{"id":59251,"date":"2021-03-11T17:46:47","date_gmt":"2021-03-11T17:46:47","guid":{"rendered":"https:\/\/websitedesigns.com.au\/elankanew\/?p=59251"},"modified":"2021-03-11T17:47:54","modified_gmt":"2021-03-11T17:47:54","slug":"make-it-work-on-the-ground-meet-australias-pandemic-whisperer-by-rachel-clun","status":"publish","type":"post","link":"https:\/\/websitedesigns.com.au\/elankanew\/make-it-work-on-the-ground-meet-australias-pandemic-whisperer-by-rachel-clun\/","title":{"rendered":"\u2018Make it work on the ground\u2019: Meet Australia\u2019s pandemic whisperer-By Rachel Clun"},"content":{"rendered":"

\u2018Make it work on the ground\u2019: Meet Australia\u2019s pandemic whisperer-By Rachel Clun<\/span><\/h1>\n

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ANU Associate Professor Kamalini Lokuge has worked hard behind the scenes on Australia\u2019s COVID-19 response.<\/span>CREDIT:<\/span>ALEX ELLINGHAUSEN<\/cite><\/span><\/p>\n

Source:<\/span><\/strong>SMH<\/a><\/span><\/p>\n

High-tech hospital wards and advanced medical treatments were not going to save Australia from the ravages of a previously unknown virus, as Associate Professor Kamalini Lokuge well knew.<\/span><\/p>\n

Three basic things would be key: preventing the virus from entering the community, tracing all cases of the disease, and most importantly of all, ensuring the public understood and trusted the government\u2019s health messaging.<\/span><\/p>\n

\u201cIn some ways it was a near miss, what happened in Australia,\u201d Professor Lokuge said.<\/span><\/p>\n

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\u201cLike almost all developed countries Australia was very confident, given the past track record, that they could manage with technology, with therapeutic intervention: there wasn\u2019t a [widespread] understanding that for this, the only intervention was prevention.\u201d<\/span><\/p>\n

 <\/p>\n<\/div>\n

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Kamalini Lokuge is not a household name. But thanks in part to her work as a field epidemiologist, assisting with tracking and halting Ebola outbreaks across central and western Africa over the last 15 years, Professor Lokuge has been a crucial figure in Australia\u2019s pandemic response.<\/span><\/p>\n

\u201cShe was very, very rapidly able to identify that this obviously wasn\u2019t the flu,\u201d WA\u2019s Chief Health Officer Dr Andrew Robertson said.<\/span><\/p>\n

Victorian Chief Medical Officer Professor Brett Sutton said Professor Lokuge was an \u201cabsolutely genuine field epidemiologist\u201d.<\/span><\/p>\n

\u201cEven though she\u2019s got a great academic career, all of her work and all of her advice is informed by the reality of making that stuff work on the ground,\u201d he said.<\/span><\/p>\n

Every year for the last decade, the Australian National University epidemiologist travelled to countries including Sierra Leone, Guinea and the Democratic Republic of Congo to support the response on the ground to Ebola outbreaks, and then used what she learnt in subsequent outbreaks.<\/span><\/p>\n<\/div>\n<\/div>\n<\/section>\n

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\u201cI\u2019d go out, help control the outbreak and come back and think, \u2018what did we learn from that? How could we do it better?\u2019\u201d Professor Lokuge said.<\/span><\/p>\n

On her first 24 to 48 hours on the ground, she would start to work out how each person got infected and map the path of the disease.<\/span><\/p>\n

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\u201cOnce you\u2019ve tracked all those transmission chains, you can be confident that you know how the disease has moved so you know who everyone who\u2019s potentially at risk of becoming infectious and isolate those people,\u201d she said.<\/span><\/p>\n

Professor Lokuge coined the terms upstream and downstream contact tracing – looking at who has become infected from a particular case but also how that case became infected.<\/span><\/p>\n<\/div>\n

