Modest Expectations – A Girl called Sue

Scotty the marketer cannot help himself. Trump had to find somebody to blame on one particular day – the WHO was a convenient target. As with so many organisations of that ilk, they are inefficient but located in a nice part of the world as multiple senior Australian bureaucrats such as Jane Halton have demonstrated by visiting repeatedly at government expense. In other words whatever the WHO is Australia has been complicit in how the organisation is managed. Presumably senior bureaucrats like Jane Halton, now a member of the Power brigade, could have given an insight into the WHO and her role in recommending efficiencies, given how frequently she visited Geneva.

Prime Minister Morrison, as distinct from his instinctual marketing Scotty persona, is inexperienced in the world and, being surrounded by his clapperati, he has decided to play the international role, flush from our apparent success in containing the virus.

Evidently he has been contacting a number of seasoned political leaders, still up to their necks in death and destruction, to enlist them to his cause. Now, if there was one thing I found out when I was reforming an international organisation it was the negative reaction of the Europeans in senior positions to an Australian running the show; and the more you demonstrate your QED, the more quickly you can alienate the European audience. However, once committed Prime Minister, you must know precisely what you want to do in reforming the organisation – and then make sure you let somebody else share the credit. Hopefully you have a clear idea for a course of action and it was not just an instinctive Scotty-from-marketing bubble.

Trump does matter in the short term because if you become one of the emissaries, then you are also in his line of sight. After all, there are a great many tweets to go before November; many and much to blame.

I am sure that you are not going to crow, but remember the Chinese are fuming. Marise Payne is shrewd; but please put Dutton back in the shed. One fact is that like the poor, the Chinese will always be with you, whereas Trump is an old man with deteriorating faculties.

Reform of the WHO may yield to tactical Australian influence, especially with people like Kelly and Coatsworth as an impressive vanguard for this to be achieved; but political bluster won’t cut it.

However, because this is an era of instant gratification the clamour to return to the ancien regime grows louder in Australia. Neoliberalism – how has that benefitted the ordinary Australian?

Before this cohort upsets the careful public health response, please look at the recent Singapore experience, and do not accept at face value the Taiwan experience. It knows how to regulate information as well as the Mainland – just better attuned to occidental sensitivities.

I was once an aperitif

Years ago I was in a Carlton restaurant to hear Peter Sarstedt. I enjoyed his droll songs, and there was one song speculating about the career of a lady. The voice has remained in the brain, getting louder and louder with a slight change in the wording:

So look into our face Ann-sherry

Remember just who you are

Then go and forget Ruby forever

‘Cause I know you still bear the scar, deep inside,

Yes, you do…

When prologue and epilogue collide

The researchers enrolled two groups of COVID-19 patients in a public hospital in (the Brazilian city of) Manaus; the high-dose group was assigned a total dose of 12 grams of chloroquine over 10 days, while the low-dose group took a total dose of 2.7 grams over 5 days. All participants also received the antibiotics ceftriaxone and azithromycin.

After 11 patients died across both dosage groups, the team halted the high-dose arm of the trial on day six, citing more heart rhythm problems in the high-dose group, and “a trend toward higher lethality”.

“Preliminary findings suggest that the higher chloroquine dosage (10-day regimen) should not be recommended for COVID-19 treatment because of its potential safety hazards. Such results forced us to prematurely halt patient recruitment to this arm,” as reported by the “researchers”.

In a later update, the “researchers” noted that they experienced even more deaths in the high-dose group than were documented on day six. And it doesn’t mean the low-dose group is safe, either.

“The major difference between the high-dose and the low-dose group occurred during the first three days and the actual toxicity – two patients in the high-dose chloroquine arm developed ventricular tachycardia before death…”

This is the price the world will pay for having to deal with Trump’s thought dysfunction. Chloroquine and its less toxic analogue, hydrochloroquine have been spruiked by Donald the Quack. So what is the Doherty Institute doing wasting money on experimenting with this drug? Because a couple of Trump friends are providing funding?

After all, the drugs had been tried in the MERS outbreak and found not to work. A trial in France was also aborted because of the fact that it killed the patients. The Manaus experiment has elements of Dr Mengele – but then he did die in Brazil.

As a portent of the future, if you go up the Amazon from Manaus, there a number of abandoned luxury resorts on along the River – a Trumpian portent?

Manaus Opera House

Yet Manaus does retain a beautiful opera house, where listening to its orchestra from high in the “gods” in this ornate house, itself the legacy of the rubber barons, was a sublime experience.

A well-regulated militia, being necessary to the security of a free State, the right of the people to keep and bear Arms, shall not be infringed.

While I agree that there are many law enforcement officers who could be considered good there are an awful lot of them who abuse their authority. I live in a particularly red area of Michigan and since our sheriffs are elected, here they landed to what is clearly the base. Laws up here are selectively enforced on a routine basis as it is, and since the stay at home order has been in effect it seems worse. I agree we need them, but we also need them to not take the law into their own hands.  

This was a post among the twitterati which, unlike so much of the bird song that emanates from cyberspace, was sensible and caught my eye.

This tweet was prompted by an onlooker. To her, a Michigander, members of the Trumpian “lumpenproletariat” egged on by his inflammatory tweets were threatening the Michigan governor, Gretchen Witmer. What this response alleged was that Trumpian supporters were being elected as law enforcement officials at the local level. The tweet cited a number of places in Michigan where this has occurred. It is unsurprising given the attention paid by Trump in subverting the whole legal process, as typified by his approach to judicial appointment at all levels.

Trump mischievously sends these tweets invoking the Second Amendment and then, like all instinctive cowards, backtracks and obfuscates. The Trump strategy is to be consistently inconsistent; but it becomes easier and easier to work through. I presume the Democrats have now got someone studying the Trump persona as honed through “The Apprentice”.

Like all grifters, the fact that he does not want his taxation returns released suggests he is treading water; that he is in fact broke, with the Presidency providing his négligée. His strategy depends on a booming economy where, under cover, he could pillage sufficient sustenance from the American people by the end of his second four-year term to maintain the fiction of business success.

However, this virus has been somewhat inconvenient, and it will be interesting to see what next bit of quackery Trump invokes to keep the public interested; if not the public interest. After all, the virus spread across the United States has disobeyed Trump at every turn. How dare it disobey the President. Build the Virus Wall, he screams.

I wrote about a month ago:

Social media has been a godsend to Trump, enabling him to perfect the tactics he employed in “The Apprentice”. It is a medium that is understood and accessible to his constituency.

However, Trump is an old man, and his dissolute lifestyle has challenged the resilience of his gene pool. While he has hinted at a dynastic succession, this is one of the few themes that he seems to have dropped. Yet if he is elected he would be 78 at the end of a second term. The question is, can The Planet afford it, whether he is elected or especially if the electoral college does not return him? One scenario has the Old Man brandishing the Second Amendment calling up a militia drawn from his alienated constituency energised by ethnocentric hatred.

Nevertheless, Trump wants to use the tweet-executive order combo to keep the attention on him. He knows that legality and enforceability does not matter in his new order, because legal processes move so slowly and ergo he tries to do what he likes; and if the media do not cower then he brings out his lumpenproletariat. If one reads the Federalist Papers, I do not believe the Founding Fathers envisaged such a lumpenproletariat as a “well regulated militia”.

Globally we live in very dangerous times, especially as the pervasive senses of immediate solution, entitlement and me-tooism echo around the community.

The main point of anything Trump does now “to make America great” in his own image is to outlast the virus or create the illusion that the virus “has left the house” leaving him triumphant, having saved the world from a “Chinese” virus.

Where did you come from, smallpox?

I have been reading a monograph about an alleged occurrence of a smallpox pandemic among Aboriginal people. The author was South Australian doctor and anthropologist, Ted Stirling, and it was published in1911. Interpolated in his discourse was an account of her land by a Narranyeri woman (Köntinyeri), born before “whitefella” invasion.

Stirling’s review of smallpox in Australia must be cast against Jenner’s vaccine against smallpox being available from 1798. So this vaccine, or at least its variolation predecessor was known to the first white settlers. In his review the author goes to great length to indicate that none of the First Fleet or the French ships under La Perouse, which turned up five days later, had any smallpox sufferers on any of the ships.

