Just some of the things that all the contact tracing teams in the world can’t do in an outbreak....assess whether the case is infectious, or when they were infectious -assess what level of risk the case poses and who is likely at risk -risk stratify those who were exposed.... https://twitter.com/nicu_doc_salone/status/1324634285295329280
.-Interpret serology and clinical histories to plot the architecture of the outbreak. -Decide if all or some of the facility needs to close. -Develop a plan to stop further transmission in a facility. -Discuss the setting-specific advice to stop further spread with the facility..
.-Decide when the outbreak can be declared over.-Use the data from the outbreak to look at broader strategy to prevent and manage future outbreaks....I’m literally barely scratching the surface here to make the point that contact tracing or “test, trace, isolate” or whatever....
...you want to call it isn’t “outbreak management”. Contact tracing is really important. But you can train people to do contact tracing in a few hours and they do it very well. But you can’t just keep hiring new contact tracers instead of experienced public health unit staff...
...Ignore that at your peril, Ireland! Irish Public Health Units are wildly understaffed, and their core “investigate and control” work isn’t happening because of that.
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