Another thread for the overseas people who are fascinated by New Zealand’s response to Covid-19, Kia ora. It is Day 14, and there already positive signs that we are flattening delta. Level 4 is indeed effective, new daily cases are suppressed. /1

(Graph by @TheSpinoffTV)
Genome sequencing has shown that we are dealing with a single outbreak of delta, which has been traced to an arrival from NSW in MIQ who tested positive 8 days before the first community case was detected. We know exactly when the outbreak started, it’s a short timeframe /2
After two weeks of national Level 4, wastewater testing showed that the virus was present in the community in Auckland and Wellington. Wellington’s cases are ring-fenced, so the government is already easing lockdown restrictions in all areas except for Auckland from tonight /3
Our Level 4 lockdown is brisk and very effective. Because of the effectiveness of our elimination strategy, we have been able to live without restrictions for the majority of the pandemic. When we lockdown, we do it very, very well. /4
And it’s a popular strategy, extremely popular in fact. This piece by @tessairini for the @guardian explains how our response has not only saved *thousands* of lives and disability, but has brought our small nation together, trust in government is high /5 amp.theguardian.com/world/2021/aug…
We really do receive very excellent communication from PM Jacinda Ardern and our leading COVID-19 response ministers, alongside detailed health advice from the Director General of Health. The quality of the info we receive is very high, see for yourself /6 rnz.co.nz/news/national/…
Consequently, we don’t really have much of an anti lockdown movement here in NZ. Police showed up to an anti-lockdown protest in Auckland over the past week, to find only one lonely protestor there.
theguardian.com/world/2021/aug… Public compliance with the lockdown is *very high* /7
And we have saved *so* many lives. Delta bring with it possibly twice the hospitalisation rate of alpha, and we are seeing a case hospitalisation ratio of approx 5%. Modelling has shown that without our swift lockdown, we might have had >500 cases per day now, instead today 49 /8
So Auckland alone will remain in Level 4 lockdown for another two weeks, while the rest of the country comes down to Level 3. As the lockdown works, the locations where community transmission may have occurred is dropping, flattening /9

(Great graph from @TheSpinoffTV again)
And we are vaccinating fast now. Consistently vaccinating upwards of 70K people per day, which is well over 1% of the population per day. /10
So while you may see complaints over a slow vaccine rollout, just be reassured that we are catching up to the rest of the world, then we will have the same proportion of immunity but but without the deaths and disability. We’ve sadly, but thankfully, had 26 Covid-19 deaths./11
Furthermore we are now ahead of some countries in opening up vaccination to *all* children 12y and over from tomorrow. High levels of public trust in government, and having watched the carnage overseas, means we have a healthy proportion intending to be vaccinated /12
People often want to know what’s the end game, when will elimination end? Well, it’s a debate we are having too. But we will very soon be in the same position (immunity wise) as other countries, so we can learn what works from reopening a overseas /13
This is the real beauty of the elimination response. It saves lives, it saves economies, it saves domestic freedoms, and then we gain the benefits of new technologies (eg rapid testing), new treatments (eg dexamethasone), new vaccines. We learn and implement what works /14
We are obviously not out of the woods. Delta is serious and the work we are doing right now is saving lives and saving livelihoods. beehive.govt.nz/release/govern… But elimination is proving itself to be best and most equitable until we are all vaccinated. Keep cheering for us!!
Addendum: apologies I meant to attach *this graph* to tweet 9, which shows how the number of locations of interest are steadily flattening, you can see how helpful a short sharp lockdown is for contact tracing right here.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Jin Russell