However, according to Stirling, over a year later four Aboriginal people turned up in the Port Jackson settlement with smallpox. The two adults recovered; the two children died. Stirling then mentions the NSW epidemic among Aboriginal people occurred in the central west in the 1830s and continued spreading to Victoria up to 1845.

Stirling came upon the Narrinyeri woman called Köntinyeri, who had been born about 1830, but remembered stories of the great wind that had come and which had then been followed by the outbreak of this disease which killed many and left those who recovered severely pockmarked. This epidemic’s start is disputed. To Köntinyeri the disease appeared around the time of her birth, but there was the suggestion that the epidemic began as far back to 1814. Whatever the actual date, there had been so many deaths that the traditional burial procedures were modified – they normally would put the body on a platform until all the soft tissue was gone and then bury the bones.

Köntinyeri believed that epidemic advanced from the East down the Murray River almost depopulating the banks of the river for 1,000 miles. The Narrinyeri nation inhabit the lower reaches of the Murray River and along the Coorong, but there was a neighbouring tribe very adept in the use of the mungo, the bark canoe. So the virus would have moved swiftly along the river.

Trepangs

Yet Stirling, in tracing this smallpox epidemic, suggests that it had originated in Malay Koepangs who first visited northern Australia to harvest sea cucumbers (trepangs) – an Asian culinary delicacy. They had visited annually for the harvest since 1783. The Malays were certainly the source of an epidemic of smallpox among aboriginal people in the north-west between 1860-1870. Your acceptance of the wider implication of these Malay “trepangers” being the source of other epidemics depends on whether you believe the evidence of the First Fleet and the French squadron being free of the virus.

Much of the controversy of “when and why” has gone, not just because there was a pre-existing vaccine that has proved remarkably effective, given that smallpox has been eradicated from the planet.

The Koepang “trepangers” serve as a reminder that an infected Indonesia is an ongoing challenge to border security. Over the past few years publicity given to people smugglers means that the Timor Sea remains a tenuous barrier, especially given that Australians are wedded to Indonesian travel, especially Bali. In other words there is a two-way flow both by sea and air which inevitably will present Australia with a problem. Indonesia will not like to be stigmatised and a great many Australians will not like having to abandon Bali as a holiday destination.

In this regard, it would help if Australia’s border security restructured to have less emphasis on the direct police role. The police are there in this context to enforce the quarantine power. The whole Department needs an injection of health expertise into its future role. Ted Stirling may have drawn too long a bow in relation to solely attributing the genesis of smallpox among Aboriginal people to the Malays. However, who knows how far the Malays ventured.

Nevertheless it is a lesson in what can happen, even considering that in the NSW colony vaccination must have been available by 1830 – for whitefellas. Variola material, derived from smallpox scrapings, was brought on the First Fleet, but there is no record of its use in “variolation”.

Overall the challenge to Australia now, without allowing Indonesians to unnecessarily lose face, is assuring what is potentially an ugly and untidy viral situation in Indonesia does not spill over into Australia. Therefore, important to get the narrative right now.

Nico Louw

Now there is a name to contemplate

Lion of the Northern Cape

Senior adviser to the Prime Minister

Of a country under threat from COVID-19

Kids in queues lining the streets

Unemployment rising

Louw, close to the beating heart of Authority

A Hillsong chorister

Response to crisis?

Distributing pirated copies of Turnbull’s memoir

You’re kidding

No for real!

So what does this joker get?

Nearly 200 grand plus expenses

Now I know you’re joking

No mate, that’s what you get for distributing pirated copies.

His expenses? Barely enough for the odd bottle of single malt while with furrowed brouw Master Nico constructs yet another “gotcha”.

Which got me thinking. Most people around Australia are doing it tough, but what about the politicians and their flunkeys like Louw? Why haven’t they taken a cut in their entitlements, given that the feather-bedding they get in the way of contributions to their superannuation and then their ability, after they have left Parliament, to rort the system as “consultants” may be construed as a sense of entitlement rather than enlightenment.

The national cabinet, this ad hoc response to the virus, is confronted by a number of serious questions but there is one matter that seems to have slipped its notice. This is the question of their income; yet it does not seem to rate a mention in the talks. While the unemployment queue grows and the masses of people on struggle street grow, the New Zealand Prime Minister Ardern has taken the lead by reducing her annual salary from NZ$470,000 to NZ$376,000. This 20 per cent salary cut extends to Opposition leader Simon Bridges, Deputy Prime Minister Winston Peters, all 25 cabinet ministers and 34 key public service chief executives, including the Director-General of Health.

We know that Prime Minister Morrison has dismissed the idea of a pay cut for government ministers in Australia. In a radio interview, “We’ve already said there won’t be any pay rises right across the public service and this is not something that’s currently before us … it’s not something that’s being considered.”

Well, Prime Minister, that constituency you ostensibly run is locked down and struggling to pay its way; kids with poor prospects may beg to differ when they see what your senior adviser, Mr Louw gets for being un furbo. Do these qualities fostered in the bosom of the politician’s office deserve him being paid such a salary, which inevitably cascades upward to yours?

What is the value in a politician?

Let’s test that question with the electorate. At the next election let it consider voting for a Haircut Party devoted to recommending a 50 per cent cut in all politicians’ salaries and a serious pair of shears to pare back all the entitlements, including those of staffers. Instead there would be the abolition of the remuneration tribunals and linking of all future increases in politicians’ salaries to the unemployment benefit.

The policy is a bit rough about the edges – but this is not just a one-trick pony Party. The savings achieved by the Haircut would be put towards paying for a National social housing policy.

Morrison, mate, in the interim there is one aphorism for you to consider “Austerity begins in your parliamentary office.”

Maybe these officers in their sancta of the various parliament basilicae should wonder whether they should continue to stoop so Louw.

Join the Haircut party – look out for our barber poles!

In the prosperous time, the outrageously bloated political staffers can go unnoticed, but not now. Roy Masters, with whom I vie in the longevity stakes, made a serious comment about the bloat in the NRL administration, with some mediocre pie-eater, now terminated, getting over a million dollars as salary. Sport like politics has this similar sense of insensitive greed.

In some ways, the description of the Mafia condottieri as 95 per cent hanging out and 5 per cent ultimate brutality has relevance. Members of the Bloat can fill in their particular 5 per cent like distributing pirated copies of other person’s property any which way.

La cucaracha; la cucaracha

One the challenges I have enjoyed is turning on the light and being confronted on the floor by a cockroach – you know one of those robust cockroaches. It stands still, and then the battle begins. I am indebted to a study undertaken in the Hebrew University in Jerusalem for the information.

I advance to squash it. The cockroach can generate a speed of a metre per second, or 3.6 kilometres an hour. Seeing it scurrying away from my vengeful shoe, it seems faster than that. However it has the ability to turn and twist at 25 times a second, which improves its chances of evasion. It does this because of its antennae, which are very sensitive to changes in the environment. Cockroaches are guided by a superb nervous system of giant neurons, ready and prepared for leg muscle action with an equally efficient sensory system. As has been said, cockroaches have had several million years in which to hone their reflexes. Makes it very much more satisfying when you win the battle and the cockroach lies squashed. Adieu, mon cafard. Arrivederci il scarofaggio.

Mouse whisper

I love the aptly named Queensland Minister Dick who has labelled Queenslanders the Bazookas and the New South Welsh the Pea Shooters in the wake of the wrestle over Virgin. Better than Cane Toads and Cockroaches? But given that I live in Mousehole NSW, I do love the Italian word for cockroach – Scarafaggio. It has a certain swaggering mouseketeer ring about it.

I believe my mice relatives over the border resent being mocked as cane toads at the best of times. A mouse has a certain dignity, and Rospi di Canna? Really, I ask you.

However, I know that among them there is quite a dispute about being relabelled Dick bazookas. However the squeakeratti are still debating Bazooke with or without the Dick.

Watch this tap.

