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Respite program aims to end ‘revolving door’ for Perth’s unwell homeless people

Losing her leg to cancer was a traumatic enough experience for Anthea Corbett — but having no home to recover in made things much worse from a psychological and emotional perspective.

“It was hard because, you know, the same time, when you’re homeless, you just want to stay alive,” she said.

“Basically, you’ve got to protect yourself and you got to be careful, because some people are rough, especially guys, when it comes to a woman being homeless.”

A new Perth program is offering respite for homeless people who have just come out of hospital, addressing the “revolving door” issue that sees them struggle to recover on the streets.

The exterior of a beautiful, old house in Northbridge, surrounded by trees.
The respite center caters for homeless people leaving hospital.(ABC News: David Weber )

Inspired by how the US city of Boston, Massachusetts tackles health care for the homeless, an old backpacker accommodation in Northbridge has been transformed into a short-stay facility for homeless people who have been discharged from hospital.

The Medical Respite Center is funded by the Department of Health with philanthropic support and offers 20 medical and 10 non-medical beds, providing a safe place to sleep and recover and helping connect people with health care services and support to get housing and accommodation.

homeless people die younger

Homeless Healthcare chief executive Andrew Davies, who initiated the set up of the StayWitch’s service, said the interaction between health and homelessness was “huge.”

“We’re finding that the average age of death is about 48 years old, which is incredibly poor when you compare it to the mainstream community,” he said.

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Australia

Victoria is in the thick of a COVID-19 surge. Here’s where authorities say we’re headed

Halfway through the year, and Victoria is in the grip of another COVID-19 wave.

It’s believed about half of people with the virus haven’t been officially recorded, leading to a worrying number of people in hospital during the state’s deadliest month on record.

But as the state inches out of winter, there are signs the worst could be behind us.

Here’s what authorities have had to say.

Only about half of cases are being reported to authorities

A group of pedestrians, all rugged up and several wearing masks, cross Flinders Street on a wet day.
The true number of COVID-positive people in the community could be about double the official number.(ABC News: Danielle Bonica)

Gone are the days when the number of people infected with COVID-19 each day dictated the level of public health measures in place across the state.

It is now estimated only about 45 per cent of people infected with the virus are officially reported to the Department of Health.

Authorities believe that it is due to a range of possible reasons — not everyone displays symptoms, not everyone with symptoms will test, the tests are not entirely sensitive, and not everyone who tests positive will report their test result.

“We don’t know what we don’t know,” Chief Health Officer Brett Sutton said.

“If people haven’t notified with a positive RAT to the department, we don’t know that they are COVID cases.”

About 10 per cent of the cases we do know about at the moment are people being infected for a second or third time, a much higher proportion than in the January Omicron arises.

“Maybe that doesn’t sound like a lot, but an additional 10 per cent burden for those who’ve already had an infection is quite significant,” Professor Sutton said.

But we appear to be past the peak of new infections

While the official infection rate may not be an accurate reflection of the exact number of people in the community with the virus, the Chief Health Officer is now optimistic of turning a corner.

“We’re certainly seeing a peak in our case numbers,” Professor Sutton said.

The seven-day average of new infections was last week 11,703, which had fallen on Monday to 10,199.

“We look to be on the downslope there with about a 10 per cent reduction in case numbers compared to last week, so that’s good news,” Professor Sutton said.

Hospitalizations are plateauing but tough times lie ahead

The state saw a significant spike in hospitalizations as winter took hold.

Burnet Institute modeling suggests one explanation for the recent spike is the number of cases going undiagnosed or unreported to the health department.

Once an infection is reported to authorities, Victorians can have access to a range of treatments and therapies which can significantly reduce the risk of serious illness.

“There’s too big a proportion of those presenting to hospital, clearly with COVID, and either testing positive on arrival either at the emergency department during their admission in hospital or as they’re arriving, who haven’t taken oral therapies,” Professor Sutton said.

Experts have repeatedly stressed that access to the antivirals at the start of infection is essential to slowing the illness.

The most recent modeling by the Burnet Institute suggested the state was approaching a peak of hospitalizations in early August, of between 900 and 1,000 patients in hospital with the virus.

