Life in Level 1: Reinfection – No, Dr Bloomfield!

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20 June

The bad news: Aotearoa New Zealand has two new cases of covid-19.

The good news: the two cases were picked up at an Auckland quarantine facility.

The terrifying news: had the story of the two women leaving quarantine without testing not broken four days ago – this couple and their child were due to depart the facility;

TDB Recommends NewzEngine.com

The couple returned to New Zealand on a repatriation flight from Delhi – AI-1306 – and arrived on 5 June. They also have an infant who has not been tested due to age.

The couple showed no symptoms and returned a positive result after being tested on day 12 of isolation.

They were tested on Day 12. Up until now testing had not been done or was haphazard.

The infuriating news: Dr Ashley Bloomfield needs to stop bullshitting us. At today’s presser, he made this statement. See if you can pick up the half-truth:

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@ 4:44 – 5:52

“Just a good time to remind everybody that we were always expecting to get new cases at our borders, as Kiwis return home from overseas.

And I guess the comment here is, we had several weeks where we didn’t get any cases at the border and now we are. And I’d like to reflect on the reasons for that.

First of all, we are seeing an increasing number of Kiwis returning to the country from around the globe.

The second is, just to reiterate the point that I have made, there is still a global pandemic raging offshore.

And only overnight the Director General of the World Health Organisation noted that the global pandemic is accelerating, with Thursday this week being over 150,000 new cases worldwide.

So there is an increased likelihood we will see Kiwis coming back, especially from countries where there are high rates of infection, like India. We also earlier in the week of course had those two Kiwis who’d returned from the UK where they’ve got high rate of infection.

So this explains why we are now detecting these cases at the border.”

Dr Bloomfield’s assertion that new cases of covid19 are being picked up because “we are seeing an increasing number of Kiwis returning to the country from around the globe” is not the reason.

The reason infection is being detected is because testing is now being carried out in earnest.

If personnel at quarantine facilities were still half-heartedly (or not at all) implementing testing protocols, all three recent cases (one returnee from Pakistan, and the couple from India) would likely have departed their respective facilities without having been tested.

They would be in our community – along with their viral “passengers”.

In fact, Dr Bloomfield may have revealed the magnitude of the potential crisis we might be facing;

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2400 people who had left a managed isolation facility but had not had a test“.

I fear our good luck is about to run out.

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As at 20 June 2020:

Confirmed & Probable covid19 cases: 1,159

Active cases: 5

Cases in ICU: nil

Number of deaths: 22

 

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References

RNZ:  Two new cases of Covid-19 in New Zealand (alt link to video)

NZ Herald:  Covid 19 coronavirus – New arrivals to New Zealand told swab testing is not compulsory

NZ Herald:  Covid 19 coronavirus – NZ has another new case – a man in his 60s in a quarantine facility in Auckland

Ministry of Health: Two new cases of COVID-19

Previous related blogposts

The Warehouse – where everyone gets a virus

Life in Lock Down: Day 28 – An Open Letter to Prime Minister Ardern

Life in Lock Down: Day 2 of Level 3

Reinfection: Labour’s kryptonite

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This blogpost will be re-published in five days on “Frankly Speaking“. Reader’s comments may be left here (The Daily Blog) or there (Frankly Speaking).

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30 COMMENTS

  1. Yes this is the real risk. If we get a cluster from someone leaving quarantine without being tested then there is no one to blame other than Bloomfield and Clark. It is common practice to have monitoring and hindsight regarding implemented controls – on the surface it appears there were either none or, if there were these were swept under the carpet. This is the responsibility of senior management not middle management lackeys.

    There must be some rather large cold sweats happening on level 9 this week.

    I’d say Bloomfield’s spot on the Labour list and his New Years honour have been tentatively put into the dustbin…..

    • Indeed, Frank.

      My criticisms will always be of those in positions of authority who call the shots. Those at the coal face either have insufficient support, resources, or leadership – or have been placed into positions of responsibility they were never trained for.

      One important point I may not have emphasised is that MoH is primarily a policy organisation. A state “think tank” if you will. From what the msm have presented (and this is backed up by some of my sources), MoH staff at quarantine facilities are not bio-security trained staff such as employed by Customs.

      This may have significance as to why testing, safe-distancing, etc, was so lax, or non-existent.

