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  • You'll notice today I don't have a sign language

  • interpreter with me, but I can assure any viewers who

  • would otherwise be using sign language to follow the media

  • stand-up.

  • And we will have a written transcript

  • available on our website as soon as possible after the session.

  • I have with me today Professor Sunny Collings,

  • who is the Chief Executive Officer of the Health Research

  • Council.

  • She's going to speak shortly about a research initiative

  • that the HRC has just announced.

  • This relates to a $3 million research fund

  • into issues around the current COVID-19 outbreak.

  • And we anticipate any research funded through this fund

  • will not just guide our planning and preparation

  • for this outbreak, but also our future planning and response

  • to these sorts of events.

  • So I'm going to hand over very shortly to Sunny.

  • I think this is an exciting initiative.

  • It's great.

  • And I know a lot of people have put a lot of hard work

  • in to develop up this proposal over the last week or so.

  • And I'd like to hand over to Sunny to talk a little bit more

  • about it.

  • [INAUDIBLE]

  • [NON-ENGLISH SPEECH] For those who aren't aware,

  • the Health Research Council is the agency responsible

  • for commissioning a significant amount of government funded

  • health research.

  • And investment is about $125 million a year,

  • so a significant investment.

  • So 10 days ago, I got back from Geneva

  • where I attended the World Health Organization's Global

  • Research and Innovation Forum for COVID-19.

  • And since then, our agencies have worked together

  • to pull together this $3 million research fund.

  • In Geneva, there was a lot of discussion, not just about

  • the basic biology of the virus itself

  • and the way it affects and infected people

  • but also about the social impact of events like this,

  • both within and between different countries,

  • and the need to understand just how this continues to evolve.

  • International support for [? research ?]

  • across this whole spectrum was seen as imperative.

  • The World Health Organization is going

  • to be pulling together a process to ensure that the research

  • community can see what's being done elsewhere

  • to enable collaboration and reduce duplication.

  • And the health research community

  • and [INAUDIBLE] New Zealand has international standing.

  • And those people are very, very well connected.

  • So this fund also helps [? kept ?]

  • of the benefit of those connections

  • that our researchers already have.

  • The $3 million fund we're making available

  • could go towards a broad range of research,

  • including helping with vaccine development for COVID-19,

  • analyzing how New Zealanders have access to public health

  • information on offer, looking at different models for health

  • service responses, looking at how responses

  • can be led in ways that are appropriate

  • for Maori and Pacific communities.

  • How do we ensure that our health system response doesn't

  • magnify health inequalities?

  • And we're also mindful of our role in supporting our Pacific

  • neighbors.

  • And these are just examples.

  • We're looking for a wide range of innovative projects.

  • It's situations such as this that

  • show that our investment and health research and [INAUDIBLE]

  • New Zealand is well-placed.

  • And I'm really confident that our researchers can and will

  • be able to contribute meaningfully

  • to the global efforts and answering important research

  • questions.

  • At the same time, as making sure the findings

  • are relevant and beneficial to New Zealanders.

  • And I'm really pleased that we've

  • been able to devised this in such a short time.

  • I've been back in New Zealand for 10 days after that meeting.

  • And at this point, I would like to thank the Health Research

  • Council staff and all those in other government agencies who

  • have worked incredibly hard to pull this together

  • to get it to this point.

  • So at this point, I'll hand back to [? Ashley. ?]

  • And we can have questions later.

  • Thanks again, Sunny.

  • I should say, before I go on, is I usually start these briefings

  • with I confirmed we had no suspected,

  • or confirmed cases of COVID-19 in New Zealand at this point.

  • Over 100 people have been tested as part

  • of our ongoing assessment.

  • And with a low bar for testing people,

  • no positive tests at this point, and no suspected cases.

  • Just turning to the current border restrictions.

  • We're at the point in time now where

  • those current restrictions expire at midnight tonight.

  • As you know, Cabinet has considered a paper this morning

  • on whether those should be maintained, or indeed extended,

  • or modified in any way.

  • And the PM will be announcing that decision

  • at [? your ?] post-cabinet press conference later today.

  • As you're aware at the moment, the restrictions

  • apply to people other than New Zealanders, people

  • who have traveled in, or through China in the 14 days

  • before they arrive in New Zealand.

  • And we also have a similar restriction

  • on people who were onboard the Diamond Princess who

  • might be traveling to New Zealand

  • within 14 days of having come off that boat.

  • Right from the start we have impressed

  • the importance of those restrictions

  • being temporary in nature.

  • And that continues.

  • And we will continue to review them every 48 hours.

