1 SITREP 039 Coronavirus disease 2019 (COVID-19) Issued: 1030 hours 1 September 2020 Information current at: 1000 hours This report provides a daily update on the COVID-19 health system response. New information is denoted by red text. Please use the single point of contact email [email protected] for help/support. Your email will be logged and promptly passed to the appropriate team. This document is classified IN CONFIDENCE and not for further distribution. Need to know COMMUNITY CASES NEW LAST 24 hrs 5 MIQ CASES NEW LAST 24 hrs 9 COMMUNITY CASES TOTAL RECOVERED 49 97 COMMUNITY CASES ACTIVE 99 TOTAL CASES SINCE 11 AUG 148 33 TOTAL CASES SINCE 9 JUN 130 TOTAL ACTIVE CASES IN NZ (COMMUNITY & MIQ): 132 MIQ CASES TOTAL RECOVERED MIQ CASES ACTIVE LABORATORY TESTS 31 August 8599 LABORATORY TESTS 25 to 31 August 65,122 LABORATORY TESTS TOTAL 766,626
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1
SITREP 039
Coronavirus disease 2019 (COVID-19)
Issued: 1030 hours 1 September 2020
Information current at: 1000 hours
This report provides a daily update on the COVID-19 health system response. New information is denoted by red text.
Please use the single point of contact email [email protected] for help/support. Your email will be
logged and promptly passed to the appropriate team.
This document is classified IN CONFIDENCE and not for further distribution.
Table 1: Total number of COVID-19 cases as at 0900 01 September 2020
Case Status Active Recovered Deceased Total
Confirmed 132 (+2) 1252 (+12) 17 1401 (+14)
Probable 0 (-1) 346 (+1) 5 351
Total 132 (+1) 1598 (+13) 22 1752 (+14)*
*Net increase of 14 cases with 13 cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 01 September 2020
New community cases since 0900 31 August 2020
1. Five new confirmed community cases have been reported. Of these all five have
epidemiological links, summarised as follows:
o One case is a household contact of the Botany case (reported on 28 August with no
epidemiological link to the cluster, genomically linked on 31 August).
o Three cases are in the second household linked to the Botany case.
o One case is a household contact of a known confirmed case linked to the public
exposure event.
Community cases linked to the Auckland Community Cluster August 2020
2. 146 of the 148 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 1 September. Of the two cases not linked to the cluster one
case, the Rydges employee, has been closed and an epidemiological and genomic link
to the community cluster is still under investigation for one case.
Community cases under investigation to determine a link to the community cluster
3. Case under investigation is summarised as follows:
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. Subsequently the case tested positive on
21 August after being swabbed at a mobile testing clinic in Auckland. A partial
genome has been obtained from sequencing and this case has been provisionally
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 67 (+5) 35 (+1) 41 (+3) 4 147 (+5)
Probable 0 (-1) 0 0 0 0 (-1)
Total 67 (+4) 35 (+1) 41 (+3) 4 147 (+4)
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.
genomically linked to the community cluster. Further whole genome sequencing is in
progress.1
Community cases and household contacts at Jet Park
4. As at 0800 1 September there are 123 people isolating in Jet Park from the community.
79 are confirmed cases, the remaining 44 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.
MIQ cases
5. As at 0900 1 September there have been nine new cases detected at the border since
0900 31 August. In total there are 130 cases that have been detected at the border
since the establishment of MIFs/MIQs.
o Five cases are in Canterbury: all arrived from Delhi, India on 27 August (Flight
number: NZ1301), via Fiji (Flight number: GA7280).
o Three cases are in Auckland: two arrived from Delhi, India on 23 August (Flight
number: AI1320). One arrived on 26 August from Doha, Qatar and tested positive on
routine day 3 testing (Flight number: QR453).
o One case is in Wellington: arrived from Los Angeles, USA on 18 August (Flight
number: NZ1), tested positive on routine day 12 testing.
Cases in hospital
6. 10 cases are in hospital with COVID-19.
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 1 September 2020
*Note: One case was discharged to Jet Park yesterday and a separate case was admitted yesterday. The total number of
patients is unchanged at three.
1 ARPHS Strategic Report 28 August 2020
DHB Hospital Number in a general
ward Number in ICU/HDU
Auckland Auckland City 2 0
Counties Manukau Middlemore 2 1
Waitematā North Shore 3* 0
Waikato Waikato 1 1
Total - 8 2
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Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Overview
The cluster is currently continuing to grow within the parameters of the DHB’s modelling. The
impact of intensive case follow-up appears to be working. However, there are two cases with no
apparent links to the cluster, that raises the possibility of undetected further clusters that is a
priority for the investigation. There is one ‘mini-cluster’ related to Mt Roskill Evangelical Church and
it is likely that we will see more cases arise in this cluster.
Current outbreak investigation priorities2
o Contact tracing and containment around church sub cluster
o Seek to identify an epidemiological link for the case to the main cluster
o Clarify whether the case that is a returnee from June is a new infection, and clarify strain
o Contact trace and isolate close contacts exposed on Auckland bus journeys
o Seek to identify epidemiological link to the cluster for cases that have been genomically
linked but not epidemiologically linked.
8. Mt Roskill Evangelical Church is a priority for ARPHS. This is due to ongoing
transmission occurring and concerns that not all contacts have been identified. Several
events are being scoped. The DHB is working closely with Church leaders to:
o Maintain relationships with and support for Church leaders.
o Understand the total number of people that need to be tested.
o Push testing coverage.
o Develop welfare support arrangements for those requiring quarantine.
9. There is a sports club associated with the Mt Roskill Evangelical Church.
The sports club has been
closed for the past two weeks, therefore none of the club members are being
considered close contacts. ARPHS sent comms to members regarding testing and to
date no positive cases have been reported.3
2 ARPHS Strategic Report 1 September 2020
3 ARPHS, Waikato DHB and MoH teleconference 3pm 31 August 2020
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10. Four cases that have been genomically linked to the cluster are still being investigated
by ARPHS to identify their epidemiological link.
o source of infection is still under investigation. is no
longer being considered as the possible source because analysis of the test result
shows had a recent more infection. have
tested negative.4
o GP.
o The second Mount Albert Grammar student.
o Botany case: and lives in a household with
close links to a second household. Members of the second household are testing
positive.
4 ARPHS, Waikato DHB and MoH teleconference 3pm 31 August 2020
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Waikato Investigation Updates
11. Waikato DHB is leading the contact tracing for the church services and event
associated with the Mount Roskill Evangelical Church sub-cluster.
12. A new case was reported in Tokoroa on the evening of 29 August5. The case is a contact
of an existing case from Tokoroa who is currently in hospital and associated with the
Auckland cluster. The new case works at a medical centre in Tokoroa and it is believed
they had contact with the existing case . The centre is
undergoing a terminal clean and has been closed pending completion of contact
tracing. Contact tracing is underway to contact all staff and patients of the medical
centre.
. Two testing sites were stood up yesterday for testing
staff and patients, these will be available for the rest of the week.
ESR and wider testing7 13. A further 23 community cases are genomically linked with the Auckland cluster. These
cases are from the following known subclusters; Church 1 (3 cases), Church 2 (4 cases),
Finance Now (2 case), Finance Now HH (2 cases), Americold (1 case), Americold HH (4
cases), Household 1 (5 cases), Household 2 (1 case), NZ Courier post (1 case). These
cases are also epidemiologically linked to the cluster.
14.
5 Waikato PHU, email and phone conversation 29-30 August 2020
6 Deputy Director Public Health Email 0913 31 August 2020
7 ESR Update email, 0902 01 September 2020
Table 5: Waikato contact tracing and initial/day 12 testing by site as at 0700 01 September 20206
*These numbers will likely change throughout the day as the investigation continues.
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15. Work is underway to analyse how the whole genome sequencing can be used to tell us
how COVID-19 has been transmitted through the community cluster and to further
inform its management.
16. No direct links have been found between the community outbreak genome
sequencing, with the 35 full and 13 partial (checked for the community mutation, and
confirmed not to show it) genomes currently available from cases in managed isolation
facilities (MIFs).
17.
Contact tracing 18. Between 23 and 29 August 85% (455 of 534)8 of close contacts have been contacted
within 48 hours of being determined to be a contact. KPI for this metric is 80% of close
contacts within 48 hours.
o Notes: This metric reports all cases during the specified period, including those in Managed Isolation and Quarantine, and does not include casual contacts.
Table 6: Close contact tracing recorded in the National Contact Tracing Solution since 11 August as at
0900 01 September 2020
29/08/2020 30/08/2020 31/08/2020 01/09/2020
Number of close contacts
identified1 2489 2587 2621 2743
Number of close contacts
successfully contacted (and are
self-isolating)
2425 2475 2505 2676
Number of close contacts
referred to "finding services"2 12 6 7 5
Number of close contacts
awaiting contact 52 106 109 62
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
8 Contact Tracing Data, COVID-19 NCCS Analytics and Reporting received 0906 01 September 2020
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COVID-19 Tracer App usage Figure 1: COVID-19 Tracer App9 cumulative registered users and daily scans/manual entries as at 1615
31 August 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
Testing
Swabs collected10 Table 7: Number of swabs collected nationally by stream as at 1800 31 August 2020
1. This data will change over time due to variation in the way DHBs report swab numbers (i.e. at different stages in the
testing process).
9 Response Analyst – Digital Channels, 1621 31 August 2020
10 Senior Advisor – COVID-19 Health Systems Response, 1803 31 August 2020
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours 83% - 63% 100% 95% 100% -
C – (S005) Proportion of close contacts with confirmed or suspected
COVID-19 at the time of tracing <20% 0% - 8%
17% *
(1/6) 0% 0% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a
number of reasons, including a case recalling further details following the original case interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October
2020.
17
APPENDIX: 4
NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 31 August 2020
Table 1. Metro Auckland Summary Total of Testing for 31 August 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 2690 152 418 199 99 3558
Table 2. Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
Ethnicity Last 24 Hours %
Total since
12/8* %
Asian 861 18.8% 25482 16.9%
Maori 604 13.2% 22908 15.2%
Other 2033 44.5% 63163 42.0%
Pacific 916 20.0% 36178 24.1%
Unknown 157 3.4% 2659 1.8%
Total 4571 150390
Tests Last 24-hours
Ethnicity CTC Non-CTC Total %
Asian 748 113 861 18.8%
Maori 528 76 604 13.2%
Other 1702 331 2033 44.5%
Pacific 832 84 916 20.0%
Unknown 121 36 157 3.4%
Total 3931 640 4571
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and
reported later than this; tests only included if coded and received and acknowledged by lab, result
not required
*Includes GP clinics, Urgent Care Centres, Designated practices
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Table 4. Estimated tests taken 12-31 August 2020, based on manual site reports at 5pm
Site 12/08-16/08 17/08-23/08 24/08 – 30/08 31/08*
MIQ Staff 2132 659 1488 152
Guests 2972 3767 3600 418
Border Airport 2129 933 1349 199
Port 1588 678 161 99
* 31/8 day still in progress
Table 5: Estimated tests taken at Metro Auckland CTCs, 12-31 August 2020, based on manual
site reports at 4pm
Site 12/08-16/08 (days
open)
17/08-23/08 (days
open)
24/08 – 30/08
(days open)
31/08*
Airport Oaks 1148 (4) 515 (7) 366 (7) 61
Auckland Netball
Centre
192 (1) 1065 (7) 884 (7) 148
Botany CTC 1151 (5) 948 (7) 905 (7) 174
Coast to Coast
Warkworth
334 (5) 109 (7) 70 (7) 12
Coast to Coast
Wellsford
203 (5) 114 (7) 116 (7) 23
Eventfinda Stadium 1800 (5) 527 (7) 517 (7) N/A
Health New Lynn 2603 (5) 1258 (7) 1703 (7) 159
Henderson 940 (4) 645 (7) 634 (7) 94
Mangere Town Centre 1748 (3) 1684 (7) 1599 (7) 76
Manurewa Marae N/A 124 (4) 268 (6) 70
Northcare A&M 253 (2) 463 (7) 527 (7) 187
Otara CTC 3221 (5) 1712 (7) 1429 (7) 223
Pukekohe CTC N/A 131 (4) 226 (6) 78
St Lukes 1368 (5) 1045 (7) 1414 (7) 178
Takanini Urgent Care 1886 (5) 1216 (7) 1153 (7) 204
Waiheke Medical
Centre
312 (5) 145 (7) 220 (7) 24
Whanau House 2502 (5) 1371 (7) 1442 (7) 232
Whanau Ora - Central 1957 (5) 964 (7) 1583 (7) 187
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Whanau Ora - North 1442 (5) 669 (7) 637 (7) 190
Whanau Ora - South 2945 (5) 1250 (7) 718 (7) 175
Point England Pop Up N/A N/A 88 (3) N/A
Randwick Park Pop Up N/A N/A 303 (5) N/A
Ranui Pop Up N/A N/A 409 (5) N/A
Mt Smart Stadium Pop
Up
N/A N/A 219 (3) N/A
Massey Pop Up N/A N/A 787 (5) N/A
South Kaipara Pop Up N/A N/A 170 (4) N/A
Clendon Pop Up N/A N/A 368 (3) N/A
Mangere Pop Up N/A N/A 472 (2) N/A
Mangere East Pop Up N/A N/A 82 (2) N/A
Otara Pop Up N/A N/A 59 (2) N/A
Otahuhu Pop Up N/A N/A 201 (2) N/A
Mt Roskill Pop Up (330
start)
N/A N/A 217 (2) 108
Sandringham Pop Up N/A N/A N/A 72
Ranui League Club Pop
Up
N/A N/A N/A No data
Waipuna Targeted Site 143 (2) 549 (7) 376 (7) 16
Blockhouse Bay
Targeted Site
N/A 277 (7) 921 (7) 71
Total 26,148 16,781 21,133 2,680 * 29/8 day still in progress N/A = not open as a CTC
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Appendix 5: Testing by DHB and ethnicity The tables that follow are the number of people tested. The numbers in the laboratory testing
section are the number of laboratory tests processed.
Table 11: Number of people tested for COVID-19 from 12 August to 01 September
Prioritised Ethnicity MPAO
DHB of Domicile Māori Pacific Asian Other Unknown Total
Auckland 2784 5852 7715 16014 354 32719
Bay of Plenty 2360 288 468 5726 76 8918
Canterbury 1344 528 1369 11266 209 14716
Capital and Coast 1149 879 1022 7075 194 10319
Counties Manukau 5918 16629 7387 10216 436 40586
Hawkes Bay 1164 233 175 2978 56 4606
Hutt Valley 613 311 414 2330 41 3709
Lakes 1979 277 448 2572 101 5377
MidCentral 776 206 288 3044 64 4378
Nelson Marlborough 493 133 187 3561 63 4437
Northland 2570 186 209 3349 46 6360
South Canterbury 113 27 67 1211 24 1442
Southern 841 263 510 7188 95 8897
Tairāwhiti 729 49 43 656 20 1497
Taranaki 548 52 138 2072 41 2851
Waikato 3510 828 1102 7875 211 13526
Wairarapa 159 27 29 724 7 946
Waitematā 3604 3698 5750 19361 306 32719
West Coast 45 7 10 269 4 335
Whanganui 526 59 49 1155 20 1809
Unknown 1286 645 586 3467 1628 7612
Total 32511 31177 27966 112110 3996 207760
21
Table 12: Rate per 1000 people tested for COVID-19 from 12 August to 01 September
Prioritised Ethnicity MPAO
DHB of Domicile Māori Pacific Asian Other Total
Auckland 64 104.4 41.2 61.26 59.7
Bay of Plenty 39.5 64.8 23.9 36.39 37
Canterbury 25.6 37.2 22.5 25.25 25.7
Capital and Coast 31.5 39.6 20.4 33.25 32.1
Counties Manukau 66.5 138.5 48.9 48.82 71.3
Hawkes Bay 26.9 36.3 19.1 27.56 27.6
Hutt Valley 23.5 26.6 22.1 24.72 24.6
Lakes 51.4 108.4 46.1 42.88 48.6
MidCentral 21.3 37.1 18.6 24.6 24.2
Nelson Marlborough 30.7 53.8 25.2 28.3 29.2
Northland 42.2 49.5 25.3 30.72 35
South Canterbury 21.3 55.3 28.3 23.44 24.1
Southern 25.1 38.2 19.8 26.87 26.7
Tairāwhiti 29.4 43.8 36.8 29.67 30.4
Taranaki 23.5 37.3 22.2 23.05 23.6
Waikato 36.4 62.1 25 29.26 32
Wairarapa 19.9 32.5 23.3 20.29 20.7
Waitematā 57.6 82.9 40 50.63 51.7
West Coast 11.6 27.7 10.8 9.97 10.5
Whanganui 30.3 38.8 16.7 26.84 27.9
Total 41.8 97.5 36.5 36.2 41.9
1
SITREP 040
Coronavirus disease 2019 (COVID-19)
Issued: 1030 hours 02 September 2020
Information current at: 1000 hours
This report provides a daily update on the COVID-19 health system response. New information is denoted by red text.
Please use the single point of contact email [email protected] for help/support. Your email will be
logged and promptly passed to the appropriate team.
This document is classified IN CONFIDENCE and not for further distribution.
Table 1: Total number of COVID-19 cases as at 0900 02 September 2020
Case Status Active Recovered Deceased Total
Confirmed 129 (-3) 1260 (+8) 17 1406 (+5)
Probable 0 346 5 351
Total 129 (-3) 1606 (+8) 22 1757 (+5)*
*Net increase of 5 cases with 8 cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 02 September 2020
New community cases since 0900 1 September 2020
1. Three new confirmed community cases have been reported. Of these all three have
epidemiological links to the Mt Roskill Evangelical Church sub-cluster.
Community cases linked to the Auckland Community Cluster August 2020
2. 149 of the 151 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 02 September. One of the unlinked cases is the Rydges
employee (this investigation has been closed) and the other unlinked case is still under
investigation for an epidemiological and genomic link to the community cluster (see 3).
Community cases under investigation to determine a link to the community cluster
3. Case under investigation is summarised as follows:
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. Subsequently the case tested positive on
21 August after being swabbed at a mobile testing clinic in Auckland. A partial
genome has been obtained from sequencing and this case has been provisionally
genomically linked to the community cluster. Further whole genome sequencing is in
progress.1
1 ARPHS Strategic Report 28 August 2020
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 68 36 (+1) 43 (+2) 4 151 (+3)
Probable 0 0 0 0 0
Total 68 36 (+1) 43 (+2) 4 151 (+3)
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.
Community cases and household contacts at Jet Park
4. As at 0800 2 September there are 104 people isolating in Jet Park from the community.
75 are confirmed cases, the remaining 29 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.
MIQ cases
5. As at 0900 2 September there have been two new cases detected at the border since
0900 1 September. In total there are 132 cases that have been detected at the border
since the establishment of MIFs/MIQs.
o The two cases were detected in Rotorua via day 3 testing: one arrived from Dubai,
United Arab Emirates on 28 August (Flight number: EK448). The other one arrived
from Tashkent, Uzbekistan (via Dubai, UAE) on 28 August (Flight number: EK448).
Both cases have been transferred to Jet Park in Auckland for quarantine.
Cases in hospital
6. Seven cases are in hospital with COVID-19.
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 2 September 2020
Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Overview
There is now a clear increase in cases as a result of the new Mt Roskill Evangelical Church sub-
cluster. Some of these cases have recent symptoms. While the impact of intensive case follow-up
DHB Hospital Number in a general
ward Number in ICU/HDU
Auckland Auckland City 1 0
Counties Manukau Middlemore 1 1
Waitematā North Shore 2 0
Waikato Waikato 1 1
Total - 5 2
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appears to be working overall, the number of cases associated with the Mt Roskill Evangelical
Church sub-cluster has continued to increase and it is likely that more cases will arise.
Current outbreak investigation priorities2
o Contact tracing and containment around Mt Roskill church sub-cluster
o Seek to identify an epidemiological link for the case to the main cluster
o Clarify whether the case that is a returnee from June is a new infection, and clarify strain
o Contact trace and isolate close contacts exposed on Auckland bus journeys
o Seek to identify epidemiological link to the cluster for cases that have been genomically
linked but not epidemiologically linked.
8. Mt Roskill Evangelical Church is a priority for ARPHS. This is due to ongoing
transmission occurring and concerns that not all contacts have been identified. Several
events are being scoped. The DHB is working closely with Church leaders to:
o Maintain relationships with and support for Church leaders.
o Understand the total number of people that need to be tested.
o Push testing coverage.
o Develop welfare support arrangements for those requiring quarantine.
9. The two family members were isolating at home from 22 August after the
case moved to hospital on 21 August. These family members moved to Jet Park
on 28 August. Contact tracing has not identified any further cases. Investigation to
identify the epidemiological link to the cluster is ongoing.
10. Contact tracing investigation and testing is ongoing for the Botany sub-cluster. This
sub-cluster includes the Botany case reported 28 August and four other cases reported
recently (one on 31 August and three on 1 September). More information to come
when available.
11. There is a sports club associated with the Mt Roskill Evangelical Church. It is being
investigated as both an exposure event and a possible source of the Mt Roskill
Evangelical Church sub-cluster3.
The sports club has been closed for the past two weeks,
therefore none of the club members are being considered close contacts. ARPHS sent
comms to members regarding testing and to date no positive cases have been
reported.4
12. There are new settings of interest being investigated for the Botany sub-cluster,
including casual work places. More information to come when available.
13. Possible Americold links to a previously reported event are being investigated.
More information to come when available.
2 ARPHS Strategic Report 31 August 2020
3 NRHCC Morning Report 2 September 2020
4 ARPHS, Waikato DHB and MoH teleconference 3pm 31 August 2020
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14. Four cases that have been genomically linked to the cluster are still being investigated
by ARPHS to identify their epidemiological link.
o The source of infection is still under investigation. is no
longer being considered as the possible source because analysis of the test result
shows had a more recent infection. have
tested negative.5
o GP.
o The second Mount Albert Grammar student.
o Botany case: and lives in a household with
close links to a second household. Members of the second household are testing
positive.
5 ARPHS, Waikato DHB and MoH teleconference 3pm 31 August 2020
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Waikato Investigation Updates
15. Waikato DHB is leading the contact tracing for the church services and event
associated with the Mount Roskill Evangelical Church sub-cluster.
16. A new case was reported in Tokoroa on the evening of 29 August6. The case is a contact
of an existing case from Tokoroa who is currently in hospital and associated with the
Auckland cluster. The new case works at a medical centre in Tokoroa and it is believed
they had contact with the existing case . The centre is
undergoing a terminal clean and has been closed pending completion of contact
tracing. Contact tracing was originally focused on contacting all staff and patients of
the medical centre back to 25 August, following standard procedures. Contact tracing is
now being extended prior to 25 August. This is a precautionary approach that is being
taken due to the case’s long incubation period and while the onset of symptoms was
27 August, the radiological findings suggest more advanced disease.
Two testing sites were stood up yesterday for testing staff and patients,
these will be available for the rest of the week.
ESR and wider testing8 17. A further 23 community cases are genomically linked with the Auckland cluster. These
cases are from the following known subclusters; Church 1 (3 cases), Church 2 (4 cases),
Finance Now (2 case), Finance Now HH (2 cases), Americold (1 case), Americold HH (4
cases), Household 1 (5 cases), Household 2 (1 case), NZ Courier post (1 case). These
cases are also epidemiologically linked to the cluster.
18.
6 Waikato PHU, email and phone conversation 29-30 August 2020
7 Waikato DHB SITREP 0945 02 September 2020
8 ESR Update email, 0902 01 September 2020
Table 5: Waikato contact tracing and initial/day 12 testing by site as at 0700 02 September 20207
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9
19. Work is underway to analyse how the whole genome sequencing can be used to tell us
how COVID-19 has been transmitted through the community cluster and to further
inform its management.
20. No direct links have been found between the community outbreak genome
sequencing, with the 35 full and 13 partial (checked for the community mutation, and
confirmed not to show it) genomes currently available from cases in managed isolation
facilities (MIFs).
21.
Contact tracing 22. Between 24 August and 30 August 64% (637 of 993)9 of close contacts have been
contacted within 48 hours of being determined to be a contact. KPI for this metric is
80% of close contacts within 48 hours.
o Note: This is low mainly due to an exposure event and resulting sub-cluster during this period. Around 400 people were identified as close contacts through exposure to a case that was identified via a source attribution investigation. In this instance, the Case was not identified until more than 14 days after the exposure event. After 14 days from an exposure, the need to isolate close contacts has passed as this is the full incubation period, therefore close contacts were not isolated. Despite impacting metrics this delayed case identification and subsequent delayed close contact communication demonstrates that an effective trace back process occurred, leading to successful source identification.
o Notes: This metric reports all cases during the specified period, including those in Managed Isolation and Quarantine, and does not include casual contacts.
Table 6: Close contact tracing recorded in the National Contact Tracing Solution since 11 August as at
0900 02 September 2020
30/08/2020 31/08/2020 01/09/2020 02/09/2020
Number of close contacts
identified1 2587 2621 2743 3192
Number of close contacts
successfully contacted (and are
self-isolating)
2475 2505 2676 2992
Number of close contacts
referred to "finding services"2 6 7 5 4
Number of close contacts
awaiting contact 106 109 62 196
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
9 Contact Tracing Data, COVID-19 NCCS Analytics and Reporting received 0937 02 September 2020
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10
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage Figure 1: COVID-19 Tracer App10 cumulative registered users and daily scans/manual entries as at
1615 01 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
23. Key Numbers:
o 2,022,800 - Total registered users
o 2,077,426 - QR code scans between 1200 31 August and 1200 01 September
10 Response Analyst – Digital Channels, 1621 01 September 2020
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 63% 100% 95% 86% 100% -
C – (S005) Proportion of close contacts with confirmed or suspected
COVID-19 at the time of tracing <20% - 4% 17% 0% 0% 0% 2%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• *** The metrics for Indicators S001, S002, S003, P002 on the 25 August are low mainly due to an exposure event and resulting sub-cluster during this period. Around 400 people were identified as close contacts through exposure to a case that was identified via a
source attribution investigation. In this instance, the Case was not identified until more than 14 days after the exposure event. After 14 days from an exposure, the need to isolate close contacts has passed as this is the full incubation period, therefore close contacts
were not isolated. Despite impacting metrics this delayed case identification and subsequent delayed close contact communication demonstrates that an effective trace back process occurred, leading to successful source identification.
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
17
APPENDIX: 4
NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 01 September 2020
Table 1. Metro Auckland Summary Total of Testing for 01 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 2202 10 399 205 18 2834
Table 2. Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and
reported later than this; tests only included if coded and received and acknowledged by lab, result
not required
*Includes GP clinics, Urgent Care Centres, Designated practices
Table 4. Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-16/08 17/08-23/08 24/08 – 30/08 31/08* 01/09*
MIQ Staff 2132 659 1488 152 10
Guests 2972 3767 3600 418 399
Border Airport 2129 933 1349 199 205
Tests Last 24 hours Total since 12/8*
Ethnicity CTC
Non-
CTC
Total
% Tests %
Asian 529 342 871 16.0% 26447 16.9%
Maori 546 306 852 15.7% 23756 15.2%
Other 1239 960 2199 40.4% 65473 42.0%
Pacific 914 468 1382 25.4% 37626 24.1%
Unknown 38 97 135 2.5% 2735 1.8%
Total 3266 2173 5439 156037
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Port 1588 678 161 99 18
(started
at 1pm)
* 01/09 day still in progress
Table 5: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on
Table 1: Total number of COVID-19 cases as at 0900 03 September 2020
Case Status Active Recovered Deceased Total
Confirmed 115 (-14) 1276 (+16) 17 1408 (+2)
Probable 0 346 5 351
Total 115 (-14) 1622(+16) 22 1759 (+2)*
*Net increase of 2 cases with 16 cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 03 September 20201
*Please note a decrease in two cases at Waikato DHB due to previous movement of two cases already reported from Waikato
DHB to Counties Manukau DHB. The totals in the table only reflect the one new case being reported today due to these changes
occurring previously.
New community cases since 0900 02 September 2020
1. One new confirmed community case has been reported. The case has an
epidemiological link with cases associated with the Americold household sub-cluster.
Community cases linked to the Auckland Community Cluster August 2020
2. 150 of the 152 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 03 September. One of the unlinked cases is the Rydges
employee (this investigation has been closed) and the other unlinked case is still under
investigation for an epidemiological and genomic link to the community cluster (see 3).
Community cases under investigation to determine a link to the community cluster
3. Case under investigation is summarised as follows:
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. Subsequently the case tested positive on
21 August after being swabbed at a mobile testing clinic in Auckland. A partial
1 EpiSurv
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 71 (+1) 36 43 2 152 (+1)
Probable 0 0 0 0 0
Total 71 (+1) 36 43 2* 152 (+1)
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3
.
genome has been obtained from sequencing and this case has been provisionally
genomically linked to the community cluster. Further whole genome sequencing is in
progress.2
Community cases and household contacts at Jet Park
4. As at 0800 3 September there are 92 people isolating in Jet Park from the community.
67 are confirmed cases, the remaining 25 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.3
MIQ cases
5. As at 0900 3 September there has been one new case detected at the border since
0900 2 September. In total there are 133 cases that have been detected at the border
since the establishment of MIFs/MIQs.
o The case was detected in Christchurch via day 3 testing. They arrived in New Zealand
on 29 August from Philippines via Hong Kong and have been in managed isolation at
upon arrival.4
Cases in hospital
6. As at 0800 3 September there are seven cases in hospital with COVID-19.5
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 3 September 2020
*Please note within the last 24 hours a patient from Waitematā, North Shorth Hospital was discharged to Jet Park and one new
patient was admitted.
2 ARPHS Strategic Report 28 August 2020
3 NRHCC Morning Report 3 September 2020
4 EpiSurv
5 NRHCC Morning Report 3 September 2020 and Waikato DHB Morning Report 3 September 2020
DHB Hospital Number in a general
ward Number in ICU/HDU
Auckland Auckland City 1 0
Counties Manukau Middlemore 1 1
Waitematā North Shore 2* 0
Waikato Waikato 1 1
Total - 5 2
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4
Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Overview6
There is now a clear increase in cases as a result of the new Mt Roskill Evangelical Church sub-
cluster. Some of these cases have recent symptoms. While the impact of intensive case follow-up
appears to be working overall, the number of cases associated with the Mt Roskill Evangelical
Church sub-cluster has continued to increase and it is likely that more cases will arise.
Current outbreak investigation priorities7
o Contact tracing and containment around Mt Roskill church sub-cluster
o Seek to identify an epidemiological link for the case to the main cluster
o Clarify whether the case that is a returnee from June is a new infection, and clarify strain
o Contact trace and isolate close contacts exposed on Auckland bus journeys
o Seek to identify epidemiological link to the cluster for cases that have been genomically
linked but not epidemiologically linked.
8. Mt Roskill Evangelical Church is a priority for ARPHS due to ongoing transmission
occurring and concerns that not all contacts have been identified. Several events
including church services and a wedding are being scoped. This is a joint effort with
ARPHS completing contact tracing for the events and Waikato focusing on source
attribution.8 The DHBs are working closely with Church leaders to:
o Maintain relationships with and support for Church leaders.
o Understand the total number of people that need to be tested.
o Push testing coverage.
o Develop welfare support arrangements for those requiring quarantine.
Sub-clusters and settings of interest
9. The two family members of the were isolating at home from 22 August after the
case moved to hospital on 21 August. These family members moved to Jet Park
6 ARPHS Strategic Report 31 August 2020
7 ARPHS Strategic Report 31 August 2020
8 ARPHS, Waikato DHB and MoH teleconference 3pm 3 September 2020
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on 28 August. Contact tracing has not identified any further cases. Investigation to
identify the epidemiological link to the cluster is ongoing.
10. Contact tracing investigation and testing is ongoing for the Botany sub-cluster. This
sub-cluster includes the Botany case reported 28 August and four other cases reported
recently (one on 31 August and three on 1 September). More information to come
when available.
11. There are new settings of interest being investigated for the Botany sub-cluster,
including casual work places. More information to come when available.
12. There is a sports club associated with the Mt Roskill Evangelical Church. To date there
are no known exposures confirmed at the sports club.9 It is being investigated as both a
possible exposure event and a possible source of the Mt Roskill Evangelical Church
sub-cluster10.
ARPHS advised on 31 August the sports club had been closed for the two weeks prior,
therefore none of the club members are being considered close contacts. ARPHS sent
comms to members regarding testing and to date no positive cases have been
reported.11 Surveillance testing is underway.12
13. Further investigation of the event mentioned in the 2 September SitRep as a
setting of interest has been explored. Possible links between the event and
Americold associated cases were explored as a possible source of transmission of the
cases infection. The investigation found the onset date and infectious period
dates of the cases do not align. As a result, APRHS have has ruled out this possibility of
transmission source and link of the case to the Americold associated cases.
Further investigation for an epidemiological link for the case is underway.
Case investigation
14. Four cases that have been genomically linked to the cluster are still being investigated
by ARPHS to identify their epidemiological link.
o The source of infection is still under investigation. is no
longer being considered as the possible source because analysis of the test result
shows had a more recent infection. have
tested negative.13
o GP.
o The second Mount Albert Grammar student.
o Botany case: and lives in a household with
close links to a second household. Members of the second household are testing
positive.
9 NRHCC Morning Report 3 September 2020
10 NRHCC Morning Report 2 September 2020
11 ARPHS, Waikato DHB and MoH teleconference 3pm 31 August 2020
12 NRHCC Morning Report 3 September 2020
13 ARPHS, Waikato DHB and MoH teleconference 3pm 31 August 2020
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6
15. The case in Tokoroa reported on 29 August is a contact of an existing case from
Tokoroa who is linked to the Auckland cluster. The case works at a medical centre in
Tokoroa and it is believed they had contact with the existing case
The centre has had a final deep clean and has reopened with reduced
staff. The centre is completing most consultations virtually. Contact tracing is being
completed back to 20 August. This is a precautionary timeframe that is being taken due
to the case’s long incubation period radiological findings suggest more advanced
disease despite 27 August symptom onset date.
. No contacts
have been identified at the . Two testing sites were stood up 30 August for
testing staff and patients, these will be available for the rest of the week.
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8
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9
IN CONFIDENCE – NOT FOR DISTRIBUTION
ESR and wider testing14 16. A total of 104 cases (69%) from the main cluster have been sequenced, 93 (62% of total
confirmed cases) yielded a high-quality genome sequence. Three cases yielded partial
genomes but had sufficient data to indicate that these cases are part of the outbreak
cluster. The remaining eight cases did not have sufficient genetic material to be
sequenced.
17.
18. Work is underway to analyse how the whole genome sequencing can be used to tell us
how COVID-19 has been transmitted through the community cluster and to further
inform its management.
19. No direct links have been found between the community outbreak genome
sequencing, with the 49 full genomes currently available from cases in managed
isolation facilities (MIFs).
20.
Contact tracing 21. Between 25 August and 31 August 70% (722 of 1029)15 of close contacts have been
contacted within 48 hours of being determined to be a contact. KPI for this metric is
80% of close contacts within 48 hours.
o Note: This is low mainly due to an exposure event and resulting sub-cluster during this period. Around 400 people were identified as close contacts through exposure to a case that was identified via a source attribution investigation. In this instance, the Case was not identified until more than 14 days after the exposure event. After 14 days from an exposure, the need to isolate close contacts has passed as this is the full incubation period, therefore close contacts were not isolated. Despite impacting metrics this delayed case identification and subsequent delayed close contact communication demonstrates that an effective trace back process occurred, leading to successful source identification.
o Notes: This metric reports all cases during the specified period, including those in Managed Isolation and Quarantine, and does not include casual contacts.
