A year after the Victoria hotel quarantine inquiry, one significant question remains unanswered


Kristen Rundle, The University of MelbourneThis time last year, the nation was riveted by the Victorian COVID-19 Hotel Quarantine Inquiry, launched to determine the cause of the state’s disastrous second COVID wave. The outbreak led to 768 deaths and a 111-day lockdown of Melbourne.

It didn’t take long before a problem revealed itself. It was not at all clear who made the decision to “contract out” the hotel quarantine enforcement to private security providers, which is what led to the virus seeping into the community.

A long line of senior political and governmental officials denied any association with it. The inquiry’s chair, Jennifer Coate, came to describe the decision as an “orphan”.

We did learn what went wrong from an infection control standpoint and reset the hotel quarantine system to be safer. But now, the debate has shifted to whether we should have hotel quarantine at all.

The question the inquiry left behind is a different one, and it’s not only about Victoria. Why are governments across Australia so reliant on private contractors in the first place?




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Contracting out is standard practice

“Contracting out” government functions for delivery by the private sector has become the standard way of doing things across all levels of government in Australia.

Indeed, it has become so standard that decision-makers might not see the matter as involving choice at all. It’s just how things are done.

Elsewhere, I have said more about the disintegrating effects this situation can have on the principles of responsible government, around which Australia’s constitutional systems are built. The entrenched status of “contracting out” means the potential for more “orphan” decisions can occur at any time and place.

There’s a long story behind how governments across Australia, of all political stripes, have arrived at a place where everything from defence security to disability services (and much in between) is performed by private contractors.

Yet, justifications for why outsourcing is used to perform the work of government still tend to be based more on assertions than arguments.

One of these assertions is that the private sector is more “efficient” than government. But the reality is outsourcing government service delivery doesn’t necessarily cost less. It just means less is spent on public employees.

But there’s more to it than contestable claims about efficiency. The functions government must perform and the services the private sector can provide are not necessarily the same thing.

For example, was the choice of outsourced “security services” for the hotel quarantine program led by a careful understanding of the nature of quarantine, or by what the private sector could deliver? Too little thought is given to what might get lost in translation.




Read more:
Hotel quarantine interim report recommends changes but accountability questions remain


Why nobody is looking at this issue

All of this requires a conversation about the appropriateness of “contracting out” in different contexts that we’ve basically never had. Outsourcing has rarely, if ever, been the subject of significant parliamentary debate in any Australian jurisdiction.

Indeed, sometimes the only way the public finds out about what’s going on with government contracting – in the many forms it might take – is through inquiries launched to investigate something that has gone wrong.

Ombudsmen and auditors-general can be empowered to look at particular instances of outsourcing and make recommendations in relation to them. We might occasionally also see a specific contract questioned in a Senate Estimates hearing.

But it’s important to highlight these “watchdogs” are not there to tell governments how to govern us. Opportunities to have that say are thin on the ground.




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Melbourne’s hotel quarantine bungle is disappointing but not surprising. It was overseen by a flawed security industry


A good illustration of this is the 2019 Senate Legal and Constitutional Affairs Committee inquiry into the impact of changes to models of government service delivery (including outsourcing). There was little in its terms of reference to suggest it sought views on whether we should be doing these things at all. The changes were going to happen, the inquiry was about their likely “impact”.

Perhaps we’ll also need an inquiry into the vaccine rollout to find out about the contractual arrangements there, given the Commonwealth Department of Health has argued multiple exemptions – including “national security” – in response to freedom of information requests about the agreements in place.

Once, there was an independent body called the Administrative Review Council that kept an eye on the “big picture” developments in government administration. Well ahead of the curve, it published a report in 1998 on the possible implications of Australia’s fulsome embrace of “contracting out” for those directly affected by outsourced government service delivery.

The ARC pledged to revisit this question if there was ever a need. But it was effectively abolished before it could do so. It was a casualty of the 2015 “smaller government” reforms that dismantled multiple government agencies and radically reduced the size of the public service, leading to even more outsourcing to private contractors.

The ARC’s functions were consolidated into the attorney-general’s department, to the extent that they continue to be performed at all.

If the public wants a discussion about how governments govern us – that is not led by governments themselves – it is up to us to pursue it. The silver lining is we at least get to set the terms of the conversation.

While we work out those terms, it would be unwise to relegate the Victorian COVID-19 Hotel Quarantine Inquiry to history. There’s still a whole lot we can learn from it.The Conversation

Kristen Rundle, Professor of Law, The University of Melbourne

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Hotel quarantine interim report recommends changes but accountability questions remain



James Ross/AAP

Kristen Rundle, University of Melbourne

The division of the findings of the Victorian COVID-19 Hotel Quarantine Inquiry into two – the interim report published today, with a final report due December 21 – is aimed at making a timely contribution to the redesign of the quarantine systems that will remain key to Australia’s management of the COVID-19 pandemic for some time to come.

With a view to the expected influx of returnees at Christmas, the national cabinet is due to discuss necessary changes later this month. Justice Jennifer Coate’s clear recommendations for how to devise and operate a quarantine system will surely be pivotal to its deliberations.

Key recommendations

Coate’s primary message is that quarantine – in whatever form it might take – is a public health operation. So any future quarantine system needs to be designed in a manner that ensures the centrality of this public health imperative.

We must wait until the final report to find out what Coate has to say on the larger governance and accountability questions surrounding “the decision” to contract out the front line of Victoria’s hotel quarantine operation to private security provision. However, her interim report already tells us a lot – if indirectly.

The report states it “is clear from the evidence to date” that the majority of those involved in the hotel quarantine program who contracted the virus were:

private security personnel engaged by way of contracting arrangements that carried with them a range of complexities.

It is therefore unsurprising that the issue of the appropriateness of contracting-out is the elephant in the room across a number of its key recommendations.

