Alert level D-Day: Experts want a few more days of lockdown for South Island

Experts are urging a few more days in lockdown across the country as part of a "cautious approach" to containing the Delta outbreak.

And the Government's top adviser says while "I'd love to say Santa Claus exists" there was no easy way to stamp out Delta and there were still tough times ahead.

Meanwhile, another Auckland high school has has reported a confirmed Covid case. Pacific Advance Secondary School in Ōtāhuhu is now the latest Auckland school to report a positive case.

Cabinet will today decide whether to change the alert level 4 restrictions in place until 11.59pm tonight for the country, aside from Auckland. New Zealand's biggest city is in lockdown until 11.59pm on Tuesday, with the strong likelihood this will extend.

Prime Minister Jacinda Ardern and her colleagues have given little away ahead of today's decision, but experts say any decision comes with risk, and officials will be closely examining the potential for any spread outside Auckland and Wellington, including any contacts of cases still awaiting test results.

Other key questions will be exactly how soon the levels change and the geographic spread, with suggestions the country could be split into three regions - Auckland, the rest of the North Island and the South Island.

More than 24,000 contacts have been identified so far, including hundreds spread across the South Island. For this reason, experts urge a few more days to reach the 14-day incubation period of the virus.

Negative wastewater result in Christchurch may be needed - expert

University of Canterbury Covid-19 modeller Professor Michael Plank says until that wastewater result, he thought it would be reasonable for the South Island to move down levels.

He says the government may wait until Monday to change them, on condition of a negative wastewater result in Christchurch.

University of Canterbury Covid-19 modeller Professor Michael Plank says until that wastewater result, he thought it would be reasonable for the South Island to move down levels.

He says the government may wait until Monday to change them, on condition of a negative wastewater result in Christchurch.

Epidemiologist Dr Michael Baker said there was still a risk the virus could be incubating outside Auckland and Wellington.

Level 3 was good at containing spread, but not at eliminating the virus, Baker said.

Bar any developments, a "cautious" approach could see the South Island enter level 3 from Tuesday, meaning it had been through a full 14-incubation period since the lockdown began.

Michael Baker says the situation in New South Wales  shows how vigilant New Zealand has to be...
Michael Baker says the situation in New South Wales shows how vigilant New Zealand has to be regarding the Delta variant. Photo: RNZ

Level 3 included opening up gatherings to 10, and limited hospitality services, but still prevented large gatherings including most businesses and schools.

"It is feasible [to go to level 3] from this weekend, but carries more risk," Baker said.

It was also feasible the North Island, bar Auckland, could also be lowered to level 3 then, but there remained some risk given the 12 cases in Wellington.

The fact they were all contained in their bubbles and there had been no spread was reassuring, Baker said.

"One option could be for Wellington and/or the North Island to hold on a bit longer, and then effectively split the country into three zones with Auckland."

More information about cases that were already effectively quarantined, in their bubbles, and those that were out in the community needed to be provided, Baker said.

If there was a move down alert levels, Baker said the Government should look to carry mandatory mask use in certain crowded indoor levels with it.

'I'd love to say Santa Claus exists'

Eminent epidemiologist Sir David Skegg says he is cautiously optimistic New Zealand will get out of this outbreak - but it all depended on the community's ongoing response.

He said on current progress, he expected the country to emerge from lockdown in a few weeks.

But Skegg, the Government's adviser on elimination, told Newstalk ZB's Mike Hosking that even with vaccination levels up, public health measures would still need to be maintained with Delta.

"Unfortunately there's no easy way out of. I'd love to say Santa Claus exists but unfortunately whatever we do in New Zealand we are going to have some tough times ahead."

Professor David Skegg. File photo
Professor David Skegg. File photo
Skegg maintained elimination remained the best option for New Zealand. "No one would have wished to have this outbreak but the good thing is that it is making people realise we need to get vaccinated," he said.

"I'm cautiously optimistic that we will get out of this but Delta is definitely a lot more infectious, it's a lot more difficult to stamp out and it really all depends on us," said Skegg.

"If we observe the lockdown better than Melbourne and Sydney have done then, of course, we will get rid of this in the next few weeks ... I'm expecting this to happen."