Signor Scarafaggio

Modest Expectations – Melbourne

There is no doubt about NSW; by far and away, the most cases of coronavirus in Australia are there. Granted that it is the biggest state, but the cavalier way that public servants and at least one of the politicians have behaved has exacerbated the problem.

Gladys Berejiklian has one very great ability and that is to talk without saying “um” or “ah” without taking a breath.

It makes it is very difficult to interrupt her, and when anybody succeeds in breaking into the flow, her mouth becomes a tiny moue and her dark eyes those of the avenging disapproval. Such a countenance belies the actual situation that she is a weak leader. And now six months to sort out the Ruby Princess fiasco. Really?

Wait a minute, the Premier has adopted the Chant approach of “zig-zag”. She has asked Brett Walker SC to have a look at it as well – a “special commission of inquiry” in the same litany as “loved ones”.

What next – The Premier’s astrologer?

One despairs of any justice in NSW. This confusion gives a number of people time to muddy the waters, and already Ms Sherry seems to have slid away. Predictable! And the same cruise ships with different titles with all their verminous cabins will be back next year scratching the same political backs and contributing nothing to our economy except grief.

Premier, you are always using the words “Loved Ones”. Tell me how many of those with the sobriquet of your favourite words have died because of the Ruby Princess fiasco. No urgency to know, Premier, no need to know. Six months will do. Hiding behind a special commission? No, I am sure you are not, as you already have a good idea of what has flowed between Carnival representatives in Sydney and your Government.

Can somebody get Ms Sherry to front an interview with her sommelier boss? After all, she has a wonderful residence in Annandale as a backdrop.

The Ruby Princess fiasco testifies to a Premier who not only tried to deflect the behaviour of her Health Department but also failed to sack those responsible for its behaviour. After all, the fiasco has led to how many deaths? Instead the Premier has filibustered. Asked specifically whether she would apologise to those whose COVID-19 is due to the Ruby Princess, or to the families of those who have died, the Premier – in time-honoured fashion – just answered a different question. However, at least the media are finally onto it – they took their time.

Now the barbarians are at it again. They are those whose natural constituency is in the dystopian world of Trump. The irrepressible Chant is at it again inadvertently aiding the dystopians, as she advocates a “zig-zag” approach. Are you seriously advocating going off on a tangent and then backtracking, and then going off on another tangent and the backtracking to a different position? Zig-zagging, as I interpret it, is all about confusing everybody. Really, Dr Chant, do you really mean that?

However, the person to watch now is Mr Barilaro – you know, the man who wanted to close the ABC, the bushfire station so important for distributing information in his electorate – and then was overseas initially when the bushfires were ravaging his electorate. You remember the man?

In the background he is a cheerleader for re-opening the Rugby League, presumably because of its precarious financial position which, like the berthing of the Ruby Princess, the financial situation of a badly run organisation being more important than the health of the Australian population.

Perhaps it is a prelude to Barilaro bobbing up on another front. As he said in his maiden speech to the NSW Parliament:

The New South Wales ski fields have been forced by successive governments to compete with one hand tied behind their back. My vision is to make the New South Wales ski fields number one again, by removing barriers, aligning government policy and industry opportunity, creating a level playing field and engaging all stakeholders to develop a strategic plan to deliver a world-class alpine experience to rival the best ski resorts in the world. 

In our last blog but one it was pointed out that ski fields are a potent source of community spread of the virus.

As Mr Barilaro said in this same maiden speech, quoting Jack Lang:

Always back the horse called self-interest, it is the one that is trying.

You highlighted this quote, Mr Barilaro. It must have made an impression. 

Primrose Pell

From the 13th century onward, it’s easy to see how secretly gay men found in the church, and the church alone, a source of status and power. Marginalised outside, within they could become advisers to monarchs, forgive others’ sins, earn a stable living, enjoy huge privileges, and be treated instantly with respect. Everything was suppressed, no questions were asked in seminaries, and psychological counseling was absent (and even now is rare). Scarred, scared men became priests, and certain distinct patterns emerged.

This quote was written by Andrew Sullivan, an openly gay commentator a Roman Catholic and a follower of the great English conservative philosopher, Michael Oakeshott. The full article appeared on 21 January 2019 under the title of the Gay Church in the New York magazine.

Is Cardinal Pell gay? What does it matter if he is? I have no problem with homosexuality that is not predatory. I had a fellow medical student, a good friend, who dropped out of medicine and was subsumed into anglo-catholicism, became an Anglican monk, and I heard that he died of AIDS some time ago.

I have written extensively about Alister Brass, who was an inspiration for me, and whom I miss greatly, even though he has been dead for 34 years. As a teenager I read Peter Wildeblood’s account of being criminally charged with homosexuality and then spending time in prison for what was ultimately bad law. I was appalled on reading his book Against the Law.

As a boy, I grew up when the “confirmed bachelor” culture was transitioning into open avowal of one’s sexual preference. To me it seemed an innocent pastime for blokes who preferred other blokes, whatever the euphemism.

I have always hated the word “closet”; it may just as well be applying to a confessional box or any dark and secretive environment where homosexual activity is possible. However, homosexuality should not be stigmatised. After all, Tasmania, the last state to do so, expunged it from the criminal code 20 years ago.

Celibacy once may have been a means of survival of the intellectual tradition, but now seems to be a honeypot for communal homosexuality. What is distressing is the level of denial and hypocrisy with which the Roman Catholic hierarchy surrounds this association.

Thus celibacy and homosexuality are uneasy companions, although at one end there is Saint Augustine who was openly gay, and at the other end St Thomas Aquinas to whom homosexuality was an abomination.

Now Australia has seen George Pell acquitted by the High Court for historic sexual offences. In the background, there is a heavily scrubbed report of the Commission into Institutional Responses to Child Sexual Abuse.

So as not to misstep in the quagmire of the High Court, below is essentially a compilation of quotes, including from those advocating Pell be freed.

Now the High Court judges say that is not enough. Other witnesses who gave evidence that they thought the Cardinal would not have had the opportunity to commit the lewd acts ought to have been taken into account, even though they could not give a first hand or personal evidence of what happened to those boys on that day.

Bizarre. One witness swears on oath: this is what happened to me at this place on this day. Other witnesses say: I do not know what happened on that day but that is not what usually happens – and that creates a doubt and voids the conviction. Compounding improbabilities become “reasonable doubt”.

It was argued that because Pell’s assistant, Portelli, didn’t have a specific memory of standing on the stairs on the chosen dates of December 15th or 22nd, 1996, that his testimony about Pell’s practice of being out front could not be relied upon.

 Justice Patrick Keane replied: “I can say I shaved last Friday and I don’t have a recollection of it, not because it didn’t happen but because I shave on work days”.

His point? Do you have specific memories of things done out of routine?

No, we remember things out of the ordinary. Therefore it is unreasonable for Portelli to have a specific memory about two dates in 1996.

The judges also made the point that the accuser’s recollection of the sacristy wasn’t actually proof of the abuse, only proof that he had been there.

Let me tell a story – perhaps a parable. Let us say it was the early years of the last century. Let us say it was Lonsdale Street in Melbourne. In this parable, there was once a junior barrister who used to be shaved by a barber, as was the custom of the day prior to going work.

At the same time of the day early in the morning there was a judge, a man of distinction, who would come in to the same barber shop and be shaved also. The younger and older men would exchange pleasantries and talk about legal cases while they were shaved and perfumed. Most days, they would leave together and walk to Chambers. However, there were some days the judge would leave before the young barrister. One day, the young barrister, the judge having left earlier, decided to take a short cut up a quiet lane, and turning the corner, he perceived a familiar person – it was the judge, who seemed to be adjusting his trousers. In front of him against the wall was a young boy not more than 13 or 14 clutching a newly-minted shilling.

The young barrister uttered a cry, the man who was the judge turned, his expression one of power. What was the young barrister to do? After all, he and the judge regularly shaved together; how could he in retrospect possibly ever remember the day years on what had happened on that particular day – unless he had openly accused such a respected member of the community then; a man of power, a man who wore a wig, a man who could pronounce life or death on a personal career?

Perhaps, just like all your hypothetical speculation, Mr Justice Keane, there is always a confounding storyline – fable or parable – however you define it.

