14 community cases of COVID-19; three historical cases in managed isolation; more than 62,000 vaccines administered yesterday
Ministry of Health: Exemption Cessation P2/N95’s in Alert level 2 for General Practice and Urgent Care Clinics
Exemption Cessation P2/N95’s in Alert level 2
This email is to confirm that effective 11:59pm today (14 September 2021), the Ministry of Health will remove the exemptions put in place for use of N95/P2 use by Pharmacy and General Practice outside of the Auckland region. From 15 September 2021, N95/P2’s will only be supplied to those Pharmacy and General Practice outside of the Auckland region undertaking swabbing, who have provided the Ministry of Health with a fit test declaration.
Use of P2/N95 Particulate Respirators: COVID-19 Vaccine
Please also note that as per the COVID-19 Vaccine Operating Guidelines (pg. 76) for Infection Prevention and Control requirements – specifically mask wearing across Alert settings – does not require the use of an N95/P2 particulate respirator. The Ministry of Health’s centralised supply of PPE will not provide N95/P2 particulate respirators for use in Vaccine Centres. DHBs are further asked to not provide N95/P2 respirators from their supply to Vaccine Centres. The supply of N95/P2 particulate respirators is specifically selected for use across a range of sectors.
We ask that all Vaccine Centres as per the request in the Vaccine Operating Guidelines (pg. 46), contact the COVID-19 Health Supply Chain team to access PPE through HealthCare Logistics or Onelink.
Please note that there are no exceptions unless approved on an individual case by case basis by the Ministry of Health directly. The Principles of Supply clearly articulate PPE across Alert Levels and settings. If you are unsure in the first instance, please refer to Covid-19: Personal Protective Equipment Central Supply.
COVID-19 Health Supply Chain
From 11:59pm on Tuesday 7 September all regions south and north of Auckland are at Alert Level 2. Auckland remains at Alert Level 4.
Alert Level boundaries remain in place around Auckland. Travel into, out of, through or within different Alert Levels is highly restricted. That is to minimise spread of the virus.
Do not travel unless it is absolutely necessary. Attempting to cross a boundary without permission is an offence.
Click here for more information on: Work-related travel, Health care worker, Exemptions for personal travel across or within an Alert Level boundary
Kia ora koutou,
We have undertaken an additional review of our COVID-19 Testing Guidance for the Health Sector and I’m writing to inform you that there is now an updated version of this document on the Ministry’s website, replacing the testing guidance issued on 8 July 2021, to further clarify advice around testing children during an outbreak.
The interim Testing Guidance published for the period 30 August to 8 September replaces the Testing Guidance previously issued on 8 July.
The emergence, and now the increasing prevalence, of the highly infectious Delta variant of the virus, reinforces the importance of testing to quickly identify and manage any cases of COVID-19 in the community to keep our communities safe.
The major change to this interim Testing Guidance for the Health Sector is that, at any Alert Level, everyone (including children and the elderly) should be tested if they are a close or casual-plus contact of a confirmed case.
Testing Method: A swab from the nasopharynx is the most effective way of detecting the presence of SARS-CoV-2 and should be taken wherever possible. Most people will tolerate this procedure however a combined anterior nares and oropharyngeal swab can be considered as an alternative for children and the elderly.
Community testing needs to continue to focus on reducing barriers to testing and needs to include non-appointment-based options and ensure testing is equitably available for all those with symptoms.
DHB cultural and community liaison roles will have a key role in planning and implementing approaches with our Māori and Pacific communities, health leaders and health providers.
The full current advice for the period ending 8 September 2021 is available here.
Kia ora koutou
Today the Ministry of Health issued a press release regarding the death of a woman in the days following vaccination with the Pfizer COVID-19 vaccine. The Ministry of Health states the case has been referred to the Coroner and the cause of death has not yet been determined.
Click here to read the full article
Ko te tongikura o Kiingi Tuuheitia Pootatau Te Wherowhero Te Tuawhitu, kei runga.
Ko ngaa kawenga o te kii, kei raro - koutou e aku nui, koutou e ngaa kaihaapai,
koutou e ngaa kaimanaaki o te kaupapa whakarauora,
Teenaa koutou katoa.
