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Workplace temperature checks not ‘particularly sensitive’ way to spot virus

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“It really does then raise questions about validity of temperature screenings,” Melbourne infectious diseases physician Michelle Ananda-Rajah, said.

Thermal screening and temperature checks have been widely rolled out at workplaces, airports and hospitals across the city to detect cases, but Professor Ananda-Rajah is concerned that using fever as a screening tool for COVID-19 may provide a false sense of security.

“If you’ve got people coming to work and they are getting their temperatures checked, well, if only one in five have a fever, it also means that four out of five could be infectious and don’t have fever,” she said.

“In other words, temperature screening is not going to be a particularly sensitive tool to pick up these infected people.”

Public health expert Professor Caroline Miller said temperature screening was among the more costly infection control measures, but it didn’t garner the same results as cheaper options such as strong contact tracing, good hygiene and social distancing.

“When really we haven’t seen evidence coming forward that’s it’s a good tool in picking up positive cases,” Professor Miller, director of the health policy centre at the South Australian Health and Medical Research Centre, said.

“The weight of evidence that sits behind it isn’t really very compelling. It’s probably much better to focus on making sure when people feel unwell they stay at home.”

Professor Miller, who was asked by South Australian government to review evidence of thermal cameras, also suspects the technology will be less effective at detecting cases than in the first wave, when about 47 per cent of infected Australians displayed a fever.

“We know people are also infectious before they are symptomatic so it’s not going to pick up any of those people either,” she said.

While airborne transmission of of SARS-CoV-2 is still the subject of debate, mounting global evidence suggests it can be transmitted through air particles.

Professor Michelle Ananda-Rajah, infectious diseases specialist.

Professor Michelle Ananda-Rajah, infectious diseases specialist.Credit:Eddie Jim

For this reason, Professor Ananda-Rajah believes there needs to be far greater emphasis on commonsense measures such as opening windows and doors in workplaces.

“It is such a simple thing, but it can massively improve ventilation,” she said.

“We need start thinking about some really imaginative solutions. Why couldn’t children be taught outside for example? Why can’t we set up tents? It would be safer for teachers and children.”

Eating lunch inside, in a kitchen or tearoom, was also advised against.

“People should be outdoors as much as possible,” she said. “Nobody should be eating inside.”

Indoor staff meetings are a thing of the past at Hedley Perrett Real Estate on St Kilda Road. Director Blake Hedley has ditched the board room for the park in a bid to prevent transmission of the virus among workers.

“Rather than sitting around in close quarters, we’ve decided to hold team meetings in the park across the road,” Mr Hedley said. “Or grab a coffee and go for socially distanced walk to catch up.”

Mr Hedley has also looked overseas for inspiration on how to protect his team of 20 staff during the pandemic.

While they’re encouraged to work from home if they can, staff also use an app to check how many people have logged into the office, to ensure social distance measures are upheld.

“We use the technology to make sure the occupancy in the office never gets too high,” he said.

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Physical house inspections are banned until the end of next month, and are instead conducted via live videos on Zoom, where owners will take potential buyers on a virtual tours as real estate agents narrate.

“Basically, everything we do has had to be tweaked,” Mr Hedley said.

Professor Ananda-Rajah suspects the widespread use of face masks could be one reason why Victorians infected with the pathogen in recent months are becoming less ill, and therefore, less likely to run a fever.

“I suspect, and this is just theory, it’s related to mask use,” Professor Ananda-Rajah said.

“It is an observation that has been reported anecdotally in other countries too. The fact we are all in masks now means that we are probably acquiring a lower dose of the virus and that may actually be having an effect on the inflammatory reaction to the virus.”

Commentary by a group of leading US infectious disease physicians, published on Tuesday in the New England Journal of Medicine, also suggests masks expose the wearer to just enough of the virus to spark a protective immune response.

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