Skegg praised the way politicians of all major New Zealand parties were approaching Covid, saying they were not talking down to the public and pulling the wool over our eyes like those in Australia including, he said, Scott Morrison.

"We haven't had that kind of talk-down stuff, believe me, and the elimination strategy is obviously the best option at the moment. It's done brilliantly well for the last 18 months and while we haven't got a vaccinated population it's essential."

Case numbers set to level off?

Covid-19 modeller Professor Shaun Hendy said daily case numbers should begin to level out over the next days – and then begin dropping.

Modellers wanted to see the basic reproduction number, or R0 – that's the expected number of infections in an outbreak generated by one case – fall below 1, meaning the outbreak could be stamped out.

"We had been hoping see that happen by tomorrow, but the lags in testing have probably spread that out a bit," he said. "Also, we are expecting to see more cases from within households, too – which means we'll maybe have an extended period where our numbers are flat, rather than declining.

"But I'd hope that, by next week, we'll be getting a clear signal that we're below an R0 of 1."

He said we could have optimism if no further infections were detected outside Auckland, or that were unrelated to the small number confirmed in Wellington.

"We'd be hopeful that we don't see cases in the South Island over the next while, and if that's the case, I think a shift to alert level 3 - and hopefully to level 2 not too long after that - is on the cards," he said.

"For Auckland, we don't want the scale of this outbreak getting much bigger, because of the strain that it's putting on the health system at the moment.

"So we'd like to see alert level 4 do its thing and get those daily case numbers down to single digits."

Hendy said the scale of this outbreak compared more with New Zealand's main wave than last August's community outbreak, but we now had better systems in place to manage cases.

"That means we should – assuming our systems stay intact – mop up those last cases a lot more quickly than we did last year."

A decision on Auckland's lockdown will come on Monday, but with still-rising case numbers there is a firm view among experts that level 4 will continue there for potentially weeks after the Tuesday deadline.

The 68 new cases reported in the community yesterday was the highest daily number yet in the current outbreak, bringing the total to 277.

Of those, 34 people had received one dose of the Pfizer vaccine and 10 were fully vaccinated, director of public health Caroline McElnay said.

There were 263 cases in Auckland and 14 in Wellington. There was no evidence of any spread outside those two regions.

Covid-19 had been detected in Christchurch wastewater, though McElnay pointed out there were three active cases in managed isolation in the city. Samples from nearly every other wastewater catchment were negative, she said.

In Wellington, Covid-19 continued to only be detected at Moa Pt. No new results had been reported from Auckland wastewater since Wednesday.

Ardern said 16 cases had not been connected to the current outbreak, but they were probable and still being investigated.

All other cases infected since lockdown began had come from close and/or household contacts, and there was no evidence of community transmission, McElnay said.

There were 495 locations of interest - but only three new ones were added today: a pre-lockdown rugby game and two supermarket visits post-lockdown.

This all showed the lockdown was having an impact, Ardern said.

The virus hasn't spread beyond Auckland and Wellington. If it weren't for lockdown, Ardern said she was sure we would have seen cases spread further.

Comments

If another week at level 4 means a much higher probability of us enjoying the coming summer with limited restrictions in the south, then that is a good thing.
Businesses that can only operate at level 3, are still so restricted that making a $ is neigh on impossible.
Enjoy the break and look forward to festive Christmas.

There will never be a negative wastewater result, whilst you have covid positive overseas returnees in the quarantine facilities at Christchurch Airport. As for the old nut that it’s best to be safe and stay in lvl 4 longer, if it means months at lvl 1. This came out of MIQ, no matter how much Labour try to spin it was an Australian, and the bubble etc. The Australian Bubble was closed when this Delta Strain got out, it got out from a returnee from Australia, that went into MIQ, and was found to have Covid so was transferred to JetPark in Auckland. Delta is twice as contagious (Not as Deadly) as the original strain, it also becomes contagious after 1 day instead of 3. With the amount of leaks we have had in the past from MIQ, Delta will continue to escape from MIQ, so there is a good chance once we lock down for weeks or even months to control this outbreak, another outbreak will occur from MIQ strait after. The only solution is we get as many people Vaccinated as possible, as quickly as possible, and live with this virus, in the same way we do with other viruses. And get the South Island into a lower lockdown lvl ASAP, so the country doesn’t go broke.