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Pandemic pandemonium: pass the paracetamol

Is that swine flu, would you say, or swine flew? Last Monday I collected the child from school, as you do, fully equipped with clothes change, chilled water and a snack, ready to warp-speed her off to if-it's-Monday-it-must-be-drama. But the child wouldn't eat, would barely drink, was shivering and had a headache so bad we canned drama, which she adores, and laid her out instead under five doonas and a snoring Burmese cat.

"I think I've got swine flu," was her only utterance which I, ever the devoted mother, ignored.

By Wednesday, medicated by bed, paracetamol and high-rise stacks of Asterix comics, she was clearly on the mend. Then the email arrived.

It was from school, two attachments. One, from that well-known health authority the NSW Education Department, bore the familiar injunction about kids returning from overseas needing a further week off school. The other was more specific, advising that a child from our school was recently in a situation where there had been community or school transmission of influenza and that "if your child is feeling unwell with any flu-like symptoms take them to emergency or ring your GP".

Sigh. I'm on deadline, and seven hours in casualty, crammed with people who probably really do have swine flu, isn't what I need. She's clearly not dying, so it's not about my child's health, it's about community responsibility. H1N109 is, after all, a notifiable disease, and we're talking pandemic, right? So I feel I should do, well, something.

I call the GP, explain the situation, thinking they'd have been briefed, have some decision-tree pinned by the phone. After all, I can hardly be the first to make such a call.

"I dunno" was the essence of it.

I read the email, aloud.

Uh, maybe call emergency?

"Will they," I ask, "be able to test for it on the spot?" I'm wondering how I'll know to keep her home for a week before it's all over.

"Yes, they'll take a swab."

"But that'll take a week to, like, fruit, right? Or is there an instant test?"

"Uh, yes, I think there's an instant test. Why don't you call emergency? Bye."

Anyone who has experienced hospital knows it's a brave thing to put the words "instant" and "emergency" in the same paragraph. But, still in the spirit of community service, I call the Children's Hospital emergency number. The receptionist sounds entirely nonplussed like, why call us? and gives me the Swine Flu Hotline.

As it happens, I've recently heard an excellent Richard Aedy interview on the rollout (such a confident image, that, like kicking a broadloom carpet out across the country) of the national HealthDirect hotline. Every phone-in, I now recall, will be triaged remotely by a registered nurse who, fully Google-mapped with their closest medical service, will instruct them in that direction, or not. That's the theory.

So it is with a warm sense of our starched and bosomy health system that I dial the Swine Flu Hotline.

"Uh, we're really a general information service," says the disembodied voice. "What's your postcode?"

I, always a sucker for a total non-sequitur, tell her it's Redfern, 2016.

Silence.

I add, helpfully, "I know my nearest hospital."

"Uh, you anywhere near Liverpool?" she says finally.

Fighting the urge to quip, "Is that Liverpool, Sydney or Liverpool, England?", I answer, "No, not really. But I do know the nearest hospital. It's Randwick. Or possibly Camperdown. Or I suppose St Vinnies. Or Sydney City."

"You near Parramatta then?"

"Uh, no. We're five minutes from Central, as in station."

"Well, we're really a general information service for the public."

The tone is peremptory, but I'm not ready for that.

"Isn't there some responsibility to report this disease? How can you know if it's a pandemic without some protocol for diagnosing and recording cases?"

"We're a general information line. You should probably call the local emergency."

"Yes, thank you. I've done that. They said to call you."

"Or you could try Health NSW. I could give you their number."

This strikes me as an unlikely remedy so I decline, politely, and call the school. "Is this serious," I ask? "Does someone actually have swine flu? A child in my daughter's class? Someone she knows?"

"I'm sorry, I know that but I can't tell you for privacy reasons."

I do not swear or tear my hair but reflect wistfully that thus is apathy forced upon us. I am close to giving up, but my curiosity is piqued and there's one more call to make. It becomes half a dozen but eventually yields the information that yes, there is an "instant test" for H1N109. It takes a few hours, not a few days, and it's available at Prince of Wales and Westmead.

So that's something. But it does not allay my sense that, however expertly the nanny state may stamp out both personal responsibility and cultural pizazz, any time you really need her, nanny's out to lunch.

Meanwhile, reports are incoming that a new human flu virus in pigs causes strange feathered irruptions on their shoulders.

This first appeared in The Sydney Morning Herald.

