29

Jul 2025

Ambulance Victoria’s Geelong Region in Crisis: Mobile ICU Shifts Left Unfilled

Published in News on July 29, 2025

Leaked internal communications from Ambulance Victoria reveal a growing crisis across the Geelong region, including areas stretching from Werribee to Warrnambool. The service has been repeatedly unable to staff its Mobile Intensive Care Ambulance (MICA) units—a core emergency resource—raising serious safety concerns. Staff Shortages Now at Critical Levels According to local paramedics, "dropped shifts" are routine: there were at least eight instances in May where no MICA specialist was available in the region, leaving only a single vehicle to cover an area of nearly 200 kilometres. MICA paramedics are among the most highly trained in Victoria, requiring years of experience and postgraduate training. When those shifts go unfilled, lower-qualified staff are deployed instead, prompting “difficult workflow” changes—such as converting a MICA vehicle into a basic Ambulance Response Unit (ARU), with some specialist equipment removed to match the staff level. Union Raises Alarm Over Patient Safety The Victorian Ambulance Union, led by Secretary Danny Hill, has declared the situation a true emergency. Hill warns that when MICA support isn’t available, standard Advanced Life Support paramedics face heightened pressure and potentially life-threatening delays. Hill explains that ALS paramedics often request MICA backup during high-risk patient calls, only to be told there’s none available or that coverage would come from as far as Ballarat or Melbourne. The union blames staffing exhaustion, burnout, and unsustainable rostering practices for the crisis. Text Alerts Reveal Shift Coverage Strain Internal documents obtained by the ABC show 46 shift-fill messages were sent over a 57-day period between late April and mid-June. These alerts were often issued with minimal notice—sometimes just one hour before a shift was due to begin—making it difficult for paramedics to fill gaps. MICA Capacity Hits 10-Year Low According to Ambulance Victoria’s latest annual report, full-time equivalent MICA staffing levels dropped to 503.4 in 2023–24—the lowest level in a decade. In comparison, the peak staffing was 569.1 in 2018–19. While the agency notes that an influx of newly-trained MICA paramedics may help reverse this trend, it has not addressed how or why such a steep decline occurred. Broader Systemic Challenges: Burnout, Dispatch Failures, and Overtime Paramedics across Geelong have raised concerns about an aging dispatch system that frequently prioritises low-acuity calls over serious emergencies. A local paramedic described carrying out missions unrelated to paramedic-level care—such as dental pain complaints—as stretching resources improperly. ALS and MICA staff report excessive overtime, sick leave, and prolonged fatigue. Many paramedics work so much overtime that they regularly exceed standard hours—leading to deep burnout. Union officials say one in five staff plan to leave the profession within a year due to these conditions. What Ambulance Victoria Says In response, Ambulance Victoria released a statement citing a “dynamic operating model” involving flexible crewing, cross-regional support, and shift texts to manage resources. However, the organisation declined to confirm the number of dropped shifts or express concern over the staffing low. Why This Matters Lives at Risk: Without MICA specialists available, paramedics face challenges treating the most critically ill, increasing the potential for adverse outcomes. Coverage Gaps: The Geelong-region MICA team now operates with fewer staff, even as population and call volumes rise. Workforce Fragility: Staff models relying on frequent overtime and quick shift fills demonstrate unsustainable attrition rates and low morale. Adding to the Strain: Hospital Stays and Accommodation Pressure Beyond the emergency response itself, the lack of consistent MICA coverage can create downstream effects on hospital systems—particularly in regional areas like Geelong. Critically ill patients transferred to major city hospitals often require extended stays, which places pressure not only on bed capacity but also on families who must travel to be near loved ones during treatment. This is where hospital stay accommodation options become increasingly vital. Services offering fully furnished, short- to medium-term apartments near hospitals are playing an important role in easing the emotional and financial stress on patients’ families. In times of medical crisis, especially when specialist care is centralised in metropolitan hubs, having access to convenient, home-like accommodation can make a tangible difference in recovery and support. Final Thoughts The crisis gripping the Geelong region isn’t isolated—it’s symptomatic of wider workforce and policy gaps within Victoria’s ambulance service. Filling MICA shifts isn’t just a staffing issue; it’s about ensuring critically ill patients receive intensive support when and where they need it. Urgent and systemic reform is required to avoid preventable risks and burnout across the emergency care workforce.

Leaked internal communications from Ambulance Victoria reveal a growing crisis across the Geelong region, including areas stretching from Werribee to Warrnambool. The service has been repeatedly unable to staff its Mobile Intensive Care Ambulance (MICA) units—a core emergency resource—raising serious safety concerns.

Staff Shortages Now at Critical Levels

According to local paramedics, "dropped shifts" are routine: there were at least eight instances in May where no MICA specialist was available in the region, leaving only a single vehicle to cover an area of nearly 200 kilometres.

MICA paramedics are among the most highly trained in Victoria, requiring years of experience and postgraduate training. When those shifts go unfilled, lower-qualified staff are deployed instead, prompting “difficult workflow” changes—such as converting a MICA vehicle into a basic Ambulance Response Unit (ARU), with some specialist equipment removed to match the staff level.

Union Raises Alarm Over Patient Safety

The Victorian Ambulance Union, led by Secretary Danny Hill, has declared the situation a true emergency. Hill warns that when MICA support isn’t available, standard Advanced Life Support paramedics face heightened pressure and potentially life-threatening delays.

Hill explains that ALS paramedics often request MICA backup during high-risk patient calls, only to be told there’s none available or that coverage would come from as far as Ballarat or Melbourne. The union blames staffing exhaustion, burnout, and unsustainable rostering practices for the crisis.

