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Dr Cillian de Gascun at this evening's Covid-19 briefing at the Department of Health. LEAH FARRELL; RollingNews.ie

'We know we need to get better': NPHET says testing result delays due to lack of automation

“Anyone who’s ever tried to get a PC to talk to a Mac…these things take time,” said NPHET member Dr Cillian de Gascun.

MANUAL ERRORS AND a lack of integration of computer systems are contributing to delays in people receiving their Covid-19 test results in Ireland, the National Public Health Emergency Team (NPHET) said this evening.

The median wait time between a swab being taken and contact tracing in a positive test result commencing is currently five days.

Contact tracing involves contacting anyone who met a Covid-positive patient – once their result is confirmed – and ensuring they self-isolate in order the limit the spread of the virus.

This should begin as soon as possible after a confirmed diagnosis, with five days being generally accepted as being too long a period.

Contributing to the delays are human errors of data collection and transcription, public health and hospital IT systems which cannot interact effectively, a lack of standardisation across departments involved in contact tracing and individual circumstances creating more complex cases.

Health officials say the median time should be down to four days by the end of this week yet questions remain over what is causing the delay between a test being carried out and a result being confirmed, either negatively or positively.

More importantly, why are some people waiting longer than five days for contact tracing to begin?

Dr Cillian de Gascun, director of the National Virus Reference Laboratory at UCD said last week he was to review delays in people receiving Covid-19 test results. De Gascun said this evening that there is a combination of issues causing delays at present. 

De Gascun said there is “no single, fundamental issue” at any one point in test-turnaround but that manual steps in the testing process have resulted in errors and delays.

“Unfortunately errors will happen in that situation and the HSE is working very hard to automate those steps,” he told TheJournal.ie

De Gascun added that errors in transcription and data collection (including gathering contact details for patients and GPs) have contributed to the delay in test results being finalised and communicated to people. 

Health Officials confirmed this evening that 44,047 tests were carried over the past week and of these, 1,466 were positive, giving a positive rate of 3.3%. 

TheJournal.ie has been made aware of a number of people who were tested but who were left waiting at least a week for their results. In one case, a nursing home employee said she and her colleagues all experienced the same delay – they were later all given negative results.

“Ultimately we’re in a situation where we’re testing in the region of 50,000 to 60,000 tests per week in a system that was put in place six weeks ago,” De Gascun said this evening. 

“It’s really important to highlight that to people,” he said, adding that health officials and hospital staff don’t all operate on the same computer system which has further delayed test results being confirmed. 

“[It's] making sure we can get all these systems to talk to each other and anyone who’s ever tried to get a PC to talk to a Mac…these things take time,” said de Gascun, adding that there was also a “human element” to testing delays. 

“We know we need to get better. But it’s a huge improvement on where we were. We want to get the turnaround time down,” he said. 

Once the system is fully automated, de Gascun said, patients will be able to be informed of their test result quicker. 

Asked why it still took a median of five days between a swab being taken and contact tracing commencing in a Covid-19 positive case, Dr Colm Henry, HSE Clinical Lead, said that, as the number of Covid-19 cases drops, complexity of individual cases has increased when it comes to contact tracing. 

This, said Henry, could include healthcare workers, patients in ICU, patients for whom English is not their first language or someone who has passed away. 

“These are more complicated complex contact tracing exercises,” said Henry, adding that in the majority of cases contact tracing begins on the same day as a result is confirmed. 

Henry said the aim now is for all public health departments within the HSE to standardise their contact tracing. 

“Frankly we should have standardised performance right across the country so that we can give assurances to people that we’re carrying out contact tracing not based on where they live but on a standardised way of performing, assuring the population we’re carrying this out as soon as possible,” said Henry. 

NPHET confirmed this evening that a further 24 people had died from Covid-19 in Ireland, bringing the total number of deaths here to 1,488, and that 107 new cases have been confirmed, bringing the total number of cases to 23,242. 

Chief Medical Officer Dr Tony Holohan also confirmed this evening that Ireland’s ‘serial interval’ – the time period between when one patient becomes symptomatic and a person they have passed Covid-19 on to – is around five days. 

