In addition to all the negative effects of infection on individuals, especially older people, Covid has had severe and often fatal indirect effects on the care of older people, including those older people with dementia. During the peak of the recent Omicron wave the exacerbation of existing shortages of skilled workers, and other effects on care had a demonstrable effect on mortality rates in Australian Aged Care. In January 2022 there was a substantial increase in death risk “in aged…..