14 ESR Whole Genome Sequencing Report 02 September 2020
15 Contact Tracing Data, COVID-19 NCCS Analytics and Reporting received 0929 03 September 2020
s 9(2)(g)(i)
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10
Table 6: Close contact tracing recorded in the National Contact Tracing Solution since 11 August as at
0900 03 September 2020
31/08/2020 01/09/2020 02/09/2020 03/09/2020
Number of close contacts
identified1 2621 2743 3192 3162
Number of close contacts
successfully contacted (and are
self-isolating)
2505 2676 2992 2984
Number of close contacts
referred to "finding services"2 7 5 4 4
Number of close contacts
awaiting contact 109 62 196 174
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage Figure 1: COVID-19 Tracer App16 cumulative registered users and daily scans/manual entries as at
1615 02 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
16 Response Analyst – Digital Channels, 1625 02 September 2020
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours 63% 100% 95% 84% 100% 93% -
C – (S005) Proportion of close contacts with confirmed or suspected
COVID-19 at the time of tracing <20% 4% 17% 0% 0% 0% 5% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• *** The metrics for Indicators S001, S002, S003, P002 on the 26 August are low mainly due to an exposure event and resulting sub-cluster during this period. Around 400 people were identified as close contacts through exposure to a case that was identified via a source attribution investigation. In this instance, the
Case was not identified until more than 14 days after the exposure event. After 14 days from an exposure, the need to isolate close contacts has passed as this is the full incubation period, therefore close contacts were not isolated. Despite impacting metrics this delayed case identification and subsequent delayed
close contact communication demonstrates that an effective trace back process occurred, leading to successful source identification.
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
17
IN CONFIDENCE – NOT FOR DISTRIBUTION
APPENDIX: 4
NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 02 September 2020
Table 1. Metro Auckland Summary Total of Testing for 01 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 1733 163 468 252 52 2668
Table 2. Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and
reported later than this; tests only included if coded and received and acknowledged by lab, result
not required
*Includes GP clinics, Urgent Care Centres, Designated practices
Table 3. Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-16/08 17/08-23/08 24/08 – 30/08 31/08 01/09 02/09*
MIQ Staff 2132 659 1488 152 100 163
Guests 2972 3767 3600 418 399 468
Border Airport 2129 933 1349 199 205 252
Port 1588 678 161 99 19 52
* 02/09 day still in progress
Tests Last 24 hours Total since 12/8*
Ethnicity CTC
Non-
CTC
Total
% Tests %
Asian 465 333 798 17.1% 27,469 17.0%
Maori 468 251 719 15.4% 24,656 15.2%
Other 1004 867 1871 40.2% 68,000 42.0%
Pacific 716 378 1094 23.5% 38,985 24.1%
Unknown 76 100 176 3.8% 2865 1.8%
Total 2729 1929 4658 161,975
IN CONFIDENCE – NOT FOR DISTRIBUTION
18
Table 4: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on
Table 1: Total number of COVID-19 cases as at 0900 04 September 2020
Case Status Active Recovered Deceased Total
Confirmed 112 (-3) 1284 (+8) 17 1413 (+5)
Probable 0 346 5 351
Total 112 (-3) 1630 (+8) 22 1764 (+5)*
*Net increase of 5 cases with 8 cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 04 September 20201
New community cases since 0900 03 September 2020
1. Three new confirmed community case has been reported.
o Two cases are from one household and are epidemiologically linked with cases
associated with the Mt Roskill Evangelical Church sub-cluster.
o One case has very recently been reported in EpiSurv and no information currently
exists about relationships to other cases.
Community cases linked to the Auckland Community Cluster August 2020
2. 152 of the 155 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 04 September.
o One of the unlinked cases is the Rydges employee (this investigation has been
closed).
o One case is still under investigation for an epidemiological link to the community
cluster and there is insufficient data to confirm a genomic link to the community
cluster (see 3).
o A new case reported 04 September currently has no information available about
relationships to other cases. The case will be scoped today.
1 EpiSurv
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 73 (+2) 37 (+1) 43 2 155 (+3)
Probable 0 0 0 0 0
Total 73 (+2) 37 (+1) 43 2 155 (+3)
IN CONFIDENCE – NOT FOR DISTRIBUTION
3
Community cases under investigation to determine a link to the community cluster
3. Case under investigation is summarised as follows:
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. Subsequently the case tested positive on
21 August after being swabbed at a mobile testing clinic in Auckland. Despite using
two different whole genome sequencing protocols only a partial genome was
obtained. There is insufficient data to confirm the case is genomically linked to the
community cluster.2
Community cases and household contacts at Jet Park
4. As at 0800 4 September there are 82 people isolating in Jet Park from the community.
59 are confirmed cases, the remaining 23 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.3
MIQ cases
5. As at 0900 4 September there has been two new cases detected at the border since
0900 3 September. In total there are 135 cases that have been detected at the border
since the establishment of MIFs/MIQs.
o Both cases were detected in Auckland, and are part of a family group that arrived
from India on 23 August. The family was transferred from managed isolation to Jet
Park Quarantine on 28 August after one family member tested positive at Day 3
testing. Subsequently three other family members have tested positive.4
Cases in hospital
6. As at 0800 4 September there are six cases in hospital with COVID-19.5
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 4 September 2020
2 ESR WGS report 3 September 2020
3 NRHCC Morning Report 4 September 2020
4 EpiSurv
5 NRHCC Morning Report 4 September 2020 and Waikato DHB Morning Report 4 September 2020
DHB Hospital Number in a general
ward Number in ICU/HDU
Auckland Auckland City 1 0
Counties Manukau Middlemore 0 1
Waitematā North Shore 2 0
Waikato Waikato 1 1
Total - 4 2
IN CONFIDENCE – NOT FOR DISTRIBUTION
4
Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Overview6
There is now a clear increase in cases as a result of the new Mt Roskill Evangelical Church sub-
cluster. Some of these cases have recent symptoms. While the impact of intensive case follow-up
appears to be working overall, the number of cases associated with the Mt Roskill Evangelical
Church sub-cluster has continued to increase and it is likely that more cases will arise.
Current outbreak investigation priorities7
o Contact tracing and containment around Mt Roskill church sub-cluster
o Seek to identify an epidemiological link for the case to the main cluster
o Clarify whether the case that is a returnee from June is a new infection, and clarify strain
o Contact trace and isolate close contacts exposed on Auckland bus journeys
o Seek to identify epidemiological link to the cluster for cases that have been genomically
linked but not epidemiologically linked.
8. Mt Roskill Evangelical Church is a priority for ARPHS due to ongoing transmission
occurring and concerns that not all contacts have been identified. Several events
including church services and a are being scoped. This is a joint effort with
ARPHS completing contact tracing for the events and Waikato focusing on source
attribution.8 The DHBs are working closely with Church leaders to:
o Maintain relationships with and support for Church leaders.
o Understand the total number of people that need to be tested.
o Push testing coverage.
o Develop welfare support arrangements for those requiring quarantine.
Sub-clusters and settings of interest
6 ARPHS Strategic Report 31 August 2020
7 ARPHS Strategic Report 31 August 2020
8 ARPHS, Waikato DHB and MoH teleconference 3pm 3 September 2020
s 9(2)(a)
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5
9. Contact tracing investigation and testing is ongoing for the Botany sub-cluster. This
sub-cluster includes the Botany case reported 28 August and four other cases reported
recently (one on 31 August and three on 1 September).
10. Settings of interest are being investigated for the Botany sub-cluster, including casual
work places. More information to come when available.
11. There is a sports club associated with the Mt Roskill Evangelical Church. To date there
are no known exposures confirmed at the sports club.9 It is being investigated as both a
possible exposure event and a possible source of the Mt Roskill Evangelical Church
sub-cluster.10
ARPHS advised on 31 August the sports club had been closed for the two weeks prior,
therefore none of the club members are being considered close contacts. ARPHS sent
comms to members regarding testing and to date no positive cases have been
reported.11 Surveillance testing is underway.12
Case investigation
12. Four cases that have been genomically linked to the cluster are still being investigated
by ARPHS to identify their epidemiological link.
o The source of infection is still under investigation.
o GP.
o The second Mount Albert Grammar student.
o Botany case: and lives in a household with
close links to a second household. Members of the second household are testing
positive.
13. Investigation into source attribution of the Botany cases infection is continuing. A
possible epidemiological link is being explored between the Botany case and previously
reported cases within another household. The symptom onset dates of the possible
epidemiological linked household are prior to the Botany cases’ symptom onset dates.
Further investigation is underway.
14. The case in Tokoroa reported on 29 August is a contact of an existing case from
Tokoroa who is linked to the Auckland cluster. The case works at a medical centre in
Tokoroa and it is believed they had contact with the existing case
The centre has had a final deep clean and has reopened with reduced
staff. The centre is completing most consultations virtually. Contact tracing is being
completed back to 20 August. This is a precautionary timeframe that is being taken due
to the case’s long incubation period radiological findings suggest more advanced
disease despite 27 August symptom onset date.
. Two testing sites were stood up
30 August for testing staff and patients, these will be available for the rest of the week.
9 NRHCC Morning Report 3 September 2020
10 NRHCC Morning Report 2 September 2020
11 ARPHS, Waikato DHB and MoH teleconference 3pm 31 August 2020
12 NRHCC Morning Report 3 September 2020
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
6
IN CONFIDENCE – NOT FOR DISTRIBUTION
1.
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
7
s 9(2)(a)
8
IN CONFIDENCE – NOT FOR DISTRIBUTION
ESR and wider testing13 15. A total of 104 cases (69%) from the main cluster have been sequenced, 93 (62% of total
confirmed cases) yielded a high-quality genome sequence. Three cases yielded partial
genomes but had sufficient data to indicate that these cases are part of the outbreak
cluster. The remaining eight cases did not have sufficient genetic material to be
sequenced.
16.
17. Work is underway to analyse how the whole genome sequencing can be used to tell us
how COVID-19 has been transmitted through the community cluster and to further
inform its management.
18. No direct links have been found between the community outbreak genome
sequencing, with the 49 full genomes currently available from cases in managed
isolation facilities (MIFs).
19.
Contact tracing14 20. Between 26 August and 01 September 71% (747 of 1057) of close contacts have been
contacted within 48 hours of being determined to be a contact. KPI for this metric is
80% of close contacts within 48 hours.
o Note: This is low mainly due to an exposure event and resulting sub-cluster during this period. Around 400 people were identified as close contacts through exposure to a case that was identified via a source attribution investigation. In this instance, the Case was not identified until more than 14 days after the exposure event. After 14 days from an exposure, the need to isolate close contacts has passed as this is the full incubation period, therefore close contacts were not isolated. Despite impacting metrics this delayed case identification and subsequent delayed close contact communication demonstrates that an effective trace back process occurred, leading to successful source identification.
o Notes: This metric reports all cases during the specified period, including those in Managed Isolation and Quarantine, and does not include casual contacts.
13 ESR Whole Genome Sequencing Report 02 September 2020
14 COVID-19 NCCS Analytics and Reporting 0904 04 September 2020
s 9(2)(g)(i)
s 9(2)(g)(i)
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9
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 11 August as at
0900 04 September 2020
01/09/2020 02/09/2020 03/09/2020 04/09/2020
Number of close contacts
identified1 2743 3192 3162 3191
Number of close contacts
successfully contacted (and are
self-isolating)
2676 2992 2984 3136
Number of close contacts
referred to "finding services"2 5 4 4 4
Number of close contacts
awaiting contact 62 196 174 51
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage15 Figure 1: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
03 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
15 Response Analyst – Digital Channels, 1625 03 September 2020
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours 100% 95% 84% 100% 94% 100% -
C – (S005) Proportion of close contacts with confirmed or suspected
COVID-19 at the time of tracing <20% 17% 0% 0% 0% 5% 0% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• *** The metrics for Indicators S001, S002, S003, P002 on the 26 August are low mainly due to an exposure event and resulting sub-cluster during this period. Around 400 people were identified as close contacts through exposure to a case that was identified via a source attribution investigation. In this instance, the
Case was not identified until more than 14 days after the exposure event. After 14 days from an exposure, the need to isolate close contacts has passed as this is the full incubation period, therefore close contacts were not isolated. Despite impacting metrics this delayed case identification and subsequent delayed
close contact communication demonstrates that an effective trace back process occurred, leading to successful source identification.
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
16
IN CONFIDENCE – NOT FOR DISTRIBUTION
APPENDIX: 4
NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 03 September 2020
Table 1. Metro Auckland Summary Total of Testing for 03 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 1623 120 492 167 74 2476
Table 2. Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and
reported later than this; tests only included if coded and received and acknowledged by lab, result
not required
*Includes GP clinics, Urgent Care Centres, Designated practices
Table 3. Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 01/09 02/09 03/09*
MIQ Staff 2132 659 1488 152 100 265 120
Guests 2972 3767 3600 418 399 468 492
Border Airport 2129 933 1349 199 205 252 167
Port 1588 678 161 99 19 52 74
* 03/09 day still in progress
Tests Last 24 hours Total since 12/8*
Ethnicity CTC
Non-
CTC
Total
% Tests %
Asian 430 402 832 22.3% 28,804 17.2%
Maori 319 202 521 14.0% 24,865 14.8%
Other 727 725 1452 38.9% 70,863 42.3%
Pacific 499 323 822 22.0% 39,983 23.8%
Unknown 30 71 101 2.7% 3163 1.9%
Total 2005 1723 3728 167,678
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17
Table 4: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on
Table 1: Total number of COVID-19 cases as at 0900 05 September 2020
Case Status Active Recovered Deceased Total
Confirmed 112 1285 (+1) 19 (+2) 1416 (+3)
Probable 0 346 5 351
Total 112 1631 (+1) 24 (+2) 1767 (+3)*
*Net increase of 3 cases, with 1 case classified as recovered and 2 deaths reported.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 05 September 20201
New community cases since 0900 04 September 2020
1. Two new community cases have been reported, as at 0900 05 September.
o One case is a close contact of a confirmed case and is linked to the Americold
household sub-cluster. The case has been in isolation at Jet Park from 18 August.
o One case is a close contact of a confirmed case that is linked to the Mt Roskill
Evangelical Church sub-cluster.
Community cases linked to the Auckland Community Cluster August 2020
2. 155 of the 157 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 05 September. The unlinked cases are summarised as follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster and there is insufficient data to confirm a genomic link to the
community cluster (see 3).
1 EpiSurv
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 74 (+1) 38 (+1) 43 2 157 (+2)
Probable 0 0 0 0 0
Total 74 (+1) 38 (+1) 43 2 157 (+2)
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3
o
Community cases under investigation to determine a link to the Auckland community
cluster
3. Case under investigation is summarised as follows:
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. Subsequently the case tested positive on
21 August after being swabbed at a mobile testing clinic in Auckland. Despite using
two different whole genome sequencing protocols only a partial genome was
obtained. There is insufficient data to confirm the case is genomically linked to the
community cluster. 2 Their epidemiological link to the community cluster is still
under investigation.
Community cases and household contacts at Jet Park
4. As at 0800 05 September there are 77 people isolating in Jet Park from the community.
60 are confirmed cases, the remaining 17 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.3
MIQ cases since 0900 04 September 2020
5. One new case4 detected at the border, as at 0900 05 September. In total 136 cases have
been detected at the border since the establishment of MIFs/MIQs.
o The case arrived from India on 23 August and was identified as a close contact of an
existing confirmed case.
Cases in hospital
6. As at 0800 05 September there are two cases in hospital with COVID-19.5
o Two deaths have been reported; one case6 on 04 September was in ICU at
Middlemore Hospital and one case3 on 05 September at Auckland Hospital.
o Two cases were discharged; one case6 on 04 September from Waikato Hospital and
one case on 04 September from North Shore Hospital.
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 05 September 2020
2 ESR WGS report 3 September 2020
3 NRHCC Morning Report 5 September 2020
4 EpiSurv
5 NRHCC Morning Report 5 September 2020 and Waikato DHB Morning Report 5 September 2020
6 ARPHS, Waikato DHB and MoH teleconference 3pm 4 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 0 0
Counties Manukau Middlemore 0 0
Waitematā North Shore 1 0
Waikato Waikato 0 1
Total - 1 1
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4
Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Overview7
There is now a clear increase in cases as a result of the new Mt Roskill Evangelical Church sub-
cluster. Some of these cases have recent symptoms. While the impact of intensive case follow-up
appears to be working overall, the number of cases associated with the Mt Roskill Evangelical
Church sub-cluster has continued to increase and it is likely that more cases will arise.
Current outbreak investigation priorities8
o Contact tracing and containment around Mt Roskill church sub-cluster.
o Seek to identify an epidemiological link for the case to the main cluster.
o Clarify whether the case that is a returnee from June is a new infection and clarify strain.
o Contact trace and isolate close contacts exposed on Auckland bus journeys.
o Seek to identify epidemiological link to the cluster for cases that have been genomically
linked but not epidemiologically linked.
8. Mt Roskill Evangelical Church is a priority for ARPHS due to ongoing transmission
occurring and concerns that not all contacts have been identified. Several events
including church services and a wedding are being scoped. This is a joint effort with
ARPHS completing contact tracing for the events and Waikato focusing on source
attribution.9 The DHBs are working closely with Church leaders to:
o Maintain relationships with and support for Church leaders.
o Understand the total number of people that need to be tested.
o Push testing coverage.
o Develop welfare support arrangements for those requiring quarantine.
Sub-clusters and settings of interest
7 ARPHS Strategic Report 31 August 2020
8 ARPHS Strategic Report 31 August 2020
9 ARPHS, Waikato DHB and MoH teleconference 3pm 3 September 2020
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
5
9. Contact tracing investigation and testing is ongoing for the Botany sub-cluster. This
sub-cluster includes the Botany case reported 28 August and four other cases reported
recently (one on 31 August and three on 1 September).
10. Settings of interest for the Botany sub-cluster are being investigated, including casual
work places. More information to come when available.
11. There is a sports club associated with the Mt Roskill Evangelical Church. To date there
are no known exposures confirmed at the sports club.10 It is being investigated as both
a possible exposure event and a possible source of the Mt Roskill Evangelical Church
sub-cluster.11
ARPHS advised on 31 August the sports club had been closed for the two weeks prior,
therefore none of the club members are being considered close contacts. ARPHS sent
comms to members regarding testing and to date no positive cases have been
reported.12 Surveillance testing is ongoing.13
Case investigation
12. Four cases that have been genomically linked to the cluster are still being investigated
by ARPHS to identify their epidemiological link.
o The source of infection is still under investigation.
o GP.
o The second Mount Albert Grammar student.
o Botany case: and lives in a household with
close links to a second household. Members of the second household are testing
positive.
13. The community case reported in SITREP 043 04 September, that had no information
available on their relationship to other cases, has now been confirmed to have an
epidemiological link to other confirmed cases and is linked to the Mt Roskill Evangelical
Church sub-cluster.14
14. Investigation into source attribution of the Botany cases infection is continuing. A
possible epidemiological link is being explored between the Botany case and previously
reported cases within another household. The symptom onset dates of the possible
epidemiological linked household are prior to the Botany cases’ symptom onset dates.
Further investigation is underway.
15. The case in Tokoroa reported on 29 August is a contact of an existing case from
Tokoroa who is linked to the Auckland cluster. The case works at a medical centre in
Tokoroa and it is believed they had contact with the existing case
The centre has had a final deep clean and has reopened with reduced
10 NRHCC Morning Report 3 September 2020
11 NRHCC Morning Report 2 September 2020
12 ARPHS, Waikato DHB and MoH teleconference 3pm 31 August 2020
13 NRHCC Morning Report 3 September 2020
14 EpiSurv
s 9(2)(a)
s 9(2)(a)
s 9(2)(a) s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
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6
staff. The centre is completing most consultations virtually. Contact tracing is being
completed back to 20 August. This is a precautionary timeframe that is being taken due
to the case’s long incubation period radiological findings suggest more advanced
disease despite 27 August symptom onset date.
On 30 August two testing sites
were stood up for testing staff and patients, these will be available for the rest of the
week.
s 9(2)(a)
7
IN CONFIDENCE – NOT FOR DISTRIBUTION
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
8
s 9(2)(a)
9
IN CONFIDENCE – NOT FOR DISTRIBUTION
ESR and wider testing15 16. A total of 104 cases (69%) from the main cluster have been sequenced, 93 (62% of total
confirmed cases) yielded a high-quality genome sequence. Three cases yielded partial
genomes but had sufficient data to indicate that these cases are part of the outbreak
cluster. The remaining eight cases did not have sufficient genetic material to be
sequenced.
17.
18. Work is underway to analyse how the whole genome sequencing can be used to tell us
how COVID-19 has been transmitted through the community cluster and to further
inform its management.
19. No direct links have been found between the community outbreak genome
sequencing, with the 49 full genomes currently available from cases in managed
isolation facilities (MIFs).
20.
Contact tracing16 21. Between 27 August and 02 September 93% (439 of 472) of close contacts have been
contacted within 48 hours of being determined to be a contact. KPI for this metric is
80% of close contacts within 48 hours.
o Notes: This metric reports all cases during the specified period, including those in Managed Isolation and Quarantine, and does not include casual contacts.
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 11 August as at
0900 05 September 2020
02/09/2020 03/09/2020 04/09/2020 05/09/2020
Number of close contacts
identified1 3192 3162 3191 3222
Number of close contacts
successfully contacted (and are
self-isolating)
2992 2984 3136 3177
15 ESR Whole Genome Sequencing Report 02 September 2020
16 COVID-19 NCCS Analytics and Reporting 0918 05 September 2020
s 9(2)(g)(i)
s 9(2)(g)(i)
IN CONFIDENCE – NOT FOR DISTRIBUTION
10
Number of close contacts
referred to "finding services"2 4 4 4 4
Number of close contacts
awaiting contact 196 174 51 41
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage17 Figure 1: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
04 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
22. Key Numbers:
o 2,093,900 - Total registered users
o 2,347,579 - QR code scans between 1200 03 and 1200 04 September
17 Response Analyst – Digital Channels, 1628 04 September 2020
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours 95% 85% 100% 99% 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected
COVID-19 at the time of tracing <20% 0% 0% 0% 4% 0% 0% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons,
including a case recalling further details following the original case interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
17
IN CONFIDENCE – NOT FOR DISTRIBUTION
APPENDIX: 4
NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 04 September 2020
Table 1. Metro Auckland Summary Total of Testing for 04 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 1227 148 505 156 104 2140
Table 2. Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and
reported later than this; tests only included if coded and received and acknowledged by lab, result
not required
*Includes GP clinics, Urgent Care Centres, Designated practices
Table 3. Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 01/09 02/09 03/09 04/09*
MIQ Staff 2132 659 1488 152 100 265 120 148
Guests 2972 3767 3600 418 399 468 492 505
Border Airport 2129 933 1349 199 205 252 167 156
Port 1588 678 161 99 19 52 74 104
* 04/09 day still in progress
Tests Last 24 hours Total since 12/8*
Ethnicity CTC
Non-
CTC
Total
% Tests %
Asian 520 447 967 23.4% 30,090 17.4%
Maori 307 245 552 13.4% 25,473 14.7%
Other 754 782 1536 37.2% 73,222 42.3%
Pacific 551 373 924 22.4% 41,121 23.7%
Unknown 40 112 152 3.7% 3337 1.9%
Total 2172 1959 4131 173,243
IN CONFIDENCE – NOT FOR DISTRIBUTION
18
Table 4: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on
Table 1: Total number of COVID-19 cases as at 0900 06 September 2020
Case Status Active Recovered Deceased Total
Confirmed 116 (+4)* 1286 (+1) 19 1421 (+5)
Probable 0 346 5 351
Total 116 (+4)* 1632 (+1) 24 1772 (+5)
*Net increase of 5 cases, with 1 case classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 06 September 20201
New community cases since 0900 05 September 2020
1. Four new community cases have been reported, as at 0900 06 September.
o All four cases are close contacts confirmed cases linked to the Mt Roskill Evangelical
Church sub-cluster. Three of the cases are from one household.
Community cases linked to the Auckland Community Cluster August 2020
2. 159 of the 161 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 06 September. The unlinked cases are summarised as follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster and there is insufficient data to confirm a genomic link to the
community cluster (see 3).
Community cases under investigation to determine a link to the Auckland community
cluster
3. The case under investigation is summarised as follows:
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. Subsequently the case tested positive on
21 August after being swabbed at a mobile testing clinic in Auckland. Despite using
two different whole genome sequencing protocols only a partial genome was
1 EpiSurv
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 74 42 (+4) 43 2 161 (+4)
Probable 0 0 0 0 0
Total 74 42 (+4) 43 2 161 (+4)
IN CONFIDENCE – NOT FOR DISTRIBUTION
3
o
obtained. There is insufficient data to confirm the case is genomically linked to the
community cluster.2 Their epidemiological link to the community cluster is still under
investigation.
Community cases and household contacts at Jet Park
4. As at 0800 06 September there are 75 people isolating in Jet Park from the community.
58 are confirmed cases, the remaining 17 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.3
MIQ cases since 0900 05 September 2020
5. One new case4 detected at the border, as at 0900 06 September. In total 137 cases have
been detected at the border since the establishment of MIFs/MIQs.
o The case arrived from India on 23 August and is a close contact of an existing
confirmed case. The case tested positive on day 11.
Cases in hospital
6. As at 0800 06 September there are four cases in hospital with COVID-19.5
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 05 September 2020
2 ESR WGS report 3 September 2020
3 NRHCC Morning Report 6 September 2020
4 EpiSurv
5 NRHCC Morning Report 6 September 2020 and Waikato DHB phone call 6 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 0 0
Counties Manukau Middlemore 1 0
Waitematā North Shore 2 0
Waikato Waikato 0 1
Total - 3 1
IN CONFIDENCE – NOT FOR DISTRIBUTION
4
Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Overview6
There is now a clear increase in cases as a result of the new Mt Roskill Evangelical Church sub-
cluster. Some of these cases have recent symptoms. While the impact of intensive case follow-up
appears to be working overall, the number of cases associated with the Mt Roskill Evangelical
Church sub-cluster has continued to increase and it is likely that more cases will arise.
Current outbreak investigation priorities7
o Contact tracing and containment around Mt Roskill Evangelical Church sub-cluster.
o Seek to identify an epidemiological link to the main cluster for the case.
o Clarify whether the case that is a returnee from June is a new infection and clarify strain.
o Contact trace and isolate close contacts exposed on Auckland bus journeys.
o Seek to identify an epidemiological link to the main cluster for cases that have been
genomically linked but not epidemiologically linked.
8. Mt Roskill Evangelical Church is a priority for ARPHS due to ongoing transmission
occurring and concerns that not all contacts have been identified. Several events
including church services and a are being scoped. This is a joint effort with
ARPHS completing contact tracing for the events and Waikato focusing on source
attribution.8 The DHBs are working closely with Church leaders to:
o Maintain relationships with and support for Church leaders.
o Understand the total number of people that need to be tested.
o Push testing coverage.
o Develop welfare support arrangements for those requiring quarantine.
Sub-clusters and settings of interest
6 ARPHS Strategic Report 31 August 2020
7 ARPHS Strategic Report 31 August 2020
8 ARPHS, Waikato DHB and MoH teleconference 3pm 3 September 2020
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
5
9. Contact tracing investigation and testing is ongoing for the Botany sub-cluster. This
sub-cluster includes the Botany case reported 28 August and four other cases reported
recently (one on 31 August and three on 1 September).
10. Settings of interest for the Botany sub-cluster are being investigated, including casual
work places. More information to come when available.
11. There is a sports club associated with the Mt Roskill Evangelical Church. To date there
are no known exposures confirmed at the sports club.9 It is being investigated as both a
possible exposure event and a possible source of the Mt Roskill Evangelical Church
sub-cluster.10
ARPHS advised on 31 August the sports club had been closed for the two weeks prior,
therefore none of the club members are being considered close contacts. ARPHS sent
comms to members regarding testing and to date no positive cases have been
reported.11 Surveillance testing is ongoing.12
Case investigation
12. Four cases that have been genomically linked to the main cluster are still being
investigated by ARPHS to identify their epidemiological link to the main cluster.
o The
o GP
o The second Mount Albert Grammar student
o The Botany case
13. Investigation into source attribution of the Botany cases infection is continuing. A
possible epidemiological link is being explored between the Botany case and previously
reported cases within another household. The symptom onset dates of the possible
epidemiological linked household are prior to the Botany cases’ symptom onset dates.
Further investigation is underway.
14. The case in Tokoroa reported on 29 August is a contact of an existing case from
Tokoroa who is linked to the Auckland cluster. The case works at a medical centre in
Tokoroa and it is believed they had contact with the existing case
. The centre has had a final deep clean and has reopened with reduced
staff. The centre is completing most consultations virtually. Contact tracing is being
completed back to 20 August. This is a precautionary timeframe due to the case’s long
incubation period and radiological findings suggesting more advanced disease despite
the 27 August symptom onset date.
On 30 August two testing sites were stood
up for testing staff and patients, these will be available for the rest of the week.
9 NRHCC Morning Report 3 September 2020
10 NRHCC Morning Report 2 September 2020
11 ARPHS, Waikato DHB and MoH teleconference 3pm 31 August 2020
12 NRHCC Morning Report 3 September 2020
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
6
IN CONFIDENCE – NOT FOR DISTRIBUTION
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
7
s 9(2)(a)
8
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ESR and wider testing13 15. A total of 104 cases (69%) from the main cluster have been sequenced, 93 (62% of total
confirmed cases) yielded a high-quality genome sequence. Three cases yielded partial
genomes but had sufficient data to indicate that these cases are part of the outbreak
cluster. The remaining eight cases did not have sufficient genetic material to be
sequenced.
16.
17. Work is underway to analyse how the whole genome sequencing can be used to tell us
how COVID-19 has been transmitted through the community cluster and to further
inform its management.
18. No direct links have been found between the community outbreak genome
sequencing, with the 49 full genomes currently available from cases in managed
isolation facilities (MIFs).
19.
Contact tracing14 20. Between 27 August and 02 September 93% (439 of 472) of close contacts have been
contacted within 48 hours of being determined to be a contact. KPI for this metric is
80% of close contacts within 48 hours.
o Notes: This metric reports all cases during the specified period, including those in Managed Isolation and Quarantine, and does not include casual contacts.
o Notes: The close contact numbers for today have fallen slightly due to the reclassification of some older cases from community to border cases.
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 11 August as at
0900 05 September 2020
03/09/2020 04/09/2020 05/09/2020 06/09/2020
Number of close contacts
identified1 3162 3191 3222 3217
13 ESR Whole Genome Sequencing Report 02 September 2020
14 COVID-19 NCCS Analytics and Reporting 1008 06 September 2020
s 9(2)(g)(i)
s 9(2)(g)(i)
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9
Number of close contacts
successfully contacted (and are
self-isolating)
2984 3136 3177 3187
Number of close contacts
referred to "finding services"2 4 4 4 4
Number of close contacts
awaiting contact 174 51 41 26
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage15 Figure 1: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1015
05 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
21. Key Numbers:
o 2,106,700 - Total registered users
o 1,823,959 - QR code scans between 1200 04 and 1000 05 September
15 Response Analyst – Digital Channels, 1628 04 September 2020
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10
Testing16 Table 6: Testing by functional groups, as at 0900 04 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers17 Table 7: Number of laboratory tests processed nationally as at 0900 05 September 2020
Testing supply update18
22. There are approximately 270,000 complete tests in NZ. Resupply continues to largely
match usage, and additional swab deliveries are expected to arrive this week.
16 ÉCLAIR/MoH Public Health Intelligence, 1000 05 September 2020
17 Daily Lab Report, 0826 06 September 2020
18 Health Supply Chain email, 0907 30 August 2020
Reason for test 04 September 29 August – 04 September
GPs and other primary health 1291 23634
CBACs and pop-ups 1287 31,439
Border workers - air crew 5 196
Border workers - airport staff 117 1564
Border workers - maritime crew 1 40
Border workers – Port of Tauranga staff 72 340
Border workers – Remaining Port staff 87 232
Border workers - MIF 30 789
Border workers - MIQ 34 177
Travellers - Staying at MIF 71 2000
Travellers - Staying at MIQ 2 128
Total 2997 60,539*
Time period Number of laboratory tests
05 September 7178
Last 7 days (30 Aug to 05 Sep) 63,830
Total 814,638
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Testing activity by region
Focus areas
23. As at 1700 03 September there are 24 Community testing Centres in the Metro
Auckland area. Two of these are closed CTC's for close contacts only.19
Healthline updates20 24. On 05 September there were 2,890 contacts in Healthline. Of those calls, 1,106 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 605 contacts (in line with forecast).
25. The main themes yesterday/today:
o Community concern and general anxiety following the announcement of the deaths
over 04 – 05 September.
o Clarification of level announcements made during 04 September.
o Symptomatic and asymptomatic Service User’s wanting to be tested.
o People having welfare needs associated with the lock down.
Logistics
Health Workforce21
26. Health Workforce have identified a small group of people on the surge workforce who
have indicated they would be willing to work in an ARC facility in the event of an
outbreak – this week we will work on whether this pool can be expanded and actions to
keep the group “warm” in the event ARC employers require them.
27. Upskilling of alternative workforces for testing continues to progress, including plans
for a training package and scoping of micro-credentialing, in addition to understanding
where this workforce would be obtained from. It is anticipated this training package will
be available within four weeks (estimated).
28. Health Workforce continue to work with TAS and all 20 GMsHR on workforce needs and
issues – regular workforce intelligence information will be provided to Health
Workforce, which will be incorporated into frequent dashboard reports.
19 Community Testing Centres report, 1809 03 September 2020
20 National Telehealth Service Coronavirus Update, 0847 06 September 2020
21 Health Workforce Directorate, 0832 01 September 2020
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12
Hospital capacity22 Table 8: Number and occupancy of hospital beds by type as at 0800 06 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 247 146 (59.1%)
Ventilators 201 40 (19.9%)
Ward beds 5161 3773 (73.1%)
22 COVID-19 Hospital Summary, 0905 06 September 2020
13
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Appendix 1: Case summary
Table 9: All community cases reported between 0900 05 September and 0900 06 September
s 9(2)(a)
14
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Appendix 2: International case
investigations
s 9(2)(a)
15
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Appendix 3: COVID-19 Provisional Disease Indicators, by date
of case notification14 Indicator (as
per Table 9832) Refined Indicator description Target 29 August 30 August 31 August 1 Sept** 2 Sept** 3 Sept 4 Sept#
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours 50% 100% - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours 79% 100% - - - - -
3 – (S003) Time from test sample taken to
close contact isolation / quarantine
80% within 72 hours 85% 100% 100% - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours 33% 50% 63% 0%
(0/3) - - -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours 50% 100% 36% 80% 100% - -
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours 85% 97% 99% 100% - - -
7 – (P001) Time from notification to case interview 80% within 24 hours 100% 100% 100% 100% 100% - -
8 – (P003) Time from close contact identification to isolated /
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours 85% 100% 99% 100% - - -
C – (S005) Proportion of close contacts with confirmed or suspected
COVID-19 at the time of tracing <20% 0% 0% 4% 0% 0% 0% -
• # Figures not available due to database outage. Work is currently underway to resolve.
