Auckland is likely to remain in strict lockdown for several more weeks to stamp out NZ’s Delta outbreak

7:40 pm on 26 August 2021

First published on The Conversation

The Conversation

By Rachelle Binny, Michael Plank, Shaun Hendy and Siouxsie Wiles.

As New Zealanders wait to hear if a nationwide alert level 4 lockdown continues beyond midnight on Friday, our latest modelling shows that the current Delta variant has spread much faster than last August's outbreak, when around 90 people had been infected before it was detected.

Central Auckland on Wednesday 25 August 2021 on the eighth today of a Covid-19 lockdown.

The Sky Tower and empty streets as seen in Auckland during alert level 4 lockdown. Photo: RNZ / John Edens

Daily case numbers have continued to climb this week, with 68 new cases reported today, bringing the total to 277 cases. This rise is to be expected as contact tracers cast a wider net than before to work their way towards the edges of the fast-moving Delta clusters.

We now know that several superspreading events occurred before the outbreak was picked up, with a large number of people becoming infected at a church service on 14 August.

Incorporating data from contact tracing and testing makes it likely there were upwards of 200 people infected before New Zealand went into strict lockdown on 18 August.

Given the scale of this outbreak, it's likely that at least Auckland will need several more weeks at alert level 4 to stamp out community transmission.

The lockdown will have started to reduce transmission immediately but the lag time between being infected and getting a test means it takes time for the effect to filter through to reported case numbers.

Cases reported today are telling us about transmission seven to 10 days ago. But we expect to see daily case numbers starting to level off over the next week.

During earlier outbreaks, the goal for contact tracing has been to reach 80 percent of contacts within 48 hours to get people into isolation and break any chains of transmission.

This hasn't changed for Delta, but it is much more challenging for contact tracers, who now face thousands rather than tens or hundreds of new contacts each day.

This is why the rapid move to alert level 4 was so important to minimise the number of interactions between people so that contact tracing can catch up.

Delta is a formidable enemy

Data from around the world show that once someone in a household has Delta, almost everyone else in their household will get infected. This wasn't the case with earlier variants of the virus, and means we may see case numbers remain high for a longer period than with previous outbreaks.

Exactly how long we'll have to stay in lockdown depends on the R number - the average number of people an infected person passes the virus on to. We need alert level 4 to push the R number below 1 to see case numbers starting to drop.

In the March-April 2020 outbreak, we estimated the R number under alert level 4 to be around 0.4.

But as Director-General of Health Dr Ashley Bloomfield explained, dealing with the Delta variant is like dealing with a whole new virus. In the absence of control measures or immunity, Delta's R number is estimated to be at least 6, more than twice that of the original strain.

After accounting for vaccination coverage, alert level 4 restrictions and other measures like contact tracing will need to reduce transmission by at least 80 percent to see case numbers decline. If the R number stays close to one, case numbers will be slow to fall.

Once there is enough data from this outbreak, we'll be able to estimate how effective alert level 4 is against Delta. This will allow us to gauge what it will take for Auckland to stamp out community transmission.

Regions with no cases aren't out of the woods

Although regions with no known cases may see a drop in alert level announced tomorrow, we still need to remain cautious. We know the outbreak spread to Wellington and close contacts of known cases have been identified from many parts of the country, including in the South Island.

There may well be other contacts who haven't been identified. The lack of detection of the virus outside of Auckland and Wellington in either waste water or community testing has been encouraging.

* Rachelle Binny is a research scientist in mathematical modelling at Manaaki Whenua - Landcare Research, Michael Plank is a professor in applied mathematics at the University of Canterbury, Shaun Hendy is a professor of physics at the University of Auckland and Siouxsie Wiles is an associate professor in microbiology and infectious diseases at the University of Auckland.

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