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NZ: Summary of response

Sally Furniss

Well-known member
The Government says there's no need for an escalation of its efforts against swine flu despite the number of confirmed cases here rising to 16.

But it is setting up regional assessment centres to move risky passengers out of airports.


The World Health Organisation has raised its pandemic alert level night to five - the second highest.


Community-based swine flu assessment centres are part of the Ministry of Health's pandemic plans and could be set up around the country over the next few weeks.


The Director General of Health, Stephen McKiernan, says a new centre for the northern region it is likely to be set up at Middlemore Hospital which is close to Auckland International Airport and has enough space to deal with isolation requirements.


Thousands of people worldwide are being tested for the swine flu virus, or H1N1, and it's thought to be responsible for 160 deaths in Mexico and the United States.


WHO's director general Margaret Chan says all countries should activate their pandemic plans and she's urging pharmaceutical companies to increase their production of antiviral drugs.


Minister of Health Tony Ryall says New Zealand's health status remains at 'code yellow'.


New Zealand is one of nine countries where the virus has been confirmed. There are 111 people who are suspected of having the virus.
At a briefing in Wellington on Thursday, the Ministry of Health said there has been no change to the condition of the people being treated as though they have swine flu.


They are still experiencing mild flu-like symptoms and some say those symptoms are milder than winter flu symptoms.


The deputy director of health, Fran McGrath says there are hundreds of people in isolation but she doesn't know exactly how many.


The mayor of Grey District Tony Kokshorn has had to call off Friday's meeting with the Prime Minister, John Key, in Greymouth as he is in quarantine.


One of Mr Kokshoon's children developed a sore throat on returning from a family holiday to the United States.
Testing time slashed

The Institute of Environmental Science and Research says it's dramatically cutting the time it takes to confirm swine flu in test samples.


ESR scientists at the National Centre for Biosecurity and Infectious Disease in Wellington have begun testing samples to identify the strain.
General manager of environmental health, Dr Fiona Thompson-Carter, says WHO protocol meant earlier testing was done in Melbourne.


She says it took three or four days to receive those results, but examining the samples in Wellington reduces the waiting time to 24 hours.
Thermal scanners won't be used here

Body temperature cameras designed to identify travellers suffering fever are not being considered for use at airports in New Zealand.
In an attempt to prevent the spread of swine flu, eight airports in Australia are to install thermal scanners. South Korea and Japan are already using the technology.


Dr McGrath says the machines were reviewed in New Zealand during an outbreak of SARS and there is considerable debate about their effectiveness.


According to Auckland International Airport, more than 5,000 travellers from North America land in New Zealand each week and every flight is being screened.
Special clinic set up

A specialist clinic has been set up in Christchurch to assess potential swine flu cases.


The Canterbury Primary Pandemic Group is not disclosing the location of the clinic, to lessen the risk of spreading the disease.


Senior clinical leader Simon Wynn-Thomas says only people who have been assessed over the phone by their doctor or community and public health and referred to the clinic, are admitted.


This is in response to concern the disease could spread rapidly in doctors' waiting rooms.


Dr Wynn-Thomas says another reason the location of the clinic is not being disclosed is to avoid confusion if it has to be moved or closed, as the swine flue situation evolves.
Govt's advice to NZers in Mexico

The Government is advising New Zealanders in Mexico to leave the country if they are worried about their health.


Earlier this week, the Ministry of Foreign Affairs issued a warning against tourist and other non-essential travel to Mexico.


The Ministry says 71 New Zealanders are registered with its Mexican embassy as being in the country.
Some students back at school

Some of the students from Rangitoto College who have been quarantined since Saturday have returned to school.


Principal David Hodge says they are students who did not contract influenza, but who were quarantined and given Tamiflu as a precaution.


He says some students have opted to stay away until Monday because they don't want other people to worry that they may be contagious.


Mr Hodge says the students who were diagnosed with flu have recovered well and suffered no serious symptoms.


Health authorities are launching their annual campaign to teach school children how to sneeze without spreading disease.


The programme was previously for younger children, but is going to intermediate schools for the first time this year.


