Rare but ‘catastrophic' bacterial infection behind NSW children's deaths
A rare but highly aggressive infection that surged after the lifting of COVID restrictions probably contributed to the death of two-year-old Pippa White, as well as resulting in the deaths of at least four more children in NSW, an inquest has heard.
Associate Professor Kathryn Browning Carmo, acting director of the NSW Newborn & paediatric Emergency Transport Service (NETS), told an inquest into Pippa's death on Tuesday that hers was one of the first 'in a series of cases' of Group A streptococcus (iGAS) the emergency service dealt with over a two-year period.
Carmo said NSW was largely 'immune naive' to what appeared to be a more aggressive form of the bacteria Streptococcus pyogenes when doctors at Orange Base Hospital called for NETS assistance around 6am on June 13, 2022, hours before Pippa's death.
The infection was rare but could lead to 'devastating, crashing and catastrophic' cases of sepsis in children, Carmo said, noting that some children could go from having very little water in the lungs to 'complete whiteout' on scans 'within hours'.
'It was that aggressive … it was an absolutely devastating illness,' she said.
An academic paper co-authored by Carmo and read in court showed the NETS team were referred to 77 cases of children with iGAS between November 2022 and February 2024. Four died from the infection.
In the previous five years, they had responded to just nine cases.
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The Advertiser
a day ago
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Sexual harassment and violence training for bar staff
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RSA training - mandatory for anyone who sells, serves or supplies liquor - will have updated materials to give workers a clearer understanding of the law, including differences between sexual harassment and sexual assault. Another recent revision updated guidance on drink spiking. Staff will also be trained in how to respond when patrons report harassment, violence, and suspected drink spiking, including on how to connect them with support services. Training for licensees has been updated to reflect employer obligations to prevent workplace sexual harassment. "It's important for us to engage with people where they live, learn, work, socialise and play, including the hospitality sector," Domestic Violence and Sexual Assault Prevention Minister Jodie Harrison said. "This training is one example of the work underway to change the beliefs and cultures that tolerate or condone violence." The state's Women's Safety Commissioner Hannah Tonkin said the changes are an important step to making spaces safer and more respectful. "Everyone should feel confident that they'll be safe when they're socialising or working in a bar, club, restaurant or pub." Sydney's after-dark economy was damaged by restrictive and since-repealed lockout laws beginning in 2013 following violent one-punch deaths in nightlife precincts. The COVID-19 pandemic also severely impacted the hospitality sector, and changing residential demographics in some areas prompted noise and other complaints affecting venues. The state has established special entertainment precincts with extended trading hours and looser noise controls as part of "vibrancy reforms". People buying property in some areas will have to acknowledge the potential for noise in a bid to limit conflict between established venues and new neighbours. Enmore Road in the city's inner west was the first area declared a special entertainment precinct with the council considering additional areas. Further west, Burwood and Fairfield councils have received grants to begin a trial of precincts by the end of 2025. A regional trial is also planned in Byron Bay in the state's north. 1800 RESPECT (1800 737 732) National Sexual Abuse and Redress Support Service 1800 211 028 Making venues safer for workers and patrons alike is part of efforts to reinvigorate a major city's ailing nightlife with mandates for venue staff to undergo training around sexual harassment and violence prevention. Training provided as part of Responsible Service of Alcohol accreditations follow several recent scandals engulfing major players in Sydney's hospitality industry and re-evaluation of its hard-partying reputation. The changes ensure workers are better equipped to care for customers and colleagues with ambitions to make the state a global gold-standard for nightlife and entertainment, NSW Night-Time Economy Minister John Graham said. "That only happens if our venues are safe, welcoming and respectful for everyone who walks through the door. "The updated RSA training course gives hospitality staff real-world tools and guidance needed to step in, defuse trouble and assist their patrons when it counts." RSA training - mandatory for anyone who sells, serves or supplies liquor - will have updated materials to give workers a clearer understanding of the law, including differences between sexual harassment and sexual assault. Another recent revision updated guidance on drink spiking. Staff will also be trained in how to respond when patrons report harassment, violence, and suspected drink spiking, including on how to connect them with support services. Training for licensees has been updated to reflect employer obligations to prevent workplace sexual harassment. "It's important for us to engage with people where they live, learn, work, socialise and play, including the hospitality sector," Domestic Violence and Sexual Assault Prevention Minister Jodie Harrison said. "This training is one example of the work underway to change the beliefs and cultures that tolerate or condone violence." The state's Women's Safety Commissioner Hannah Tonkin said the changes are an important step to making spaces safer and more respectful. "Everyone should feel confident that they'll be safe when they're socialising or working in a bar, club, restaurant or pub." Sydney's after-dark economy was damaged by restrictive and since-repealed lockout laws beginning in 2013 following violent one-punch deaths in nightlife precincts. The COVID-19 pandemic also severely impacted the hospitality sector, and changing residential demographics in some areas prompted noise and other complaints affecting venues. The state has established special entertainment precincts with extended trading hours and looser noise controls as part of "vibrancy reforms". People buying property in some areas will have to acknowledge the potential for noise in a bid to limit conflict between established venues and new neighbours. Enmore Road in the city's inner west was the first area declared a special entertainment precinct with the council considering additional areas. Further west, Burwood and Fairfield councils have received grants to begin a trial of precincts by the end of 2025. A regional trial is also planned in Byron Bay in the state's north. 