  • As you may be aware, there were quite significant developments

  • globally over the last 48 hours, in particular, big increase

  • in cases in Italy, and in South Korea,

  • and a number of deaths in Iran with an increasing

  • number of cases there.

  • We're following this very closely.

  • And have [AUDIO OUT] from our technical advisory group

  • on whether we should extend in the first instance

  • our case definition for a suspected case

  • to take in some of those areas where

  • we've seen that big increase in cases over the weekend.

  • So we're expecting that advice from our technical advisory

  • group in the next 24 hours.

  • And we'll adjust our case definition in response

  • to that advice.

  • And that will also inform any advice

  • we give to ministers about whether or not

  • the current travel restrictions could be extended

  • to include other places.

  • I just also want to speak directly

  • to the question of whether we are in a pandemic situation.

  • At this point, we're not.

  • A pandemic is something that the WHO would declare.

  • And as you can imagine, they will be looking very closely

  • at the developments, especially the increasing number of cases

  • in regions beyond Asia.

  • But at the moment, they will be reviewing that status

  • regularly.

  • And we, of course, will take our guidance from them.

  • So saying we are, with the developments over the weekend,

  • closer, I think, to a situation where

  • a pandemic could be declared.

  • And so we are, of course, adjusting our planning

  • accordingly to ensure that we are now moving into a point

  • where, if a pandemic was to be declared,

  • we would be ready to go with the sorts of measures,

  • even though we still do not have a case here in New Zealand.

  • [INAUDIBLE]

  • As you may be aware, it's been reported

  • that one of the six New Zealanders being cared

  • for there was in hospital over the weekend

  • for an unrelated condition.

  • As a precaution, that person was tested for COVID-19.

  • And the test was negative.

  • They've now been discharged and are

  • back with the group in [INAUDIBLE],, who are otherwise

  • all well and being looked at daily, cared for by GP,

  • and assessed daily.

  • And my final comment relates to--

  • final two comments-- first relate

  • to the folks who came back from the Westerdam, which

  • was the one that docked in Cambodia.

  • You may be aware that we had 13 people return to New Zealand.

  • Our initial advice was that they go into self-isolation.

  • We have now lifted that requirement in discussion

  • with colleagues in the US, UK, Canada, and Australia,

  • because it seems apparent that there was only one case

  • diagnosed on that ship.

  • That person is now negative.

  • And despite very widespread testing

  • of the people who were on that ship,

  • no one else has returned a positive test.

  • Finally, just in the last seven days,

  • just to give you a feel for the number of people

  • traveling from China to New Zealand, around 200 people

  • a day in the last seven days, either coming directly

  • from China, or from somewhere else

  • but having been in China in the prior 14 days.

  • So over 4,200 of the people who have traveled here

  • since the 3rd of February, 4,200 people

  • will have finished their 14 day self-isolation period

  • of a total of around 9,350 people

  • who have traveled here in the last 14 days.

  • So once again, a huge response from people, many of whom

  • have registered with Healthline.

  • They have voluntarily undertaken this self-isolation.

  • And that's a key contribution to our efforts

  • to maintain New Zealand's current preparation

  • and planning, and also the fact that we are still

  • free of COVID-19.

  • I'm happy to pause there and open the floor to questions.

  • And Sunny, please come closer, because any questions

  • around the research, I'll hand over to you.

  • Sure.

  • [INAUDIBLE]

  • So in a sense, we're already moving

  • to plan as if a pandemic had been declared.

  • We think now it's the time to do that.

  • What that does then is it just formally would release--

  • or make available the release of supplies.

  • For example, our personal protective equipment, supplies,

  • and other supplies that are specifically ring-fenced

  • for that sort of situation.

  • We have already got a very good idea and discussions

  • over the last few weeks about our hospital capacity

  • around ICU beds and our negative pressure ventilation rooms.

  • So we'll put that information up on our website

  • around where those facilities are.

  • The other thing is we'll step up our planning around what

  • might happen in community settings

  • where, if we had a large number of cases,

  • we would move to establish what are called

  • community-based assessment centers

  • rather than have everybody go to different general practices.

  • We might set those centers up if we had

  • an increasing number of cases.

  • So we're just moving our planning into that phase

  • as if we were in the management phase, although, clearly,

  • not yet.

  • There's a question here?

  • [INAUDIBLE]

  • Of the 100 persons that have been tested,

  • what exactly is it about those people that

  • has caused you to test them if they're suspected

  • to have the coronavirus?

  • Yes.

  • So the decision to test is with the clinicians

  • who are assessing those people.

  • And it would be a combination of their travel

  • history and their symptoms.

  • Now, in most cases, I would imagine the travel history is

  • one that suggests they could have been exposed

  • to coronavirus, but their symptoms and signs

  • are not necessarily consistent.