Programme creator Toni Ferens says young people need to be especially careful around colds and flus at schools and sports fields, as that's when they spend a lot of time being in close proximity of each other.


http://www.radionz.co.nz/news/stories/2009/04/30/1245aaf33b32
 
Re: NZ: Summary of response

It does appear from the above statement that the children who are recovering from this flu are not going back to school whilst still potentially contagious. I wonder if they have received any direction from health officials about that?
 
Re: NZ: Summary of response

http://www.infonews.co.nz/news.cfm?l=1&t=72&id=36445
1 May 2009, 12:04PM
St John Ambulance service well prepared on Influenza A (H1N1) - Swine Flu
By St John
69 views

St John is well prepared to provide operational medical support to public health authorities while a small number of confirmed cases of Influenza A (H1N1) ? previously referred to as Swine Flu ? are being managed in New Zealand.

?We are also ensuring we are fully prepared to provide the best possible care to New Zealanders, as the situation develops,? St John Operations Director Tony Blaber said today.

?There is no need for public alarm but we do need to be cautious, sensible and prepared.?

St John is working closely with all relevant agencies, including the Ministry of Health, public health services, district health boards and other Ambulance services.

The New Zealand Ministry of Health is the lead New Zealand agency in any national health emergency and has activated the New Zealand Influenza Pandemic Action Plan. The current New Zealand status of Code Yellow (standby status) sees St John in a planning and preparedness phase, and on standby to provide operational support ? though at a heightened level following the confirmations of Influenza A (H1N1) or H1N1 flu in a small number of New Zealanders.

St John is working to the New Zealand Influenza Pandemic Action Plan and our own Pandemic plan.

Our Operational, Clinical and Emergency Ambulance Communications Centres managers are communicating daily - internally and with external agencies - to ensure that all necessary steps are taken from a St John perspective.

Current St John status

* St John is providing operational medical support to health agencies as required with suspected H1N1 flu cases. We have transported a small number of patients with suspected H1N1 flu to date, following requests from agencies
* We continue our contingency planning and actions to ensure that we are fully prepared
* We are actively monitoring the situation around the country and watching World Health Organisation developments
* We have established strong links with partner health agencies
* We are supporting colleagues in Fire and other Ambulance services
* Our Emergency Ambulance Communications Centres are asking people who phone 111 for ambulance additional structured clinical questions about patients with flu like symptoms to assist in ensuring that the most appropriate actions are taken
* We are communicating daily with all St John clinical people including ambulance officers to ensure they have the latest information and up to date clinical advice. The clinical advice is being tailored daily as required based on developments
* All our ambulance crews are being advised to use extra Personal Protective Equipment (masks) when dealing with patients with flu like symptoms
* Overalls and glasses are only required by ambulance officers where the patient cannot be masked and is coughing severely or constantly
* We have been present at international airports to support Regional Public Health Teams
* We are ensuring our plans are ready at every level should the situation escalate
* We are providing daily information as required to our St John volunteers and staff nationwide to ensure they are informed, including:
* what to do if they are unwell
* what to do if they believe they have treated a patient with suspected H1N1 flu and not used Personal Protective Equipment
* how to prevent flu spreading in a workplace and
* advice to have the seasonal flu jab if their role involves contact with patients. [While this will not prevent H1N1 flu it will lessen its effects and reduce the recovery time needed].
 
Re: NZ: Summary of response

A Hawkes Bay student is the latest person in the country who is suspected of having swine flu.
The Ministry of Health says the student was among a group who returned from Los Angeles on Tuesday and then travelled by bus to Hawkes Bay.
The student has tested positive for influenza A.
All 53 passengers who were on the bus with the student are being treated with Tamiflu and asked to isolate themselves at home.
That brings to 269 the number of people in isolation and being treated with Tamiflu - 119 fewer than Friday.
No evidence of swine flu spreading - Health Ministry

The ministry says that within New Zealand there are now four confirmed cases of swine flu, 12 probable cases and 101 suspected cases.
But the ministry's national coordinator for pandemic planning, Steve Brazier, there's no evidence of it spreading.
He says no swine flu is circulating in the community at present, but a number of people are testing positive for influenza of other kinds.
Passengers on flight NZ1 in the clear

