Retail: FREE WHILE UNDER LEVEL 4 ALERT
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Friday 24 April 2020
Covid cases in Golden Bay
Testing, testing: Staff at Golden Bay Community Health take a sample at the drive-through assessment centre. Photo: Anita Peters. JO RICHARDS
Last Saturday morning, Nelson Marlborough Health’s (NMH) clinical director of public health, Dr Stephen Bridgman confirmed that nine of the 48 reported cases of Covid-19 in the Nelson Marlborough region have been based in Golden Bay. Most of these nine cases have now recovered and have been discharged from the public health service. The number, representing around 20 per cent of all cases in the NMH region, came as a surprise to many, even though Covid-19 has known to be present in Golden Bay for over two weeks (GBW, 3/4). According to Dr Bridgman, all Golden Bay cases were either people who had been overseas or close contacts of people who had returned from overseas. Providing location data at this level of detail is very unusual; The Ministry of Health (MoH) advises District Health Boards (DHBs) only to release information at Territorial Authority level. By breaking it down for Golden Bay, NMH is one of perhaps only two DHBs to provide community-specific figures. Dr Bridgman, who personally made this decision in direct response to community demand, stressed that all Golden Bay’s cases cooperated with the strict isolation rules, to ensure they didn’t put others at risk, and he thanked them for their community-
mindedness. The key reason for caution with Covid-19 data is to protect patient privacy, explained a spokeswoman for NMH. “The Ministry of Health report age range, gender and travel details. If we were to confirm a case in Golden Bay alongside that, two and two can be quickly put together, most often, wrongly, and sometimes correctly.” She provided reassurance that the DHB’s system for dealing with Covid-19 cases is robust. “Contact tracing, isolation and quarantine, and level 4 rules are proven, effective methods to prevent spread and are the main reason that people don’t need to worry about, or know, where a case has been, their movements, or their locations.” The spokeswoman explained that, in exceptional circumstances, health professionals may appeal to the public for assistance. “If there is any chance of casual contact that contact-tracing can’t help with, such as the Auckland Tool concert [28 February], then a public health alert is issued and media coverage of this is very useful in raising awareness among participants.” General manager Golden Bay Community Health Linzi Birmingham explained that all positive Covid-19 cases are managed by Public Health which, until recently, was advising primary care and GP practices of negative
results, but not informing them about any positive cases. “This notification has now been revised to ensure general practices are advised and can support these patients with their overall care. Public Health has recently released the number of positive cases to GBCH and the community, which provides much more confidence in how the community is tracking.” Testing times As part of the nationwide effort to monitor infection and control the spread of Covid-19, Golden Bay’s Community-Based Assessment Centre is hosting drive-through test clinics for those who meet certain criteria. Linzi said the centre, established with support and guidance from NMH and Nelson Bays Primary Health, is fully operational. “The clinics have been running daily, initially for two hours, and now between 10.30am-12pm. Currently we are rostering one doctor and one nurse within the clinic.” Linzi said threshold for testing had been relaxed recently. “The testing criteria have evolved from the original parameters and further advice regarding these criteria are available on the Ministry of Health Website.” But she still advises people to call ahead. “The process at GBCH for any patient who believes they need to be tested is to please... Continued on page 3
Moving to Alert Level 3 JO RICHARDS
It’s official: After four-and-a-half weeks in lockdown, the country is exiting Alert Level 4 and transitioning to Alert Level 3. Since the Government’s announcement on Monday afternoon, business owners and selected staff have been allowed to enter premises in order to make preparations for safe operations and to enable cleaning and movement of equipment prior to the change in alert status. From 11.59pm next Monday night, businesses including construction, forestry, manufacturing and retail will legally be able to operate. For others in the hospitality sector, such as hotels, cafés and restaurants, restrictions continue to apply, but takeaways are allowed provided guidelines are strictly followed. Public venues including libraries, museums, cinemas, food courts, gyms, pools, playgrounds and markets will remain closed. While many are expected to return to employment, people should continue to work from home wherever possible. Schools (years 1 to 10) and early childhood education centres are due to open on 29 April, but will have limited capacity, and students should continue to be educated at home if possible. The Government’s advice to parents and school principals has caused some confusion but schools have a week to resolve numerous areas of uncertainty. At the time of going to press, it was difficult to predict exactly which of the Bay’s businesses would reopen and how their modified procedures would enable the requisite hygiene protocols to be observed. Generally, the key word in retail is “contactless”, which typically involves online/telephone orders for safe delivery or collection, so the days of sitting around in cafés or restaurants are still some way off. The rules around business may be easing, but those governing social interactions, remain little changed; people are urged to stay in their bubbles, but can expand to reconnect with close family, bring in caregivers, or support isolated people. Any extended bubble should remain exclusive. Although swimming, surfing and fishing from the shore will be allowed, team sports and dangerous activities are banned. Public gatherings of up to 10 people will be allowed but only for wedding services, funerals and tangihanga. A more detailed picture should emerge next week and The GB Weekly will provide an update on what is happening at local schools and businesses.
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