Especially in a real life situation getting away from our exchanges of parables, if it emerges that there was a history in a person’s background of systemic cover ups, the law is presented with a dilemma. Men of distinction do not lie under oath. Axiomatic?

Of course, that is only non-admissible speculation to the collective mind of the High Court, but still enough for a jury to convict in a Victorian court. However in the Court of Courts, there is this reasonable doubt, because no other has come forward to dispute the man of power’s testimony. The child is in essence disbelieved.

It will be interesting if Pell, despite all the travel restrictions, suddenly turns up in Rome on his way to a new closeted life in the denizens of the Vatican, away from a succession of the civil cases, which threaten to follow.

However, there was one touch I loved about wee Georgie Pell, the prisoners cheered in Barwon prison when they heard of his release. I remember that the prisoners cheered when Johnny Cash played for them in Folsom prison – but then Johnny Cash had a guitar.

I have one last quote from the porter in Macbeth as he opened the gates – this for the departing Pell, who has had a life of power so eloquently portrayed in the initial quote from Andrew Sullivan.

I had thought to have let in some of all professions that go the primrose way to the everlasting bonfire. 

Boris

He is the type of Pom who reminds me that England is a nice place to visit but not be infected by the culture – by a product of the Eton boot camp – that nurtures the professional buffoon with the razor sharp mind.

Maybe he has now learnt a lesson that will resonate in his future actions. The buffoon, who boasted he was shaking hands with all and sundry in a hospital, while COVID-19 lurked. Hopefully that buffoon will be replaced by a less arrogant and more compassionate person who does not run the country in the same slapdash manner as we have seen him washing his hands – otherwise, God help the United Kingdom.

There is nothing more humbling than looking into the eyes of the person who has saved you. I know from personal experience.

However, the community is sick of spin doctors who aid and abet the culture of lying; Johnson revealed how really sick he thought he was. It was far sicker than the public was led to believe. Those in charge determined that Boris should not die. The fact that he had two staff constantly caring for him showed how intensive his care was. Otherwise he would not have survived. There must have been fear that a secondary cytokine storm may have intervened and finished him off. It must have been close.

Therefore, can we but cast this spinning vermin out from the Temple No 10? Almost Johnsonian?

And for God’s sake Johnson, grow up. There are many unseeing eyes watching you. 

The World that Boris Missed

A lot of radio stations in Europe will collaborate this Friday (March 20th 2020) at GMT 07:45 to sound the track of Gerry & The Pacemakers – You’ll never walk alone. Please join this collaboration to show gratitude to the people that are doing their best to help us survive this pandemic. And to have our thoughts by the people who lost their loved one.

When I first saw this announcement, it triggered a number of conflicting memories. The song originally came from the Rogers and Hammerstein musical “Carousal”, which in turn had been adapted from a French story about a fairground rouseabout who had difficulty declaring his love for his girlfriend; nevertheless she gets pregnant; he is killed in an accident before his child is born; but is permitted to return to earth for a day to see the child.

“You’ll never walk alone” is a highly sentimental song, which nevertheless moves me. It is just one of a number of good songs in this musical. However, the musical’s recognition was dwarfed at its release by some of Roger and Hammerstein’s other musicals: “Oklahoma”, “South Pacific”, the “King and I”. I saw the film as a teenager.

Some years on I was persuaded to go to hear a group of Liverpudlian bands that were touring Australia in the 60s in the wake of the Beatles phenomenon. One was Gerry and the Pacemakers. Gerry Marsden, the lead singer, was one of those Tommy Steele lookalikes – all teeth and quiff.

I went because a friend had free tickets and while I remembered “Ferry cross the Mersey”, the West Melbourne Stadium was not the best place for romantic ballads. My memory of it faded from view, until the late Paul Lyneham, the ABC personality with that somewhat crooked personality, revived memories with a band he called sardonically “Pacemaker and the Gerries”, which as it turned out in a macabre way foreshadowed his death.

Another fragment many years on – I was in the Melbourne Cricket Ground, the night Liverpool played there in 2013. It was one of the last nights, before I was stricken with my illness – a night I remember clearly walking to the ground and then dodging the traffic to catch a tram back to the apartment – almost my last night of freedom.

In any event, the fans as one had erupted into their Liverpool Football club anthem “I’ll never walk alone.” In the bellowing it loses the romantic lilt of Hammerstein’s words and the melody itself is drowned. However, the intensity remains.

All the pieces have come together with that simple announcement above and the accompanying video of ordinary people singing or miming or whatever – there is something about British working class optimism that makes up for all the Boris buffoonery. 

Opening Australia Too Soon

We now appreciate the Tasmanian Premier closing his borders so none of his Tasmanians can cross to the mainland. However, his action in quarantining the Mainland from the outbreak in Tasmania shows great foresight. We always thought it was the reverse. What cunning!

The “Burnie Incident” is unsurprising, given the demonstrated level of incompetence in the health service, proof of what happens when all the rules that the Commonwealth government put in place are ignored or flouted. Strange things happen when discipline is lax – generally such laxity teams up with incompetence.

One of the problems with many, but by no means all, small hospitals is that administrative capacity of the hospitals is deficient. In particular medical administration is often problematical as incompetents are shuffled between these health services, often with glowing references. This a general comment and not one specifically assigned to either the Burnie or Mersey hospitals, which have a conjoint administration.

Tasmania is lucky it has so many hospital beds. Some years ago, the question was always raised as to why the Mersey Hospital needed to be built, but then there must have been a seer in their midst who saw virus in the mist.

In Burnie, the virus has been let out of the bottle – infection control has been such that COVID-19 has been let loose in the community. One of the Ruby Princess passengers has been blamed for being the first case in the North-West. However ascribing actual blame is for others.

What is important now is that there is a real life situation to follow the out-of-control virus, not some abstract model. Australia can now witness from its falling rate overall what happens in a region where it is easily out of control and to see if the Australian remedy can be reinstated and indeed works.

Burnie in its population makeup is not unlike a western Sydney suburb. There are a string of small towns along the coast from Wynyard, abutting Burnie to Devonport like an attentuated suburban Melbourne and Sydney. I mention Wynyard and Devonport specifically because they are the two travel hubs for north-western Tasmania. Rex flies to Wynyard and Qantas though Qantaslink to Devonport. Devonport is where the Spirit of Tasmania berths, and given the current history of boats and the virus, there is a certain vulnerability I would have thought.

With such restrictions the north-west provides an opportunity to see how quickly the virus can spread and how quickly this underprepared community reacts. If the virus escapes the enforced isolation of the 5,000, then every community in this part of Tasmania is at risk. Possibly viral spread could engulf Tasmania.

Wynyard

The next two weeks will tell all, but it is to be hoped that the introduction of the Army, AusMat, and emergency supplies of equipment and trained staff will halt the spread. There is the complication of the FIFO miners, who are flying in through Devonport but are moved immediately to the mines down the West Coast and thus avoid Burnie. Further, there is always the follow up question of how many miners come from Burnie or other north-west coastal towns?

Hopefully, the police will continue to conduct comprehensive surveillance not only along the coast but also the three main ways south. The first is across Cradle Mountain (from the guys who went from the topiary town of Railton to Strahan – they must have got a shock to be apprehended). The second is the main route down the Murchison Highway, although there is a possible diversion through Hellyer Gorge. Finally, for those who really want to take the COVID-19 virus on a scenic trip South, there is a third route along the Road to Nowhere down through the Tarkine and across the Pieman River at Corinna; hopefully the ferry is still running.

I only mention these routes as apparently there has been an allegation of a COVID-19 carrier, known to have infected a number of health workers, who has vanished from the north-west. Cannot be found. But then there a myriad of unmade roads and forest tracks impossible to police.

It is the problem of Tasmania. One of the most beautiful places on the planet, yet its inhabitants demand much while disregarding their responsibility to conserve and preserve; they could give back more. In this case together with the rest of Australia they may watch how this snafu is corrected.

Mouse Whisper

Hairdressers and barbers take a bow. Excoriated because you were allowed to remain open while others were not, you have plied your trade without being a school for scandalous conduct.

But like all mice I fear a Trim.

