‘A catastrophe of a disease': Doctors sound alarm on spread of measles
Symptoms may include coughing, fever, red or sore eyes, a runny nose and a red rash that typically begins on the face and spreads downward across the body.
It can cause pneumonia, ear infections and diarrhoea, and about one in every 1000 cases causes swelling and inflammation of the brain, which can result in permanent brain damage or even death.
Eight Victorians have been hospitalised with measles this year, with most people struck down by the virus aged between 25 and 30.
Weeramanthri said he was cautiously waiting to see if cases would rise after the school holidays.
'The incubation period can be up to 18 days,' he said. 'We're not out of the woods for another week or so.'
The latest outbreak coincides with a decline in the proportion of Australians vaccinated against measles.
About 93 per cent of Victorian two-year-olds are vaccinated against measles-mumps-rubella (MMR), which is below the national target of 95 per cent.
The most recent measles cases involved individuals who had not received two recorded doses of the MMR vaccine.
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Weeramanthri said people had a much higher risk of contracting measles, and becoming sicker, if they were unvaccinated. But he said some vaccinated Victorians had also become sick, but experienced a milder illness.
Measles is a disease that Dr Anita Munoz, Victorian chair of the Royal Australian College of General Practitioners, never expected to worry about during her career.
'I was told as a medical student that this was an infectious disease of the past,' she said.
But like many doctors across Melbourne, Munoz is now on high alert for the disease's tell-tale symptoms.
'It is a catastrophe of a disease,' she said.
'It is one of the reasons why entire populations in South America were wiped out during colonisation.'
Munoz said vaccine hesitancy following the pandemic, as well as dangerous messaging from public figures such as anti-vaccine US health secretary Robert F Kennedy, was fuelling a decline in vaccination coverage.
Measles cases are on the rise around the world, with the disease recently killing two unvaccinated children in the US and making at least 800 people unwell. The World Health Organisation estimates that 107,500 people died from measles in 2023 – mostly unvaccinated children under the age of five.
Professor Benjamin Cowie, an infectious diseases physician who works at the Doherty Institute and the Royal Melbourne Hospital, said measles was a 'notoriously infectious' disease, with one case able to generate 13 other infections within a susceptible population.
He's concerned cases will rise after the school holidays as Victorians return home from countries with current outbreaks, including Vietnam and Thailand.
'Many Australians visit these countries,' he said. 'They might be completely unaware that they are susceptible.'
Cowie said he's on high alert for the disease and exercising a high level of caution with patients.
'If someone comes in with a sore throat, fever and rash, I think, 'could it be measles' and then put a mask on them and isolate them.'
Murdoch Children's Research Institute professor Margie Danchin said babies who are too young to be vaccinated were at heightened risk. Australians born between 1966 and 1994 are also at greater risk of measles as they may not have had two doses of the measles vaccine, which is currently provided to Australian infants at 12 and 18 months.
While Danchin said there was a perception that most unvaccinated children had anti-vaxxer parents, one of the biggest barriers to vaccination was access and cost.
Her research has found that 20 per cent of parents with partially vaccinated children were unable to afford costs associated with vaccinating their child, such as gap payments for a GP appointment or time off work.
She said some families were unable to attend council-run vaccination sessions, if available, because they worked during the week.
About a decade ago, Danchin treated a child with measles who wound up in hospital with pneumonia, a complication that arises in 1 in 20 measles cases.
'It is the most infectious disease we know,' she said. 'It is a heat-seeking missile that will find people who are unvaccinated and spread.'
