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Asteroid impact, computer artwork.
Asteroid impact, computer artwork.

ScienceFebruary 8, 2020

How would New Zealand cope in a global catastrophe?

Asteroid impact, computer artwork.
Asteroid impact, computer artwork.

The coronavirus outbreak is testing New Zealand’s emergency plans, but public health experts warn there are much bigger threats to prepare for. RNZ’s John Gerritsen investigates. 

“Super volcanic eruption, asteroid strike, artificial intelligence gone wrong.”

Researcher Matt Boyd is listing some of the possible threats to human existence. They sound terrifying, but what is really scary is that Boyd is talking about these potential catastrophes with no sense of self-consciousness, no laugh to suggest that this is science fiction.

And he’s just getting started.

Nuclear war? “Could break out at any moment.”

Pandemic virus? “There’s probably an increasing risk from biotechnology that something may intentionally or unintentionally go wrong.

“There’s a whole suite of potential catastrophes that perhaps at least some people should be should be looking at, and I think some New Zealanders should be looking at,” Boyd says.

He’s already done some of that work – publishing papers with University of Otago academics analysing the economic costs and benefits of closing New Zealand’s borders against a deadly pandemic, and more recently, assessing various islands’ potential as arks for humanity in the event of a global catastrophe.

And it’s good news for New Zealand.

Professor Nick Wilson Photo: RNZ Insight / John Gerritsen

Professor Nick Wilson from the University of Otago’s Department of Public Health co-authored those studies with Dr Boyd, including last year’s “The Prioritization of Island Nations as Refuges from Extreme Pandemics.”

“We’re concerned about the increasing risk of pandemics, and those could include a natural pandemic, like a repeat of the 1918 influenza pandemic,” he says.

“But more concerning is the rapid advance with biotechnology which allows for various states or even terrorists to potentially in the future produce genetically-engineered pandemics.”

They looked at what countries, in particular island nations, might be the best prepared, and be able to survive to be refuges for humanity in such a catastrophe.

Nations were ranked according to factors including food and energy production, population size, social cohesion and isolation from other population centres.

“Australia, then New Zealand, and then Iceland came out as the best island nations to rapidly close their borders and to potentially be areas where humanity could survive,” Wilson says.

“New Zealand certainly has the potential to be the best place to be if we play our cards right,” Boyd says.

This sounds great, but the pair caution that their study is a broad-brush analysis and more detailed work is needed to consider how New Zealand might best survive being isolated from the rest of the planet.

Take a look into things like food, fuel and medicine and it quickly becomes apparent that New Zealand is very reliant on imports for a range of essentials to maintain life-as-we-know-it.

Food, fuel and medicine

Richard Hovey, who lives in Wellington, has stores of food and other essentials stashed around his house.

He says his main focus is a big earthquake or storm, but he admits he is also thinking about worldwide disasters too.

Wellingtonian Richard Hovey is disaster ready Photo: RNZ Insight/ John Gerritsen

“I’m assuming in my lifetime there will be a global catastrophe,” he says, listing climate change, pandemics and the collapse of international trade as possibilities.

“I think that sort of thing is entirely foreseeable because we’ve got the just-in-time [manufacturing] system – everything’s so finely balanced.”

New Zealand has some stores of essentials including fuel and medicine, but it’s not clear how we would produce those items in a prolonged period of isolation.

At the Riddet Centre at Massey University’s Palmerston North campus, the head of the School of Food and Advanced Technology, Julian Heyes, says New Zealand produces enough food to feed 20 million people.

But he warns that diet would be very heavy on milk and kiwifruit and, after a few months, devoid of things like rice and coffee and a few other items that might surprise many New Zealanders. North Islanders, for example, might find themselves unable to make bread.

“In the South Island we can grow some wheat. In the North Island pretty much all of our wheat is imported from Australia,” he says.

Heyes says in the short-term New Zealanders would have to put up with a much blander diet, but as time went by, things might get tougher. Animals, for example, require imported medicines, grass and crops depend on imported fertilisers, and the seeds for our plant crops are also imported.

But the really big dependency for food production is fuel.

“Basically, our food system would grind to a halt without fossil fuels to allow us to transport products in good condition around this country, let alone exporting them to the rest of the world,” says Heyes.

Fortunately, the government and the oil industry have a plan for dealing with shortages – the Oil Emergency Response Strategy – and the government has the power to impose rationing and other restrictions.

In addition, the country is required by international agreements to have a stockpile of oil equivalent to 90 days’ normal use.

Ian Twomey from the energy consulting firm Hale and Twomey reviewed the security of New Zealand’s petroleum supply in 2017.