      It seems fairly clear that Aotearoa New Zealand demands a specially trained group of infection-control bio-security teams. Just as we have USAR and Customs bio-security to deal with their respective niche areas.

      Covid-19 may be the first of many micro-organisms to threaten our well-being.

  2. Good reporting Frank ,,,, your last few lines cuts through so much bullshit ,,,

    “2400 people who had left a managed isolation facility but had not had a test“. ,,,, ,, I’m staggered that such stupidity has been allowed to flourish ,,,, Nationals non-compliant – no worries style of governing may have infected a few to many Govt departments and staff,,, the wink wink nod nod attitude to regulations is especially poisonous at this point in time.

    So there needs to be some sackings ,,, and Bloomfields ‘She’ll be right’ attitude is a good place to start.

    To jump on this failure with the urgency it deserves, there should have been National broadcasts across our main media in all its forms ,TV / Radio / Internet,,, requiring the 2400 potential virus vectors to present themselves for immediate testing ,,,, that would display a level of seriousness and commitment ,,, that has been exposed as lacking.

    A failure of leadership at both ends ,,in the creation of 2400 failures ,,and then in the response to this self created mess ,,, would be a criminally negligent disaster.

    Some stern leadership and consequences are required for the exposed bad joke…. demotions and sackings.

    Clear regulations regarding ‘best practice’ ,,, and compliance ,,,, are the way forward.

    We need to get real and it’s not rocket science ,,,,,,,,,,,

    • One thing is for certain, Reason, the “she’ll be right” attitude is a luxury we cannot afford. Not when lives are at stake.

      If – as I suspect – new clusters appear in the community, will New Zealanders be so willing to jump back into L3 or L4 lock-down? Considering the violations we had first time around, I’m not certain we’ll get the compliance we need. Not when it was caused by lax quarantining in the first place.

      I know my tolerance wore mighty thin when I learned that international flight crews were exempt from the 14 day quarantining after returning from overseas destinations.

  3. “The reason infection is being detected is because testing is now being carried out in earnest.”
    Ashley Bloomfield has dropped the ball.

    On 17th of March 2020 NZ MOH director ‘Ashley Bloomfield was instructed by the World Health Organisation to test, test, test and not to fly blind’ – but Mr Bloomfield failed to do this.

    https://www.scoop.co.nz/stories/PO2005/S00048/ceac-agrees-with-govt-to-be-cautious-about-fighting-covid-19.htm

    All he chose was a low quality single “swab test” only on a few hundred a day and that was a fail.

    We wrote about during two separate types of testing on every person inn NZ as China is now doing.

    China conducted ’10 million tests’ on the whole Wuhan population in May after a second wave came along.

    We are flying blind even now, so expect more cases of clusters to eventuate here due to his lack of testing and allowing NZ to ‘fly blind’.

    Ministry of Health must incorporate with the current ‘swab test’- “the antibody test (also called a serology test.) which confirm all who develop immunity to Covid 19, to save citizens lives and avoid false negative throat nasal swab tests.
    Conduct full Covid 19 testing of all our citizens firstly and complete a full assessment of solid robust controlled ‘track & tracing’ of the Covid 19.
    We must have mass testing of all our whole community firstly to have a solid ‘robust tracing process’ to fight Covid 19.

    • Indeed, CG.

      Also;

      1. The msm need to get a grip on the “human interest” (ie; whinging) stories from a minority of vocal, self-entitled returnees. Or from columnist such as Mike Hosking, Heather du Plessis-Allan, et al. To be honest, they are irritating much like Simon Bridges’ constant dog barking.

      2. National’s politicking on this crisis reached it’s nadir with Michael Woodhouse with-holding critical information for nearly an entire day before alerting MoH officials so he could make political capital from it.

      If ever the hash-tag #NationalNotFitToGovern was appropriate, it was for his irresponsible actions.

  4. While I agree with you Frank, I wouldn’t be too harsh on the Doctor if only because he works in our 80s-reformed public service based on the faith-based ideology of neo-liberalism that Chris Trotter refers to in another post ( https://thedailyblog.co.nz/2020/06/19/flat-earthers-for-how-much-longer-must-new-zealand-be-damaged-by-neoliberalisms-demented-perceptions-of-reality/ )

    You’ll probably have already heard Harman and Clark on RNZ’s Sunday this morning (link not up yet) but there’s blame to spread around across agencies.
    It kind of reminds me of the approach to ISO9000 accreditation where you document everything and tick all the boxes (useful for promotional purposes), then file it all in a filing cabinet somewhere – probably with a backup at another location. Another box ticked.