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The Advertiser
14 hours ago
- The Advertiser
The subtle, everyday hurting of LGBTQI Australians
Witnessing acts of casual homophobia usually involved Lea* turning away as a means of hiding from her own feelings. When initially navigating the LGBTQI world and figuring out her own sexuality, she worried about what would happen if she chose to come out. "When I was an anxious teenager still coming to terms with myself, I saw how people treated the only out lesbian at my all-girls school," she tells AAP. "The feelings I had there were fear of rejection, shame and all of that just built into me, and not wanting to come to terms with myself." Regardless of the forum, casual (or in Lea's terms 'acceptable') homophobia is the act of jokingly or subtly victimising LGBTQI people. Instead of directing slurs or physical violence, someone might say "I wish I was gay" or refer to another as "the gay best friend" or even buy someone a gift based on stereotypes of sexual orientation. About three in every hundred Australians identify as LGBTQI, approximately 40 per cent of whom hide their sexuality and/or gender in public spaces, according to the Australian Human Rights Commission. These days, Lea has reached the conclusion that casual homophobia isn't as much her issue as it is the fault of those who practice it. She regards them as immature and in need of a change in thinking. "I just get really disappointed in people who still think there's not the same legitimacy in queer relationships as there are in straight ones," she says. "I'm really disappointed when I have people in my life who still think that being a lesbian means I'm just thinking about tits all the time." LGBTQI individuals endure poorer mental health outcomes than straight people due to a lack of social acceptance, according to Aids Council of NSW co-ordinator Madhuraa Prakash. "LGBTQI people are six times more likely to be diagnosed with depression and two and a half more times more likely to be diagnosed or treated for a mental health condition in general," they say. "It's unfortunate because you want to be able to talk about your life without having to edit yourself. "It weighs on a person to have to do that in your day-to-day life and leads to some bad mental health outcomes." Academic and psychotherapist Pol McCann specialises in microaggression and says although it sometimes stems from ill-intention, it is primarily patronising and performative. At the same time casual homophobia isn't exclusively directed at LGBTQI people either. Mr McCann says he's also heard from straight men who don't align with "typical" feminine or masculine ideas who have been impacted. He spoke with two straight men who were emotional, artistic and bullied by their peers at school. "They were absolutely lovely, smart, engaged guys but you could just tell they still carried the weight of the pain," he says. In the course of his work within the school environment, Mr McCann has spent time with the perpetrators of discrimination too. Some boys would never appreciate the impact they've had on a person's life, as they regard what they've done to be no more than a joke, he says. "The boys who were doing it, were doing it casually and with no malice," he adds. "These guys actually seemed really nice as adults and I don't think they understood how controlling their behaviour was." With June marking Pride Month, LGBTQI advocates like Justin Koonin know raising these issues is important. As co-chair of the NSW LGBTIQ+ Advisory Body, he has been helping develop a strategy to better include minority voices in legislation. Ensuring schools, police, transport officers and health professionals know how to treat the LGBTQI community better is a key focus. "We see the impact of casual homophobia in terms of the reported experience of mental health and wellbeing, and of safety and self-harm in our communities" Dr Koonin says. "You can't control what's in people's heads and you, to some extent, can't control what people can say but you can try and make it clear to people what hurts and what doesn't. "A lot of our work will be on increasing the level of awareness and exposure to the impact casual homophobia has in our communities." Although LGBTQI people need to lobby against casual homophobia, the straight community also has to play its part, Mr McCann says. He considers Wallaby-turned-senator David Pocock a notable voice in the LGBTQI marriage equality debate after declaring he wouldn't tie the knot with his wife until LGBTQI people could. "Pocock is a football star, incredibly handsome, incredibly charming and when he puts that kind of statement out there... that's got a lot more weight than the gay community lobbying for rights," Mr McCann says. NSW, ACT, Victoria, South Australia and Tasmania have government LGBTQI advisory bodies but federal parliament doesn't. Although a health advisory has been established in Canberra, Dr Koonin says having a committee similar to NSW would benefit the community. *Lea is an anonymous name. Lifeline 13 11 14 Fullstop Australia 1800 385 578 Witnessing acts of casual homophobia usually involved Lea* turning away as a means of hiding from her own feelings. When initially navigating the LGBTQI world and figuring out her own sexuality, she worried about what would happen if she chose to come out. "When I was an anxious teenager still coming to terms with myself, I saw how people treated the only out lesbian at my all-girls school," she tells AAP. "The feelings I had there were fear of rejection, shame and all of that just built into me, and not wanting to come to terms with myself." Regardless of the forum, casual (or in Lea's terms 'acceptable') homophobia is the act of jokingly or subtly victimising LGBTQI people. Instead of directing slurs or physical violence, someone might say "I wish I was gay" or refer to another as "the gay best friend" or