Information update for all kaupapa Māori and Pacific providers, General Practice, Community Pharmacy
and Urgent Care teams
Please click here for Level Specific guidance for Vaccinations
24 August 2021
Please share this information with your teams.
We’re seeing vaccinations massively ramping up across the takiwā – we have now collectively delivered over 200,000 vaccinations, which is a wonderful effort.
It’s been very impressive to see providers respond so quickly to the surge in public demand and to hear of the innovations some have introduced. We are very appreciative of all the work primary care, kaupapa Māori and Pacific providers are doing in these circumstances.
While we see this demand come through the request for vaccine, please do contact us if you are planning something different from your standard approach (for example, drive-through vaccination). This is so we are aware of the changes and can provide support if required. It is important that centres continue to comply with the Vaccination Operating Guidelines Version 20 during this time. We are also being approached on a daily basis by the media and need to be aware of what all our sites are doing.
Please remember that any new sites or alterations to your current delivery model (i.e. expansion in size, moving from a fixed to drive-through site) must be approved by Waikato DHB, through your PHO, Midlands Pharmacy Group or the DHB CVIP Operations Team.
Operating at Alert Level 4
Just a reminder of the specific requirements for vaccinating under Alert Level 4 and Alert Level 3 conditions. These are designed to make sure your staff and our community stay safe. Requirements are identical at AL3 and AL4.
On upscaling of bookings, please be aware this will have a downstream effect when levels change again and also when people are due their second vaccination in six weeks. It may create the need to cancel and rebook appointments, which is inconvenient and potentially upsetting for the public.
We have had feedback from the public that physical distancing is not always being adhered to and we encourage you to ensure your site is compliant with the attached government guidelines.
The requirement during AL4 is for no walk-ins with all appointments booked in advance. Walk-ins continue to be an issue for many sites and these need to be carefully managed. We appreciate there are circumstances where it is appropriate to accept a walk-in e.g. families arriving together.
It is clear from the actuals we see at the end of the day that vaccinations are considerably higher than planned bookings each morning through bookmyvaccine.nz. Please ensure you are vaccinating in a safe environment for everyone.
Access to CIR
As many sites have scaled up and brought in additional staff, please ensure everyone has completed the CIR training. CIR is a live database with strict privacy controls and logins or passwords should not be shared.
Please feel free to contact me or other members of the team for support if required. We are here to help and, like you, we want to support our whānau and community to be fully vaccinated in a safe environment.
Booking streams in NIBS
Waikato DHB is committed to ensuring we are supporting our most vulnerable communities and working towards making vaccinations as accessible as possible. This is why we are working towards absolute equity for our Māori and Pacific peoples.
Additionally, you will be aware people in customer/client-facing roles during AL4 are now included in the updated definition of Essential Workers (Tier 2C).
Across DHB sites we have set up separate booking streams in bookmyvaccine for both Māori and Pacific peoples and Essential Workers to ensure these people are able to get bookings ASAP. Should you wish to have these streams set up for your site, please contact your PHO, MCPG or Operations Manager.
Thank you all for your outstanding mahi.
The Ministry of Health has published an updated Primary Care Quick Refence Guide for guidance on assessing and testing the undifferentiated respiratory illness and those at risk of COVID-19 infection. It includes:
Please see the following information to share with primary care networks:
Kia ora koutou
Thank you all for flexing so rapidly into the Alert Level 4 way of doing things (again!).
It is so important we all keep ourselves safe whilst we determine the scope of this outbreak and continue to care for our patients.
Please use the Primary Care Quick Refence Guide for guidance on assessing and testing the undifferentiated respiratory illness and those at risk of COVID-19 infection.
We wish to clarify the instructions in the advice around when a P2/N95 mask might be applicable.
As we are all in Alert level 4 the following principles of access to central supply for P2/N95 apply:
Health professionals who:
Each box of 3M particulate respirators has fit check instructions. To fit check the particulate respirator, users can either perform a positive-pressure or negative-pressure seal check:
· A positive-pressure check means covering the mask with your clean hands and exhaling. If the seal is good, the respirator will bulge slightly. If not, that indicates that air is leaking around the edges of the respirator.
Red streaming of all undifferentiated respiratory illness is necessary.
Ideally your Red Stream includes:
COVID-19 Health Supply Chain
COVID-19 Health System Response, Ministry of Health l www.moh.govt.nz