2019 Novel Coronavirus Covid-19 Discussion

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#2720435 7-Jun-2021 23:12

Again, it depends on where you live, the dhb instructions, and if they're actually following them, or making it up as they go along

There are a few finite supply requirements. The rest, appears - is way out of hand.

Cdhb is a don't call us, we call you. But are taking last min gap fills depending on who you talk to. And visiting rural areas, but still noone seemingly contracted.

Nelson was super proactive

Northland were walk ins and targeted areas, while denying all and sundry depending on if media is taking note..

People here have had mixed 'call us' examples.

Until there is an open walk in mass centre. Or an authority takes over, Pretty sure we're all dreaming.

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#2720509 8-Jun-2021 07:18

Scott3:

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.

J&J/Janssen is expected to be signed off next week by Medsafe and for some stock to arrive here in July. I heard somebody speak last week (and it may have been Bloomfield) mention that they can't get any confirmed delivery dates until they actually give approval for the vaccine.

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#2720511 8-Jun-2021 07:22

Oblivian: Again, it depends on where you live, the dhb instructions, and if they're actually following them, or making it up as they go along

......

Until there is an open walk in mass centre. Or an authority takes over, Pretty sure we're all dreaming.

Even once we open the mass vaccination centres for the Sep/Oct big push when the vast majority of the country will be vaccinated, there is still the risk of significant differences in the experience because it's still going to be each DHB running these.

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#2720523 8-Jun-2021 08:55

Some interesting OECD vaccination comparisons here

https://trevortombe.github.io/covidgraphs/oecd

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#2720525 8-Jun-2021 09:08

Interesting comments from the WHO about the challenges countries like Australia and NZ who have opened for a zero Covid strategy are going to face

https://www.theage.com.au/world/europe/zero-covid-countries-face-genuine-dilemma-about-how-to-open-up-who-20210608-p57yyg.html

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#2720593 8-Jun-2021 10:01

There is no dilemma. You have 2 options

Vaccinate everyone who wants to be vaccinated then open up.

Or just print money and watch house prices go up and people go on strike.

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#2720596 8-Jun-2021 10:08

And as for being complacent (as it looks like many in New Zealand are): A victim of its own success: how Taiwan failed to plan for a major Covid outbreak | Taiwan | The Guardian

But now the tables have turned and the island itself is in need of assistance, after an outbreak that started among airline staff in April spread across the island. The government appears to have been caught short by something it thought would never happen: the poster child for outbreak prevention had apparently failed to fully prepare an outbreak response.

It has so far recorded more than 11,000 cases and 260 deaths, more than 90% of them since mid-May. Affected by inadequate orders, global shortages and geopolitics, it has vaccinated fewer than 3% of its 23.5 million people. The president, Tsai Ing-wen, on Monday gave a broadcast address from her office to assure a population at its second-highest alert level that 750,000 vaccine doses promised by the US would arrive soon.

Multiple health and social experts told the Guardian that as the virus spread in waves worldwide, authorities hadn’t kept up with new scientific knowledge around virulent new strains, the importance of ventilation to combat aerosolised spread, the effectiveness of mass testing, or the examples set by some countries of locking down hard and early. Some felt Taiwan had become “a victim of its own success”, even complacent.

Prof Chen Chien-jen, from the Academia Sinica genomics research centre, says authorities thought they had the pandemic under control with their contact-tracing system and precision testing, but were challenged by the faster spread of the Alpha strain, first detected in the UK, and overwhelmed after a super-spreader event on 9 May – Mother’s Day on the island.

Prof Chi Chunhuei, the director of Oregon State University’s centre for global health, says: “Initially the government was caught off guard, not just by the outbreak itself but the scale, so they are scrambling to mobilise all resources to contain the outbreak, including hospitals and testing facilities.

“One of the issues is most people in Taiwan have been kind of spoiled.”

Chi says 11 months of life as normal and four close calls (a visit by the Diamond Princess, a Taiwanese Navy vessel outbreak, an infected pilot in December, and January’s Taoyuan hospital cluster) left the community and the government “overconfident” in their abilities to contain outbreaks. Even while there was community spread, people packed out restaurants and travelled for Mother’s Day.

Ten days after, on 19 May, the CECCreported 264 new cases and ordered Taiwan into a level 3 alert of a four-tier system, limiting gatherings, mandating public mask-wearing and closing entertainment businesses and schools, but allowing restaurants to continue dine-in services. It encouraged employers to establish working-from-home arrangements but did not enforce it, and did not immediately announce financial supports for remote workers or carers.

A key complication has been the inability to fully analyse trends, due to a backlog of tens of thousands of test results from 169 overwhelmed rapid testing stations and PCR testing processes. Taiwan did not see the need or have the capacity for mass testing.

By late May, the backlog was starting to clear, retrospectively adding hundreds of cases to previous days’ totals and prompting some to question if Taiwan should have gone into stricter lockdown at the time.

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#2720735 8-Jun-2021 15:36

sbiddle:

Interesting comments from the WHO about the challenges countries like Australia and NZ who have opened for a zero Covid strategy are going to face

https://www.theage.com.au/world/europe/zero-covid-countries-face-genuine-dilemma-about-how-to-open-up-who-20210608-p57yyg.html

I agree - We are in a unique position to fast-track vaccinations, but are woefully behind in practically every meaningful metric compared to other countries.

How/why the vaccine rollout is not a matter of extreme importance and just (seemingly) been left to its own devices are beyond me.

I have talked to a few people and when pressed for answers most health professionals just simply can't give a reasonable answer.
My understanding is the Ministry of Health could not operate a piss-up in a brewery.

Our Government is doing what it does best - Grandstanding and then resting on its laurels.

When called out- More grandstanding, and more ..nothing..
Rinse and repeat.

Oblivian

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#2720752 8-Jun-2021 16:03

PM going live shortly. (@ 1603 is)

1M doses due 'July'

https://www.nzherald.co.nz/nz/politics/covid-19-coronavirus-pfizer-to-deliver-1-million-vaccine-doses-in-july-pm-jacinda-ardern-confirms/GGZI2U5UEDL7ZXNYSKGRKRF6QQ/

DHBs can start to ramp up the rollout through Group 3 from mid-July, he said, which included those over the age of 65, and people with disabilities and some underlying health conditions.

And Victoria is closer.

Victoria's Acting Premier James Merlino confirmed authorities have now found a genomic match between this cluster and a returned traveller who entered hotel quarantine on May 8 after arriving from Sri Lanka.

"While we have a genomic link, we do not currently have an epidemiological link, and further investigations are under way to see if we are able to establish any contact between the returned traveller and these families," he said.

KrazyKid

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#2720766 8-Jun-2021 16:14

I'm not sure what you expect us to do differently at this stage. The vaccines arriving in quantity are 6-8 weeks away (end of July).

The on-line booking system is being finalized and rolled out as I type.

Not sure how you expect NZ to source 8 million vaccines any faster than 6 weeks away.
At this stage we are locked into the current plan.

I suppose we could close all borders for 6 months?
Hire extra IT staff to work 24/7 developing and training for the booking system?
Maybe offer those striking nursed double pay to become vaccinators?
Offer other countries double what they paid to buy there vaccines from their citizens?
Send the air-force out to collect those purchased vaccines?
Convince the public that the Chinese or AZ vaccine are the one they want.

And would all this gain us a start on a large vaccination program by any more than 2-3 weeks? Probably not.

Handle9

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#2720769 8-Jun-2021 16:26

tehgerbil:

sbiddle:

Interesting comments from the WHO about the challenges countries like Australia and NZ who have opened for a zero Covid strategy are going to face

https://www.theage.com.au/world/europe/zero-covid-countries-face-genuine-dilemma-about-how-to-open-up-who-20210608-p57yyg.html

I agree - We are in a unique position to fast-track vaccinations, but are woefully behind in practically every meaningful metric compared to other countries.

How/why the vaccine rollout is not a matter of extreme importance and just (seemingly) been left to its own devices are beyond me.

I have talked to a few people and when pressed for answers most health professionals just simply can't give a reasonable answer.
My understanding is the Ministry of Health could not operate a piss-up in a brewery.

Our Government is doing what it does best - Grandstanding and then resting on its laurels.

When called out- More grandstanding, and more ..nothing..
Rinse and repeat.

How do you fast track a vaccination campaign without vaccines?

JPNZ

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#2720770 8-Jun-2021 16:30

KrazyKid:

I'm not sure what you expect us to do differently at this stage. The vaccines arriving in quantity are 6-8 weeks away (end of July).

I'm sure you realise that even after the 1 million doses announced today arrive, its only enough to keep us just under target (based on the MOH website) and we will need a lot more than that in August, September and October.

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#2720771 8-Jun-2021 16:33

Handle9:

How do you fast track a vaccination campaign without vaccines?

But.... as we were told over and over again we would be at the front of the queue... Sure looks like the back when you look.

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#2720773 8-Jun-2021 16:33

JPNZ:

KrazyKid:

I'm not sure what you expect us to do differently at this stage. The vaccines arriving in quantity are 6-8 weeks away (end of July).

I'm sure you realise that even after the 1 million doses announced today arrive, its only enough to keep us just under target (based on the MOH website) and we will need a lot more than that in August, September and October.

I'm sure you realise that Pfizer aren't shutting their doors in August, September and October.

Handle9

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#2720774 8-Jun-2021 16:35

JPNZ:

Handle9:

How do you fast track a vaccination campaign without vaccines?

But.... as we were told over and over again we would be at the front of the queue... Sure looks like the back when you look.

Do you support a mixed vaccine strategy or Pfizer only? The strategy changed and so to the back of the queue you go.

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