2019 Novel Coronavirus Covid-19 Discussion

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#2671546 11-Mar-2021 10:41

tdgeek:

Again, I don't mean the main source, we need to cast the net far and wide if we want numbers done. 50 surgeries can jab 50 at once. Its a great source to chip away day in and day out.

I was thinking earlier about a polling stint. if stocks and distribtuon allowed it, people can register at a "polling station" same as we use in the elections. Turn up as we do in the elections, jab, wait for 20 minutes. Basically a much much larger network of smaller vaccine centres to take care of a one weekend boost. Like surgeries they wont be jabbing thousands in a day, but a widespread network of polling stations would be a big hit

if a surgery is giving someone a covid jab they are not able to provide other medical treatment at the same time. MOH should be visiting large work places to provide the jabs which will cover a good number of people and also ensure they don't need to take time off work to receive the jab

Vodafone events center in south Auckland for instance with 200 vaccinators can do a couple of thousand people per hour.

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#2671548 11-Mar-2021 10:50

Jase2985:

if a surgery is giving someone a covid jab they are not able to provide other medical treatment at the same time. MOH should be visiting large work places to provide the jabs which will cover a good number of people and also ensure they don't need to take time off work to receive the jab

Vodafone events center in south Auckland for instance with 200 vaccinators can do a couple of thousand people per hour.

Ok. Maybe flu jabs need to be done elsewhere as well, so not to affect other medical treatment. 5 minutes is not too much to ask, whether that's inside an existing visit or not. But count me out of the Vodafone Centre I'll wait till the frenzy has calmed down, I'm not parking the car and waiting 3 hours. the Govt has mentioned a number of such options including schools and doctors surgeries, unsure why now, if they are unsuitable. Same for chemists, thats getting in the way also

Oblivian

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#2671596 11-Mar-2021 11:05

I guess the big hinge will be. Will there be a mad rush lining up that needs control if it was that scenario available.

Or will the tiered book approach actally be able to make use of the stocks efficiently

It'll come down to statistics. Of which is all guesswork this early on.

freitasm

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#2671597 11-Mar-2021 11:05

The World Needs Syringes. He Jumped In to Make 5,900 Per Minute. - The New York Times (nytimes.com):

In late November, an urgent email popped up in the inbox of Hindustan Syringes & Medical Devices, one of the world’s largest syringe makers.

It was from UNICEF, the United Nations agency for children, and it was desperately seeking syringes. Not just any would do. These syringes must be smaller than usual. They had to break if used a second time, to prevent spreading disease through accidental recycling.

Most important, UNICEF needed them in vast quantities. Now.

“I thought, ‘No issues,’” said Rajiv Nath, the company’s managing director, who has sunk millions of dollars into preparing his syringe factories for the vaccination onslaught. “We could deliver it possibly faster than anybody else.”

The world needs between eight billion and 10 billion syringes for Covid-19 vaccinations alone, experts say. In previous years, only 5 percent to 10 percent of the estimated 16 billion syringes used worldwide were meant for vaccination and immunization, said Prashant Yadav, a senior fellow at the Center for Global Development, a think tank in Washington, and an expert on health care supply chains.

“I worry not just about the overall syringe manufacturing capacity but capacity for the specific types of syringes,” he said, “and whether syringes would already be in locations where they are needed.”

Not all of the world’s syringes are suited to the task.

To maximize the output from a vial of the Pfizer vaccine, for example, a syringe must carry an exact dose of 0.3 milliliters. The syringes also must have low dead space — the infinitesimal distance between the plunger and the needle after the dose is fully injected — to minimize waste.

The United States is the world’s largest syringe supplier by sales, according to Fitch Solutions, a research firm. The United States and China are neck and neck in exports, with combined annual shipments worth $1.7 billion. While India is a small player globally, with only $32 million in exports in 2019, Mr. Nath of Hindustan Syringes sees a big opportunity.

Each of his syringes sells for only three cents, but his total investment is considerable. He invested nearly $15 million to mass-produce specialty syringes, equal to roughly one-sixth of his annual sales, before purchase orders were even in sight. In May, he ordered new molds from suppliers in Italy, Germany and Japan to make a variety of barrels and plungers for his syringes.

Mr. Nath added 500 workers to his production lines, which crank out more than 5,900 syringes per minute at factories spread over 11 acres in a dusty industrial district outside New Delhi. With Sundays and public holidays off, the company churns out nearly 2.5 billion a year, though it plans to scale up to three billion by July.