Text Alerts Reveal Shift Coverage Strain

Internal documents obtained by the ABC show 46 shift-fill messages were sent over a 57-day period between late April and mid-June. These alerts were often issued with minimal notice—sometimes just one hour before a shift was due to begin—making it difficult for paramedics to fill gaps.

MICA Capacity Hits 10-Year Low

According to Ambulance Victoria’s latest annual report, full-time equivalent MICA staffing levels dropped to 503.4 in 2023–24—the lowest level in a decade. In comparison, the peak staffing was 569.1 in 2018–19.

While the agency notes that an influx of newly-trained MICA paramedics may help reverse this trend, it has not addressed how or why such a steep decline occurred.

Broader Systemic Challenges: Burnout, Dispatch Failures, and Overtime

Paramedics across Geelong have raised concerns about an aging dispatch system that frequently prioritises low-acuity calls over serious emergencies. A local paramedic described carrying out missions unrelated to paramedic-level care—such as dental pain complaints—as stretching resources improperly.

ALS and MICA staff report excessive overtime, sick leave, and prolonged fatigue. Many paramedics work so much overtime that they regularly exceed standard hours—leading to deep burnout. Union officials say one in five staff plan to leave the profession within a year due to these conditions.

What Ambulance Victoria Says

In response, Ambulance Victoria released a statement citing a “dynamic operating model” involving flexible crewing, cross-regional support, and shift texts to manage resources. However, the organisation declined to confirm the number of dropped shifts or express concern over the staffing low.

Why This Matters

  • Lives at Risk: Without MICA specialists available, paramedics face challenges treating the most critically ill, increasing the potential for adverse outcomes.
  • Coverage Gaps: The Geelong-region MICA team now operates with fewer staff, even as population and call volumes rise.
  • Workforce Fragility: Staff models relying on frequent overtime and quick shift fills demonstrate unsustainable attrition rates and low morale.

Adding to the Strain: Hospital Stays and Accommodation Pressure

Beyond the emergency response itself, the lack of consistent MICA coverage can create downstream effects on hospital systems—particularly in regional areas like Geelong. Critically ill patients transferred to major city hospitals often require extended stays, which places pressure not only on bed capacity but also on families who must travel to be near loved ones during treatment.

This is where hospital stay accommodation options become increasingly vital. Services offering fully furnished, short- to medium-term apartments near hospitals are playing an important role in easing the emotional and financial stress on patients’ families. In times of medical crisis, especially when specialist care is centralised in metropolitan hubs, having access to convenient, home-like accommodation can make a tangible difference in recovery and support.

Final Thoughts

The crisis gripping the Geelong region isn’t isolated—it’s symptomatic of wider workforce and policy gaps within Victoria’s ambulance service. Filling MICA shifts isn’t just a staffing issue; it’s about ensuring critically ill patients receive intensive support when and where they need it. Urgent and systemic reform is required to avoid preventable risks and burnout across the emergency care workforce.