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
16
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APPENDIX: 4
NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 04 September 2020
Table 1. Metro Auckland Summary Total of Testing for 04 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 1227 148 505 156 104 2140
Table 2. Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and
reported later than this; tests only included if coded and received and acknowledged by lab, result
not required
*Includes GP clinics, Urgent Care Centres, Designated practices
Table 3. Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 01/09 02/09 03/09 04/09*
MIQ Staff 2132 659 1488 152 100 265 120 148
Guests 2972 3767 3600 418 399 468 492 505
Border Airport 2129 933 1349 199 205 252 167 156
Port 1588 678 161 99 19 52 74 104
* 04/09 day still in progress
Tests Last 24 hours Total since 12/8*
Ethnicity CTC
Non-
CTC
Total
% Tests %
Asian 520 447 967 23.4% 30,090 17.4%
Maori 307 245 552 13.4% 25,473 14.7%
Other 754 782 1536 37.2% 73,222 42.3%
Pacific 551 373 924 22.4% 41,121 23.7%
Unknown 40 112 152 3.7% 3337 1.9%
Total 2172 1959 4131 173,243
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17
Table 4: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on
Table 1: Total number of COVID-19 cases as at 0900 07 September 2020
Case Status Active Recovered Deceased Total
Confirmed 118 (+2)* 1288 (+2) 19 1425 (+4)
Probable 0 346 5 351
Total 118 (+2)* 1634 (+2) 24 1776 (+4)
*Net increase of 4 cases, with 2 case classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 07 September 20201
*Please note that the decrease in 1 case for Waikato DHB is due to a case transferring to Counties Manukau (Jet Park). The 2 cases
reported on 07 September are associated with Waitematā DHB.
New community cases since 0900 06 September 2020
1. Two new community cases have been reported, as at 0900 07 September.
o A case is a close contact of an existing confirmed case and is linked to the Samoan
Methodist Church sub-cluster.
o The other case is a household contact of a confirmed case and is linked to the Mt
Roskill Evangelical Church sub-cluster.
Community cases linked to the Auckland Community Cluster August 2020
2. 161 of the 163 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 07 September. The unlinked cases are summarised as follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster and there is insufficient data to confirm a genomic link to the
community cluster (see 3).
Community cases under investigation to determine a link to the Auckland community
cluster
3. The case under investigation is summarised as follows:
1 EpiSurv
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 75 (+1) 44 (+2) 43 1 (-1) 163 (+2)
Probable 0 0 0 0 0
Total 75 (+1) 44 (+2) 43 1 (-1) 163 (+2)
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3
o
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. Subsequently the case tested positive on
21 August after being swabbed at a mobile testing clinic in Auckland. Despite using
two different whole genome sequencing protocols only a partial genome was
obtained. There is insufficient data to confirm the case is genomically linked to the
community cluster.2 Their epidemiological link to the community cluster is still under
investigation.
Community cases and household contacts at Jet Park
4. As at 0800 07 September there are 70 people isolating in Jet Park from the community.
52 are confirmed cases, the remaining 18 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.3
MIQ cases since 0900 06 September 2020
5. Two new cases4 detected at the border, as at 0900 07 September. In total 139 cases
have been detected at the border since the establishment of MIFs/MIQs.
o Both cases arrived from India on 23 August and are close contacts of an existing
confirmed case. One case tested positive on day 8 and the other on day 11.
Cases in hospital
6. As at 0800 07 September there are four cases in hospital with COVID-19.5
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 07 September 2020
2 ESR WGS report 3 September 2020
3 NRHCC Morning Report 6 September 2020
4 EpiSurv
5 NRHCC Morning Report 7 September 2020 and COVID-19 Hospital Summary, 0900 07 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 0 0
Counties Manukau Middlemore 1 0
Waitematā North Shore 2 0
Waikato Waikato 0 1
Total - 3 1
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4
Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Overview6
There is now a clear increase in cases as a result of the new Mt Roskill Evangelical Church sub-
cluster. Some of these cases have recent symptoms. While the impact of intensive case follow-up
appears to be working overall, the number of cases associated with the Mt Roskill Evangelical
Church sub-cluster has continued to increase and it is likely that more cases will arise.
Current outbreak investigation priorities7
o Contact tracing and containment around Mt Roskill Evangelical Church sub-cluster.
o Seek to identify an epidemiological link to the main cluster for the case.
o Clarify whether the case that is a returnee from June is a new infection and clarify strain.
o Contact trace and isolate close contacts exposed on Auckland bus journeys.
o Seek to identify an epidemiological link to the main cluster for cases that have been
genomically linked but not epidemiologically linked.
8. Mt Roskill Evangelical Church is a priority for ARPHS due to ongoing transmission
occurring and concerns that not all contacts have been identified. Several events
including church services and a wedding are being scoped. This is a joint effort with
ARPHS completing contact tracing for the events and Waikato focusing on source
attribution.8
Sub-clusters and settings of interest
9. Contact tracing investigation and testing is ongoing for the Botany sub-cluster. This
sub-cluster includes the Botany case reported 28 August and four other cases reported
recently (one on 31 August and three on 1 September).9
10. Settings of interest for the Botany sub-cluster are being investigated, including casual
work places. More information to come when available.9
6 ARPHS Strategic Report 31 August 2020
7 ARPHS Strategic Report 31 August 2020
8 ARPHS, Waikato DHB and MoH teleconference 1500 3 September 2020
9 NRHCC Morning Report 7 September 2020
s 9(2)(a)
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11. There is a sports club associated with the Mt Roskill Evangelical Church. To date there
are no known exposures confirmed at the sports club.10 It is being investigated as both
a possible exposure event and a possible source of the Mt Roskill Evangelical Church
sub-cluster.11
ARPHS advised on 31 August the sports club had been closed for the two weeks prior,
therefore none of the club members are being considered close contacts. ARPHS sent
comms to members regarding testing and to date no positive cases have been
reported.12 Surveillance testing is ongoing.10
Case investigation
12. Four cases that have been genomically linked to the main cluster are still being
investigated by ARPHS to identify their epidemiological link to the main cluster.
o The
o GP
o The second Mount Albert Grammar student
o The Botany case
13. Investigation into source attribution of the Botany cases infection is continuing. A
possible epidemiological link is being explored between the Botany case and previously
reported cases within another household. The symptom onset dates of the possible
epidemiological linked household are prior to the Botany cases’ symptom onset dates.
Further investigation is underway.9
The case in Tokoroa reported on 29 August is a contact of an existing case from Tokoroa who is
linked to the Auckland cluster. The case works at a medical centre in Tokoroa and it is believed
they had contact with the existing case The centre has had a
final deep clean and has reopened with reduced staff and are completing most consultations
virtually. Contact tracing is being completed back to 20 August. This is a precautionary
timeframe due to the case’s long incubation period and radiological findings suggesting more
advanced disease despite the 27 August symptom onset date. To date, all contacts tested have
received negative results (See table 4).13
10 NRHCC Morning Report 3 September 2020
11 NRHCC Morning Report 2 September 2020
12 ARPHS, Waikato DHB and MoH teleconference 1500 31 August 2020
13 Waikato DHB Morning Report 7 September 2020
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s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
6
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1.
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7
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8
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ESR and wider testing14 14. A total of 104 cases (69%) from the main cluster have been sequenced, 93 (62% of total
confirmed cases) yielded a high-quality genome sequence. Three cases yielded partial
genomes but had sufficient data to indicate that these cases are part of the outbreak
cluster. The remaining eight cases did not have sufficient genetic material to be
sequenced.
15.
16. Work is underway to analyse how the whole genome sequencing can be used to tell us
how COVID-19 has been transmitted through the community cluster and to further
inform its management.
17. No direct links have been found between the community outbreak genome
sequencing, with the 49 full genomes currently available from cases in managed
isolation facilities (MIFs).
18.
Contact tracing15 19. New data was unavailable at time of publication, this will be updated for the 08
September SitRep. Between 27 August and 02 September 93% (439 of 472) of close
contacts have been contacted within 48 hours of being determined to be a contact. KPI
for this metric is 80% of close contacts within 48 hours.
o Notes: This metric reports all cases during the specified period, including those in Managed Isolation and Quarantine, and does not include casual contacts.
o Notes: The close contact numbers for today have fallen slightly due to the reclassification of some older cases from community to border cases.
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 11 August as at
0900 07 September 2020
04/09/2020 05/09/2020 06/09/2020 07/09/2020
Number of close contacts
identified1 3191 3222 3217 3224
14 ESR Whole Genome Sequencing Report 02 September 2020
15 COVID-19 NCCS Analytics and Reporting 1008 06 September 2020
s 9(2)(g)(i)
s 9(2)(g)(i)
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9
Number of close contacts
successfully contacted (and are
self-isolating)
3136 3177 3187 3199
Number of close contacts
referred to "finding services"2 4 4 4 0
Number of close contacts
awaiting contact 51 41 26 25
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage16 Figure 1: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1100
06 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
20. Key Numbers:
o 2,125,300 - Total registered users
o 2,453,787 - QR code scans between 1200 04 and 1000 05 September
16 Response Analyst – Digital Channels, 1628 04 September 2020
Table 1: Total number of COVID-19 cases as at 0900 08 September 2020
Case Status Active Recovered Deceased Total
Confirmed 123* (+5) 1289 (+1) 19 1431 (+6)
Probable 0 346 5 351
Total 123* (+5) 1635 (+1) 24 1782 (+6)
*Net increase of 6 cases, with 1 case classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 08 September 20201
New community cases since 0900 07 September 2020
1. Four new community cases have been reported, as at 0900 08 September.
o All four cases have epidemiological links to existing cases and are associated with
the Mt Roskill Evangelical Church sub-cluster. See details in Para 7.
Community cases linked to the Auckland Community Cluster August 2020
1. 165 of the 167 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 08 September. The unlinked cases are summarised as follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster and there is insufficient data to confirm a genomic link to the
community cluster (see 3).
Community cases under investigation to determine a link to the Auckland community
cluster
2. The case under investigation is summarised as follows:
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. Subsequently the case tested positive on
21 August after being swabbed at a mobile testing clinic in Auckland. Despite using
two different whole genome sequencing protocols only a partial genome was
1 EpiSurv
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 75 48 (+4) 43 1 167 (+4)
Probable 0 0 0 0 0
Total 75 48 (+4) 43 1 167 (+4)
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3
o
obtained. There is insufficient data to confirm the case is genomically linked to the
community cluster.2 Their epidemiological link to the community cluster is still under
investigation.
Community cases and household contacts at Jet Park
3. As at 0800 08 September there are 69 people isolating in Jet Park from the community.
52 are confirmed cases, the remaining 17 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.3
MIQ cases since 0900 07 September 2020
4. Two new cases4 detected at the border, as at 0900 08 September. In total 141 cases
have been detected at the border since the establishment of MIFs/MIQs.
o Both cases arrived in New Zealand on 3 September from the Philippines and have
been in managed isolation since arrival. Tested positive as part of day 3 surveillance
testing.
Cases in hospital
5. As at 0800 08 September there are four cases in hospital with COVID-19.5
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 08 September 2020
• One case in North Shore Hospital that was on a general ward 07 September has been transferred
to ICU as a precautionary measure.
2 ESR WGS report 03 September 2020
3 NRHCC Morning Report 08 September 2020
4 EpiSurv
5 NRHCC Morning Report 08 September 2020 and COVID-19 Hospital Summary, 0900 08 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 0 0
Counties Manukau Middlemore 1 0
Waitematā North Shore 1 1
Waikato Waikato 0 1
Total - 2 2
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4
Health system response
Overall approach
6. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Overview6
There is now a clear increase in cases as a result of the new Mt Roskill Evangelical Church sub-
cluster. Some of these cases have recent symptoms. While the impact of intensive case follow-up
appears to be working overall, the number of cases associated with the Mt Roskill Evangelical
Church sub-cluster has continued to increase and it is likely that more cases will arise.
Current outbreak investigation priorities7
o Contact tracing and containment around Mt Roskill Evangelical Church sub-cluster.
o Seek to identify an epidemiological link to the main cluster for the case.
o Clarify whether the case that is a returnee from June is a new infection and clarify strain.
o Contact trace and isolate close contacts exposed on Auckland bus journeys.
o Seek to identify an epidemiological link to the main cluster for cases that have been
genomically linked but not epidemiologically linked.
Sub-clusters and settings of interest
7. As at 2000 07 September, a new potential sub-cluster and exposure event was
identified within Mt Roskill, with an epidemiological link to Mt Roskill evangelical
church.
A death (not COVID related) occurred Between 24th August and 2nd September,
there were multiple gatherings associated with the bereavement. Funeral at a
funeral home, approximately 50 attendees. Good records kept, including sign in. An extended
family member of the deceased became a confirmed case on 07 September. Contact tracing from
this case identified the funeral and mourning events as exposure settings.
There are three confirmed cases linked to this initial case. All are extended family and include four
separate households. One case was confirmed on 06 September and has been isolating since then.
The other three cases have been isolating since 07 September. All four new cases presented
themselves for testing.
6 ARPHS Strategic Report 31 August 2020
7 ARPHS Strategic Report 31 August 2020
s 9(2)(a)
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One of the new cases is in a Managed Quarantine and Isolation (MIQ) facility. Two additional cases,
plus household members, are moving to MIQ today (08 September).
All have been stood down and will be tested today (08 September).
There are four close contacts from these cases.
ARPHS actions8:
o Scoping new cases.
o Gathering lists of attendees at the bereavement gatherings which occurred
between 24 August and 02 September. ARPHS are working with Māori and Pacific
liaison, and through Mt Roskill Evangelical Church, to identify attendees. All close
contacts will be tested and isolated.
o There are comprehensive records from the funeral on . All attendees will
be tested, and work is underway to move these contacts into isolation.
o Quarantine and testing of household contacts of the new cases. Testing is underway for
household contacts, including repeat testing as needed for people previously tested
from the Mt Roskill church.
o They are being tested today (08
September), and are in isolation.
8. Contact tracing investigation and testing is ongoing for the Botany sub-cluster. This
sub-cluster includes the Botany case reported 28 August and four other cases reported
recently (one on 31 August and three on 01 September).9
9. Settings of interest for the Botany sub-cluster are being investigated, including casual
work places. More information to come when available.9
10. There is a sports club associated with the Mt Roskill Evangelical Church. To date there
are no known exposures confirmed at the sports club.10 It is being investigated as both
a possible exposure event and a possible source of the Mt Roskill Evangelical Church
sub-cluster.11
ARPHS advised on 31 August the sports club had been closed for the two weeks prior,
therefore none of the club members are being considered close contacts. ARPHS sent
comms to members regarding testing and to date no positive cases have been
reported.12 Surveillance testing is ongoing.10
8 ARPHS Phone Call, 0930 08 September 2020
9 NRHCC Morning Report 07 September 2020
10 NRHCC Morning Report 03 September 2020
11 NRHCC Morning Report 02 September 2020
12 ARPHS, Waikato DHB and MoH teleconference 1500 31 August 2020
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s 9(2)(a)
s 9(2)(a)
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Case investigation
11. Four cases that have been genomically linked to the main cluster are still being
investigated by ARPHS to identify their epidemiological link to the main cluster.
o The
o GP
o The second Mount Albert Grammar student
o The Botany case
12. Investigation into source attribution of the Botany cases infection is continuing. A
possible epidemiological link is being explored between the Botany case and previously
reported cases within another household. The symptom onset dates of the possible
epidemiological linked household are prior to the Botany cases’ symptom onset dates.
Further investigation is underway.9
13. The case in Tokoroa reported on 29 August is a contact of an existing case from
Tokoroa who is linked to the Auckland cluster. The case works at a medical centre in
Tokoroa and it is believed they had contact with the existing case
The centre has had a final deep clean and has reopened with reduced
staff and are completing most consultations virtually. Contact tracing is being
completed back to 20 August. This is a precautionary timeframe due to the case’s long
incubation period and radiological findings suggesting more advanced disease despite
the 27 August symptom onset date. To date, all contacts tested have received negative
results (See table 4).13
13 Waikato DHB Morning Report 07 September 2020
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
7
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1.
s 9(2)(a)
s 9(2)(a)
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8
s 9(2)(a)
9
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ESR and wider testing14 14. A further 34 community cases are genomically linked with the Auckland cluster. These
cases are from the following known sub-clusters; Church 1 (6 cases), Church 2 (4 cases),
Church 3 (9 cases), Finance Now HH (1 case), Americold HH (3 cases), Botany (4 cases),
(4 cases) (3 cases).15
15.
16. Work is underway to analyse how the whole genome sequencing can be used to tell us
how COVID-19 has been transmitted through the community cluster and to further
inform its management.
17. No direct links have been found between the community outbreak genome
sequencing, with the 67 genomes currently available from cases in managed isolation
facilities (MIFs).
18.
Contact tracing16 19. Between 30 August and 05 September 98% (61/62) of Community close contacts and
95% (100/105) MIQ close contacts have been contacted within 48 hours of being
determined to be a contact. KPI for this metric is 80% of close contacts within 48 hours.
o Notes: This metric reports all cases during the specified period, including those in Managed Isolation and Quarantine, and does not include casual contacts.
o Notes: The close contact numbers for today have fallen slightly due to the reclassification of some older cases from community to border cases.
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 11 August as at
0900 08 September 2020
05/09/2020 06/09/2020 07/09/2020 08/09/2020
Number of close contacts
identified1 3222 3217 3224 3274
14 ESR Whole Genome Sequencing Report 02 September 2020
15 ESR email update 0900 08 September 2020
16 COVID-19 NCCS Analytics and Reporting 0938 08 September 2020
s 9(2)(a) s 9(2)(a)
s 9(2)(g)(i)
s 9(2)(g)(i)
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10
Number of close contacts
successfully contacted (and are
self-isolating)
3177 3187 3199 3228
Number of close contacts
referred to "finding services"2 4 4 0 0
Number of close contacts
awaiting contact 41 26 25 46
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage17 Figure 1: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
07 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
20. Key Numbers:
o 2,145,500 - Total registered users
o 2,192,953 - QR code scans between 1200 05 and 1200 06 September
17 Response Analyst – Digital Channels, 1620 07 September 2020
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours
92% 0% *
(0/8) 100% - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours
92% 0% *
(0/8) 86% - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
100% 100% 100% 100% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours
67% 0% *
(0/1)
0% *
(0/2) - 33% 100% -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours
67% 100% 100% 0% *
(0/1) 25%
0% *
(0/1) 20%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours
100% 100% 100% 100% 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% 100% 100% 100% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours
100% 22% 100% 100% 100% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
100% 100% 100% 100% 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% 8% 0% 0% 0% 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
17
Data for cases in Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours
0% * (0/15)
0% * (0/2)
- 100% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours
100% 100% - 0% * (0/3)
- - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
100% 100% 71% 100% 40% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours
50% 0% * (0/2)
- 0% * (0/1)
- - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours
25% 0% * (0/1)
100% 100% 100% - 0%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours
100% 100% 71% 100% 40% - -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% 100% 100% 100% 100% - 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours
100% 100% 71% 100% 40% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
100% 100% 71% 100% 40% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% 4% 0% 0% 67% 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
18
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APPENDIX: 4
NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 07 September 2020
Table 1. Metro Auckland Summary Total of Testing for 07 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 1631 86 483 153 19 2372
Table 2. Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and
reported later than this; tests only included if coded and received and acknowledged by lab, result
not required
*Includes GP clinics, Urgent Care Centres, Designated practices
Table 3. Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-16/08 17/08-23/08 24/08 – 30/08 31/08 – 06/09 07/09*
MIQ Staff 2132 659 1488 912 86
Guests 2972 3767 3600 3406 468
Border Airport 2129 933 1349 1158 153
Port 1588 678 161 392 19
* 07/09 day still in progress
Tests Last 24 hours Total since 12/8*
Ethnicity CTC
Non-
CTC
Total
% Tests %
Asian 200 229 429 19.7% 32,406 17.6%
Maori 158 78 236 10.9% 26,582 14.5%
Other 391 399 790 36.3% 77,649 42.2%
Pacific 435 96 531 24.4% 43,357 23.6%
Unknown 15 174 189 8.7% 3846 2.1%
Total 1199 976 2175 183,840
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19
Table 4: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours
0% *
(0/8) 100% - 100% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours
0% *
(0/8) 86% - 100% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
100% 100% 100% 100% - - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours
0% *
(0/1)
0% *
(0/2) - 33% 100% 50% -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours
100% 100% 0% *
(0/1) 25%
0% *
(0/1) 20% 75%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours
100% 100% 100% 100% - 100% -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% 100% 100% 100% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours
22% 100% 100% 100% - 100% 71%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
100% 100% 100% 100% - 100% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% 0% 0% 0% 0% - 0% 15%
Note: • * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
17
Data for cases in Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours
0% * (0/2)
- 100% - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours
100% - 0% * (0/3)
- - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
100% 71% 100% 40% - - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours
0% * (0/2)
- 0% * (0/1)
- - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours
0% * (0/1)
100% 100% 100% - 0% * (0/2)
100%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours
100% 71% 100% 40% - 100% -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% 100% 100% 100% - 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours
100% 71% 100% 40% - 100% -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
100% 71% 100% 40% - 100% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20% 0% 0% 67% 0% - 0% -
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
18
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APPENDIX: 3
NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 08 September 2020
Table 1. Metro Auckland Summary Total of Testing for 08 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 1016 75 608 68 10 1777
Table 2. Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and
reported later than this; tests only included if coded and received and acknowledged by lab, result
not required
*Includes GP clinics, Urgent Care Centres, Designated practices
Table 3. Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-16/08 17/08-
23/08
24/08 –
30/08
31/08 –
06/09
07/09 08/09*
MIQ Staff 2132 659 1488 912 88 75
Guests 2972 3767 3600 3406 483 608
Border Airport 2129 933 1349 1158 153 68
Port 1588 678 161 392 19 10
* 08/09 day still in progress
Tests Last 24 hours Total since 12/8*
Ethnicity CTC
Non-
CTC
Total
% Tests %
Asian 245 317 562 15.9% 33,057 17.6%
Maori 228 295 523 14.8% 27,135 14.4%
Other 581 840 1421 40.2% 79,484 42.3%
Pacific 459 432 891 25.2% 44,325 23.6%
Unknown 13 129 142 4.0% 4005 2.1%
Total 1526 2013 3539 188,006
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19
Table 4: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours
100% 100% 100% - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours
86% 100% 100% - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
100% 100% 100% - 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours
0% *
(0/2) 100% 33% 100% 50% 50% -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours
100% 0% *
(0/1) 25%
0% *
(0/1) 20% 75% 80%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours
100% 100% 100% - 100% 100% -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% 100% 100% 100% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours
100% 100% 100% - 100% 97% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
100% 100% 100% - 100% 100% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20% 0% 0% 0% - 0% 5% 0%
Note: • * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
IN CONFIDENCE – NOT FOR DISTRIBUTION
9
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
Data for cases in Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours
- 100% - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours
- 0% - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
71% 100% 40% - 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours
- 0% * (0/1)
- - - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours
100% 100% 100% - 0% * (0/2)
100% -
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours
71% 100% 40% - 100% 100% -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% 100% 100% 0% * (0/1)
100% 100% -
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours
71% 100% 40% - 100% 100% -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
71% 100% 40% - 100% 100% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20% 0% 67% 0% - 0% 0% -
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
10
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APPENDIX: 3
NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 09 September 2020
Table 1. Metro Auckland Summary Total of Testing for 09 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 1939 173 345 154 39 2650
Table 2. Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and
reported later than this; tests only included if coded and received and acknowledged by lab, result
not required
*Includes GP clinics, Urgent Care Centres, Designated practices
Table 3. Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 –
06/09
07/09 08/09 09/09*
MIQ Staff 2132 659 1488 912 88 75 173
Guests 2972 3767 3600 3406 483 609 345
Border Airport 2129 933 1349 1158 153 68 154
Port 1588 678 161 392 19 15 39
* 09/09 day still in progress
Tests Last 24 hours Total since 12/8*
Ethnicity CTC
Non-
CTC
Total
% Tests %
Asian 81 448 529 17.2% 33,847 17.6%
Maori 111 361 472 15.4% 27,757 14.4%
Other 270 939 1209 39.3% 81,439 42.3%
Pacific 108 538 646 21.0% 45,187 23.5%
Unknown 19 198 217 7.1% 4231 2.2%
Total 589 2484 3073 192,461
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11
Table 4: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on
Table 1: Total number of COVID-19 cases as at 0900 11 September 2020
Case Status Active Recovered Deceased Total
Confirmed 114* (-6) 1309 (+7) 19 1442 (+1)
Probable 0 346 5 351
Total 114* (-6) 1655 (+7) 24 1793 (+1)
*1 new case identified, 7 cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 11 September 20201
New community cases since 0900 10 September 20202
1. One new community case has been reported, as at 0900 11 September.
o The case has an epidemiological link to an existing case and is associated with the Mt
Roskill Evangelical Church bereavement sub-cluster.
Community cases linked to the Auckland Community Cluster August 20203
2. 174 of the 176 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 11 September. The unlinked cases are summarised as follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster and there is insufficient data to confirm a genomic link to the
community cluster (see 3).
Community cases under investigation to determine a link to the Auckland community
cluster
3. The case under investigation is summarised as follows:
1 EpiSurv Database, 0900 10 September 2020
2 EpiSurv Database, 0900 11 September 2020
3 EpiSurv Database, 0900 11 September 2020
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 76 52 46 (+1) 1 175 (+1)
Probable 1 0 0 0 1
Total 77 52 46 (+1) 1 176 (+1)
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3
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. Subsequently the case tested positive on
21 August after being swabbed at a mobile testing clinic in Auckland. Despite using
two different whole genome sequencing protocols only a partial genome was
obtained. There is insufficient data to confirm the case is genomically linked to the
community cluster.4 Their epidemiological link to the community cluster is still under
investigation.
Community cases and household contacts at Jet Park
4. As at 0800 11 September there are 70 people isolating in Jet Park from the community.
55 are confirmed cases, the remaining 15 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.5
MIQ cases since 0900 10 September 20206
5. There have been no new cases detected at the border, as at 0900 11 September. In
total 143 cases have been detected at the border since the establishment of
MIFs/MIQs.
Cases in hospital
6. As at 0800 11 September there are three cases in hospital with COVID-19.7
o New case reported today was admitted to Auckland City Hospital 10 September.
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 11 September 2020
4 ESR WGS report 03 September 2020
5 NRHCC Morning Report, 0900 11 September 2020
6 EpiSurv Database, 0900 11 September 2020
7 NRHCC Morning Report 08 September 2020 and COVID-19 Hospital Summary, 0900 08 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 1 0
Waitematā North Shore 0 1
Waikato Waikato 0 1
Total - 1 2
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4
Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Figure 1: Daily number of confirmed and probable cases of COVID-19 as at 0900 11 September
Source: NZ COVID-19 Dashboard
Current outbreak overview8
o The recent rate of increase in new cases observed during the last report has stabilised.
There are currently two sub-clusters which most new community cases are linked to
(Mount Roskill Evangelical Church and Botany sub-clusters). There are currently 43
confirmed cases in the Mount Roskill Evangelical Church sub-cluster and 5 confirmed
cases in the Botany sub-cluster.
Current outbreak investigation priorities9
o Contact tracing and containment around Mount Roskill Evangelical Church sub-cluster
and more recent bereavement events.
o Contact tracing and containment around Botany sub-cluster.
o Clarify whether June border case is a new infection and clarify strain.
8 ARPHS Strategic Report 09 September 2020
9 ARPHS Strategic Report 09 September 2020
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5
o Seek to identify epidemiological link for index case in Mount Roskill Evangelical Church
sub-cluster.
Sub-clusters and settings of interest
A new sub-cluster and exposure events were identified (on 7 September) within Mt
Roskill with epidemiological links to Mt Roskill Evangelical Church sub-cluster.10 A death
(not COVID-19 related) . Between 24 August and 2 September,
there were multiple gatherings associated with the bereavement including the funeral
on . There were multiple other exposure events associated with the
bereavement. The investigation is ongoing. There is good engagement with the church
leadership who are assisting with the investigation.11
48 people attended the funeral on . All 48 close contacts from the funeral
have been identified, with 4612 tested. A mobile testing service has been arranged to
test the remaining two contacts.12 10 have tested positive, 35 have tested negative and
one is pending.5 As of 0800 11 September, of 332 Mt Roskill Evangelical Church
members 273 have been tested. Five have tested positive, 245 have tested negative and
23 are pending.5
A new sub-cluster has been created for cases associated with the bereavement events
to include cases whose source of infection occurred at the bereavement events. Within
this sub-cluster there are 13 cases and 33 cases remain in the Mt Roskill Evangelical
Church sub-cluster.5
8. A new setting of interest, St Dominic’s College in Henderson, Auckland, was identified
on 8 September. A confirmed case attended the school.13
. The school has
been informed and communications have been sent. The case is linked to the new sub-
cluster associated with the bereavement events. A list of all contacts has been gathered
by the school. Testing of all school students and staff is in progress with approximately
500 tested as at 1500 10 September.14 There are also 87 students and 11 teachers
identified as close contacts. As of 0800 11 September, of these 98 people, 63 have been
tested with 47 returning negative results so far.5
ARPHS actions:13
o Maintain positive relationships with Church leaders and liaise with Church members
about their need for financial and welfare support if asked to isolate.
o Scope new cases.
o Quarantine and test household contacts of the new cases. Testing is underway for
household contacts, including repeat testing as needed for people previously tested
from the Mt Roskill church.
10 ARPHS, Waikato DHB and MoH teleconference 0830 08 September 2020
11 NRHCC Morning report, 0900 10 September 2020
12 NRHCC Morning report, 0900 11 September 2020
13 ARPHS, Waikato DHB and MoH teleconference 0830 08 September 2020
14 ARPHS, Waikato DHB and MoH teleconference 1500 10 September 2020
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s 9(2)(a)
s 9(2)(a)
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o All contacts have been stood down. They were being tested on 8
September and are in isolation.
o Develop and implement a testing strategy which includes communication with
church leaders around the reason for testing and who should be tested.
9. The Botany sub-cluster is still being investigated to determine the index case. As at 9
September no clear epidemiological link had been identified. The first case detected is
not the index case in this community. Source investigation is ongoing but there are
indications that the earliest symptom onset is around 3 August (based on a family
member with positive serology and earlier influenza-like-illness). Whole genome
sequencing results from 30 August showed a link back to the Americold sequences.15
Case investigation
10. Source investigation for the epidemiological link to the main cluster for four cases that
have been genomically linked to the main cluster is ongoing.
o The
o GP
o The second Mount Albert Grammar student
o The Botany case
11. The case in Tokoroa reported on 29 August is a contact of an existing case from
Tokoroa who is linked to the Auckland cluster. The case works at a medical centre in
Tokoroa and it is believed they had contact with the existing case
The centre has had a final deep clean and has reopened with reduced
staff and are completing most consultations virtually. Contact tracing is being
completed back to 20 August. This is a precautionary timeframe due to the case’s long
incubation period and radiological findings suggesting more advanced disease despite
the 27 August symptom onset date. To date, all contacts tested have received negative
results. Day 12 testing so far have also all returned negative results.
15 COVID-19 Auckland Outbreak II Strategic report 09 September 2020
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ESR and wider testing16 12. A further 34 community cases are genomically linked with the Auckland cluster. These
cases are from the following known sub-clusters; Church 1 (6 cases), Church 2 (4 cases),
Church 3 (9 cases), Finance Now HH (1 case), Americold HH (3 cases), Botany (4 cases),
(4 cases) and (3 cases).17
13.
14. Work is underway to analyse how the whole genome sequencing can be used to tell us
how COVID-19 has been transmitted through the community cluster and to further
inform its management.
15. No direct links have been found between the community outbreak genome
sequencing, with the 67 genomes currently available from cases in managed isolation
facilities (MIFs).
16.
Contact tracing18 17. Since the 11 August, 3623 community close contacts have been identified and recorded
in the National Contact Tracing Solution, 3608 of these have been contacted and are
self-isolating, and we are in the process of contacting the rest. Please note that the
total number and number successfully contacted can decrease due to records being
marked as invalid in the system.
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 11 August as at
0900 11 September 2020
08/09/2020 09/09/2020 10/09/2020 11/09/2020
Number of close contacts
identified1 3274 3346 3372 3623
Number of close contacts
successfully contacted (and are
self-isolating)
3228 3305 3354 3608
16 ESR Whole Genome Sequencing Report 02 September 2020
17 ESR email update 0900 08 September 2020
18 COVID-19 NCCS Analytics and Reporting 0956 10 September 2020
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Number of close contacts
referred to "finding services"2 0 0 0 3
Number of close contacts
awaiting contact 46 41 18 12
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing Unit or the Public Health Units. Contacts from MIQ and overseas cases are not
included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close contacts we do not have the correct contact details for. These services utilise
internal Ministry of Health databases along with Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from the system.
COVID-19 Tracer App usage19 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
10 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
19 Response Analyst – Digital Channels, 1617 08 September 2020
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Testing20 Table 6: Testing by functional groups, as at 0900 10 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers21 Table 7: Number of laboratory tests processed nationally as at 0900 11 September 2020
Testing supply update22
18. There are no issues with regent supplies, and hologic supplies are now in labs around
the country. There are 43 days of reagent stocks on hand nationally.
20 ÉCLAIR/MoH Public Health Intelligence, 1015 09 September 2020
21 Daily Lab Report, 0932 10 September 2020
22 Testing supply email, 1001 09 September 2020
Reason for test 09 September 03 – 09 September
GPs and other primary health 3768 20842
CBACs and pop-ups 3191 24779
Border workers - air crew 54 237
Border workers - airport staff 140 1259
Border workers - maritime crew 0 39
Border workers – Port of Tauranga staff 0 364
Border workers – Remaining Port staff 30 329
Border workers - MIF 132 1290
Border workers - MIQ 47 301
Travellers - Staying at MIF 587 2174
Travellers - Staying at MIQ 1 123
Total 7950 51737*
Time period Number of laboratory tests
10 September 8953
Last 7 days (04 Sep to 10 Sep) 50,430
Total 848,420
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Testing activity by region
Focus areas
19. As at 1700 08 September there are 28 Community testing Centres in the Metro
Auckland area. Three of these are closed CTC's for close contacts only.23
Healthline updates24 20. On 10 September there were 2520 contacts in Healthline. Of those calls, 1246 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 719 contacts (16% higher than forecast).
21. On 10 September the new scripts to support the testing strategy went live with staff
being briefed on them. This followed clarification and consultation with the Ministry of
Health over 07 – 09 September on how a phone-based service should support the new
strategy.
22. The main themes yesterday/today:
o Most of the callers are calling because they are symptomatic and want to get a test,
o Calls relating to the latest exposure events,
o Confusion around Alert Level rules (i.e. crowd sizes in Auckland, around the rest of
the country etc) it is recommended to reemphasise this given recent media
confusion.
Logistics
Health Workforce25
23. Health Workforce have identified a small group of people on the surge workforce who
have indicated they would be willing to work in an ARC facility in the event of an
outbreak – this week we will work on whether this pool can be expanded and actions to
keep the group “warm” in the event ARC employers require them.
24. Upskilling of alternative workforces for testing continues to progress, including plans
for a training package and scoping of micro-credentialing, in addition to understanding
where this workforce would be obtained from. It is anticipated this training package will
be available within four weeks (estimated).
