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Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: I thank Mr. King. We welcome back Ms Phil Ní Sheaghdha. I ask her to introduce her delegation and make a short comment outlining her key points, recognising that we have her submission.

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: I thank Ms Murphy for her attendance today, which we appreciate. I will move on to contributions from the members. Deputy Devlin of Fianna Fáil is first and he has ten minutes for questions and responses for witnesses. Witnesses should be aware that as it is sometimes difficult to communicate between the two rooms, they might hear the Deputies speak across them but they are only...

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: I call Deputy Cullinane.

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: I thank Ms Monahan and Deputy Cullinane. We move on to the Fine Gael party. Deputy Colm Burke has ten minutes.

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: The Deputy's time is up.

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: I thank Ms Ní Sheaghdha. I apologise for cutting across her but we are quite over time. I thank Ms Murphy for outlining that post-traumatic stress disorder is a very serious clinical psychiatric condition and requires appropriate and urgent supports to try to help people through what can escalate and become a very difficult condition. Appropriate diagnosis at the earliest stage is...

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: The Deputy can have more time if he wishes.

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: I am struggling with that. It seems to me it would better to be sent home if there was a concern in relation to it. This session has been about concern for infection of healthcare workers.

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: I thank the Deputy. This committee is producing a report on Covid-19 in nursing homes, which will be circulated to members, and we will discuss it in a Microsoft Teams meeting on Thursday. If the witnesses want to make additional contributions on that matter, now is absolutely the time to do so. I will ask the witnesses a few questions of my own. I return to the issue of preventing...

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: Will Ms Ní Sheaghdha give an example of this? What underlying conditions?

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: I thank Ms Ní Sheaghdha. She did say that. I will be more specific in my question, if she does not mind, to help me with my own understanding. Will Ms Ní Sheaghdha name one or two conditions that are contraindications? Is diabetes a contraindication? Will Ms Ní Sheaghdha name one or two conditions where there is a contraindication with the flu vaccine?

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: I fully understand and respect that. I am just trying to understand how the list of contraindications is communicated on an annual basis, how clear it is and what those barriers are. I totally respect there are some barriers for some people. Of course, the issue is that a healthcare worker who gets the flu will be deemed, I assume, to be at risk of having Covid-19 given the overlap of the...

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: I agree completely with Ms Ní Sheaghdha on this.

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: That is great.

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: I thank the witnesses. To go back to some of the data from the HPSC, it may have been helpful to set out very clearly at the outset that we have all been using the same data from 11 July. Of the 26,076 Covid cases, 8,347, or 32%, were healthcare workers, with 319 hospitalised, 49 admitted to ICU and, very tragically, seven deaths. We are agreed that 30% of the cases were in nursing...

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: How long is it taking at the moment for healthcare workers to get results of test? Are they all back at this stage within 24 hours for healthcare workers?

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: Ms Ní Sheaghdha mentioned that Cherry Orchard Hospital had a laboratory playing a positive role. Are all the acute hospital laboratories being used in this way? Is there any update on that?

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: This may be a question better targeted at the HSE at the second session this afternoon but I will elicit an opinion from Ms Ní Sheaghdha's own perspective. At this stage, have all the student nurses who will qualify this year been offered full-time positions that are not via agencies? Have other healthcare professionals like physiotherapists, occupational therapists and all those who...

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: We are learning more and more every week and we had Dr. David Nabarro back here some weeks ago talking about the long-term implications of having had and recovered from Covid-19. He has recovered loosely because one of the ongoing features is long-term fatigue. Ms Murphy alluded to that initially and I may come back to it. From a policy perspective, does Ms Ní Sheaghdha feel there is...

Special Committee on Covid-19 Response: Covid-19: Infection Rate among Healthcare Workers (21 Jul 2020)

Jennifer Carroll MacNeill: As a simple example, I have had to take three breaks from wearing my mask to have some water. I totally respect what Ms Ní Sheaghdha is saying. I will deliberately put policy aside as I come to Ms Murphy. I am last with questions, and that is why I have left what I want to say until the end of this session. The committee has had 16 public sessions and it is my understanding and...

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