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Residents in Australia’s regional and remote communities often face long waits—or dangerous transfers—to reach hospitals equipped with CT scanners. But a new initiative led by Monash University’s Design Health Collab, together with Micro‑X and Johns Hopkins University, promises to bring full-body imaging directly to remote towns and clinics. Why This Matters Access to CT scans can mean the difference between life and death—especially for head trauma, stroke, cancer follow-up, or internal injuries. Yet most rural health centres lack this capability, forcing patients to endure lengthy, risky trips to major hospitals. As Sue Carroll, the nurse manager at Swifts Creek Bush Nursing Centre (nearly 400 km from Melbourne), puts it: “Time is critical… you need them moved immediately.” This new lightweight CT scanner is specifically designed to tackle that delay and disruption. The Innovation: Compact, Vehicle-Compatible CT Weighing just 225 kg, the scanner uses Micro‑X’s Nano Electronic X-ray (NEX) technology. That’s a drastic reduction compared to traditional CT scanners—typically over 2 tonnes. By contrast, existing mobile CT trailers weigh hundreds of kilograms and require large vehicles and infrastructure. This compact design enables CT hardware to fit inside standard-sized vans or ambulances. The lightweight design doesn’t sacrifice quality, using carbon nanotube emitter technology to deliver high-resolution, hospital-grade scans, even at lower radiation doses. How It Works in Practice This model can operate in two ways: On-demand mobile units, akin to ambulance callouts. Scheduled regional rotations, like breast-screening vans, visit remote communities to provide regular diagnostic scans. Clinics in towns like Omeo and Swifts Creek could then access CT imaging without long-distance transfers. Patients and community leaders enthusiastically support this innovation—and see its broad potential. Global & Policy Support The project is funded by a US$16.4 million (≈ A$25 million) contract from the ARPA‑H PARADIGM program, aimed at scaling rural healthcare delivery through mobile platforms. Monash University is one of twelve international teams selected. While the current design is targeted at U.S. clinical trials (beginning as early as 2029), Monash researchers express strong interest in adapting the technology for Australian deployment. Why It Matters for Outback Healthcare Australia’s "postcode health inequality" is stark: fewer than 20% of radiologists and 17% of imaging technologists practice outside major cities. Rural residents can wait three to six hours longer for imaging, especially after strokes—delays that significantly impact recovery outcomes. If implemented locally, the lightweight CT scanner could: Reduce out-of-town transfers and delays Provide early detection for diseases like cancer or head injuries Enable non-specialist clinicians to operate imaging—with minimal training Bring consistency and equity to healthcare access across Australia Challenges & Next Steps While the potential is huge, a few factors remain to be addressed: Clinical validation of image quality and diagnostic reliability compared to hospital CT units Radiation safety protocols and licencing for operating in field settings Power and connectivity infrastructure in rural areas Training of generalist operators, given scarce specialist staffing in remote towns Dr Nyein Chan Aung from Monash’s Design Health Collab emphasises that the scanner is being rebuilt from the ground up—with design tailored for clinical use by generalists in austere environments. Looking Ahead By 2029, ARPA-H trials in the U.S. will begin. With strong interest from Australian public health systems, the technology may arrive Down Under within the next few years—if partnered with funding and regulatory support. If it achieves clinical rollout in regional Australia, the scanner could be integrated into: Mobile clinics and screening vans Helimed units and ambulances equipped for stroke care Pop-up diagnostic services in remote communities This innovation holds the promise of ending the days when living in a rural postcode equals compromised healthcare access. The development of this ultra-light mobile CT scanner is a breakthrough for healthcare access—and a model for bridging the gap between hospital services and remote communities. With continued partnerships and funding, Australia may soon witness hospital-level diagnostic care delivered directly into the bush. To fully realise this vision, collaboration will be essential—not only between technology developers and healthcare providers, but also across state and federal health departments. Partnerships that include logistical support and investment in hospital stay accommodation near regional hubs will also be key. These accommodations allow families of rural patients to stay close during treatment, bridging another critical gap in the care journey.
Lightweight Mobile CT Scanner Could Transform Rural Healthcare Access
Leaked internal communications from Ambulance Victoria reveal a growing crisis across the Geelong region, including areas stretching from Werribee to Warrnambool. The service has been repeatedly unable to staff its Mobile Intensive Care Ambulance (MICA) units—a core emergency resource—raising serious safety concerns. Staff Shortages Now at Critical Levels According to local paramedics, "dropped shifts" are routine: there were at least eight instances in May where no MICA specialist was available in the region, leaving only a single vehicle to cover an area of nearly 200 kilometres. MICA paramedics are among the most highly trained in Victoria, requiring years of experience and postgraduate training. When those shifts go unfilled, lower-qualified staff are deployed instead, prompting “difficult workflow” changes—such as converting a MICA vehicle into a basic Ambulance Response Unit (ARU), with some specialist equipment removed to match the staff level. Union Raises Alarm Over Patient Safety The Victorian Ambulance Union, led by Secretary Danny Hill, has declared the situation a true emergency. Hill warns that when MICA support isn’t available, standard Advanced Life Support paramedics face heightened pressure and potentially life-threatening delays. Hill explains that ALS paramedics often request MICA backup during high-risk patient calls, only to be told there’s none available or that coverage would come from as far as Ballarat or Melbourne. The union blames staffing exhaustion, burnout, and unsustainable rostering practices for the crisis. Text Alerts Reveal Shift Coverage Strain Internal documents obtained by the ABC show 46 shift-fill messages were sent over a 57-day period between late April and mid-June. These alerts were often issued with minimal notice—sometimes just one hour before a shift was due to begin—making it difficult for paramedics to fill gaps. MICA Capacity Hits 10-Year Low According to Ambulance Victoria’s latest annual report, full-time equivalent MICA staffing levels dropped to 503.4 in 2023–24—the lowest level in a decade. In comparison, the peak staffing was 569.1 in 2018–19. While the agency notes that an influx of newly-trained MICA paramedics may help reverse this trend, it has not addressed how or why such a steep decline occurred. Broader Systemic Challenges: Burnout, Dispatch Failures, and Overtime Paramedics across Geelong have raised concerns about an aging dispatch system