There is no longer any official concern about passengers on flight NZ1, the flight that alerted authorities to the possible presence of swine flu in this country.
NZ1 arrived from Los Angeles at 5am last Saturday with 387 passengers on board.
Deputy director of public health Darren Hunt says most of them have either finished their course of the anti-viral drug Tamiflu or have remained symptom-free for seven days.
However, 18 of the passengers can't be traced.
Passengers on domestic flight no longer being sought

Health authorities are no longer seeking people seated near a female airline passenger who tested positive for the influenza A virus, of which swine flu is one form.
After arriving in Auckland on NZ1, the woman took flight NZ405 to Wellington last Saturday morning. Passengers seated on two rows either side of her, on both flights, were being sought at one stage, but it has been confirmed that she only has seasonal flu.
Health authorities say anyone who has arrived from the United States or Mexico in the past seven days and develops flu-like symptoms should get in touch with a health professional.
NZ swine flu samples used to develop vaccine

Scientists at the World Health Organisation laboratory in Melbourne are using samples from confirmed swine flu cases in New Zealand in the race to develop a vaccine.
The samples were taken from Rangitoto College students who were on NZ1 after a trip to Mexico.
Scientists are growing the virus by injecting it into hens' eggs.
The head of the laboratory, Anne Kelso, says the virus in the New Zealand cases is very similar to those found in California and Texas.
If the virus continues to spread globally, she says, it will be important to have samples from different areas at different times, in order to determine how it is changing.
Check travel insurance, advises council

The Insurance Council says travel insurance policies might not cover people who contract swine flu while they are overseas.
The council's chief executive, Chris Ryan, says that people who have booked trips to countries where the H1N1 virus has been confirmed need to check what cover they have before setting off.
He says the risks are greater in countries where swine flu has been identified, so travellers to such countries are unlikely to be covered.
Mr Ryan says it is up to individual insurance companies to decide whether they will provide cover for swine flu.
Copyright ? 2009 Radio New Zealand


http://www.radionz.co.nz/news/stories/2009/05/02/1245af3d1df7
 
Re: NZ: Summary of response

http://www.fluinfo.org.nz/psite/page.aspx?pg=95
Pandemic influenza - how will our hospitals cope?

By Canterbury District Health Board?s Chief Medical Officer, Dr Nigel Millar

When (not if) a new strain of influenza pandemic arrives in New Zealand, our health service will come under substantial pressure. Estimates of possibly 35% of the population becoming ill over a six-week period will require changes to the way we organise health care. It would be absolutely impossible to add the additional volume of work generated by influenza into our current way of doing things. Health workers would be as likely, if not more so, to be affected by illness, which would deplete the ranks of those we would most need.

So, how can we possibly cope? Well, it will require a major reorganisation of the way we manage healthcare in Canterbury. The hospital system will need to be able to continue to provide acute care, because the usual range of severe illnesses will continue, but at the same time be able to help those people who are affected by influenza.

However, it must be said that in the first instance the best and most effective place to care for the majority of influenza sufferers will be in their own home and that the main health response will be to support and enhance the care available through GPs, district nurses and other community agencies.

It will be important not to have influenza spread into the hospital system. This is what happened with the outbreak of SARS overseas several years ago and it caused a great deal of harm both directly to hospital staff who became infected and indirectly to others through the substantial disruption it caused to normal hospital services. We would not want to have a similar situation develop here.

When the pandemic takes hold in Canterbury, the hospitals will need to be able to switch to a new phase of operation, focused on providing a safe and effective treatment area for people who are affected by influenza, which will be separate from the essential acute services. It will be vital that people do not attend hospital with suspected influenza, without first being assessed in the community and being referred to the designated hospital area as required.

It is fair to say that the whole community would end up substantially worse off if the pandemic infection became established in the mainstream hospital environment as it would then be unable to provide the necessary acute care for people with other illnesses for example heart attacks, strokes and surgical emergencies.