    The natural reaction to any criticism (constructive or otherwise) is to either tell porkies, or be a bit frugal with the truth, or outright lie, or even if you can – blame another agency. You must have “complete faith in your officials” until such time as you no longer can – and that doesn’t just go for officials within an agency, but also between an agency and the relationship it has with its Munster. Its also mandatory for a Munster to have “complete faith in their officials” right up until they’re bitten in the bum.
    For some reason, Ministers are reluctant to even use the existing mechanism (repeatedly if necessary) when there are failures or embarrassment (writing to the SSC for example) – possibly because it only ever results in the problems being half-fixed.
    Why do you think that the OIA has increasingly been treated with such disdain. Emperors and their feifdoms must not be challenged, and Emperors and feifdoms know what’s best for the plebs anyway.
    It helps too if your Minister is a wee bit ‘wet’ or isn’t equipped with an adequate bullshit detector.

    While JA has finally got herself someone (Megan Woods) who is a better shit-kicker – or at least who’ll be familiar with Ronnie and Nancy’s “trust but verify”, she’s going to be using one of the biggest Ministries that’s had multiple failures since its construction (MBIE) to get things done because:
    “MBIE is a key government agency that has the scale and scope to deal with complex issues and work across other government agencies,”. It certainly has – even though it has innovatively and serially failed in so many areas since its construction (2011?). It not only has that scale and scope, but its actually quite convenient for Ministers to deal with the one-stop-shop of a Ministry for Everything.
    By the way – government officials in totalitarian states operating with a military usually have “complete faith in their officials” because mostly those officials’ primary objective is to keep sweat with their overlords by whatever means.

    • Fair points, Tim.

      You should have seen the first draft of my blogpost above.

      ReYCTMe: You’ll probably have already heard Harman and Clark on RNZ’s Sunday this morning (link not up yet) but there’s blame to spread around across agencies.

      I did indeed. And Ms Clark had a brilliant insight into the psyche of New Zealanders and their disdain for authority (unless it suits their privilege, ie, Rob Muldoon and his generation). It’s probably why the 1970s movie “Goodbye Pork Pie” was so well received by the public.

      Your comment about blame to spread around across agencies is confirmed by a source who made precisely that point to me. It’s by no means a solely MoH operation. Unfortunately, it’s Dr Bloomfield who fronts to the public, along with our PM.

      But I take your point. Watching Dr Bloomfield today at the 1PM presser, you couldn’t help but feel for him. I sure as heck don’t take much joy in writing this style of story about non-elected officials.

  5. Exactly – it has always been very difficult to get a test in NZ for Covid which also might explain our low numbers of cases….

    It is criminal, that NZ has allowed people quarantined from overseas to leave without having a Covid test on day 1 or at all. Also those quarantined were in contact with other people who also might have had Covid during poor quarantine practises.

    In this crazy example it sounds like this traveller, started his quarantine in Auckland but was offered 2 bus rides and another internal flight to Christchurch to go to another quarantine facility with 100 other potential Covid passengers! Truely crazy. Later a contact tests positive for Covid.
    https://www.stuff.co.nz/national/health/coronavirus/121878928/contact-of-two-covid19-cases-flew-to-christchurch-without-being-tested

    It sounds like other factors play into if you develop the virus more severely or not… aka being a male – more likely to be hospitalised or die with Covid, having existing respiratory or other health issues, being older, or live in a place with high air pollution – all these factors make it more likely to die from Covid…

    In NZ we might have been Covid free more by design, lack of testing and luck, aka low density of people, less males per females per population, better air pollution than other countries and limited testing. I don’t believe that NZ officials did an incredible job with Covid, we just have better conditions for it not to speed.

    It’s a combined effort to beat pandemics, with government, officials, medical professionals and the people themselves. I don’t think Jacinda was responsible for in Covid control like the media were cringingly applauding, now it’s turning to custard, I also don’t think that it should be considered Dr Bloomfield’s fault either… They do need to step up thought because NZ health system is too run down to let Covid spread here.

