1/8 NZ Director-General of Health Dr. Bloomfield:“I think over the last month or 2 in particular, probably 3 months, there’s been much more emergent evidence about the importance & the significance of airborne transmission of Coronavirus being a way that people become infected.”
2/8 “And I think if we look at our more recent cases, the role of airborne or aerosolised transmission has been much more likely to have been the cause.”
3/8 “And I think if we then retrospectively go back knowing what we know now, it was probably more likely the person who we initially thought it was through fomite transmission on the rubbish bin lid, it was aerosolised particles in the corridor.”
4/8 “And I dare say that, a lot of the actions that have been undertaken over the last month or two, have been explicitly designed to reduce the likelihood of people being infected through aerosolised transmission...”
5/8 “...particularly by reducing movement of people outside of their rooms at the same time.”
NZ Minister for COVID Response Chris Hipkins:
6/8 “It’s interesting as someone who follows the international developments around this very closely, we’re one of the only places in the world that’s having this conversation about fomite transmission or aerosol transmission.”
7/8 “Because in most other places it’s still person to person transmission and it’s still hundreds if not thousands of cases that you’re dealing with every day, through that person to person contact.”
8/8 “Because we don’t have community transmission in NZ we’re quite unique and as Dr. Bloomfield has pointed out, each new case we get actually helps us to understand a little bit more about the previous cases that we have dealt with.”
“Within a short period of time, from receiving the first patient sample Tuesday, March 16, 2021 at noon until Friday, March 19 the team:
- Identified the mechanism of SARS CoV2 vaccination induced severe thrombotic complications,
- identified a widely available screening test..”
“- develop a confirmatory test which seems to be highly sensitive and specific (cautionary note: the number of samples investigated is still limited),
- and to identify a treatment which has the potential to rapidly deescalate the catastrophic prothrombotic mechanism.”
“As the researcher team has shown before that IVIG is very effective in treatment of catastrophic HIT, and as HIT has a very close clinical and laboratory resemblance characteristics to these vaccine associated complications...”
Risk mitigations to support the safe re-opening of the Pullman Managed Isolation Facility
Recommendation 1: the Pullman’s corridor fresh air ventilation system should be operated 24 hours per day. This was implemented on 27 January;
Recommendation 2: prior to opening hotel room doors, returnees should close all windows and trickle vents to encourage air to move from the corridor into the room. This guidance was issued to returnees at the Pullman on 31 January.
VIC HQ N95 Masks - Wed Feb 10 - ABC interview - Part 2
1/4 @Raf_Epstein:“Why not just have an abundance of caution, if you could give everyone N95 masks, I know it’s difficult, they have to be fit-tested, I know it’s expensive, but if you can do it, why not have done that from the beginning rather than coming to that decision today?”
2/4 DCHO: “Well, bear in mind for 2 months we had no cases in staff in HQ, so this becomes another adaptation of what we’re doing to get in front of things..from where we are now...”
1/6 DCHO: “...we have a thing called the IPC steering committee and it has a number of experts on the board from the community, community experts, as well as experts from other hospitals and experts from within the department and that steering committee meets regularly...”
2/6 “...and more regularly when there are recent things to discuss, so normally we meet every month, but we met last week and we met again today and at the meeting today a decision was made that N95 masks, which were already being used in the program...but not by everyone...”
“...weren’t able to pick up any traces of COVID-19 in the environmental testing...it could have been droplets in the air that would have been temporary, so they would have only been there for a short period of time and people could have literally passed through the same airspace”
“In the case of the Pullman, a change that has already been implemented is to create positive air pressure within the corridor spaces by keeping the air-conditioning running 24/7”
“The coronavirus’s genetic material has been found on all kinds of surfaces in hospitals and in the air, but, interestingly, it has only been successfully cultured from the air. No data studies that we are aware of have cultured the virus from surfaces.”
“When we look at this entire causal chain, it’s easy to see that if fomite transmission is happening, it’s minor and certainly not driving the pandemic. Meanwhile, we have plenty of examples of airborne transmission.”