In particular, the recommendations record that the expertise of those involved in future quarantine operations will be crucial. Moreover, every effort should be made to ensure people working at quarantine facilities are “salaried employees” who are “not working in other forms of employment”.

Rydges on Swanston was one of the quarantine hotels where coronavirus outbreaks occurred.
James Ross/AAP

It takes little effort to surmise that contracted-out service delivery is unlikely to meet any of these demands.

As I have explained elsewhere, to contract out a statutory function in whole or in part requires that it be translated into a “service” that private sector providers are capable of delivering.

In the Victorian case, this meant the front line of the hotel quarantine operation was performed pursuant to an “observe and report” security services contract. It was carried out by an entirely casualised workforce with little infection-control training and no lawful powers of enforcement. Many or most of them worked in other jobs at the same time.




Read more:
Melbourne’s hotel quarantine bungle is disappointing but not surprising. It was overseen by a flawed security industry


Coate also recommended that, alongside the “embedded” presence of expert infection-control personnel, a 24/7 police presence be established at every facility-based quarantine operation. This clearly points to the failure of contracting-out from an enforcement perspective as well.

So, by implication or otherwise, the interim report confirms that too little thought was given to whether the contracted service could meet the dual public health and detention demands of the function at issue.

Coate’s conclusions on how a facility-based quarantine program should work make the multiple dimensions of this mismatch plain.

Where to from here?

The final report of the inquiry may well prove to be the most sustained critique of contracting-out, from the perspective of public expectations of government action, that Australia has yet seen. This would be a welcome shift from what has prevailed so far, with much more effort dedicated to refining and expanding the practice than to challenging it.

As for where the interim report fits with the “whodunnit” exercise that has dominated so much of the interest in the inquiry’s work so far, Coate makes clear we must wait until the final report to find out more. Whether Victoria ended up with private security at the front line of its hotel quarantine program as a result of a “decision” by one or more individuals, or (as counsel assisting Rachel Ellyard described it) a “creeping assumption that became a reality”, is something that ultimately might never be clear.

Either way, the question of accountability will remain. Providing a clear answer to it stands to be every bit as complicated as it has been so far.

The inquiry, which found the bungled scheme cost the state $195 million, has shown the relationship between contracting-out and political accountability is incoherent. Substantial reform in both directions is needed to make it otherwise. Coate’s final report will hopefully guide that much-needed conversation.

But, again, we can already take a lot from the interim report about where – minimally – we need to be. Any future Victorian quarantine program must be operated “by one cabinet-approved department”, in accordance with a “clear line of command vesting ultimate responsibility in the approved department and Minister”.

That department must in turn be “the sole agency responsible for any necessary contracts”. Among other things, its responsible minister must also ensure senior members of its governance structure “maintain records […] of all decisions reached”.

Such is the vision for the future. But it also highlights why it is so important not to lose sight of the “why” questions when the issue of accountability for what actually happened in Victoria’s disastrous hotel quarantine program is again upon us.

If the front line of the hotel quarantine system was simply too important a responsibility to be outsourced, it is time to get to the bottom of why this was the case, and why it might also be the case for other high-stakes government functions that carry serious consequences for public health or safety.

Providing sensible answers to those questions needs to be the goal. But what matters above all else is that we actually start asking them.




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This piece was co-published with the University of Melbourne’s Pursuit.The Conversation

Kristen Rundle, Professor of Law, University of Melbourne

This article is republished from The Conversation under a Creative Commons license. Read the original article.

3 education questions the Victorian government should answer at the COVID-19 inquiry



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Julie Sonnemann, Grattan Institute

Today, Victorian Education Minister James Merlino will front the state parliamentary inquiry into the government’s response to the COVID-19 pandemic. He should answer these three questions on the handling of schools.

Q 1. How will the government help disadvantaged students catch up?

Victorian children have now been in remote schooling for about 17 weeks or almost two terms — virtually half of their 2020 school year. Many will have fallen behind in their learning, but the most vulnerable students will have been hit hardest.

Our analysis shows the equity gap between advantaged and disadvantaged students grows at triple the rate during remote schooling. Even in the best case scenario — where remote schooling was delivered well — disadvantaged students are likely to have lost at least two months of learning over the period. In schools where remote schooling was of average quality, disadvantaged students are likely to have gone backwards.

The government should be providing extra resources to help vulnerable children catch up fast. This can be done through small-group tutoring and targeted literacy and numeracy programs. The Grattan Institute analysis recommended an investment in these two areas of A$1.2 billion nationally — including over A$350 million in Victoria – at the end of term two. With more remote schooling in term three, the need is now even bigger.

For small-group tuition programs, disadvantaged students would receive regular short sessions in reading and maths, three or four times a week over 12 weeks. Tuition is expensive, but it can increase student learning by an additional five months over one or two terms of schooling.




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Young university graduates and student teachers should be hired as tutors where possible. They make good tutors, and will also be hit harder by the recession than older Australians, which will make them more likely to spend the extra income quickly, stimulating the economy at the same time.

The UK government has already announced £1 billion (A$1.8 billion) of extra support for disadvantaged students, with investments in a new national tutoring scheme. Our governments should spend big, and quickly.

Q 2. What extra money will the government provide to improve students’ mental health?

Many students, especially those with pre-existing mental-health issues, will have found social isolation hard during remote schooling. And many children have had to deal with family hardships due to loss of income, as well as the added stress of remote learning.

The interim inquiry report into the government’s response to COVID-19 highlights that around 25% of secondary schools now have a mental health practitioner on staff, but many are still concerned about inconsistency in accessing support across schools.

A side view of a girl on the couch, with knees to her chest and chin on hand looking away from camera.
Mental health issues have increased among young people during the pandemic.
Shutterstock

Given the increase in demand from young people for mental-health services, the minister should clarify what the average wait times are for students referred, along with plans to ensure they are reasonable in the near future.