With reporting by Sinéad O’Carroll

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    Mute Robert Cummins
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    Apr 23rd 2015, 10:23 AM

    The problem I have with the consent argument is that feminists will have you believe it’s black and white but there are grey areas.
    An example is that if 2 people go to bed drunk and if one member especially if it’s the women regrets it then she can claim she didn’t have the capacity to give consent whilst the man it seems can’t make the same claim no matter how drunk.

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    Mute Paul Roche
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    Apr 23rd 2015, 10:26 AM

    Or if another joins them – as has happened in Ched Evans case.
    Is it absence of consent or inability to remember if you consented?

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    Mute The Man With No Name
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    Apr 23rd 2015, 10:41 AM

    A man can claim that. The difference is that no man ever does claim it. He just regrets his drunken one night stand, and gets on with his life, and in fairness that is what the vast majority of women do as well. We only ever hear of the mad ones. If it ever happens to you, just do like she does and claim to be too drunk and not remember anything.

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    Mute GunsGerms
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    Apr 23rd 2015, 10:42 AM

    Conscent is 9 times out of 10 implied or very obvious without actually discussing it. Most people dont actually ask if they can have sex before it happens so how will it be defined?

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    Mute Robert Cummins
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    Apr 23rd 2015, 10:45 AM

    Very good point guns. I have never actually asked or been giving verbal consent. There are plenty of grey areas weather feminists like it or not.

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    Mute Paul Raven
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    Apr 23rd 2015, 11:19 AM

    I met one of the mad ones. She drank half a bottle of Jack Daneils and then turned psycho at about 4 am.

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    Mute Paul Roche
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    Apr 23rd 2015, 2:10 PM

    Disturbing development in the Evans case is that the Police get to claim what happened as well, combine that with last weeks SC ruling and we have a problem.

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    Mute Brian Ward
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    Apr 23rd 2015, 10:12 AM

    Shouldn’t that be “they” instead of “he”?

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    Mute up down
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    Apr 23rd 2015, 3:04 PM

    No that’s plural. It should be he or she, but in law, one or the other is used to imply either or.

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    Mute Eric Lensherr
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    Apr 23rd 2015, 10:20 AM

    The ‘Rape Network of Ireland’? How can such an awful organisation be allowed to exist!? Rapists are bad enough without allowing them to form a network!

    I’m contacting the Rape Crisis Network of Ireland at once to report this terrifying development.

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    Mute Paul Roche
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    Apr 23rd 2015, 10:54 AM

    How about tightening up legislation on false allegations while we’re at it?

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    Mute Paul Roche
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    Apr 23rd 2015, 1:34 PM

    Which reminds me… Expect a story detailing how much funding RCNI need to carry on their good and balanced work any day now…

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    Mute Jimmy Jim-Jim
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    Apr 23rd 2015, 1:45 PM

    Not until October Paul.

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    Mute Diarmaid O'Fionnachta
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    Apr 23rd 2015, 3:08 PM

    Sounds like you’ve got a bit of a chip on your shoulder there Paul. Those kinds of stories do happen but they are rare.

    The major problem is massive under-reporting of sexual assault and rape and an extremely low conviction rate.

    Rape crisis network do good work, I dont know what you have against them

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    Mute Paul Roche
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    Apr 23rd 2015, 3:49 PM

    Diarmaid,
    Research seems to put the number of false rape allegations at between 6 and 13%.
    That’s quite high considering that a false allegation creates an entirely different kind of victim.
    I have been on the recieving end of complaints (NOT for Sexual Assault) where the Gardaí were “just doing their job”, one was withdrawn and the other disappeared. It’s not really a chip to say that investigative standards in Ireland leave a lot to be desired.
    Of course, under the “no smoke without fire” rules, I have to be guilty of something, right?