even buy someone a gift based on stereotypes of sexual orientation. About three in every hundred Australians identify as LGBTQI, approximately 40 per cent of whom hide their sexuality and/or gender in public spaces, according to the Australian Human Rights Commission. These days, Lea has reached the conclusion that casual homophobia isn't as much her issue as it is the fault of those who practice it. She regards them as immature and in need of a change in thinking. "I just get really disappointed in people who still think there's not the same legitimacy in queer relationships as there are in straight ones," she says. "I'm really disappointed when I have people in my life who still think that being a lesbian means I'm just thinking about tits all the time." LGBTQI individuals endure poorer mental health outcomes than straight people due to a lack of social acceptance, according to Aids Council of NSW co-ordinator Madhuraa Prakash. "LGBTQI people are six times more likely to be diagnosed with depression and two and a half more times more likely to be diagnosed or treated for a mental health condition in general," they say. "It's unfortunate because you want to be able to talk about your life without having to edit yourself. "It weighs on a person to have to do that in your day-to-day life and leads to some bad mental health outcomes." Academic and psychotherapist Pol McCann specialises in microaggression and says although it sometimes stems from ill-intention, it is primarily patronising and performative. At the same time casual homophobia isn't exclusively directed at LGBTQI people either. Mr McCann says he's also heard from straight men who don't align with "typical" feminine or masculine ideas who have been impacted. He spoke with two straight men who were emotional, artistic and bullied by their peers at school. "They were absolutely lovely, smart, engaged guys but you could just tell they still carried the weight of the pain," he says. In the course of his work within the school environment, Mr McCann has spent time with the perpetrators of discrimination too. Some boys would never appreciate the impact they've had on a person's life, as they regard what they've done to be no more than a joke, he says. "The boys who were doing it, were doing it casually and with no malice," he adds. "These guys actually seemed really nice as adults and I don't think they understood how controlling their behaviour was." With June marking Pride Month, LGBTQI advocates like Justin Koonin know raising these issues is important. As co-chair of the NSW LGBTIQ+ Advisory Body, he has been helping develop a strategy to better include minority voices in legislation. Ensuring schools, police, transport officers and health professionals know how to treat the LGBTQI community better is a key focus. "We see the impact of casual homophobia in terms of the reported experience of mental health and wellbeing, and of safety and self-harm in our communities" Dr Koonin says. "You can't control what's in people's heads and you, to some extent, can't control what people can say but you can try and make it clear to people what hurts and what doesn't. "A lot of our work will be on increasing the level of awareness and exposure to the impact casual homophobia has in our communities." Although LGBTQI people need to lobby against casual homophobia, the straight community also has to play its part, Mr McCann says. He considers Wallaby-turned-senator David Pocock a notable voice in the LGBTQI marriage equality debate after declaring he wouldn't tie the knot with his wife until LGBTQI people could. "Pocock is a football star, incredibly handsome, incredibly charming and when he puts that kind of statement out there... that's got a lot more weight than the gay community lobbying for rights," Mr McCann says. NSW, ACT, Victoria, South Australia and Tasmania have government LGBTQI advisory bodies but federal parliament doesn't. Although a health advisory has been established in Canberra, Dr Koonin says having a committee similar to NSW would benefit the community. *Lea is an anonymous name. Lifeline 13 11 14 Fullstop Australia 1800 385 578 Witnessing acts of casual homophobia usually involved Lea* turning away as a means of hiding from her own feelings. When initially navigating the LGBTQI world and figuring out her own sexuality, she worried about what would happen if she chose to come out. "When I was an anxious teenager still coming to terms with myself, I saw how people treated the only out lesbian at my all-girls school," she tells AAP. "The feelings I had there were fear of rejection, shame and all of that just built into me, and not wanting to come to terms with myself." Regardless of the forum, casual (or in Lea's terms 'acceptable') homophobia is the act of jokingly or subtly victimising LGBTQI people. Instead of directing slurs or physical violence, someone might say "I wish I was gay" or refer to another as "the gay best friend" or even buy someone a gift based on stereotypes of sexual orientation. About three in every hundred Australians identify as LGBTQI, approximately 40 per cent of whom hide their sexuality and/or gender in public spaces, according to the Australian Human Rights Commission. These days, Lea has reached the conclusion that casual homophobia isn't as much her issue as it is the fault of those who practice it. She regards them as immature and in need of a change in thinking. "I just get really disappointed in people who still think there's not the same legitimacy in queer relationships as there are in straight ones," she says. "I'm really disappointed when I have people in my life who still think that being a lesbian means I'm just thinking about tits all the time." LGBTQI individuals endure poorer mental health outcomes than straight people due to a lack of social acceptance, according to Aids Council of NSW co-ordinator Madhuraa Prakash. "LGBTQI people