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The skyline of Auckland seen from the village Devonport, New Zealand
The skyline of Auckland seen from the village Devonport, New Zealand

The BulletinSeptember 13, 2021

Mystery cases key as cabinet reviews Auckland lockdown

The skyline of Auckland seen from the village Devonport, New Zealand
The skyline of Auckland seen from the village Devonport, New Zealand

Experts warn that the city’s level four lockdown could be extended today as a handful of unlinked cases risk rekindling a delta outbreak under level three, Justin Giovannetti writes in The Bulletin.

A number of recent mystery cases in Auckland are at the centre of cabinet’s debate today. Stuff reports that the prime minister and cabinet are focused on the possibility of undetected cases in the city as they prepare to review pandemic restrictions. Jacinda Ardern said “a handful” of the city’s 34 unlinked cases are of concern to officials. While the director-general of health said there’s believed to be no widespread community transmission in Auckland, nearly half of the 43 new cases detected over the weekend were infectious in the community at some point.

Those 34 unlinked cases are a concern. These are cases that just can’t be connected to any of the city’s 16 sub-clusters, meaning contact tracers can’t establish any shared location where the cases might have picked up the virus. The rules were even broadened for this outbreak to make linking cases easier. In previous outbreaks, someone had to be in very close proximity to a known case for it to count as a transmission event. Often it would be something specific, like touching the same elevator button within seconds. With delta, just being in the same venue at roughly the same time is now considered enough. Stuff has an explainer on what the unlinked cases mean for the outbreak.

Auckland has now been in lockdown for nearly a month and experts warn it might need more time at level four. The ministry of health announced on Saturday night that three more people who had visited Middlemore hospital for non-Covid reasons had tested positive for the virus, including a five-month-old. According to the NZ Herald, Covid-19 modeller Michael Plank said the ongoing drip of unexpected new cases was a concern and might point to an undetected cluster. He called an immediate move to level three “very risky.” Mayor Phil Goff said an extension of lockdown “looks likely.” Falling test levels in Auckland also won’t help with the decision.

At the core of today’s decision will be confidence in the data. The prime minister’s office saw what happened in Victoria when the Australian state lowered restrictions in recent months despite cases still spreading in the community. Numbers that had been falling turned around quickly and started increasing. Auckland’s delta outbreak started with a single case and while level three restrictions would lower the number of people potentially infected by a case, it could significantly increase from what we’ve seen under level four lockdown. “Even a handful of cases going unnoticed could turn into a bonfire at level three and a conflagration at level two,” according to Newsroom.

What could help now is vaccination levels. Rawiri Jansen told RNZ that Auckland should get all of the extra Pfizer doses secured from Spain. While that’s unlikely to happen, higher vaccination levels will help the city if level four is maintained for longer.

Graham Le Gros, one of the country’s leading immunologists, told the Science Media Centre that vaccinations could be the key to ending this outbreak and future ones:

“We need to prepare for the time that elimination does not catch up with the delta virus, and New Zealand will have to swing into action to keep the vaccinations up… Even if we catch up with this outbreak, it is highly likely there will be others.

“It’s not that NZ is not trying hard enough, it’s just that the delta variant does not play by the rules, it’s a virus constantly able to change infection strategy and change the degree to which it induces symptoms. Also, in future we will have to trust that the vaccinated immune system of a healthy human is the only thing able to protect against the worst effects of the virus.”

Cabinet’s decision will be announced by the prime minister at 4pm today.


This is part of The Bulletin, The Spinoff’s must-read daily news wrap. To sign up for free, simply enter your email address below

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Nurses prepare Covid-19 vaccines in Norway, which has paused the use of the AstraZeneca vaccine (Photo: Getty Images)
Nurses prepare Covid-19 vaccines in Norway, which has paused the use of the AstraZeneca vaccine (Photo: Getty Images)

The BulletinSeptember 10, 2021

Extra doses arrive as vaccine programme breaks records

Nurses prepare Covid-19 vaccines in Norway, which has paused the use of the AstraZeneca vaccine (Photo: Getty Images)
Nurses prepare Covid-19 vaccines in Norway, which has paused the use of the AstraZeneca vaccine (Photo: Getty Images)

After a slow start, NZ is now rolling out doses at record speed and more than half the population has had a jab, Justin Giovannetti writes in The Bulletin.

By the time you read this a shipment of 250,000 extra vaccine doses should have arrived in New Zealand from Spain. As RNZ reports, the top-up means the country’s vaccination programme won’t need to be slowed down this month. There’s been an unprecedented surge in recent weeks as demand for jabs soared, with nearly a million doses administered over the past fortnight. The prime minister, who counts Spanish president Pedro Sánchez as one of her close friends on the world stage, said another delivery from a second country was still in negotiations, but details are expected next week. The Spanish deal wasn’t a swap, it was a simple purchase. No price was disclosed, but Ardern said the deal was in “good faith”. She then clarified to people who hadn’t caught her verbal wink that she was trying to imply it was a good deal.

Gracias España.

After a very slow start, New Zealand now has a record-setting immunisation programme. New Zealand’s Covid-19 vaccine programme was slow out the gate, months behind countries in Europe and North America. As recently as last month, Aotearoa was still the least vaccinated place among rich countries. That’s changed rapidly. Stuff’s Henry Cooke has found that New Zealand is now vaccinating about 1.5% of its population daily, faster than any of the countries we compare ourselves to, and is powering up the list of vaccinated countries.

More than half the population has had one dose, surpassing Australia. With all 10 million doses on order expected to be delivered by Pfizer next month, New Zealand could soon overtake the United States for percentage of the population jabbed. However it’s unclear when, as director-general of health Ashley Bloomfield warned earlier this week that the overall rate of vaccination is now slowing as some parts of the country are running out of people to immunise.

Press play and watch the vaccination race on Our World in Data. Don’t stop before you reach the end.

There remains uneven vaccination rates across New Zealand. Māori leaders told RNZ that a different approach to the vaccine drive is urgently needed to reach young Māori as a gap in immunisation levels has proven stubborn. Expanding the programme to everyone over the age of 12, allowing entire families to go at once, hasn’t led to a boost in levels. Māori between 20 and 34 years old have been vaccinated in far fewer numbers than other ethnicities in the country. Despite nearly a year of warnings that this might happen, it’s unclear how to change things. Two Labour ministers, Peeni Henare and Willie Jackson, have said they are disappointed with low uptake but think it could change in the coming weeks.

A cautionary tale has emerged in Singapore. Vaccines are an incredibly powerful tool in the fight against Covid-19, but delta has demonstrated that even small pockets of the unvaccinated can allow the virus to thrive. In recent weeks Singapore undertook its pivot to living with the virus, by relaxing restrictions and reopening to the world. Despite nearly 80% of the population vaccinated, over 1300 cases were reported last week and the reopening plan has been stopped, reports news.com.au. Authorities are now trying to contain the virus with contact tracing, but have warned that they might need to reimpose restrictions.


This is part of The Bulletin, The Spinoff’s must-read daily news wrap. To sign up for free, simply enter your email address below