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Questions raised over Ebola facility

Concerns have been raised as to how the private company appointed to run Australia’s response to the Ebola crisis in West Africa will train its staff.

The Department of Foreign Affairs and Trade awarded the contract to Aspen Medical on Wednesday.

Questions are being asked as to why Australian Medical Assistance Teams, or AUSMATs, are not part of the country’s Ebola response in Africa.

Non-government organisations are frustrated that their months of expertise in West Africa are being ignored in favour of a private company with limited experience in the region.

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Since 2007, AusTender documents show it has been awarded more than $200 million in government contracts from the Department of Defence alone.

The Government will pay now pay Aspen $20 million to run a 100-bed facility in Sierra Leone.

Aspen boss Glenn Keys said at least 350 Australians had registered online to be involved in the hospital and a further 100 applications had come from Africa.

Mr Keys said up to one in five of the 240 staff at the hospital could be Australian.

It’s expected the staff will undergo several days of training, then work for three to four weeks in the hospital before entering a three-week quarantine process and returning home.

On Thursday morning Health Minister Peter Dutton told ABC’s AM program the Government’s choice to hire a private company for the job was not an unusual decision.

“[It is] no different to the approach that’s been taken by the Europeans [who have] have adopted a similar model,” Mr Dutton said.

“We’re seeing lots of private contractors because they’ve got the capacity and the logistical capacity to deliver very quickly what governments want on the ground.

“The Australian Greens and those on the left who have been critical would have been critical of anything the Government did, frankly.”

Doubts over Aspen’s qualifications

But Victorian Greens Senator and public health specialist Richard Di Natale has doubts of Aspen’s ability to manage the situation in West Africa alone.

“Aspen could only provide that training if they were doing it in conjunction with some of the NGOs that are already established in the field,” Senator Di Natale said.

“And I would be staggered if Aspen had a made a decision to go this alone and to deploy people to the field without working with the NGOs that have already spent months there and have developed protocols and procedures that are designed to keep health workers safe.

“To simply outsource this to a private medical company and to do that without what appears to be the necessary qualifications, in terms of training and experience that will be provided to other health workers who will be working for NGOs, that have got a long experience in this area, does raise some serious questions. It’s absolutely certain.

“I would be very concerned if Aspen essentially made the decision to deploy people directly to the field without working with the existing NGO community deployed in West Africa.”

But Mr Keys told the ABC the organisation does have some experience in West Africa.

“[I think] we were approached because we were already on the ground. We’re in Liberia – we have been for a number of months,” he said.

“We opened up before the Ebola outbreak occurred. So we’ve got good experience in north-west Africa, and there’s not a lot of Australian companies that do.

“And then on top of that, we already do a range of deployed health work, and have done for over a decade. So I think we’ve got a lot of the requisite skills to do that work.”

However it is not clear if the company’s clinic in Africa has been dealing with Ebola patients.

AMA seeks meeting

The Australian Medical Association (AMA) president, Associate Professor Brian Owler, is seeking a meeting with Aspen to ask questions about their plans for training staff.

“Everyone wants to make sure these people are brought home safely. So the training has to be to a very high standard,” Professor Owler said.

“It does involve making sure that they’re well drilled in using the personal protective equipment, but also understand the conditions that they’re going to be working under, the things that they’re going to confront, and that they have reasonable expectations even about treatments they’re going to be able to provide to these patients.”

Both Professor Owler and Senator Di Natale suggest AUSMAT should be playing a role in Australia’s involvement in West Africa.

“Of course they should. These are the people who are trained specifically for instances like this,” Senator Di Natale said.

“That’s the whole point of having an AUSMAT team – to have people with the skills and qualifications who can go to the field and can ensure that they’re the first responders.

“We need to ensure that AUSMAT health professionals are deployed to West Africa not simply because they’re the most appropriate people to respond in instances such as this, but if there was to be an outbreak, for example in our region… then it would be the AUSMAT team that would be deployed, and without that field experience it potentially exposes us to serious risk.”

Groups such as Oxfam Australia and the Public Health Association are calling for the military to be deployed.

But Mr Dutton said there was no need for a military response, and that the UK, US and countries in Europe were all using private contractors to tackle the Ebola outbreak.

Meanwhile the World Health Organisation reported the Ebola death toll stood at a revised figure of 4818, with just more than 13,000 reported cases.

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