Outbreaks of cockroaches, possums, birds and insects at major hospitals have been revealed after two deaths prompted a sweeping maintenance review.
Outbreaks of pests and fungus dating back more than a decade that were never reported have also been unearthed after NSW Health Minister Ryan Park detailed the results of a snap maintenance review on Monday.
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The reckoning of the state's health facilities comes after two patients died of fungal infections triggered by construction work at a major Sydney hospital.
There are 38 non-routine maintenance issues still unresolved from the last year, Mr Park said.
These include ongoing pigeon infestations at Tamworth and Royal Prince Alfred hospitals, and five hospitals needing roof repairs.
"I can never pledge that there will never be maintenance issues. Any government that does is not being realistic or truthful," Mr Park said.