that frequently prioritises low-acuity calls over serious emergencies. A local paramedic described carrying out missions unrelated to paramedic-level care—such as dental pain complaints—as stretching resources improperly. ALS and MICA staff report excessive overtime, sick leave, and prolonged fatigue. Many paramedics work so much overtime that they regularly exceed standard hours—leading to deep burnout. Union officials say one in five staff plan to leave the profession within a year due to these conditions. What Ambulance Victoria Says In response, Ambulance Victoria released a statement citing a “dynamic operating model” involving flexible crewing, cross-regional support, and shift texts to manage resources. However, the organisation declined to confirm the number of dropped shifts or express concern over the staffing low. Why This Matters Lives at Risk: Without MICA specialists available, paramedics face challenges treating the most critically ill, increasing the potential for adverse outcomes. Coverage Gaps: The Geelong-region MICA team now operates with fewer staff, even as population and call volumes rise. Workforce Fragility: Staff models relying on frequent overtime and quick shift fills demonstrate unsustainable attrition rates and low morale. Adding to the Strain: Hospital Stays and Accommodation Pressure Beyond the emergency response itself, the lack of consistent MICA coverage can create downstream effects on hospital systems—particularly in regional areas like Geelong. Critically ill patients transferred to major city hospitals often require extended stays, which places pressure not only on bed capacity but also on families who must travel to be near loved ones during treatment. This is where hospital stay accommodation options become increasingly vital. Services offering fully furnished, short- to medium-term apartments near hospitals are playing an important role in easing the emotional and financial stress on patients’ families. In times of medical crisis, especially when specialist care is centralised in metropolitan hubs, having access to convenient, home-like accommodation can make a tangible difference in recovery and support. Final Thoughts The crisis gripping the Geelong region isn’t isolated—it’s symptomatic of wider workforce and policy gaps within Victoria’s ambulance service. Filling MICA shifts isn’t just a staffing issue; it’s about ensuring critically ill patients receive intensive support when and where they need it. Urgent and systemic reform is required to avoid preventable risks and burnout across the emergency care workforce.
Ambulance Victoria’s Geelong Region in Crisis: Mobile ICU Shifts Left Unfilled
Australians living with epilepsy are now seeing life-changing results thanks to artificial intelligence (AI), which is helping doctors detect subtle brain abnormalities and recommend surgical treatments in record time. The Australian Epilepsy Project (AEP) has introduced a revolutionary approach by integrating AI into the diagnostic process, combining MRI scans, cognitive tests, and genetic data to identify lesions that traditional methods may overlook. This cutting-edge technology is not only fast-tracking treatment decisions but also providing new hope for patients who have lived with epilepsy for years without answers. From Misdiagnosis to Clarity One of the biggest challenges in epilepsy treatment has been the inability to detect abnormalities in standard scans. Professor Graeme Jackson, Clinical Director of the AEP, said AI is now uncovering subtle brain abnormalities in up to 10% of patients previously told their scans were clear. “These patients were left in limbo, with seizures that impacted every part of their lives,” he said. “Now, with AI, we’re getting clarity.” The platform works by analysing more than 600,000 data points per patient, using cloud computing provided by Amazon Web Services (AWS). The results—up to 10 million individual data insights—are processed within just 20 hours and delivered in a clear, digestible format for doctors. Changing Lives in Years, Not Decades Amanda Anderson, a mother from Melbourne, is one of the many success stories. After suffering seizures for nearly two decades, she underwent surgery based on AI-assisted diagnosis. Today, Amanda is seizure-free and back to living a full, vibrant life. “I only wish it had come sooner,” she said. “This technology has given me a second chance.” According to researchers, patients are now moving from diagnosis to surgery in as little as two years—a stark contrast to the 20-year average previously experienced by many Australians with epilepsy. The Technology Behind the Transformation The AEP’s AI system is designed to augment medical expertise, not replace it. It helps identify candidates for surgery by finding abnormalities that trained professionals might miss. In partnership with the UK’s University College London, the MELD (Multi-centre Epilepsy Lesion Detection) Project has also created an AI tool that successfully locates previously undetected brain lesions in two-thirds of patients. These findings can dramatically change treatment pathways. The data is not just being used for diagnosis; it’s also enabling predictive analytics. Clinicians can assess the likelihood of successful surgery before the procedure takes place—giving patients a clearer understanding of potential outcomes. A National and Global Effort While the Australian Epilepsy Project is leading the charge locally, the implications of this innovation are global. By centralising and analysing patient data across regions, researchers hope to extend the benefits of AI-driven treatment to more people, especially those in rural and remote areas. Currently, only 1% of eligible epilepsy patients in Australia receive surgical intervention. Experts believe that with AI, this figure could dramatically increase, saving lives and reducing the long-term health and financial burden on the healthcare system. As these advanced treatments become more accessible, the need for practical support services—such as hospital stay accommodation near major medical facilities—is also growing. Programs offering fully furnished short-term apartments for patients and their families help ease the stress of travel and recovery, ensuring that distance is no longer a barrier to care. Looking Ahead As technology continues to evolve, so does the potential to revolutionise neurological care. The integration of AI into epilepsy treatment marks a pivotal moment for both patients and practitioners. It offers faster answers, safer procedures, and—most importantly—renewed hope. For Amanda and thousands like her, the message is clear: The future of epilepsy care has arrived, and it’s powered by intelligence.
AI Breakthrough Offers Hope for Epilepsy Patients Through Faster, More Accurate Surgery