Importantly, the minister should demonstrate how the government will support primary school students, not just secondary students. Early mental-health support for children is key to preventing ongoing problems down the track, and primary school is notoriously overlooked in this area.




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More broadly, the minister should demonstrate plans for teachers to have adequate training in how to identify and refer students who may be struggling. This is also highlighted as an area of need in the interim report.

In addition, all students will need extra support to readjust from the period of social isolation. Evidence shows what the teacher does in the classroom, in their routines and everyday teaching, is key to helping students build social and emotional skills.

It’s a sophisticated art, and students can be harmed if teachers don’t do this properly. For example, asking students to talk about the challenges they faced during home learning can be damaging if they suffered negative experiences or trauma. Teachers need to be well trained in these areas.

Q 3. How will the government better support students if there is a third or fourth wave?

We’ve all been caught off guard by the pandemic. But what lessons has the government learnt about remote learning? What will be done better if there is a “next time”?

Asking this question is not a swipe at the minister or anyone else. The Victorian department and teachers have gone above and beyond to support learning from home. But we must be better prepared next time.




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Australia can learn from high-performing countries that were better prepared, even before the first wave hit. As discussed in our June report Recovery Book, Singapore had a fully online curriculum ready to go. And Hong Kong had many more digital resources aligned to the curriculum that could be easily shared. Our systems can, and must, improve.

It will not be good enough for the minister to suggest we don’t yet know enough to make changes. It is OK to have made mistakes, but it is not OK if we’re not learning from them.The Conversation

Julie Sonnemann, Acting Program Director, Grattan Institute

This article is republished from The Conversation under a Creative Commons license. Read the original article.

The NSW bushfire inquiry found property loss is ‘inevitable’. We must stop building homes in such fire-prone areas


Mark Maund, University of Newcastle; Kim Maund, University of Newcastle; SueAnne Ware, University of Newcastle, and Thayaparan Gajendran, University of Newcastle

Yesterday, the New South Wales government accepted all 76 recommendations from an independent inquiry into last summer’s devastating bushfire season. Several recommendations called for increased hazard reduction, such as through controlled burning and land clearing.

But clearing and burning vegetation will hurt our native flora and fauna, which is still recovering from the fires. Rather than clearing land to reduce the bushfire risk, we must accept we live on a fire-prone continent and improve our urban planning.




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Importantly, with fires set to become more frequent and severe under climate change, we must stop choosing to live in bushland and other high-risk areas.

Inquiry recommendations

The bushfire inquiry was conducted over six months, with former Deputy Commissioner of NSW Police Dave Owens and former NSW Chief Scientist and engineering professor Mary O’Kane at the helm.

It found changes are needed to improve the preparedness and resilience of local commmunities, as well as fire-fighting techniques, such as use and availability of equipment. And it noted prescribed burning should target areas such as ridge tops and windy slopes. These are areas that drive fires towards towns.

Other important recommendations involved:

  • training fire authorities to fight megafires and councils to manage local emergencies
  • strengthening collaboration between agencies
  • improving information and warnings, and overall communications
  • indoor and outdoor Neighbourhood Safer Places (places of last resort)
  • improving mapping of buildings at risk of bushfire
  • ensuring personal protective equipment for land owners and fire fighters
  • improving assistance for vulnerable people.

But a key finding was that there’s still a lot to learn, particularly about bushfire suppression methods. As a result, future property losses are “inevitable”, given settlement patterns and “legacy development issues”.

What risk are we prepared to accept?

If we as a community accept that property loss will occur, we should choose the level of risk we’re prepared to take on and how that will affect our environment.

Building homes in high bushfire risk areas requires a combination of land clearing to reduce flammable material such as dry vegetation, and ensuring your home has a fire-resilient design.




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But after the unprecedented megafires of last summer, it’s clear living in these areas still exposes residents and firefighters to high risk while trying to protect buildings and the community.

Bushfire prone areas are often on the periphery of cities and towns, such as Sutherland in the south of Sydney, coastal areas such as the South Coast and Central Coast, or remote communities including Wytaliba in northern NSW. These areas contain a mix of medium to low density housing, and are typically close to heavy vegetation, often combined with steep slopes.

But we should not continue to develop into these high risk areas, as the associated land clearing is too significant to our ecosystems and may still result in houses being lost.

Protecting our wildlife

It’s estimated more than 800 million animals were killed in the NSW bushfires, and more than one billion killed nationally.

The clearing of native vegetation is recognised as a major threat to biological diversity: it destroys habitats, can lead to local wildlife populations becoming fragmented, and increases the exposure to feral predators such as cats and foxes.




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The burn legacy: why the science on hazard reduction is contested


In 2018 around 60,800 hectares of woody vegetation was cleared in NSW for agriculture, infrastructure and forestry. This is an increase of 2,800 hectares from the year before.

If we continue to build in high risk areas and clear trees to create asset protection zones, we will add to the ongoing pressure on wildlife.

Where should we build?

Rather than trying to modify the environment by clearing trees, we must plan better to avoid high risk bushfire areas. This was reinforced in the inquiry report, which called for a more strategic approach to where we locate new developments.

And this focus on planning is reflected in recent policy changes by the NSW Rural Fire Service, Planning Institute of Australia and Australian Institute for Disaster Resilience that encourage resilient communities. For example, the state’s rural fire service’s 2019 guidelines, Planning for Bushfire Protection, place more emphasis on considering bushfire at the rezoning stage to reduce risk to future developments.

We should encourage our communities to grow in low-risk areas away from native vegetation. This includes avoiding the development of new low-density housing in rural and remote locations.




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To further separate our homes from risk, we should also consider instead putting non-residential land — such as for industrial factories and manufacturing plants — closest to vegetation.

Rural houses should be built in more urban settings near existing towns away from dense vegetation, rather than scattered buildings. In larger towns and cities we could focus on brownfield development with little ecological value. “Brownfield” refers to sites that have previously had development on them.