It will be essential to have as full a health workforce as possible during a pandemic emergency. Of course the health workforce itself will certainly be reduced by illness and the need for that workforce who are parents to provide care for their children if, for example, the schools are closed. Staff will need the best possible protection. Not many of us would regularly go to work knowing that we may risk potentially fatal infection, which could also spread to our families. We also need to appreciate that it is understandable that health professionals will be hesitant about being at work. It will be vital to them, and important to all of us, that they are offered good protection from risk and options such as temporary accommodation whilst the infection is present. Health workers are professionals but will be very challenged by this type of personal risk.

So, in summary, in a pandemic situation our hospitals will not cope by working as they usually do and will be required to substantially change their work habits. In such a situation their prime functions will be to meet the acute health needs of people in Canterbury and to provide back up support for those in the front line. By this I mean our GPs and other community health workers, who will be responding to what could be our most challenging public health emergency for many years.
 
Re: NZ: Summary of response

Spread of swine flu in NZ 'inevitable'
Last updated 08:25 12/06/2009

PANDEMIC DECLARED:

Health Minister Tony Ryall says New Zealanders should stay calm.


Health Minister Tony Ryall says it is inevitable that swine flu will spread, possibly hitting up to a third of the population, but people should not be alarmed.

New Zealand would continue its tight containment approach in light of yesterday's World Health Organisation declaration of a pandemic.

"Our message is don't be alarmed. New Zealand is going to carry on the way that we have and we will keep people fully informed of any changes that need to be made," Mr Ryall told Radio New Zealand.

He did not think New Zealand needed to change its response.

"We are running a very tight containment strategy and it's working well."

Mr Ryall said it was inevitable the flu would spread.

"Numbers are going to continue to rise and that's why it's important that anyone who develops flu-like symptoms stays away from work, stays away from school because that's how it will be spread ? if people who have got it are out there coughing and spluttering."

The ministry had done projections on how bad things could get.

"The upper level is of course you might end up with 20 or 30 percent of the population with swine flu, but we don't know and that's why New Zealand is running its very tight containment strategy, it's working well for New Zealand."

Mr Ryall emphasised the WHO decision was about international spread of the illness, not severity. Cases in New Zealand were no worse than the normal winter flu.

He said it was important to contain the flu as much as possible or health services could become overloaded.

"Every day we can keep swine flu from wider community spread in New Zealand is another day that we are not putting more and more pressure on our emergency departments and GP clinics because we are just about to enter the normal winter seasonal flu period."



General practitioners are preparing to face the issue and have requested improved access to protective masks, gloves and gowns to enable them to treat patients who may arrive at their practices with swine flu.

Medical Association chairman Peter Foley said only some district health boards had released funds to ensure general practices remained fully stocked with supplies.

Doctors have predicted major challenges in the early stage of the pandemic would be protecting health workers from the virus and educating the public about self-protection.

Though regional medical officers of health will have the power to close borders, restrict public gatherings, put patients in isolation and shut schools and workplaces, the Ministry of Health has said its response to the pandemic will depend on the local situation.



Last night the number of confirmed cases of swine flu rose to 27, with 10 of them still being treated with Tamiflu in isolation. The rest have recovered. There are another 10 "probable" cases awaiting confirmation.

Ministry of Health chief public health advisor, Dr Ashley Bloomfield, has predicted that as more people test positive for swine flu more workplaces, schools, and childcare centres will be affected.



Seasonal flu hits up to 20 percent, about 760,000 New Zealanders each year. On average, 2.7 percent of the population (156,000 people) will go to their GP because of flu each year and an estimated 95 people will die.



Treasury estimates in 2007 of the economic impact in New Zealand of a flu pandemic ranged from a 10 percent drop in Gross Domestic Product (GDP) for an epidemic of a severe form, to a fall-off of between 1 percent and 2 percent for a relatively benign virus.

But acting assistant Treasury Secretary Colin Hall has said those figures have probably been overtaken by the global recession.


http://www.stuff.co.nz/world/swine-flu/2494624/Spread-of-swine-flu-in-NZ-inevitable
 
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