He says about 30 to 35 days of New Zealand’s reserves are held in other countries, and the remainder is stock already in the country, so in the event of a sudden emergency New Zealand would likely have enough fuel and oil on hand to cover 50 days of normal use.

But Twomey says “normal use” would not apply in an emergency because fuel consumption could be restricted to those who really need it.

“If you’re just talking about … say, food distribution – some of the critical industries – you might only be talking about 20% of the normal diesel demand and maybe only five to 10 percent of the normal petrol demand,” he says.

“So it’s a very different situation, and that stock could last a long time if you had to make it last a long time.”

New Zealand produces its own oil, but very little of it is refined at the Marsden Point Refinery in Northland.

The group Refining New Zealand says it could, in an emergency, refine more New Zealand crude oils, but it would need to be mixed with imported oil and the results would not be anywhere near enough to meet usual demand for fuel.

The upshot is that in a prolonged emergency with minimal international trade, New Zealand would quickly find itself very short of fuel.

The health system is another key piece of infrastructure.

Director of public health at the Ministry of Health, Carolyn McElnay, says a pandemic is the most likely global health disaster, and the ministry has medical supplies stockpiled.

They include antiviral medication, face masks, and body bags based on a model that assumes 40 percent of the population (more than 1.9 million people) become ill over an eight-week period with a two percent fatality rate.

Photo: RNZ/Dom Thomas

Dr McElnay says New Zealand could, in theory, close its borders in a global pandemic, but that’s unlikely to halt the spread of the disease, and she doubts international trade would cease.

“I think it’s highly unlikely that we would see a scenario of New Zealand being completely locked down and isolated from the rest of the world. I think that’s really unsustainable,” she says.

The ministry’s pandemic reserves are not the only stockpiles of medical supplies. The government’s drug-buying agency, Pharmac, also requires most of its suppliers to hold at least two month’s reserves.

Director of operations at Pharmac, Lisa Williams, says the supply chain also holds a further six weeks of stock.

“So at any one time there’s probably three months worth of stock in New Zealand of most medicines,” she says.

“For what we would say are more essential medicines – things like antibiotics or some vaccines that you might use in response to an outbreak of a disease – we require a larger stock-holding. So some of those we’re requiring four-to-six months worth of supply to be held in New Zealand.”

Ms Williams says the vast majority of the medicines it subsidises are manufactured overseas and it would be very difficult to manufacture those items in New Zealand.

Planning for the worst

At a national level, the government has plans for fuel shortages, for a pandemic, and for dealing with local disasters like earthquakes.

It has not specifically planned for ensuring New Zealand can survive an existential threat to humanity, but the National Emergency Management Agency, formerly Civil Defence, says in any major emergency there will be an appropriate all-of-government response.

“New Zealand takes an ‘all hazards’ approach, which gives us the flexibility to deal with a range of events, both foreseen and unforeseen. We are not in a position to speculate on how arrangements might play out in hypothetical event as it would very much depend on the circumstances,” the agency says.

But Nick Wilson and Matt Boyd believe there is good reason to go further and plan for events much bigger than a quake in Wellington.

Photo: RNZ / Tom Furley

Wilson says, for a start, it should develop criteria which would automatically trigger border closure.

“If tens of thousands of New Zealanders were going to be killed, it would make sense to probably close the border for some period of time. But that needs a lot of thought and a lot of careful planning so that the Prime Minister and Cabinet would go down a checklist and if certain criteria are met, the border is closed,” he says.

“No political argument between political parties, it would have to be a highly pre-designed process where the decision was clear about whether to keep the border open or keep the border closed.”

And Wilson says the government should go further still.

“If the borders had to be closed for a long time, and New Zealand had to be self-sufficient for a long time, we need to understand what the vulnerabilities are to things like the electrical grid and the internet – those would be really critical things to maintain and maybe it is worthwhile having a small stockpile of critical components.”

Boyd says such planning needs to be large-scale. It could be done relatively cheaply by a small group of analysts, but it could provide significant benefits in the future.

“Unless we think about it ahead of time, we’re not really going to know what to do at the time,” he says.

“Like an insurance policy – you pay a small amount of money in an ongoing fashion and it may pay great dividends if you need it.”

First published by RNZ 

Passengers in the arrivals concourse at Heathrow airport in London. (Photo by Steve Parsons/PA Images via Getty Images)
Passengers in the arrivals concourse at Heathrow airport in London. (Photo by Steve Parsons/PA Images via Getty Images)

ScienceFebruary 3, 2020

As NZ bans arrivals from China, has the coronavirus really infected 100,000?