Trim

Modest expectations – Tom Waits

From the Carnival playbook as reported by The Washington Post:

More than 20 passengers were still too ill to leave the ship (Coral Princess), along with 38 crew.

Of the 1,020 passengers on board, about 993 were expected to be declared fit to fly, he said. They will be taken by bus straight to Miami International Airport, where most will avoid terminals and take charter flights. A minority of the passengers, he said, would take commercial flights; those passengers would be brought to a terminal that is not being used until they board.

As with the above Washington Post report, it is now 4 April and the number of COVID-19 cases has just reached 5,548 in Australia. If it had not been for the cruise ships, it would be considerably less than 5,000, and fortunately not the 10,000 Dr Greg Kelly and his fellow petitioners prophesised for 4 April.

Fortunately, at the centre of this activity federally we have a cohort of knowledgeable, calm public health specialists that you need in a crisis and obviously they are not going to release the models if the assumptions are wrong. The world is not a TV reality show. It is a planet at war. Therefore getting the strategy right is everything.

The Carnival is over?

As the Ruby Princess saga grows, my recommendation to sack Dr Chant appears mild now that all of the NSW Government seems to be in a state of self-preservation or that of hazard reduction. It was so obvious from the start that people being hurried off the boat meant something was afoot. Only too true – 10 per cent of the positive cases in Australia and 11 deaths as of 6 April.

However, the media were dozing – but not now. The Australian Financial Review at last discovered the media demure Ann Sherry. The Australian is calling for governmental scalps.

Now three weeks later, it is the NSW Government trying to weasel out of its responsibility. Carnival is the culprit shipping line that has the dubious honour of having two firms in Miami that specialise in launching legal actions against it – that includes all the shipping lines owned by the Miami-based Arison family. Mr Sture Myrnell is their local head and has sparingly fronted the media. Mr Myrnell, born in Bergen, was once the sommelier on the QE2 and although he has been promoted to dizzying heights, he has probably not lost his taste for a good sherry.

Which reminds me.

Now Ann Sherry was replaced by Mr Myrnell as CEO in 2018, but is still the Executive Chair and it was pointed out that she was responsible for external relations – aka lobbying.

Once Ms Sherry was not afraid to front the media. In an interview, she made the point that thinking big was crucial. She was quoted as saying in this 2018 interview:

I think it’s important not to lose touch with what’s happening in your organisation. One of the great challenges of leadership is that you’re busy and there’s a million things people demand from your time. So, it’s easy not to know what’s happening on the frontline of your business, and just let people tell you. My view, though, is that it’s better to find things out yourself rather than rely on layers of organisational filtering to tell you what’s going on. I think this is especially important in a customer-centric business. It’s crucial to be visible and to communicate to people on the frontline that you understand how important their jobs are.”

After all the above interview started with the following “Coming off a high-profile, extremely successful tenure as CEO of Westpac New Zealand…”

The report in the NZ Herald 5 December 2008 begged to differ somewhat:

Sherry was chief executive for four-and-a-half years and resigned from Westpac after she was moved sideways to head up the group’s Pacific banking division on the back of poor performance from the New Zealand division.

She earned more than $3 million per year in the position.

Maybe the word was not “profile” but “profitable” – and an interesting definition of “extremely successful”.

The situation is serious – very serious – not just because of the number of additional COVID-19 cases and deaths directly attributable to the Ruby Princess, but because the NSW Government somehow lost control of its public health measures during a worldwide pandemic when cruise ships had been identified as one of the most effective vectors for the virus. That is unforgivable.  

Therefore every link in the communication chain needs to be examined. I believe that Ms Sherry’s role as Executive Chair, irrespective of her belated attempt to escape the title, in influencing the decision-making process now and over the time of her stewardship should be critically examined as part of this review.

Now that there is a full police enquiry underway, in the end there may be the prospect of criminal charges. This review must be comprehensive and nobody should be shielded; equally, innuendo should be confirmed as fact or any particular person exonerated.

And finally Prime Minister this cruise ship behaviour has not been an isolated example to flick away. It has been happening for years.

Hibernation

I have been chipped for not looking forward to predict what we might look like after the virus has passed.

My predictions on the future are based on the proposition that there will no vaccine against this virus in the near future. The second is that immunity to COVID-19 is not life long. In other words, one infection will not guarantee that the individual will not be susceptible to other attacks. The same applies to a vaccine; some common colds are due to coronavirus and come back in a different form year after year. There is no vaccine that works.

The problem with the hibernation analogy is that the animal sleeps through its time of food deprivation. Its life is about foraging for food to be converted, and here the brown fat accumulation is an important factor up over many generations – not an immediate fix, but one essential to sustain the slumbering animal.

However, when the bear emerges from hibernation, the external factors have been at work providing the bear with sustenance from the very time it comes out of its den. The hibernation cycle does not factor in a continuing winter because spring always comes.

When the government uses hibernation as a metaphor it should realise hibernation it is not a one-off aberration of nature. It is not for everyone. However for some creatures, it occurs year in year out – the word itself is derived from the Latin word for wintry – hiemalis. Thus Prime Minister, you are not the head bear, although many of your sloth of bears may be somewhat grizzly.

Australia must emerge into a new world, which prizes personal and public hygiene. It is a world where everyone including the police force carries hand sanitisers. It is a world where coughing without shielding your mouth becomes as unacceptable as spitting. Every restaurant has pepper, salt and sanitiser on the table, and before food is served the patrons are politely asked whether they have used sanitiser.

At home as I was in the days before antibiotics lulled the community into a false sense of security, children always washed their hands before a meal – but then we said grace. As we grew up, with the advent of the fast food industry with the disposable society, washing hands before meals then lapsed.

Meanwhile, hygiene in hospital has improved immensely, and that is largely because it has been recognised that washing one’s hands between examining each patient is essential. It was a simple manoeuvre as was the abandoning of wearing ties and the improvement of the attire of staff – particularly those archaic nursing outfits. It is now as different a world as the time when surgeons operated in their frock coats in the nineteenth century and more recently when I was a junior doctor, when the anaesthetist’s monocle fell into the sterile neurosurgical site. Why, because this particular gentleman was peering over the neurosurgeon’s shoulder. Bad form old boy.

It is time to transfer these hospital lessons to the community. One measure of this is the standard of public toilets. As I have written before about how these are diminished in number in the major city centres. However, the technology is evident to establish a clean safe environment in those facilities.

Thus, when the virus passes for the moment Australia needs investment in hygiene – in public health – so that it is the aim to generally reach hospital grade level. In so doing this should evoke a cultural change in this country where nobody is exempt – and that means settlements like Utopia or Soapy Bore, Toorak or Byron Bay – yes you! Not singling you out, just reminding everybody that we are a nation with mutual obligation – it applies equally to you as it does to the smallest outstation.

One Labor Minister in Whitlam’s government once made the astounding observation “Australia is an island surrounded by water.”

The Terra Australis face that was turned towards the original adventurers and buccaneers was very unappealing and they left and those who were shipwrecked died in the harsh climate or were absorbed into the local aboriginal people.

Then our border control need be mindful of the unseen, not spend time hounding the vulnerable and looking in the mirror of this nation and seeing Pauline Hanson.

However the underlying premise is that the Federal government should take the original power allotted in the original Australian constitution – that of quarantine and thus assume national control of public health.

Australia has emphasised biosecurity in relation to fauna and flora, which has been moderately successful, but in terms of spread of human disease less well.

After this last episode it is not the poor unfortunates awash in the Timor Sea, but cruise ships with their crowded cabins and archaic air conditioning. Huge floating cesspools no longer should be allowed to berth in Australian ports. It is an industry that needs urgent review. As one correspondent has written:

Long ignored by cruise lines seeking to sell older tonnage are air conditioning and plumbing issues.

Ships built after 2000 are suspected of having air conditioning and plumbing and sewerage problems, some of which problems are major. 

The older ships will not survive nor are resaleable as they’ll be seen as potential health problems. Why? Breathing the same recycled air in every cabin or room will no longer be acceptable to paying passengers.  

