarantine at the time would have reduced the risk of the spread of the disease.

And this, the findings said, was "at the heart of public health decision-making".

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Princess Anne's 70th birthday party at the palace has been cancelled .
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