2019 Novel Coronavirus Covid-19 Discussion

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#2720302 7-Jun-2021 17:16

Oblivian:

CDHB frontline centre at chc airport only has a small white diagonal strip banner indicating it is down the driveway somewhere in the complex. Quite likely is only so people sent there can find it and deter walk-in

Technofreak:

How did you find the vaccination centre? ... Other than signage at the door there was nothing to indicate where the vaccination centre was.

It's almost as if they don't want people to find it.

They don't.

At the present rate of vaccination, it's marginal whether the country will run out of Covid-19 vaccine doses before the major deliveries - schedules for July-ish - start to arrive. It would be politically a very, very bad look if that happened, so MoH has no desire and no need to stoke the fire at the moment.
Presumably once they have firm undertakings from Pfizer that will all change and the promotional foot will go flat to the boards.

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#2720303 7-Jun-2021 17:21

PolicyGuy:

At the present rate of vaccination, it's marginal whether the country will run out of Covid-19 vaccine doses before the major deliveries - schedules for July-ish - start to arrive. It would be politically a very, very bad look if that happened, so MoH has no desire and no need to stoke the fire at the moment.
Presumably once they have firm undertakings from Pfizer that will all change and the promotional foot will go flat to the boards.

Why is that? If the vaccines ran out its because people wanted vaccines and they ran out. AND that supply wasn't there. I don't see how that is a bad look. The over riding factor is supply, that we cannot control

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#2720305 7-Jun-2021 17:26

It wouldn't be a good newspaper heading around the world if NZ ran out.

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#2720308 7-Jun-2021 17:34

mattwnz:

It wouldn't be a good newspaper heading around the world if NZ ran out.

Why? If we ordered the amount we need and it wasnt delivered thats not our fault. if we ordered bits and pieces and they were delivered and we ran out, that is our fault. From what I know we ordered millions of doses, all going well, but from 1 July we don't have a defined guaranteed delivery figure . Plus, we arrest a priority customer as we aren't being thrashed by Covid as some others are. if that causes delays, Im ok wth that.

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#2720320 7-Jun-2021 18:14

Technofreak:

@Scott3 Thanks for the detailed reply. Sorry, I think you misunderstood my question. I was asking how did you find out where the vaccination centre was? The one I went to was well hidden. The only signage was a couple of flag signs right beside the entrance which were very hard to see let alone read from more than a few metres away.

So far as the experience went. I was in and out in within 30 minutes. Very quick. No masks or segregation which was particularly obvious when I went back the next day with my wife to have her first shot when there were a lot more people present.

What I find so interesting is the different experiences. I had to fill in a form because I'm in group 1 where consent is required on the form - and I wasn't aware of any requirement for people outside group 1 to provide anything other than verbal consent for the vaccination to proceed. Others I know haven't needed to do this.

There seems to be a big difference between "public" and other vaccination centres primarily dealing with priority groups. I had no name tags and no checks of travel history.

I get my 2nd jab tomorrow so it'll be interesting to see if anything has changed - I was in and out within 30 mins last time as well.

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#2720322 7-Jun-2021 18:17

tdgeek:

mattwnz:

It wouldn't be a good newspaper heading around the world if NZ ran out.

Why? If we ordered the amount we need and it wasnt delivered thats not our fault. if we ordered bits and pieces and they were delivered and we ran out, that is our fault. From what I know we ordered millions of doses, all going well, but from 1 July we don't have a defined guaranteed delivery figure . Plus, we arrest a priority customer as we aren't being thrashed by Covid as some others are. if that causes delays, Im ok wth that.

NZ made a decision to only use Pfizer despite the fact we could have had hundreds of thousands of AZ jabs by now and been using those for selected groups. We have noboby to blame but ourselves for the lack of vaccines.

We're as much a priority customer as anybody else, the fact we don't currently have CT cases Covid means getting jabs into people is even more important.

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#2720333 7-Jun-2021 18:27

Technofreak:

@Scott3 Thanks for the detailed reply. Sorry, I think you misunderstood my question. I was asking how did you find out where the vaccination centre was? The one I went to was well hidden. The only signage was a couple of flag signs right beside the entrance which were very hard to see let alone read from more than a few metres away.

So far as the experience went. I was in and out in within 30 minutes. Very quick. No masks or segregation which was particularly obvious when I went back the next day with my wife to have her first shot when there were a lot more people present.

All physical locations for north-land and Auckland are listed here:

https://immunisation.northernregion.health.nz/#where-to-get-vaccinated

With instructions for access for the likes of the Auckland CBD one where people need to take the lift up to level 4.

All very clear and easy (other than I didn't notice the scroll bar for the 2nd Auckland Central vaccination center).

The one I went to was in a industrial area, with big lot sized, so it is pretty obvious which driveway is at the provided address. Flags either side of the entrance, and heaps of cones in the car-park, so it was obvious it was the correct site.

