90% of Capital & Coast residents double dosed; 182 cases; 93 people in hospital, 10 in ICU

Source: New Zealand Ministry of Health

There were 14,009 total doses* administered yesterday, made up 3,679 first doses and 8,040 second doses. To date, 92% of eligible people in New Zealand have had their first dose and 85% are fully vaccinated.

Capital & Coast DHB has today achieved 90% of its eligible population fully vaccinated, becoming the second DHB in the country to achieve this significant milestone after Auckland DHB.

The Ministry of Health has now issued more than 2.4 million My Vaccine Passes.

You can request a My Vaccine Pass from the website, or call 0800 222 478, or head into one of these pharmacies for help getting your My Vaccine Pass.

*the total includes a limited number of third primary and booster vaccines.

Review findings released following two deaths in home isolation

An independent review into the deaths of two people who had tested positive for COVID-19 and were self-isolating at home has been released today.  

This is a very sad time for the whānau and friends of the deceased and our hearts and thoughts are with them as they come to terms with their loss.

The two separate cases were living alone at the time of their passing in early November. The panel considered both deaths were potentially preventable and there were missed opportunities that contributed to the outcome.  

The Northern Region Health Coordination Centre – which coordinates the COVID-19 response for the three Auckland DHBs – accepts the findings of the review that has been necessarily thorough and swift. The findings provide insights that are supporting improvements to the Interim model for community home isolation system that is currently in place while the national policy and implementation of primary care-based support is being developed.

In line with the recommendations from the report, NRHCC have made changes in the last three weeks to scale and improve the system including:

• Immediate clinical assessment using information already available to quickly identify those who are high risk and needing special clinical, social or mental health support
• Door knocking for those not able to be contacted by phone, particularly those isolating alone
• Significant IT system improvements to better support the service
• The piloting of new models with Māori and Pacific providers who are able to provide holistic clinical, social, welfare and mental wellbeing support
• The establishment of a Clinical Governance Group with the purpose of identifying emerging risks and trends, so that issues can be addressed. The Group has already met.

COVID-19 vaccine update

• Total first and second vaccines administered to date (percentage of eligible people): 7,495,686; 3,882,575 first doses (92%); 3,592,142 second doses (85%)
• Total first and second vaccines administered yesterday: 11,719: 3,679 first doses; 8,040 second doses
• Māori (percentage of eligible people): 853,086: 465,930 first doses (82%); 385,719 second doses (68%)
• Pacific Peoples (percentage of eligible people): 494,580: 260,299 first doses (91%); 233,505 second doses (82%)
• Total first and second vaccines administered to Auckland residents yesterday: 4,723: 927 first doses; and 3,796 second doses

Vaccination rates by DHB (with active cases)

• Northland DHB (percentage of eligible people): First doses (85%); second doses (76%)
• Auckland Metro DHBs (percentage of eligible people): First doses (94%); second doses (89%)
• Waikato DHB (percentage of eligible people): First doses (91%); second doses (83%)
• Lakes DHB (percentage of eligible people): First doses (88%); second doses (78%)
• MidCentral DHB (percentage of eligible people): First doses (92%); second doses (84%)
• Bay of Plenty DHB (percentage of eligible people): First doses (90%); second doses (80%)
• Wairarapa DHB (percentage of eligible people): First doses (92%); second doses (83%)
• Capital and Coast DHB (percentage of eligible people): First doses (95%); second doses (90%)
• Nelson-Marlborough DHB (percentage of eligible people): First doses (91%); second doses (84%)
• Canterbury DHB (percentage of eligible people): First doses (95%); second doses (88%)

Hospitalisations

• Cases in hospital: 93 (an increase of 11 on yesterday). North Shore (17); Middlemore (33); Auckland (37); Waikato (4); Rotorua (1); Hawke’s Bay (1)
• Vaccination status of current hospitalisations (Northern Region wards only as of 29 November): Unvaccinated or not eligible (55 cases / 66%); partially immunised <7 days from second dose or have only received one dose (11 cases / 13%); fully vaccinated at least 7 days before being reported as a case (16 cases / 19%); unknown (2 cases / 2%)
• Average age of current hospitalisations: 46
• Cases in ICU or HDU: 10 (8 in Auckland; 1 in Waikato; 1 in Lakes)

Cases

• Seven day rolling average of community cases: 179
• Number of new community cases: 182
• Number of new cases identified at the border: 3
• **Location of new community cases: Auckland (167), Northland (5), Waikato (10).
• Location of community cases (total): Northland 82 (54 of whom have recovered); Auckland 7,660 (2,323 of whom have recovered); Waikato 439 (179 of whom have recovered); Bay of Plenty 48; Lakes 26 (3 of whom have recovered); Taranaki 6 (all of whom have recovered); MidCentral 5 (1 has recovered); Wairarapa 3; Wellington 18 (17 of whom have recovered); Nelson/Marlborough 1 (recovered); Canterbury 9 (4 of whom have recovered); Hawke’s Bay 1
• Number of community cases (total)***: 8,298 (in current community outbreak)
• Confirmed cases (total): 11,074
• Historical cases: 201 out of 9,270 cases since 1 January
• Cases infectious in the community: 56 cases reported yesterday have exposure events
• Cases in isolation throughout the period they were infectious: 88 cases reported yesterday have no exposure events
• Cases epidemiologically linked: 59 of today’s new cases
• Cases to be epidemiologically linked: 123 of today’s new cases
• Cases epidemiologically linked (total): 6,180 (934 unlinked in the last 14 days)

