Specialist GP Nikki Vadgama provides some tips to make your next paediatric eczema consult easier. She includes a review of new guidelines, resources, websites and medications for paediatric eczema management
Three cases of COVID-19 in managed isolation
Three cases of COVID-19 in managed isolation
![Undoctored_brown](/sites/default/files/styles/cropped_image_16_7_/public/2017-09/undoctored_bench_brown_small.png?itok=_55u89qb)
Today, we have three new cases of COVID-19 in managed isolation, and no new cases linked to the Auckland February cluster.
One of the three cases in managed isolation today is a historical case and not regarded as infectious.
All 11 cases associated with the Auckland February cluster remain in the Auckland quarantine facility.
Genome testing results now available for Case K has shown it to be the B.1.1.7 variant and again very closely related to the genome sequence for Cases A and B.
This provides further reassurance that the cases from the additional household announced on Tuesday have not appeared from elsewhere in the community. All cases that have been sequenced in this cluster are genomically linked and are connected to the cases at Papatoetoe High School.
Advice to the public
Information on locations of interest for people who may be contacts of COVID-19 cases in the community is available on the Ministry of Health website. This page also contains specific information on what you need to do if you visited a location of interest during the times of possible exposure.
https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-health-advice-public/contact-tracing-covid-19/covid-19-contact-tracing-locations-interest
The Ministry website has also been updated with additional information on contact tracing, types of contacts and when to isolate.
https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-health-advice-public/contact-tracing-covid-19
It’s important everyone stays vigilant and sticks to the basics: staying home if unwell and getting advice about having a test, washing hands, coughing and sneezing into the elbow, and wearing masks or face coverings on all public transport.
Please also keep up the good work and use the COVID Tracer app to keep track of where you’ve been, scan QR codes wherever you go and turn on Bluetooth tracing in the app dashboard.
Contact tracing
Close Contacts at Papatoetoe High School
Case A had 31 close contacts at the school, one of these tested positive (Case D). All others have tested negative for COVID-19.
Casual Plus Contacts at Papatoetoe High School
For this cluster, all the remaining students and staff at the school have been designated as Casual Plus contacts of Case A.
As at 8am this morning there have been 1,525 casual plus contacts identified at Papatoetoe High School. Excluding the three positive cases (Case E, I and J), 1,490 have returned at least one negative test result since 15 February. We have asked all these casual plus contacts to have an additional test on or after 22 February. So far all results from the additional testing have been negative.
We continue to work closely with the school to ensure all those in the school community who need to be tested are. Where necessary, this includes visits to students homes to make sure people are getting the support they need to access testing and remain isolated.
Kmart Botany contacts
A total 15 staff members have been identified as close plus** contacts. This number has decreased from that previously reported after further investigation on their contact with the case. All these people have been contacted and are self isolating. We currently have eight negative test results from this group.
We have also been contacted by 1236 people who reported being at the store at the times of interest. They have been provided with public health advice. These people have been asked to isolate for 14 days and be tested at day 5 and day 12 after their exposure to the case. We encourage anyone who has visited the store at the times of interest to contact Healthline. We expect this number to increase.
Home viewing
There was a private home viewing, on behalf of the homeowners, at the residence of the family (Cases I, J, K) on Saturday 20 February. The viewing lasted half-an-hour and was attended by three people. The agent and three attendees were all contacted by Public Health officials on Tuesday. They have all been tested and are awaiting their results.
The home is not regarded as a Location of Interest as the identities of everyone present is known.
Close plus contact
** The ‘close plus contact’ category is for individuals who are advised to do the same as a close contact and to also keep their household members at home in isolation until they return a negative day 5 test.
Close contacts are advised to self isolate for 14 days and be tested on day 5 and day 12.
In both cases, if the individual close contact or close plus contact develops symptoms then their household contacts should again stay home until the contact is cleared with an additional test.
‘Close plus’ is an existing approach. The classification of close plus contact helps provide flexibility in terms of the public health response to public exposure events as well as helping standardise the approach for health services.
In essence the close plus contact category is used where the risk of transmission is higher and it means that the contact’s household members are then already in isolation should they subsequently test positive.
Where we think there is a higher level of risk, we now provide this additional layer of protection through the management of close plus contacts.
Testing in Auckland
Since Sunday 14 February, there have been more than 53,000 community tests for COVID-19 in the Northern Region across CTCs, General Practice and Urgent Care Clinics. We would like to acknowledge the rapid response of all our providers who worked quickly to increase testing capacity and ensure testing was available across the network. This has played a pivotal role in managing the outbreak.
There are seven community testing centres open across Auckland today – these are in Wiri, Otara, Botany, Balmoral, New Lynn, Henderson and Northcote, as well as the dedicated on-site testing for staff and students at Papatoetoe High School.
DHBs have boosted capacity at all the community testing centres in Auckland, with additional staff and extended hours.
· Up-to-date information on testing locations in metro Auckland
· For up-to-date information on all testing locations nationwide, visit the Healthpoint website.
New border case details
There are three new cases of COVID-19 in managed isolation. One of these cases is deemed historical and is not infectious.
Arrival date |
From |
Via |
Positive test day/reason |
Managed isolation/quarantine location |
18 February |
UAE |
Day 5 / contact of a case |
Auckland |
|
20 February |
Papua New Guinea |
Australia |
Day 3 / routine |
Auckland |
11 February |
Mexico* |
USA |
Day 12 / routine |
Wellington |
• This case is historical and is not infectious
The total number of active cases in New Zealand is 65. Our total number of confirmed cases is 2,012.
The total number of tests processed by laboratories to date is 1,683,551.
On Wednesday, 9,269 tests were processed. The seven-day rolling average up to yesterday is 7,671 tests processed.
Historical cases
Since January 1, there have now been 35 historical cases, out of a total of 202 cases.
NZ COVID Tracer
It remains critical to keep track of where you’ve been and the COVID Tracer app is an easy way to do this. Please continue to scan QR codes wherever you go and turn on Bluetooth tracing in the app dashboard if you haven’t already done so.
NZ COVID Tracer now has 2,681,285 registered users, an increase of more than 117,000 users in the last fortnight.
Poster scans have reached 195,165,341 and users have created 7,827,005manual diary entries. Scans in the last 24 hours 1,374,621.