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Health authorities often don’t track contacts because Florida has established a record of Covid-19 cases

 


When Shaila Rivera and her new husband came home from their honeymoon and tested positive for Covid-19, they were able to call someone from a local health authority in Florida who could start tracking contacts by phone. Expected to request a list.

Riveras was waiting for the call. And waited. And waited. However, I did not receive a call.

“I was shocked,” Rivera says.

Despite allegations that Florida is tracking all cases of Covid-19, a CNN study found that Florida health officials, now the nation’s largest hotspot for viruses, often helped control the outbreak. It was often regarded as the primary tool and often failed to track contacts.

According to data compiled by Johns Hopkins University, Florida established a total of 11,458 records on most Saturdays a day of coronavirus cases in the United States, and on Sunday the state exceeded 200,000 Covid-19 cases ..

The Florida contact tracking challenge illustrates how hard a hard hit situation with Covid-19 is to get proper contact tracking. This is a challenge even under the best of circumstances. Because the virus is so advanced in states like Florida, tracking every infected person and every close contact is a daunting task at first glance.

CNN spoke to 27 Florida people or their families who had a positive response to Covid-19. Only five of them said they received a call from the health authorities for contact information.

There are concerns regarding contact tracking nationwide, not just in Florida. In a June interview, CNN asked Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, about how contact tracing is done in the United States.

“I don’t think we’re doing well,” he replied.

What is a contact trace?

Contact tracking has been a centuries-old practice, and the basics haven’t changed much. In essence, health care professionals require infected people to have a list of all who have been contacted during a possible infection. The worker then tells those contacts to isolate themselves and watch for symptoms.

of CDC “Monitoring these COVID-19 contacts can effectively break the chain of transmission of the disease and prevent further spread of the virus in the community,” explained the state health department. Provides contact tracking guidance.

White House Guidelines Describe contact tracking as one of the “main national reserve responsibilities”.

Ah Online infographic A Florida Department of Health official describes contact tracing as “a core public health function,” and local epidemiologists ask people infected with the virus for a list of all those who have been in contact in the last two weeks. He said. The County Department of Health monitors these contacts.

A spokesperson for the Florida Department of Health in Miami-Dade County has sent CNN a statement on tracking contacts in her state.

“When the Department of Health received notice that a person tested positive for COVID-19, the department [Centers for Disease Control and Prevention] To identify individuals who may have been in close contact with the virus. These individuals will be notified by the county health department, self-isolated for 14 days after being exposed to the virus, and instructed to contact the county health department and their healthcare provider immediately if symptoms occur. This process is done for all individuals who test positive in Florida. “Olga Connor wrote in an email.

The number of contact tracers in Florida is unknown

of National County and City Health Officials Association Estimates that during the pandemic, the community needs 30 contact tracers for every 100,000 people. Florida has a population of 21.5 million and needs 6,443 contact tracers.

Not so much in Florida, not only that. According to a report on July 3 Nephron research, Only seven states have enough contact tracers to meet NACCHO standards.

The number of contact tracers employed in Florida is unknown as the Department of Health spokesperson gave CNN two different numbers.

“Today, more than 1600 people, including students, epidemiology, and other staff in Florida, are involved in tracking contacts who are tracking all positive COVID-19 cases in Florida,” CNN.

According to Sims, the ministry signed a contract with a private company and hired an additional 400 contact tracers.

But Alberto Moscoso, a spokesperson for the Department of Health, wrote that more people mentioned CNN in writing and that there are 2,300 “persons involved in tracking contacts” in Florida.

Sims and Moscoso did not respond to CNN’s inquiry about the difference in their numbers.

so Online infographic, The Florida Department of Health asks infected people to call the contact themselves.

According to the figure, “Immediately notify anyone who has had close contact during the illness”. And keep in mind that these contacts must be isolated for the next 14 days.

of CDCHowever, we offer another piece of advice. Authorities recommend asking infected people for a list of all who have been in close contact for the first time two days before symptoms develop.

The Florida infographics don’t explain what to do if someone tested positive for Covid-19 but had no symptoms. According to the CDC, in that case, you need to be notified if the infected person was in close contact with him two days before taking the Covid test.

5 out of 27 Floridas received contact traces

Of the 27 Florida people who tested positive for Covid-19, five said they had received a call from health officials to contact CNN.

Of the 27 cases, the earliest diagnosis was in February and the latest diagnosis was last week.

Riveras signed a contract with Covid in early March. At this time, the contact tracer was significantly less pressured than it is now. Shyla Rivera said Miami Dade County Health Department officials called and asked about their illness, but did not ask for their contact information.

“I was surprised,” said pediatric nurse Rivera. “The whole conversation was less than a minute. No one question kept you in touch? Did you go to work? Any of them.”

Eleven of the 27, like Riveras, said they were called by Florida health officials but were not asked for contact information.

David Pugh, who lives in Broward County, said he received such a call.

“I don’t know if the country can be expected to do its full job. I think the system is obviously flawed.”

Questions about the usefulness of contact tracking

Contact tracking was done more than five months before the first case in the United States, and there are several reasons why the outbreak failed to be contained.

First, CDC Thirty-five percent of Covid cases are asymptomatic and it is estimated that those people are as contagious as those with the symptoms.

“How do you do a contact trace when someone has no symptoms?” Forch said in an interview with CNN. “The standard, classic paradigm of identification, separation, and contact tracking doesn’t work, no matter how well it works, because we don’t know who is tracking it.”

He also said some people hesitate to talk to government officials.

“The dots aren’t connected, mostly because they’re done over the phone,” Forch said. “50% of people don’t even want to talk to you because you come from authority.”

In addition to these issues, some experts suspect the usefulness of contact tracking in areas such as Florida where the number of incidents is skyrocketing.

Epidemiologist Michael Osterholm urged Florida leaders to focus on other strategies, such as figuring out where the virus is spreading.

“For example, if young adults in bars are at issue, they need to be closed,” said Osterholm, director of the Center for Infectious Diseases Research and Policy at the University of Minnesota. To report Contact trace.

With thousands of new cases a day in Florida, Osterholm wondered if contact tracking would have a big impact.

“Contact tracking can help if Florida can get back 50 to 100 cases per day, but it’s unlikely to have a measurable impact at this time,” he said. “It’s like trying to extinguish a wildfire with one fire engine. No dents.”

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