And community buildings such as hospitals, education and emergency services, should be placed in low-risk areas to facilitate response during and after a bushfire event.

While each community should decide how it develops, land rezoning and planning rules should not allow continued expansion into high bushfire risk areas.The Conversation

Mark Maund, Research Affiliate, School of Architecture and Built Environment, University of Newcastle; Kim Maund, Discipline Head – Construction Management, School of Architecture and Built Environment, University of Newcastle; SueAnne Ware, Professor and Head of School of Architecture and Built Environment, University of Newcastle, and Thayaparan Gajendran, Associate Professor, School of Architecture and Built Environment, University of Newcastle

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Ruby Princess inquiry blames NSW health officials for debacle



Dean Lewins/AAP

Michelle Grattan, University of Canberra

The inquiry commissioned by the Berejiklian government into the Ruby Princess COVID-19 disaster has laid blame on NSW health officials, who made “inexcusable” and “inexplicable” mistakes. It also exonerated the Australian Border Force.

In the report, the federal government was sharply criticised for refusing to allow an official to appear before the inquiry, with commissioner Bret Walker SC saying this belied Prime Minister Scott Morrison’s promise of full cooperation.

Some 2,700 passengers from the Carnival Australia cruise ship were allowed to disembark on March 19 before the test results for COVID-19 had come back. The passengers, some of whom had displayed respiratory symptoms, scattered widely, spreading the virus. This led to hundreds of cases, with some 28 deaths linked to the cluster.

Walker found serious mistakes and misjudgements on the part of health officials. He said that in light of all the information the NSW health expert panel had, “the decision to assess the risk of the Ruby Princess as ‘low risk’ – meaning, in effect, ‘do nothing’ – is as inexplicable as it is unjustifiable. It was a serious mistake”.

It should have been assumed there were possible infected passengers “who could transmit the virus and perhaps spark an outbreak of infection, if no steps were taken to prevent or limit that outcome”.

Passengers should not have been allowed to spread through the community until test results were known.

“The delay in obtaining test results for the swabs taken from the Ruby Princess on the morning of 19 March is inexcusable. Those swabs should have been tested immediately,” Walker said.

“The failure to await test results on 19 March is a large factor in this commission’s findings as to the mistakes and misjudgements that caused the scattering of infected passengers.”

Walker criticised the cruise line for not having enough swabs aboard but said, given this, there should have been dockside swabbing.

There has been speculation about whether the Australian Border Force had any responsibility for the disaster, but Walker stressed “neither the ABF nor any ABF officers played any part in the mishap”.

“The relevant legislative provisions make it crystal clear that the Australian Border Force (ABF), despite its portentous title, has no relevant responsibility for the processes by which, by reference to health risks to the Australian community, passengers were permitted to disembark,” he said.

But Walker was blunt about the federal government’s attitude to the inquiry. “The one fly in the ointment so far as assistance to this commission goes, is the stance of the Commonwealth.

“A summons to a Commonwealth officer to attend and give evidence about the grant of pratique for the Ruby Princess was met with steps towards proceedings in the High Court of Australia.

“Quite how this met the prime minister’s early assurance of full cooperation with the commission escapes me.

“This waste of time and resources, when time, in particular, was always pressing, was most regrettable.”

Walker said it seemed a “practical approach was swamped by a determination never to concede, apparently on constitutional grounds, the power of a state parliament to compel evidence to be provided to a state executive inquiry (such as a royal commission or a special commission of inquiry) by the Commonwealth or any of its officers, agencies or authorities.”

Labor’s shadow minister for home affairs, Kristina Keneally, said that on March 15, Morrison had said he was putting in place “bespoke arrangements” for arriving cruise ships.

“He promised cruise ships would be ‘directly under the command of the Australian Border Force’.

“What ‘bespoke arrangements’ did Scott Morrison put in place for arriving cruise ships? This report shows there were none,” Keneally said.The Conversation

Michelle Grattan, Professorial Fellow, University of Canberra

This article is republished from The Conversation under a Creative Commons license. Read the original article.

The WHO’s coronavirus inquiry will be more diplomatic than decisive. But Australia should step up in the meantime



US Mission Geneva/Flickr/Wikimedia Commons, CC BY

Anthony Zwi, UNSW

This week the World Health Assembly, the governing structure of the World Health Organization, endorsed a resolution that comprehensively addressed the global COVID-19 response.

Buried almost at the end, in the penultimate clause of the seven-page document, was the outcome several nations (including Australia) have been clamouring for – or a version of it, at least. The resolution calls for a global investigation into the origins of the COVID-19 outbreak, albeit not in the strongest of terms.

With noticeable caution, it calls on the WHO to:

…initiate, at the earliest appropriate moment, and in consultation with Member States, a stepwise process of impartial, independent and comprehensive evaluation, including using existing mechanisms, as appropriate, to review experience gained and lessons learned from the WHO-coordinated international health response to COVID-19.




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Specifically, the inquiry will investigate:

  1. the effectiveness of the mechanisms at WHO’s disposal to deal with pandemics

  2. the functioning of the International Health Regulations – a globally agreed set of rules for controlling diseases across borders – and whether prior recommendations had been implemented

  3. WHO’s contributions to the United Nations’ disease control efforts

  4. the specific actions taken by WHO and the timeline of the pandemic response.

The inquiry will also seek recommendations to improve future pandemic preparedness and responses, including potentially strengthening WHO’s powers.

Vindication for Australia?

Some media and politicians hailed the resolution as a vindication of Australia’s call for a deep and searching independent investigation, with a particular spotlight on China’s role in containing the initial outbreak. But China has branded this claim “a joke”.

So what does the resolution actually add, and is it likely to deliver anything concrete?

