By Danielle Teutsch, Sun Herald Health Reporter August 4 2002
The Sun-Herald
Hospital emergency departments across Sydney are being stretched to
breaking point by parents terrified their children's sniffles and minor
fevers are early signs of meningococcal disease.
Sydney Children's Hospital at Randwick and The Children's Hospital at
Westmead said their emergency department admissions had increased by 30 per
cent in the past fortnight.
Sydney Children's Hospital clinical services co-ordinator Michael Brydon
said the hospital had never been so consistently busy. Staff were working
overtime on extra shifts to meet the unrelenting demand, and average waits
were about four hours.
Dr Brydon said: "It's the busiest we've ever been.
"When staff come in the waiting room is full, and when they go home the
waiting room is full. They are working their butts off.
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"Last weekend it was all hands on deck and we expect the same this weekend."
Dr Brydon said some parents were loudly insisting their children be seen
promptly, spurred on by reports of the death of Rebecca Calverley, who waited
for hours in Wyong Hospital before her condition was diagnosed and treated.
The girl's mother, Julie Calverley, advised parents to make a fuss if their
children were ignored in hospital.
Dr Brydon said the children mostly had minor symptoms such as runny noses,
low grade fevers and unsettled stomachs.
Illawarra Health public health director Sarah Thackway said the non-specific
meningococcal symptoms had scared parents, causing them to seek reassurance from
hospitals.
"Most of their concerns are quite genuine - they are presenting with similar
symptoms [to meningococcal disease]," Ms Thackway said.
But Dr Brydon said parents needed to remember that the disease was rare,
affecting fewer than one in 10,000 people in NSW each year.
"Jumping up and down in the emergency department is not going to make things
better - it's going to make things worse," he said.
"Our biggest worry is that the children who really do need to come here, such
as the trauma cases, are being compromised because of this largely rare
disease."
At Sutherland Hospital, 757 children presented to the emergency ward last
month, an increase of 56 per cent compared with July last year.
Executive director Deborah Latta said the meningococcal scare was a major
reason for the extra numbers. The hospital has had five confirmed cases of the
disease.
During the past week the hospital has been forced to divert ambulances for
all but life-threatening cases for up to six hours a day because of the pressure
on the emergency department.
"You can understand why parents are concerned, but it has put a strain on the
system," Ms Latta said.
Mt Druitt Hospital is also busy, with the number of children presenting to
the emergency ward up by more than 30pc.
Head of paediatrics Dennis Raymond said meningococcal was not the only reason
for the surge in patients. The early onset of winter meant more cases of flu and
bronchiolitis.
NSW Health communicable diseases director Jeremy McAnulty said parents were
rightly concerned about the disease, but said seeing a GP was a quicker way to
get an assessment than going to a hospital.
While some of the symptoms of meningococcal were vague and flu-like, parents
of children who had been diagnosed with the disease had often reported noticing
something "very wrong".
"People need to put these symptoms into context - it's a rare disease," Dr
McAnulty said.
"Parents need to keep reviewing their children if they are sick. Don't be
afraid to go back to the doctor."
Australian Medical Association NSW vice-president John Gullotta said GPs had
also been besieged by alarmed parents. Dr Gullotta said they were particularly
concerned because they could not get the meningococcal vaccine.
The Sun-Herald reported last week the vaccine, which targets the C
strain of the bacteria, would not be available to the public until the end of
the year because of a worldwide shortage.
Dr Gullotta said children should not share drink bottles and food.
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