1800 RESPECT (1800 737 732) National Sexual Abuse and Redress Support Service 1800 211 028 Making venues safer for workers and patrons alike is part of efforts to reinvigorate a major city's ailing nightlife with mandates for venue staff to undergo training around sexual harassment and violence prevention. Training provided as part of Responsible Service of Alcohol accreditations follow several recent scandals engulfing major players in Sydney's hospitality industry and re-evaluation of its hard-partying reputation. The changes ensure workers are better equipped to care for customers and colleagues with ambitions to make the state a global gold-standard for nightlife and entertainment, NSW Night-Time Economy Minister John Graham said. "That only happens if our venues are safe, welcoming and respectful for everyone who walks through the door. "The updated RSA training course gives hospitality staff real-world tools and guidance needed to step in, defuse trouble and assist their patrons when it counts." RSA training - mandatory for anyone who sells, serves or supplies liquor - will have updated materials to give workers a clearer understanding of the law, including differences between sexual harassment and sexual assault. Another recent revision updated guidance on drink spiking. Staff will also be trained in how to respond when patrons report harassment, violence, and suspected drink spiking, including on how to connect them with support services. Training for licensees has been updated to reflect employer obligations to prevent workplace sexual harassment. "It's important for us to engage with people where they live, learn, work, socialise and play, including the hospitality sector," Domestic Violence and Sexual Assault Prevention Minister Jodie Harrison said. "This training is one example of the work underway to change the beliefs and cultures that tolerate or condone violence." The state's Women's Safety Commissioner Hannah Tonkin said the changes are an important step to making spaces safer and more respectful. "Everyone should feel confident that they'll be safe when they're socialising or working in a bar, club, restaurant or pub." Sydney's after-dark economy was damaged by restrictive and since-repealed lockout laws beginning in 2013 following violent one-punch deaths in nightlife precincts. The COVID-19 pandemic also severely impacted the hospitality sector, and changing residential demographics in some areas prompted noise and other complaints affecting venues. The state has established special entertainment precincts with extended trading hours and looser noise controls as part of "vibrancy reforms". People buying property in some areas will have to acknowledge the potential for noise in a bid to limit conflict between established venues and new neighbours. Enmore Road in the city's inner west was the first area declared a special entertainment precinct with the council considering additional areas. Further west, Burwood and Fairfield councils have received grants to begin a trial of precincts by the end of 2025. A regional trial is also planned in Byron Bay in the state's north. 1800 RESPECT (1800 737 732) National Sexual Abuse and Redress Support Service 1800 211 028 Making venues safer for workers and patrons alike is part of efforts to reinvigorate a major city's ailing nightlife with mandates for venue staff to undergo training around sexual harassment and violence prevention. Training provided as part of Responsible Service of Alcohol accreditations follow several recent scandals engulfing major players in Sydney's hospitality industry and re-evaluation of its hard-partying reputation. The changes ensure workers are better equipped to care for customers and colleagues with ambitions to make the state a global gold-standard for nightlife and entertainment, NSW Night-Time Economy Minister John Graham said. "That only happens if our venues are safe, welcoming and respectful for everyone who walks through the door. "The updated RSA training course gives hospitality staff real-world tools and guidance needed to step in, defuse trouble and assist their patrons when it counts." RSA training - mandatory for anyone who sells, serves or supplies liquor - will have updated materials to give workers a clearer understanding of the law, including differences between sexual harassment and sexual assault. Another recent revision updated guidance on drink spiking. Staff will also be trained in how to respond when patrons report harassment, violence, and suspected drink spiking, including on how to connect them with support services. Training for licensees has been updated to reflect employer obligations to prevent workplace sexual harassment. "It's important for us to engage with people where they live, learn, work, socialise and play, including the hospitality sector," Domestic Violence and Sexual Assault Prevention Minister Jodie Harrison said. "This training is one example of the work underway to change the beliefs and cultures that tolerate or condone violence." The state's Women's Safety Commissioner Hannah Tonkin said the changes are an important step to making spaces safer and more respectful. "Everyone should feel confident that they'll be safe when they're socialising or working in a bar, club, restaurant or pub." Sydney's after-dark economy was damaged by restrictive and since-repealed lockout laws beginning in 2013 following violent one-punch deaths in nightlife precincts. The COVID-19 pandemic also severely impacted the hospitality sector, and changing residential demographics in some areas prompted noise and other complaints affecting venues. The state has established special entertainment precincts with extended trading hours and looser noise controls as part of "vibrancy reforms". People buying property in some areas will have to acknowledge the potential for noise in a bid to limit conflict between established venues and new neighbours. Enmore Road in the city's inner west was the first area declared a special entertainment precinct with the council considering additional areas. Further west, Burwood and Fairfield councils have received grants to begin a trial of precincts by the end of 2025. 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Sexual harassment and violence training for bar staff
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West Australian
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