It is a great example of well-constructed UN “bureaucratese”. It has something for everyone but demands little from anyone. But buried in the verbiage are some important considerations, which suggest how to forge the way ahead.

Australia can take comfort that there is to be an “impartial, independent and comprehensive evaluation”. But it’s not exactly what Australia had in mind. It is left to the WHO’s director general, Tedros Adhanom Ghebreyesus (himself a target of criticism by the United States), to initiate such an enquiry. The timing is vague, although a report on progress (which presumably could include delaying the inquiry altogether), is expected a year from now.

Many countries, including China and several European states, argue such an investigation is needed, but not now. They would like the pandemic to be under control first. But when might that be? It might yet intensify, and could grind on for years. Even if an effective vaccine is developed, getting it to the people of the world will take years, and until almost everyone is vaccinated, nobody will be entirely safe.

Previous efforts

The WHO has previously set up investigations into the H1N1 epidemic in 2009 and the 2015 Ebola outbreak. These were led by respected, independent, evidence-driven global health leaders. So we can be confident the WHO has access to people of the right calibre to mount a rigorous and critical inquiry.

Australia will presumably also be gratified by another clause of the resolution, which calls on the WHO, alongside the World Organisation for Animal Health (OIE) and the Food and Agriculture Organization (FAO), to identify the animal source of the virus and its route of introduction to the human population. Australia’s deputy chief medical officer, Paul Kelly, has cited the risk of such “zoonotic diseases” as a major concern.

Sitting outside the broader evaluation of the WHO response to the pandemic, Australia should actively support an in-depth study of the interfaces between animal and human diseases. Facilitating and resourcing such an investigation in relation to COVID-19, leading to evidence-informed guidance, would be a solid global contribution.

Australia and others can also draw satisfaction from a clause in the resolution calling on all countries to provide the WHO with “timely, accurate and sufficiently detailed” information on the COVID-19 pandemic. Improving incentives to report early and promptly, such as the offer of financial support to offset any recommended travel or trade restrictions, would sharpen the International Health Regulations which frame such action.

Despite being the source of the pandemic, the resolution does not single out China (or indeed any country) for particular scrutiny or accountability. Several clauses refer instead to “national context”, a commonly used piece of diplomatic language that glosses over political contentions.




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Yes, we need a global coronavirus inquiry, but not for petty political point-scoring


With more than 5.1 million people infected and 332,000 deaths so far, the world needs cooperation, collaboration and coordination. The resolution offers important elements, and reinforces important values: balancing public health measures alongside human rights and economic concerns; transparency of information; solidarity with the people most affected; a focus on the most vulnerable; support to health workers; and global equity in access to testing, PPE and, ultimately, a vaccine.

All nations must play a part in the global push to curb COVID-19. The political blame games and the United States’ threat to cut funding to WHO are unhelpful.

The WHO should be supported and strengthened to puruse its vital work, and to overcome the weaknesses in current and previous epidemic responses. It needs to be better resourced, better structured and better respected to fulfil the roles we expect and demand of it.

Wealthy countries like Australia should do more to bolster multilateral institutions like the WHO as well as to support low and middle income country health systems. Since 2012 Australia’s official development assistance to health has fallen from almost A$1.8 billion in 2012 to A$1.1 billion in 2018. If Australia really wants its voice to be heard in a forum such as the World Health Assembly, it should step up and let others follow its example.The Conversation

Anthony Zwi, Professor of Global Health and Development, UNSW

This article is republished from The Conversation under a Creative Commons license. Read the original article.

The world agreed to a coronavirus inquiry. Just when and how, though, are still in dispute



Sipa USA Jesus Merida / SOPA Images/Sipa

Adam Kamradt-Scott, University of Sydney

Only once before has the World Health Organisation held its annual World Health Assembly during a pandemic. The last time it happened, in 2009, the influenza pandemic was only in its first weeks – with far fewer deaths than the world has seen this year.

And never before has the meeting of world leaders, health diplomats and public health experts been held entirely virtually over a condensed two days instead of the normal eight-to-nine-day affair.

As expected, the assembly proved to be a high stakes game of bare-knuckled diplomacy – with a victory (of sorts) for the western countries that had been advocating for an independent inquiry into the origins of the coronavirus pandemic.

China had pushed back hard against such an inquiry, first proposed by Australia last month, but eventually agreed after other countries signed on.

Even though the resolution was adopted, there are still many unanswered questions about what happens next, specifically, when and how an investigation will actually occur.

Harsh critiques from the US

While country after country praised the WHO for its efforts to contain the COVID-19 virus, US Health Secretary Alex Azar predictably accused the global health body of mishandling the crisis.

In a Trumpian-esque attempt at re-writing history, Azar even went so far as to suggest the WHO failed to alert countries early enough to the COVID-19 threat, despite the fact the organisation issued its first warnings on January 4.

China, meanwhile, quickly sensed it had lost the diplomatic battle to prevent an inquiry into the origins of the virus after more than 100 countries supported a draft resolution put forth by Australia and its European and African allies.

President Xi Jinping agreed China would support a WHO-led investigation, but there were two major stipulations – that it happen after the pandemic was over and would focus on more than just looking at China’s actions.

Concerns were also voiced during the gathering about the need for ensuring any COVID-19 vaccine would be made available freely and widely, as opposed to suggested scenarios in which Western countries might gain priority access.

World leaders from UN Secretary General António Guterres to French President Emmanuel Macron stressed the need for any vaccine to be made widely available as a global public good, and health ministers outlined various efforts to support vital research and development into a vaccine.

Nurses take part in a ceremony in Wuhan, China, the epicentre of the virus.
YFC / COSTFOTO / EPA

So what happens now?

China made it clear it will only support an investigation into the origins of the virus after the pandemic has ended. That could be years away, and the longer it takes, the less likely it will be the source will be accurately identified.