25. Health Workforce continue to work with TAS and all 20 GMsHR on workforce needs and
issues – regular workforce intelligence information will be provided to Health
Workforce, which will be incorporated into frequent dashboard reports.
23 Community Testing Centres report, 1800 08 September 2020
24 National Telehealth Service Coronavirus Update, 0914 11 September 2020
25 Health Workforce Directorate, 0832 01 September 2020
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Hospital capacity26 Table 8: Number and occupancy of hospital beds by type as at 0800 11 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 343 219 (63.8%)
Ventilators 305 61 (20.0%)
Ward beds 6968 5567 (79.9%)
26 COVID-19 Hospital Summary, 0927 11 September 2020
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Appendix 1: Case summary
Table 9: All community cases reported between 0900 10 September and 0900 11 September
s 9(2)(a)
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Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification18 Data for cases in the community
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours
100% 100% 100% - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours
86% 100% 100% - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
100% 100% 100% - 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours
0% *
(0/2) 100% 33% 100% 50% 50% -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours
100% 0% *
(0/1) 25%
0% *
(0/1) 20% 75% 80%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours
100% 100% 100% - 100% 100% -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% 100% 100% 100% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours
100% 100% 100% - 100% 97% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
100% 100% 100% - 100% 100% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20% 0% 0% 0% - 0% 5% 0%
Note: • * The numerator and denominator are provided in some instances to provide context for low percentages.
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• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
Data for cases in Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours
- 100% - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours
- 0% - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
71% 100% 40% - 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours
- 0% * (0/1)
- - - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours
100% 100% 100% - 0% * (0/2)
100% -
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours
71% 100% 40% - 100% 100% -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% 100% 100% 0% * (0/1)
100% 100% -
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours
71% 100% 40% - 100% 100% -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
71% 100% 40% - 100% 100% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20% 0% 67% 0% - 0% 0% -
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
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Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 10 September 2020
Table 1. Metro Auckland Summary Total of Testing for 09 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 2217 195 534 138 23 3107
Table 2. Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and reported later than
this; tests only included if coded and received and acknowledged by lab, result not required
*Includes GP clinics, Urgent Care Centres, Designated practices
Table 3. Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 –
06/09
07/09 08/09 09/09 10/09*
MIQ Staff 2132 659 1488 912 88 75 251 195
Guests 2972 3767 3600 3406 483 609 345 534
Border Airport 2129 933 1349 1158 153 68 154 138
Port 1588 678 161 392 19 15 39 23
* 10/09 day still in progress
Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on manual site
reports at 4pm
The number of mobile testing sites change frequently please see
https://www.arphs.health.nz/public-health-topics/covid-19/where-to-get-tested for the most up-
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours
100% - 100% 30% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours
100% - 0% *
(0/2) 77% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
73% - 100% 82% 4% - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours
33% 100% 50% 50% 33% 0% *
(0/1) -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours
25% 0% *
(0/1) 20% 75% 80%
0% *
(0/2) 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours
73% - 100% 93% 88% 100% -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% 100% 100% 100% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours
82% - 100% 96% 97% 100% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
100% - 100% 98% 88% 100% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% 0% - 0% 4% 1% 0% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
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• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
Table 7 NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours
- - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours
- - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
40% - 100% 100% - - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours
- - - - - 0% * (0/1)
-
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours
100% - 0% * (0/2)
100% - 100% -
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours
40% - 100% 100% - 100% -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% - 100% 100% - 100% -
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours
40% - 100% 100% - 100% -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
40% - 100% 100% - 100% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20% 0% - 0% 0% - 0% -
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
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Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 11 September 2020
Table 1. Metro Auckland Summary Total of Testing for 11 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 1294 256 342 141 34 2067
Table 2. Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and reported later than
this; tests only included if coded and received and acknowledged by lab, result not required
*Includes GP clinics, Urgent Care Centres, Designated practices
Table 3. Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Table 1: Total number of COVID-19 cases as at 0900 13 September 2020
Case Status Active Recovered Deceased Total
Confirmed 97* (-11) 1330 (+13) 19 1446 (+2)
Probable 0 346 5 351
Total 97* (-11) 1676 (+13) 24 1797 (+2)
*2 new case identified, 13 cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 13 September 20201
New community cases since 0900 12 September 20202
1. One new community case has been reported, as at 0900 13 September.
o The case is a health worker at a quarantine facility in Auckland.
Community cases linked to the Auckland Community Cluster August 20203
2. 177 of the 179 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 13 September. The unlinked cases are summarised as follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster and there is insufficient data to confirm a genomic link to the
community cluster (see 3).
Community cases under investigation to determine a link to the Auckland community
cluster
3. The case under investigation is summarised as follows:
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. The case subsequently tested positive
1 EpiSurv Database, 0900 10 September 2020
2 EpiSurv Database, 0900 11 September 2020
3 EpiSurv Database, 0900 11 September 2020
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 76 55 (+1) 46 1 178 (+1)
Probable 1 0 0 0 1
Total 77 55 (+1) 46 1 179 (+1)
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on 21 August after being swabbed at a mobile testing clinic in Auckland. Despite
using two different whole genome sequencing protocols only a partial genome was
obtained. There is insufficient data to confirm the case is genomically linked to the
community cluster.4 Their epidemiological link to the community cluster is still under
investigation.
Community cases and household contacts at Jet Park
4. As at 0800 13 September there are 63 people isolating in Jet Park from the community.
38 are confirmed cases, the remaining 25 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.5
MIQ cases since 0900 12 September 20206
5. There has been one new case detected at the border, as at 0900 13 September. In total
144 cases have been detected at the border since the establishment of MIFs/MIQs.
o The case arrived from South Africa on 08 September and is in managed isolation in
Canterbury.
Cases in hospital
6. As at 0800 11 September there are three cases in hospital with COVID-19.7
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 13 September 2020
Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
4 ESR WGS report 03 September 2020
5 NRHCC Morning Report, 0900 13 September 2020
6 EpiSurv Database, 0900 13 September 2020
7 NRHCC Morning Report 13 September 2020 and COVID-19 Hospital Summary, 0900 12 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 1 0
Waitematā North Shore 0 1
Waikato Waikato 0 1
Total - 1 2
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o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Current outbreak overview8
o There are two sub-clusters which most new community cases are linked to (Mount
Roskill Evangelical Church and Bereavements sub-clusters). There are 33 confirmed
cases in the Mount Roskill Evangelical Church sub-cluster and 15 confirmed cases in the
Bereavements sub-cluster.
Current outbreak investigation priorities
o Contact tracing and containment of Mount Roskill Evangelical Church sub-cluster and
recent bereavement events.
o Contact tracing and containment of Botany sub-cluster.
o Clarify whether June border case is a new infection and clarify strain.
o Seek to identify epidemiological link for index case in Mount Roskill Evangelical Church
sub-cluster.
o Waikato PHU will scope any positive cases in MIFs in the Auckland region for the next
week to alleviate some workload pressure at ARPHS.
Sub-clusters and settings of interest9
8. The new case in the community reported today is a healthcare worker in a quarantine
facility. The swab is being transported to ESR this morning for whole genome
sequencing on Monday 14 September. Scoping by ARPHS is underway to identify close
and casual contacts. The case is isolating at Jet Park facility. The case has three
household close contacts who are self-isolating at home. All staff at the quarantine
facility will be tested and staff who are considered close contacts have been stood
down. CCTV footage at the facility will be reviewed as part of the scoping process.
Community contact tracing is underway.10
9. On 7 September several exposure events were identified with epidemiological links to
Mt Roskill Evangelical Church sub-cluster. Between 24 August and 2 September there
were multiple gatherings associated with bereavement of a (non COVID-19 related)
death, including a funeral
10. A sub-cluster has been created to include cases whose source of infection occurred at
the bereavement events. There are 15 cases in the bereavement sub-cluster and 33
cases in the Mt Roskill Evangelical Church sub-cluster.
11. St Dominic’s College in Henderson, Auckland, was identified as a setting of interest on 8
September. A confirmed case linked to the bereavement sub-cluster
The school has
8 ARPHS Strategic Report 08 September 2020
9 ARPHS Strategic Report 08 September 2020
10 ARPHS text 1000 13 September 2020
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been informed and communications have been sent. A list of contacts has been
gathered by the school and includes 87 students and 11 teachers.11
12. A confirmed case linked to the bereavement sub-cluster worked as a bus driver for two
days while infectious but pre-symptomatic. wore a facemask and had 2m distance
from passengers due to AT policy. A contact tracing exercise based on HOP card data is
ongoing.
o 293 individuals rode these routes on 3 and 4 September, all of whom are casual
contacts. No individual rode the bus for more than two hours cumulatively over
these two days.
o There are two close contacts, they are in self-isolation.
13. All five of the confirmed cases in the Botany sub-cluster were in Jet Park but have been
released. Two workplaces associated with the Botany cases have been identified and
close contacts have been scoped. Three at one of the of a
case are close contacts and had been stood down, self-isolated, and tested negative. All
three have since been released from isolation. The second is related to a
case who is a and no close contacts were identified. Four members of one
of the families in the sub-cluster have had serology testing on 11 September, results
are pending.
14. ARPHS actions:12
o Maintain positive relationships with Church leaders and liaise with Church members
about their need for financial and welfare support if asked to isolate.
o Scope new cases.
o Quarantine and test household contacts of the new cases. Testing is underway for
household contacts, including repeat testing as needed for people previously tested
from the Mt Roskill church.
o Develop and implement a testing strategy which includes communication with
church leaders around the reason for testing and who should be tested.
o MoH have signed off on two medical officers of health to support ARPHS.
Case investigation
15. Source investigation for the epidemiological link to the main cluster for four cases that
have been genomically linked to the main cluster is ongoing:
o The
o GP
o The second Mount Albert Grammar student
11 ARPHS email 1800 11 September 2020
12 ARPHS Strategic Report 08 September 2020
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o The Botany case
Self-isolation compliance13
16. Discussions with a key representative from Ngaa Amokura have confirmed that the
option below will reinforce the trust/relationship between the health sector and the
fellowship whanau for supporting compliance with self-isolation requirements (to be
used if standard contact tracing cannot be established within 48 hrs).
o Engagement of the Kaimanaaki workforce (community champions employed by our
Maaori providers in the community). Kaimanaaki have access to clinical
support/advice. And will support and enable whaanau wellbeing through the
pandemic. They have specific skills to help whaanau cope with isolation. They are
also trained in the use of PPE so can make house visits and/or contact whaanau by
phone for the duration of their isolation. Daily contact is anticipated and Kaimanaaki
will report back to the DHB/public health officials on a daily basis. An
implementation plan is being developed and will be stood up from Monday.
13 ADHB Email, 1000 11 September 2020
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ESR and wider testing14 17. ESR now has an arrangement in place with Massey University for genome sequencing.
ESR will still validate all results, however this arrangement is predicted to speed up
genome testing.
18. A further 34 community cases are genomically linked with the Auckland cluster. These
cases are from the following known sub-clusters; Church 1 (6 cases), Church 2 (4 cases),
Church 3 (9 cases), Finance Now HH (1 case), Americold HH (3 cases), Botany (4 cases),
(4 cases) and (3 cases).15
19.
20. Work is underway to analyse how the whole genome sequencing can be used to tell us
how COVID-19 has been transmitted through the community cluster and to further
inform its management.
21. No direct links have been found between the community outbreak genome
sequencing, with the 67 genomes currently available from cases in managed isolation
facilities (MIFs).
22.
Contact tracing16 23. Between 04 and 10 September 86% (357/413) of Community close contacts and 79%
(11/14) MIQ close contacts have been contacted within 48 hours of being determined
to be a contact. KPI for this metric is 80% of close contacts within 48 hours.
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 12 August as at
0900 11 September 2020
10/09/2020 11/09/2020 12/09/2020 13/09/2020
Number of close contacts
identified1 3372 3623 3647 3664
14 ESR Whole Genome Sequencing Report 02 September 2020, Email 1859 11 September 2020
15 ESR email update 0900 08 September 2020
16 COVID-19 NCCS Analytics and Reporting 0909 13 September 2020
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Number of close contacts
successfully contacted (and are
self-isolating)
3354 3608 3640 3650
Number of close contacts
referred to "finding services"2 0 3 0 0
Number of close contacts
awaiting contact 18 12 7 14
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation
and Tracing Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this
report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details
for close contacts we do not have the correct contact details for. These services utilise internal Ministry of Health
databases along with Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being
removed from the system.
COVID-19 Tracer App usage17 Figure 1: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1045
12 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
17 Response Analyst – Digital Channels, 1056 12 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
3,000,000
20/
05
23/
05
26/
05
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05
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06
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06
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06
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08
30/
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05/
09
08/
09
11/
09
Usa
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Day and month
Cumulative App registrations Daily scans and manual entries
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Testing18 Table 6: Testing by functional groups, as at 0900 13 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers19 Table 7: Number of laboratory tests processed nationally as at 0900 13 September 2020
Testing supply update20
24. There are no issues with regent supplies, and hologic supplies are now in labs around
the country. There are 43 days of reagent stocks on hand nationally.
18 ÉCLAIR/MoH Public Health Intelligence, 1012 13 September 2020
19 Daily Lab Report, 0834 13 September 2020
20 Testing supply email, 1001 09 September 2020
Reason for test 12 September 06 – 12 September
GPs and other primary health 3515 20856
CBACs and pop-ups 2824 23659
Border workers - air crew 21 214
Border workers - airport staff 205 1113
Border workers - maritime crew 0 1
Border workers – Port of Tauranga staff 0 127
Border workers – Remaining Port staff 19 222
Border workers - MIF 226 946
Border workers - MIQ 54 325
Travellers - Staying at MIF 186 2196
Travellers - Staying at MIQ 161 242
Total 7211 49901
Time period Number of laboratory tests
12 September 7211
Last 7 days (06 Sep to 12 Sep) 49,831
Total 864,469
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Testing activity by region
Focus areas
25. As at 1700 08 September there are 28 Community testing Centres in the Metro
Auckland area. Three of these are closed CTC's for close contacts only.21
Healthline updates22 26. On 12 September there were 2,354 contacts in Healthline. Of those calls, 1,082 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 545 contacts (lower than forecast).
27. The main themes yesterday/today:
o Most of the callers are calling because they are symptomatic and want to get a test,
o Calls relating to the latest exposure events,
o Confusion around Alert Level rules (i.e. crowd sizes in Auckland, around the rest of
the country etc) it is recommended to reemphasise this given recent media
confusion.
Logistics
Health Workforce23
28. Health Workforce have identified a small group of people on the surge workforce who
have indicated they would be willing to work in an ARC facility in the event of an
outbreak – this week we will work on whether this pool can be expanded and actions to
keep the group “warm” in the event ARC employers require them.
29. Upskilling of alternative workforces for testing continues to progress, including plans
for a training package and scoping of micro-credentialing, in addition to understanding
where this workforce would be obtained from. It is anticipated this training package will
be available within four weeks (estimated).
30. Health Workforce continue to work with TAS and all 20 GMsHR on workforce needs and
issues – regular workforce intelligence information will be provided to Health
Workforce, which will be incorporated into frequent dashboard reports.
21 Community Testing Centres report, 1800 08 September 2020
22 National Telehealth Service Coronavirus Update, 0933 13 September 2020
23 Health Workforce Directorate, 0832 01 September 2020
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Hospital capacity24 Table 8: Number and occupancy of hospital beds by type as at 0800 12 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 325 185 (56.9%)
Ventilators 265 46 (17.4%)
Ward beds 6541 5075 (77.6%)
24 COVID-19 Hospital Summary, 1012 12 September 2020
15
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Appendix 1: Case summary Table 9: All community cases reported between 0900 12 September and 0900 13 September. Source: ESR EpiSurv Estract 0900 13 September 2020
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Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification16 Table 10:NCTS data for cases in the community
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours
- 100% 27% 4% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours
- 0% *
(0/2) 70% 4% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
- 100% 74% 4% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours
100% 50% 50% 33% 0% *
(0/1) 100% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours
0% *
(0/1) 20% 75% 80%
0% *
(0/2) 100% 67%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours
- 100% 84% 87% 100% 100% -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% 100% 100% 100% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours
- 100% 89% 97% 100% 100% 94%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
- 100% 91% 88% 100% 100% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% - 0% 4% 1% 0% 0% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
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17
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
Table 11: NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours
- - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours
- - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
- 100% 100% - 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours
- - - - 0% * (0/1)
- -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours
- 0% * (0/2)
100% - 100% - -
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours
- 100% 100% - 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours
- 100% 100% - 100% - -
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours
- 100% 100% - 100% - -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
- 100% 100% - 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20% - 0% 0% - 0% - -
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
18
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Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19) Table 12: Metro Auckland Summary Total of Testing for 11 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 1294 256 342 141 34 2067
Table 13: Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and reported later than
this; tests only included if coded and received and acknowledged by lab, result not required
*Includes GP clinics, Urgent Care Centres, Designated practices
Table 14: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Table 1: Total number of COVID-19 cases as at 0900 14 September 2020
Case Status Active Recovered Deceased Total
Confirmed 96* (-1) 1332 (+2) 19 1447 (+1)
Probable 0 346 5 351
Total 96* (-1) 1678 (+2) 24 1798 (+1)
*1 new case identified, 2 cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 14 September 20201
New community cases since 0900 13 September 20202
1. One new community case has been reported, as at 0900 14 September.
o The case has an epidemiological link to an existing case associated with the Botany
sub-cluster. The case is and has been in isolation since 30 August due
to household contact being a confirmed case.
Community cases linked to the Auckland Community Cluster August 20203
2. 177 of the 180 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 14 September. The unlinked cases are summarised as follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster and there is insufficient data to confirm a genomic link to the
community cluster (see 3).
o The quarantine facility healthcare worker case reported 13 September is currently
under investigation for an epidemiological and genomic link. Genomic sequencing is
currently underway with ESR.
1 EpiSurv Database, 0900 14 September 2020
2 EpiSurv Database, 0900 14 September 2020
3 EpiSurv Database, 0900 14 September 2020
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 77 (+1) 55 46 1 179 (+1)
Probable 1 0 0 0 1
Total 78 (+1) 55 46 1 180 (+1)
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Community cases under investigation to determine a link to the Auckland community
cluster
3. The case under investigation is summarised as follows:
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. The case subsequently tested positive
on 21 August after being swabbed at a mobile testing clinic in Auckland. Despite
using two different whole genome sequencing protocols only a partial genome was
obtained. There is insufficient data to confirm the case is genomically linked to the
community cluster.4 Their epidemiological link to the community cluster is still under
investigation.
Community cases and household contacts at Jet Park
4. As at 0800 14 September there are 53 people isolating in Jet Park from the community.
29 are confirmed cases, the remaining 24 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.5
MIQ cases since 0900 13 September 20206
5. There have been no new cases detected at the border, as at 0900 14 September. In
total 144 cases have been detected at the border since the establishment of
MIFs/MIQs.
Cases in hospital
6. As at 0800 14 September there are three cases in hospital with COVID-19.7
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 14 September 2020
4 ESR WGS report 03 September 2020
5 NRHCC Morning Report, 0900 14 September 2020
6 EpiSurv Database, 0900 14 September 2020
7 NRHCC Morning Report 14 September 2020 and COVID-19 Hospital Summary, 0900 14 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 1 0
Waitematā North Shore 0 1
Waikato Waikato 0 1
Total - 1 2
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Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Current outbreak overview8
o There are two sub-clusters which most new community cases are linked to (Mount
Roskill Evangelical Church and Bereavements sub-clusters). There are 33 confirmed
cases in the Mount Roskill Evangelical Church sub-cluster and 15 confirmed cases in the
Bereavements sub-cluster.
Current outbreak investigation priorities
o Contact tracing and containment of Mount Roskill Evangelical Church sub-cluster and
recent bereavement events.
o Contact tracing and containment of Botany sub-cluster.
o Clarify whether June border case is a new infection and clarify strain.
o Seek to identify epidemiological link for index case in Mount Roskill Evangelical Church
sub-cluster.
o Waikato PHU will scope any positive cases in MIFs in the Auckland region for the next
week to alleviate some workload pressure at ARPHS.
Sub-clusters and settings of interest9
8. A healthcare worker at Jet Park was reported 13 September Sitrep. The swab is with ESR
for whole genome sequencing. Scoping by ARPHS is underway to identify close and
casual contacts. The case is isolating at Jet Park facility. The case has five household
close contacts who are self-isolating at home. Four of five household contacts have
returned negative test results, one is pending. All staff at Jet Park will be tested and
staff who are considered close contacts have been stood down. Testing is underway
and results are pending. CCTV footage at the facility will be reviewed as part of the
scoping process. Community contact tracing is underway.10 As at 0800 14 September
there has been close contacts identified at three exposure events at Les Mills gym
8 ARPHS Strategic Report 08 September 2020
9 ARPHS Strategic Report 08 September 2020
10 ARPHS text 1000 13 September 2020
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5
classes on 9 and 10 September. Contacts at exposure events at The Warehouse,
Starbucks and Countdown are all considered casual contacts only.11
9. On 7 September several exposure events were identified with epidemiological links to
Mt Roskill Evangelical Church sub-cluster. Between 24 August and 2 September there
were multiple gatherings associated with bereavement of a (non COVID-19 related)
death, including a funeral on . Active monitoring and follow up of
compliance with self-isolation is ongoing with contacts associated with these events.12
10. A sub-cluster has been created to include cases whose source of infection occurred at
the bereavement events. There are 15 cases in the bereavement sub-cluster and 33
cases in the Mt Roskill Evangelical Church sub-cluster.
11. St Dominic’s College in Henderson, Auckland, was identified as a setting of interest on 8
September. A confirmed case linked to the bereavement sub-cluster
The school has
been informed and communications have been sent. A list of contacts has been
gathered by the school and includes 87 students and 11 teachers.13 The school will be
reopened today (14 September) and casual contacts will be able to attend.14
12. A confirmed case linked to the bereavement sub-cluster worked as a bus driver for two
days while infectious but pre-symptomatic. wore a facemask and had 2m distance
from passengers due to Auckland Transport policy. A contact tracing exercise based on
HOP card data is ongoing.
o 293 individuals rode these routes on 3 and 4 September, all of whom are casual
contacts. No individual rode the bus for more than two hours cumulatively over
these two days.
o There are two close contacts, they are in self-isolation.
13. All five of the confirmed cases in the Botany sub-cluster were in Jet Park but have been
released. Two workplaces associated with the Botany cases have been identified and
close contacts have been scoped. Three at one of the of a
case are close contacts and had been stood down, self-isolated, and tested negative. All
three have since been released from isolation. The second is related to a
case who is a and no close contacts were identified. Four members of one
of the families in the sub-cluster have had serology testing on 11 September, results
are pending.
14. ARPHS actions:15
o Maintain positive relationships with Church leaders and liaise with Church members
about their need for financial and welfare support if asked to isolate.
o Scope new cases.
11 NRHCC Morning Report 0900 14 September 2020
12 NRHCC Morning Report 0900 14 September 2020
13 ARPHS email 1800 11 September 2020
14 NRHCC Morning Report 0900 14 September 2020
15 ARPHS Strategic Report 08 September 2020
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o Quarantine and test household contacts of the new cases. Testing is underway for
household contacts, including repeat testing as needed for people previously tested
from the Mt Roskill church.
o Develop and implement a testing strategy which includes communication with
church leaders around the reason for testing and who should be tested.
o MoH have signed off on two medical officers of health to support ARPHS.
Case investigation
15. Source investigation for the epidemiological link to the main cluster for four cases that
have been genomically linked to the main cluster is ongoing:
o The
o GP
o The second Mount Albert Grammar student
o The Botany case
Self-isolation compliance16
16. Discussions with a key representative from Ngaa Amokura have confirmed that the
option below will reinforce the trust/relationship between the health sector and the
fellowship whanau for supporting compliance with self-isolation requirements (to be
used if standard contact tracing cannot be established within 48 hrs).
o Engagement of the Kaimanaaki workforce (community champions employed by our
Māori providers in the community). Kaimanaaki have access to clinical
support/advice. And will support and enable whaanau wellbeing through the
pandemic. They have specific skills to help whaanau cope with isolation. They are
also trained in the use of PPE so can make house visits and/or contact whaanau by
phone for the duration of their isolation. Daily contact is anticipated and Kaimanaaki
will report back to the DHB/public health officials on a daily basis. An
implementation plan is being developed and will be stood up from Monday.
16 ADHB Email, 1000 11 September 2020
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ESR and wider testing17 17. ESR now has an arrangement in place with Massey University for genome sequencing.
ESR will still validate all results, however this arrangement is predicted to speed up
genome testing.
18. A further 34 community cases are genomically linked with the Auckland cluster. These
cases are from the following known sub-clusters; Church 1 (6 cases), Church 2 (4 cases),
Church 3 (9 cases), Finance Now HH (1 case), Americold HH (3 cases), Botany (4 cases),
(4 cases) and (3 cases).18
19.
20. Work is underway to analyse how the whole genome sequencing can be used to tell us
how COVID-19 has been transmitted through the community cluster and to further
inform its management.
21. No direct links have been found between the community outbreak genome
sequencing, with the 67 genomes currently available from cases in managed isolation
facilities (MIFs).
22.
23. Genomic sequencing of the Jet Park case is under way.
Contact tracing19 24. Between 05 and 11 September 89% (372/418) of Community close contacts and 100%
(9/9) MIQ close contacts have been contacted within 48 hours of being determined to
be a contact. KPI for this metric is 80% of close contacts within 48 hours.
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 12 August as at
0830 14 September 2020
11/09/2020 12/09/2020 13/09/2020 14/09/2020
Number of close contacts
identified1 3623 3647 3664 3708
17 ESR Whole Genome Sequencing Report 02 September 2020, Email 1859 11 September 2020
18 ESR email update 0900 08 September 2020
19 COVID-19 NCCS Analytics and Reporting 0846 14 September 2020
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10
Number of close contacts
successfully contacted (and are
self-isolating)
3608 3640 3650 3697
Number of close contacts
referred to "finding services"2 3 0 0 0
Number of close contacts
awaiting contact 12 7 14 11
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation
and Tracing Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this
report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details
for close contacts we do not have the correct contact details for. These services utilise internal Ministry of Health
databases along with Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being
removed from the system.
COVID-19 Tracer App usage20 Figure 1: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 0835
14 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
20 Response Analyst – Digital Channels, 1056 13 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20/0
523
/05
26/0
529
/05
01/0
604
/06
07/0
610
/06
13/0
616
/06
19/0
622
/06
25/0
628
/06
01/0
704
/07
07/0
710
/07
13/0
716
/07
19/0
722
/07
25/0
728
/07
31/0
703
/08
06/0
809
/08
12/0
815
/08
18/0
821
/08
24/0
827
/08
30/0
802
/09
05/0
908
/09
11/0
9
Da
ily
sca
ns
an
d m
an
ua
l e
ntr
ies
Cu
mu
lati
ve
Ap
p r
eg
istr
ati
on
s
Day and month
Cumulative App registrations Daily scans and manual entries
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11
Testing21 Table 6: Testing by functional groups, as at 0900 14 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers22 Table 7: Number of laboratory tests processed nationally as at 0900 14 September 2020
Testing supply update23
25. There are no issues with regent supplies, and hologic supplies are now in labs around
the country. There are 43 days of reagent stocks on hand nationally.
21 ÉCLAIR/MoH Public Health Intelligence, 0954 14 September 2020
22 Daily Lab Report, 0834 13 September 2020
23 Testing supply email, 1001 09 September 2020
Reason for test 13 September 07 – 13 September
GPs and other primary health 1528 19,386
CBACs and pop-ups 1541 24,694
Border workers - air crew 25 234
Border workers - airport staff 139 1143
Border workers - maritime crew 0 0
Border workers – Port of Tauranga staff 1 51
Border workers – Remaining Port staff 4 154
Border workers - MIF 108 978
Border workers - MIQ 83 426
Travellers - Staying at MIF 141 2248
Travellers - Staying at MIQ 3 241
Total 3573 49,555
Time period Number of laboratory tests
13 September 3573
Last 7 days (07 Sep to 13 Sep) 49,413
Total 868,042
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12
Testing activity by region
Focus areas
26. As at 1700 08 September there are 28 Community testing Centres in the Metro
Auckland area. Three of these are closed CTC's for close contacts only.24
Healthline updates25 27. On 13 September there were 2,590 contacts in Healthline. Of those calls, 1,112 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 605 contacts (lower than forecast).
28. The main themes yesterday/today:
o National Telehealth Service (Healthline) received over 160 calls related to the
exposures in the community at Les Mills and the locations in Milford. From these
calls we have identified 53 casual contacts and 87 close contacts who have been sent
to the contact tracing service and referred for testing. A number of close contacts
reported being symptomatic.
o Over the weekend in response to various media items we had a number of calls from
the public expressing anger towards the lack of compliance by various religious
groups and close contacts not being honest with officials during interviews.
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested.
o Calls relating to the latest exposure events
o Confusion around alert leave rules (i.e. crowd sizes in Auckland, around the rest of
the country etc).
Logistics
Health Workforce26
29. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
30. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
24 Community Testing Centres report, 1800 08 September 2020
25 National Telehealth Service Coronavirus Update, 0937 14 September 2020
26 Health Workforce Directorate, 0945 14 September 2020
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13
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
31. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity27 Table 8: Number and occupancy of hospital beds by type as at 0800 14 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 355 178 (50.1%)
Ventilators 314 55 (17.5%)
Ward beds 7502 5706 (76.1%)
27 COVID-19 Hospital Summary, 0916 14 September 2020
14
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Appendix 1: Case summary Table 9: All community cases reported between 0900 13 September and 0900 14 September. Source: ESR EpiSurv Extract 0900 14 September 2020
s 9(2)(a)
15
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Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification19 Table 10:NCTS data for cases in the community
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours
100% 27% 4% 0% *
(0/4) - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours
0% *
(0/2) 70% 4%
0% *
(0/4) - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
100% 80% 4% 100% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours
50% 50% 33% 0% *
(0/1) 100% 67% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours
20% 75% 80% 0% *
(0/2) 100% 67% 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours
100% 90% 87% 100% 100% 94% -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% 100% 100% 100% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours
100% 96% 97% 100% 100% 94% 89%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
100% 98% 88% 100% 100% 94% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% 0% 4% 1% 0% 0% 0% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
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16
Table 11: NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours
- - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours
- - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
100% 100% - 100% - - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours
- - - 0% * (0/1)
- - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours
0% * (0/2)
100% - 100% - - 0% * (0/1)
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours
100% 100% - 100% - - -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% 100% - 100% - - 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours
100% 100% - 100% - - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
100% 100% - 100% - - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20% 0% 0% - 0% - - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
17
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Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 11 September Table 12: Metro Auckland Summary Total of Testing for 11 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port TOTAL
5:00pm 1294 256 342 141 34 2067
Table 13: Totals tests receipted from 12 August 2020, by ethnicity (as at 5pm)
*Swab taken in last 24 hours taken between midnight and midnight, may have been receipted and reported later than
this; tests only included if coded and received and acknowledged by lab, result not required
*Includes GP clinics, Urgent Care Centres, Designated practices
Table 14: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Table 1: Total number of COVID-19 cases as at 0900 15 September 20201
Case Status Active Recovered Deceased Total
Confirmed 83* (-13) 1348 (+16) 19 1450 (+3)
Probable 0 346 5 351
Total 83* (-13) 1694 (+16) 24 1801 (+3)
*3 new case identified, 16 cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 15 September 20201
New community cases since 0900 14 September 20202
1. No new community cases have been reported, as at 0900 15 September.
Community cases linked to the Auckland Community Cluster August 20203
2. 178 of the 180 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 15 September. The unlinked cases are summarised as follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster and there is insufficient data to confirm a genomic link to the
community cluster (see 3).
Community cases under investigation to determine a link to the Auckland community
cluster
3. The case under investigation is summarised as follows:
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. The case subsequently tested positive
on 21 August after being swabbed at a mobile testing clinic in Auckland. Despite
1 EpiSurv Database, 0900 15 September 2020
2 EpiSurv Database, 0900 15 September 2020
3 EpiSurv Database, 0900 15 September 2020
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 77 55 46 1 179
Probable 1 0 0 0 1
Total 78 55 46 1 180
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3
using two different whole genome sequencing protocols only a partial genome was
obtained. There is insufficient data to confirm the case is genomically linked to the
community cluster.4 Their epidemiological link to the community cluster is still under
investigation. As at 15 September no additional information has been revealed by
the investigation.11
Community cases and household contacts at Jet Park
4. As at 0800 15 September there are 56 people isolating in Jet Park from the community.
26 are confirmed cases, the remaining 30 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.5
MIQ cases since 0900 14 September 20206
5. Three new cases detected at the border, as at 0900 15 September. In total 147 cases
have been detected at the border since the establishment of MIFs/MIQs.
Cases in hospital
6. As at 0800 15 September there are three cases in hospital with COVID-19.7
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 15 September 2020
4 ESR WGS report 03 September 2020
5 NRHCC Morning Report, 0900 15 September 2020
6 EpiSurv Database, 0900 15 September 2020
7 NRHCC Morning Report 15 September 2020 and COVID-19 Hospital Summary, 0900 15 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 1 0
Waitematā North Shore 0 1
Waikato Waikato 0 1
Total - 1 2
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4
Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Current outbreak overview8
o There are two sub-clusters which most new community cases are linked to (Mount
Roskill Evangelical Church and Bereavements sub-clusters). There are 33 confirmed
cases in the Mount Roskill Evangelical Church sub-cluster and 15 confirmed cases in the
Bereavements sub-cluster.
Current outbreak investigation priorities
o Contact tracing and containment of Mount Roskill Evangelical Church sub-cluster and
recent bereavement events.
o Contact tracing and containment of Botany sub-cluster.
o Clarify whether June border case is a new infection and clarify strain.
o Seek to identify epidemiological link for index case in Mount Roskill Evangelical Church
sub-cluster.
o Waikato PHU will scope any positive cases in MIFs in the Auckland region for the next
week to alleviate some workload pressure at ARPHS.
o Investigation and close contact tracing of Jet Park healthcare worker9
Sub-clusters and settings of interest8
8. A healthcare worker at Jet Park was reported as a case on the 13 September Sitrep. The
case has been genomically linked to the Auckland Community Cluster however a clear
epidemiological link is still being investigated. The case was working in the facility
where other confirmed community cases were completing managed isolation however
a clear link to an existing case is not yet determined (see para 15 for further information
on genomic sequencing). Scoping by ARPHS is underway to identify close and casual
contacts. The case is isolating at Jet Park facility. The case has five household close
contacts who are self-isolating at home. All five household contacts have returned
negative test results.9 All staff at Jet Park staff who are considered close contacts have
been stood down and have returned negative results so far.9 CCTV footage at the
facility will be reviewed as part of the scoping process. Community contact tracing is
8 ARPHS Strategic Report 08 September 2020
9 NRHCC Morning Report, 0900 15 September 2020
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5
underway.10 A total of 29311 gym users have been identified between three exposure
events at Les Mills gym classes on 9 and 10 September (See table 4 for further details).
