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J Public Health Policy . The SARS-CoV-2 pandemic: the race to trace: contact tracing scale-up in San Francisco-early lessons learned

tetano

Editor, Senior Moderator
J Public Health Policy


. 2021 Jun 4.
doi: 10.1057/s41271-021-00285-y. Online ahead of print.
The SARS-CoV-2 pandemic: the race to trace: contact tracing scale-up in San Francisco-early lessons learned


Michael Reid[SUP] 1 2 [/SUP], Wayne Enanoria[SUP] 3 4 [/SUP], Juliet Stoltey[SUP] 4 [/SUP], Susan Philip[SUP] 3 4 [/SUP], Jonathan Fuchs[SUP] 4 [/SUP], Amy Lockwood[SUP] 4 [/SUP], Elizabeth Krueger[SUP] 4 [/SUP], Karen White[SUP] 3 [/SUP], Jessica Celentano[SUP] 3 [/SUP], George Rutherford[SUP] 3 [/SUP], Susan Scheer[SUP] 4 [/SUP], Trang Nguyen[SUP] 4 [/SUP], Darpun Sachdev[SUP] 4 [/SUP]



Affiliations

Abstract

In order to effectively control spread of coronavirus 2019 (COVID-19), it is essential that jurisdictions have the capacity to rapidly trace close contacts of each and every case. Best practice guidance on how to implement such programs is urgently needed. We describe the early experience in the City and County of San Francisco (CCSF), where the City's Department of Health expanded contact tracing capability in anticipation of changes in San Francisco's 'shelter in place' order between April and June 2020. Important prerequisites to successful scale-up included a rapid expansion of the COVID-19 response workforce, expansion of testing capability, and other containment resources. San Francisco's scale-up offers a model for how other jurisdictions can rapidly mobilize a workforce. We underscore the importance of an efficient digital case management system, effective training, and expansion of supportive service programs for those in quarantine or isolation, and metrics to ensure continuous performance improvement.

Keywords: COVID-19; Contact tracing; Containment; Epidemiology.
 
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