Jin Russell Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @DrJinRussell

14 Sep
Look I appreciate the need to get overseas experts commenting on the NZ response on telly but (a) none are experts on NZ hospital capacity or population health inequities, (b) continuing elimination while we achieve high vax rates does NOT mean we aren’t thinking about the future
I mean, here’s an actual verified Johns Hopkins expert @AmeshAA whom I do respect but who comes across as ridiculous at points simply because he doesn’t understand our extremely limited hospital capacity, need for equity, or long term planning. tvnz.co.nz/one-news/new-z…
If I were starting off a TV interview and speaking to a country that has done remarkably well with few resources and stretched healthcare, I would do the decent thing and say “Bravo NZ! Great you’re moving on vaccines now! Here’s some extra things to consider…”. Y’know. Tone.
Read 7 tweets
13 Sep
Kia Ora to the overseas folk. For those curious, NZ’s alert level 4 has managed to successfully reduce the R value of the delta outbreak from 6 to consistently <1. In 28 days we have stopped 955 chains of transmission. The lockdown has already lifted everywhere, except Auckland/1
Auckland remains in Level 4, where a handful of “mystery” cases mean we will stay the course. We have prevented hospital overwhelm, which modelling predicted would have occurred by now, had we not effected such a successful lockdown. So far we have had zero deaths from delta /2
We are vaccinating very fast. Some days this outbreak we have vaccinated 1.5% of the population in a single day. Thanks to new shipments of vaccines from overseas, we can keep up the pace. 68% of 12y+ population have had at least 1 dose, 35% fully vaccinated and forecasts high /3
Read 10 tweets
12 Sep
Delta is airborne, schools have been impacted in this current cluster. This morning I spoke with ⁦@SusieFergusonNZ on⁩ ⁦@radionz⁩ about the need to lift our game on ventilation in schools to make an end to damp, poorly ventilated classrooms /1 rnz.co.nz/national/progr…
2013 NZ study (Wang et al) has shown that often, levels of carbon dioxide in 3 of 6 NZ classrooms exceeded recommended levels (1000 ppm) for 50% of the school day. C02 levels here are a proxy for ventilation. As C02 levels rise, students may also feel headaches, sleepy /2
Not every child can mask, and emerging evidence suggests that improving ventilation maybe as effective as masking. So in looking to the future, and wanting to prevent covid closing schools, this needs to be a priority for investment. Our piece: blogs.otago.ac.nz/pubhealthexper…
Read 4 tweets
30 Aug
Me, an asian female medical specialist, listening to Mike Hosking’s mocking treatment of fellow doc Dr Ayesha Verrall today on radio. Training an infectious diseases physician takes 13+ years, & not all have the public health and medical leadership expertise Dr Verrall does.
Personally I’m bloody grateful we have her in cabinet
You don’t have to agree with all of governments decisions, but don’t use the airtime to mock the actual experts in the room - for - get this, *pausing before speaking* (her I bang my head against the wall). We have so few of them as it is and she is super competent at her job.
Read 4 tweets
23 Aug
To the overseas folks who find watching New Zealand’s Covid-19 response encouraging, Kia Ora. It’s Day 7 of lockdown. In the past 1 week, genomic sequencing has traced the outbreak to single person who went thru MIQ on 7th August.

We have stopped 107 chains of transmission /1
Our amazing contact tracers have contacted 13,000 possible contacts. Mass testing continues. In Auckland, the heart of the outbreak, over 10% of the region’s population (representative sample of households) have been tested in the past 1 week. /2
The short timeframe: 10 days only, between 7th and 17th August when the lockdown was announced means that we caught the outbreak relatively early. The Devonport man who got himself tested (sentinel case) when he became symptomatic is publicly praised for his actions /3
Read 9 tweets
23 Aug
The National Party has set a target for vaccination of 70-75% for “opening up” our borders, whatever that means to them. I think they will lose the Asian vote over this. My parents were long-term National voters until the last election. /1 newsroom.co.nz/opening-up-sho…
Asians are hugely (for the most part) risk adverse, particularly when it comes to health. The Asian community comprises the leading group in the vaccinated proportion of the NZ population. Why does this matter? /2
It matters because if people do not feel safe, they enact their own *voluntary* lockdowns. This can impact the economic recovery, causing deeper more prolonged lockdowns than short sharp lockdowns. /3 imf.org/-/media/Files/…
Read 4 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!

:(