Passengers in the arrivals concourse at Heathrow airport in London. (Photo by Steve Parsons/PA Images via Getty Images)
Passengers in the arrivals concourse at Heathrow airport in London. (Photo by Steve Parsons/PA Images via Getty Images)

With reports that several people in New Zealand have been tested for suspected coronavirus – they were all negative – and the WHO declaring the outbreak a Public Health Emergency of International Concern, the New Zealand government yesterday announced entry restrictions for foreign nationals arriving from or transiting through mainland China. Siouxsie Wiles summarises the latest news and the latest science.

A Public Health Emergency of International Concern

Concerned that the coronavirus will spread to countries that do not have health systems to cope with the disease, the World Health Organisation director-general, Dr Tedros Adhanom Ghebreyesus, has declared the outbreak in China a Public Health Emergency of International Concern (PHEIC).

This is a formal declaration by the WHO that the outbreak is a health risk and may require an international coordinated response. Under the 2005 International Health Regulations, when a declaration like this is made, countries have a legal duty to share information with the WHO.

Entry restrictions placed on foreign nationals

No doubt in response to the WHO declaration, Jacinda Ardern announced yesterday that any foreign nationals travelling from, or transiting through mainland China, will be denied entry to New Zealand as of today. The major concern for our neck of the woods is what would happen if the virus were exported to the Pacific via New Zealand.

We only have to look at how the measles virus recently devastated Samoa to see how outbreaks can play out in countries with under-resourced and under-staffed health services. It’s thought someone shedding the measles virus flew into Samoa from New Zealand in August last year. Because of the low MMR vaccination rates in Samoa, that caused an outbreak that infected over 5,600 of the country’s 200,000 people. There were 83 deaths, most of them children under the age of four.

It took a mass mandatory vaccination campaign and a state-of-emergency declaration that closed schools, imposed a curfew, and cancelled all Christmas celebrations and public gatherings, to bring the outbreak under control. The state-of-emergency was only just lifted at the end of December.

There is no vaccine to protect against the new coronavirus, so I dread to think what impact it could have on our Pacific neighbours.

Update 9.50am: New Zealand Customs has announced it has closed all eGate airport entry points and all travellers entering New Zealand will be manually processed by customs agents until further notice.

Are over 100,000 people in China really infected with this virus?

A few days ago a paper appeared in the medical journal the Lancet estimating that between 37,304 and 130,330 people have been infected with the new coronavirus in Wuhan as of January 25. The authors aren’t the first to suggest that the numbers of reported cases don’t accurately reflect the number of infected people. A team at Imperial College London have published a series of similar reports.

Both teams have made their estimates using the number of cases being seen outside of China and the probability a case would appear based on the number of people leaving from Wuhan International Airport. Given this is a new outbreak with a virus not ever seen before, they had to make some guesstimates as to how infectious it is and the incubation period, hence the wide range.

As of writing this the number of confirmed cases in China is over 14,500 according to the Hopkins online outbreak-tracker. Which is a lot less than 100,000. So are the estimates right, and if so, why are the official numbers so low?

Firstly, the estimates are based on best guesses of things like how infectious the virus is. Secondly, testing to confirm cases takes time and it could be that the testing labs are working at capacity. What would be interesting is to see the number of suspected cases/tests that are pending, and how that number has been changing over time.

It’s very likely that the Chinese are focusing their attention on the people who need medical help. This means anyone with a mild form of the infection won’t be being tested. What wasn’t clear a week or so ago, was whether everyone who got the virus would come down with a very serious infection or whether there would be a spectrum ranging from no or mild infections to death. Now it looks like it might be a spectrum. And that would help explain some of the mismatch.

Cluster of cases in Germany show asymptomatic spread and mild infections

Doctors in Germany just published a report (see update below) in the New England Journal of Medicine of a cluster of cases in Bavaria. They describe both human-to-human transmission of the virus from someone without any symptoms, as well as people experiencing a very mild infection.

The cluster starts with someone from Shanghai visiting Germany for business meetings. She was fine during her visit but became ill on her flight back to China and tested positive for the new coronavirus. Meanwhile, a few days after the meetings, one of the attendees, a 33-year-old otherwise healthy German man came down with a sore throat, chills, and muscle aches. The next day he had a fever and a cough but soon felt better and went back to work. He was found to be shedding the virus.

A day later, another three people at the same company tested positive for the virus. Only one of them had attended the same meetings as the visitor from China. The other two only had contact with their German colleague. At the time of publishing their paper, none of the infected had shown any signs of severe disease.

Now it’s a case of waiting to see if all these people stay relatively asymptomatic, or if they progress to a more severe disease. It will also be interesting to see if the virus they have has mutated slightly, or if it’s the same as the versions causing more severe symptoms.

*Update 06/02/2020: It’s now being reported that the authors of the report on the cluster of cases in Germany didn’t actually speak to the visitor from Shanghai and that she did have symptoms while in Germany. This means this wasn’t asymptomatic spread.