As artificial intelligence advances, deepfake media—video, audio, images—are now so realistic they can mimic real individuals with alarming accuracy. While often discussed in politics or entertainment, the rise of AI-generated falsified content is increasingly targeting the healthcare sector, putting patient safety, diagnosis integrity, and public trust at serious risk. What Are Deepfakes—and Why Is Healthcare Especially Vulnerable? Deepfakes are AI-generated synthetic media, created using machine learning tools like generative adversarial networks (GANs) and variational autoencoders (VAEs). They blur the boundary between reality and fabrication, enabling realistic cloning of someone's face or voice. Healthcare is uniquely exposed for several reasons: Trust-based interactions: Patients and staff often rely on verbal and visual cues that we assume are genuine. Telemedicine’s rise: Virtual consultations are now standard, but deepfakes can mimic both doctors and patients in these environments. High-value data: Patient records, scans, and personal data are premium targets for fraud or identity theft. 1. Impersonating Medical Professionals and Patients One of the most concerning weaponisations of deepfake tech involves credible audio or video impersonations of healthcare workers. Attackers could create a doctor’s voice directing staff to share patient histories, alter medical records, or divulge credentials. They could also impersonate patients to gain unauthorized access to systems or request controlled substances. Researchers describe this use—social engineering via deepfake—as an emerging and highly dangerous threat in healthcare environments. 2. Tampering with Medical Imaging & Diagnostics Deepfake technology can manipulate medical test results. A notable study simulated fake CT scans by adding or removing tumours. Radiologists misdiagnosed merged models in nearly 60–99% of cases—even when told to expect manipulated images. The implications are dire: inaccurate imaging can mislead therapeutic decision-making, prompting unnecessary surgeries or treatments, or cause insurers to be defrauded. 3. Facilitating Disinformation & Health Misinformation Deepfakes have proliferated in spreading harmful or misleading medical advice. Australian organisations like Diabetes Victoria and the Baker Heart & Diabetes Institute were impersonated in fake video endorsements for unproven supplements. The Australian Medical Association is now calling on the federal government for tougher regulation to curb such fraudulent campaigns. Globally, respected doctors—including figures like Michael Mosley—have had their likeness and voice used in deepfake ads promoting scams for diabetes, weight loss, and hypertension cures. 4. Disrupting Telemedicine & Facilitating Fraud As telehealth continues to expand, deepfakes pose a risk to both sides of the consultation. A fake patient could obtain prescriptions or sick notes; a fake doctor could misdiagnose or advise dangerous regimens. This endangers patient safety, invites insurance fraud, and undermines telehealth credibility. 5. Eroding Trust and Damaging Reputations Once people see a fake video of a trusted health official endorsing harmful advice or products, scepticism toward real communications and institutions intensifies. Trust—notoriously hard to build—can unravel quickly. What Can Healthcare Organisations Do? Human & System-Based Defences Educate staff about the risks of deepfake attacks and phishing tactics, including scrutinising unexpected calls or video messages—even if they seem to come from senior personnel. Limit public exposure of staff identities or personal videos, which can be used to train deepfake models. Introduce identity checks in telehealth consultations, such as asking patients to show physical ID or perform confirmation gestures in real time. Technological Safeguards Deploy AI-based detection tools that spot subtle anomalies in facial movements, lighting, or voice cadence indicative of deepfakes. Use digital watermarking and blockchain-based provenance systems to verify media authenticity and trace its source. Implement voice authentication systems, such as biometric voice signature tools, that add strong verification before sensitive transactions. Enforce robust cybersecurity practices: multifactor authentication, encryption of stored and transmitted data, and updated systems on medical devices to prevent manipulation. Encourage Critical Engagement Promote media literacy campaigns so both staff and patients can question content—even from trusted sources—and spot potential fakes. Broader Context: Regulation and Awareness Australia has already faced deepfake-related scandals—like non-consensual creation of explicit images targeting public servants—prompting calls for unified legal frameworks across states. Meta Platforms has begun rolling out deepfake mitigation—such as algorithmically downgrading content and labelling AI‑generated media—especially around sensitive areas like elections. Similar measures may be needed for health-related content. Final Thoughts: A New Cyber‑Health Frontier The rise of deepfakes presents a complex challenge for healthcare systems worldwide. Mere trust in voices or images is no longer enough. Deepfakes can be weaponised—from fraud and misinformation to medical misdiagnosis and reputational harm.  But there are proactive steps institutions can take: combining human awareness, technological defences, legal safeguards, and ongoing training. With multi-layered protections, healthcare providers can shield patient safety, protect data integrity, and preserve public trust in a digital era.
Health at Risk: Deepfakes Are Targeting the Medical World
As colder months roll in, so does the heightened risk of illness. Whether it's COVID-19, the flu, or common cold viruses, our homes can easily become hotspots for transmission, especially when family members live closely together and spend more time indoors. Fortunately, there are practical and evidence-based steps you can take to reduce the spread of these illnesses at home. 1. Wear Masks Indoors if Someone is Sick One of the simplest yet most effective ways to limit transmission is wearing a mask, especially when someone in the household is showing symptoms. According to Professor Catherine Bennett, an epidemiologist at Deakin University, wearing a well-fitted mask indoors can significantly reduce the chances of the virus being passed on through respiratory droplets. While mask-wearing may not be second nature to everyone anymore, it’s a small act that can make a big difference—particularly if you live in an apartment, have limited space, or share common areas like the kitchen and bathroom. 2. Increase Ventilation and Fresh Air Circulation In the colder seasons, homes are often tightly sealed to keep the warmth in. However, this creates a perfect environment for viruses to linger in the air. Improving airflow can reduce the concentration of virus particles indoors. Open windows and doors regularly—if only for a few minutes—to let fresh air in and stale, potentially contaminated air out. Using fans to direct air toward open windows or turning on exhaust fans in the kitchen and bathroom can also enhance ventilation. Air purifiers with HEPA filters are another helpful tool, especially in households with vulnerable individuals. 