Vic response lifted to SUSTAIN

The Minister for Health and Ageing, Nicola Roxon, has said that the Australian Health Protection Committee (AHPC) and the chief medical officer, Professor Jim Bishop, have advised that it is appropriate to raise the pandemic response to a modified SUSTAIN response for Victoria while keeping the national level at CONTAIN for the other states and territories.

The measures to be put in place in Victoria as part of a modified SUSTAIN approach will enable Victoria to more appropriately respond to the relatively higher number of cases and the sustained community transmission of the infection in Victoria. About three quarters of confirmed swine flu cases recorded so far have been in Victoria.

This will more intensively target those people who are at highest risk, for example, undertaking testing in high risk settings like aged care facilities.

Moving to modified SUSTAIN will enable Victoria to:

• more intensively target those people who are at highest risk. For example, undertake testing in high risk settings like aged care facilities and  hospitals to help identify cases;
• implement extensive contact tracing where there are people at risk of severe complications, such as those in nursing homes and special schools;
• target antivirals to people exhibiting the clinical case definition of human swine flu, along with their immediate household contacts; and
• require people who are confirmed to have human swine flu to isolate themselves for three days following the commencement of antiviral treatment.

Given the high level of socialisation and contact in school settings, the AHPC has agreed that health authorities throughout Australia should continue to focus on actions in schools as they are a key vehicle for spread of the virus.

Health officials continue to request that any school aged children at potential risk from human swine influenza stay at home for seven days.

States and territories will apply a policy of voluntary exclusion from school for a period of seven days for all children returning from areas where there is a high prevalence of the virus circulating in the community.

All states and territories will be asked to undertake random sampling testing (known as sentinel testing) of influenza-like illness and increased sampling of cases to monitor the rate of increase of spread in the community and any changes in the dominant circulating influenza strain.

This amended strategy and flexible alert levels will be reviewed weekly by the Commonwealth chief medical officer and his Expert Advisory Committee.