These people are in the process of being contacted by NCTS and are all being
encouraged to be tested.12 Contacts at exposure events at The Warehouse, Starbucks
and Countdown are all considered casual contacts only.13
9. On 7 September several exposure events were identified with epidemiological links to
Mt Roskill Evangelical Church sub-cluster. Between 24 August and 2 September there
were multiple gatherings associated with bereavement of a (non COVID-19 related)
death, including a funeral on Active monitoring and follow up of
compliance with self-isolation is ongoing with contacts associated with these events.13
10. St Dominic’s College in Henderson, Auckland, was identified as a setting of interest on 8
September. A confirmed case linked to the bereavement sub-cluster
The school has
been informed and communications have been sent. A list of contacts has been
gathered by the school and includes 87 students and 11 teachers.14 The school was
reopened on 14 September and casual contacts will be able to attend.13
11. A confirmed case linked to the bereavement sub-cluster worked as a bus driver for two
days while infectious but pre-symptomatic. wore a facemask and had 2m distance
from passengers due to Auckland Transport policy. A contact tracing exercise based on
HOP card data is ongoing. No further contacts have been identified as of 14 September
regarding this case.15
o 293 individuals rode these routes on 3 and 4 September, all of whom are casual
contacts. No individual rode the bus for more than two hours cumulatively over
these two days.
o There are two close contacts, they are in self-isolation.
12. members of one of the families in the Botany sub-cluster had serology testing on
11 September and all returned negative results.11 A case reported in 14 September
SitRep is also associated with the Botany sub-cluster. The case is and has
been in isolation at Jet Park since 30 August due to being a household contact of a
confirmed case. The case and their close contacts will remain in isolation for a further
14 days.11
Case investigation
10 ARPHS text 1000 13 September 2020
11 Email update from ARPHS 0848 15 September 2020
12 MoH, ARPHS teleconference 1500 14 September 2020
13 NRHCC Morning Report 0900 14 September 2020
14 ARPHS email 1800 11 September 2020
15 NRHCC Morning Report, 0900 15 September 2020
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
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6
13. Source investigation for the epidemiological link to the main cluster for four cases that
have been genomically linked to the main cluster is ongoing:
o The
o GP
o The second Mount Albert Grammar student
o The Botany case
o Jet Park healthcare worker
Self-isolation compliance16
14. Discussions with a key representative from Ngaa Amokura have confirmed that the
option below will reinforce the trust/relationship between the health sector and the
fellowship whanau for supporting compliance with self-isolation requirements (to be
used if standard contact tracing cannot be established within 48 hrs).
o Engagement of the Kaimanaaki workforce (community champions employed by our
Māori providers in the community). Kaimanaaki have access to clinical
support/advice. And will support and enable whaanau wellbeing through the
pandemic. They have specific skills to help whaanau cope with isolation. They are
also trained in the use of PPE so can make house visits and/or contact whaanau by
phone for the duration of their isolation. Daily contact is anticipated and Kaimanaaki
will report back to the DHB/public health officials on a daily basis. An
implementation plan is being developed and will was stood up on 14 September.
16 ADHB Email, 1000 11 September 2020
s 9(2)(a)
s 9(2)(a)
7
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s 9(2)(a)
s 9(2)(a)
8
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ESR and wider testing17 15. Whole genome sequencing was undertaken on a sample from a confirmed COVID-19
case in a health care worker at Auckland’s quarantine facility Jet Park. The sequencing
results indicate that the case is linked to the Auckland community cluster and is most
closely genomically related to three community cases that have been isolated in the Jet
Park quarantine facility. This sequence information indicates that the health care worker
was most likely exposed at Jet Park and the Public Health Unit are continuing to
investigate how the infection occurred.
16. ESR now has an arrangement in place with Massey University for genome sequencing.
ESR will still validate all results, however this arrangement is predicted to speed up
genome testing.
17. A further 34 community cases are genomically linked with the Auckland cluster. These
cases are from the following known sub-clusters; Church 1 (6 cases), Church 2 (4 cases),
Church 3 (9 cases), Finance Now HH (1 case), Americold HH (3 cases), Botany (4 cases),
(4 cases) and (3 cases).18
18.
19. Work is underway to analyse how the whole genome sequencing can be used to tell us
how COVID-19 has been transmitted through the community cluster and to further
inform its management.
20. No direct links have been found between the community outbreak genome
sequencing, with the 67 genomes currently available from cases in managed isolation
facilities (MIFs).
21.
Contact tracing19 22. Between 06 and 12 September 91% (471/516) of Community close contacts and 100%
(29/29) MIQ close contacts have been contacted within 48 hours of being determined
to be a contact. KPI for this metric is 80% of close contacts within 48 hours.
17 ESR Whole Genome Sequencing Report 02 September 2020, Email 1859 11 September 2020
18 ESR email update 0900 08 September 2020
19 COVID-19 NCCS Analytics and Reporting 0836 15 September 2020
s 9(2)(a)s 9(2)(a)
s 9(2)(g)(i)
s 9(2)(g)(i)
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9
Table 4: Close contact tracing recorded in the National Contact Tracing Solution since 12 August as at
0830 15 September 2020
12/09/2020 13/09/2020 14/09/2020 15/09/2020
Number of close contacts
identified1 3647 3664 3708 3779
Number of close contacts
successfully contacted (and are
self-isolating)
3640 3650 3697 3772
Number of close contacts
referred to "finding services"2 0 0 0 0
Number of close contacts
awaiting contact 7 14 11 7
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage20 Figure 1: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1610
14 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
20 Response Analyst – Digital Channels, 1614 14 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20
/05
23/0
526
/05
29
/05
01/0
604
/06
07
/06
10/0
613
/06
16
/06
19/0
622
/06
25
/06
28/0
601
/07
04
/07
07/0
710
/07
13
/07
16/0
719
/07
22
/07
25/0
728
/07
31
/07
03/0
806
/08
09
/08
12/0
815
/08
18
/08
21/0
824
/08
27
/08
30/0
802
/09
05
/09
08/0
911
/09
14
/09
Da
ily
sca
ns
an
d m
an
ua
l e
ntr
ies
Cu
mu
lati
ve
Ap
p r
eg
istr
ati
on
s
Day and month
Cumulative App registrations Daily scans and manual entries
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10
Testing21 Table 5: Testing by functional groups, as at 0900 15 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers22 Table 6: Number of laboratory tests processed nationally as at 0900 15 September 2020
Testing supply update23
23. There are no issues with regent supplies, and hologic supplies are now in labs around
the country. There are 43 days of reagent stocks on hand nationally.
21 ÉCLAIR/MoH Public Health Intelligence, 1000 15 September 2020
22 Daily Lab Report, 0913 15 September 2020
23 Testing supply email, 1001 09 September 2020
Reason for test 14 September 08–14 September
GPs and other primary health 1904 19,287
CBACs and pop-ups 1908 24,263
Border workers - air crew 16 216
Border workers - airport staff 87 1168
Border workers - maritime crew 0 0
Border workers – Port of Tauranga staff 0 12
Border workers – Remaining Port staff 5 128
Border workers - MIF 137 986
Border workers - MIQ 145 504
Travellers - Staying at MIF 194 2134
Travellers - Staying at MIQ 6 243
Total 4402 48,941
Time period Number of laboratory tests
14 September 4402
Last 7 days (08 Sep to 14 Sep) 49,290
Total 872,444
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11
Testing activity by region
Focus areas
24. As at 1700 08 September there are 28 Community testing Centres in the Metro
Auckland area. Three of these are closed CTC's for close contacts only.24
Healthline updates25 25. On 14 September there were 3,176 contacts in Healthline. Of those calls, 1,112 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 675 contacts (slightly higher than forecast).
26. The main themes yesterday/today:
o National Telehealth Service (Healthline) continued to take calls related to the
exposure events.
o National Telehealth Service (Healthline) continued to have a number of calls from the
public expressing anger towards the lack of compliance by various religious groups
and close contacts not being honest with officials during interviews.
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested.
o Calls relating to the latest exposure events
o Confusion around alert leave rules (i.e. crowd sizes in Auckland, around the rest of
the country etc).
Logistics
Health Workforce26
27. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
28. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
29. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
24 Community Testing Centres report, 1800 08 September 2020
25 National Telehealth Service Coronavirus Update, 0903 15 September 2020
26 Health Workforce Directorate, 0945 14 September 2020
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12
Hospital capacity27 Table 7: Number and occupancy of hospital beds by type as at 0800 15 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 365 208 (57.0%)
Ventilators 320 58 (18.1%)
Ward beds 7728 6351 (82.2%)
27 COVID-19 Hospital Summary, 0918 15 September 2020
13
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Appendix 1: Case summary Table 8: All community cases reported between 0900 14 September and 0900 15 September. Source: ESR EpiSurv Extract 0900 15 September 2020
Cumulative
Number
Date tested
positive Onset date
Case
status DHB Sex Age Ethnicity
Symptoms
[Yes/No] Hospitalised Occupation Source of transmission
14
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Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification19 Table 9:NCTS data for cases in the community
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours 28% 4% 0% *
(0/4) 100% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours 72% 4% 0% *
(0/4) 100% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours 83% 4% 100% 100% 89% - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours 50% 33% 0% *
(0/1) 100% 67% 100% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours 75% 80% 0% *
(0/2) 100% 67% 100% -
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours 93% 87% 100% 100% 89% 98% -
7 – (P001) Time from notification to case interview 80% within 24 hours 100% 100% 100% 100% 100% 100% -
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours 97% 97% 100% 100% 100% 98% -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours 98% 88% 100% 100% 100% 98% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% 4% 1% 0% 0% 0% 0% -
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
15
Table 10: NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours
- - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours
- - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours
100% - 100% - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours
- - 0% * (0/1)
- - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours
100% - 100% - - 0% * (0/1)
-
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours
100% - 100% - - 100% -
7 – (P001) Time from notification to case interview 80% within 24 hours
100% - 100% - - 100% -
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours
100% - 100% - - 100% -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours
100% - 100% - - 100% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20% 0% - 0% - - 0% -
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
16
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Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 14 September
Table 11: Metro Auckland Summary Total of Testing for 11 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime
port
Ship’s
Crew
TOTAL
12/09/2020
5:00pm
1004 75 461 93 23 0 1656
13/09/2020
5:00pm
922 92 650 106 No Testing 0 1770
14/09/2020
5:00pm
1482 118 648 156 90 0 2494
Table 12: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 –
06/09
07/09 –
13/09
12/09 13/09 14/09*
MIQ Staff 2132 659 1488 912 1086 75 92 118
Guests 2972 3767 3600 3406 3424 461 650 648
Border Airport 2129 933 1349 1158 853 93 106 156
Port 1588 678 161 392 153 23 0 90
* 14/09 day still in progress
CTCs and mobile testing site locations
Please see https://www.arphs.health.nz/public-health-topics/covid-19/where-to-get-tested for the
most up-to-date information on CTCs and mobile testing sites in the Auckland region.
Table 1: Total number of COVID-19 cases as at 0900 16 September 20201
Case Status Active Recovered Deceased Total
Confirmed 79* (-4) 1352 (+4) 20 (+1) 1451 (+1)
Probable 0 346 5 351
Total 79* (-4) 1698 (+4) 25 (+1) 1802 (+1)
*1 new case identified, 4 cases classified as recovered, 1 case deceased.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 16 September 20201
New community cases since 0900 15 September 20202
1. No new community cases have been reported, as at 0900 16 September.
Community cases linked to the Auckland Community Cluster August 20203
2. 178 of the 180 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 16 September. The unlinked cases are summarised as follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster. There is insufficient data to confirm a genomic link to the
community cluster (see 3).
Community cases under investigation to determine a link to the Auckland community
cluster
3. The case under investigation is summarised as follows:
o One case (reported 21 August) came through the border on 18 June. The case tested
negative at Day 3 and Day 12 of quarantine. The case subsequently tested positive
on 21 August after being swabbed at a mobile testing clinic in Auckland. Despite
1 EpiSurv Database, 0900 16 September 2020
2 EpiSurv Database, 0900 16 September 2020
3 EpiSurv Database, 0900 16 September 2020
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 77 55 46 1 179
Probable 1 0 0 0 1
Total 78 55 46 1 180
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using two different whole genome sequencing protocols only a partial genome was
obtained. There is insufficient data to confirm the case is genomically linked to the
community cluster.4 Their epidemiological link to the community cluster is still under
investigation. As at 15 September no additional information has been revealed by
the investigation.11
Community cases and household contacts at Jet Park
4. As at 0800 16 September there are 57 people isolating in Jet Park from the community.
27 are confirmed cases, the remaining 30 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.5
MIQ cases since 0900 15 September 20206
5. One new case detected at the border, as at 0900 16 September. In total 148 cases have
been detected at the border since the establishment of MIFs/MIQs.
Cases in hospital
6. As at 0800 16 September there are three cases in hospital with COVID-19.7
o One death was reported. The case was in ICU at Waikato Hospital on 15 September.
o The case in Middlemore ICU is receiving ward level treatment and will be transferred
to a general ward.
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 16 September 2020
4 ESR WGS report 03 September 2020
5 NRHCC Morning Report, 0900 16 September 2020
6 EpiSurv Database, 0900 16 September 2020
7 NRHCC Morning Report 16 September 2020 and COVID-19 Hospital Summary, 0900 16 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 1 0
Waitematā North Shore 0 1
Counties Manukau Middlemore 0 1
Waikato Waikato 0 0
Total - 1 2
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Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Current outbreak overview8
o There are two sub-clusters which most new community cases are linked to (Mount
Roskill Evangelical Church and Bereavements sub-clusters). There are 33 confirmed
cases in the Mount Roskill Evangelical Church sub-cluster and 15 confirmed cases in the
Bereavements sub-cluster.
Current outbreak investigation priorities
o Contact tracing and containment of Mount Roskill Evangelical Church sub-cluster and
recent bereavement events.
o Contact tracing and containment of Botany sub-cluster.
o Clarify whether June border case is a new infection and clarify strain.
o Seek to identify epidemiological link for index case in Mount Roskill Evangelical Church
sub-cluster.
o Waikato PHU will scope any positive cases in MIFs in the Auckland region for the next
week to alleviate some workload pressure at ARPHS.
o Investigation and close contact tracing of Jet Park healthcare worker9
Sub-clusters and settings of interest8
8. A healthcare worker at Jet Park was reported as a case on the 13 September Sitrep. The
case has been genomically linked to the Auckland Community Cluster. The
epidemiological link has been identified to a community case who was completing
isolation at Jet Park and required hospitalisation. A review is underway of the processes
at Jet Park with a focus on lessons learnt by this situation.
The case is isolating at Jet Park facility. Scoping by ARPHS is underway to identify close
and casual contacts. The case has five household close contacts who are self-isolating
at home. All five household contacts initially returned negative test results and were
retested on 15 September, results expected today (16 September)9 All staff at Jet Park
staff who are considered close contacts have been stood down and have returned
8 ARPHS Strategic Report 08 September 2020
9 NRHCC Morning Report, 0900 16 September 2020
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negative results so far.9 CCTV footage at the facility will be reviewed as part of the
scoping process. Community contact tracing is underway.10 A total of 29311 gym users
have been identified between three exposure events at Les Mills gym classes on 9 and
10 September (See table 4 for further details). These people are in the process of being
contacted by NCTS and are all being encouraged to be tested.12 Contacts at exposure
events at The Warehouse, Starbucks and Countdown are all considered casual contacts
only.13
9. On 7 September several exposure events were identified with epidemiological links to
Mt Roskill Evangelical Church sub-cluster. Between 24 August and 2 September there
were multiple gatherings associated with bereavement of a (non COVID-19 related)
death, including a funeral on Active monitoring and follow up of
compliance with self-isolation is ongoing with contacts associated with these events.13
10. St Dominic’s College in Henderson, Auckland, was identified as a setting of interest on 8
September. A confirmed case linked to the bereavement sub-cluster
The school has
been informed and communications have been sent. A list of contacts has been
gathered by the school and includes 87 students and 11 teachers.14 The school was
reopened on 14 September and casual contacts will be able to attend.13
11. A confirmed case linked to the bereavement sub-cluster worked as a bus driver for two
days while infectious but pre-symptomatic. wore a facemask and had 2m distance
from passengers due to Auckland Transport policy. A contact tracing exercise based on
HOP card data is ongoing. No further contacts have been identified as of 14 September
regarding this case.15
o 293 individuals rode these routes on 3 and 4 September, all of whom are casual
contacts. No individual rode the bus for more than two hours cumulatively over
these two days.
o There are two close contacts, they are in self-isolation.
12. members of one of the families in the Botany sub-cluster had serology testing on
11 September and all returned negative results.11 A case reported in 14 September
SitRep is also associated with the Botany sub-cluster. The case is and has
been in isolation at Jet Park since 30 August due to being a household contact of a
confirmed case. The case and their close contacts will remain in isolation for a further
14 days.11
10 ARPHS text 1000 13 September 2020
11 Email update from ARPHS 0848 15 September 2020
12 MoH, ARPHS teleconference 1500 14 September 2020
13 NRHCC Morning Report 0900 14 September 2020
14 ARPHS email 1800 11 September 2020
15 NRHCC Morning Report, 0900 15 September 2020
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
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Case investigation
13. Source investigation for the epidemiological link to the main cluster for four cases that
have been genomically linked to the main cluster is ongoing:
o The
o GP
o The second Mount Albert Grammar student
o The Botany case
Self-isolation compliance16
14. Discussions with a key representative from Ngaa Amokura have confirmed that the
option below will reinforce the trust/relationship between the health sector and the
fellowship whanau for supporting compliance with self-isolation requirements (to be
used if standard contact tracing cannot be established within 48 hrs).
o Engagement of the Kaimanaaki workforce (community champions employed by our
Māori providers in the community). Kaimanaaki have access to clinical
support/advice. And will support and enable whānau wellbeing through the
pandemic. They have specific skills to help whānau cope with isolation. They are also
trained in the use of PPE so can make house visits and/or contact whānau by phone
for the duration of their isolation. Daily contact is anticipated and Kaimanaaki will
report back to the DHB/public health officials on a daily basis. An implementation
plan is being developed and will be stood up on 14 September.
16 ADHB Email, 1000 11 September 2020
s 9(2)(a)
s 9(2)(a)
7
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s 9(2)(a)
s 9(2)(a)
8
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ESR and wider testing17 15. A further 10 community cases are genomically linked with the Auckland cluster. These
cases are from the following known subclusters; Church 1 (1 cases), Church 3 (5 cases),
Americold HH (2 cases), MREF Bereavement (C-0018) (2 cases). A total of 153 cases
(86%) from the community cluster have now been sequenced, of which 134 (76%)
yielded a high quality genome.
16.
17. Ongoing analysis of the whole genome sequencing results is being used to show how
COVID-19 has been transmitted through the community cluster and to further inform
its management.
18. No direct links have been found between the community outbreak genome
sequencing, and the 65 full genomes (49 high quality) currently available from cases
detected in border arrivals in managed isolation facilities (MIFs). There has been one
case in a health worker at a managed isolation facility. WGS results indicate that this
case is genomically linked to the Auckland community cluster and clustered closely with
three community cases in the managed isolation facility (as discussed in para 8).
19.
Table 5: Sub-cluster sequencing table as at 14 September 202018
Sub-cluster Sequenced and
Genomically Clustered
Sequence Not
available
Total
Americold 9 1 10
Americold HH 24 3 27
7 1 8
Botany 4 1 5
3 0 3
Church 1 22 4 26
17 ESR Whole Genome Sequencing Report 02 September 2020, Email 0946 16 September 2020
18 ESR email 1608 14 September 2020
s 9(2)(a)
s 9(2)(a)
s 9(2)(g)(i)
s 9(2)(g)(i)
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9
Church 2 14 5 19
Church 3 24 9 33
Finance Now 6 1 7
Finance Now HH 4 1 5
Household 1 5 0 5
Household 2 2 0 2
Household 3 3 0 3
MREF-Bereavement 2 13 15
GP 5 0 5
NZ Courier Post 1 1 2
Pending 0 2 2
Warehouse 1 0 1
Contact tracing19 20. Between 07 and 13 September 70% (465/663) of Community close contacts and 100%
(25/25) MIQ close contacts have been contacted within 48 hours of being determined
to be a contact. KPI for this metric is 80% of close contacts within 48 hours.
Table 6: Close contact tracing recorded in the National Contact Tracing Solution since 12 August as at
0830 16 September 2020
13/09/2020 14/09/2020 15/09/2020 16/09/2020
Number of close contacts
identified1 3664 3708 3779 4139
Number of close contacts
successfully contacted (and are
self-isolating)
3650 3697 3772 4046
Number of close contacts
referred to "finding services"2 0 0 0 8
Number of close contacts
awaiting contact 14 11 7 85
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
19 COVID-19 NCCS Analytics and Reporting 0924 16 September 2020
s 9(2)(a)
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10
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage20 21. Since 20 May 2020, a total of 18 contact alerts have been sent out from the NCTS
system for exposure events. These exposure events are ones where contact tracers
deem a positive case to have been in a location where a risk of transmission warrants
releasing a contact alert (these are also notified on the Ministry of Health website).
22. Since 03 September 2020 (Release 4 of the app), we have measured that the app has
notified 113 people where a contact alert was presented because they had been in a
location of interest (we were not recording this before Release 4).
Figure 1: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
15 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
20 Response Analyst – Digital Channels, 1618 15 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20/0
523
/05
26/0
529
/05
01/0
604
/06
07/0
610
/06
13/0
616
/06
19/0
622
/06
25/0
628
/06
01/0
704
/07
07/0
710
/07
13/0
716
/07
19/0
722
/07
25/0
728
/07
31/0
703
/08
06/0
809
/08
12/0
815
/08
18/0
821
/08
24/0
827
/08
30/0
802
/09
05/0
908
/09
11/0
914
/09
Da
ily
sca
ns
an
d m
an
ua
l e
ntr
ies
Cu
mu
lati
ve
Ap
p r
eg
istr
ati
on
s
Day and month
Cumulative App registrations Daily scans and manual entries
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11
Testing21 Table 7: Testing by functional groups, as at 0900 16 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers22 Table 8: Number of laboratory tests processed nationally as at 0900 16 September 2020
Testing supply update23
23. There are no issues with regent supplies, and hologic supplies are now in labs around
the country. There are 43 days of reagent stocks on hand nationally.
21 ÉCLAIR/MoH Public Health Intelligence, 1000 16 September 2020
22 Daily Lab Report, 0952 16 September 2020
23 Testing supply email, 1001 09 September 2020
Reason for test 15 September 09–15 September
GPs and other primary health 2841 18,333
CBACs and pop-ups 2971 23,201
Border workers - air crew 29 206
Border workers - airport staff 152 1114
Border workers - maritime crew 13 13
Border workers – Port of Tauranga staff 34 43
Border workers – Remaining Port staff 4 121
Border workers - MIF 165 1006
Border workers - MIQ 21 462
Travellers - Staying at MIF 255 1989
Travellers - Staying at MIQ 4 244
Total 6489* 46,732
Time period Number of laboratory tests
15 September 9088*
Last 7 days (09 Sep to 15 Sep) 50,015
Total 881,532
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12
Testing activity by region
Focus areas
24. As at 1700 08 September there are 28 Community testing Centres in the Metro
Auckland area. Three of these are closed CTC's for close contacts only.24
Healthline updates25 25. On 15 September there were 2,579 contacts in Healthline. Of those calls, 1,208 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 659 contacts (in line with forecast).
26. The main themes yesterday/today:
o National Telehealth Service (Healthline) continued to take calls related to the
exposure events and media reporting caused confusion on this. It maybe timely to
clarify close and casual contact information again.
o Ongoing confusion around alert leave rules (i.e. crowd sizes in Auckland, around the
rest of the country etc).
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested.
Logistics
Health Workforce26
27. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
28. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
29. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
24 Community Testing Centres report, 1800 08 September 2020
25 National Telehealth Service Coronavirus Update, 0939 16 September 2020
26 Health Workforce Directorate, 0945 14 September 2020
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13
Hospital capacity27 Table 9: Number and occupancy of hospital beds by type as at 0800 16 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 365 228 (62.5%)
Ventilators 323 51 (15.8%)
Ward beds 7847 6439 (82.1%)
27 COVID-19 Hospital Summary, 0938 16 September 2020
14
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Appendix 1: Case summary Table 10: All community cases reported between 0900 15 September and 0900 16 September. Source: ESR EpiSurv Extract 0900 16 September 2020
Cumulative
Number
Date tested
positive Onset date
Case
status DHB Sex Age Ethnicity
Symptoms
[Yes/No] Hospitalised Occupation Source of transmission
15
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Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification19 Table 11: NCTS data for cases in the community
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours 4% 0% 100% 5% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours 4% 0% 100% 58% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours 4% 100% 100% 89% 38% - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours 33% 0% 100% 67% 100% - -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours 80% 0% 100% 67% 100% - 0%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours 87% 100% 100% 89% 38% - -
7 – (P001) Time from notification to case interview 80% within 24 hours 100% 100% 100% 100% 100% - 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours 97% 100% 100% 100% 79% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours 88% 100% 100% 100% 87% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% 1% 0% 0% 0% 0% - 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
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16
Table 12:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - - 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - 0% - - - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 100% - - 0% - 0%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - - 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - - 100% - 0%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours 100% 100% - - 89% - -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - - 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
0% 0% - - 0% - -
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
17
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Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 15 September
Table 13: Metro Auckland Summary Total of Testing for 15 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime
port
Ship’s
Crew
TOTAL
5:00pm 1558 113 688 137 18* 0 2514
*Note: the Port was an afternoon start and is running through until 8pm tonight
Table 14: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-16/08 17/08-
23/08
24/08 –
30/08
31/08 –
06/09
07/09 –
13/09
14/09 15/09*
MIQ Staff 2132 659 1488 912 1086 136 113
Guests 2972 3767 3600 3406 3424 648 688
Border Airport 2129 933 1349 1158 853 156 137
Port 1588 678 161 392 153 90 18
Crew 0 0 0 0 0 0 0
* 15/09 day still in progress
Table 15: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on manual site
reports at 4pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 –
06/09
07/09 –
13/09
14/09 15/09*
Airport Oaks 1148 515 366 265 181 27 19
Botany CTC 1151 948 905 749 681 126 151
Health New Lynn 2603 1258 1703 732 889 148 125
Mangere Town Centre 1748 1684 1599 860 660 75 109
Otara CTC 3221 1712 1429 930 699 91 78
St Lukes 1368 1045 1414 797 666 204 132
Takanini Urgent Care 1886 1216 1153 684 440 93 108
Whanau House 2502 1371 1442 928 1613 219 174
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Whanau Ora - Central 1957 964 1583 937 783 100 84
Whanau Ora - North 1442 669 637 982 947 208 186
Whanau Ora - South 2945 1250 718 677 620 48 69
Henderson (EFKS
Church) Pop Up
N/A N/A N/A N/A 460 43 46
Henderson (Te
Wananga O Aotearoa)
Pop Up
N/A N/A N/A N/A N/A 44 22
Manurewa (Netball
Courts) Pop Up
N/A N/A N/A N/A N/A 44 50
Mt Wellington Pop Up N/A N/A N/A N/A N/A N/A 53
Wairau Valley Pop Up N/A N/A N/A N/A N/A N/A 60
Otahuhu Pop Up N/A N/A N/A N/A N/A N/A 22
Papatoetoe Pop Up N/A N/A N/A N/A N/A N/A 10
Waipuna Targeted Site 143 549 376 219 251 28 46
Henderson Targeted
Site
N/A N/A N/A N/A 631 20 14
Total 26,148 16,781 21,215 13,002 10,475 1518 1558
*15/09 day still in progress; N/A = not open as a CTC; Previous sites that are no longer open are not
included in this report
CTCs and mobile testing site locations
Please see https://www.arphs.health.nz/public-health-topics/covid-19/where-to-get-tested for the
most up-to-date information on CTCs and mobile testing sites in the Auckland region.
Table 1: Total number of COVID-19 cases as at 0900 17 September 20201
Case Status Active Recovered Deceased Total
Confirmed 77* (-2) 1361 (+9) 20 1458 (+7)
Probable 0 346 5 351
Total 77* (-2) 1707 (+9) 25 1809 (+7)
*7 new case identified, 9 cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 17 September 20201
New community cases since 0900 16 September 20202
1. No new community cases have been reported, as at 0900 17 September.
Community cases linked to the Auckland Community Cluster August 20203
2. 178 of the 180 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 17 September. The unlinked cases are summarised as follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster. There is insufficient data to confirm a genomic link to the
community cluster (see 3).
Community cases under investigation to determine a link to the Auckland community
cluster
3. The case under investigation is summarised as follows:
o One case came through the border on 18 June. The case tested negative at Day 3
and Day 12 of quarantine. The case subsequently tested positive on 21 August.
Despite using two different whole genome sequencing protocols only there is
1 EpiSurv Database, 0900 17 September 2020
2 EpiSurv Database, 0900 17 September 2020
3 EpiSurv Database, 0900 17 September 2020
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 77 55 46 1 179
Probable 1 0 0 0 1
Total 78 55 46 1 180
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3
insufficient data to confirm the case is genomically linked to the community cluster.4
Their epidemiological link to the community cluster is still under investigation. As at
15 September no additional information has been revealed by the investigation.
Community cases and household contacts at Jet Park
4. As at 0800 17 September there are 54 people isolating in Jet Park from the community.
23 are confirmed cases, the remaining 31 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.5
MIQ cases since 0900 16 September 20206
5. Seven new cases detected at the border, as at 0900 17 September. In total 155 cases
have been detected at the border since the establishment of MIFs/MIQs.
o One case is in managed isolation in Wellington, arriving from the United States of
America and was identified through routine day 3 testing.
o Three cases were in managed isolation in Hamilton upon arriving from India and
were identified through routine day 3 testing. The cases have been transferred to Jet
Park, Auckland for quarantine due to positive test results.
o One case was managed isolation in Hamilton upon arriving from Uzbekistan and was
identified through testing due to showing symptoms. The case has been transferred
to Jet Park, Auckland for quarantine due to positive test.
o One case is in managed isolation in Christchurch, arriving from the Indonesia and
was identified through routine day 3 testing.
o One case is in managed isolation in Hamilton upon arriving from India and were
identified through routine day 3 testing.
4 ESR WGS report 03 September 2020
5 NRHCC Morning Report, 0900 17 September 2020
6 EpiSurv Database, 0900 17 September 2020
IN CONFIDENCE – NOT FOR DISTRIBUTION
4
Cases in hospital
6. As at 0800 17 September there are four cases in hospital with COVID-19.7
o Case in Waitematā ICU was transferred to a general ward on 16 September.
o One new admission to Counties Manukau overnight of an existing case from Jet Park.
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 17 September 2020
Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Current outbreak overview8
o There are two sub-clusters which most new community cases are linked to (Mount
Roskill Evangelical Church and Bereavements sub-clusters). There are 33 confirmed
cases in the Mount Roskill Evangelical Church sub-cluster and 15 confirmed cases in the
Bereavements sub-cluster.
Current outbreak investigation priorities
o Contact tracing and containment of Mount Roskill Evangelical Church sub-cluster and
recent bereavement events.
o Contact tracing and containment of Botany sub-cluster.
o Clarify whether June border case is a new infection and clarify strain.
o Seek to identify epidemiological link for index case in Mount Roskill Evangelical Church
sub-cluster.
7 NRHCC Morning Report 17 September 2020
8 ARPHS Strategic Report 08 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 1 0
Waitematā North Shore 1 0
Counties Manukau Middlemore 0 2
Total - 2 2
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5
o Waikato PHU will scope any positive cases in MIFs in the Auckland region for the next
week to alleviate some workload pressure at ARPHS.
o Investigation and close contact tracing of Jet Park healthcare worker9
Sub-clusters and settings of interest8
8. A healthcare worker at Jet Park was reported as a case on the 13 September Sitrep. The
case has been genomically linked to the Auckland Community Cluster. The
epidemiological link has been identified to a community case who was completing
isolation at Jet Park and required hospitalisation. A review is underway of the processes
at Jet Park with a focus on lessons learnt by this situation.
The case is isolating at Jet Park facility. Scoping by ARPHS is underway to identify close
and casual contacts. The case has five household close contacts who are self-isolating
at home. All five household contacts initially returned negative test results and were
retested on 15 September, results are pending.9 All staff at Jet Park staff who are
considered close contacts have been stood down and have returned negative results so
far.9 CCTV footage at the facility will be reviewed as part of the scoping process.
9. members of one of the families in the Botany sub-cluster had serology testing on
11 September and all returned negative results. A case reported in 14 September
SitRep is also associated with the Botany sub-cluster.
10. An existing confirmed case has been identified as attending school for
prior to been taken home due to feeling unwell.10 The school
has been closed for 3 days as a precaution while close contact tracing is completed.
Part of the investigation will focus on what the child did while at school.
Case investigation
11. Source investigation for the epidemiological link to the main cluster for four cases that
have been genomically linked to the main cluster is ongoing:
o The
o GP
o The second Mount Albert Grammar student
o The Botany case
Self-isolation compliance11
12. Discussions with a key representative from Ngaa Amokura have confirmed that the
option below will reinforce the trust/relationship between the health sector and the
fellowship whanau for supporting compliance with self-isolation requirements (to be
used if standard contact tracing cannot be established within 48 hrs).
9 NRHCC Morning Report, 0900 16 September 2020
10 NRHCC Morning Report 17 September 2020
11 ADHB Email, 1000 11 September 2020
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
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6
o Engagement of the Kaimanaaki workforce (community champions employed by our
Māori providers in the community). Kaimanaaki have access to clinical
support/advice. And will support and enable whānau wellbeing through the
pandemic. They have specific skills to help whānau cope with isolation. They are also
trained in the use of PPE so can make house visits and/or contact whānau by phone
for the duration of their isolation. Daily contact is anticipated and Kaimanaaki will
report back to the DHB/public health officials on a daily basis. An implementation
plan is being developed and will be stood up on 14 September.
7
IN CONFIDENCE – NOT FOR DISTRIBUTION
s 9(2)(a)
s 9(2)(a)
8
IN CONFIDENCE – NOT FOR DISTRIBUTION
ESR and wider testing12 13. A further 10 community cases are genomically linked with the Auckland cluster. These
cases are from the following known subclusters; Church 1 (1 cases), Church 3 (5 cases),
Americold HH (2 cases), MREF Bereavement (C-0018) (2 cases). A total of 153 cases
(86%) from the community cluster have now been sequenced, of which 134 (76%)
yielded a high quality genome.
14.
15. Ongoing analysis of the whole genome sequencing results is being used to show how
COVID-19 has been transmitted through the community cluster and to further inform
its management.
16. No direct links have been found between the community outbreak genome
sequencing, and the 65 full genomes (49 high quality) currently available from cases
detected in border arrivals in managed isolation facilities (MIFs). There has been one
case in a health worker at a managed isolation facility. WGS results indicate that this
case is genomically linked to the Auckland community cluster and clustered closely with
three community cases in the managed isolation facility (as discussed in para 8).
17.
12 ESR Whole Genome Sequencing Report 02 September 2020, Email 0946 16 September 2020
s 9(2)(g)(i)
s 9(2)(g)(i)
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9
Figure 1: Number of cases that have been whole genome sequenced and are genomically clustered
with the Auckland August cluster by sub-cluster as at 14 September 202013
Source: ESR *A sample may not have been received by ESR, may not have been sequenced yet or a sequencing result could not be
obtained from the sample received.