3. Clean Shared Surfaces Frequently Viruses like the flu and COVID-19 can survive on surfaces for hours or even days. Shared areas—such as the bathroom, kitchen, or remote controls—should be cleaned regularly, particularly if someone in the home is unwell. Focus on disinfecting high-touch areas like doorknobs, light switches, handles, and faucets. Don’t forget to wash your hands thoroughly and frequently. Encourage others at home to do the same, especially before eating or touching their face. 4. Avoid Sharing Personal Items Another easy step to prevent transmission is avoiding the sharing of cups, utensils, towels, or bedding. Even if symptoms are mild, infected individuals can still shed virus particles and unknowingly pass them on. Assign separate items for the sick person whenever possible. If space allows, designate a specific bathroom for the sick individual. If that’s not possible, be extra diligent in cleaning shared facilities after each use. 5. Stay on Top of Vaccinations Being up-to-date with vaccines—especially for influenza and COVID-19—provides crucial protection against severe illness and hospitalisation. It also helps reduce the viral load, meaning if someone does get infected, they’re less likely to pass it on to others in the household. Dr. Bruce Foggo, a GP and medical adviser to the Australian government, reminds everyone that vaccinations remain one of the strongest tools in our public health arsenal. It's especially important for those with underlying health conditions, older adults, and those who care for vulnerable people. 6. Isolate and Rest if You're Sick If you develop symptoms of any respiratory illness, staying home and isolating is still highly recommended—even if it’s “just a cold.” Avoiding contact with others until your symptoms improve (especially fever, coughing, or sneezing) is key to preventing transmission. Where possible, the sick person should stay in a separate room and use a different bathroom. Meals should be delivered to their room, and interaction kept to a minimum. It's a kindness not only to those you live with but to the broader community. 7. Use Antivirals If Eligible In some cases, especially for those who are at higher risk of complications, antivirals may be prescribed to help shorten the duration or reduce the severity of illness. Early consultation with a healthcare provider is essential, as most antivirals work best when taken within a day or two of symptom onset. This can be particularly helpful in protecting elderly household members, people with compromised immune systems, or those with chronic medical conditions. 8. Have a Household Health Plan Finally, preparation goes a long way. Stock your home with essentials like masks, hand sanitiser, cleaning supplies, pain relievers, tissues, and a thermometer. Know your local testing locations or telehealth services, and stay informed on current health advice through reliable sources like your state health department or trusted news outlets. Final Thoughts Preventing the spread of viruses like COVID-19, influenza, and the common cold doesn’t have to be overwhelming. Simple steps—like mask-wearing, improved airflow, regular cleaning, and up-to-date vaccinations—can make a significant difference in protecting your household. As we spend more time indoors this winter, these small efforts are essential acts of care for ourselves and our loved ones.
How to Reduce Viral Transmission at Home
The Need for Modernisation Constructed in 1978, Westmead’s existing labs process roughly 10,000 pathology tests daily, ranging from routine blood screenings to complex molecular diagnostics. However, decades without substantial updates have left the facility outdated and strained. According to NSW Health Pathology CEO Vanessa Janissen, the current setup is “no longer fit for purpose,” necessitating a complete overhaul. What the New Hub Will Deliver New Statewide Hub & ICPMR Expansion The funding will support both the creation of a centralised pathology hub and the extension of the Institute of Clinical Pathology and Medical Research (ICPMR) on-site. Enhanced Biocontainment Capability The upgrade includes expansion of the PC4 biocontainment laboratory—the only one in NSW capable of safely handling high-risk pathogens, including Ebola, measles, influenza, and SARS‑CoV‑2. Automation for Faster Results Incorporating automation and robotic systems will streamline workflows, ensuring clinicians receive 10,000 daily results quickly and with higher accuracy. According to Professor David Brown, this will guarantee that patients receive the “right test, at the right time, with the right result” Cutting-Edge Genomics and Precision Medicine The hub will support advanced genomic sequencing and precision diagnostics, fostering personalised treatment strategies and bolstering clinical trial support alongside research partnerships with universities and Local Health Districts. Impact on Clinical Care and Public Health This centralised hub won't just serve Westmead—but will function as the core of NSW’s networked pathology service, offering: Rapid diagnostic support for Western Sydney’s growing population. Improved statewide pandemic readiness with modern containment infrastructure and rapid pathogen detection. Strengthened public health surveillance, crucial for monitoring disease outbreaks and emerging health threats. Strategic Benefits and Future Outlook Premier Chris Minns and Health Minister Ryan Park view this as the single-largest infrastructure investment ever for pathology in NSW. It marks a decisive shift toward modern, centralised diagnostic services that leverage emerging technologies. Janissen emphasises this is a "turning point" for pathology service delivery, promising a future-ready foundation for evolving medical needs and technological advances. Regional Growth & Job Creation This hub complements the Westmead precinct’s expansion, which already includes a new Integrated Health Care Complex (A$540 million). Together, these projects reinforce the area’s position as a major health, research, and innovation precinct within Western Sydney. Wrapping Up Westmead Hospital’s new pathology hub is more than a facility upgrade—it’s a strategic leap into the future of diagnostics, research, and outbreak response. By integrating advanced automation, biocontainment, and precision medicine under one roof, it aims to deliver faster, more reliable results and strengthen public health infrastructure statewide. The transformation underscores NSW’s commitment to supporting one of Australia’s largest population catchments—and building a resilient, tech-driven health system prepared for tomorrow’s challenges.
Westmead Hospital to Host NSW’s Largest Statewide Pathology Hub
As part of the $1.1 billion redevelopment of Frankston Hospital, commissioned works by four Australian artists—Richard Briggs, Dan Elborne, Jody Rallah, and Hannah Quinlivan—are being integrated into the design under the theme “Healing Country, Healing People.” Drawing from the natural ecosystems and Indigenous heritage of Frankston and the Mornington Peninsula, their creations aim to foster calm, cultural connection, and wellbeing in the new healthcare environment. Artists & Their Artistic Visions Richard Briggs will craft Flourishing Forest, a sweeping line drawing that captures the kelp forests of Port Phillip Bay—vital underwater ecosystems that support marine life. His work reflects both ecological restoration and community resilience. Dan Elborne is designing The Pillar, a 3.6‑metre sculpture positioned at the hospital entrance. Made with community‑shaped ceramic tiles and local materials—such as sand from Carrum—this piece symbolises connection to the Boonwurrung/Bunurong land and marks the threshold between community and care. Jody Rallah (Yuggera‑Yugggerabul/Biri‑Bindal) will create The Yarning Circle, a metallic inlay embedded in the paving of the Arrivals Garden. Inspired by the life cycle and migration of short‑finned eels in Kananook Creek, it expresses themes of resilience and transformation at a space designated for First Nations smoking ceremonies. Hannah Quinlivan’s Whispers of the Wetland combines a mural and sculptural elements reflecting the waterways of the Carrum Carrum