The cruise industry must be re-evaluated, and Carnival and all its affiliates banned indefinitely – or should it be said that any ship owned by the Arison family. In other words, nobody begrudges a well-run shipping line, one that does not evade taxes, does not fly flags of convenience, does not use underpaid staff – and if the arcane Maritime Law needs to be repurposed for Australian conditions let the government assure that is so.

The other major area of potential infection and violation of the borders are the airlines. However, biosecurity in relation to plane passengers has always been lax – handing out pieces of paper is no substitute for targeted testing.

The question must arise as to the level of hygiene on planes where people are packed together and the air conditioning is dodgy at best. Should the passengers be handed sanitiser along with bottles of water; should passengers be handed out masks at the same time as headsets.

Once the country had quarantine stations; once Australians going overseas carried yellow books to assure that we had been inoculated (or vaccinated in the case of small pox) against typhoid and cholera and, if we were going to endemic areas, yellow fever. Until this pandemic, only the latter has survived as mandatory. However, given there is no vaccine for COVID-19 then having a yellow booklet does not apply except for yellow fever.

However, there are past measures that worked, but reminding the passengers of basic hygiene becomes as important in the training of cabin staff as being able to serve meals. Toilets on planes are a potential source of infection given how poorly the hygiene is policed and on long flights used to change into sleep wear.

However, it is also air conditioning that needs to be assured at “hospital grade”, not continually recycling stale air but providing clean air at all times. As one source with more knowledge in the air ambulance sector where there is liable to be more exposure to infection has written … It has not yet been disproven that exhaled droplets are not aerosolised by the cabin conditioned air flow, and some planes may not recycle enough air to effectively dilute aerosol pathogens, or they don’t pass recycled air through HEPA (high efficiency particulate air) filters.

Therefore, the future Australia as it emerges must have a different approach to hygiene. Once this is assured then it must have a continuing impact on the economy, and not be forgotten by government with a strangled budget.

The Long White Shroud

In this time of COVID-19 crisis, a farce is being played out within the Royal Australasian College of Physicians. Once a prestigious body responsible for overseeing the qualifications and hence the quality of consultant physicians and paediatricians it is rapidly becoming the Ruby Princess of the medical profession.

The Royal Australasian College of Physicians (RACP) was founded in 1936 as the Australian College aping its British counterpart, because our medical traditions have always been linked to the Old Country, fob watch and chain. Two years later, the New Zealanders accepted the invitation to join. Between that time and 2010 there had been only three Presidents from New Zealand.

Then Dr John Kolbe emerged. A respiratory specialist at Auckland Hospital, his wife a prominent surgeon who had been President of the counterpart surgical Australasian College and one who has publicly listed herself as a consultant for Siggins and Miller, a consultant firm based in Brisbane which is entangled in the current college mess. This is a slightly complicated situation since one of the principals of which, Ian Siggins died two years ago, but Mel Miller is still lurking around. Her role and ongoing involvement, if any, is for others to investigate further.

And indirectly, another Queensland connection lingers around as the Commissioner of the Australian Charities and Not-for-Profit Commission (ACNC) which is the middle of this imbroglio has as its Commissioner, Garry Johns, a former Labor member for the Brisbane seat of Petrie but now a darling of the right. He has been, as reported, experiencing his own internal problems within the Commission. His original appointment in 2017 was described as bizarre by certain of those familiar with the charities field, especially in regard to statements ascribed to him about indigenous people.

Following Kolbe there has been another New Zealander, currently the incumbent, Mark Lane. Two of three aspirants in the current election for President-elect are New Zealanders. There is thus this select pack of All Blacks. There were three New Zealand Presidents over 72 years; now the prospect of three within 15 years. It suggests that there is now enough confidence among the New Zealand physicians to form their own College; never tell a New Zealander that they should be a State of Australia. Let us guarantee a fond farewell.

The next problem is that with time, the active elements of the consultant physician workforce have formed their own specific societies based on subspecialist skills and technology.

Some of them drifted completely away and formed their own collegiate enclaves, such as the psychiatrists and dermatologists. At the same time, the paediatricians, whose governing body had been separate although existing under the same certification, rejoined the College.  Faculties were created in public health, occupational and rehabilitation medicine, and the consultant physician element in the college was further diluted by the creation of College Chapters.

While this dilution effect was progressing, the College undertook a review of the “collegiate relationship” with the then “specialty societies of the RACP”; the upshot has been that the relationship was effectively severed. The societies were relegated to distant cousin status, while at the same time the College took all their existing curricula as part of upgrading its own responses to AMC requirements. The specialty societies were left delivering training within an increasingly bureaucratic and unresponsive college structure that, in the view of the societies, was unwilling to provide resources to those societies for their contribution.

If it were not for the fact that the letters FRACP certify their members a meal ticket, many sub-specialties would have broken away, but government unwittingly, through regulation and connivance, have allowed this monopoly to continue. Therefore the College, irrespective of its current intrinsic hollowness, has been allowed to continue in its current unchallenged form.

Over the past 20 years since the time that the ill-starred late Craig Paterson was appointed the CEO the internal troubles have grown. However concurrently the level of farce has grown, fuelled by the presence of another New Zealander and would be physician rangatira, Dr John O’Donnell.

I was once on the Council of the College in a saner time when its impact on the community, apart from being a certification mill, was evident. However, what has stirred me to write this was a ridiculous set of propositions put to an extraordinary general meeting (EGM) held fittingly in New Zealand in 2019. The intent of the propositions was to create a select group to be known as “respected Fellows” whose role was to create a quasi-theocratic model superseding the current College democratic elections.  One young female college Fellow asked whether passage of these motions meant that all other Fellows would not be respected. Enough said. This takeover attempt by a small cabal was soundly defeated.

But now they are at it again. Presumably the same crowd with the same would-be rangatira is leading this pack of All Blacks. They want to convene an EGM at a time when this country and New Zealand are locked down in crisis. There is no valid reason given for this action, but apparently they have the numbers to pursue this self-serving, totally unnecessary course of action.

Perhaps it is linked to a document produced by a Brisbane-based firm Effective Governance. Their review purported to describe what is wrong with the College, but the endless list of recommendations revive some of the very problems identified in 2019 – e.g. a nominations committee to select Board candidates to ensure they have the “right set of skills” for the Board and essentially to remove the concept of popular election by Fellows of candidates who don’t necessarily have such skills. At the same time the proposed number of Board members is 6-8; that, combined with the “required skill sets” will make it increasingly difficult for a College Fellow to be elected to this Board. Is this what the College Fellows really want? On reading the document I raise the question of whether the report should have been consigned to the garbage can long ago, and incidentally what did this Review cost?

If I were a conspiracy theorist, I would be asking how much of this advice on governance over the years has emanated from a limited number of sources in Queensland. What of the direct Kolbe connection to Siggins Miller?

And why are certain people so seemingly keen to cover up about those who have requisitioned the EGM? And as for this EGM, especially at such a perilous time with COVID-19 and both countries effectively isolated, why are the usual suspects pushing such a destructive line?

However, I am not such a theorist, but I do like Kolbe to Bolitho to Talley to Yelland to Lane – what a sparkling daisy chain of “respected fellows. Once they were Presidents, and now…?

Last year I wrote to the RACP President, the New Zealander Dr Lane, asking for the release of the list of signatories to the 2019 EGM request. His dismissive reply relies more on legal smartness rather than common sense. Why was the list of signatories withheld? What did Dr Lane, as the President of the College, want to hide – a preponderance of NZ signatories?

The problem presented by this year’s EGM is that it ultimately will become an exercise in unexpected consequences, which may lead to a totally new organisation to guide the training and ongoing guidance of consultant physicians and paediatricians.

Maybe it is about time for consultant physicians to dispense with the current structure altogether with its over-regulation and expensive payments to a band of rent-seekers.

Maybe it is the right time to let the New Zealanders go and we revert to a purely Australian college. Our health systems are so different, our training is different; we may speak the same language but our cultures separate. Yes it is a good time to flag – once we are on the other side of the current health crisis – that we need a debate about this College of ours being purely Australian; after all, such a proposition is based on a purely utilitarian approach. It is totally ridiculous that this College could be run by a NZ rump.