are six times more likely to be diagnosed with depression and two and a half more times more likely to be diagnosed or treated for a mental health condition in general," they say. "It's unfortunate because you want to be able to talk about your life without having to edit yourself. "It weighs on a person to have to do that in your day-to-day life and leads to some bad mental health outcomes." Academic and psychotherapist Pol McCann specialises in microaggression and says although it sometimes stems from ill-intention, it is primarily patronising and performative. At the same time casual homophobia isn't exclusively directed at LGBTQI people either. Mr McCann says he's also heard from straight men who don't align with "typical" feminine or masculine ideas who have been impacted. He spoke with two straight men who were emotional, artistic and bullied by their peers at school. "They were absolutely lovely, smart, engaged guys but you could just tell they still carried the weight of the pain," he says. In the course of his work within the school environment, Mr McCann has spent time with the perpetrators of discrimination too. Some boys would never appreciate the impact they've had on a person's life, as they regard what they've done to be no more than a joke, he says. "The boys who were doing it, were doing it casually and with no malice," he adds. "These guys actually seemed really nice as adults and I don't think they understood how controlling their behaviour was." With June marking Pride Month, LGBTQI advocates like Justin Koonin know raising these issues is important. As co-chair of the NSW LGBTIQ+ Advisory Body, he has been helping develop a strategy to better include minority voices in legislation. Ensuring schools, police, transport officers and health professionals know how to treat the LGBTQI community better is a key focus. "We see the impact of casual homophobia in terms of the reported experience of mental health and wellbeing, and of safety and self-harm in our communities" Dr Koonin says. "You can't control what's in people's heads and you, to some extent, can't control what people can say but you can try and make it clear to people what hurts and what doesn't. "A lot of our work will be on increasing the level of awareness and exposure to the impact casual homophobia has in our communities." Although LGBTQI people need to lobby against casual homophobia, the straight community also has to play its part, Mr McCann says. He considers Wallaby-turned-senator David Pocock a notable voice in the LGBTQI marriage equality debate after declaring he wouldn't tie the knot with his wife until LGBTQI people could. "Pocock is a football star, incredibly handsome, incredibly charming and when he puts that kind of statement out there... that's got a lot more weight than the gay community lobbying for rights," Mr McCann says. NSW, ACT, Victoria, South Australia and Tasmania have government LGBTQI advisory bodies but federal parliament doesn't. Although a health advisory has been established in Canberra, Dr Koonin says having a committee similar to NSW would benefit the community. *Lea is an anonymous name. Lifeline 13 11 14 Fullstop Australia 1800 385 578 Witnessing acts of casual homophobia usually involved Lea* turning away as a means of hiding from her own feelings. When initially navigating the LGBTQI world and figuring out her own sexuality, she worried about what would happen if she chose to come out. "When I was an anxious teenager still coming to terms with myself, I saw how people treated the only out lesbian at my all-girls school," she tells AAP. "The feelings I had there were fear of rejection, shame and all of that just built into me, and not wanting to come to terms with myself." Regardless of the forum, casual (or in Lea's terms 'acceptable') homophobia is the act of jokingly or subtly victimising LGBTQI people. Instead of directing slurs or physical violence, someone might say "I wish I was gay" or refer to another as "the gay best friend" or even buy someone a gift based on stereotypes of sexual orientation. About three in every hundred Australians identify as LGBTQI, approximately 40 per cent of whom hide their sexuality and/or gender in public spaces, according to the Australian Human Rights Commission. These days, Lea has reached the conclusion that casual homophobia isn't as much her issue as it is the fault of those who practice it. She regards them as immature and in need of a change in thinking. "I just get really disappointed in people who still think there's not the same legitimacy in queer relationships as there are in straight ones," she says. "I'm really disappointed when I have people in my life who still think that being a lesbian means I'm just thinking about tits all the time." LGBTQI individuals endure poorer mental health outcomes than straight people due to a lack of social acceptance, according to Aids Council of NSW co-ordinator Madhuraa Prakash. "LGBTQI people are six times more likely to be diagnosed with depression and two and a half more times more likely to be diagnosed or treated for a mental health condition in general," they say. "It's unfortunate because you want to be able to talk about your life without having to edit yourself. "It weighs on a person to have to do that in your day-to-day life and leads to some bad mental health outcomes." Academic and psychotherapist Pol McCann specialises in microaggression and says although it sometimes stems from ill-intention, it is primarily patronising and performative. At the same time casual homophobia isn't exclusively directed at LGBTQI people either. Mr McCann says he's also heard from straight men who don't align with "typical" feminine or masculine ideas who have been impacted. He spoke with two straight men who were emotional, artistic and bullied by their peers at school. "They were absolutely lovely, smart, engaged guys but you could just tell they