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Covid 19 - stuff I learned today
This document provides information on COVID-19, including: - New Zealand's strategy of eliminating COVID-19 transmission by keeping it out, finding cases, and stamping it out through border controls, contact tracing, isolation and testing. However, an outbreak of the highly transmissible Delta variant is still likely this year. - Vaccination is encouraged as it may prevent death from the Delta variant. Vaccines are free for New Zealanders aged 16 and over. - Obesity rates are linked to higher COVID-19 deaths, and about a third of New Zealand adults are obese, disproportionately affecting Māori and Pacific people. An outbreak of the Delta variant could hit New Zealand hard. -
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Covid 19 - stuff I learned today
- 1. COVID 19 JUST SOMESTUFF I FOUND OUT THIS WEEK ….
- 3. NZ’S ELIMINATION STRATEGY •Keep it out • Find it • Stamp it out Eliminating the chains of transmission Controlled entry at borders Contact tracing Isolation Testing Disease surveillance Hygiene measures Physical distancing Broader public health controls Quarantine
- 4. NZ HAS DODGED ABULLET … so far
- 5. COVID IS STILLHERE
- 6.
- 7. VARIANTS • Delta is97% more transmissible than Wuhan • Lambda variant identified in Peru August 2020 • Has now spread to 29 countries • Accounts for more than 80% of cases in Peru • Is more transmissible than Delta
- 8. Covid-19 Public HealthAdvisory Group to NZ Govt: Along with the health advice was also the blunt assessment that even with NZ’s closed borders and MIQ facilities, an outbreak of the Delta variant of Covid-19 is likely this year. “Even with current settings, NZ is liable to experience an outbreak similar to that in NSW over the coming months,” the report says.` The group says in its report that NZ can maintain its “elimination” approach and avoid widespread mask mandates while opening up, while accepting that some Covid- 19 will get in and localised alert level rises may be needed. Earlier advice raised the idea of home quarantine – but a later report notes “this option has become less attractive with the Delta variant”. The authors state home quarantine was ineffectiveduring NZ’s initial response to the pandemic. It also says Sydney’s current Delta outbreak has seen entire households get sick – meaning if people were quarantined at home, “there would be a significant risk of leakage of infection into the community”.
- 9. VACCINATION https://theconversation.com/the-real-challenge-to-covid-19-vaccination-rates-isnt-hesitancy-its-equal-access-for-maori-and-pacific-people-161676 • It mightnot stop you getting Delta but it could stop you from dying from it. • Free for everyone in NZ who is 16 years and over https://bookmyvaccine.covid19.health.nz/
- 10. OBESITY Countries with higher obesityrates have more deaths from COVID 19 https://www.bloomberg.com/news/articles/2021-03-04/covid-deaths-surge-where-obesity-rates-are-high-report-shows
- 11. OBESITY • 1 in3 NZ adults are obese • 63% of Pasifika adults • 48% of Maori adults • More likely to be obese if socio-economically deprived
- 12. NZ WILL BE HITHARD IF DELTA GOES VIRAL HERE 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% Vietnam (191) India (187) Japan (185) China (168) Thailand (140) Malaysia (125) Italy (106) Sweden (96) France (87) Spain (62) Ireland (51) UK (33) Chile (32) Australia (27) NZ (22) USA (12) Samoa (8) Cook islands (2) % of population who are obese (Countries showing ranking on world obesity table)
- 13.
- 14. ISOLATION • No physicalcontact • Minimal time in shared spaces • No shared things eg crockery, linen, cutlery • No visitors incl tradesmen • Can exercise alone • Online shopping or door deliveries • Medical assistance prearranged Need to be willing and able: • Easy if you have a bedroom of your own and an ensuite • Need to have your own transport to get to open exercise spaces or medical appointments • Great if you are digitally literate and have access to a device and internet • Loneliness and isolation will be hard for some
- 15. HOUSING Not everyone willbe able to self- isolate: • Over-crowded homes • The homeless • High rents / poverty mean people will feel they HAVE to go to work
- 16.