But as case numbers have begun to decrease, Professor Sutton said the number of people in hospital was “plateauing, if not past the peak.”

He cautioned “the pressures on the health system will be substantial for some weeks to come.”

“Mask-wearing, meeting outdoors, ventilation, getting your vaccine if you’re eligible — they still make a difference on this downslope,” he said.

“So please see this through the lens of our healthcare workers who continue to battle at the frontline.”

Deaths are still surging, particularly in older Victorians

While the number of people in hospital is lower than in the January Omicron peak, July was the month with the highest COVID-related death toll since the pandemic began in both Victoria and the country.

Of the 4,661 deaths recorded in the state since the pandemic began, 3,050 were reported in 2022.

“We still do have a significant number of deaths, that average has gone up in recent weeks,” Professor Sutton said.

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Australia

Victorian crossbench MP launches bid to compel religious hospitals to provide abortions

Victorian crossbench MP Fiona Patten is looking to compel taxpayer-funded religious hospitals to provide abortions, contraceptive treatment and end-of-life options.

The Reason Party leader will introduce a bill into state parliament this week that would remove the right of hospitals that receive any taxpayer funding to refuse to offer reproductive health services and voluntary assisted dying due to “corporate conscientious objection.”

Ms Patten said imposed religious faith had no place in the public health system.

“Right now, women in Victoria face a whole range of barriers to accessing reproductive health such as abortions or even contraception, some of that geographically,” she said.

“But also it’s because a number of our publicly funded hospitals refuse to provide these services and we say that if you’re publicly funded, then you should provide the services that the public need.”

A blue building with Werribee Mercy Hospital sign surrounded by parked cars.
Fiona Patten singled out Mercy Health as an example of a religious hospital network that received public funding but withheld contraception and abortion services.(ABC News: Margaret Paul)

Ms Patten argued conscientious objection resulted in women being mistreated by the health system that they help fund.

She singled out Mercy Health as an example of a religious provider that did not offer some services.

“The Mercy Hospital, which is one of the largest obstetric hospitals in Victoria, it is a publicly funded hospital,” she said.

“They refuse to provide contraception, they refuse to provide abortions when patients need them and this is just not right.”

Private hospitals that did not receive any public funding would not be affected if the bill was adopted, nor would individual practitioners.

Fiona Patten wears a black pin stripe jacket over a white shirt and smiles the camera
Fiona Patten says the bill will be debated in the next fortnight.(Supplied)

Ms Patten said the bill aimed to ensure that abortions remained legal, available and safe in Victoria, and noted the controversial overturning of the Roe v Wade decision by the United States Supreme Court.

“We’ve all just seen what has happened in America and we need to ensure that women’s rights to abortion and to contraception and other reproductive health is enshrined and protected in this state,” she said.

“There is no reason to think that there won’t be pushes in Australia and in Victoria to change our abortion laws here.”

The Victorian Health Minister Mary-Anne Thomas declined to say whether the state government would support the bill.

“The Victorian government already has the most progressive laws in the nation when it comes to supporting women exercising their reproductive rights,” Ms Thomas said.

“As health minister, I will always champion the rights of women to access the sexual and reproductive health services that they need right across our state.”

Catholic hospital says ‘moral reasons’ behind abortion refusal

Mercy Health declined to be interviewed, but referred the ABC to statements on its website.

It said that as a Catholic provider, it valued the dignity of life from conception to death.

“There are two areas where, for moral reasons, we do not provide some services: being women’s health and end of life care,” the website stated.

It said its refusal to provide abortion and assisted dying services was “in accordance with the Hippocratic tradition of medicine.”

“We aim to do no harm, to relieve pain, to provide compassionate care for the whole person and to never abandon those in our care.”

Catholic Health Australia told the ABC it could not comment because it was yet to see the details of the bill.

Advocates say religious hospitals are denying a basic human right

Women’s Health Victoria is a statewide advocacy service that also offers online and telephone sexual and reproductive services.

CEO Dianne Hill said access to abortion was a fundamental part of comprehensive healthcare and women needed to trust that hospitals would care for all of their sexual and reproductive healthcare needs.

She said Women’s Health Victoria supported any legislative reform that improved access to abortion and contraception.