China has also insisted the investigation must be led by the WHO. It could be conducted under the auspices of WHO, but if it is led by WHO staff, this is unlikely to sit well with other governments such as Australia and the United States. Both have argued for an independent inquiry.




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Investigations into what went wrong during health crises have occurred before.

In 2009, three independent probes were conducted after the WHO was accused of being unduly influenced by an advisory committee into declaring H1N1 “swine flu” a pandemic. And a series of investigations was also launched after the 2014 West African Ebola outbreak, during which the WHO was criticised for being too slow to declare an emergency.

In each instance, the members of the investigation teams were appointed by WHO after being recommended by governments, and were made up of prominent, independent public health experts and former WHO staff. Notably, these inquiries were also launched before the crises had abated.

These previous investigations focused exclusively on the WHO’s role in responding to the crises and the functioning of the International Health Regulations – a framework that was significantly revised in 2005 to guide government and WHO behaviour during disease outbreaks.




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China has insisted, however, the COVID-19 investigation be “comprehensive”, which has been interpreted to mean it must look not only at China’s actions, but also how other governments responded to the WHO’s warnings.

This is unlikely to be well received by a number of governments, such as the US, which traditionally view such matters as internal and sovereign.

Ultimately though, any investigation will require China’s cooperation, so it’s likely to hold some sway over how, when and who conducts the probe.

WHO Director-General Tedros Adhanom Ghebreyesus thus faces a difficult task ahead in trying to reconcile the geopolitical tensions between the world’s two superpowers, China and the United States.

Immediate next steps

While the details of an investigation are being finalised, focus must return to containing COVID-19.

To date, countries have understandably prioritised halting the spread of the coronavirus within their borders to save the lives of their citizens. But as Guterres said at the WHA, the virus will continue to pose a threat to every country unless the international community stands together.




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For that to occur, more attention has to be given to supporting low-income countries to contain the virus.

And resources need to be mobilised and deployed. Now.

Research on a vaccine, diagnostics and treatments must also continue. Realising the call to ensure the vaccine is freely available to everyone will be critical to ending the pandemic.

While the scientific research is underway, governments must also increase their manufacturing capacity and address the legal issues around indemnity and liability, which unhelpfully delayed deployment of the H1N1 influenza pandemic vaccine throughout 2009 and 2010.

For this to occur, we have to heal, or at least put aside, the harmful politics that have prevented effective multilateral cooperation to date. It will be a challenge, but one we must overcome.The Conversation

Adam Kamradt-Scott, Associate professor, University of Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Yes, we need a global coronavirus inquiry, but not for petty political point-scoring



Rey Moon/Shutterstock

Paul Komesaroff, Monash University; Ian Kerridge, University of Sydney, and Ross Upshur, University of Toronto

The US government’s call for an international inquiry into the origins of the COVID-19 pandemic has a clear political motive: to shift the blame for its own failure to respond effectively to the epidemic within its own borders.

The finger-pointing by the Trump administration, and by US allies including Australia, has prompted China to refuse to cooperate.

This is unfortunate, because it is in everyone’s interest to work together, not to question China’s handling of the crisis but to discover the factors that cause new infections so we can avert future disasters.




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Murky origins: why China will never welcome a global inquiry into the source of COVID-19


We need to understand how SARS-CoV-2, the coronavirus that causes COVID-19, came into existence, and to look at how and when we might have been able to impede its progress.

This means examining the origins of the virus and the biological and environmental factors that allowed it to become so dangerous. To achieve this, an international, collaborative scientific investigation free from recriminations and narrow political agendas is needed.

What we know so far

Extensive scientific data have shown that SARS-CoV-2 was not deliberately engineered and there was no conspiracy to create an epidemic. It did not originate in or escape from a laboratory, in Wuhan or anywhere. The first human cases of COVID-19 did not come from the Wuhan wet market but from elsewhere in China, possibly outside Hubei province altogether.

In fact, the disease did not “originate” in a market at all, although an important spreading event linked to the Wuhan market did occur that brought it to the attention of Chinese public health authorities.

SARS-CoV-2 almost certainly descended from an animal virus that underwent a series of mutations that made it dangerous to humans. The path to humans probably involved intermediate animal hosts, although which animals remains uncertain.

So here is the most likely sequence of events: a coronavirus in a bat found its way into one or more other animal hosts, possibly including a pangolin or some kind of cat, somewhere in southern China. At that time, the virus could not infect or cause noticeable disease in humans, or else the animals infected had little contact with humans. Over an unknown period of time (possibly decades) the virus mutated in a way that made it highly dangerous and eventually, by chance, a human became infected, probably in about the second week of November 2019.

The new virus was quickly passed on to other people and found its way to Hubei province. On December 10, an infected individual visited the crowded market in Wuhan and was responsible for infecting 21 other people. Over the following two weeks, enough people became sick to alert doctors and public health officials, leading to an announcement on December 31 warning the world of the dangerous new disease. The market was closed the following day and vigorous efforts were made to identify and isolate contacts.

Three weeks later it was clear these measures could not contain the epidemic, and on January 23 Chinese authorities took the brave and unprecedented step of locking down the entire city. This controlled the spread of the virus in China, but it was too late to stop the spread internationally, because by that time the virus was already present in Taiwan, South Korea, Europe and the United States.

What we don’t know yet

What we now have to find out is what happened in the months or years leading up to November 2019 and whether, in retrospect, anything could have been done to prevent the disaster.

It is crucial we understand the evolution of this virus because, as with all human diseases that emerge from animals, it will have occurred as a result of both random biological events and responses to environmental pressures. The virus had to mutate, the original wild animal had to be exposed to other species, and the virus had to spread within that species and undergo further mutations. The animal had to come into close contact with a human who, at the right moment, has to contract the new infection.