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    Mute Clare Bear
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    Apr 23rd 2015, 10:58 AM

    I know that this move has good intentions, but I cannot see it working. Consent is an extremely grey area with too many scenarios to give it a legal definition.
    When was the last time your partner verbally asked consent before sex ? I know me and my partner don’t, the consent is implied in our actions and attitudes toward each other. And i know some people will say its different because we are in a relationship, bit I don’t ever remember time where I/someone verbally voiced consent, that’s why its so hard to define. It seems were moving toward a society where you nearly need to film the other person giving consent before touching them.
    Some people will say ‘yes means yes’ or ‘no means no’ but we all know consent is much more complicated than those two sentences which is why we’re having the issues we’re having. Its like trying legally define friendship, you never ask someone “are we friends now”, it happens naturally and you know from the other persons attitude and actions..

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    Mute Joanna
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    Apr 23rd 2015, 11:21 AM

    I think asking simplifies things.

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    Mute bo jangles
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    Apr 23rd 2015, 11:38 AM

    When we’re in bed I just stab her a couple of times in the lower back and if she responds I take it as consent ;-)

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    Mute Demise Grad
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    Apr 23rd 2015, 10:56 AM

    Also many times a person says no upwards of four or five times, the partner keeps asking or trying it, and eventually the person let’s it happen to stop the hassle. Is it still consent if the person has clearly stated multiple times they don’t want to? A male friend of mine was at a party and a guy actually said to him ” She said no did she? Just keep trying man you’ll get her to agree eventually!” He couldn’t believe it. I know the majority of men are not likely to behave that way but legally does anybody know would the person in that situation be considered to have given consent or not?

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    Mute thejynxeffect
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    Apr 23rd 2015, 11:26 AM

    Demise

    If someone actually says no 4 or 5 times and they mean it, then they can just walk out of the room to avoid being asked again. If they give in to avoid hassle they have then given their consent.

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    Mute Joanna
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    Apr 23rd 2015, 11:34 AM

    I’m not sure harassing someone into having sex really counts =/

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    Mute Demise Grad
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    Apr 23rd 2015, 11:35 AM

    Just saw your comment there now jinx Why should they have to leave? Surely if someone says no that should be the end of it?

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    Mute Cathal Healy
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    Apr 23rd 2015, 12:30 PM

    If they consent, they consent. presuming they are free to not consent which even in the scenario you describe, is still the case.

    We could muddle the waters by talking about verbal coercion but this is a crime ALREADY very difficult to prosecute. A clear definition and understanding benefits everyone. It benefits victims because they will be more confident of whether what they consider to be rape, is the what the law considers to be rape and it benefits men to know better where the line is.

    I think in the scenario you speak of, I see no reason why the girl would not ask a friend to tell the man to f**k off. She doesn’t need to leave, she doesn’t need to sacrifice her night, she just needs to totally dis-engage with the man. You cannot claim that her saying no repeatedly, but continuing to engage with him and eventually saying yes should result in that man being convicted of rape. If she is being harassed, as Joanna makes out, then she should ask a friend keep him away and even call the Gardai if he continues to “harrass” her.

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    Mute Demise Grad
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    Apr 23rd 2015, 12:42 PM

    I’m not saying he should be prosecuted. I’m just asking what people’s opinion of the situation is. Personally I think the guy in question is a bit of a dick to keep pushing and go through with it because she let him knowing that she did not want to. But in saying that she is an adult and as has been pointed out could leave of her own free will or ask him/ask a friend to tell him to leave her alone.

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    Mute Shanti
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    Apr 23rd 2015, 6:27 PM

    What if he’s her boyfriend and they’re alone?
    I’ve had the misfortune to have had an ex who took great issue with the fact that I didn’t seem to just spread my legs whenever he got the urge. He was a tad psychologically abusive in general (he had already isolated me from my friends), but his idea of foreplay was to get angry and shout or intimidate me into caving.

    Would that be considered rape?
    Or how about when you say no going to sleep, and wake up the next morning with them going at it anyway?

    Some people have a funny understanding of consent. They seem to think of it as a “if this then that” scenario, namely “if I’m going out with them, they have to have sex with me” (it’s like the “if you have sex you gave consent to pregnancy” argument).

    I think defining consent makes a lot of sense, and it’s something that should be on the sex ed curriculum. Even if they end up explaining it using that tea metaphor thats doing the rounds.

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    Mute Brian Ward
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    Apr 23rd 2015, 11:50 AM

    It’s getting to a stage where each party will have to produce a consent form and have it witnessed by 2 others, signed and dated before any physical contact can occur.