  • So they may not have had a fever above 38 degrees.

  • They may not have had a cough, and/or difficulty breathing,

  • but there's enough suspicion because they've

  • got some respiratory symptoms.

  • Most, of course, and as we've found in every case so far,

  • those symptoms are due to other viruses, which are generally

  • circulating in the community.

  • These reports coming out of the UK and Australia that, perhaps,

  • the 14 days of isolation isn't long enough [INAUDIBLE] testing

  • positive once they [? come ?] [? away ?] from China

  • [INAUDIBLE] 19 days.

  • Are you [? re-looking ?] at 14 days [INAUDIBLE] stand

  • by [INAUDIBLE]?

  • Yes.

  • We're standing by that at the moment,

  • and obviously watching it closely.

  • And I've alluded to the fact we're

  • in an almost daily discussion with counterparts,

  • and at least four other countries,

  • but particularly with Australia.

  • The weight of evidence is still that the range

  • of incubate for the incubation period is under 14 days.

  • There are one or two small studies that have suggested

  • could be longer than that, but also a suggestion that

  • could have been that a person was not necessarily

  • exposed the first time, but exposed a second time.

  • In fact, and that's what led to what appeared to be a longer

  • period, where we and other countries

  • are sticking with the 14 days at this point.

  • [INAUDIBLE]

  • List of things [INAUDIBLE] $3 dollars on.

  • [INAUDIBLE]

  • or asked other countries to look at urgently, or highlighted?

  • Perhaps, that's what they were seeking [INAUDIBLE] research

  • [INAUDIBLE].

  • Well, they're obviously very interested in our vaccine

  • research.

  • And in fact, by the time the meeting was happening,

  • the vaccine research had already kicked in in a very major way,

  • and a number of other countries that

  • have got that capability and capacity to do that.

  • There was a lot of interest in coming

  • to a coordinated international effort.

  • And that's why the World Health Organization are putting

  • together this process, so that researchers

  • can see what's going on.

  • They're also mindful that they couldn't prescribe the research

  • that specific countries could do, because health research

  • agencies have their own things that they have to adhere to,

  • and that varies by country, and whether they're a charity

  • or not, whether they're government funded,

  • all those things.

  • So they couldn't be very prescriptive,

  • but general guidance.

  • [INAUDIBLE] making the money available,

  • and it's now [INAUDIBLE].

  • Yes.

  • So we're running our usual competitive funding process.

  • So the aim is that only the best science will be funded.

  • With COVID-19 being so [INAUDIBLE]

  • did you feel the [? sense ?] of urgency from the [INAUDIBLE]

  • fast on [INAUDIBLE]?

  • Yes.

  • So it seemed reasonably evident from the discussions

  • at the WHO meeting that it was going to evolve in the way

  • that, in fact, it is.

  • There was a degree of confidence about that among the experts

  • who were there.

  • And so by the end of the two day meeting,

  • I came away convinced that we needed to [INAUDIBLE]..

  • And that's what we've done.

  • [INAUDIBLE]

  • We are not involved at all.

  • I do know that foreign affairs staff are in liaison with them

  • and will provide support as required.

  • But it's very pleasing to see that being discharged

  • from hospital [? well. ?] And I'm

  • pleased that made a good recovery.

  • [INAUDIBLE]

  • No.

  • No.

  • They wouldn't.

  • Well, thank you very much.

  • Just two comments to finish with, if I may.

  • One is just talking about the vaccine research,

  • recalling that any vaccine, even with [INAUDIBLE]

  • globally if that would be at least 12 months off,

  • and obviously that is something that is informing our planning

  • and response.

  • And my other comment is that, as we have seen over the last 48

  • hours, this continues to be a very rapidly evolving

  • situation, high degree of uncertainty.

  • You've heard me say that before.

  • And we are watching closely and adjusting our response

  • accordingly.

  • Thank you very much for being here.

  • Sorry.

  • There is another question.

  • [INAUDIBLE]

  • Are you confident we are prepared in New Zealand?

  • I am.

  • Yes.

  • I'm very confident we are.

  • We have a very good plan.

  • It's been tested.

  • And the way that central government agencies,

  • and the health system has responded already

  • to our efforts, and what we've been able to do to date to--

  • for example, look after the folk who were evacuated out

  • of Wuhan, and the folk who came back from the Diamond Princess,

  • very significant cross government efforts.

  • And we're in daily discussions with the wider health system

  • to ensure that we are geared up to respond.

  • Thanks again.

  • [NON-ENGLISH SPEECH]

You'll notice today I don't have a sign language

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