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Despite the low probability of each individual step, in recent decades a long list of viruses has negotiated this entire pathway, including HIV, SARS, MERS, Ebola, Nipah, Lassa, Zika, Hendra, various types of influenza, and now SARS-CoV-2. This suggests new factors are increasing the chances of exposure, adaptation, infection and spread.

It is likely these factors include population growth, agricultural expansion, the loss of natural wild animal habitat, the loss of traditional food sources, and changing relationships between animal species and between animals and humans. Deforestation and climate change further exacerbate this process, as does increased movement of human populations, through domestic and international travel. The international illegal wildlife trade, inappropriate use of drugs and insecticides, and reluctance of governments to work together make matters even worse.

Knowing exactly how these factors affect the genetics and evolution of viruses will help us find ways to thwart them. We could develop a coordinated early warning system to identify and track potentially dangerous pathogens, and monitor interactions between species that could transmit them. We could preserve native habitats and reduce the pressure on wild animals to enter human habitats in search of food. We could strategically cull animals that act as reservoirs for dangerous viruses.

We could precisely target infection control procedures such as health monitoring and quarantine. We could work together to develop diagnostic tests, new drugs and vaccines. We could develop globally coordinated rapid response plans for when new outbreaks arise.




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This process will only work if undertaken with openness, trust, and an acknowledgement that it is in the entire world’s best interest. It will only work if we accept that viruses are not national problems or sovereign responsibilities, but global challenges.

COVID-19 should be a wake-up call that petty recriminations, ideological rivalries and short-sighted political ambitions must be set aside. The countries of the world must encourage China and the United States to raise their sights to the greater challenge and help conduct the investigation we need to avert future disaster.

It is urgent, because the next pandemic may already be incubating somewhere in the world at this very moment.The Conversation

Paul Komesaroff, Professor of Medicine, Monash University; Ian Kerridge, Professor of Bioethics & Medicine, Sydney Health Ethics, Haematologist/BMT Physician, Royal North Shore Hospital and Director, Praxis Australia, University of Sydney, and Ross Upshur, Professor, Dalla Lana School of Public Health, University of Toronto

This article is republished from The Conversation under a Creative Commons license. Read the original article.

How the impeachment inquiry might affect Trump’s 2020 re-election chances



As the impeachment inquiry gathers pace in the US, Donald Trump is likely to keep doubling down on his opponents.
AAP/EPA/Chris Kleponis

Dennis Altman, La Trobe University

The next 13 months will see American politics completely dominated by the fate of Donald Trump. As the House of Representatives moves towards impeaching him, leading to a hearing which then moves to the Senate, the Democrats will be engaged in an increasingly bitter contest for the nomination to run against Trump in the November 2020 elections.

At this stage, it appears there are the numbers in the house for impeachment, which entails formally charging the president with “high crimes and misdemeanors”. Their indictment then moves to the Senate, which can remove the president by a two-thirds majority, in a hearing chaired by the chief justice.

Because 2020 is an election year, both sides will manage proceedings with an eye to the November poll. It is possible the house will vote before the end of the year: the decision to impeach Bill Clinton for lying under oath was made in the last three months of 1998.




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Clinton was cleared by the Senate by the following February, so it is also possible the Senate will hold its own proceedings before most of the presidential primaries commence. It takes two-thirds of the Senate to remove a president from office, which has never happened.

While several Republican house representatives have expressed concern about the president’s behaviour, the overwhelming majority of Republican politicians are either supporting him or remaining silent.

Rather as Boris Johnston seems to have captured the British Conservative Party, so Trump has imposed himself on the Republicans. Those who three years ago assailed his unfitness for the presidency, such as Lindsey Graham and Ted Cruz, are now his loudest defenders. Meanwhile, several of his opponents are withdrawing from political office.

However, Senator Mitt Romney, Republican candidate for president in 2012, has indicated his disquiet, which is almost certainly shared by others. If the house uncovers more apparently illegal activity on Trump, and if public opinion seems to be turning against the president, there are several other senators who may follow, if only to preserve their own positions. Republican senators are facing re-election in states such as Colorado, Iowa, Maine and North Carolina, where they are increasingly vulnerable.

There is an odd historical parallel with the history of Senator Joe McCarthy, who led increasingly virulent anti-Communist crusades in the early 1950s and whose protégé, Roy Cohn, in turn influenced Trump.

Eventually, Republican senators turned on McCarthy, and censured but did not expel him. But this happened only once it was clear that public support for McCarthy was collapsing, which is so far not evident for Trump.

Faced with possible impeachment and loss of support, Richard Nixon resigned. It is difficult to see Trump doing this – it is more likely he will become even more irrational and vengeful as the process winds on. Right-wing media will echo the president’s claim that the impeachment hearings represent treason, with real danger of violent clashes between supporters and opponents of Trump.

For the Democrats, the best outcome would be a split within Republican ranks, which leaves Trump in office but weakened and vulnerable to a challenge for re-nomination. Removing Trump would place Vice President Mike Pence in office, and presumably ensured of nomination in 2020.

The dilemma for the Democrats is that the impeachment process will dominate the news cycle as they jockey for position going into next year’s long battle for the presidential nomination. Trump will use the allegations to focus attention on former Vice President Joe Biden, whose son’s business dealings in Ukraine triggered the impeachment inquiry.

Biden may hope this will allow him to emerge as the injured defender of political propriety, but he will be tarnished through guilt by association, and is likely to slip further in the polls. Biden represents some of the traditional working class and African American base of the Democratic Party, and how they react could determine the ultimate Democrat candidate.

At the moment, Elizabeth Warren challenges Biden’s lead in the polls, with Bernie Sanders the only other candidate consistently supported by more than 10% of Democrats. None of the others in a crowded field — 12 have qualified to take part in the next televised Democratic debate — have much support, and they will start to drop out once the primary season begins in February 2020.




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If Biden continues to lose support, there is room for someone to emerge as the moderate front-runner, given that both Warren and Sanders represent the more radical instincts of the party. This is presumably why so many candidates are determined to continue campaigning, even when some of them rarely muster 2% in the polls.