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    Mute Emily Elephant
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    Apr 23rd 2015, 12:39 PM

    We used to have that. It was called a marriage certificate.

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    Mute Shane Kearney
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    Apr 23rd 2015, 1:30 PM

    ……..and of course a stamp from the garda station.

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    Mute John Mac
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    Apr 23rd 2015, 11:23 AM

    @Demise

    I think that situation used to be described ‘ faint heart never won fair maiden’

    Nowadays, its called stalking.

    To be honest , once alcohol rears its ugly head in these situations , the ridiculously large grey area of consent comes into play which is an utter minefield for both parties.It is getting to the stage where parties may have to take a quick video selfie saying euphemestically that they’re going to have a good time together in order to protect themselves for any subsequent misgivings.Bizarre and a bit difficult but better safe than sorry.

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    Mute Demise Grad
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    Apr 23rd 2015, 11:33 AM

    Thanks John, what about in one night? My cousin was at a house party a few years ago and one guy kept trying it on. She said no four or five times but in her own words he would not stop trying so eventually she lay there and let it happen to stop him from hassling her. She would typically be quite a shy girl with low self confidence and she said she found it hard to say no. She doesn’t see it as having been assault as she didn’t physically try to stop him just said no a few times. I just wondered what the legal consensus would be in that situation or indeed whether others would class it as assault? Manipulation? Or consent? I know the guy in question displayed no guilt for his behaviour and didn’t apologise or seem to think he had behaved inappropriately.

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    Mute John Mac
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    Apr 23rd 2015, 1:33 PM

    Christ Demise , that smacks of constructive rape – but it also shows that your cousin has serious self-image issues and is probably in self denial . Hope she doesn’t dwell on it too much but again , would be almost impossible in a court of law to get a conviction ;-(

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    Mute Frederick Constant
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    Apr 23rd 2015, 1:46 PM

    Constructive rape. FFS.

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    Mute Demise Grad
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    Apr 23rd 2015, 1:54 PM

    Yes rape can be a very difficult crime to prove and obtain conviction. Certainly what makes it even harder are false claims, and the “blurred lines” around consent. I’ve never actually heard the term constructive rape before. She has moved on from it at this stage John and is in a happy relationship at present. According to her she was not traumatised by it as she felt it was just an unpleasant experience, she didn’t class it as an assault.

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    Mute John Mac
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    Apr 23rd 2015, 5:19 PM

    Clearly ,Frederick , you see rape as a black and white issue – so i’m guessing you think that a man who hounds a woman ,who has repeatedly shown her lack of interest , to the point where she actually relents just to appease him is not rape.

    The word ‘constructive’ means that short of out and out forcing somebody to do something against their will , you make life difficult for them until the relent. e.g. ‘constructive dismissal’.

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    Mute John Mac
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    Apr 23rd 2015, 5:24 PM

    Good to hear Demise – something like that can have a massive negative effect on some people esp if they’re a self-conscious.

    I remember a while back another poster telling about her r/ship with an ex who would chastise her if she wouldn’t have sex with him when he wanted.Often she would relent just to keep him happy. She looked back on those times and shudders when she sees him with his current beau and wonders does she have the same issues with him.

    She got some red thumbs for telling her story…..

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    Mute Rotarua
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    Apr 23rd 2015, 6:00 PM

    I can understand that John sometimes it’s easier to give in, then it escalates to other things and your relationship finishes because you have a moment of clarity and you look at the new partner and think how much further have they gone to remain in the relationship and you thank your lucky stars it’s not you anymore.

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    Mute Jorge Thompson
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    Apr 23rd 2015, 8:04 PM

    And who is going to be there to prove that there was consent? It’s still one person’s word against the other person’s word.

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    Mute Michael Sands
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    Apr 23rd 2015, 4:54 PM

    No always means no but if the woman throws herself on top of a bloke when both are as drunk as each other, how can she cry rape the next day because she feels guilty for having awful sex?

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    Mute Michael Sands
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    Apr 23rd 2015, 4:55 PM

    It does happen?

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