Welcome to the Titirangi Medical Centre website, your source for information regarding the latest medical advice and practice update
The Ministry of Foreign Affairs and Trade urge all New Zealanders living in, visiting or travelling to China to register on SafeTravel. Registering means you will receive updated information and advice as soon as it comes to hand.
Travellers recently returned from mainland China
As of 2 February 2020, all travellers arriving in New Zealand out of mainland China, or any travellers who have had exposure to a confirmed case of novel coronavirus (2019-nCoV) will be expected to self-isolate for a period of 14 days from the time they leave mainland China or were exposed to novel coronavirus.
Existing travellers already in New Zealand who arrived or transited from mainland China after 19 January should refer to previous advice. Self-isolation for people who arrived before 2 February only applies if they have been in Wuhan City or Hubei Province.
This means you should avoid situations that could facilitate the transmission of the virus such as social gatherings and events where you come into contact with others; in particular child care/pre-school centres, primary and secondary schools (including staff and students), aged care, health care facilities, prisons, public gatherings.
7 February 2020
Information for people who have been in close contact with novel coronavirus (2019-nCoV)
You have been near to a person who has, or may have novel coronavirus (2019-nCoV)
What you need to know
You or a family member may have been in close contact with someone being investigated for the novel coronavirus.
This virus can cause an acute respiratory infection, but in most cases it causes mild to moderate symptoms. However, some people do develop pneumonia and severe respiratory infection.
As you have been in close contact with a person who may have the virus, there is a possibility you may become unwell.
Please stay away from others from now until 14 days from the last day you had contact with the infected person – this is called self-isolation.
To prevent spread of the virus to other people – please do not have face to face contact with people for longer than 15 minutes. Do not go to work, school, preschool, group or social activities, sports, or public places like movie theatres, shopping malls and cafes. Do not visit others, and do not use public transport, taxis or ride sharing apps like Uber.
Getting food and medicine. Where possible, ask a friend, family member or use supermarket or other delivery services to drop off shopping.
If the person is confirmed with the disease, Auckland Regional Public Health Service will determine their close contacts and will be in touch with these people. If the ill person does not have novel coronavirus, you will be free to go about your life as normal.
Please call dedicated coronavirus line on 0800 358 5453 if you have any of the following symptoms:
a fever, chills or sweats,
shortness of breath,
Please seek urgent medical attention if you have difficulty breathing. Tell them you are a close contact of someone with novel coronavirus.
Fact Sheet for people exposed to the novel coronavirus
If you would like further information, please phone dedicated coronavirus line on 0800 358 5453 or visit the Novel Coronavirus page on the Ministry of Health website.
As at 2 February 2020, all travellers arriving out of mainland China (not just Hubei Province) should self-isolate for a period of 14 days from the time they leave mainland China. More information is available on the Ministry of Health website.
The Ministry of Foreign Affairs and Trade has increased the travel advisory to level 4: do not travel to any part of mainland China.
Communications: A web page has been established on the Ministry’s website at https://www.health.govt.nz/our-work/diseases-and-conditions/novel-coronavirus-china-2019-ncov please direct the public a information. It continues to be updated as we receive new information.
- Members of the public can be directed to Healthline (0800 611 116) for general advice. Interpreters are available 24/7.
ALL FOUR DOCTORS BOOKS ARE CLOSED
Zostavax catch-up programme extended to 31 December 2020
The latest Pharmaceutical Schedule (page 8) advises that the Zostavax catch-up programme, for people aged 66-80 years on 1 April 2018, is extended to 31 December 2020.
UPDATED priorities for use of MMR vaccine stock are now:
- Priority groups
- We would also like to take this opportunity to reiterate the current priority groups for vaccination are:
- • ensure all children receive their vaccinations on time at 15 months (12 months in Auckland) and four years to maintain the national Childhood Immunisation Schedule
- • susceptible close contacts within 72 hours of first exposure to measles when possible
- • babies aged six months to 11 months who live in Auckland or who are travelling to Auckland or overseas to a country that has an active outbreak of measles
- • children and adolescents aged 15 and under who have not had a single dose of MMR
- • in accordance with the National Immunisation Schedule, all children under five who have not received either dose of MMR should be actively recalled. We consider active recall of this group to be in line with the priority groups
- • un-immunised eligible people under the age of 50 travelling from New Zealand to Samoa, Tonga, Philippines and Fiji.
National Advisory from the Ministry of Health
Public health measures being implemented by some Pacific Island Countries
American Samoa, Republic of Marshall Islands, Tokelau and Solomon Islands are requiring travellers to show evidence of measles vaccination at least 2 weeks before entry to these countries. Other Pacific countries such as Samoa and Fiji have not formally implemented travel measures, however it is recommended travellers to these counties are vaccinated against measles.
Primary care providers should ensure any travellers to Pacific Island countries requiring proof of vaccination, or any other countries where there are current measles outbreaks are vaccinated at least 14 days prior to their arrival and proof of vaccination issued. Proof of vaccination may include medical records, laboratory tests, immunisation record summary, or letters from GPs or vaccinators.
In addition to advice previously issued regarding eligibility for vaccination, unvaccinated New Zealanders over the age of 50 can be given MMR if vaccination is required for proof of entry, or is necessary for protection in countries currently experiencing measles outbreaks. It is expected the vaccinator will use clinical discretion and judgement when making decisions about prioritising and eligibility for vaccination.
Immunisation for older adults
Older people also need immunisation. This section describes the free immunisations available for people at age 65 and older. These immunisations protect against shingles, influenza, tetanus and diphtheria.
At age 65, immunisation against influenza, shingles, tetanus and diphtheria is recommended by the Ministry of Health. These vaccines are free (practices may charge a small fee to administer tetanus and diphtheria vaccine). Talk to your doctor or practice nurse to find out how to protect yourself.
As you get older, the protection you received from some of your earlier immunisations begins to wear off. Your immune system may no longer work as well and you are at increased risk from some infectious diseases. Free immunisation is offered at age 65 onwards to protect you against some serious diseases.
Shingles vaccine is free at age 65. Until 31 March 2020, anyone aged 66 to 80 inclusive is also eligible for a free shingles vaccine.
Shingles (or herpes zoster) is a painful rash affecting a particular nerve. It‘s a long-term effect of chickenpox that can occur many years after a person has recovered from the initial disease. It can affect anyone who has previously had chickenpox, and is more common in older people. Shingles usually lasts 10 to 15 days but can cause scarring and loss of vision if it affects the eyes. One of the most serious complications, particularly among older people, is nerve pain that lasts long after the rash has disappeared.
Influenza (or the flu) is a serious illness that can be fatal. Influenza may lead to a stay in hospital at any age but particularly if you are older or have an underlying medical condition. Influenza kills around 400 New Zealanders every year.
Influenza vaccine is free and recommended every year from age 65 onwards. The vaccine is changed each year to make sure it protects against the most common strains of the virus. You can get the vaccine free at your doctors and some pharmacies from late autumn each year.
Flu vaccines will be available early April with Flu clinics to be held Mid May. Dates to be advised.