    GP’s in NZ have been incredible with telephone support. I am also aware that NZ has gone to a process led health system, that often relies on private practises and middle men to get anything done, (in particular testing like Labtests for blood) and also people in this country are considered commodities as workers, with many people who are new on the job all the time as gig/contract workers and a take low wages or leave it, approach to retaining talent here.

    You can see with this example the where the people involve in the vetting of the police vetting system were not considered very important in terms of security of the vet checks, to the point where the police were fined by the Labour inspectorate because they failed to keep employment records of those vetting the vet checks. https://www.nzherald.co.nz/business/news/article.cfm?c_id=3&objectid=12312365

    Poor controls, short term temp workers being used to save money everywhere, combined with much of the health system reliant on third parties, which means gaining and discussing profit is more important than health, is also part of the problem of poor testing here. In addition NZ seems to have heavily down graded preventative and pandemic medicine in the last 20 years with a slap dash approach to PPE.

    I don’t think COL were terrible with Covid and give them a Luke warm middle rating, but they certainly have been appalling about the testing.

    And apparently about to resume flights to China which full of Covid.
    Air New Zealand resuming flights to China, despite new outbreak
    https://www.stuff.co.nz/travel/news/121846714/air-new-zealand-resuming-flights-to-china-despite-new-outbreak

    That is appalling and risky behaviour!

    • The fresh outbreak near Beijing so far could be linked with frozen foods but not directly related to the Wuhan genome and may be more contagious..
      Chinese virologists estimate that the convind19 virus involved can withstand cold and may live a possible 20 years at -20 Deg C.
      That opens up a new frontier of considerations.
      NZ would be stupidly negligent opening up flights from China or nearby until the new outbreak is thoroughly controlled and a second wave allowed for as this virus can stick around. More needs to be known before travel from Asia is contemplated.
      incoming goods need to be assessed in the light of this new genome. It may have traveled into China from elsewhere which is suspected.

      • BTW – check your supermarkets frozen berries, pasta and kids sweets all starting to come from China but sold in NZ supermarkets like Countdown….

        China seems to be one of the worst food safety nations in the world and NZ (used) to be one of the safest food nations.

        Now someone can make a buck by selling cheaper food in NZ from China, but not necessarily safe food here… again if the lollies are full of melamine and the frozen berries full of chemicals… and who knows what the situation with Covid and food is…. viruses can survive a lot of conditions…

        We all know that NZ’s laissez faire approaches to imports, has zero ability to monitor the safety of imported products here… from lead in taps to asbestos in trains… they fail to learn any lessons, apart from dump the costs onto the health system and who cares if someone’s kids is sick when a buck can be saved by industry…

        If you want soy sauce made from human hair, for example

        “Soy sauce made from human hair[edit]
        Stories began circulating in the press about cheap soy sauces made from human hair. These sauces were manufactured in China using a chemical amino acid extraction process similar to artificially hydrolyzed soy sauces and then quietly exported to other countries. An investigative report that aired on Chinese television exposed the unsanitary and potentially contaminated sources of the hair:

        When asking how the amino acid syrup (or powder) was generated, the manufacturer replied that the powder was generated from human hair. Because the human hair was gathered from salon[s], barbershop[s] and hospitals around the country, it was unhygienic and mixed with condoms, used hospital cottons, used menstrual cycle pad[s], used syringe[s], etc.[8]

        In response, the Chinese government banned production of soy sauces made from hair. Other carcinogens remain; see 3-MCPD.”

        Or 10% of cheap restaurants using sewer oil…
        https://en.wikipedia.org/wiki/Gutter_oil

        I wonder how many takeaways in NZ are now using the cheaper imported gutter oil….

    • “It sounds like other factors play into if you develop the virus more severely or not… aka being a male – more likely to be hospitalised or die with Covid, having existing respiratory or other health issues, being older, or live in a place with high air pollution – all these factors make it more likely to die from Covid…”

      I have two clients who would most likely not survive covid19.

      With my own T2 Diabetes, I’d be struggling as well.

      Things that were constantly on my mind during L4 and L3. (The colloquialism, I believe, is “sh*tt*ng myself”.)