wetlands. Located in the reception area, it aims to greet visitors with a visual invitation to consider the connection between Health and Country. Art Meets Architecture These pieces will be among the first elements experienced by visitors, arriving alongside Frankston’s new entrance and clinical tower, and are scheduled for unveiling as the redevelopment nears completion by the end of 2025. The expanded hospital will include a 12‑storey clinical tower, 130 new beds, fifteen operating theatres, upgraded emergency, maternity, oncology, and paediatric units. Community Participation & Cultural Significance Briggs and Elborne are hosting community clay‑shaping workshops, inviting local residents to contribute to The Pillar’s mosaic tiles and share stories reflecting on local landscapes, particularly kelp forest restoration efforts. These initiatives underscore the project’s ethos: healing Country, and by extension, healing the community. Integration & Purpose The artworks serve not only as visual enhancements but also as cultural anchors—bridging traditional ecological knowledge with spaces of clinical care. This approach helps foster a sense of place, belonging, and emotional comfort from the moment someone enters the hospital grounds. For patients and families who travel from regional areas, this welcoming environment—combined with access to appropriate hospital accommodation—can make a significant difference in how care is experienced and sustained across longer stays. Broader Context: A Transformative Redevelopment Backed by the Victorian Health Building Authority and delivered via a public–private partnership led by Exemplar Health, the hospital transformation spans design, construction, and 25-year operations. The project promises to treat up to 35,000 additional patients annually, help reduce waiting times, and generate new jobs and local economic activity. Importantly, investments in patient-centric amenities—including comfortable hospital stay facilities for long-distance and vulnerable patients—form part of a broader strategy to support not just clinical outcomes, but holistic wellbeing throughout the care journey.
Healing Country, Healing People: Artworks for Frankston Hospital’s Transformation
Health authorities in New South Wales are urging residents to steer clear of wild mushrooms following the discovery of the highly toxic Amanita phalloides, commonly known as the death cap, across several regions—including Sydney, the Southern Highlands, and southern NSW. Where Did They Appear? Over the past two years, NSW Health and local councils have conducted regular monitoring of wild fungi. Recent surveys indicate a notable uptick in the mushroom’s presence, likely fueled by a season of heavy rainfall and flourishing oak tree habitats—ideal conditions for these mushrooms. Why They’re Deadly Death cap mushrooms are responsible for over 90% of mushroom-related fatalities worldwide and are notoriously difficult to tell apart from edible varieties. Their amatoxin content attacks vital organs, particularly the liver and kidneys. Even well-cooked, they remain lethal. Alarming Case Numbers Last year, the NSW Poisons Information Centre recorded 363 calls related to wild mushroom exposure, resulting in 23 hospitalisations—including two children under five. So far this year (to May 31), there have been 190 exposures reported. This reflects a troubling 26% increase in inquiries compared to 2023. Expert Warnings Professor Brett Summerell, Chief Scientist at the Botanic Gardens of Sydney, has warned that distinguishing safe mushrooms from deadly ones is nearly impossible. He emphasised that foraging carries substantial risk and advised against consuming anything other than grocery-bought mushrooms. Genevieve Adamo, a senior specialist at the Poisons Information Centre, highlighted the often-delayed nature of poisoning symptoms. While initial signs like nausea, vomiting, and diarrhoea may appear within 24 hours, organ failure can follow swiftly. Early medical intervention is crucial to survival. Adults and Children at Risk Adamo warned that young children are especially vulnerable due to their propensity to put things in their mouths. She advised parents to remove any mushrooms growing in gardens or parks to protect toddlers who might inadvertently ingest them. What You Should Do NSW Health recommends: Avoid foraging for wild mushrooms. Only consume mushrooms bought from trusted suppliers. Remove mushrooms from outdoor play areas to reduce accidental ingestion by children. Seek medical help immediately if you suspect mushroom poisoning. Early treatment can be lifesaving—don’t wait for symptoms to emerge. The NSW Poisons Information Centre is available 24/7 at 13 11 26, and in emergencies call 000. If possible, bring a sample or photo of the ingested mushroom to help with diagnosis. Why It Matters The recent proliferation of death cap mushrooms and other toxic fungi—particularly after periods of wet weather—poses a serious public health risk in both suburban and urban environments. Just a small amount of a toxic mushroom can cause severe liver and kidney damage, or even be fatal. A recent rise in hospital admissions and calls to the Poisons Information Centre highlights how easily wild mushrooms can be misidentified and how rapidly poisoning symptoms can escalate. Children and those unfamiliar with native fungi are especially vulnerable. In severe cases, treatment may require extended hospital stays, including intensive care, organ support, or even emergency transplant procedures. For families travelling from rural or remote areas, access to nearby hospital accommodation can be critical in supporting both the patient and their loved ones through prolonged treatment and recovery. This month’s health alert is a crucial reminder: When it comes to wild mushrooms, don’t take the risk. If in doubt, throw it out.
NSW Health Sounds Alarm as Deadly ‘Death Cap’ Mushrooms Spread
Once rare architectural experiments, hospitals rising beyond 140 metres are now gaining traction as cities become denser and more vertical. As global urban centres grapple with limits on land and a need for consolidated health services, vertical hospital towers offer a strategic solution that blends efficiency, care, and community connection. Why Build Up Instead of Out? Urban land is expensive, scarce and costly to expand horizontally. Vertical hospitals consolidate multiple care functions—clinical, research, education, and outpatient clinics—into one high-rise footprint, maximising space while minimising travel distances between services. This consolidation streamlines patient flow, reduces staff movement, and creates operational economies of scale. Designing Patient‑Centred and Staff‑Friendly Spaces Healing-focused design is a core advantage of tall hospitals. Patient rooms perched above the ground floor enjoy abundant natural light and sweeping views, contributing to wellbeing and recovery. Green terraces, rooftop gardens, and balconies create restful environments for both patients and staff—key elements in biophilic design correlated with reduced stress and shorter hospital stays. Stacked “villages” help separate functions like pediatrics, maternity, ambulatory care, critical units, and imaging. Each level feels distinct yet cohesive, making wayfinding intuitive and reducing disorientation for visitors and caregivers. Overcoming Structural & Operational Challenges Vertical hospitals present unique