Contacts

• Number of active contacts being managed (total):: 6,729
• Percentage who have received an outbound call from contact tracers (to confirm testing and isolation requirements): 67%
• Percentage who have returned at least one result: 69%

Locations of interest

• Locations of interest (total): 163 (as at 10am 29 November)

Tests

• Number of tests (total): 4,889,939
• Number of tests total (last 24 hours): 18,195
• Tests processed in Auckland (last 24 hours): 8,498
• Tests rolling average (last 7 days): 28,960
• Testing centres in Auckland: 18

Wastewater

• Wastewater detections: The virus was detected in a wastewater sample taken from Opononi, Northland. See the Northland update below for details.

NZ COVID Tracer

• Registered users (total): 3,419,278
• Poster scans (total): 544,751,247
• Manual diary entries (total): 20,889,047
• Poster scans in 24 hours to midday yesterday: 2,787,994

***One previously reported case in Auckland had a duplicate record, and therefore has been removed from the total count. A separate, previously reported case in Waikato has been deemed historical and removed from the outbreak figures.

These changes, combined with the latest cases, result in a net increase today of 180 cases in the community outbreak.

**Today’s cases

Today, we are reporting new community cases in Northland, Auckland, and Waikato.

We are also advising of a new case in the Nelson-Marlborough region. As this case came in after our usual cut off period, it will be officially included in our figures tomorrow.

Meanwhile, there are no additional cases to report today in the Bay of Plenty, Lakes, Hawke’s Bay, Taranaki, MidCentral, Wairarapa, or Wellington.

Information on today’s cases is included in the regional updates below.

Regional updates

We’re asking anyone in New Zealand with symptoms – no matter how mild – to please get tested, even if you’re vaccinated. Please remain isolated until you return a negative test result.

If you are not vaccinated, now is the time, as vaccination is number one defence against COVID-19. Your DHB or local health provider will have plenty of opportunities to make this happen.

Testing and vaccination centre locations nationwide can be found on the Healthpoint website.

Northland

Testing is available from Rawene Hospital this week from 9am-2pm. Further testing and vaccination sites open across the region can be found on the Northland DHB website.

Auckland

Today, there are 167 new cases to report in Auckland. 

There continues to be daily reviews of testing numbers and testing locations to ensure good coverage of risk areas.
 
Health staff are now supporting 4,207 people to isolate at home, including 1,158 cases.

Waikato

There are 10 new cases being reported in Waikato today; four in Huntly, two in Te Kūiti, one in Hamilton, and the location of the remaining three are still to be confirmed.

Nine of today’s cases have been linked to previous cases.

There are five pop-up and dedicated testing sites operating across Waikato today in Hamilton, Ōtorohanga, Thames and Te Kūiti.

There are four COVID-19 positive patients in hospital, including one in ICU.

Health staff in Waikato are now supporting 124 cases to isolate at home.

Hawke’s Bay

The new case reported in Hawke’s Bay yesterday is now isolating in a community isolation facility.

Close contacts identified to date have been contacted and are now isolating at home. Two close contacts in the case’s household have returned negative tests.

Patients at Hawke’s Bay Hospital Emergency Department at the same time as this case have now been contacted and asked to self-monitor for symptoms.

Investigations into the source of this case’s infection have linked it to an Auckland case.

Public health officials continue to work to identify any further locations of interest this case went to while infectious. Those identified so far are on the Ministry’s webpage. They include PAK’nSAVE Napier, a Hasting pharmacy, and an ice cream shop in Napier.

If you were at these locations at the relevant time, please follow the advice on the Locations of Interest webpage.

Testing locations in Hawke’s Bay today can be found on the Hawke’s Bay DHB website.

Nelson-Tasman

A new case was confirmed in the Nelson-Tasman region, following a positive test result being returned last night.

The case and their close contacts are in isolation, with testing of those contacts underway. Investigations into the possible source of infection are ongoing.

Several exposure events are being assessed and any locations of interest confirmed will be published on the Ministry’s website.

This case will be formally added to the Ministry’s case tally tomorrow.

Canterbury

There are no new cases to report in Canterbury today.

Following the local border case, reported yesterday, five close contacts are now self-isolating with testing underway.

The case travelled from Auckland to Christchurch on Thursday 25 November on Air NZ Flight NZ8475 arriving in Christchurch at 10.50am. Anyone who is considered a potential contact of this case will be contacted directly. Unless you are contacted, you are asked to monitor for symptoms, and get tested straight away if you develop any consistent with COVID-19.

People living in Canterbury are also asked to monitor the Ministry’s locations of interest page, which is updated regularly.

Every new case is an urgent reminder to get tested if you’re feeling unwell. Testing at high numbers will help to minimise and contain the spread of COVID-19 in Canterbury.

Testing locations throughout Canterbury can be found on the Canterbury DHB website.

MIL OSI