St John had treated several people at the Napier Sound Shell celebrations who needed water poured into their eyes, but the overall number of incidents were low.
St John Heretaunga territory manager Brendon Hutchinson said: "it was an extremely quiet evening which was fantastic."
The Hawke's Bay Hospital also reported a quiet night with only two "alcohol-related presentations".
Despite numerous fireworks displays the regions fire services had few New Year's Eve related callouts.
The only callout for a fireworks related incident was attended by Napier and Taradale fire services shortly after midnight on New Year's Eve.
Napier station manager Warrick Lequesne said the Harpham street fire had involved a small tree and a hedge, but the fire was almost out when services arrived.
"It was just a normal [New Year's Eve] for us, it wasn't over the top but it wasn't too quiet," Mr Lequesne said.
Across the Eastern District Police reported a quiet and incident-free night, with a marked improvement in behaviour at the Rhythm and Vines festival compared to last year.
There were only four arrests at the Gisborne festival on New Year's Eve - three for disorder and one assault.
Police said the arrest numbers were low considering the high levels of drunkenness of many people staying in campsites adjoining the festival site.
