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COVID-19: GP Alert (20 August 2020)

August 20, 2020

New confirmed case of COVID-19 in Ipswich

As you may have heard, the Chief Health Officer Dr Jeanette Young announced today an Ipswich resident who works at the Brisbane Youth Detention Centre (BYDC) at Wacol has tested positive to COVID-19. The BYDC is now in lockdown. Queensland Health is contact tracing and all 127 youth and more than 500 staff of the centre are being tested.

GP-LED RESPIRATORY CLINICS
GP-led respiratory clinics continue to be available to clinically assess people with mild to moderate COVID-19 symptoms, which are:

  • fever or history of fever
  • sore throat, rhinorrhoea
  • cough, shortness of breath
  • acute fatigue/myalgia/arthralgia
  • loss of smell, loss of taste

The respiratory clinics are staffed by GPs and will provide full assessment and management plans for patients presenting with respiratory symptoms. For this reason, it is important that only people with mild to moderate COVID-19 symptoms are referred to the respiratory clinics. This ensures that people experiencing respiratory symptoms have access to appropriate management and testing and preserves the capacity of the respiratory clinics.

WEST MORETON
Flinders Peak GP - Purga

  • 8:30am to 5:00pm Monday to Friday and 8:30am to 12:00pm Saturday and Sunday.
  • Call 07 5464 6765.

Kambu - Booval

  • 8:30am – 4:30pm Monday to Friday
  • Call 0408 699 432

Health Matters Karalee - Karalee

  • 9:00am to 5:00pm Monday to Friday and 9:00am to 12:00pm Saturday.
  • Call 07 3812 3133

The standard operating hours listed above (including the days of operation) are being extended in line with demand. Patients can call the clinics to confirm availability of appointments. Patients MUST make an appointment before attending the respiratory clinics.

DARLING DOWNS
Carbal Medical Services - Toowoomba

  • 8:30am to 4:30pm Monday to Friday
  • Call 07 4580 1400

James Neil Medical - Toowoomba

  • 8:30am – 5:00pm Monday to Friday.
  • Call 07 4632 4888

Condamine Medical Centre - Warwick

  • 9:00am to 5:30pm Monday to Friday and 9:00am to 11:30am Saturday.
  • Call 07 4666 9666

The standard operating hours listed above (including the days of operation) are being extended in line with demand. Patients can call the clinics to confirm availability of appointments. Patients MUST make an appointment before attending the respiratory clinics.

For full details, visit our COVID-19 webpage or your relevant HealthPathways portal:

Darling Downs HealthPathways
Username: dduser
Password: ddpassword

West Moreton HealthPathways
Username: wmuser
Password: wmpassword

UPDATED - CDNA Guidelines

The Communicable Disease Network of Australia (CDNA) COVID-19 guidelines for public health units has been updated. Endorsed changes in Version 3.7 include:

    • additional sentence in enhanced testing for asymptomatic people,
    • addition of new Special situations sub-section: Workplaces (page 40), and
    • inclusion of new Special risk settings sub-section: Meat processing facilities (page 38).

View the updated CDNA Guidelines here

P2/N95 masks: ‘fit-testing’ vs ‘fit-checking’

  • Fit-testing refers to a formal process of testing the seal achieved with a mask via exposure to a strongly-smelling substance which should be filtered out by the mask. If fit-testing is easily available, then it can be considered. However:
    • Fit testing consumes P2/N95 masks, which are in short supply
    • Fit testing needs to be repeated if staff gain / lose weight
    • A fit-test does not remove the need for a fit-check with each mask use
  • Fit-checking is the process of ensuring a mask achieves a good seal once it has been applied and should occur each time a mask is donned, even if fit testing has previously been undertaken.
  • Although an Australian Standard regarding fit-testing exists, fit-testing is not mandatory. Queensland’s SICN notes the advice from Workplace Health & Safety Queensland which considers that “it may not be reasonably practicable for fit-testing to be performed” due to limited supply of masks and the impact of social distancing on fit-testing services
  • The following online resources are available freely about p2/N95 mask fit checking:

Queensland Infection Clinical Network (SICN)

NEW - ‘Managing patients who present with respiratory symptoms’ guide

The RACGP recently published a two page ‘Managing patients who present with respiratory symptoms’ guide.

Changes to Border Restrictions

From 1:00am Thursday. 20 August there have been changes to the border restrictions in line with the Border Restrictions Direction (No.12). View the overview of the changes including those impacting essential healthcare.

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affecting Health Care practitioners in the Darling Downs and West Moreton Regions: