Jacinda Ardern and Ashley Bloomfield outline the new decisions at the Beehive theatrette on Monday October 4. (Photo by Mark Mitchell – Pool/Getty Images)
Jacinda Ardern and Ashley Bloomfield outline the new decisions at the Beehive theatrette on Monday October 4. (Photo by Mark Mitchell – Pool/Getty Images)

PoliticsOctober 11, 2021

The week the world-beating Covid response lost its way

Jacinda Ardern and Ashley Bloomfield outline the new decisions at the Beehive theatrette on Monday October 4. (Photo by Mark Mitchell – Pool/Getty Images)
Jacinda Ardern and Ashley Bloomfield outline the new decisions at the Beehive theatrette on Monday October 4. (Photo by Mark Mitchell – Pool/Getty Images)

Jacinda Ardern won countless plaudits for leading New Zealand through the pandemic with decisiveness, resolve, and exceptional, crisp communications. Last week, it left the building.

Leaks are a perennial nuisance for people in politics, but not usually like this. An innocuous question about the easing of restrictions for locked down Auckland – when you visit a friend for an outdoor, distanced catchup, can you use their toilet? – generated contradictory answers from the two superstars of New Zealand’s Covid response, Jacinda Ardern and Ashley Bloomfield, last Monday, and the confusion trickled through the week

Of itself, so what. It’s hardly the biggest deal in the world; the prospects of a police officer frog-marching you from the bathroom are not high. But the permissibility of Aucklanders peeing in their friends’ toilets encapsulated something wider. New Zealand had arrived at a scenario so familiar around the world these last 18 months. Decision making on the hoof. Flip-flopping on rules. Muddled, muddy messaging.

The four-tier alert level system, the backbone of New Zealand’s response plan, suddenly had a three-step “road map” stapled on top of Auckland’s level three settings. According to this new plan, Auckland would move up several steps in order to arrive at a lower level, as if it were designed by MC Escher. 

The prime minister referred to the elimination strategy in the past tense. The director general of health said elimination remained the approach. The endless debate around whether elimination remains the lodestar is very often semantic and self-defeating, but the critical point, as Covid response minister Chris Hipkins acknowledged subsequently, is that the days of zero community cases in Auckland were almost certainly over. The goals for Auckland and the rest of the country are for the short-term categorically different. That much is clear. Why else would Northland and a large chunk of Waikato be as of this moment under a stricter lockdown than the city that yesterday recorded 56 new cases?

As best I can understand it, the strategy seems now to approach Auckland like a shook-up bottle of soda. Step one: unscrew the cap a smidgen, in the hope it doesn’t spill over. If that works out OK, continue to step two: release it a little further. The metaphor, of course, fails. If the soda explodes from the bottle, it does so some days after you loosen the top. The delta case numbers since last Monday: 29, 24, 39, 29, 44, 34, 60. 

Those don’t yet reflect the easing of restrictions on Wednesday. That’s why Shaun Hendy, who has led modelling work that has informed so much of the government’s response, said last night “they need to start planning for the possibility that we’ll need a circuit-breaker”. As the line continues north – and the “infectious in the community” rates alone suggest they will – the resulting pressure on New Zealand’s already strained intensive care units will quickly hit crisis level, endangering not just people with Covid, but anyone who needs a bed or requires care from a person or a part of a hospital redeployed in surge plans.

Ardern insisted that the easing of level three restrictions in Auckland was based on public health advice. Bloomfield backed her on that. The prime minister even went so far as to suggest that there was no politics involved at all. Of course there are politics involved, as there have been throughout. Of course she knows that. Part of the thinking that informed the changes announced last Monday was the knowledge that the virus had insinuated itself into some of the most marginalised communities in Auckland, in transitional and emergency accommodation, among the homeless, where contact tracing is a colossal challenge, and where alert levels often matter little. On that front, Aotearoa’s luck had run out.

They knew, too, that lockdown fatigue was setting in. The social, economic, mental health impacts are real. And they at least sensed a slippage in compliance; though even if you accept that hunch, Ardern’s suggestion that loosening restrictions would halt people that were pushing them from pushing them further seems fanciful. Increasing the speed limit is never going to reduce the average speed. 

But towering above everything: delta. New South Wales had tried and failed to extinguish the super-contagious demon. Victoria had tried and failed. Singapore, Vietnam: same. The plan had always been to move towards opening up, bringing with it some new approaches, as outlined in the Sir David Skegg blueprint “Reconnecting New Zealanders to the World”, unveiled just a few days before a single community case upended everything. The outbreak had “accelerated” the road map unveiled on Monday, said Ardern. The way it was laid out, however, suggested that was more frantic than expeditious.

The criticism, consternation and plain old confusion was obvious before the 4pm press conference had finished on Monday. Ardern and Bloomfield were both, uncharacteristically, irritable. The public health experts were polite but dismayed. Some of the most dependable Labour advocates were appalled. Ardern’s former chief of staff Neale Jones called it “a long and confusing surrender note”. The most chilling condemnations came from te ao Māori. Advocates including Rawiri Jansen and Tina Ngata pointed not just to the low levels of vaccination that left Māori most acutely at risk of the spread of the coronavirus, but the failures of pākehā institutions to trust Māori communities who might have averted that looming disaster. 

The days that followed were designed, no doubt, to shed more light on the road ahead. They served also to shed light on what hadn’t been done during the months of Covid-free paradise. Tuesday saw a presentation, led by Ardern, on Covid passports for domestic use. It showed some work had been done there, but not enough. As for vaccine mandates, the legal scaffolding is still in a pile on the truck. The government wants all teachers vaccinated before Auckland schools resume, as is planned for a week from now. That path is riddled with potholes. 

If the focus on vaccine passports, and Ardern’s emphasis on Fomo (get vaccinated now or risk missing out on a summer festival) suggested a commitment to righting the vessel, that’s where it ended. Perplexingly – in a week of upheaval, stress and confusion, as Covid bled to the north and south of Auckland, as case numbers curved upward, as the unacceptable plight of our ICUs became clearer – we would not see Ardern or Bloomfield on the Beehive stage again. One of the most striking illustrations of a crumbling in communications strategy came in the Wednesday 1pm briefing from Chris Hipkins and director of public health Carolyn McElnay, when the decision to change the advice on gaps between a first and second dose of the Pfizer vaccine from six weeks back to three, something of real public health importance, was issued almost as an afterthought.

Thursday brought a focus on testing – albeit a press conference that had to be shunted back to make way for Chris Hipkins’ announcement that the Waikato level three area was doubling in size. David Murdoch’s report on testing was in, and the government was pushing forward with more use of antigen rapid testing as well as saliva samples for PCR tests. Murdoch’s finding that the government had been “too slow” on both fronts was an almighty understatement.

One year and two weeks ago, Heather Simpson and Brian Roche presented to the government a commissioned review of surveillance and testing that urged “all efforts should be made to introduce saliva testing as soon as possible”. Could a barrage of at-home tests early in the delta outbreak have helped get a ring around it? Could the option of saliva testing have seen even one nose-anxious person early in the transmission chain come forward to get tested? Might either situation have trimmed back the outbreak in its infancy? After all, there were days when it fell to single figures; a small difference could be big. Should we not be, as Singapore is, providing antigen tests to Aucklanders who are going to work every day? Remember, this is complementary to, not instead of, the PCR testing. It’s another layer in the Swiss cheese model. The foot dragging has awful echoes of the indefensible delay in introducing regular testing of border workers to be introduced over a year ago.

And Friday? There was no media conference on Friday. Nor Saturday. Nor Sunday. Nature abhors a vacuum but Winston Peters loves it. The former deputy prime minister popped up on Saturday morning like a Facebook comment, making some extraordinary and unevidenced claims about the Northland case and her companion. When they say “take your level with you”, Peters may be under the misapprehension that his level is parliamentary privilege, but the absence of daily briefings made it harder to shut down the rumours.

Throughout the week the clamour from New Zealanders abroad, virtually sardined in the nation’s offshore lobby, grew. A legal challenge is being prepared by the Grounded Kiwis group. While the government has disingenuously hinted that New Zealanders wanting to return are really just after an elaborate weekend on the beach, they’ve done nothing serious to look at purpose built facilities. Yes, the new variant, and all that, but when we look back in years to come on the Covid response (or when the inevitable Royal Commission does) there will be a lot of praise for smart decisions. And, I would bet, total bafflement at the fact that a full year and a half on, we continue to house the majority of our arrivals from abroad bang in the middle of our most populated city. Delta must not believe its luck.

One of the most damning verdicts on last week came from one of our most admired public health experts, Michael Baker. “I think this is a week we’d all rather forget in terms of New Zealand’s Covid-19 response because I think it’s been a disaster,” he told Newshub

Across 18 months, Ardern has been lionised for a world-beating response. She was judged best in the world by PR people. Alastair Campbell, Tony Blair’s pugnacious former head of press, extolled “a masterclass in crisis communications”. Those plaudits, all well earned, don’t collapse under one poor press conference or one dismal week. In some of the international coverage, such as the Australian Daily Mail’s “How New Zealand’s out-of-control Delta outbreak and harsh lockdowns could bring down Jacinda Ardern”, well, you can smell the schadenfreude on their breath. But there’s a reason New Zealand, together with a handful of other countries, has been the envy of the world: thousands of lives have been saved.

Yes, the border has been fortified and many have faced economic hardship, but the overall social and economic hardship, and the restrictions to basic liberties, have been mostly less than in places where Covid gained a grip. It may be too late to put the delta genie back in the bottle for Auckland. But, as Baker also observed, despite the disaster of a week, the clarity of message that vanished last week “can be recovered quite quickly”.

Ardern is reportedly planning to tear up the alert level system altogether, and replace it with a traffic light system that jettisons lockdowns and wraps in proof of vaccination. The challenge will be to recapture the crisp clarity of the first days of the Covid response: lay out the rationale, detail the structures being put in place, and avoid the kaleidoscope of mixed messages and scrambled slogans.

And, as should go without saying, communications can only ever be excellent when they sit atop a thorough, comprehensive and intelligent plan. A year and a half ago the brightest and the best of the public service gathered together on a couple of floors to lead the all-of-government response to an unprecedented crisis. Over time they’ve returned to their old desks, and a sense of Wellington business-as-usual has resumed. Are the smartest people, or enough of them, running the New Zealand Covid response now? Because as the horrible last 50 days of lockdown, and the messy last week of the response show unequivocally, this is not a time for business as usual.

Keep going!
updates0910

PoliticsOctober 9, 2021

Live updates, October 9: New Covid case in Bay of Plenty; 34 new cases in Auckland and Waikato

updates0910

Welcome to The Spinoff’s live updates for October 9, by Madeleine Chapman.


Help us keep you informed on Covid-19 – click here to learn how you can join The Spinoff Members.


The alert levels, in summary

  • Northland is now in level three (classic level three) until at least 11.59pm Tuesday. This will be reviewed on Monday.
  • Parts of Waikato are in level three (classic level three) until at least 11.59pm Monday.
  • Auckland is in step one of its alert level three exit plan. This will be reviewed on Monday.
  • The rest of the country, including the South Island, is in alert level two.

Today’s numbers

  • There are 34 new community cases of Covid-19, including three in Waikato.
  • Of the 31 in Auckland, 11 have not yet been linked. All three cases in Waikato are linked.
  • There are now 26 people in hospital with Covid-19, and seven of them are receiving intensive care.
  • A record 67,189 second doses of the vaccine were administered yesterday, out of 85,757 in total.

7.00pm: Positive case in Bay of Plenty

A person currently in Katikati has tested positive for Covid-19. The test was taken yesterday in Auckland. The person lives in Pukekohe and is “in the process of moving to a rural area north of Katikati”, according to the Ministry of Heath.

The ministry reports: “The test result has a high CT value usually seen in the early or late stage of infection and is under further investigation, including a repeat test. The person has been permitted to cross the boundary in and out of Auckland as they are in the process of shifting house. As part of this, the individual has been having regular surveillance testing – at least five tests have been taken since the beginning of September, the most recent prior test was October 5. All five of those tests were negative.

“The person is also a consistent user of the Covid tracer app which will assist with contact tracing and identifying any locations of interest. The individual who returned the positive result is fully vaccinated and has reported no symptoms apart from regular seasonal hayfever and resultant runny nose that hadn’t recently changed. The person is also a consistent user of the Covid tracer app, which will assist with contact tracing and identifying any locations of interest. These will be added to the Ministry of Health website as soon as confirmed. Initial information has identified locations of interest in Katikati and Pukekohe, with details to follow.

“All family members have been contacted, tests arranged and are currently isolating. Results are expected tomorrow. The current public health assessment is that the risk appears low given the person’s vaccination status, regular test history, good use of the app and rapid contact, testing and isolation of family members.”

Testing locations open on Sunday:

  • Katikati Medical Centre, 4 Clive Road, 8.30am – 4.30pm
  • Katikati Rugby and Sports Clubrooms, Fairview Rd, Katikati 8.30am – 4.30pm (hours will be extended if there is high-demand)
  • Tauranga Accident and HealthCare, 19 Second Avenue, 8.00am – 6.00pm

4.10pm: Long queues for testing in Whangārei

A Spinoff correspondent* waited in line for three hours to get a test in Whangārei today on day one of Northland’s level three stint. The testing centre in Kamo was packed, with many residents deploying an abundance of caution given the dearth of locations of interest in the area. “Hopefully we get some more locations of interest soon, otherwise more wait times like this are likely,” said our correspondent. Police are continuing to interview the positive case in attempts to record further locations of interest in the Northland region.

The testing centre itself is up for lease once its public health duty has been fulfilled. The Spinoff’s correspondent hopes it will become a roller rink.

*reader.

A beautiful day to get tested (Images: Spinoff correspondent)

3.05pm: Prime minister responds to claims about Northland case

Earlier this morning (see 10.05am update) Winston Peters appeared on Newshub Nation and made claims about the positive case in Northland, including how she crossed the border, who she travelled with, and where they travelled to. Similar claims have been circulating on social media since the 6.30pm press conference yesterday when details (or lack theref) of the woman’s movements was discussed.

Harry Tam, who was named by Peters, has already disputed the allegations, saying he has been in Auckland and never travelled to Northland during the outbreak.

After calls from Act and National for the government to confirm or deny Peters’ claims (as well as any other uncertainty around the woman, her companion, and their movements), the prime minister has responded.

“There is no evidence to back up some of the claims that have been circulating online and on social media,” she said.

“What we do know from video and CCTV footage is the individual in question was travelling with a woman, we know that for the place in which they were staying for that period of time has also confirmed they were travelling with a woman, and the person that has been implicated through some of that social media chat has themselves confirmed they were not in the Northland region.”

Police are still working to locate the woman who travelled with the positive case around the Northland region between October 2 and October 6.

1.40pm: Another big vaccination day yesterday

New Zealanders are continuing to turn out in huge numbers to receive their Covid-19 vaccine. There were 85,757 doses administered yesterday across the motu, with 18,568 being first doses and 67,189 second doses. That’s the most second doses administered in a single day to date.

There were also 10,283 doses administered for Māori yesterday, another record.

The daily lines on the below graph are looking good and tall, but the country still needs more long boys in order to surpass our 90% target .

1.30pm: Cases infectious in the community rising

Perhaps unsurprisingly, the number of positive cases infectious in the community has risen again, with 31 of Friday’s 44 cases being out in the community while infectious. That’s the highest number since the outbreak began, with the second highest number coming on Wednesday this week, two days earlier. It’s to be expected with eased restrictions, but it’s not ideal.

Meanwhile, daily case numbers have remained steady this week, hovering between 25 and 45 cases per day. With a move away from full elimination, steady numbers aren’t so bad for containment. But as testing ramps up in Northland amidst many unknowns regarding possible exposure events, these numbers may rise again in coming days.

1.15pm: 34 new community cases, three in Waikato

There are 34 new community cases of Covid-19, the Ministry of Health has announced in a media statement. 31 are in Auckland and three in Waikato.

Of today’s cases, 11 in Auckland are yet to be linked to known cases. All three Waikato cases are linked to the initial Hamilton East case.

31 of yesterday’s 44 cases were infectious in the community, the ministry said.

There are currently 26 people in hospital with Covid-19, seven of whom are receiving intensive care.

The Northland case: A second person, who is thought to have travelled with this case, has not yet been able to be contacted.

12.45pm: Latest case numbers imminent

The 1pm statement from the Ministry of Health will (read: should) be arriving shortly with the latest update of case, testing, and vaccination numbers. We’ll have all the important details for you here.

As a side note: the government is yet to comment on allegations made by former deputy PM Winston Peters regarding the positive case in Northland this week.

10.05am: Winston Peters makes big claims about Northland case

The former deputy prime minister appeared on Newshub Nation this morning and wasted no time making his mark. Speaking from newly-locked down Northland, Peters claimed, without providing any evidence, that the woman who tested positive had travelled across the border with a senior gang member, stayed at a hotel, and hid from the public and police at a marae. When Simon Shepherd asked for more detail, Peters responded, “I can tell you who she travelled with, which hotel she stayed at but I’m not prepared to tell you which marae at this point in time because that’s known to the police and it was known to minister Hipkins and the government and the prime minister days ago and they should tell you.”

Peters went on to allege that the woman was travelling with “a life gang member for the Mongrel Mob called Tam”, referring to Harry Tam, who was granted an essential worker exemption to travel into Auckland for the purposes of encouraging vaccination among gang members.

Tam has responded to Peters’ allegations immediately, categorically rejecting the claims. He told Q&A that Peters’ claims are totally unfounded and that he hasn’t travelled to Northland at all this outbreak.

9.30am: Early medical abortions now accessible through GPs and midwives

Abortion was (finally) removed from Crimes Act last year after decades of campaigning by activists. While the change removed some of the many hoops women had to jump through to undergo a safe medical abortion, access for all remained an issue.

Today, Associate Minister of Health Dr Ayesha Verrall announced that the medication – two pills taken within nine weeks of conception that induce a miscarriage – can now be prescribed by primary care practitioners like GPs, nurse practitioners and midwives.

Before today, the medication was accessible only through public hospitals and family planning clinics. The new changes will improve access to early medical abortion “and will mean people can access the service from their trusted primary care provider and in a familiar setting,” Verrall said.

8.15am: Yesterday’s news

An uncooperative positive case has led to Northland being placed in alert level three. 

So far, two locations of interest in Northland have been added to the Ministry of Health’s website, both petrol stations in Whangārei, after a woman left Auckland and is “believed to have travelled around the region, including in Whangārei, Kamo, Paihia and Kawakawa” before returning to Auckland. The woman later tested positive for Covid-19 but has not been cooperating with officials, leading to many unknowns around where she went in her travels and who she interacted with.

“The information we have at this stage is that the person was in Northland from the afternoon of 2 October until the evening of 6 October,” Covid-19 response minister Chris Hipkins said during a surprise press conference at 6.30pm yesterday to announce the alert level change.

“We wouldn’t be doing this if we didn’t think it was very possible we’ll see more cases,” said Hipkins. He also noted that the phone numbers provided by the person were not valid and it was very hard to find them.

Hipkins confirmed that there are two women whose movements are of interest, one being the positive case and the other a travel companion. The woman travelling with the positive case has now been identified but officials have been unable to locate her. The positive case is now in an Auckland MIQ facility.

Low vaccination rates in Northland were considered when assessing the alert change and are still a concern.

Northland’s vaccination rates have remained low throughout the vaccine programme. Right now, 70% of people in Northland have had their first dose and 48 % their second, said Hipkins. For Māori, this is even lower, at 52% first dose and 32% second. With the delta variant being far more dangerous to the unvaccinated, the risk of transmission and serious illness is greater than in other areas of the country. Hipkins was unequivocal in his plea to residents:

“I cannot stress this enough: please get vaccinated”

Locations of interest are rapidly increasing with restrictions eased in Auckland. 

Even without the full list of locations north of Auckland, the Ministry of Health added 70 entries to its locations of interest page yesterday. The locations are from all over Auckland as well as Waikato and two Whangārei petrol stations.

To stay up to date with the latest locations while looking at something far more interesting than a Word doc table, use The Spinoff’s interactive map.

Daily vaccination rates continue to rise.

Great work, team! Thursday’s vaccination numbers were big, with 82,303 doses administered nationwide. Most of these were second doses: 62,598 compared with 19,705 first doses.

After their shift to alert level three, Waikato turned out in record numbers to get vaccinated with 10,397 doses given in one day. “This equates to a 4% increase in first doses across the Waikato in one day,” said the Ministry of Health in its press statement. There are hopes that an identical shift to alert level three will inspire a similar surge of vaccinations in Northland this weekend.

Yesterday’s numbers

  • There were 44 new community cases of Covid-19 yesterday, including three in Waikato.
  • Of the 41 in Auckland, 12 have not yet been linked. All cases in Waikato are linked.
  • There are now 25 people in hospital with Covid-19, five of whom are in intensive care.