Contact tracing14 18. Between 08 and 14 September 62% (363/584) of Community close contacts and 100%
(22/22) MIQ close contacts have been contacted within 48 hours of being determined
to be a contact. KPI for this metric is 80% of close contacts within 48 hours.
o Note: This metric is low for community cases as it includes some casual contacts associated with
the Les Mills exposure events. This will be rectified in reporting tomorrow.
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 12 August as at
0830 17 September 2020
14/09/2020 15/09/2020 16/09/2020 17/09/2020
Number of close contacts
identified1 3708 3779 4139 4043
Number of close contacts
successfully contacted (and are
self-isolating)
3697 3772 4046 4036
Number of close contacts
referred to "finding services"2 0 0 8 1
13 ESR email 1608 14 September 2020
14 COVID-19 NCCS Analytics and Reporting 0924 16 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
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10
Number of close contacts
awaiting contact 11 7 85 6
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage15 19. Since 20 May 2020, a total of 18 contact alerts have been sent out from the NCTS
system for exposure events. These exposure events are ones where contact tracers
deem a positive case to have been in a location where a risk of transmission warrants
releasing a contact alert (these are also notified on the Ministry of Health website).
20. Since 03 September 2020 (Release 4 of the app), we have measured that the app has
notified 113 people where a contact alert was presented because they had been in a
location of interest (we were not recording this before Release 4).
Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
16 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
15 Response Analyst – Digital Channels, 1625 16 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20/0
523
/05
26/0
529
/05
01/0
604
/06
07/0
610
/06
13/0
616
/06
19/0
622
/06
25/0
628
/06
01/0
704
/07
07/0
710
/07
13/0
716
/07
19/0
722
/07
25/0
728
/07
31/0
703
/08
06/0
809
/08
12/0
815
/08
18/0
821
/08
24/0
827
/08
30/0
802
/09
05/0
908
/09
11/0
914
/09
Da
ily
sca
ns
an
d m
an
ua
l e
ntr
ies
Cu
mu
lati
ve
Ap
p r
eg
istr
ati
on
s
Day and month
Cumulative App registrations Daily scans and manual entries
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11
Testing16 Table 6: Testing by functional groups, as at 0900 17 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers17 Table 7: Number of laboratory tests processed nationally as at 0900 17 September 2020
Testing supply update18
21. There are no issues with regent supplies, and hologic supplies are now in labs around
the country. There are 43 days of reagent stocks on hand nationally.
16 ÉCLAIR/MoH Public Health Intelligence, 1000 17 September 2020
17 Daily Lab Report, 0843 16 September 2020
18 Testing supply email, 1001 09 September 2020
Reason for test 16 September 10–16 September
GPs and other primary health 3641 20,104
CBACs and pop-ups 3587 24,762
Border workers - air crew 44 225
Border workers - airport staff 221 1288
Border workers - maritime crew 2 15
Border workers – Port of Tauranga staff 88 131
Border workers – Remaining Port staff 34 130
Border workers - MIF 161 1101
Border workers - MIQ 22 455
Travellers - Staying at MIF 376 1887
Travellers - Staying at MIQ 9 253
Total 8185 50,351*
Time period Number of laboratory tests
16 September 8185
Last 7 days (10 Sep to 16 Sep) 50,250*
Total 889,717
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12
Healthline updates19 22. On 16 September there were 2,275 contacts in Healthline. Of those calls, 933 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 695 contacts (slightly higher than forecast).
23. The main themes yesterday/today:
o National Telehealth Service (Healthline) continued to take calls related to the
exposure events and media reporting caused confusion on this. It maybe timely to
clarify close and casual contact information again.
o Ongoing confusion around alert leave rules (i.e. crowd sizes in Auckland, around the
rest of the country etc).
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested.
Logistics
Health Workforce20
24. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
25. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
26. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity21 Table 8: Number and occupancy of hospital beds by type as at 0800 17 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 337 210 (62.3%)
Ventilators 296 59 (19.9%)
Ward beds 7219 5862 (81.2%)
19 National Telehealth Service Coronavirus Update, 0948 17 September 2020
20 Health Workforce Directorate, 0945 14 September 2020
21 COVID-19 Hospital Summary, 1000 17 September 2020
13
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Appendix 1: Case summary Table 9: All community cases reported between 0900 16 September and 0900 17 September. Source: ESR EpiSurv Extract 0900 17 September 2020
Cumulative
Number
Date tested
positive Onset date
Case
status DHB Sex Age Ethnicity
Symptoms
[Yes/No] Hospitalised Occupation Source of transmission
14
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Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification14 Table 10: NCTS data for cases in the community
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours 4% 0% 100% 5% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours 4% 0% 100% 58% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours 4% 100% 100% 89% 38% - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours 33% 0% 100% 67% 100% - -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours 80% 0% 100% 67% 100% - 0%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours 87% 100% 100% 89% 38% - -
7 – (P001) Time from notification to case interview 80% within 24 hours 100% 100% 100% 100% 100% - 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours 97% 100% 100% 100% 79% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours 88% 100% 100% 100% 87% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% 1% 0% 0% 0% 0% - 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
15
Table 11:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - - 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - 0% - - - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 100% - - 0% - 0%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - - 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - - 100% - 0%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours 100% 100% - - 89% - -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - - 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
0% 0% - - 0% - -
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
16
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Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 16 September
Table 12: Metro Auckland Summary Total of Testing for 16 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime
port
Ship’s
Crew
TOTAL
5:00pm 1109 202 522 194 123 0 2150
*Note: the Port was an afternoon start and is running through until 8pm tonight
Table 13: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 –
06/09
07/09 –
13/09
14/09 15/09 16/09*
MIQ Staff 2132 659 1488 912 1086 136 133 202
Guests 2972 3767 3600 3406 3424 648 688 522
Border Airport 2129 933 1349 1158 853 156 137 194
Port 1588 678 161 392 153 90 18 123
Crew 0 0 0 0 0 0 0 0
* 16/09 day still in progress
Table 14: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on manual site
Table 1: Total number of COVID-19 cases as at 0900 18 September 20201
Case Status Active Recovered Deceased Total
Confirmed 70* (-7) 1368 (+7) 20 1458
Probable 0 346 5 351
Total 70* (-7) 1714 (+7) 25 1809
*0 new cases identified, 7 cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 18 September 20201
New community cases since 0900 17 September 20202
1. No new community cases have been reported, as at 0900 18 September.
Community cases linked to the Auckland Community Cluster August 20203
2. 178 of the 180 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 18 September. The unlinked cases are summarised as follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster. There is insufficient data to confirm a genomic link to the
community cluster (see 3).
Community cases under investigation to determine a link to the Auckland community
cluster
3. The case under investigation is summarised as follows:
o One case came through the border on 18 June. The case tested negative at Day 3
and Day 12 of quarantine. The case subsequently tested positive on 21 August.
Despite using two different whole genome sequencing protocols only there is
1 EpiSurv Database, 0900 18 September 2020
2 EpiSurv Database, 0900 18 September 2020
3 EpiSurv Database, 0900 18 September 2020
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 77 55 46 1 179
Probable 1 0 0 0 1
Total 78 55 46 1 180
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3
insufficient data to confirm the case is genomically linked to the community cluster.4
Their epidemiological link to the community cluster is still under investigation. As at
15 September no additional information has been revealed by the investigation.
Community cases and household contacts at Jet Park
4. As at 0800 18 September there are 54 people isolating in Jet Park from the community.
22 are confirmed cases, the remaining 32 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.5
MIQ cases since 0900 17 September 20206
5. No new cases detected at the border, as at 0900 18 September. In total 155 cases have
been detected at the border since the establishment of MIFs/MIQs.
Cases in hospital
6. As at 0800 18 September there are four cases in hospital with COVID-19.7
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 18 September 2020
Health system response
Overall approach
7. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
4 ESR WGS report 03 September 2020
5 NRHCC Morning Report, 0900 17 September 2020
6 EpiSurv Database, 0900 18 September 2020
7 NRHCC Morning Report 17 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 1 0
Waitematā North Shore 1 0
Counties Manukau Middlemore 1 1
Total - 3 1
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4
Current outbreak overview8
o There are two sub-clusters which most new community cases are linked to (Mount
Roskill Evangelical Church and Bereavements sub-clusters). There are 33 confirmed
cases in the Mount Roskill Evangelical Church sub-cluster and 15 confirmed cases in the
Bereavements sub-cluster.
Current outbreak investigation priorities
o Contact tracing and containment of Mount Roskill Evangelical Church sub-cluster and
recent bereavement events.
o Contact tracing and containment of Botany sub-cluster.
o Clarify whether June border case is a new infection and clarify strain.
o Seek to identify epidemiological link for index case in Mount Roskill Evangelical Church
sub-cluster.
o Waikato PHU will scope any positive cases in MIFs in the Auckland region for the next
week to alleviate some workload pressure at ARPHS.
o Investigation and close contact tracing of Jet Park healthcare worker9
Sub-clusters and settings of interest8
8. A healthcare worker at Jet Park was reported as a case on the 13 September Sitrep. The
case has been genomically linked to the Auckland Community Cluster. The
epidemiological link has been identified to a community case who was completing
isolation at Jet Park and required hospitalisation. A review is underway of the processes
at Jet Park with a focus on lessons learnt by this situation.
The case is isolating at Jet Park facility. Scoping by ARPHS is underway to identify close
and casual contacts. The case has five household close contacts who are self-isolating
at home. All five household contacts initially returned negative test results and were
retested on 15 September and were negative.9 All staff at Jet Park staff who are
considered close contacts have been stood down and have returned negative results so
far.9 CCTV footage at the facility will be reviewed as part of the scoping process.
9. members of one of the families in the Botany sub-cluster had serology testing on
11 September and all returned negative results. A case reported in 14 September
SitRep is also associated with the Botany sub-cluster. This case briefly attended school
on Monday 14 September prior to being notified of the positive test result.10 The school
has been closed as a precaution while close contact tracing and a deep clean is
completed.11 A total of four close contacts have been identified.12 All students who
attended school (about 470) on 14 September are considered to be casual contacts.
Letters have been sent asking students to be tested and to remain self-isolated at
8 ARPHS Strategic Report 08 September 2020
9 NRHCC Morning Report, 0900 16 September 2020
10 NRHCC Morning Report 17 September 2020
11 ARPHS email update – 1210 17 September 2020
12 NRHCC Morning Report, 0900 18 September 2020
s 9(2)(a)
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5
home until they receive a negative test result. They have also been asked to contact
Healthline if they become symptomatic.13 Onsite testing has been arranged from today
(18 September) until 20 September.14 The school will remain closed until at least
Monday 21 September. Students who receive a negative test will be able to attend.15
Part of the investigation will focus on what the child did while at school.
Case investigation
10. Source investigation for the epidemiological link to the main cluster for four cases that
have been genomically linked to the main cluster is ongoing:
o The
o GP
o The second Mount Albert Grammar student
o The Botany case
Self-isolation compliance16
11. Discussions with a key representative from Ngaa Amokura have confirmed that the
option below will reinforce the trust/relationship between the health sector and the
fellowship whanau for supporting compliance with self-isolation requirements (to be
used if standard contact tracing cannot be established within 48 hrs).
o Engagement of the Kaimanaaki workforce (community champions employed by our
Māori providers in the community). Kaimanaaki have access to clinical
support/advice. And will support and enable whānau wellbeing through the
pandemic. They have specific skills to help whānau cope with isolation. They are also
trained in the use of PPE so can make house visits and/or contact whānau by phone
for the duration of their isolation. Daily contact is anticipated and Kaimanaaki will
report back to the DHB/public health officials on a daily basis. An implementation
plan is being developed and will be stood up on 14 September
13 ARPHS email update – 17 September 2020 1210
14 ARPHS email update – 17 September 2020 1210
15 ARPHS email update – 17 September 2020 1210
16 ADHB Email, 1000 11 September 2020
s 9(2)(a)
s 9(2)(a)
6
IN CONFIDENCE – NOT FOR DISTRIBUTION
s 9(2)(a)
s 9(2)(a)
7
IN CONFIDENCE – NOT FOR DISTRIBUTION
ESR and wider testing17 12. A further 10 community cases are genomically linked with the Auckland cluster. These
cases are from the following known subclusters; Church 1 (1 cases), Church 3 (5 cases),
Americold HH (2 cases), MREF Bereavement (C-0018) (2 cases). A total of 153 cases
(86%) from the community cluster have now been sequenced, of which 134 (76%)
yielded a high quality genome.
13.
14. Ongoing analysis of the whole genome sequencing results is being used to show how
COVID-19 has been transmitted through the community cluster and to further inform
its management.
15. No direct links have been found between the community outbreak genome
sequencing, and the 65 full genomes (49 high quality) currently available from cases
detected in border arrivals in managed isolation facilities (MIFs). There has been one
case in a health worker at a managed isolation facility. WGS results indicate that this
case is genomically linked to the Auckland community cluster and clustered closely with
three community cases in the managed isolation facility (as discussed in para 8).
16.
17 ESR Whole Genome Sequencing Report 02 September 2020, Email 0946 16 September 2020
s 9(2)(g)(i)
s 9(2)(g)(i)
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8
Figure 1: Number of cases that have been whole genome sequenced and are genomically clustered
with the Auckland August cluster by sub-cluster as at 14 September 202018
Source: ESR *A sample may not have been received by ESR, may not have been sequenced yet or a sequencing result could not be
obtained from the sample received.
Contact tracing19 17. Between 09 and 15 September 78.1% (139/178) of Community close contacts and 100%
(14/14) MIQ close contacts have been contacted within 48 hours of being determined
to be a contact. KPI for this metric is 80% of close contacts within 48 hours.
o Note: Please note that the total number and number successfully contacted has decreased due
to casual contacts associated with the Les Mills exposure events being excluded.
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 12 August as at
0830 18 September 2020
15/09/2020 16/09/2020 17/09/2020 18/09/2020
Number of close contacts
identified1 3779 4139 4043 3912
Number of close contacts
successfully contacted (and are
self-isolating)
3772 4046 4036 3908
Number of close contacts
referred to "finding services"2 0 8 1 0
18 ESR email 1608 14 September 2020
19 COVID-19 NCCS Analytics and Reporting 0931 18 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
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9
Number of close contacts
awaiting contact 7 85 6 4
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage20 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
17 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
20 Response Analyst – Digital Channels, 1631 17 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
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Dai
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mu
lati
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pp
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gist
rati
on
s
Day and month
Cumulative App registrations Daily scans and manual entries
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10
Testing21 Table 6: Testing by functional groups, as at 0900 18 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers22 Table 7: Number of laboratory tests processed nationally as at 0900 18 September 2020
Testing supply update23
18. There are no issues with regent supplies, and hologic supplies are now in labs around
the country. There are 43 days of reagent stocks on hand nationally.
21 ÉCLAIR/MoH Public Health Intelligence, 1000 18 September 2020
22 Daily Lab Report, 0917 18 September 2020
23 Testing supply email, 1001 09 September 2020
Reason for test 17 September 11–17 September
GPs and other primary health 3497 19,314
CBACs and pop-ups 3179 24,399
Border workers - air crew 34 243
Border workers - airport staff 169 1231
Border workers - maritime crew 3 18
Border workers – Port of Tauranga staff 29 158
Border workers – Remaining Port staff 24 154
Border workers - MIF 203 1175
Border workers - MIQ 51 499
Travellers - Staying at MIF 168 1802
Travellers - Staying at MIQ 3 257
Total 7360 49,250*
Time period Number of laboratory tests
17 September 7360
Last 7 days (11 Sep to 17 Sep) 48,657*
Total 897,077
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11
Healthline updates24 19. On 17 September there were 2,235 contacts in Healthline. Of those calls, 933 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 687 contacts (6% higher than forecast).
20. The main themes yesterday/today:
o National Telehealth Service (Healthline) continued to take calls related to the
exposure events and media reporting caused confusion on this.
o Ongoing confusion around alert leave rules (i.e. crowd sizes in Auckland, around the
rest of the country etc).
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested.
Logistics
Health Workforce25
21. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
22. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
23. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity26 Table 8: Number and occupancy of hospital beds by type as at 0800 18 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 336 212 (63.1%)
Ventilators 298 64 (21.5%)
Ward beds 7182 5848 (81.4%)
24 National Telehealth Service Coronavirus Update, 0910 18 September 2020
25 Health Workforce Directorate, 0945 14 September 2020
26 COVID-19 Hospital Summary, 0926 18 September 2020
12
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Appendix 1: Case summary Table 9: All community cases reported between 0900 17 September and 0900 18 September. Source: ESR EpiSurv Extract 0900 18 September 2020
Cumulative
Number
Date tested
positive Onset date
Case
status DHB Sex Age Ethnicity
Symptoms
[Yes/No] Hospitalised Occupation Source of transmission
13
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Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification19 Table 10: NCTS data for cases in the community
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours 100% 5% 33% - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours 100% 58% 83% - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours 100% 95% 69% - 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours 100% 67% 100% - - - -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours 100% 67% 100% - 0% - -
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours 100% 95% 69% - 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours 100% 100% 100% - 100% - -
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours 100% 100% 98% - 100% - -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours 100% 100% 83% - 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% 0% 0% 0% - 0% - -
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
14
Table 11:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - - 100% - 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - - - - 33% - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - - 0% - 0% - 71%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - - 100% - 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - - 100% - 75% - 58%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours - - 100% - 100% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - - 100% - 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
- - 0% - 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
15
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Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 17 September
Table 12: Metro Auckland Summary Total of Testing for 17 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
5:00pm 1501 132 627 164 32 0 2456
Table 13: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Table 1: Total number of COVID-19 cases as at 0900 19 September 20201
Case Status Active Recovered Deceased Total
Confirmed 67* (-3) 1373 (+5) 20 1460 (+2)
Probable 0 346 5 351
Total 67* (-3) 1719 (+5) 25 1811 (+2)
*2 new cases identified, 5 cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 19 September 20201
New community cases since 0900 18 September 20202
1. One new community case has been reported, as at 0900 19 September. More
information on this case in paragraph 2 below.
New case under investigation since 0900 18 September 20203
2. The new case reported today (19 September) is a returnee who arrived in New Zealand
on 27 August and completed managed isolation in Christchurch. They tested negative
on day 3 and day 12. They left managed isolation on 11 September and returned home
to Auckland. They were tested after developing symptoms on 16 September. The test
returned positive on 18 September. The case and their household contacts have been
transferred to the Auckland Jet Park quarantine facility. The case is possibly a close
contact of a confirmed case from the same flight to New Zealand. Source of infection is
under investigation.
Community cases linked to the Auckland Community Cluster August 20204
3. 178 of the 181 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 19 September 2020. The unlinked cases are summarised as
follows:
1 EpiSurv Database, 0900 19 September 2020
2 EpiSurv Database, 0900 19 September 2020
3 EpiSurv Database, 0900 19 September 2020
4 EpiSurv Database, 0900 19 September 2020
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 77 55 47 (+1) 1 180 (+1)
Probable 1 0 0 0 1
Total 78 55 47 (+1) 1 181 (+1)
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3
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster. There is insufficient data to confirm a genomic link to the
community cluster (see 4).
o The third case is detailed in paragraph two.
Community cases under investigation to determine a link to the Auckland
community cluster
4. The case under investigation is summarised as follows:
o One case came through the border on 18 June. The case tested negative at day 3 and
day 12 of quarantine. The case subsequently tested positive on 21 August. Despite
using two different whole genome sequencing protocols only there is insufficient
data to confirm the case is genomically linked to the community cluster.5 Their
epidemiological link to the community cluster is still under investigation. As at 15
September no additional information has been revealed by the investigation.
Community cases and household contacts at Jet Park
5. As at 0800 18 September there are 50 people isolating in Jet Park from the community.
20 are confirmed cases, the remaining 30 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.6
MIQ cases since 0900 18 September 20207
6. One new case detected at the border, as at 0900 19 September. In total 156 cases have
been detected at the border since the establishment of MIQ facilities.
Cases in hospital
7. As at 0800 19 September there are four cases in hospital with COVID-19.8
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 19 September 2020
5 ESR WGS report 03 September 2020
6 NRHCC Morning Report, 0900 19 September 2020
7 EpiSurv Database, 0900 19 September 2020
8 NRHCC Morning Report 19 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 1 0
Waitematā North Shore 1 0
Counties Manukau Middlemore 2 0
Total - 4 0
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4
Health system response
Overall approach
8. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Current outbreak overview
o There are two sub-clusters which most new community cases are linked to (Mount
Roskill Evangelical Church and Bereavements sub-clusters). There are 33 confirmed
cases in the Mount Roskill Evangelical Church sub-cluster and 15 confirmed cases in the
Bereavements sub-cluster. Ongoing scoping of community settings since 14 September
has revealed no major concerns.9
Current outbreak investigation priorities10
o Ongoing management of healthcare workers from Jet Park
o Ongoing management of Chapel Down’s Primary School associated with Botany Cluster.
o Investigation and scoping of new confirmed case.
Sub-clusters and settings of interest11
9. A healthcare worker at Jet Park was reported as a case on 13 September. The case has
been epidemiologically and genomically linked to the Auckland Community Cluster.
The case has been epidemiologically linked to a community case who was completing
isolation at Jet Park and required hospitalisation. A review of processes at Jet Park is
underway with a focus on lessons to be learnt from this situation.
10. The case is isolating at Jet Park facility. The case has five household close contacts who
are self-isolating at home. All five household contacts have tested negative twice. All
staff at Jet Park staff who are considered close contacts have been stood down and
have returned negative results so far.
11. members of a family in the Botany sub-cluster had serology testing on 11
September which returned negative results for all members. A case linked to the
Botany sub-cluster briefly attended school on 14 September, prior to being notified of
9 NRHCC Morning Report, 0900 19 September 2020
10NRHCC Morning Report, 0900 19 September 2020
11 NRHCC Morning Report, 0900 16 September 2020
s 9(2)(a)
s 9(2)(a)
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5
the positive test result that day.12 The school has been closed as a precaution while
close contact tracing and a deep clean is completed. A total of four close contacts have
been identified. All students who attended school (about 470) on 14 September are
considered to be casual contacts. Letters have been sent asking students to be tested
and to remain in self-isolation at home until they receive a negative test result. They
have also been asked to contact Healthline if they become symptomatic. Onsite testing
has been arranged from 18 September until 20 September. The school will remain
closed until at least Monday 21 September. Students who receive a negative test will be
able to attend school once it reopens. The investigation is also focusing on what the
child did while at school. 13
Case investigation
12. Source investigation for an epidemiological link to the main cluster for four cases who
have been genomically linked to the main cluster is ongoing:
o The
o GP
o The second Mount Albert Grammar student
o The Botany case
12 NRHCC Morning Report 17 September 2020
13 ARPHS email update – 1210 17 September 2020
s 9(2)(a)
s 9(2)(a)
6
IN CONFIDENCE – NOT FOR DISTRIBUTION
s 9(2)(a)
s 9(2)(a)
7
IN CONFIDENCE – NOT FOR DISTRIBUTION
ESR and wider testing14 13. A further 10 community cases are genomically linked with the Auckland cluster. These
cases are from the following known subclusters; Church 1 (1 cases), Church 3 (5 cases),
Americold HH (2 cases), MREF Bereavement (C-0018) (2 cases). A total of 153 cases
(86%) from the community cluster have now been sequenced, of which 134 (76%)
yielded a high quality genome.
14.
15. Ongoing analysis of the whole genome sequencing results is being used to show how
COVID-19 has been transmitted through the community cluster and to further inform
its management.
16. No direct links have been found between the community outbreak genome
sequencing, and the 65 full genomes (49 high quality) currently available from cases
detected in border arrivals in managed isolation facilities (MIFs). There has been one
case in a health worker at a managed isolation facility. WGS results indicate that this
case is genomically linked to the Auckland community cluster and clustered closely with
three community cases in the managed isolation facility (as discussed in para 8).
17.
14 ESR Whole Genome Sequencing Report 02 September 2020, Email 0946 16 September 2020
s 9(2)(g)(i)
s 9(2)(g)(i)
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8
Figure 1: Number of cases that have been whole genome sequenced and are genomically clustered
with the Auckland August cluster by sub-cluster as at 14 September 202015
Source: ESR *A sample may not have been received by ESR, may not have been sequenced yet or a sequencing result could not be
obtained from the sample received.
Contact tracing16 18. Between 10 and 16 September 75.8% (119/157) of Community close contacts and 100%
(30/30) MIQ close contacts have been contacted within 48 hours of being determined
to be a contact. KPI for this metric is 80% of close contacts within 48 hours.
o Note: Please note that the total number and number successfully contacted has decreased due
to casual contacts associated with the Les Mills exposure events being excluded.
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 12 August as at
0830 19 September 2020
16/09/2020 17/09/2020 18/09/2020 19/09/2020
Number of close contacts
identified1 4139 4043 3912 3918
Number of close contacts
successfully contacted (and are
self-isolating)
4046 4036 3908 3912
Number of close contacts
referred to "finding services"2 8 1 0 0
15 ESR email 1608 14 September 2020
16 COVID-19 NCCS Analytics and Reporting 0928 19 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
9
Number of close contacts
awaiting contact 85 6 4 2
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage17 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
18 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
17 Response Analyst – Digital Channels, 1631 18 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20
/05
23
/05
26
/05
29
/05
01
/06
04
/06
07
/06
10
/06
13
/06
16
/06
19
/06
22
/06
25
/06
28
/06
01
/07
04
/07
07
/07
10
/07
13
/07
16
/07
19
/07
22
/07
25
/07
28
/07
31
/07
03
/08
06
/08
09
/08
12
/08
15
/08
18
/08
21
/08
24
/08
27
/08
30
/08
02
/09
05
/09
08
/09
11
/09
14
/09
17
/09
Dai
ly s
can
s an
d m
anu
al e
ntr
ies
Cu
mu
lati
ve A
pp
regi
stra
tio
ns
Day and month
Cumulative App registrations Daily scans and manual entries
IN CONFIDENCE – NOT FOR DISTRIBUTION
10
Testing18 Table 6: Testing by functional groups, as at 0900 19 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers19 Table 7: Number of laboratory tests processed nationally as at 0900 19 September 2020
Testing supply update20
19. There are no issues with regent supplies, and hologic supplies are now in labs around
the country. There are 43 days of reagent stocks on hand nationally.
18 ÉCLAIR/MoH Public Health Intelligence, 1000 19 September 2020
19 Daily Lab Report, 0847 19 September 2020
20 Testing supply email, 1001 09 September 2020
Reason for test 18 September 12–18 September
GPs and other primary health 4015 19,933
CBACs and pop-ups 3298 22,766
Border workers - air crew 49 242
Border workers - airport staff 295 1364
Border workers - maritime crew 13 31
Border workers – Port of Tauranga staff 138 290
Border workers – Remaining Port staff 50 144
Border workers - MIF 164 1227
Border workers - MIQ 41 461
Travellers - Staying at MIF 291 1696
Travellers - Staying at MIQ 5 192
Total 8359 48,346*
Time period Number of laboratory tests
18 September 8359
Last 7 days (12 Sep to 18 Sep) 48,178*
Total 905,436
IN CONFIDENCE – NOT FOR DISTRIBUTION
11
Healthline updates21 20. On 18 September there were 2,008 contacts in Healthline. Of those calls, 726 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 586 contacts (slightly lower than forecast).
21. The main themes on 18 September were:
o National Telehealth Service (Healthline) continued to take calls related to the
exposure events.
o Ongoing confusion around alert leave rules (i.e. crowd sizes in Auckland, around the
rest of the country etc).
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested.
Logistics
Health Workforce22
22. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
23. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
24. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity23 Table 8: Number and occupancy of hospital beds by type as at 0800 19 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 336 218 (64.9%)
Ventilators 302 64 (21.2%)
Ward beds 7494 5781 (77.1%)
21 National Telehealth Service Coronavirus Update, 0958 19 September 2020
22 Health Workforce Directorate, 0945 14 September 2020
23 COVID-19 Hospital Summary, 0918 19 September 2020
12
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 1: Case summary Table 9: All community cases reported between 0900 18 September and 0900 19 September. Source: ESR EpiSurv Extract 0900 19 September 2020
s 9(2)(a)
13
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification16 Table 10: NCTS data for cases in the community
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours 5% 33% - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours 58% 84% - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours 95% 70% - 100% - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours 67% 100% - - - - -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours 67% 100% - 0% - - -
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours 95% 70% - 100% - - -
7 – (P001) Time from notification to case interview 80% within 24 hours 100% 100% - 100% - - -
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours 100% 98% - 100% - - -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours 100% 83% - 100% - - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% 0% 0% - 0% - - -
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
14
Table 11:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exp osure to contact isolation / quarantine
80% within 96 hours - - - 100% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - - - 100% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - 100% - - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - - - 33% - 33% -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 0% - 0% - 71% 0%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - 100% - 100% -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - 75% - 58% 0%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours - 100% - 100% - 100% -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - 100% - 100% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
- 0% - 0% - 0% -
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
15
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Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 18 September
Table 12: Metro Auckland Summary Total of Testing for 18 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
5:00pm 1188 122 423 95 57 0 1885
Table 13: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Table 1: Total number of COVID-19 cases as at 0900 20 September 20201
Case Status Active Recovered Deceased Total
Confirmed 71* (+4) 1373 20 1464 (+4)
Probable 0 346 5 351
Total 71* (+4) 1719 25 1815 (+4)
*4 new cases identified, no cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 20 September 20201
New community cases since 0900 19 September 20202
1. Two new community cases have been reported, as at 0900 20 September. Both cases
are household contacts of the community case reported yesterday (see paragraph 2).
New case under investigation since 0900 19 September 20203
2. The new case reported yesterday (19 September) is a returnee who arrived in New
Zealand on 27 August and completed managed isolation in Christchurch. The case
tested negative on day 3 and day 12. They left managed isolation on 11 September and
returned home to Auckland. They were tested after developing symptoms on 16
September. The test returned positive on 18 September. The case and their household
contacts have been transferred to the Auckland Jet Park quarantine facility. The case’s
genome sequence is consistent with two confirmed cases from the same flight to New
Zealand. Source of infection is still under investigation. The two household contacts of
this case returned positive and are now confirmed cases. All three cases have been
isolating at Jet Park quarantine facility since 18 September. Three neighbours who are
close contacts, have all tested negative and been in self-isolation.
1 EpiSurv Database, 0900 20 September 2020
2 EpiSurv Database, 0900 20 September 2020
3 EpiSurv Database, 0900 20 September 2020
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 79 (+2) 55 47 1 182 (+2)
Probable 1 0 0 0 1
Total 80 (+2) 55 47 1 183 (+2)
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3
Community cases linked to the Auckland Community Cluster August 20204
3. 178 of the 183 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 20 September 2020. The unlinked cases are summarised as
follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster. There is insufficient data to confirm a genomic link to the
community cluster (see 4).
o The remaining three cases are detailed in paragraph 2.
Community cases under investigation to determine a link to the Auckland
community cluster
4. The case under investigation is summarised as follows:
o One case came through the border on 18 June. The case tested negative at day 3 and
day 12 of quarantine. The case subsequently tested positive on 21 August. Despite
using two different whole genome sequencing protocols only there is insufficient
data to confirm the case is genomically linked to the community cluster.5 Their
epidemiological link to the community cluster is still under investigation. As at 15
September no additional information has been revealed by the investigation.
Community cases and household contacts at Jet Park
5. As at 0800 20 September there are 47 people isolating in Jet Park from the community.
20 are confirmed cases, the remaining 27 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.6
MIQ cases since 0900 19 September 20207
6. Two new cases have been detected at the border, as at 0900 20 September. In total 158
cases have been detected at the border since the establishment of MIQ facilities.
Cases in hospital
4 EpiSurv Database, 0900 20 September 2020
5 ESR WGS report 03 September 2020
6 NRHCC Morning Report, 0900 19 September 2020
7 EpiSurv Database, 0900 20 September 2020
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4
7. As at 0800 20 September there are three cases in hospital with COVID-19.8
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 20 September 2020
Health system response
Overall approach
8. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Current outbreak overview
o There have been no new cases reported in the Auckland community cluster since 14
September. Ongoing scoping of community settings since 14 September has revealed
no major concerns.9
Current outbreak investigation priorities10
o Ongoing management of healthcare workers from Jet Park
o Ongoing management of Chapel Down’s Primary School associated with Botany Cluster.
o Investigation and scoping of the cases linked to the case reported yesterday from the
Christchurch MIF.
8 NRHCC Morning Report 19 September 2020
9 NRHCC Morning Report, 0900 19 September 2020
10NRHCC Morning Report, 0900 20 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 1 0
Waitematā North Shore 1 0
Counties Manukau Middlemore 1 0
Total - 3 0
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5
Sub-clusters and settings of interest11
9. The child of the case (paragraph 2) attended an Auckland primary school. As soon as
the developed symptoms, the whole family self-isolated and the child was kept
home from school. One of the close contacts
and attended the same school until 18 September (tested negative).12 The school is now
considered low risk. Further analysis of the symptoms of the is
underway this morning and any implications for the school will be clarified by early
afternoon.
10. A healthcare worker at Jet Park was reported as a case on 13 September. The case has
been epidemiologically and genomically linked to the Auckland Community Cluster.
The case has been epidemiologically linked to a community case who was completing
isolation at Jet Park and required hospitalisation. A review of processes at Jet Park is
underway with a focus on lessons to be learnt from this situation.
11. The healthcare worker is isolating at Jet Park facility. The case has five household close
contacts who are self-isolating at home. All five household contacts have tested
negative twice. All staff at Jet Park staff who are considered close contacts have been
stood down and have returned negative results so far.
12. members of a family in the Botany sub-cluster had serology testing on 11
September which returned negative results for all members. A case linked to the
Botany sub-cluster briefly attended school on 14 September, prior to being notified of
the positive test result that day.13 The school has been closed as a precaution while
close contact tracing and a deep clean is completed. A total of four close contacts have
been identified. All students who attended school (about 470) on 14 September are
casual contacts. Letters have been sent asking students to be tested and to remain in
self-isolation at home until they receive a negative test result. They have also been
asked to contact Healthline if they become symptomatic. Onsite testing has been
arranged from 18 September until 20 September. The school will remain closed until at
least Monday 21 September. Students who receive a negative test will be able to attend
school once it reopens. The investigation is also focusing on what the child did while at
school.14
Case investigation
13. Source investigation for an epidemiological link to the main cluster for four cases who
have been genomically linked to the main cluster is ongoing:
o The
o GP
o The second Mount Albert Grammar student
o The Botany case
11 NRHCC Morning Report, 0900 16 September 2020
12 NRHCC Morning Report, 0900 20 September 2020
13 NRHCC Morning Report 17 September 2020
14 ARPHS email update – 1210 17 September 2020
s 9(2)(a)
s 9(2)(a) s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
6
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)
s 9(2)(a)
s 9(2)(a)
7
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ESR and wider testing15 14. A further 10 community cases are genomically linked with the Auckland cluster. These
cases are from the following known subclusters; Church 1 (1 cases), Church 3 (5 cases),
Americold HH (2 cases), MREF Bereavement (C-0018) (2 cases). A total of 153 cases
(86%) from the community cluster have now been sequenced, of which 134 (76%)
yielded a high quality genome.
15.
16. Ongoing analysis of the whole genome sequencing results is being used to show how
COVID-19 has been transmitted through the community cluster and to further inform
its management.