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Australia routinely conducted contact tracing for various diseases like measles before the pandemic, but ANU colleague Professor Emily Banks said the upstream and downstream ways of thinking about it were new.<\/span><\/p>\n

\u201cShe coined those terms, specifically to emphasise that in COVID it\u2019s very, very important to do upstream contact tracing, because you go back and you find cases who would then have transmitted it to other people,\u201d she said.<\/span><\/p>\n

As well as contact tracing, modelling done by Professor Lokuge and colleagues\u00a0recently published in\u00a0BMC Medicine<\/em><\/a>\u00a0also gave health authorities a solid scientific reasoning for focusing on testing people with symptoms, rather than general widespread testing.<\/span><\/p>\n

Dr Robertson said this work has been vital throughout Australia\u2019s pandemic response.<\/span><\/p>\n

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\u201c[While] those public health measures have had some significant impact on society, they have been very effective in stopping any further spread of the disease and being able to return to normality in a relatively short period of time,\u201d he said.<\/span><\/p>\n<\/div>\n

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Professor Lokuge\u2019s expertise was especially pertinent during\u00a0Victoria\u2019s second wave<\/a>.<\/span><\/p>\n

Professor Sutton, who first met Professor Lokuge while they were both working for Medecins Sans Frontieres in Afghanistan during the Taliban\u2019s uprising in the late 1990s, said she was laser-focused on helping trace the growing outbreaks.<\/span><\/p>\n

\u201cShe really sharpened the focus on how best to direct our energies to get on top of some of those challenging outbreaks,\u201d he said.<\/span><\/p>\n

She also understood the challenges of communicating with diverse communities.<\/span><\/p>\n

\u201cIt very much came down to the similar issues with Ebola, which is how do you manage to engage with traditionally harder-to-engage populations?\u201d Professor Sutton said.<\/span><\/p>\n

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Victoria\u2019s second wave was no surprise to Professor Lokuge. At one point people were calling her prophetic for predicting it, Professor Banks said, but added that the term \u2018pandemic whisperer\u2019 suited better.<\/span><\/p>\n

\u201cPandemic whisperer to me, was about that person who had this very special kind of understanding of not only what was going on, but how to change it, how to do something about it,\u201d Prof Banks said.<\/span><\/p>\n

But to Professor Lokuge, the most important people in the pandemic response have been the community. By accepting a lockdown early in the pandemic, the community gave the country time to build up the testing and tracing capacity it has today.<\/span><\/p>\n

\u201cWe were very fortunate … that the community, by and large, trust what they\u2019re told,\u201d she said.<\/span><\/p>\n<\/div>\n

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\u201c[When] we locked down the borders, we actually had a lot of cases in the country, and a lot of transmission at that point, that\u2019s why we had to ask the community to basically go into lockdown.<\/span><\/p>\n

\u201cWithout that, all we would have gained from the border closures was a few weeks head start on Europe in the US.\u201d<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"

\u2018Make it work on the ground\u2019: Meet Australia\u2019s pandemic whisperer-By Rachel Clun ANU Associate Professor Kamalini Lokuge has worked hard behind the scenes on Australia\u2019s COVID-19 response.CREDIT:ALEX ELLINGHAUSEN Source:SMH High-tech hospital wards and advanced medical treatments were not going to save Australia from the ravages of a previously unknown virus, as Associate Professor Kamalini Lokuge […]<\/p>\n","protected":false},"author":3,"featured_media":59252,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"aside","meta":{"footnotes":""},"categories":[20],"tags":[33118,33119],"class_list":{"0":"post-59251","1":"post","2":"type-post","3":"status-publish","4":"format-aside","5":"has-post-thumbnail","7":"category-articles","8":"tag-kamalini-lokuge","9":"tag-medecins-sans-frontieres","10":"post_format-post-format-aside"},"yoast_head":"\n\u2018Make it work on the ground\u2019: Meet Australia\u2019s pandemic whisperer-By Rachel Clun<\/title>\n<meta name=\"description\" content=\"Kamalini Lokuge is not a household name. 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