still carried the weight of the pain," he says. In the course of his work within the school environment, Mr McCann has spent time with the perpetrators of discrimination too. Some boys would never appreciate the impact they've had on a person's life, as they regard what they've done to be no more than a joke, he says. "The boys who were doing it, were doing it casually and with no malice," he adds. "These guys actually seemed really nice as adults and I don't think they understood how controlling their behaviour was." With June marking Pride Month, LGBTQI advocates like Justin Koonin know raising these issues is important. As co-chair of the NSW LGBTIQ+ Advisory Body, he has been helping develop a strategy to better include minority voices in legislation. Ensuring schools, police, transport officers and health professionals know how to treat the LGBTQI community better is a key focus. "We see the impact of casual homophobia in terms of the reported experience of mental health and wellbeing, and of safety and self-harm in our communities" Dr Koonin says. "You can't control what's in people's heads and you, to some extent, can't control what people can say but you can try and make it clear to people what hurts and what doesn't. "A lot of our work will be on increasing the level of awareness and exposure to the impact casual homophobia has in our communities." Although LGBTQI people need to lobby against casual homophobia, the straight community also has to play its part, Mr McCann says. He considers Wallaby-turned-senator David Pocock a notable voice in the LGBTQI marriage equality debate after declaring he wouldn't tie the knot with his wife until LGBTQI people could. "Pocock is a football star, incredibly handsome, incredibly charming and when he puts that kind of statement out there... that's got a lot more weight than the gay community lobbying for rights," Mr McCann says. NSW, ACT, Victoria, South Australia and Tasmania have government LGBTQI advisory bodies but federal parliament doesn't. Although a health advisory has been established in Canberra, Dr Koonin says having a committee similar to NSW would benefit the community. *Lea is an anonymous name. Lifeline 13 11 14 Fullstop Australia 1800 385 578
The Age
a day ago
- The Age
Botched hospital stays caused more than 100 deaths
Three Victorian patients died or were seriously harmed after receiving surgery on the wrong part of their body last financial year. Two others were left with life-threatening complications because foreign objects – such as surgical sponges, cotton swabs or clamps – were unintentionally left inside them at the end of an invasive procedure. Thirteen people died or were seriously harmed because they were either given the wrong medication or incorrect dosage. And six died by suspected suicide in an acute psychiatric unit or ward. The revelations are contained in Victoria's latest annual review of hospital errors resulting in serious harm or death, otherwise known as 'sentinel events'. The report – compiled by government agency Safer Care Victoria and obtained by The Age before it was published – found there were 193 such incidents during the 2023-24 financial year, resulting in approximately 112 deaths. While the overall number of sentinel events and subsequent deaths are down compared to last year's record high of 245 incidents and 167 patient deaths, there has been a year-on-year spike in the number of suspected suicides in acute psychiatric settings and the proportion of sentinel events involving babies less than seven days old. The six Victorians who died by suspected suicide in an acute psychiatric setting last financial year represent a threefold increase compared to 2022-23 when two individuals died in similar circumstances. The proportion of self-harm incidents among uncategorised sentinel events also grew year-on-year, from 7 per cent to 10 per cent. The Age can confirm Safer Care Victoria will conduct a review of the way health services report these so-called 'category 11' cases, which make up the vast majority of incidents.
Sydney Morning Herald
a day ago
- Sydney Morning Herald
Botched hospital stays caused more than 100 deaths
Three Victorian patients died or were seriously harmed after receiving surgery on the wrong part of their body last financial year. Two others were left with life-threatening complications because foreign objects – such as surgical sponges, cotton swabs or clamps – were unintentionally left inside them at the end of an invasive procedure. Thirteen people died or were seriously harmed because they were either given the wrong medication or incorrect dosage. And six died by suspected suicide in an acute psychiatric unit or ward. The revelations are contained in Victoria's latest annual review of hospital errors resulting in serious harm or death, otherwise known as 'sentinel events'. The report – compiled by government agency Safer Care Victoria and obtained by The Age before it was published – found there were 193 such incidents during the 2023-24 financial year, resulting in approximately 112 deaths. While the overall number of sentinel events and subsequent deaths are down compared to last year's record high of 245 incidents and 167 patient deaths, there has been a year-on-year spike in the number of suspected suicides in acute psychiatric settings and the proportion of sentinel events involving babies less than seven days old. The six Victorians who died by suspected suicide in an acute psychiatric setting last financial year represent a threefold increase compared to 2022-23 when two individuals died in similar circumstances. The proportion of self-harm incidents among uncategorised sentinel events also grew year-on-year, from 7 per cent to 10 per cent. The Age can confirm Safer Care Victoria will conduct a review of the way health services report these so-called 'category 11' cases, which make up the vast majority of incidents.