And further, what about a breakaway College prepared to look after the interests of Australian consultant physicians and paediatricians, and not be burdened by the vestments of yesterday?

And as a footnote, almost as an afterthought, does having New Zealand Fellows compromise the charity status of the College in Australia. I cannot see the College’s New Zealand element being ascribed charity status in its own country. Just asking for clarification. Nothing more.

But first, in the interests of decency, those behind the resolution should withdraw their request for an EGM immediately. Otherwise every politician in Australia will know about this unnecessary distraction in this time of coronavirus. 

Mouse Whisper 

From a riverine relative, I am indebted for the following

Hydroxychloroquine costs around USD90 per 50x200mg tablets in the US for those who have insurance, or USD650 for those who don’t.

By contrast 100x200mg tablets cost AUD16.50 on a private script in Australia – a 40-fold difference before taking account of currency differences.

Make America Rich Again!!!

Modest Expectations – Macquarie Island

“Australian state and federal police routinely carry firearms. While on duty, most officers’ duty belts consist of a handgun, Taser, expandable baton, pepper spray, a set of handcuffs, ammunition magazines, gloves, torch, and a two-way radio.”

When the Queensland police were bailing up people at the Queensland border checking on their status, there was not the slightest indication that they were observing any of the rules explicitly set down to minimise the spread of the virus – no gloves, no masks, leaning on car doors, no evidence of hand sanitiser as they handed the documentation and pen to the driver … and as for keeping the requisite distance from their fellow officers, what a joke.

The police are so used to walking virtually hand in hand, nobody has seemed to have told them that just because they are a member of the police force, the virus will not quail at all the ironmongery jangling from their belts. It is far more likely that the belt and the attached items will attract the virus especially as unwashed hands fiddle with them. Where, Madam Commissioner Carroll are your COVID-19 virus protocols and where did you gather your officers together to be briefed on the importance of following the guidelines before they were let loose on the motorists?

It is salutary to remind the Australian police forces that 500 members of New York police force are COVID-19 positive, and there have been a number of deaths. Thus, at the very least each police officer should have a bottle of hand sanitiser placed between the gun and the Taser – and use it.

As for the air conditioning in these lock-down hotels, it is as important for the guards to be especially conscious of the health guidelines and not congregate, as police tend to do. Most of the air conditioning in the hotels is not hospital grade, and therefore there is no guarantee that the virus will not spread.

The last thing the hapless NSW Premier wants is police officer(s) or for that matter an army staff member testing positive in the next two weeks.

Her performance and that of the even more hapless Dr Chant is shaped by their failure – even up until 28 March – to quarantine the arrivals at Sydney International Airport. The Garuda flights where it was reported to ABC radio by a passenger that there were coughing and spluttering passengers allowed to pass through the country’s borders without any checking. If true, this just adds another entry into the charge sheet.

But back to the police – the incongruity of the social distancing in relation to the police force is shown in the images of their patrolling. Presumably the police are now ordering paddy wagons, which provide each recalcitrant with 4 square metres of space.

However jokes aside, the most impressive figure this past week in NSW has been the police commissioner, Mick Fuller – firm, decisive but compassionate – and incorruptible. He was prepared to take the community into his confidence by indicating he had a 90-day supervision delegation from the government to continue to do what the police were doing.

The images are now changing of some of the police force now with gloves and masks. But viruses ride on gloves and there is no evidence that they are being changed regularly. I still could not see the bottle of sanitiser at hand, so to speak.

By the way, where has the NSW Health Minister been? He was last seen coughing a week ago but popped up again on Sunday still looking congested. I hope he has not being doing a Boris, and got impatient with isolation.

The strange case of the Premier and the Fourth Saturday in Lent

One has to give it to the Queensland Premier Palaszczuk. She has a compliant Chief Health Officer, who is not a public health physician. She has closed the borders and at the same time allowed local government elections to proceed, even though they could have been deferred. The images of the voters not “socially distanced” and effectively gathered in large groups could not be reconciled with the health warnings currently agreed by the National Cabinet, of which she is a member. It is even reported that the electoral staff walked out of one voting place stating that they felt at risk.

However, by this questionable activity, the government could cover up the two by-elections being held to replace to members. One was in Bundamba, held previously by one who had said that the Queensland Treasurer was a four-letter word as she resigned. That is true, she is Treasurer Trad, but I am not sure whether this disaffected female member meant that word.

The second case was the long-standing LNP member for Currumbin, who had the temerity to vote for the abortion bill and was hounded by the trolls that seem so part of the LNP right wing so that she resigned. She was replaced by someone who had been a member of the LNP for a month and once appeared on a show featuring ‘”Australia’s Worst Drivers” – a trait among the politician class, yearning to be the centre of attention. The electorate seemed unimpressed, but that person seems heading for a narrow win – just a normal day in the politics of the Sunshine State.

Under cover of the local council elections, it is postulated the Palaszczuk government wanted to test the waters before the State elections due later in the year. If that postulate is correct, and in the 93 member unicameral Queensland parliament the ALP would have retained power whatever the outcome, it seems reprehensible to have held these by-elections at this time. But this is Queensland, the home of progressive health policy and One Nation (which incidentally polled very well in Bundamba). As if to highlight stuff-up, the Electoral Commission stumbled badly and most of the results were still unclear on Sunday afternoon. As will be the long term consequences of this essentially political preservation action by the Palaszczuk Government.

Obviously the Premier has not given up political machinations for Lent.

Cone of silence

The Diamond Princess caused much mayhem in Japan.

The Ruby Princess has since caused much mayhem in Australia. At least ten per cent of Australians infected with COVID-19 as of this week came from that one cruise ship.

Are the media asleep? Can nobody join the dots?

Why have there being no interviews with Ann Sherry, the Executive Chair of the Carnival Shipping Lines, asking how this all occurred. Why was the Ruby Princess allowed to berth? Why were the passengers herded off without even a passport check? Look, you gullible NSW voters, no hands! Surely no political pressure – beggar the thought.

But then the media, over the years, has performed a series of gushing tributes to this former bureaucrat and adviser to the Federal Government.

After the Diamond Princess fiasco in Yokohama, the CEO of Carnival Cruises, Arnold Roberts, was quoted as saying

We have hundreds of cruise ships, very few had cases on them. The one that had the most cases was very early on when no one understood hardly anything. With 20/20 hindsight, could everyone had done something sooner? Perhaps. But it was an evolving, learning situation.”

Not soon enough for the Ruby Princess obviously.

Now Mr Roberts made his first fortune playing blackjack on cruise ships by counting the cards it would seem and used this astuteness to run both weedkiller and sweetener enterprises. He was brought to the Arison owned shipping lines in 2014 because as was quoted:

It’s been a rough two years for the company. First, its Costa Concordia sank off the coast of Italy, killing 32 passengers. Then an engine-room fire on its Carnival Triumph left the ship without power. For five days, passengers lacked air conditioning, hot food and use of most toilets. Cable news was fixated, dubbing it the “poop cruise.” 

Training for a pandemic?

Now, Ann Sherry, what have you got to say about all this and especially in regard to the Ruby Princess and it berthing in Sydney with infection on board?

As for Dr Chant, Chief Medical Officer of NSW, you read this about the Carnival ships and especially look at the dates and tell us “mug NSW punters” why you should still be in your job:

Shared swimming pools, compact and enclosed spaces and quarters, frequently touched surfaces from handrails to slot machines, and meals shared with hundreds create an “increased risk of infection of COVID-19 in a cruise ship environment,” according to a warning issued by the Centres for Disease Control and Prevention (CDC) on 8 March.

(At time of publication)There have been at least eight cruise ships with confirmed coronavirus cases across the entire industry, including the Diamond Princess, Grand Princess, A Sara, MSC Meraviglia, Costa Luminosa, MS Braemar, Silver Shadow, and the Silver Explorer.

Carnival and other major cruise companies, halted all travel only after the State Department advised Americans not to travel on cruise ships and the CDC published a no-sail order of March 13.”  

The Ruby Princess berthed in Sydney on March 19 – without any quarantine intervention from you Dr Chant. Turn off the light as you leave.

