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Final Report Ties RPA Fungal Cluster to Balcony Near Construction

The findings trigger system-wide infection-control reforms across NSW hospitals.

Overview

  • NSW Health released the final investigation, which points to a level‑9 patient balcony beside redevelopment works as the most probable source of Aspergillus exposure for six transplant patients.
  • Reviewers found environmental testing fell short and cleaning audits were poor, with some rooms later showing mould growth and water damage.
  • Outcomes from the cluster include two deaths now under Serious Adverse Event Reviews, two patients discharged, one unrelated death from sepsis, and one patient still in intensive care.
  • The report said contractors tracked dust at site boundaries yet missed risks from patient-accessible balconies, and it called for risk checks to cover air intakes, windows and balconies.
  • Health officials accepted every recommendation, including more air sampling and a new fungal surveillance committee, which could tighten controls where building works can send mould spores into the air.