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Efficacy of a student-led community contact tracing program partnered with an academic medical center during the coronavirus disease 2019 pandemic

PURPOSE: Contact tracing has proven successful at controlling coronavirus 2019 (COVID-19) globally, and the Center for Health Security has recommended that the United States add 100,000 contact tracers to the current workforce. METHODS: To address gaps in local contact tracing, health professional s...

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Detalles Bibliográficos
Autores principales: Pelton, Matt, Medina, Daniela, Sood, Natasha, Bogale, Kaleb, Buzzelli, Lindsay, Blaker, Joshua, Nye, Derek, Nguyen, Paul D.H., Giglio, Marisa, Smiley, Catherine, Michalak, Nathan, Legro, Nicole R., Connolly, Mary, Dishong, Rachel A., Nunez, Johnathan, Du, Ping, Exten, Cara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579098/
https://www.ncbi.nlm.nih.gov/pubmed/33775279
http://dx.doi.org/10.1016/j.annepidem.2020.10.004
Descripción
Sumario:PURPOSE: Contact tracing has proven successful at controlling coronavirus 2019 (COVID-19) globally, and the Center for Health Security has recommended that the United States add 100,000 contact tracers to the current workforce. METHODS: To address gaps in local contact tracing, health professional students partnered with their academic institution to conduct contact tracing for all COVID-19 cases diagnosed onsite, which included identifying and reaching their contacts, educating participants, and providing social resources to support effective quarantine and isolation. RESULTS: From March 24 to May 28, 536 laboratory-confirmed COVID-19 cases were contacted and reported an average of 2.6 contacts. Contacts were informed of their exposure, asked to quarantine, and monitored for the onset of symptoms. Callers reached 94% of cases and 84% of contacts. Seventy-four percent of cases reported at least one contact. Household members had higher rates of reporting symptoms (odds ratio, 1.65; 95% confidence interval, 1.19–2.28). The average test turnaround time decreased from 21.8 days for the first patients of this program to 2.3 days on the eleventh week. CONCLUSIONS: This provides evidence for the untapped potential of community contact tracing to respond to regional needs, confront barriers to effective quarantine, and mitigate the spread of COVID-19.