17. No direct links have been found between the community outbreak genome
sequencing, and the 65 full genomes (49 high quality) currently available from cases
detected in border arrivals in managed isolation facilities (MIFs). There has been one
case in a health worker at a managed isolation facility. WGS results indicate that this
case is genomically linked to the Auckland community cluster and clustered closely with
three community cases in the managed isolation facility (as discussed in para 8).
18.
15 ESR Whole Genome Sequencing Report 02 September 2020, Email 0946 16 September 2020
s 9(2)(g)(i)
s 9(2)(g)(i)
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8
Figure 1: Number of cases that have been whole genome sequenced and are genomically clustered
with the Auckland August cluster by sub-cluster as at 14 September 202016
Source: ESR *A sample may not have been received by ESR, may not have been sequenced yet or a sequencing result could not be
obtained from the sample received.
Contact tracing17 19. Between 11 and 17 September 75.0% (111/148) of Community close contacts and 100%
(32/32) MIQ close contacts have been contacted within 48 hours of being determined
to be a contact. KPI for this metric is 80% of close contacts within 48 hours.
o Note: Please note that the total number and number successfully contacted has decreased due
to casual contacts associated with the Les Mills exposure events being excluded.
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 12 August as at
0830 20 September 2020
17/09/2020 18/09/2020 19/09/2020 20/09/2020
Number of close contacts
identified1 4043 3912 3918 3916
Number of close contacts
successfully contacted (and are
self-isolating)
4036 3908 3912 3912
Number of close contacts
referred to "finding services"2 1 0 0 0
16 ESR email 1608 14 September 2020
17 COVID-19 NCCS Analytics and Reporting 0931 20 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
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9
Number of close contacts
awaiting contact 6 4 2 4
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage18 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
18 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
18 Response Analyst – Digital Channels, 1631 18 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20
/05
23
/05
26
/05
29
/05
01
/06
04
/06
07
/06
10
/06
13
/06
16
/06
19
/06
22
/06
25
/06
28
/06
01
/07
04
/07
07
/07
10
/07
13
/07
16
/07
19
/07
22
/07
25
/07
28
/07
31
/07
03
/08
06
/08
09
/08
12
/08
15
/08
18
/08
21
/08
24
/08
27
/08
30
/08
02
/09
05
/09
08
/09
11
/09
14
/09
17
/09
Dai
ly s
can
s an
d m
anu
al e
ntr
ies
Cu
mu
lati
ve A
pp
regi
stra
tio
ns
Day and month
Cumulative App registrations Daily scans and manual entries
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10
Testing19 Table 6: Testing by functional groups, as at 0900 20 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers20 Table 7: Number of laboratory tests processed nationally as at 0900 20 September 2020
Testing supply update21
20. There are no issues with regent supplies, and hologic supplies are now in labs around
the country. There are 43 days of reagent stocks on hand nationally.
19 ÉCLAIR/MoH Public Health Intelligence, 1000 20 September 2020
20 Daily Lab Report, 0818 20 September 2020
21 Testing supply email, 1001 09 September 2020
Reason for test 19 September 13–19 September
GPs and other primary health 3522 20,725
CBACs and pop-ups 1075 20,104
Border workers - air crew 31 245
Border workers - airport staff 207 1339
Border workers - maritime crew 1 32
Border workers – Port of Tauranga staff 183 473
Border workers – Remaining Port staff 57 182
Border workers - MIF 163 1175
Border workers - MIQ 48 465
Travellers - Staying at MIF 127 1686
Travellers - Staying at MIQ 3 33
Total 5417 46,459*
Time period Number of laboratory tests
19 September 5417
Last 7 days (13 Sep to 19 Sep) 46,384*
Total 910,853
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11
Healthline updates22 21. On 19 September there were 2,227 contacts in Healthline. Of those calls, 482 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 504 contacts (lower than forecast).
22. The main themes on 18 September were:
o National Telehealth Service (Healthline) continued to take calls related to the
exposure events.
o Questions relating to the changes to Alert Levels that may occur this week.
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested.
Logistics
Health Workforce23
23. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
24. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
25. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity24 Table 8: Number and occupancy of hospital beds by type as at 0800 20 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 278 141 (50.7%)
Ventilators 188 29 (15.4%)
Ward beds 4586 3474 (75.8%)
22 National Telehealth Service Coronavirus Update, 0938 20 September 2020
23 Health Workforce Directorate, 0945 14 September 2020
24 COVID-19 Hospital Summary, 0916 20 September 2020
12
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Appendix 1: Case summary Table 9: All community cases reported between 0900 19 September and 0900 20 September. Source: ESR EpiSurv Extract 0900 20 September 2020
s 9(2)(a)
13
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Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification17 Table 10: NCTS data for cases in the community
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours 19% - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours 84% - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours 70% - 100% - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours 100% - - - - - -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours 100% - 0% - - - 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours 70% - 100% - - - -
7 – (P001) Time from notification to case interview 80% within 24 hours 100% - 100% - - - 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours 99% - 100% - - - 50%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours 70% - 100% - - - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% 0% - 0% - - - 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
14
Table 11:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - - 100% - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - - 100% - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours 100% - 100% - 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - - 33% - 50% - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours 0% - 0% - 71% 0% 100%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours 100% - 100% - 100% 100% -
7 – (P001) Time from notification to case interview 80% within 24 hours 100% - 75% - 58% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours 100% - 100% - 100% 100% -
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours 100% - 100% - 100% 100% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
0% - 0% - 0% 0% -
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
15
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Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 18 September
Note this report is not provided over the weekend Table 12: Metro Auckland Summary Total of Testing for 18 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
5:00pm 1188 122 423 95 57 0 1885
Table 13: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Table 1: Total number of COVID-19 cases as at 0900 21 September 20201
Case Status Active Recovered Deceased Total
Confirmed 62* (-9) 1382 (+9) 20 1464
Probable 0 346 5 351
Total 62* (-9) 1728 (+9) 25 1815
*0 new cases identified, 9 cases classified as recovered.
Total community cases since 11 August
Table 2: Community cases by DHB and case status as at 0900 21 September 20201
New community cases since 0900 20 September 20202
1. No new community cases have been reported, as at 0900 21 September.
New case under investigation since 0900 20 September 20203
2. The case reported on 19 September is a returnee who arrived in New Zealand on 27
August and completed managed isolation in Christchurch. The case tested negative on
day 3 and day 12. They left managed isolation on 11 September and returned home to
Auckland on a charter flight from Christchurch. They were tested after developing
symptoms on 16 September. The test returned positive on 18 September. The case and
their two household contacts (both reported as confirmed cases on 19 September)
were transferred to the Auckland Jet Park quarantine facility on 18 September. The
case’s genome sequence is consistent with two confirmed cases from the same flight to
New Zealand.4 Source of infection is still under investigation. Three neighbours who are
close contacts, have all tested negative and been in self-isolation. The 87 passengers of
the charter flight are being contacted and assessed. The first nine rows (who sat near
the case) have been asked to self-isolate and have been tested, with results pending.
1 EpiSurv Database, 0900 21 September 2020
2 EpiSurv Database, 0900 21 September 2020
3 EpiSurv Database, 0900 21 September 2020
4 WGS Interim Report, 0313 21 September 2020
Case
Status
Counties Manukau Waitematā Auckland Waikato Total
Confirmed 79 55 47 1 182
Probable 1 0 0 0 1
Total 80 55 47 1 183
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3
Community cases linked to the Auckland Community Cluster August 20205
3. 178 of the 183 community cases have been linked to the Auckland Community Cluster
August 2020, as at 0900 21 September 2020. The unlinked cases are summarised as
follows:
o The Rydges employee (this investigation has been closed).
o A case (reported 21 August) is still under investigation for an epidemiological link to
the community cluster. There is insufficient data to confirm a genomic link to the
community cluster (see 4).
o The three cases detailed in paragraph 2.
Community cases under investigation to determine a link to the Auckland
community cluster
4. The case under investigation is summarised as follows:
o One case came through the border on 18 June. The case tested negative at day 3 and
day 12 of quarantine. The case subsequently tested positive on 21 August. Despite
using two different whole genome sequencing protocols only there is insufficient
data to confirm the case is genomically linked to the community cluster.6 Their
epidemiological link to the community cluster is still under investigation. As at 21
September no additional information has been revealed by the investigation.
Community cases and household contacts at Jet Park
5. As at 0800 21 September there are 40 people isolating in Jet Park from the community.
17 are confirmed cases, the remaining 23 are household contacts. This number will
fluctuate as people finish their isolation and depart from the facility.7
MIQ cases since 0900 20 September 20208
6. No new cases have been detected at the border, as at 0900 21 September. In total 158
cases have been detected at the border since the establishment of MIQ facilities.
5 EpiSurv Database, 0900 21 September 2020
6 ESR WGS report 03 September 2020
7 NRHCC Morning Report, 0900 21 September 2020
8 EpiSurv Database, 0900 21 September 2020
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4
Cases in hospital
7. As at 0800 21 September there are three cases in hospital with COVID-19.9
Table 3: Number of cases in hospital with COVID-19 by DHB as at 0800 21 September 2020
Health system response
Overall approach
8. Our investigation has two main focus areas that run in parallel:
o Source attribution – a focus on investigating the case with the earliest symptom
onset date to gather details actions of movements 14 days prior. This will help to
understand the possible source of the new outbreak.
o Containment – rigorous case investigation, identification of close contacts and
isolation and testing to ensure that chain of transmission is broken.
Current outbreak overview
o There have been no new cases reported in the Auckland community cluster since 14
September. Ongoing scoping of community settings since 14 September has revealed
no major concerns.10
Current outbreak investigation priorities11
o Ongoing management of healthcare workers from Jet Park.
o Ongoing management of Auckland community cluster work.
o Ongoing source investigation and contact tracing linked to the case reported 19
September.
9 NRHCC Morning Report 21 September 2020
10 NRHCC Morning Report, 0900 19 September 2020
11NRHCC Morning Report, 0900 21 September 2020
DHB Hospital Number in a general ward Number in ICU/HDU
Auckland Auckland City 1 0
Waitematā North Shore 1 0
Counties Manukau Middlemore 1 0
Total - 3 0
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5
Sub-clusters and settings of interest12
9. The child of the case (paragraph 2) attended an Auckland primary school. As soon as
the developed symptoms, the whole family self-isolated and the child was kept
home from school. One of the close contacts
and attended the same school until 18 September (tested negative).13 The school is
considered low risk. Further analysis of the symptoms of the is
underway and any implications for the school will be clarified.
10. A healthcare worker at Jet Park was reported as a case on 13 September. The case has
been epidemiologically and genomically linked to the Auckland Community Cluster.
The case has been epidemiologically linked to a community case who was completing
isolation at Jet Park and required hospitalisation. A review of processes at Jet Park is
underway with a focus on lessons to be learnt from this situation.
11. The healthcare worker is isolating at Jet Park facility. The case has five household close
contacts who are self-isolating at home. All five household contacts have tested
negative twice. All staff at Jet Park staff who are considered close contacts have been
stood down and have returned negative results so far.
12. members of a family in the Botany sub-cluster had serology testing on 11
September which returned negative results for all members. A case linked to the
Botany sub-cluster briefly attended school on 14 September, prior to being notified of
the positive test result that day.14 The school has been closed as a precaution while
close contact tracing and a deep clean is completed. A total of four close contacts have
been identified. All students who attended school (about 470) on 14 September are
casual contacts. Letters have been sent asking students to be tested and to remain in
self-isolation at home until they receive a negative test result. They have also been
asked to contact Healthline if they become symptomatic. Onsite testing has been
arranged from 18 September until 20 September. The school is now open.
Case investigation
13. Source investigation for an epidemiological link to the main cluster for four cases who
have been genomically linked to the main cluster is ongoing:
o The
o GP
o The second Mount Albert Grammar student
o The Botany case
12 NRHCC Morning Report, 0900 16 September 2020
13 NRHCC Morning Report, 0900 20 September 2020
14 NRHCC Morning Report 17 September 2020
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
6
IN CONFIDENCE – NOT FOR DISTRIBUTION
1.
2.
s 9(2)(a)
s 9(2)(a)
7
IN CONFIDENCE – NOT FOR DISTRIBUTION
ESR and wider testing15 14. A further 10 community cases are genomically linked with the Auckland cluster. These
cases are from the following known subclusters; Church 1 (1 cases), Church 3 (5 cases),
Americold HH (2 cases), MREF Bereavement (C-0018) (2 cases). A total of 153 cases
(86%) from the community cluster have now been sequenced, of which 134 (76%)
yielded a high quality genome.
15.
16. Ongoing analysis of the whole genome sequencing results is being used to show how
COVID-19 has been transmitted through the community cluster and to further inform
its management.
17. No direct links have been found between the community outbreak genome
sequencing, and the 65 full genomes (49 high quality) currently available from cases
detected in border arrivals in managed isolation facilities (MIFs). There has been one
case in a health worker at a managed isolation facility. WGS results indicate that this
case is genomically linked to the Auckland community cluster and clustered closely with
three community cases in the managed isolation facility (as discussed in para 8).
18.
15 ESR Whole Genome Sequencing Report 02 September 2020, Email 0946 16 September 2020
s 9(2)(g)(i)
s 9(2)(g)(i)
IN CONFIDENCE – NOT FOR DISTRIBUTION
8
Figure 1: Number of cases that have been whole genome sequenced and are genomically clustered
with the Auckland August cluster by sub-cluster as at 14 September 202016
Source: ESR *A sample may not have been received by ESR, may not have been sequenced yet or a sequencing result could not be
obtained from the sample received.
Contact tracing17 19. Between 12 and 18 September 77.2% (169/219) of Community close contacts and 100%
(32/32) MIQ close contacts have been contacted within 48 hours of being determined
to be a contact. KPI for this metric is 80% of close contacts within 48 hours.
o Note: Please note that the total number and number successfully contacted has decreased due
to casual contacts associated with the Les Mills exposure events being excluded.
Table 5: Close contact tracing recorded in the National Contact Tracing Solution since 12 August as at
0830 21 September 2020
18/09/2020 19/09/2020 20/09/2020 21/09/2020
Number of close contacts
identified1 3912 3918 3916 3989
Number of close contacts
successfully contacted (and are
self-isolating)
3908 3912 3912 3978
Number of close contacts
referred to "finding services"2 0 0 0 0
16 ESR email 1608 14 September 2020
17 COVID-19 NCCS Analytics and Reporting 0928 21 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
9
Number of close contacts
awaiting contact 4 2 4 11
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage18 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 0900
21 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
18 Response Analyst – Digital Channels, 0912 21 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20
/05
23
/05
26
/05
29
/05
01
/06
04
/06
07
/06
10
/06
13
/06
16
/06
19
/06
22
/06
25
/06
28
/06
01
/07
04
/07
07
/07
10
/07
13
/07
16
/07
19
/07
22
/07
25
/07
28
/07
31
/07
03
/08
06
/08
09
/08
12
/08
15
/08
18
/08
21
/08
24
/08
27
/08
30
/08
02
/09
05
/09
08
/09
11
/09
14
/09
17
/09
Dai
ly s
can
s an
d m
anu
al e
ntr
ies
Cu
mu
lati
ve A
pp
regi
stra
tio
ns
Day and month
Cumulative App registrations Daily scans and manual entries
IN CONFIDENCE – NOT FOR DISTRIBUTION
10
Testing19 Table 6: Testing by functional groups, as at 0900 21 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers20 Table 7: Number of laboratory tests processed nationally as at 0900 21 September 2020
Testing supply update21
20. There are good levels of testing supplies available, with 299,747 tests currently in the
labs. The Ministry of Health is continuing to work with major suppliers in order to meet
ongoing need.
19 ÉCLAIR/MoH Public Health Intelligence, 1000 20 September 2020
20 Daily Lab Report, 0923 21 September 2020
21 Testing supply email, 0939 21 September 2020
Reason for test 20 September 14–20 September
GPs and other primary health 1572 17,917
CBACs and pop-ups 1395 22,932
Border workers - air crew 25 246
Border workers - airport staff 104 1332
Border workers - maritime crew 0 32
Border workers – Port of Tauranga staff 1 473
Border workers – Remaining Port staff 3 181
Border workers - MIF 156 1212
Border workers - MIQ 54 435
Travellers - Staying at MIF 255 1770
Travellers - Staying at MIQ 4 34
Total 3569* 46,564*
Time period Number of laboratory tests
20 September 3568*
Last 7 days (14 Sep to 20 Sep) 46,379*
Total 914,421
IN CONFIDENCE – NOT FOR DISTRIBUTION
11
Healthline updates22 21. On 20 September there were 2,357 contacts in Healthline. Of those calls, 588 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 562 contacts (lower than forecast).
22. The main themes on 20 September were:
o National Telehealth Service (Healthline) continued to take calls related to the
exposure event, including in response to media reporting on possible school
students yesterday.
o Questions relating to the changes to Alert Levels that may occur this week. When
alert levels are changed it would be useful to ensure that this is supported by a single
source of information on the various alert levels being set and what it means.
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested.
Logistics
Health Workforce23
23. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
24. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
25. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
22 National Telehealth Service Coronavirus Update, 0921 21 September 2020
23 Health Workforce Directorate, 0945 14 September 2020
IN CONFIDENCE – NOT FOR DISTRIBUTION
12
Hospital capacity24 Table 8: Number and occupancy of hospital beds by type as at 0800 21 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 389 208 (53.5%)
Ventilators 299 53 (17.7%)
Ward beds 7257 5782 (79.7%)
24 COVID-19 Hospital Summary, 0904 21 September 2020
13
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 1: Case summary Table 9: All community cases reported between 0900 20 September and 0900 21 September. Source: ESR EpiSurv Extract 0900 21 September 2020
Cumulative
Number
Date tested
positive Onset date
Case
status DHB Sex Age Ethnicity
Symptoms
[Yes/No] Hospitalised Occupation Source of transmission
14
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification17 Table 10: NCTS data for cases in the community
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours - 100% - - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours - - - - - 100% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours - 0% - - - 100% 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours - 100% - - - 84% -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - - - 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours - 100% - - - 83% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - - - 84% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% - 0% - - - 7% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
15
Table 11:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - 100% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - 33% - 50% - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 0% - 71% 0% 100% 50%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - 100% 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - 75% - 58% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours - 100% - 100% 100% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - 100% 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
- 0% - 0% 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
16
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1000 21 September
Table 12: Metro Auckland Summary Total of Testing for 18 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
19/09/2020 962 98 526 91 No testing No
testing 1677
20/09/2020 635 75 409 72 No testing No
testing 1191
Table 13: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 –
06/09
07/09 –
13/09
14/09 –
20/09
19/09 20/09
MIQ Staff 2132 659 1488 912 1086 908 98 75
Guests 2972 3767 3600 3406 3424 3843 526 409
Border Airport 2129 933 1349 1158 853 951 91 72
Port 1588 678 161 392 153 320 No
testing
No
testing
Table 14: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on manual site reports at
4pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 –
06/09
07/09 –
13/09
14/09 –
20/09
19/09 20/09
Airport Oaks 1148 515 366 265 181 152 8 14
Botany CTC 1151 948 905 749 681 802 52 41
Health New Lynn 2603 1258 1703 732 889 613 45 48
Mangere Town
Centre
1748 1684 1599 860 660 487 41 21
Otara CTC 3221 1712 1429 930 699 938 86 62
St Lukes 1368 1045 1414 797 666 830 75 88
IN CONFIDENCE – NOT FOR DISTRIBUTION
17
Takanini Urgent
Care
1886 1216 1153 684 440 487 37 47
Whanau House 2502 1371 1442 928 1613 822 71 48
Whanau Ora -
Central
1957 964 1583 937 783 470 43 49
Whanau Ora -
North
1442 669 637 982 947 907 64 79
Whanau Ora -
South
2945 1250 718 677 620 470 46 12
Flat Bush Pop Up N/A N/A N/A N/A N/A 349 111 38
Pakuranga Pop Up N/A N/A N/A N/A N/A 59 30 29
Panmure Pop Up N/A N/A N/A N/A N/A 100 57 43
Beach Haven Pop
Up N/A N/A N/A N/A N/A 74 46 N/A
Henderson Pop Up N/A N/A N/A N/A N/A 46 45 N/A
Otara Pop Up N/A N/A N/A N/A N/A 73 73 N/A
Waipuna Targeted
Site
143 549 376 219 251 220 28 14
Henderson
Targeted Site
N/A N/A N/A N/A 631 93 4 2
Total 26,148 16,781 21,215 13,002 10,475 8,776 962 635
N/A = not open as a CTC; Previous sites that are no longer open are not included in this report
CTCs and mobile testing site locations
Please see https://www.arphs.health.nz/public-health-topics/covid-19/where-to-get-tested for the most up-
to-date information on CTCs and mobile testing sites in the Auckland region.
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
15 ESR email 1608 14 September 2020
16 COVID-19 NCCS Analytics and Reporting 0921 22 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
10
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage17 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1600
21 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
17 Response Analyst – Digital Channels, 1617 21 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20/
05
23/
05
26/
05
29/
05
01/
06
04/
06
07/
06
10/
06
13/
06
16/
06
19/
06
22/
06
25/
06
28/
06
01/
07
04/
07
07/
07
10/
07
13/
07
16/
07
19/
07
22/
07
25/
07
28/
07
31/
07
03/
08
06/
08
09/
08
12/
08
15/
08
18/
08
21/
08
24/
08
27/
08
30/
08
02/
09
05/
09
08/
09
11/
09
14/
09
17/
09
20/
09
Dai
ly s
can
s an
d m
anu
al e
ntr
ies
Cu
mu
lati
ve A
pp
re
gist
rati
on
s
Day and month
Cumulative App registrations Daily scans and manual entries
IN CONFIDENCE – NOT FOR DISTRIBUTION
11
Testing18 Table 6: Testing by functional groups, as at 0900 22 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers19 Table 7: Number of laboratory tests processed nationally as at 0900 22 September 2020
Testing supply update20
22. There are good levels of testing supplies available, with 299,747 tests currently in the
labs. The Ministry of Health is continuing to work with major suppliers in order to meet
ongoing need.
18 ÉCLAIR/MoH Public Health Intelligence, 1000 22 September 2020
19 Daily Lab Report, 0921 22 September 2020
20 Testing supply email, 0939 21 September 2020
Reason for test 21 September 15–21 September
GPs and other primary health 1488 17908
CBACs and pop-ups 1044 21600
Border workers - air crew 20 261
Border workers - airport staff 85 1288
Border workers - maritime crew 26 58
Border workers – Port of Tauranga staff 0 473
Border workers – Remaining Port staff 3 180
Border workers - MIF 95 1190
Border workers - MIQ 43 313
Travellers - Staying at MIF 312 1869
Travellers - Staying at MIQ 162 190
Total 3278* 45,330*
Time period Number of laboratory tests
21 September 3278*
Last 7 days (15 Sep to 21 Sep) 45,255*
Total 917,699
IN CONFIDENCE – NOT FOR DISTRIBUTION
12
Healthline updates21 23. On 21 September there were 2,510 contacts in Healthline. Of those calls, 1,121were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 647 contacts (in line with forecast).
24. The main themes on 21 September were:
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested. Increased level of people checking testing centre locations
and asking if family need to isolate with them.
o Some questions on pre-departure testing requirements.
o Questions relating to the changes to alert levels.
Logistics
Health Workforce22
25. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
26. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
27. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity23 Table 8: Number and occupancy of hospital beds by type as at 0800 22 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 422 282 (66.8%)
Ventilators 330 74 (22.4%)
Ward beds 7641 6228 (81.5%)
21 National Telehealth Service Coronavirus Update, 0940 22 September 2020
22 Health Workforce Directorate, 0945 14 September 2020
23 COVID-19 Hospital Summary, 0914 22 September 2020
13
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 1: Case summary Table 9: All community cases reported between 0900 21 September and 0900 22 September. Source: ESR EpiSurv Extract 0900 22 September 2020
Cumulative
Number
Date tested
positive Onset date
Case
status DHB Sex Age Ethnicity
Symptoms
[Yes/No] Hospitalised Occupation Source of transmission
14
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification16 Table 10: NCTS data for cases in the community
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours - 100% - - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours - - - - - 100% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours - 0% - - - 100% 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours - 100% - - - 84% -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - - - 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours - 100% - - - 83% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - - - 84% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% - 0% - - - 7% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
15
Table 11:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - 100% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - 33% - 50% - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 0% - 71% 0% 100% 50%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - 100% 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - 75% - 58% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours - 100% - 100% 100% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - 100% 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
- 0% - 0% 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
16
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 21 September
Table 12: Metro Auckland Summary Total of Testing for 18 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
21/09/2020 1,013 118 599 112 49 0 1,891
Table 13: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 – 06/09 07/09 – 13/09 14/09 –
20/09
21/09*
MIQ Staff 2132 659 1488 912 1086 908 118
Guests 2972 3767 3600 3406 3424 3843 599
Border Airport 2129 933 1349 1158 853 951 112
Port 1588 678 161 392 153 320 49
Crew 0 0 0 0 0 0 0
Table 14: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on manual site reports at 4pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 –
06/09
07/09 –
13/09
14/09 –
20/09
21/09*
Airport Oaks 1148 515 366 265 181 152 18
Botany CTC 1151 948 905 749 681 802 99
Health New Lynn 2603 1258 1703 732 889 621 101
Mangere Town
Centre
1748 1684 1599 860 660 487 70
Otara CTC 3221 1712 1429 930 699 938 65
St Lukes 1368 1045 1414 797 666 830 158
Takanini Urgent Care 1886 1216 1153 684 440 487 65
Whanau House 2502 1371 1442 928 1613 870 129
Whanau Ora - Central 1957 964 1583 937 783 470 90
IN CONFIDENCE – NOT FOR DISTRIBUTION
17
Whanau Ora - North 1442 669 637 982 947 907 111
Whanau Ora - South 2945 1250 718 677 620 470 61
Takanini Pop Up N/A N/A N/A N/A N/A N/A 17
Waipuna Targeted
Site
143 549 376 219 251 220 28
Henderson Targeted
Site
N/A N/A N/A N/A 631 93 1
Total 26,148 16,781 21,215 13,002 10,475 8,832 1,013
N/A = not open as a CTC; Previous sites that are no longer open are not included in this report
CTCs and mobile testing site locations
Please see https://www.arphs.health.nz/public-health-topics/covid-19/where-to-get-tested for the most up-
to-date information on CTCs and mobile testing sites in the Auckland region.
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
15 ESR email 1608 14 September 2020
16 COVID-19 NCCS Analytics and Reporting 0934 23 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
10
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage17 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
22 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
17 Response Analyst – Digital Channels, 1616 22 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20/
05
23/
05
26/
05
29/
05
01/
06
04/
06
07/
06
10/
06
13/
06
16/
06
19/
06
22/
06
25/
06
28/
06
01/
07
04/
07
07/
07
10/
07
13/
07
16/
07
19/
07
22/
07
25/
07
28/
07
31/
07
03/
08
06/
08
09/
08
12/
08
15/
08
18/
08
21/
08
24/
08
27/
08
30/
08
02/
09
05/
09
08/
09
11/
09
14/
09
17/
09
20/
09
Dai
ly s
can
s an
d m
anu
al e
ntr
ies
Cu
mu
lati
ve A
pp
re
gist
rati
on
s
Day and month
Cumulative App registrations Daily scans and manual entries
IN CONFIDENCE – NOT FOR DISTRIBUTION
11
Testing18 Table 6: Testing by functional groups, as at 0900 23 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers19 Table 7: Number of laboratory tests processed nationally as at 0900 23 September 2020
Testing supply update20
25. There are good levels of testing supplies available, with 299,747 tests currently in the
labs. The Ministry of Health is continuing to work with major suppliers in order to meet
ongoing need.
18 ÉCLAIR/MoH Public Health Intelligence, 1000 23 September 2020
19 Daily Lab Report, 0927 23 September 2020
20 Testing supply email, 0939 21 September 2020
Reason for test 22 September 16–22 September
GPs and other primary health 3139 17026
CBACs and pop-ups 3010 20796
Border workers - air crew 46 255
Border workers - airport staff 135 1285
Border workers - maritime crew 0 45
Border workers – Port of Tauranga staff 3 442
Border workers – Remaining Port staff 59 230
Border workers - MIF 154 1128
Border workers - MIQ 40 306
Travellers - Staying at MIF 351 1936
Travellers - Staying at MIQ 1 186
Total 6938 43635*
Time period Number of laboratory tests
22 September 6938
Last 7 days (16 Sep to 22 Sep) 43,105*
Total 924,637
IN CONFIDENCE – NOT FOR DISTRIBUTION
12
Healthline updates21 26. On 22 September there were 2,184 contacts in Healthline. Of those calls, 845 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 615 contacts (lower than forecast).
27. The main themes on 21 September were:
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested. Increased level of people checking testing centre locations.
o Some questions on pre-departure testing requirements.
o Questions relating to the changes to alert levels.
Logistics
Health Workforce22
28. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
29. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
30. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity23 Table 8: Number and occupancy of hospital beds by type as at 0800 23 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 334 228 (68.3%)
Ventilators 303 61 (20.1%)
Ward beds 7120 5888 (82.7%)
21 National Telehealth Service Coronavirus Update, 0839 23 September 2020
22 Health Workforce Directorate, 0945 14 September 2020
23 COVID-19 Hospital Summary, 0917 23 September 2020
13
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 1: Case summary Table 9: All new community cases reported between 0900 22 September and 0900 23 September. Source: ESR EpiSurv Extract 0900 23 September 2020
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
14
Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification16 Table 10: NCTS data for cases in the community
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours - 100% - - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours - - - - - 100% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours - 0% - - - 100% 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours - 100% - - - 84% -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - - - 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours - 100% - - - 83% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - - - 84% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% - 0% - - - 7% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
15
Table 11:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - 100% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - 33% - 50% - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 0% - 71% 0% 100% 50%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - 100% 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - 75% - 58% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours - 100% - 100% 100% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - 100% 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
- 0% - 0% 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
16
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 22 September
Table 12: Metro Auckland Summary Total of Testing for 22 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
22/09/2020 881 246 600 121 13 0 1861
Table 13: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 –
06/09
07/09 –
13/09
14/09 –
20/09
21/09 22/09*
MIQ Staff 2132 659 1488 912 1086 908 118 246
Guests 2972 3767 3600 3406 3424 3843 599 600
Border Airport 2129 933 1349 1158 853 951 112 121
Port 1588 678 161 392 153 320 49 13 (PM
Start)
Crew 0 0 0 0 0 0 0 0
*22/09 day still in progress
Table 14: Estimated tests taken at Metro Auckland CTCs, since 12 August 2020, based on manual site reports at 4pm
Site 12/08-
16/08
17/08-
23/08
24/08 –
30/08
31/08 –
06/09
07/09 –
13/09
14/09 –
20/09
21/09 22/09*
Airport Oaks 1148 515 366 265 181 152 18 25
Botany CTC 1151 948 905 749 681 802 99 95
Health New Lynn 2603 1258 1703 732 889 621 102 66
Mangere Town
Centre
1748 1684 1599 860 660 487 70
45
Otara CTC 3221 1712 1429 930 699 938 65 57
St Lukes 1368 1045 1414 797 666 830 158 101
Takanini Urgent
Care
1886 1216 1153 684 440 487 65
61
IN CONFIDENCE – NOT FOR DISTRIBUTION
17
Whanau House 2502 1371 1442 928 1613 870 129 126
Whanau Ora -
Central
1957 964 1583 937 783 470 75
62
Whanau Ora -
North
1442 669 637 982 947 907 113
116
Whanau Ora -
South
2945 1250 718 677 620 470 66
54
Takanini Pop Up N/A N/A N/A N/A N/A N/A 17 25
Mangere Pop Up N/A N/A N/A N/A N/A N/A N/A 12
Waipuna Targeted
Site
143 549 376 219 251 220 28
34
Henderson
Targeted Site
N/A N/A N/A N/A 631 93 1
2
Total 26,148 16,781 21,215 13,002 10,475 8,832 1,020 881
*22/09 day still in progress; N/A = not open as a CTC; Previous sites that are no longer open are not included
in this report
CTCs and mobile testing site locations
Please see https://www.arphs.health.nz/public-health-topics/covid-19/where-to-get-tested for the most up-
to-date information on CTCs and mobile testing sites in the Auckland region.
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
11 ESR email 1608 14 September 2020
12 COVID-19 NCCS Analytics and Reporting 0857 24 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
9
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage13 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
23 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
13 Response Analyst – Digital Channels, 1625 23 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20/
05
23/
05
26/
05
29/
05
01/
06
04/
06
07/
06
10/
06
13/
06
16/
06
19/
06
22/
06
25/
06
28/
06
01/
07
04/
07
07/
07
10/
07
13/
07
16/
07
19/
07
22/
07
25/
07
28/
07
31/
07
03/
08
06/
08
09/
08
12/
08
15/
08
18/
08
21/
08
24/
08
27/
08
30/
08
02/
09
05/
09
08/
09
11/
09
14/
09
17/
09
20/
09
23/
09
Dai
ly s
can
s an
d m
anu
al e
ntr
ies
Cu
mu
lati
ve A
pp
re
gist
rati
on
s
Day and month
Cumulative App registrations Daily scans and manual entries
IN CONFIDENCE – NOT FOR DISTRIBUTION
10
Testing14 Table 8: Testing by functional groups, as at 0900 24 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers15 Table 9: Number of laboratory tests processed nationally as at 0900 24 September 2020
Testing supply update16
20. There are good levels of testing supplies available, with 299,747 tests currently in the
labs. The Ministry of Health is continuing to work with major suppliers in order to meet
ongoing need.
14 ÉCLAIR/MoH Public Health Intelligence, 1000 24 September 2020
15 Daily Lab Report, 0905 24 September 2020
16 Testing supply email, 0939 21 September 2020
Reason for test 23 September 17–23 September
GPs and other primary health 2543 15802
CBACs and pop-ups 2555 19515
Border workers - air crew 41 248
Border workers - airport staff 215 1295
Border workers - maritime crew 0 43
Border workers – Port of Tauranga staff 0 354
Border workers – Remaining Port staff 26 223
Border workers - MIF 233 1192
Border workers - MIQ 39 344
Travellers - Staying at MIF 490 2013
Travellers - Staying at MIQ 0 177
Total 6142 41206*
Time period Number of laboratory tests
23 September 6142
Last 7 days (17 Sep to 23 Sep) 41,062*
Total 930,779
IN CONFIDENCE – NOT FOR DISTRIBUTION
11
Healthline updates17 21. On 23 September there were 2,236 contacts in Healthline. Of those calls, 1068 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 696 contacts (higher than forecast).
22. The main themes on 22 September were:
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested. Increased level of people checking testing centre locations.
o Some questions on pre-departure testing requirements.
o Questions relating to the changes to alert levels.