A message from Princess Cruises

The Danger of the Hospital

I was asked whether I wanted to help out in Queensland. There were no immediate problems, which arose at the time of the first request. Then came the escalating restrictions and the changing job description.

Having to negotiate the border and being accosted by a police force, which were exhibiting doubtful levels of hygiene, especially in the transfer of documentation was the first problem.

The second was that the first job indicated it would be restricted to providing COVID-19 and public health telephone advice only, and then as I have been used to in any jobs relating to Queensland, the job description changed to one of face-to-face contact. As I am of the age where the government have suggested strongly I be confined at home, which I take to be a domestic situation, telephone advice was feasible and something that, as a public health physician, felt I should undertake.

The one particularly important thing that Australia has done, undoubtedly having Paul Kelly and Nic Coatsworth with their extensive knowledge of public health to back up Brendan Murphy, has helped establish the testing regime. The messaging has come a long way since the time early in March when a member of my family resisted the determined attempt to turn him away from Box Hill Hospital and insisted on being tested despite then having to wait one and half hours, despite there being no-one else there.

Coupled with closing the borders with China the testing regime has probably saved Australia. Early testing means that fewer people have had to go into hospitals. Testing has improved with a faster turnaround time for results. I for one, if tested positive, would have stayed at home as long as possible as opposed to hospital admission.

If you read the list of health workers dying in Italy it is reminiscent of reciting war casualties. The headline in the Italian newspaper early this week read “Coronavirus, morti altri dieci medici. Dall’inizio dell’epidemia sono 51.” You do not have to be fluent in Italian to know that 10 doctors died on one day earlier this week, bringing the total to 51. This number has continued to rise.

Despite the shroud waving led by the ubiquitous Professor Talley in the MJA and the intensivist petitioner Dr Greg Kelly and his collection of medical jeremiahs, Australia is not tracking Italy. I have already expressed my disgust at the NSW Department of Health in regard to the cruise liners, and there should be appropriate retribution at an appropriate time.

If you read the Johns Hopkins Centre for Systems Science & Engineering (JHCSSE) modeling this week, according to JHCSSE’s modeling when there were 3640 cases (about right) in Australia, we had 460 deaths; the modeling is based on Italy given this prediction of 460 deaths would be close if the case and death rate was similar to what has happened in Italy,

So much for modeling; and I wish that everybody would stop printing these hypothetical figures, which may as well have been got by reading the tea leaves. The problem with the media is that, over the years except for a very few people like Norman Swan, it is totally gullible in relation to health, reporting every bit of public relations fluff that is put out about so-called medical “breakthroughs”. That is particularly dangerous when there is a pandemic and the hucksters are abroad.

However, this does not mean even at my vulnerable age, that I would want to be admitted to hospital if I developed a fever and a tell-tale cough. I would hope to tough it out; but then again I hope I won’t have to make that decision.

Now that is an ordeal

We have been seeing a flood of returning passengers from ill-fated travels, many of whom commenced these travels at the wrong time when the portents were there of gathering clouds – 16,000 left Australia after 18 March when the Government’s Level 3 travel advisory was issued (Reconsider your need to travel because there are serious and potentially life threatening risks).

Those who have been able to return should count themselves lucky. Complaining about their situation in five star hotels reminds me of a time, of my father’s generation and of a place called Singapore. Here were a number of involuntary travellers called soldiers who were deserted by their leaders, with their braid and red banded caps called generals and brigadiers. The soldiers were confined, not for two weeks but for three years – if they survived – as guests of the Japanese. Their first place of confinement was known as Changi.

Therefore the younger members of the currently 5,000 in confinement in Sydney hotels, would never have been contact with some of those soldiers, who eventually returned. I was taught by some of these men – they never had a sense of entitlement; they had not been locked up in a hotel room for two weeks with three meals a day, phones, internet, television and new towels every day. They had a slightly different experience over three years.

They never moaned; very few wrote about it. Very few ever talked about it. Some of my generation – people I knew – never knew their fathers – today a word lost in the slush of that term “loved one”.

There was no TV series called “Survivor” with inane presenters and faux battles. Maybe after you are released there will a scramble for a media contract to tell all.

In contrast, in my youth I remember there was the man who always dined alone on Christmas Day away from his family because that was the day his mate left his quarters for the last time, not to the streets of Sydney but to an unmarked destination.

So take a powder, you lot, turn off your Skype; stop making yourselves look totally selfish on Facebook, and just deal with it.

As for the media giving these people oxygen, what about the Biloela Four locked up on Christmas Island – a sort of Changi without the cherry blossom. Forgotten them?

Skiing in a time of coronavirus

Janine Sargeant – Guest Blogger

The media have been reporting on the now infamous Aspen 9 who are reported to have brought more than a ski tan back from their recent trip to Aspen in Colorado.

Burnished with schadenfreude the reports have followed members of this group through birthday parties in Melbourne and Noosa and a visit by one couple to their beach shack at Portsea; the reports have included tallies of the number of confirmed cases among the ski party and those apparently directly attributable to the two birthday parties. The Noosa party resulted in many positives among guests, but also among the restaurant staff. There is talk of legal action. The 14-day mandatory self-isolation for overseas arrivals was introduced the day after the ski party returned.

More broadly the Aspen 9 saga raises the question of what plans there are for the Australian ski season, which normally opens on the long weekend in June. The skiing might be out in the fresh air two ski poles apart, but the ski lift transport, aprés ski scene and accommodation is not.

Having spent quite a bit of time on the skifields, skiing, running a ski shop and working a bar at a lodge – my version of a well-spent youth – I still remember a case of tonsillitis that sent everyone into a spin because the close-living environment of ski lodges was so conducive to the spread of illness. However, if even the well-heeled in their plush accommodation are catching COVID-19 in record numbers, then there’s really a problem. Without knowing the denominator (how many there were in the Aspen group) there’s no way of knowing what the incidence of infection was, but there are enough cases to raise alarm.

One of the highest COVID-19 infection rates per capita in the USA has been reported by “The Washington Post” as being in Idaho’s Wood River Valley – 192 cases in a county of only 22,000 residents; there have been two deaths so far. Why is this? Idaho has some of the best skiing in the US and is a well known conference destination. Skiers fly in from around the country and around the world and no doubt have brought in COVID-19.

The source of the infection in Blaine Co, home of Wood River Valley and Sun Valley, was almost certainly skiers from Seattle, from which there are direct flights. Washington State had the first confirmed positive case in the US and up to mid-March, had the highest absolute number of confirmed cases and the highest number per capita of any state in the country. That has now changed with the epicentre shifting to New York.

However the counties surrounding Vail and Crested Butte in Colorado and Park City in Utah – all skiing hotspots – are now also COVID-19 positive hotspots.

Wood River Valley’s small hospital has been partially shut down because four of its seven emergency doctors were quarantined. The fire department that also operates the ambulance is relying on volunteers. One of the doctors who has tested positive said he thought he had caught the virus because of close contact on ski lifts.

All State Governments in Australia have effectively banned recreational travel within the State, and absolutely banned travel between states except where a permit is in place or a resident is returning home – but 14 days of self-isolation are required. Everyone is supposed to stay home, but for how long? The June long weekend is eight weeks away.

Faced with the experience of the US, which has spilled over into Australia with the Aspen group and around 50 positive cases, presumably NSW and Victoria should be putting skiing on hold for 2020 – and without any intervention from Master Barilaro, the local member, especially after the Ruby Princess fiasco.

Mouse Whisper

Paul Barry brought this to my attention as I was gnawing my way through my late night supper 

What is this constant mention of Petri Dish in relation to coronavirus?

Viruses need living cells to propagate, not Petri Dishes containing blood agar, upon which bacteria and fungi party.

Fortunately, my relatives are less exploited now as a medium in which to grow viruses, but embryonated eggs have always been a favourite culture medium. However, now most viruses are grown in cell culture.

Nothing to do with Petri Dishes. Today’s tip for the journalists, if you want to sound knowledgeable at least check the details; a Petri Dish isn’t something from “My Kitchen Rules”. So drop the Petri Dish metaphor. Even a simple mouse like me knows it has nothing to do with viruses.