      “And apparently about to resume flights to China which full of Covid.
      Air New Zealand resuming flights to China, despite new outbreak”

      Not something that fills me with confidence…

  6. Excellent work Frank.
    I think we have been coasting since the move to level two. Everyone apart from a few thought we were out of the woods on this thing and the return to normalcy was astonishingly quick along with our usual laid back lax and insane behavior right across the board from breaches during the easing of restrictions , to the numskulls in the business community and their colleges in the Nasty Natz wanting the borders reopened regardless of the ongoing threat to many of our lives.
    As for Bloomfield he is very well paid civil servant who needs to learn that as soon as you are going to lie to cover yourself you will destroy the confidence of the public and you can’t get it back once its gone.

    • Thanks, Mosa, and yes, “As for Bloomfield he is very well paid civil servant who needs to learn that as soon as you are going to lie to cover yourself you will destroy the confidence of the public and you can’t get it back once its gone.”

      Watching him on RNZ today at 1pm, he seemed less sure and more under strain. Hardly surprising, as he’s an intelligent man and understands how people feel let down. No doubt the PM has also shared her views on last week’s colossal cock-up.


      “… the numskulls in the business community and their colleges in the Nasty Natz wanting the borders reopened regardless of the ongoing threat to many of our lives.”

      All I can say is thank the gods National is not in power. If Michael Woodhouse was our Minister of Health, and going by his recent actions, I would have grave concerns for his judgement.

      Any politician who with-holds critical information that could potentially harm or kill innocent people should not be in office.

      • Yes Frank Kiwis tend to be all forgiving and NACT play on that with blatant bullshit justifying their misdeeds for the profit of a few
        .
        Socialist aka left wing leaders appear to have responded most effectively where as neoliberal right wing leaders have opened up business early with disastrous results the world will have to deal with for a log long time.
        China is the leading example of clear thinking.

        The USA has a covid death rate which per capita is 100 times that of China and growing.
        China has billionaires too but they don’t have control and Chinese have a psyche very different to that of the mad aggressive Americans.

  7. Unfucking belieavable —-my default assumption was that testing was done at all points in the quarantine process, at arrival, and before being released, at the very least!

    Unbelieavable this has not been happening. Simply it beggars belief.

    Bloomfield should stand the fuck down

    • …my default assumption was that testing was done at all points in the quarantine process, at arrival, and before being released, at the very least!

      An assumption probably shared by Team Five Million, Mark. So when the story broke about those two returnees leaving quarantine untested, the entire country must have had a collective jaw-drop.

  8. Blaming Bloomfield, and no mention of St Jacinda…the PM, the person who KNEW there was not sufficient testing, but I guess making Bloomfield the scapegoat she gets away with not having to sack any of her cabinet (Clark)…a win win for Miss ‘be kind’ eh?

    • ImRight, I suspect PM Ardern was as unaware of sufficient testing as the rest of us. Why do I think that? Because no politician worth their salt would risk an upcoming election only three months away with such a ticking time bomb in the background.

      The fact she made rapid changes indicates how pissed off she must’ve been.

      Quite simply, we expected too much from the Ministry of Health. (See my comments above to “Frank the Tank”.) Running quarantine facilities is simply not a task they were designed for.

      The question that hasn’t been asked: was anyone ready for such a mammoth task?

      On the flip side, I believe 100% that David Clark’s political career is over.

      Anyone watching his disastrous performance on Q & A tonight could not possibly think otherwise. This was a Minister not across his portfolio and, again, reminded me of the train-wreck interview in 2015 by then-Corrections Minister, Peseta Sam Lotu-Iiga. (ref: https://fmacskasy.wordpress.com/2015/05/08/the-nation-nails-english-and-lotu-iigas-arses-to-the-wall/)

  9. You are no better than Cameron Slater with your reinterpretation of facts. I guess you are trying to make Winston look good but you are pushing a broken wheelbarrow uphill on a slippery slope trying to achieve that.

    • I believe it is, Janio. When a civil servant suggests that the cause of increasing numbers of C19 cases is because;

      …we had several weeks where we didn’t get any cases at the border and now we are. And I’d like to reflect on the reasons for that.

      First of all, we are seeing an increasing number of Kiwis returning to the country from around the globe

      — he is glossing over the reality that we had several thousand returnees already in quarantine. Yet, no new cases were detected until they started testing again after 16 June. So it wasn’t new returnees that resulted in new cases; it was the fact they were testing people.