Would need to use a map or GPS to find that site, but that is going to be the case for any site that isn't well known (i.e. a large mall) - These days I don't think that is a barrier to access.

30min is extremely fast given the 20 min observation period. At that speed I guess you went in, and one clinician too you through everything, rather than getting passed from person to person like we were. I was extremely pleased with the 1 hour turn around.

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#2720340 7-Jun-2021 18:40

mattwnz:

It wouldn't be a good newspaper heading around the world if NZ ran out.

It doubt it would make international headlines.

Basically the entire world (excepting a handfull of locations like USA, Israel, UK, Aus for over 50's with Astrazenica) have supply constrained vaccination programs.

Running out, simply means we have given every dose that has been delivered. In my eye's a better outcome than having hundreds of thousands of doses in freezers rather than people's arms.

Seems the government's / DHB's focus is largely on efficiency for other resources. Basically there has been a deliberately ramped approach with regards to opening / scaling up the mass vaccination clinics that will leave us with pritty much zero doses on hand right before out big pfizer shipments come in.

I get the impression the Auckland vaccination clinics basically have a capacity in doses / day, and are provided that many doses, and expected to run flat out all the time during operational hours. Seems the Mt wellington clinic was allowing anybody to walk in as they today as they were low on booking's. Staying booking only would have ment having a lot of valuable resource idle.

Once the big shipment start landing it is widely suspect that there will be a 7 week period where they try to move cira 500,000 doses a week. Mass vaccination centers, pop up centers, pharmacies & medical centers all working together. That is a mammoth goal. If they were to run out of doses say a week before that start's, I don't think it would be a huge issue. Just pause the roll out, give all the staff a weeks rest before the next 7 weeks of very high workload.

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#2720347 7-Jun-2021 18:52

Scott3:

mattwnz:

It wouldn't be a good newspaper heading around the world if NZ ran out.

It doubt it would make international headlines.

Basically the entire world (excepting a handfull of locations like USA, Israel, UK, Aus for over 50's with Astrazenica) have supply constrained vaccination programs.

Running out, simply means we have given every dose that has been delivered. In my eye's a better outcome than having hundreds of thousands of doses in freezers rather than people's arms.

Seems the government's / DHB's focus is largely on efficiency for other resources. Basically there has been a deliberately ramped approach with regards to opening / scaling up the mass vaccination clinics that will leave us with pritty much zero doses on hand right before out big pfizer shipments come in.

I get the impression the Auckland vaccination clinics basically have a capacity in doses / day, and are provided that many doses, and expected to run flat out all the time during operational hours. Seems the Mt wellington clinic was allowing anybody to walk in as they today as they were low on booking's. Staying booking only would have ment having a lot of valuable resource idle.

Once the big shipment start landing it is widely suspect that there will be a 7 week period where they try to move cira 500,000 doses a week. Mass vaccination centers, pop up centers, pharmacies & medical centers all working together. That is a mammoth goal. If they were to run out of doses say a week before that start's, I don't think it would be a huge issue. Just pause the roll out, give all the staff a weeks rest before the next 7 weeks of very high workload.

Mixed with the low percentage that have been vaccinated, it probably wouldn't be that good, especially as NZ was the poster child for how this is being handled. Not saying NZ isn't doing a good job overall with the handling of the virus compared to other countries.

But such headlines wouldn't be that good nationally, and I wonder if National would be acting if we did run out. My parents (over 70 ) didn't know they had to actually apply to get the vaccine. It seems it was a bit of a secret. Not sure how much it has been advertised on the covid adverts. But I know of some elderly who think they have already had the vaccine when they got their normal flu jab. So there is a lack of information out there.

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#2720354 7-Jun-2021 20:16

Scott3:30min is extremely fast given the 20 min observation period. At that speed I guess you went in, and one clinician too you through everything, rather than getting passed from person to person like we were. I was extremely pleased with the 1 hour turn around.

Yeo 30 minutes was pretty quick, probably to do with the time of day. My wife's visit the next day was about 1 hour 20.

No I dealt with 4 people, 6 if you count the person at the door who took my ID with then to verify I was eligible and the person running the 20 minute observation room.

One person gave me the form to fill in, another who entered my details and verified my information (no questions about travel etc) and gave me my vaccination card, another who was controlling the flow to the vaccination cubicles and finally the nurse who administered the vaccine.

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#2720365 7-Jun-2021 20:56

Regarding vaccine dose rates, My general impression is that each mass vaccination center is set up to deliver XX doses per day, and that they are expected to run flat our at that rate.

Assuming when the big shipments are going to start turning up is known, it would be a fairly easy exercise to not allow the scaling of the vaccine centers to allow us to run out of vaccines.

mattwnz:

Mixed with the low percentage that have been vaccinated, it probably wouldn't be that good, especially as NZ was the poster child for how this is being handled. Not saying NZ isn't doing a good job overall with the handling of the virus compared to other countries.