- 17. Frontiers | CombattingSocial Isolation Among Older Adults in a Time of Physical Distancing: The COVID-19 Social Connectivity Paradox | Public Health (frontiersin.org) LONELINESS
- 18. COMPLIANCE Just 1 idiotaway from disaster
- 19. COVID 19 COMPILED BYJOANN RANSOM
Editor's Notes
- #2 Thank you for this opportunity to meet with you to discuss this COVID supported isolation and quarantine role with you. Very happy to prepare this brief presentation for you. Community Supported Isolation and Quarantine Service Coordinator
- #3 My first COVID recollection was seeing the John Hopkins tracker on the big screen at CDEM back in Feb 2020. The number 78 is burned in my memory; this was early but we were starting to think that something big might be happening Within only a few days I was part of the business continuity planning team at Council, Things happened so quickly: in the space of a week we went from ‘what if’ to ‘lock down’. I vividly remember the hairs on my arms standing up: this was a moment in time – like knowing where you were when you heard Elvis was dead, Then the Emergency Management Team was assembled and I came in as the Welfare Recovery Manager nearing the end of Lockdown.
- #4 The NZ Elimination Strategy of: keep it out, find it and stamp it out has a bunch of different control measures. It is the combination of these, along with the now expired Surveillance Strategy, which have kept NZ COVID free to date. It has been spectacularly successful – worldwide.
- #5 Complacency is our enemy Just a matter of time A fragile peace
- #6 A quick Google shows that 2nd, 3rd and probably 4th waves are sweeping through many countries
- #9 Yesterday the Public Health Advisory Group that provides expert advice to the Government released its report and that advice is pretty sobering. COVID – probably Delta variant - will get here eventually high vaccination rates are critical to lessen impact home quarantine is probably not gonna work.
- #11 We know, from 18 months of global data, that people who are obese have a higher mortality rate from COVID 19.
- #12 We also know that our population in general – and some sectors of our population – is obese A bit hard to read but this shows a broadly ‘Pacific’ sample of countries in red with their obesity rates Broadly Europe in purple and then broadly Asia in Green. NZ is 4th from the top, with Cook Islands at the top, followed by Samoa and then USA. We are in trouble if Delta gets into the wild in NZ
- #13 We also know that our population in general – and some sectors of our population – is obese A bit hard to read but this shows a broadly ‘Pacific’ sample of countries in red with their obesity rates Broadly Europe in purple and then broadly Asia in Green. NZ is 4th from the top, with Cook Islands at the top, followed by Samoa and then USA. We are in trouble if Delta gets into the wild in NZ
- #14 Asthma is another big issue. Not only does NZ suffer asthma at 3 times the global rate, but hospital admission rates for asthma are higher for Maori and Pasifika than europeans. Maori and Pasifika populations are statistically more at risk of COVID.
- #15 Community based Isolation – and quarantine - is going to be a challenge On the left, from the Ministry of Health website we see what requirements of isolation looks like And it would be relatively easy to quarantine or isolate at home if you WANTED to and live in a home that would support that.
- #16 We know that plenty of people will struggle to self isolate or quarantine without significant, wrap around assistance. That clip is from 2012 – 10 years ago and it is worse now than ever
- #17 The Digital Divide is something else to consider Not just students and education, But people who live alone needing to order supplies and anyone of any age who wants to stay connected
- #18 Within the COVID-19 Social Connectivity Paradox, a common action (interacting with others) can simultaneously increase risk (illustrated in red) for one risk factor while diminishing risk (illustrated in green) for another. Loneliness and the detrimental impact of being alone and lonely is another issue which needs a culturally appropriate response. Communialism is much more important in some cultures than the individualism of others, Some of us thrive in peaceful isolation while others really struggle
- #19 And of source all of this depends on a ‘Team of 5 million’ where everyone wants to help. This snippet was taken Tuesday morning – Byron Bay – where 1 person from Sydney who ‘doesn’t believe in COVID’ has thrust the entire community into lockdown. There will always be people who present with a high risk of non-compliance and MIQ has to be the back stop.