engineering demands. HVAC systems must ensure air purity, infection control, and manage vertical airflow changes—a complex task in tall buildings. Fire safety, vibration control, and ways to deliver heavy medical equipment across floors also require specialised planning. Advances in vertical transport and logistics improve efficiency. Elevator systems powered by IoT and destination dispatch group passengers by destination floor, reducing wait times. Automated guided vehicles (AGVs) transport supplies between floors, removing the need for staff to ride elevators and reducing operational delays. Infrastructure planning is another key. Mechanicals like chillers and fire pumps are often located mid‑building or rooftop, and shared MEP and interstitial layers optimise space use and simplify future expansions. Benefits That Reach Beyond Healthcare Vertical hospitals also integrate into urban life. Ground floors, often open to retail, cafés, conference areas, or community spaces, can enliven neighbourhoods and turn hospitals into wellness hubs rather than purely clinical sites. Staff and visitors gain easy access to amenities, while communities benefit from greater engagement and accessibility. Financially, vertical hospitals offer ancillary revenue streams—retail leases or rented event space—that suburban campuses lack. These paths can help subsidise clinical services and lower operational reliance on patient volume alone. Learning from Global Precedents High-rise hospitals trace their roots to early twentieth-century facilities like London’s Guy’s Hospital tower, once the tallest of its kind. More recent examples in Houston and Hong Kong have demonstrated successful integrations of inpatient wards, clinical services, and medical education in vertical formats. Countries like Singapore, the UK, the US, Malaysia and Dubai have embraced vertical hospital strategies. Emerging frameworks—such as India’s NATHEALTH model—stress regulatory alignment, fire and safety norms, and coordinated urban planning to guide future high-rise healthcare. Realising the Future of Healthcare Design Vertical hospitals represent more than just tall buildings; they signal a strategic evolution toward space-efficient, community-embedded, and multiservice healthcare delivery—especially critical in densely populated urban environments. While technical, logistical, and regulatory hurdles remain, continued progress in construction technologies, infrastructure planning, and human-centred design is turning these high-rise facilities into practical and increasingly necessary solutions. Beyond addressing spatial constraints, vertical hospitals offer opportunities to enhance patient and staff experience, streamline care pathways, and improve access to essential services. Integrated designs often include on-site accommodation for patients and families, especially those undergoing extended treatment or travelling from rural areas—helping bridge gaps in equity and continuity of care. From patient flow and clinical efficiency to environmental sustainability and operational scalability, the vertical hospital model is emerging as a compelling blueprint for the future of healthcare infrastructure—designed not only to treat, but to support the full spectrum of healing and care.
Soaring Wellness: How Vertical Hospitals Are Redefining Healthcare Delivery
Chronic pain often goes unseen and misunderstood, leaving patients struggling to articulate the depth of their suffering. One individual's story vividly illustrates this experience. Misdiagnosed and dismissed early on, she was repeatedly told her condition was stress-related or even “all in her head.” Rather than being heard, she felt silenced—and that eroded trust in both herself and her healthcare providers. The Toll of Diagnostic Delay This pattern of doubt and dismissal is common—particularly among women. Diagnoses are frequently delayed, and symptoms are trivialised as psychosomatic. These experiences leave patients feeling ashamed and undermined when they advocate for their pain. The result is not only physical suffering but emotional trauma, as each visit reminds them they’re not believed. Non-Verbal Needs and Therapeutic Silence Chronic pain isn’t just about symptoms—it often brings profound psychological effects. Patients may appear calm outwardly, but inwardly, they carry immense distress. Non-verbal cues—hesitations, body language, emotional expressions—tell a deeper story that standard pain scales cannot. Therapeutic listening, including recognising these silent signals, is essential for genuine care. Researchers have explored narrative-based therapies like online journaling, showing how creative expression helps individuals articulate their pain and build community. Such methods foster supportive environments where patients feel validated and benefit from shared insights. Communication Frameworks for Clinicians Effective patient–clinician communication around chronic pain requires more than routine questions like “rate your pain 1 to 10.” Researchers emphasise tailored communication skills specific to pain conversations—especially around sensitive topics like opioid use. One study involved primary-care providers using standardised patient actors to practice empathy-driven, nuanced dialogues that go beyond quick assessments and tap into the patient's lived reality. Toward Whole-Person, Person-Centred Care Emerging care models advocate integrating mental health and physical care, recognising their interplay in chronic pain. A recent qualitative review among young people highlighted how chronic musculoskeletal pain is deeply entwined with emotional well-being. Conversely, mental distress can amplify pain, emphasising the need for integrated, age-aware services with easy access, trusted providers, and peer support. An often-overlooked component of such access is the availability of supportive hospital accommodation, particularly for patients who travel long distances for multidisciplinary pain programs or outpatient consultations. Without affordable and comfortable lodging near care facilities, continuity and participation in treatment plans—especially for those in rural or underserved regions—can suffer, undermining holistic pain management efforts. Healing Through Trust and Empathy Holistic approaches, such as therapeutic listening and compassionate presence, foster a healing environment—beyond symptom treatments to relational support that honours patients’ experiences. Trust builds when patients sense clinicians truly listen, acknowledge uncertainty, and collaborate on tailored strategies. This respectful alliance may ease the isolation inherent in chronic pain. Reframing Chronic Pain Care The way forward is clear: bridge clinical and emotional dimensions by: Training healthcare professionals in pain-specific communication—attentive listening, narrative competence, and emotional attunement. Acknowledging and addressing implicit bias, particularly around gender, which often colours pain assessment. Integrating narrative, creative, and reflective methods to help patients articulate and normalise their realities. Structuring care as a whole-person, with combined physical, emotional, peer, and mental health supports. By giving voice to invisible suffering and fostering biopsychosocial care, healthcare systems can move from dismissal and distrust to validation, empowerment, and improved outcomes.
Chronic Pain: The Invisible Burden and the Power of Communication