But such headlines wouldn't be that good nationally, and I wonder if National would be acting if we did run out. My parents (over 70 ) didn't know they had to actually apply to get the vaccine. It seems it was a bit of a secret. Not sure how much it has been advertised on the covid adverts. But I know of some elderly who think they have already had the vaccine when they got their normal flu jab. So there is a lack of information out there.

The low percentage vaccinated at this stage was essentially locked in when the decision was to go all pfizer, and place the 2nd order for 8.5m doses.

I think that is the right decision. Proven to be highly effective in the real world, and it's high effectiveness lowering the percentage of the population that needs to be vaccinated for herd immunity. (My rough analysis indicated that herd immunity wasn't feasible with AZ on the assumption that it's effectiveness at stopping transmission could not exceed it's trial efficacy)

I have family in the Philippines, where they used AZ, Sputnik, Sinovac & Pfizer so far. People don't get to pick, and essentially it is luck of the draw what dose is at the vaccination center in your region when it is your turn. It's a real mess. People going to get vaccinated, and then backing out when they find out the center has sinovac etc. Confusing the matter further, only china made vaccines are acceptable for entry to china, and some gulf state which has a lot of migrant workers is only recognizing Western vaccines (I think they may have backed down on that stance).

Untill we reach 50%+ of the population vaccinated we will still need to deal with any outbreaks with harsh lockdown's, so being on 10% vs 20% of the population vaccinated right now isn't a big deal. The fact we are living normally without covid-19 deaths means we don't actually need rapid vaccination in our response. I think lagging behind the world in vaccination rates now is well worth it to have what I consider the better vaccine.

Politically I think if they meet the goal of having everybody who wants one vaccinated by the end of the year, the public will be happy. But fingers crossed we don't have an outbreak in the next two months. - What we are seeing in Fiji and Melbourne indicates a few weeks at level 3 may no longer cut it.

I don't think that having say 100k doses in the freezer and not running out is a better look than have 2% more of the population "dosed" and running out. Game is going to change in a few short weeks when the big shipments (400k+ per week I think) start turning up.

Buster

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#2720369 7-Jun-2021 21:37

My wife and I had our second Pfizer dose last week (five weeks after the first one). In and out in about 30 minutes including the 20 minute wait after. About 24 hours after the shots we both developed headaches which were gone the morning after that. Seemed a very streamlined operation while we were there.

I think at this point the Astrazeneca vaccine would be a real hard sell in NZ and not worth the hassle. Too many people would simply refuse it.

The J and J Janssen vaccine being a single dose vaccine may well appeal to the masses. Approval is close for that one I think.

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#2720426 7-Jun-2021 22:37

Buster:

My wife and I had our second Pfizer dose last week (five weeks after the first one). In and out in about 30 minutes including the 20 minute wait after. About 24 hours after the shots we both developed headaches which were gone the morning after that. Seemed a very streamlined operation while we were there.

I think at this point the Astrazeneca vaccine would be a real hard sell in NZ and not worth the hassle. Too many people would simply refuse it.

The J and J Janssen vaccine being a single dose vaccine may well appeal to the masses. Approval is close for that one I think.

I agree regarding AZ. We got lucky placing out 2nd Pfizer order before the very rare blood clot thing hit the headlines.

I think only having one vaccine is the way to go for the moment at least, (especially when it is the best regarded one globally). Makes the messaging very simple. - Every news story about AZ includes "which is not used in NZ"...

I don't think we should bring J+J into the mix until about the end of the year. Pfizer is generally understood to be more effective, and we have it on order, so confuse our messaging to include an inferior (in my eyes) vaccine.

Before we re-open travel (April 2022?) we should have a 2nd vaccine on the table for those who can't or won't have pfizer for whatever reason.

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#2720428 7-Jun-2021 22:53

mattwnz:

...

My parents (over 70 ) didn't know they had to actually apply to get the vaccine. It seems it was a bit of a secret. Not sure how much it has been advertised on the covid adverts. But I know of some elderly who think they have already had the vaccine when they got their normal flu jab. So there is a lack of information out there.

I am in the over-70 category and everything I have seen has in effect said "Don't call us, we'll call you" (& no one has). Personally, for now I am happy to wait

Last I heard most Group 2 have still not been vaccinated. And with the current vaccine supply there is only sufficient for a small fraction of Group 3 until the start of July.

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#2720431 7-Jun-2021 23:01

DS248:

mattwnz:

...

My parents (over 70 ) didn't know they had to actually apply to get the vaccine. It seems it was a bit of a secret. Not sure how much it has been advertised on the covid adverts. But I know of some elderly who think they have already had the vaccine when they got their normal flu jab. So there is a lack of information out there.

?

I am in the over-70 category and everything I have seen has in effect said "Don't call us, we'll call you" (& no one has). Personally, for now I am happy to wait

Last I heard most Group 2 have still not been vaccinated. And with the current vaccine supply there is only sufficient for a small fraction of Group 3 until the start of July.

I am afraid my in-laws are in the same boat - no one called, no one knows.

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