The August and February outbreaks happened in Manukau. Photo / RNZ
The Government has turned down calls to vaccinate all adults in South Auckland before the rest of the country.
However, South Aucklanders over 65 and those with underlying health conditions will be given access to the vaccine earlier, but those who are younger and healthier will have to wait in line.
Given that the August and February outbreaks happened in Manukau, some doctors and health specialists say a bump up the line for everyone living in the area is the smart thing to do.
The Government knows South Auckland - broadly the Counties Manukau District Health Board area - holds a greater risk than average of a Covid-19 outbreak.
Otago University public health professor Dr Nick Wilson said the Government's vaccine schedule generally made a lot of sense, but he believed early access could be expanded.
"Not just the over-65s and those with underlying health conditions, but in fact all of the adults in South Auckland. That's such a critical population in terms of protecting the whole nation, because of their proximity to Auckland International Airport and because there's a large number of MIQ facilities [there].
"The real-world experience [of outbreaks] would support that particular population being a priority area."
Pasifika Medical Association chief executive Debbie Sorensen agrees with Wilson.
Counties Manukau has a Pasifika population three times the size of the rest of the country.
Sorensen doesn't buy Covid-19 Response Minister Chris Hipkins' reasoning not to blanket -immunise South Auckland.
"Even though there is an assumption that South Auckland residents are included in border workers and health workers and other categories, it is still an assumption that we'll get to everyone who needs to be vaccinated."
Auckland Council Manukau ward councillor Efeso Collins broadly agreed with the vaccine sequencing but wanted all of Auckland prioritised due to the risk of outbreaks.
"If we take a very practical, rational approach we'll all know the logic is clear: the outbreaks have happened here in South Auckland. It's important South Aucklanders are prioritised, and further to that I think Auckland should be prioritised because the last three have been in the Auckland region."
However, Auckland University public health professor Dr Colin Tukuitonga is not convinced of a strategy to vaccinate all adults in Counties Manukau before older or sick people in neighbouring areas.
He said the Government had got the balance right and was actually needing to remain selective.
"They've limited that to those groups largely because I think we still have a limited supply of the vaccine, so it's a sensible, pragmatic approach."
But another concern is vaccine hesitancy or outright refusal.
Sorensen said the Ministry of Health was being slow to tackle the looming problem.
"I think there's an assumption that because the vaccine is available suddenly everyone's going to step forward and get vaccinated. And I do not believe yet that we are responding to the growing anti-vaccination and conspiracy theorists in the country."
The Government hopes to have half the adult population vaccinated by July 2021 when the remaining two million - broadly young and healthy people - are likely to start.