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Date: Newest first | Oldest first
After reading the reports on the Vic bushfire response and bureaucracy, and who is responsible or whose toes we cannot tread on, this is no surprise. Sad, but no surprise.
Posted by meg, 6/06/2009 12:49:53 AM
A decent read. Mr Dillon must be absent.
Posted by Joe, 6/06/2009 10:00:27 AM
Elizabeth, while I found your little story highly amusing, I also find it highly disturbing!!!Is this bureaucracy gone mad with a drop or two of apathy or is it an indication of a health department that doesn't know what it is doing???
Posted by Marienne, 7/06/2009 10:09:16 AM
why implement a system if it just fails to work! its not instilling any confidence in me!
Posted by pigs fly, 8/06/2009 8:36:37 AM
I had a similar experience when I mentioned to my GP that I was coming down with the flu (now I knew all my immediate family, children grand children had all recently had the flu and I was next inline), my GP's response take Panadol go to bed. No questions had I traveled, could I have come in contact with anyone who had, no not a peep. Now I know when I get a good dose of flu it always eventually goes to my chest as bronchitis, but I know better than to ask for antibiotics up front for the future chest infection. Sure enough two days later I attend a regional hospital, that I know has two swine flu patients. They were not busy on Saturday morning I get straight in they give me a mask, alcohol hand wash & wait for a Dr who was very good asks me if I think I may have swine flu which I am sure I do not because of my family flu epidemic. I take the mask off, checks my chest confirms the bronchitis gives me antibiotics. No tests for swine flu are offered or suggested. The truth is I really don't know who I shared a seat with or checkout line, whose sneeze I walked through. I hope I did have swine flu and my family because we would now have an immunity but I may never know nor the people I have passed it on too. We are clearly not prepared for a pandemic if this is a drill for a real pandemic our bureaucracy has failed us miserably
Posted by Progressive Thinker, 9/06/2009 12:32:46 PM
Jeez it is just the flu... sure it has taken the medical professional by surprise... sure we didn't get it included in our 'cocktail' of flu vaccine... sure we will exhibit the 'flu' symptoms but for gods sake it is just a flu version... if you are an 'at risk person' take the precautions you need to be taking for all flu... and make sure you are treating/getting help for the condition that it may worsen... BTW I'm a cab driver and have been exposed to every damm flu that has ever graced our shores... and you just need to take the ness precautions... like wash your hands... don't sneeze on people and attend to your general health... and get the flu vaccine... it really helps...
Posted by Just John, 9/06/2009 9:23:15 PM
For goodness sake, will somebody wake up, some would probably be better off getting a dose of any flu, to lose some of that unwanted fat around the middle. No, I don't want it, but when you look at our society these days, we need help in any shape or form. With care, you'd get over a dose of this flu quicker than a tummy staple job. No, I'm not trying to be mean, just realistic, we've become a race of obese monsters, and disgust the skinny that come from the poorer nations, and I don't blame them.
Posted by Mamamia, 9/06/2009 11:22:35 PM
My mum was in hospital some time back and a person in her ward had a serious (non treatable with antibiotic) infection. That person was put into a single room. I met her and her partner moving around the hopsital several time over the next few days. 2 weeks after my mum had been moved to another hospital, the powers that be isolated her. This consisted of a single room with an alcohol hand wash before you left the room. She had by then, shared a ward with 8 other people , note sharing a bathroom. They tested mum and luckily she was cleared, but my queries uncovered that if she had tested positive only those people that went to other health facilites would be notified of the potential problem. Anyone who went home would be unaware of the potential exposure. Therefore spreading the infection merrily. Their doctors not looking for the appropriate disease initially as it would not be top of the list. My concerns and astonishment at this system where met with "that's how the system works". That being told I hold little hope for our ability to deal with our current health crisis. The horse flu, just hightlighted that. It does amaze me that the states can have different controls, the allowing of a football match that will knowingly import thousands of interstate people into an area where the number of the disease are suddenly rising says it all. It's all about the mighty dollar and nobody being prepared to loose a little for the greater good. Now where did I leave my mask and gloves.
Posted by dismayed, 10/06/2009 10:04:23 AM
I think its out of control now and we will just have to take whatever precautions that are available to each and every one of us . Yes its scary and we really know very little about it . Lets just hope it stays mild and we all survive this disaster too .
Posted by malleemiss, 11/06/2009 3:34:41 AM
It's just the flu.
Posted by What The!!, 11/06/2009 10:44:52 AM
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