      It’s like Trump saying not to test because the US will then record more cases. Aotearoa New Zealand didn’t adopt such a deliberate, crazy policy – but our laxity was nearly as bad.

      The next question is; how many of the thousands who have left quarantine after 14 days were (a) infected with the virus and (b) asymptomatic.

      Which is why the MoH is scrambling to find those people and test them.

  10. 1. Until we went to Level 1 on June 8, there was no testing for those without symptoms who were in managed isolation.

    2. Then from June 10, there was to be testing on day 3 and again day 12.

    3. The two from the UK missed day 3 testing as they arrived June7, and June 9 was before the requirement.

    4. They then sought early release, before the day 12 test – and in the traditoion of early release being granted without a test earlier at Level 2 (which was in play when they arrived) were given this.

    But yes, the reason we were not getting new cases (and thus went down to zero) was because we were not testing those in managed isolation (apparently 45% of people who have it are asymptomatic).

    Which while giving us confidence to go to Level 1, leaves us with a period of time – the next month or so, apprehensive about community spread from risk we took before going to Level 1.

    In retrospect we needed to bring in managed isolation testing when going to Level 2. Hopefully this mistake (which was a policy one, not a management one) has no adverse consequence.

    Not that there are no management issues – week 1 and week 2 need to be separated. The easiest way is to confine people to their rooms for the first week (day 3 test and temperature check on day 7).

    As for numbers, we could open access to those returning from Queensland/WA/SA/Tasmania and those from Victoria and NSW to camper vans (until they pass a test) and or home self-isolation if without symptoms.

    • Some good suggestions there, SPC.

      Regarding open access to those returning from Queensland/WA/SA/Tasmania and those from Victoria and NSW to camper vans – are you referring to New Zealand citizens/permanent citizens?

      • Yes, and with the lack of recent community spread in NSW, we could soon include no quarantine for Kiwis returning from there as well.

        But they would have to come in Kiwis in Oz only planes (because of the risk of infection coming in on the same flight as those from the UK/South Asia/Americas). Flying from Perth/Adelaide/Brisbane to get a flight from Sydney.

  11. What I can’t work out is also why those on benefits have to pay for emergency housing https://www.rnz.co.nz/news/national/304122/homeless-borrow-thousands-for-motels while well heeled travellers get their quarantine stays for free and are angry about paying for washing when their accomodation, food, power, internet, health care, testing etc all seems to be free on the NZ taxpayer https://www.stuff.co.nz/national/health/coronavirus/121625975/coronavirus-kiwis-in-govtfunded-quarantine-hotels-living-in-filthy-clothes… considering there is likely to need to be quarantined for a long time in NZ as Covid is ramping up again overseas shouldn’t they be paying for all their accomodation and expenses themselves as a cost of coming back to NZ as it is their choice to come back and was their choice to leave in the first place…

    The usual take from the poor and homeless and give to the rich and overseas based approach in NZ policy…

    Work harder NZ someone richer than you, needs that tax benefits to shelter here during Covid, free of charge for the most part… all paid for by the rest of the country…

  12. Yes this Pandemic is more dangerous than we have been told by World health Organisation was aware of long ago.

    Italian researchers have now found traces of Covid 19 in city sewers!!!!

    This highlights how widespread the virus can spread to re-infect us all again like the “Black Death bubonic Plague was’ during the Europe’s pandemic in the 1300’s that killed 20 million.

    https://www.history.com/topics/middle-ages/black-death
    The Black Death was a devastating global epidemic of bubonic plague that struck Europe and Asia in the mid-1300s. The plague arrived in Europe in October 1347, when 12 ships from the Black Sea docked at the Sicilian port of Messina. People gathered on the docks were met with a horrifying surprise: Most sailors aboard the ships were dead, and those still alive were gravely ill and covered in black boils that oozed blood and pus. Sicilian authorities hastily ordered the fleet of “death ships” out of the harbor, but it was too late: Over the next five years, the Black Death would kill more than 20 million people in Europe—almost one-third of the continent’s population.

    My son and his partner just flew home from Germany last week on Sunday 14th and were Covid 19 tested on 16th and now on 22nd June after six days is yet still waiting to get their testing results back and they are now only 6 days away from leaving the isolation unit to go back into the freely mixed population so the system is yet to be truly fixed.

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