This morning, the Waitangi Tribunal released its report on the Crown’s COVID-19 vaccination strategy and the shift to the COVID-19 Protection Framework (the Traffic Light System). The report, Haumaru: the COVID-19 Priority Report, follows quickly from the Tribunal’s hearing into specific aspects of the Crown’s response to the COVID-19 pandemic, which was held from 6-10 December 2021 and finds significant breaches of Te Tiriti o Waitangi and its principles.
The Tribunal granted leave for a group comprising Archdeacon Harvey Ruru, George Ngatai, Ann Kendall, and Sir Edward Taihakurei Durie, on behalf of themselves and the New Zealand Māori Council, to participate in this inquiry as claimants. A range of other interested parties, representing organisations such as the National Urban Māori Authority, the National Hauora Coalition, Te Ohu Rata o Aotearoa, and others were also granted participation rights in the priority inquiry.
The scope of the inquiry was focused on the following questions:
- Having regard to the disproportionate numbers of Māori vaccination rates and COVID-19 cases:
- Is the Crown’s vaccination strategy and plan consistent with Te Tiriti o Waitangi and its principles?
- Is the Crown’s November 2021 COVID-19 Protection Framework consistent with Te Tiriti o Waitangi and its principles?
- What changes are required to ensure the Crown’s vaccination strategy and November 2021 COVID-19 Protection Framework are Tiriti compliant?
The claimants and interested parties alleged that the Crown’s vaccine rollout and rapid shift to the Protection Framework had failed Māori. The Tribunal notes that this failure fell into three broad categories:
- Failure in relation to the vaccine rollout;
- Failure in the shift to the Protection Framework; and
- Failure in the Crown’s engagement with Māori.
The Tribunal approaches these allegations by reference to the Treaty principles and standards that were recognised and applied in Hauora: Report on Stage One of the Health Services and Outcomes Kaupapa Inquiry, released by the Tribunal in 2019. Achieving equitable outcomes was a central focus of the Hauora report and is an important theme in Haumaru. The key principles identified in Hauora and applied by the Tribunal in this priority inquiry are:
- Tino rangatiratanga – “autonomy and self-government to the fullest extent possible”;
- Partnership – “The Crown and Māori must work in partnership as co-designers of the governance, delivery, and monitoring of the health system and health services for Māori”;
- Equity – “The principle of equity is guaranteed by article 3, and requires the Crown to commit to achieving equitable health outcomes for Māori”; and
- Active protection – “The principle of active protection also requires the Crown to act, to the fullest extent practicable, to achieve equitable health outcomes for Māori”;
- Options – “The principle of options requires the Crown to provide for and properly resource kaupapa Māori health services”.
The Tribunal noted that the Crown had opportunities to take pro-equity steps to address the disparity in need but instead took decisions that put Māori at a clear disadvantage. These decisions were taken, at least in part, because of political considerations, particularly a concern about a backlash against Māori if Māori as a population group were singled out in the vaccine rollout. The Tribunal was clearly very concerned about that approach and the resulting harm:
The Crown has a Treaty duty to adopt rational, scientific, equitable policy choices for Maaori. It has a moral and ethical duty to defend them against unreasonable public backlash. It cannot simply find ways of avoiding these duties by coming up with less equitable alternatives; it must make those choices that sustain Maaori well-being, and then explain and defend them as long and as vocally as is required. Failing to perform these duties for the sake of political convenience does not reflect the Treaty partnership and, in fact, threatens the fundamental basis for it.
The Tribunal acknowledged that what might constitute reasonable conduct in accordance with Treaty principles will depend on the circumstances. For example, “in a health crisis, the Crown’s Treaty obligations in respect of health should be prioritised”. The Tribunal noted that in the circumstances the current pandemic, the Crown’s Treaty obligations are heightened. The report notes that these obligations, and especially the “obligation to actively protect Māori to the fullest extent practicable, are perhaps more imperative now than at any other time in recent history”.
The Tribunal found that the Crown had not met these obligations:
Concerning the Crown’s vaccination strategy, the Tribunal finds that Cabinet’s decision to reject advice from its own officials to adopt an age adjustment for Maaori in the vaccine rollout breached the Treaty principles of active protection and equity.
Regarding the Crown’s COVID-19 Protection Framework, the Tribunal finds that a new framework was necessary. However, the rapid transition into the framework – which happened faster than the Crown’s officials and experts recommended, and without the original vaccination thresholds for each district health board being met – did not adequately account for Māori health needs. As such, Maaori are put at a disproportionate risk of being infected by Delta in comparison to other popular groups. This breached both the principles of active protection and equity.
Additionally, the rapid shift to the COVID-19 Protection Framework puts Maaori health and whaanau ora providers under extreme pressure and undermines their ability to provide equitable care for Maaori. This is in breach of both the principles of tino rangatiratanga and options.
Finally, the decision to shift into the COVID-19 Protection Framework was made despite strong, unanimous opposition from the Maaori health leaders and iwi that the Crown consulted. Further, the Crown did not consistently engage with Maaori to the fullest extent practicable on key decisions in its pandemic response. These actions are in breach of the principle of partnership.
The consequences of these breaches of Treaty principles could hardly be more serious. The Tribunal makes it clear that Cabinet’s decision to reject an age-adjusted vaccine rollout has meant that Māori vaccination rates are not as high as they could have been, leaving Māori in a more vulnerable position in the rapid shift to the Protection Framework. The Tribunal found that:
the Crown bears significant responsibility for the current disproportionately lower vaccination rate for Maaori. In turn, the Delta outbreak that began in August 2021 has, to date, disproportionately infected, hospitalised, and killed Maaori.
The Tribunal made specific recommendations including that further funding, resourcing, data and other support should be urgently provided to assist Māori service providers with continuing vaccination effort, testing and contact tracing, caring for Māori with COVID-19 and reiterating the recommendation for the Hauora inquiry that the Crown urgently improve its collection of and reporting on data relating to ethnicity and people with disabilities. The Tribunal also recommended that the Crown empower Māori to coordinate the Māori pandemic response and that the Crown’s pandemic response ought to be monitored “to assess in real time whether its Maaori-specific policies are effective, and to assess the Crown’s overall pandemic response as it affects Maaori.” And, in addition to “urgently correcting its inequitable vaccine rollout for Maaori adults”, the Crown must “also begin to plan for the paediatric vaccine rollout and the booster vaccine rollout”.
Overall, the Tribunal noted that
The Crown’s Treaty breaches have contributed significantly to the disproportionately lower levels of vaccination in Maaori communities. Because the Crown has failed to equitably vaccinate Maaori, the Protection Framework will not actively protect Maaori until Maaori vaccination rates are comparable to the general public. The Crown must pursue all these recommendations, as active protection dictates, to the fullest extent practicable and as matters of extreme urgency. The Crown will remain in active Treaty breach until it ensures an equitable vaccine rollout, which protects the Maaori population equitably.
The Crown has clearly failed Māori in the vaccine rollout and must take urgent action to address this. The consequences of that failure are extremely serious and what makes these findings all the more damning is that the consequences of these Crown actions and decisions are not just obvious in hindsight but, as the evidence in the Tribunal shows, were obvious from the outset. And it was not simply that Māori public health experts could have told the Crown this, but that they did – urgently and repeatedly. In fact, the Tribunal itself had already provided the Crown with something of a blueprint for taking pro-equity, Treaty-consistent actions in its earlier Hauora report. The Crown has no excuses for its decisions in relation to the vaccine rollout and the move to the Protection Framework. Those decisions have left Māori more vulnerable and suffering disproportionate harm from the COVID-19 pandemic.
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