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#2671598 11-Mar-2021 11:08

Press release:

The New Zealand Defence Force will today start its own vaccination programme for uniformed personnel as part of the Government’s efforts to combat COVID-19, Defence Minister Peeni Henare said.

Vaccination of the uniformed workforce already on duty in the Managed Isolation and Quarantine Facilities (MIQFs) started last month as part of the effort to vaccinate the whole border workforce.

As part of the response to the pandemic at the border, more than 1000 NZDF personnel are undertaking duties at the MIQFs and other COVID-19 regional and national headquarters at any one time.

“Because the Defence Force regularly rotates personnel through the MIQFs, it is not the same 1000 people, and it therefore makes sense to vaccinate the entire deployable military workforce,” Peeni Henare said.

“Besides the MIQF duties, NZDF personnel are required to maintain readiness for other tasks such as short-notice domestic or international deployments. The NZDF also operates at the border through running its own airports and port, and many personnel live and mix communally on camps and bases.

“For all these reasons, it makes sense to vaccinate the whole uniformed force, numbering about 9500 personnel.

An example of the readiness requirements for international deployments is the possibility the Defence Force may have to respond to a natural disaster in the Pacific, such as a Tropical Cyclone.

“Nobody wants to spread COVID-19 to countries in the Pacific that may be free of it. Vaccinating the deployable military force is a prudent move.

The NZDF’s vaccination programme will be delivered by its own Defence Health organisation, and starts today at most military camps and bases around the country.

“The Defence Force has played an important part in supporting the Government’s response to COVID-19, which aims at protecting New Zealanders. Getting its own uniformed workforce vaccinated adds another layer of defence to that protection,” Peeni Henare said.

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#2671599 11-Mar-2021 11:09

tdgeek:

sbiddle:

...

A full bubble is politics from both countries. It's nothing to do with risk.

Fair enough. if there was the two way bubble and we got a CT case from AUS the world will end. ...

No different to the SI getting a CT case from Auckland. As it presently stands, there is a higher risk of that than getting one from AU (very few 'recent' cases spread over 15x the population of Auckland).

I know it is not a popular view here but, at least from a risk point of view, a full travel bubble with AU (with intermittent hotspot exceptions as needed) is overdue. Both AU and NZ have demonstrated an ability and willingness to quickly get on top of small outbreaks. More likely, the lack of a travel bubble is increasing our risk. If I recall correctly (1News last night) something like 40% of our MIQ spaces are occupied by people coming from AU. Removing those would significantly ease the burden on MIQ. Plus provide an urgently needed boost to some heavily impacted parts of our economy at near zero if not reduced risk of CT in NZ.

There is a higher risk of people returning from AU being infected in NZ MIQ than in AU before they left.

It should be possible to implement a travel bubble almost immediately. The protocols for handling quarantine free travel between the two countries should have been resolved long before now (it was being worked on 6-9 months ago?)

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#2671603 11-Mar-2021 11:24

DS248:

No different to the SI getting a CT case from Auckland. As it presently stands, there is a higher risk of that than getting one from AU (very few 'recent' cases spread over 15x the population of Auckland).

==

I know it is not a popular view here but, at least from a risk point of view, a full travel bubble with AU (with intermittent hotspot exceptions as needed) is overdue. Both AU and NZ have demonstrated an ability and willingness to quickly get on top of small outbreaks. More likely, the lack of a travel bubble is increasing our risk. If I recall correctly (1News last night) something like 40% of our MIQ spaces are occupied by people coming from AU. Removing those would significantly ease the burden on MIQ. Plus provide an urgently needed boost to some heavily impacted parts of our economy at near zero if not reduced risk of CT in NZ.

There is a higher risk of people returning from AU being infected in NZ MIQ than in AU before they left.

It should be possible to implement a travel bubble almost immediately. The protocols for handling quarantine free travel between the two countries should have been resolved long before now (it was being worked on 6-9 months ago?)