“Abortion and contraception access is compromised for women and people with a uterus due to systemic and structural inequalities including financial insecurity, geographic location, health issues, cultural safety and health literacy,” she said.

“Barriers created by healthcare services — where they may have provided a person’s maternity care but won’t provide contraception or abortion services — further exacerbate these issues, reduce choices and deny people’s reproductive rights.”

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Australia

Senior cardiologist lodges case with Federal Court arguing suspension during bullying investigation at Canberra Hospital was unfair

Another senior doctor from the Canberra Hospital has lodged a case in the Federal Court, opposing an investigation by the hospital into claims of bullying and misconduct.

Cardiologist Muayad Alasady has been suspended by the hospital while the investigation takes place.

His statement of claim reveals he wants the Federal Court to revoke his suspension and stop the investigation, on the grounds he has been denied procedural fairness under his enterprise agreement.

The documents lay out details of findings from several inquiries that drew on allegations from staff in the hospital’s cardiology department.

The initial report, commissioned in 2020, listed allegations of inappropriate behavior by some people working in the department, with claims of bullying and outbursts, including swearing, kicking doors and throwing objects, and consultants shouting and screaming at each other.

The report found there was a culture of blame and a lack of respect for co-workers by some doctors.

And the report also noted there was a clash between Dr Alasady and another doctor.

But the court documents point out that managers considered the report and took no action against Dr Alasady.

The fact they didn’t tell him what they had considered was a breach of the enterprise agreement and a denial of procedural fairness, the documents claim.

The documents outline how the same thing happened with later inquiries that detailed similar allegations, to which he wasn’t able to respond.

Dr Alasady was told in March that he would be suspended, during a formal investigation.

In their submissions to the court, his lawyers said he had been treated unfairly.

“The effect of the suspension decision is that the applicant has suffered reputational harm and denied the opportunity to practice his profession,” the submission states.

Last month, intensive care doctor Bronwyn Avard took her case to the Federal Court after she was subjected to an investigation for misconduct, including allegations of bullying, and urged not to come to work.

Dr Avard said she believed she was the target of retaliation for raising safety concerns over several years.

Neither case has a court date yet.

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Australia

The latest COVID-19 case numbers from around the states and territories

Here’s a quick wrap of each Australian jurisdiction’s latest COVID-19 statistics for Sunday, July 31.

You can get a more detailed, visual breakdown through the ABC’s Charting the Spread story here.

This list will be updated throughout the day, so if you do not see your state or territory, please check back later.

You can jump to the COVID-19 information you want to read by clicking below.

New South Wales

Five people in the state died with COVID-19 in the latest reporting period.

There are 2,265 people in hospital and 66 in intensive care.

10,993 new cases of COVID-19 were reported in the past 24 hours.

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Victory

The state reported 21 new deaths related to COVID-19 today.

There are 768 people hospitalized with COVID-19. There are 43 people in intensive care and seven patients on a ventilator.

Victoria has recorded 7,115 new cases of COVID-19.

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Tasmanian

There have been no COVID-19 related deaths in the state in the past 24 hours.

There are 150 people in hospital with COVID-19, and six patients requiring intensive care.

Tasmania recorded 649 new cases.

queensland

The state has recorded 4,655 new cases of COVID-19 in the past day.

There are 762 people in hospital with COVID-19 and 28 in intensive care.

Queensland does not report COVID-19 related deaths on weekends.

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ACT

There were 556 new cases of COVID-19 reported in 24 hours.

There are 163 people in hospital with COVID-19 and one person is in intensive care. No-one is requiring ventilation.

No new deaths have been reported.

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Northern Territory

There have been 236 new cases of COVID-19 reported in the Northern Territory in the past day.

There are 56 people in hospital with the virus and none in intensive care.

There have been no new deaths.

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Western Australia

Six people have died with COVID-19 in Western Australia in the latest reporting period.

There are 415 people in hospital with COVID-19 in the state, with 14 patients in intensive care.

Western Australia has recorded 3,252 new cases of the virus in the past 24 hours.

South Australia

Nine people have died with COVID-19 in the state in the past day.

There are 346 people in hospital with the virus and 11 in intensive care. No patients required ventilation.

The state recorded 2,364 new cases in the latest reporting period.

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Putting the latest COVID wave into perspective.

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