Were Sanders’ current health problems to lead to his withdrawal most of his support would presumably switch to Warren. Predictions are risky, and my record is poor. But it is increasingly likely that the Democrats will nominate someone other than an old white man in 2020, betting on a figure like Barack Obama who can galvanise a bitterly divided nation and persuade people to turn out and vote.The Conversation

Dennis Altman, Professorial Fellow in Human Security, La Trobe University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

5 questions about superannuation the government’s new inquiry will need to ask



Superannuation has a smaller role in the retirement incomes system than is often suggested.
Shutterstock

Peter Martin, Crawford School of Public Policy, Australian National University

The government’s new retirement incomes review will need to work quickly.

On Friday Treasurer Josh Frydenberg said he expected a final report by June, just seven months after the issues paper he wants it to deliver by November.

The deadline is tight for a reason. In recommending the inquiry in its report on the (in)effeciency of Australia’s superannuation system this year, the Productivity Commission said it should be completed “in advance of any increase in the superannuation guarantee rate”.

In other words, in advance of the next leglislated increase in compulsory superannuation contributions, which is on July 1, 2021.




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The next increase (actually, the next five increases) will hurt.

The last two, on July 1 2013 and July 1 2014, took place when wage growth was stronger. In 2013 wages growth was 3% per year.


Source: Australian Tax Office

And they were small – an extra 0.25 per cent of salary each.

The next five, to be imposed annually from July 1 2021, are twice the size: 0.5% of salary each.

If taken out of wage growth, they’ve the potential to cut it from its present usually low 2.3% per annum to something with a “1” in front of it, pushing it below the rate of inflation, for five consecutive years.

If we were going to do that (even if we thought the economy and wage growth could afford it) it would be a good idea to have a good reason why. After all, compulsory superannuation is the compulsory locking away of income that could otherwise be spent or used to pay down debt or saved through another vehicle, regardless of the wishes of the person whose income it is.

Question 1. What’s it for?

Fortunately, the new inquiry doesn’t need to do much work on this one.

For most of its life compulsory super hasn’t had an agreed purpose. At times it has been justified as a means of restraining wage growth, at times as means of restraining government spending on the pension, at times as means of boosting national savings.

In 2014, more than 20 years after compulsory super began, the Murray Financial System Review asked the government to set a clear objective for it, and two years later the government came up with one, enshrined in a bill entitled the Superannuation (Objective) Bill 2016.

The bill lapsed, but the objective at its centre lives on as the best description we’ve come up with yet of what compulsory super is for:

to provide income in retirement to substitute or supplement the age pension

Which raises the question of how much we need. For compulsory super, the answer is probably none. People who want more than the pension and their other savings can save more through voluntary super. People who don’t want more (or can’t afford to save more) shouldn’t.

Question 2. How much do people need?

Assuming for the moment that how much people need in retirement is relevant for determining how much compulsory super they need, the inquiry will need to examine what people need to live on in retirement.

The “standards” prepared by the Association of Superannuation Funds of Australia are loose. The more generous of the two allows for overseas travel every two or so years, A$163 per couple per fortnight on dining out, $81 on alcohol “or equivalent spent
with charity or church”.




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It isn’t a reasonable guide to how much people need to live on, and certainly isn’t a reasonable guide for how much the government should intervene to make sure they have to live on. They are standards it doesn’t intervene to support while people are working.

And there’s something else. Super isn’t what will fund it. Most retirement living is funded outside of super, either through the age pension, private savings, or the family home (which saves on rent). Most 65 year olds have more saved outside of super than in it, and a lot more than that saved in the family home.

It’s a slight of hand to say that retirees need a certain proportion of their final wage to live on and then to say that that’s how much super should provide.

Question 3: Does it come out of wages?

The best guess is that, although paid by employers in addition to wages, compulsory super comes out of what would otherwise have been their wage bill.

Treasury puts it this way:

Though compulsory superannuation guarantee contributions are paid by employers, wage setting generally takes into account all labour costs. As such, it is widely accepted that employees bear the cost of higher superannuation guarantees in the form of lower take home pay.

The inquiry will probably make its own determination. If it finds that extra contributions do indeed come out of what would have been pay rises, it will have to consider the tradeoff between lower pay rises (and they are already very low) and the compulsory provision of more superannuation in retirement.

Question 4: Does it boost private saving?

It’d be tempting to think that the compulsory nature of compulsory superannuation meant that each extra dollar funnelled into it increased retirement savings by an extra dollar. But it doesn’t, in part because wealthy Australians who are already saving a lot have the option of offsetting it by saving less in other ways.

For them, the increase in saving isn’t compulsory.

For financially stretched Australians unable to afford to save (or for Australians at times in times life when they can’t afford to save) the compulsion is real, and unwelcome.

The inquiry will have to make its own assessment, updating Reserve Bank research which found in 2007 that each extra dollar in compulsory accounts added between 70 and 90 cents to household wealth.

Question 5: Does it boost national saving?

Boosting private saving (at the expense of people who are unable to escape) is one thing. Boosting national savings (private and government) is another. The tax concessions the government hands out to support superannuation are expensive. The concession on contributions alone is set to cost $19 billion this year and $23 billion in 2022-23, notwithstanding some tightening up. It predominately benefits high earners, the kind of people who don’t need assistance to save.




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On balance it is likely that the system does little for national savings, cutting government savings by as much as it boosts private savings. But because the question hasn’t been asked, not since the Fitzgerald report on national saving in 1993 shortly after compulsory super was introduced, we don’t know.

It’ll be up to the inquiry to bring us up to date.The Conversation

Peter Martin, Visiting Fellow, Crawford School of Public Policy, Australian National University

This article is republished from The Conversation under a Creative Commons license. Read the original article.