I dont disagree. NZ and Australia could be treated as one entity solely for travel bubble purposes. From their side NZ is a state, from our side Australia or states are a province (should an outbreak need to be geographically managed)

But should an outbreak occur here from there, it will end the world here, a media frenzy, not the same as a case from AKL infects in Chch

The Govt would have to sell this to the masses, as our risk would be at AUS borders as well as our own from other international arrivals. If we sucked that up, then why not

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cshwone

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#2671670 11-Mar-2021 12:41

tdgeek:

The Govt would have to sell this to the masses, as our risk would be at AUS borders as well as our own from other international arrivals. If we sucked that up, then why not

That's where the rule that you cannot travel either way until 2 weeks after you have come out of MIQ would de-risk. I believe that's what Aus imposed after the one-way bubble started

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#2671680 11-Mar-2021 13:45

cruxis:

Drop my pants and get a shot (ventrogluteal), then wait 20mins for the all clear, and go. Just like I do getting my Flu Shot each year at the local chemist.

An image springs to mind of a dozen people, pantlessly lined up at the chemist waiting for their shots. And, in the absence of a "pull up pants" in your timeline, pantlessly browsing the chemist's gift aisles as they wait for their 20 minutes to be up, then going home pantlessly. No need for the "I've been vaccinated" stickers in your town!

wellygary

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#2671685 11-Mar-2021 14:32

DS248:

[If I recall correctly (1News last night) something like 40% of our MIQ spaces are occupied by people coming from AU. Removing those would significantly ease the burden on MIQ.

After talking with some of the people that work in the MIQ system, they are actually $hit scared about a bubble opening with OZ...

It will mean that 40% of people coming through MIQ will change from being from a "zero" covid country = Australia into 40% from other countries that will likely have a much higher prevalence of COVID...

Its clear that pre departure testing is having minimal impacts on cases arriving at the door that then test positive, so the number of cases and the burden of MIQ dealing with actual COVID patients would highly likely increase

DS248

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#2671688 11-Mar-2021 14:45

wellygary:

DS248:

[If I recall correctly (1News last night) something like 40% of our MIQ spaces are occupied by people coming from AU. Removing those would significantly ease the burden on MIQ.

After talking with some of the people that work in the MIQ system, they are actually $hit scared about a bubble opening with OZ...

It will mean that 40% of people coming through MIQ will change from being from a "zero" covid country = Australia into 40% from other countries that will likely have a much higher prevalence of COVID...

Its clear that pre departure testing is having minimal impacts on cases arriving at the door that then test positive, so the number of cases and the burden of MIQ dealing with actual COVID patients would highly likely increase

If that is an issue, cut back to total numbers. Or rather, do not increase (or only slightly increase) in numbers from elsewhere. Certainly not a reason for stalling the travel bubble with AU.

40% empty spaces would be preferable to those spaces filled with people from an effectively covid free location being at risk of being infected in MIQ.

Oblivian

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#2671697 11-Mar-2021 14:59

Well. That answers some of the questions raised. But also means they are not clear themselves of the plan yet. oops!

Nothing like a last min scramble as something is announced.

https://www.stuff.co.nz/national/health/coronavirus/124500026/doctors-and-health-boards-in-the-dark-about-fasttracked-vaccine-rollout

She said while the new vaccine roll-out seems faster than earlier suggestions of what the time frame might be, she believes GPs can handle it.

“Primary care is pretty good at stepping up to the plate, and getting the job done.”

tdgeek

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#2671702 11-Mar-2021 15:16

Oblivian:

Well. That answers some of the questions raised. But also means they are not clear themselves of the plan yet. oops!

Nothing like a last min scramble as something is announced.

https://www.stuff.co.nz/national/health/coronavirus/124500026/doctors-and-health-boards-in-the-dark-about-fasttracked-vaccine-rollout

She said while the new vaccine roll-out seems faster than earlier suggestions of what the time frame might be, she believes GPs can handle it.

“Primary care is pretty good at stepping up to the plate, and getting the job done.”

That's incorrect. I raised this here today, doctor surgeries are off the table as not suitable...

Oblivian

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#2671718 11-Mar-2021 15:30

tdgeek:

That's incorrect. I raised this here today, doctor surgeries are off the table as not suitable...

Incorrect? I saw some opinions using them wasn't suitable. But don't recall a subsequent article invalidating this one which appears to be only dated/released lunchtime today.

Handle9

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#2671719 11-Mar-2021 15:40

wellygary:
Its clear that pre departure testing is having minimal impacts on cases arriving at the door that then test positive, so the number of cases and the burden of MIQ dealing with actual COVID patients would highly likely increase

The study I saw said it picked up somewhere around half of cases. It doesn't eliminate all cases of course but it's significant.

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