Logistics
Health Workforce18
23. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
24. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
25. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity19 Table 10: Number and occupancy of hospital beds by type as at 0800 24 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 325 217 (66.8%)
Ventilators 296 60 (20.3%)
Ward beds 6822 5553 (81.4%)
17 National Telehealth Service Coronavirus Update, 0918 24 September 2020
18 Health Workforce Directorate, 0945 14 September 2020
19 COVID-19 Hospital Summary, 0905 24 September 2020
12
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 1: Case summary Table 11: All new community cases reported between 0900 23 September and 0900 24 September. Source: ESR EpiSurv Extract 0900 24 September 2020
Cumulative
Number
Date tested
positive Onset date Case status DHB Sex Age Ethnicity
Symptoms
[Yes/No] Hospitalised Occupation Source of transmission
IN CONFIDENCE – NOT FOR DISTRIBUTION
13
Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification12 Table 12: NCTS data for cases in the community - Please note, National Investigation and Tracing Centre are working through data quality issues, so
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours - 100% - - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours - - - - - 100% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours - 0% - - - 100% 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours - 100% - - - 84% -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - - - 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours - 100% - - - 83% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - - - 84% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% - 0% - - - 7% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
14
Table 13:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - 100% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - 33% - 50% - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 0% - 71% 0% 100% 50%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - 100% 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - 75% - 58% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours - 100% - 100% 100% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - 100% 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
- 0% - 0% 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
15
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 23 September
Table 14: Metro Auckland Summary Total of Testing for 22 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
23/09/2020 780 187 543 173 34 0 1717
Table 15: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
16 ESR email 1608 14 September 2020
17 COVID-19 NCCS Analytics and Reporting 0857 24 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
10
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage18 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
24 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
18 Response Analyst – Digital Channels, 1614 24 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20/
05
23/
05
26/
05
29/
05
01/
06
04/
06
07/
06
10/
06
13/
06
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Dai
ly s
can
s an
d m
anu
al e
ntr
ies
Cu
mu
lati
ve A
pp
re
gist
rati
on
s
Day and month
Cumulative App registrations Daily scans and manual entries
IN CONFIDENCE – NOT FOR DISTRIBUTION
11
Testing19 Table 7: Testing by functional groups, as at 0900 25 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers20 Table 8: Number of laboratory tests processed nationally as at 0900 25 September 2020
Testing supply update21
22. There are good levels of testing supplies available, with 299,747 tests currently in the
labs. The Ministry of Health is continuing to work with major suppliers in order to meet
ongoing need.
19 ÉCLAIR/MoH Public Health Intelligence, 1000 25 September 2020
20 Daily Lab Report, 0958 25 September 2020
21 Testing supply email, 0939 21 September 2020
Reason for test 24 September 18–24 September
GPs and other primary health 3147 15,293
CBACs and pop-ups 2661 19,241
Border workers - air crew 33 300
Border workers - airport staff 159 1268
Border workers - maritime crew 0 58
Border workers – Port of Tauranga staff 0 325
Border workers – Remaining Port staff 13 209
Border workers - MIF 140 1111
Border workers - MIQ 40 322
Travellers - Staying at MIF 274 2122
Travellers - Staying at MIQ 0 174
Total 6467 40,423*
Time period Number of laboratory tests
24 September 6465
Last 7 days (18 Sep to 24 Sep) 40,167*
Total 937,244
IN CONFIDENCE – NOT FOR DISTRIBUTION
12
Community Testing Centres for the Christchurch returnee cluster22 Table 9: Number of CTCs available in relation to the Christchurch Returnee Outbreak as at 1000 25
September 2020
Lakes DHB Rotorua 2 Vaughan Rd • 9am – 4pm –
Thursday (24/9) -
Sunday (27/9)
Rotorua Pukatua st (note
change of
venue)
• 11am-4pm –
Monday (28/9)
• 9am-4pm – Tuesday
– Friday (29/9-2/10)
Taupo 79 Miro Street • 1pm – 4pm –
Thursday (24/9)
• 9am-4pm – Friday
(25/9) – Friday
(2/10)
Canterbury DHB Christchurch Orchard Road CBAC
(near Airport)
• Open 9am- 4pm 7
days a week
Christchurch Whanau Ora
Community Clinic
CBAC
(Wainoni)
• Open 9am- 4pm 7
days a week
Capital and
Coast DHB
On standby depending outcome of testing
Bay of Plenty
DHB
Healthline updates23 23. On 24 September there were 2,578 contacts in Healthline. Of those calls, 1203 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 696 contacts (higher than forecast).
24. The main themes on 22 September were:
o A large number of calls relating to the exposure events outlined in the media
yesterday. Registration of casual and close contacts is ongoing.
22 Testing Strategy Lead MoH, 1025 25 September
23 National Telehealth Service Coronavirus Update, 0938 25 September 2020
IN CONFIDENCE – NOT FOR DISTRIBUTION
13
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested. Increased level of people checking testing centre locations.
o Some questions on pre-departure testing requirements.
o Questions relating to the changes to alert levels.
Logistics
Health Workforce24
25. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
26. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
27. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity25 Table 10: Number and occupancy of hospital beds by type as at 0800 25 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 330 210 (63.6%)
Ventilators 298 38 (12.8%)
Ward beds 6933 5806 (83.7%)
24 Health Workforce Directorate, 0945 14 September 2020
25 COVID-19 Hospital Summary, 0917 25 September 2020
14
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 1: Case summary Table 11: All new community cases reported between 0900 24 September and 0900 25 September. Source: ESR EpiSurv Extract 0900 25 September 2020
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
15
Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification17 Table 12: NCTS data for cases in the community - Please note, National Investigation and Tracing Centre are working through data quality issues, so
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours - 100% - - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours - - - - - 100% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours - 0% - - - 100% 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours - 100% - - - 84% -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - - - 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours - 100% - - - 83% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - - - 84% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% - 0% - - - 7% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
16
Table 13:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - 100% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - 33% - 50% - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 0% - 71% 0% 100% 50%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - 100% 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - 75% - 58% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours - 100% - 100% 100% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - 100% 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
- 0% - 0% 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
17
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 24 September
Table 14: Metro Auckland Summary Total of Testing for 24 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
24/09/2020 754 184 447 122 59 20 1586
Table 15: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
18 ESR email 1608 14 September 2020
19 COVID-19 NCCS Analytics and Reporting 0937 26 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
10
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage20 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
25 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
20 Response Analyst – Digital Channels, 1616 25 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20/
05
23/
05
26/
05
29/
05
01/
06
04/
06
07/
06
10/
06
13/
06
16/
06
19/
06
22/
06
25/
06
28/
06
01/
07
04/
07
07/
07
10/
07
13/
07
16/
07
19/
07
22/
07
25/
07
28/
07
31/
07
03/
08
06/
08
09/
08
12/
08
15/
08
18/
08
21/
08
24/
08
27/
08
30/
08
02/
09
05/
09
08/
09
11/
09
14/
09
17/
09
20/
09
23/
09
Dai
ly s
can
s an
d m
anu
al e
ntr
ies
Cu
mu
lati
ve A
pp
re
gist
rati
on
s
Day and month
Cumulative App registrations Daily scans and manual entries
IN CONFIDENCE – NOT FOR DISTRIBUTION
11
Testing21 Table 7: Testing by functional groups, as at 0900 25 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers22 Table 8: Number of laboratory tests processed nationally as at 0900 26 September 2020
Testing supply update23
23. There are good levels of testing supplies available, with 299,747 tests currently in the
labs. The Ministry of Health is continuing to work with major suppliers in order to meet
ongoing need.
21 ÉCLAIR/MoH Public Health Intelligence, 1000 25 September 2020
22 Daily Lab Report, 0844 26 September 2020
23 Testing supply email, 0939 21 September 2020
Reason for test 24 September 18–24 September
GPs and other primary health 3147 15,293
CBACs and pop-ups 2661 19,241
Border workers - air crew 33 300
Border workers - airport staff 159 1268
Border workers - maritime crew 0 58
Border workers – Port of Tauranga staff 0 325
Border workers – Remaining Port staff 13 209
Border workers - MIF 140 1111
Border workers - MIQ 40 322
Travellers - Staying at MIF 274 2122
Travellers - Staying at MIQ 0 174
Total 6467 40,423*
Time period Number of laboratory tests
25 September 5952
Last 7 days (19 Sep to 25 Sep) 37,760*
Total 943,196
IN CONFIDENCE – NOT FOR DISTRIBUTION
12
Community Testing Centres for the Christchurch returnee cluster24 Table 9: Number of CTCs available in relation to the Christchurch Returnee Outbreak as at 1000 25
September 2020
Lakes DHB Rotorua 2 Vaughan Rd • 9am – 4pm –
Thursday (24/9) -
Sunday (27/9)
Rotorua Pukatua st (note
change of
venue)
• 11am-4pm –
Monday (28/9)
• 9am-4pm – Tuesday
– Friday (29/9-2/10)
Taupo 79 Miro Street • 1pm – 4pm –
Thursday (24/9)
• 9am-4pm – Friday
(25/9) – Friday
(2/10)
Canterbury DHB Christchurch Orchard Road CBAC
(near Airport)
• Open 9am- 4pm 7
days a week
Christchurch Whanau Ora
Community Clinic
CBAC
(Wainoni)
• Open 9am- 4pm 7
days a week
Capital and
Coast DHB
On standby depending outcome of testing
Bay of Plenty
DHB
Healthline updates25 24. On 25 September there were 2,307 contacts in Healthline. Of those calls, 977 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 560 contacts (lower than forecast).
25. The main themes on 25 September were:
o Questions relating to what it means to take your alert level with you from Auckland.
o A large number of calls relating to the exposure events outlined in the media
yesterday. Registration of casual and close contacts is ongoing.
24 Testing Strategy Lead MoH, 1025 25 September
25 National Telehealth Service Coronavirus Update, 0939 26 September 2020
IN CONFIDENCE – NOT FOR DISTRIBUTION
13
o Most of the general public Service Users were calling because they are symptomatic
and wanted to be tested. Increased level of people checking testing centre locations.
o Questions relating to the changes to alert levels.
Logistics
Health Workforce26
26. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
27. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
28. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity27 Table 10: Number and occupancy of hospital beds by type as at 0800 26 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 327 213 (65.1%)
Ventilators 295 42 (14.2%)
Ward beds 6868 5528 (80.5%)
26 Health Workforce Directorate, 0945 14 September 2020
27 COVID-19 Hospital Summary, 0924 26 September 2020
14
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 1: Case summary Table 11: All new community cases reported between 0900 25 September and 0900 26 September. Source: ESR EpiSurv Extract 0900 26 September 2020
Cumulative
Number
Date tested
positive Onset date Case status DHB Sex Age Ethnicity
Symptoms
[Yes/No] Hospitalised Occupation
Source of
transmission
IN CONFIDENCE – NOT FOR DISTRIBUTION
15
Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification19 Table 12: NCTS data for cases in the community - Please note, National Investigation and Tracing Centre are working through data quality issues, so
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours - 100% - - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours - - - - - 100% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours - 0% - - - 100% 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours - 100% - - - 84% -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - - - 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours - 100% - - - 83% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - - - 84% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% - 0% - - - 7% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
16
Table 13:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - 100% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - 33% - 50% - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 0% - 71% 0% 100% 50%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - 100% 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - 75% - 58% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours - 100% - 100% 100% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - 100% 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
- 0% - 0% 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
17
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 25 September
Table 14: Metro Auckland Summary Total of Testing for 25 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
25/09/2020 732 104 525 102 39 0 1502
Table 15: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
18 ESR email 1608 14 September 2020
19 COVID-19 NCCS Analytics and Reporting 0933 27 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
10
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage20 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
25 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
20 Response Analyst – Digital Channels, 1616 25 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20/0
523
/05
26/0
529
/05
01/0
604
/06
07/0
610
/06
13/0
616
/06
19/0
622
/06
25/0
628
/06
01/0
704
/07
07/0
710
/07
13/0
716
/07
19/0
722
/07
25/0
728
/07
31/0
703
/08
06/0
809
/08
12/0
815
/08
18/0
821
/08
24/0
827
/08
30/0
802
/09
05/0
908
/09
11/0
914
/09
17/0
920
/09
23/0
9
Dai
ly s
can
s an
d m
anu
al e
ntr
ies
Cu
mu
lati
ve A
pp
regi
stra
tio
ns
Day and month
Cumulative App registrations Daily scans and manual entries
IN CONFIDENCE – NOT FOR DISTRIBUTION
11
Testing21 Table 7: Testing by functional groups, as at 0900 27 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers22 Table 8: Number of laboratory tests processed nationally as at 0900 27 September 2020
Testing supply update23
22. There are good levels of testing supplies available, with 299,747 tests currently in the
labs. The Ministry of Health is continuing to work with major suppliers in order to meet
ongoing need.
21 ÉCLAIR/MoH Public Health Intelligence, 1000 27 September 2020
22 Daily Lab Report, 0905 27 September 2020
23 Testing supply email, 0939 21 September 2020
Reason for test 26 September 20–26 September
GPs and other primary health 3611 17,185
CBACs and pop-ups 1158 15,098
Border workers - air crew 18 268
Border workers - airport staff 217 1108
Border workers - maritime crew 0 70
Border workers – Port of Tauranga staff 1 10
Border workers – Remaining Port staff 24 270
Border workers - MIF 52 975
Border workers - MIQ 31 331
Travellers - Staying at MIF 103 2128
Travellers - Staying at MIQ 4 170
Total 5219* 37,613*
Time period Number of laboratory tests
26 September 5746*
Last 7 days (20 Sep to 26 Sep) 38,089*
Total 948,942
IN CONFIDENCE – NOT FOR DISTRIBUTION
12
Community Testing Centres for the Christchurch returnee cluster24 Table 9: Number of CTCs available in relation to the Christchurch Returnee Outbreak as at 1000 25
September 2020
Lakes DHB Rotorua 2 Vaughan Rd • 9am – 4pm –
Thursday (24/9) -
Sunday (27/9)
Rotorua Pukatua st (note
change of
venue)
• 11am-4pm –
Monday (28/9)
• 9am-4pm – Tuesday
– Friday (29/9-2/10)
Taupo 79 Miro Street • 9am-4pm – Friday
(25/9) – Friday
(2/10)
Canterbury DHB Christchurch Orchard Road CBAC
(near Airport)
• Open 9am- 4pm 7
days a week
Christchurch Whanau Ora
Community Clinic
CBAC
(Wainoni)
• Open 9am- 4pm 7
days a week
Capital and
Coast DHB
On standby depending outcome of testing
Bay of Plenty
DHB
Healthline updates25 23. On 26 September there were 2,241 contacts in Healthline. Of those calls, 1,039 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 538 contacts (lower than forecast).
24. The main themes on 25 September were:
o A large number of calls relating to the exposure events outlined in the media
including Fuller ferries this morning.
o We are continuing to see a higher than normal acuity (of non covid related health
issues) through Healthline and some of this is geographically focussed – i.e. the wider
Auckland region.
24 Testing Strategy Lead MoH, 1632 25 September
25 National Telehealth Service Coronavirus Update, 0928 27 September 2020
IN CONFIDENCE – NOT FOR DISTRIBUTION
13
o Most service users were calling because they are symptomatic and wanted to get a
test. Increased level of users checking testing centre locations relating to the special
sites created at the end of last week.
o Questions relating to what it means to be from Auckland and travel to a region at
Alert Level One for the school holidays.
Logistics
Health Workforce26
25. Health Workforce continue to work with employers who have expressed a need for
assistance with identifying people who are willing to work within the health system and
to provide some relief from COVID-19 related staffing issues.
26. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. Following on from the
didactic component, will be practical training and assessment, which will continue to be
provided by the relevant DHB.
27. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity27 Table 10: Number and occupancy of hospital beds by type as at 0800 27 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 182 117 (64.3%)
Ventilators 145 30 (20.7%)
Ward beds 3169 2315 (73.1%)
26 Health Workforce Directorate, 0945 14 September 2020
27 COVID-19 Hospital Summary, 0914 27 September 2020
14
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 1: Case summary Table 11: All new community cases reported between 0900 26 September and 0900 27 September. Source: ESR EpiSurv Extract 0900 27 September 2020
Cumulative
Number
Date tested
positive Onset date Case status DHB Sex Age Ethnicity
Symptoms
[Yes/No] Hospitalised Occupation
Source of
transmission
IN CONFIDENCE – NOT FOR DISTRIBUTION
15
Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification19 Table 12: NCTS data for cases in the community - Please note, National Investigation and Tracing Centre are working through data quality issues, so
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours - 100% - - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours - - - - - 100% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours - 0% - - - 100% 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours - 100% - - - 84% -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - - - 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours - 100% - - - 83% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - - - 84% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% - 0% - - - 7% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
16
Table 13:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - 100% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - 33% - 50% - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 0% - 71% 0% 100% 50%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - 100% 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - 75% - 58% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours - 100% - 100% 100% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - 100% 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
- 0% - 0% 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
17
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 25 September
Please note this report is not run on the weekends Table 14: Metro Auckland Summary Total of Testing for 25 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
25/09/2020 732 104 525 102 39 0 1502
Table 15: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
17 ESR email 1608 14 September 2020
18 COVID-19 NCCS Analytics and Reporting 0917 28 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
10
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage19 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
25 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
19 Response Analyst – Digital Channels, 1616 25 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20/0
523
/05
26/0
529
/05
01/0
604
/06
07/0
610
/06
13/0
616
/06
19/0
622
/06
25/0
628
/06
01/0
704
/07
07/0
710
/07
13/0
716
/07
19/0
722
/07
25/0
728
/07
31/0
703
/08
06/0
809
/08
12/0
815
/08
18/0
821
/08
24/0
827
/08
30/0
802
/09
05/0
908
/09
11/0
914
/09
17/0
920
/09
23/0
9
Dai
ly s
can
s an
d m
anu
al e
ntr
ies
Cu
mu
lati
ve A
pp
regi
stra
tio
ns
Day and month
Cumulative App registrations Daily scans and manual entries
IN CONFIDENCE – NOT FOR DISTRIBUTION
11
Testing20 Table 7: Testing by functional groups, as at 0900 28 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers21 Table 8: Number of laboratory tests processed nationally as at 0900 28 September 2020
Testing supply update22
20. There are good levels of supplies available, with 278,208 tests available currently in the
labs. The Ministry of Health is continuing to work with major suppliers in order to meet
ongoing need.
20 ÉCLAIR/MoH Public Health Intelligence, 1000 27 September 2020
21 Daily Lab Report, 0844 28 September 2020
22 Testing supply email, 0920 28 September 2020
Reason for test 27 September 21–27 September
GPs and other primary health 2207 17,869
CBACs and pop-ups 619 14,302
Border workers - air crew 14 258
Border workers - airport staff 174 1208
Border workers - maritime crew 23 93
Border workers – Port of Tauranga staff 2 11
Border workers – Remaining Port staff 15 282
Border workers - MIF 184 1019
Border workers - MIQ 45 313
Travellers - Staying at MIF 256 2212
Travellers - Staying at MIQ 0 169
Total 3539 37,736*
Time period Number of laboratory tests
27 September 3,539
Last 7 days (21 Sep to 27 Sep) 37,533*
Total 951,954
IN CONFIDENCE – NOT FOR DISTRIBUTION
12
Community Testing Centres for the Christchurch returnee cluster23 Table 9: Number of CTCs available in relation to the Christchurch Returnee Outbreak as at 1000 25
September 2020
Lakes DHB Rotorua 2 Vaughan Rd • 9am – 4pm –
Thursday (24/9) -
Sunday (27/9)
Rotorua Pukatua st (note
change of
venue)
• 11am-4pm –
Monday (28/9)
• 9am-4pm – Tuesday
– Friday (29/9-2/10)
Taupo 79 Miro Street • 9am-4pm – Friday
(25/9) – Friday
(2/10)
Canterbury DHB Christchurch Orchard Road CBAC
(near Airport)
• Open 9am- 4pm 7
days a week
Christchurch Whanau Ora
Community Clinic
CBAC
(Wainoni)
• Open 9am- 4pm 7
days a week
Capital and
Coast DHB
On standby depending outcome of testing
Bay of Plenty
DHB
Healthline updates24 21. On 27 September there were 1,994 contacts in Healthline. Of those calls, 1,068 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 574 contacts (lower than forecast).
22. The main themes on 26/27 September were:
o Ongoing calls relating to the exposure events.
o Healthline are continuing to see a higher than normal acuity (of non covid related
health issues) through Healthline and some of this is geographically focussed – i.e.
the wider Auckland region.
23 Testing Strategy Lead MoH, 1632 25 September
24 National Telehealth Service Coronavirus Update, 0923 28 September 2020
IN CONFIDENCE – NOT FOR DISTRIBUTION
13
o Increased level of people checking testing centre locations relating to the special
sites created at the end of last week.
o Most service users were calling because they are symptomatic and wanted to get a
test.
o Questions relating to what it means to be from Auckland and travel to a region at
Alert Level One for the school holidays.
Logistics
Health Workforce25
23. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. It is anticipated this package
will be released in the week of 12 October 2020.
24. Surge workforce requests continue to be monitored and responded to, with 3779
people listed on the surge as “available”.
25. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity26 Table 10: Number and occupancy of hospital beds by type as at 0800 28 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 307 196 (63.8%)
Ventilators 272 42 (15.4%)
Ward beds 6775 5292 (78.1%)
25 Health Workforce Directorate, 0853 28 September 2020
26 COVID-19 Hospital Summary, 0913 28 September 2020
14
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 1: Case summary Table 11: All new community cases reported between 0900 27 September and 0900 28 September. Source: ESR EpiSurv Extract 0900 28 September 2020
Cumulative
Number
Date tested
positive Onset date Case status DHB Sex Age Ethnicity
Symptoms
[Yes/No] Hospitalised Occupation
Source of
transmission
IN CONFIDENCE – NOT FOR DISTRIBUTION
15
Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification18 Table 12: NCTS data for cases in the community - Please note, National Investigation and Tracing Centre are working through data quality issues, so
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours - 100% - - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours - - - - - 100% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours - 0% - - - 100% 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours - 100% - - - 84% -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - - - 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours - 100% - - - 83% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - - - 84% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% - 0% - - - 7% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
16
Table 13:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - 100% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - 33% - 50% - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 0% - 71% 0% 100% 50%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - 100% 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - 75% - 58% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours - 100% - 100% 100% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - 100% 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
- 0% - 0% 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
17
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 25 September
Please note this report is not run on the weekends Table 14: Metro Auckland Summary Total of Testing for 25 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
25/09/2020 732 104 525 102 39 0 1502
Table 15: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
15 ESR email 1608 14 September 2020
16 COVID-19 NCCS Analytics and Reporting 0819 29 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
IN CONFIDENCE – NOT FOR DISTRIBUTION
10
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage17 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
28 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
17 Response Analyst – Digital Channels, 1625 28 September 2020
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
20/
05
23/
05
26/
05
29/
05
01/
06
04/
06
07/
06
10/
06
13/
06
16/
06
19/
06
22/
06
25/
06
28/
06
01/
07
04/
07
07/
07
10/
07
13/
07
16/
07
19/
07
22/
07
25/
07
28/
07
31/
07
03/
08
06/
08
09/
08
12/
08
15/
08
18/
08
21/
08
24/
08
27/
08
30/
08
02/
09
05/
09
08/
09
11/
09
14/
09
17/
09
20/
09
23/
09
26/
09
Dai
ly s
can
s an
d m
anu
al e
ntr
ies
Cu
mu
lati
ve A
pp
re
gist
rati
on
s
Day and month
Cumulative App registrations Daily scans and manual entries
IN CONFIDENCE – NOT FOR DISTRIBUTION
11
Testing18 Table 7: Testing by functional groups, as at 0900 28 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers19 Table 8: Number of laboratory tests processed nationally as at 0900 29 September 2020
Testing supply update20
21. There are good levels of supplies available, with 278,208 tests available currently in the
labs. The Ministry of Health is continuing to work with major suppliers in order to meet
ongoing need.
18 ÉCLAIR/MoH Public Health Intelligence, 1000 27 September 2020
19 Daily Lab Report, 0826 29 September 2020
20 Testing supply email, 0920 28 September 2020
Reason for test 27 September 21–27 September
GPs and other primary health 2207 17,869
CBACs and pop-ups 619 14,302
Border workers - air crew 14 258
Border workers - airport staff 174 1208
Border workers - maritime crew 23 93
Border workers – Port of Tauranga staff 2 11
Border workers – Remaining Port staff 15 282
Border workers - MIF 184 1019
Border workers - MIQ 45 313
Travellers - Staying at MIF 256 2212
Travellers - Staying at MIQ 0 169
Total 3539 37,736*
Time period Number of laboratory tests
28 September 3,636
Last 7 days (22 Sep to 28 Sep) 37,891*
Total 955,590
IN CONFIDENCE – NOT FOR DISTRIBUTION
12
Community Testing Centres for the Christchurch returnee cluster21 Table 9: Number of CTCs available in relation to the Christchurch Returnee Outbreak as at 1000 25
Healthline updates22 22. On 28 September there were 2,053 contacts in Healthline. Of those calls, 968 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 641 contacts (in line forecast).
23. The main themes on 27/28 September were:
o Ongoing calls relating to the exposure events.
o Healthline are continuing to see a higher than normal acuity (of non covid related
health issues) through Healthline and some of this is geographically focussed – i.e.
the wider Auckland region.
o Increased level of people checking testing centre locations relating to the special
sites created at the end of last week.
o Questions relating to travel between alert levels.
o Most service users were calling because they are symptomatic and wanted to get a
test.
21 Testing Strategy Lead MoH, 1632 25 September
22 National Telehealth Service Coronavirus Update, 0923 28 September 2020
IN CONFIDENCE – NOT FOR DISTRIBUTION
13
Logistics
Health Workforce23
24. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. It is anticipated this package
will be released in the week of 12 October 2020.
25. Surge workforce requests continue to be monitored and responded to, with 3779
people listed on the surge as “available”.
26. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity24 Table 10: Number and occupancy of hospital beds by type as at 0800 29 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 339 212 (62.5%)
Ventilators 297 48 (16.2%)
Ward beds 7193 5865 (81.5%)
23 Health Workforce Directorate, 0853 28 September 2020
24 COVID-19 Hospital Summary, 0918 29 September 2020
14
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 1: Case summary Table 11: All new community cases reported between 0900 28 September and 0900 29 September. Source: ESR EpiSurv Extract 0900 29 September 2020
Cumulative
Number
Date tested
positive Onset date Case status DHB Sex Age Ethnicity
Symptoms
[Yes/No] Hospitalised Occupation
Source of
transmission
IN CONFIDENCE – NOT FOR DISTRIBUTION
15
Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification16 Table 12: NCTS data for cases in the community - Please note, National Investigation and Tracing Centre are working through data quality issues, so
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours - 100% - - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours - - - - - 100% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours - 0% - - - 100% 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours - 100% - - - 84% -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - - - 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours - 100% - - - 83% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - - - 84% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% - 0% - - - 7% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
IN CONFIDENCE – NOT FOR DISTRIBUTION
16
Table 13:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - 100% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - 33% - 50% - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 0% - 71% 0% 100% 50%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - 100% 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - 75% - 58% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours - 100% - 100% 100% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - 100% 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
- 0% - 0% 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
17
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Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 28 September
Table 14: Metro Auckland Summary Total of Testing for 28 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
26/09/2020 550 105 536 80 11 0 1282
27/09/2020 558 145 569 88 No Testing 0 1360
28/09/2020 685 89 454 129 76 0 1433
Table 15: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm
1. Contacts loaded into the National Contact Tracing Solution, and managed by either the National Investigation and Tracing
Unit or the Public Health Units. Contacts from MIQ and overseas cases are not included in this report.
2. "Finding services" refers to the mechanism the National Close Contact Service uses to find valid contact details for close
contacts we do not have the correct contact details for. These services utilise internal Ministry of Health databases along with
Police, Customs and Airlines where relevant.
15 ESR email 1608 14 September 2020
16 COVID-19 NCCS Analytics and Reporting 0819 30 September 2020
0 5 10 15 20 25 30 35
Americold
Americold HH
Auckland Bus
Botany
Church 1
Church 2
Church 3
Finance Now
Finance Now HH
Household 1
Household 2
Household 3
MREF-Bereavement
GP
NZ Courier Post
Pending
Warehouse
Number of cases
Sequenced and genomically clustered Sequence not available*
s 9(2)(a)
s 9(2)(a)
s 9(2)(a)
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11
3. The total number and number successfully contacted can decrease due to duplicates and invalid records being removed from
the system.
COVID-19 Tracer App usage17 Figure 2: COVID-19 Tracer App cumulative registered users and daily scans/manual entries as at 1615
29 September 2020
1. The number of scans and manual entries on any given date is subject to change for up to 31 days. This is because there can be
a delay before anonymised analytic information is received (e.g. device not connected to internet when scan carried out).
2. The number of App registrations and QR codes for any given date is subject to change for up to 1 day. This is because due to
reporting timeframes these numbers may be extracted before the 12pm cut-off for the reporting period.
3. The ability to scan without being logged into the App was introduced on 09 September, delaying the data transfer to the
Ministry of Health until the individual re-logs into the App. This possibly results in under-reporting of daily scans reflected in
the data.
17 Response Analyst – Digital Channels, 1625 29 September 2020
0
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1,000,000
1,500,000
2,000,000
2,500,000
0
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1,000,000
1,500,000
2,000,000
2,500,000
28/0
7
31/0
7
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8
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8
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8
12/0
8
15/0
8
18/0
8
21/0
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24/0
8
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8
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8
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Day and month
Cumulative App registrations Daily scans and manual entries
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Testing18 Table 7: Testing by functional groups, as at 0900 30 September 2020
*Numbers have been sourced from different data extracts in comparison to Table 7.
Laboratory testing numbers19 Table 8: Number of laboratory tests processed nationally as at 0900 30 September 2020
Testing supply update20
21. There are good levels of supplies available, with 278,208 tests available currently in the
labs. The Ministry of Health is continuing to work with major suppliers in order to meet
ongoing need.
18 ÉCLAIR/MoH Public Health Intelligence, 1000 30 September 2020
19 Daily Lab Report, 0934 30 September 2020
20 Testing supply email, 0920 28 September 2020
Reason for test 29 September 23–29 September
GPs and other primary health 2207 16578
CBACs and pop-ups 2041 14162
Border workers - air crew 20 255
Border workers - airport staff 63 1267
Border workers - maritime crew 0 49
Border workers – Port of Tauranga staff 14 22
Border workers – Remaining Port staff 25 278
Border workers - MIF 254 1149
Border workers - MIQ 25 304
Travellers - Staying at MIF 257 2001
Travellers - Staying at MIQ 65 72
Total 4,971* 36,137*
Time period Number of laboratory tests
29 September 4,969*
Last 7 days (23 Sept to 29 Sept) 35,922*
Total 960,559
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13
Healthline updates21 22. On 29 September there were 1,857 contacts in Healthline. Of those calls, 668 were to
the COVID-19 Info line. Demand on 1737 Need to talk? and other mental health services
was 567 contacts (in line forecast).
23. The main themes on 27/28 September were:
o Ongoing calls relating to the exposure events.
o Healthline are continuing to see a higher than normal acuity (of non-COVID related
health issues) through Healthline and some of this is geographically focussed – i.e.
the wider Auckland region.
o Questions relating to travel between alert levels.
o Most service users were calling because they are symptomatic and wanted to get a
test.
Logistics
Health Workforce22
24. Upskilling of alternative workforces for testing continues to progress. Health Workforce
are currently engaged with Careerforce and DHBs to create a testing workforce training
and education package. This will be utilised by DHBs across the country, to increase the
pool of people who are able to perform COVID-19 testing. It is anticipated this package
will be released in the week of 12 October 2020.
25. Surge workforce requests continue to be monitored and responded to, with 3779
people listed on the surge as “available”.
26. Health Workforce are monitoring staffing needs in MIFs facilities and are providing
support where possible.
Hospital capacity23 Table 9: Number and occupancy of hospital beds by type as at 0800 30 September 2020
Type Number of units Number (%) occupied/in use
ICU and HDU beds 339 229 (67.6%)
Ventilators 298 44 (14.8%)
Ward beds 7201 5982 (83.1%)
21 National Telehealth Service Coronavirus Update, 0938 30 September 2020
22 Health Workforce Directorate, 0853 28 September 2020
23 COVID-19 Hospital Summary, 0918 30 September 2020
14
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Appendix 1: Case summary Table 10: All new community cases reported between 0900 29 September and 0900 30 September. Source: ESR EpiSurv Extract 0900 30 September 2020
Cumulative
Number
Date tested
positive Onset date Case status DHB Sex Age Ethnicity
Symptoms
[Yes/No] Hospitalised Occupation
Source of
transmission
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15
Appendix 2: COVID-19 Provisional Disease Indicators, by date
of case notification16 Table 11: NCTS data for cases in the community - Please note, National Investigation and Tracing Centre are working through data quality issues, so
1 - (S001) Time from exposure to contact isolation / quarantine 80% within 96 hours - - - - - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine 80% within 96 hours - - - - - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine 80% within 72 hours - 100% - - - - -
4 – (C001) Time from first symptom to test sample taken for positive cases 80% within 48 hours - - - - - 100% -
5 – (L001) Time from test sample taken to notification of positive result 80% within 24 hours - 0% - - - 100% 100%
6 – (P002) Time from case notification to isolation / quarantine of contact 80% within 48 hours - 100% - - - 84% -
7 – (P001) Time from notification to case interview 80% within 24 hours - 100% - - - 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined 80% within 24 hours - 100% - - - 83% 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - - - 84% -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing <20% - 0% - - - 7% 0%
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
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16
Table 12:NCTS data for cases in the community Managed Isolation and Quarantine, International, and Unknown
1 - (S001) Time from exposure to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
2 – (S002) Time from case first symptom to contact isolation / quarantine
80% within 96 hours - 100% - 38% - - -
3 – (S003) Time from test sample taken to close contact isolation / quarantine
80% within 72 hours - 100% - 100% 100% - -
4 – (C001) Time from first symptom to test sample taken for positive cases
80% within 48 hours - 33% - 50% - - -
5 – (L001) Time from test sample taken to notification of positive result
80% within 24 hours - 0% - 71% 0% 100% 50%
6 – (P002) Time from case notification to isolation / quarantine of contact
80% within 48 hours - 100% - 100% 100% - -
7 – (P001) Time from notification to case interview 80% within 24 hours - 75% - 58% 100% 100% 100%
8 – (P003) Time from close contact identification to isolated / quarantined
80% within 24 hours - 100% - 100% 100% - 100%
10 – (P004) Proportion of contacts traced in 48 hours 80% within 48 hours - 100% - 100% 100% - -
C – (S005) Proportion of close contacts with confirmed or suspected COVID-19 at the time of tracing
<20%
- 0% - 0% 0% - 0%
Note:
• * The numerator and denominator are provided in some instances to provide context for low percentages.
• **Data is not available for metrics where there is no data that meets the definition, or where the time/days to reach target has not fully elapsed
• The value of P002 can drop due to the addition of new close contacts to exposure events after the 48-hour period since case notification had elapsed. This can happen for a number of reasons, including a case recalling further details following the original case
interview.
• These metrics report all cases during the specified period, including those in Managed Isolation and Quarantine, and do not include casual contacts.
• There are three additional indicators under development requiring both technical and clinical input to define data requirements. These are due to be completed by end October 2020.
17
IN CONFIDENCE – NOT FOR DISTRIBUTION
Appendix 3: NRHCC Testing Report
Novel Coronavirus (COVID-19)
Issued: 1700 29 September
Table 13: Metro Auckland Summary Total of Testing for 29 September 2020
Community MIQ
staff
MIQ
guests
Airport Maritime port Ship’s
Crew
TOTAL
29/09/2020 617 133 625 124 PM Testing 0 1499
Table 14: Estimated tests taken since 12 August 2020, based on manual site reports at 5pm