| Id | 2720 | |
| Author | Feuerstein-Simon R.; Strelau K.M.; Naseer N.; Claycomb K.; Kilaru A.; Lawman H.; Watson-Lewis L.; Klusaritz H.; Van Pelt A.E.; Penrod N.; Srivastava T.; Nelson H.C.M.; James R.; Hall M.; Weigelt E.; Summers C.; Paterson E.; Aysola J.; Thomas R.; Lowenstein D.; Advani P.; Meehan P.; Merchant R.M.; Volpp K.G.; Cannuscio C.C. | |
| Title | Design, Implementation, and Outcomes of a Volunteer-Staffed Case Investigation and Contact Tracing Initiative at an Urban Academic Medical Center | |
| Reference | Feuerstein-Simon R.; Strelau K.M.; Naseer N.; Claycomb K.; Kilaru A.; Lawman H.; Watson-Lewis L.; Klusaritz H.; Van Pelt A.E.; Penrod N.; Srivastava T.; Nelson H.C.M.; James R.; Hall M.; Weigelt E.; Summers C.; Paterson E.; Aysola J.; Thomas R.; Lowenstein D.; Advani P.; Meehan P.; Merchant R.M.; Volpp K.G.; Cannuscio C.C. Design, Implementation, and Outcomes of a Volunteer-Staffed Case Investigation and Contact Tracing Initiative at an Urban Academic Medical Center,JAMA Network Open 5 9 |
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| Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85138489055&doi=10.1001%2fjamanetworkopen.2022.32110&partnerID=40&md5=044aef039286d893fcf7950492390ada |
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| Abstract | Importance: The COVID-19 pandemic has claimed nearly 6 million lives globally as of February 2022. While pandemic control efforts, including contact tracing, have traditionally been the purview of state and local health departments, the COVID-19 pandemic outpaced health department capacity, necessitating actions by private health systems to investigate and control outbreaks, mitigate transmission, and support patients and communities. Objective: To investigate the process of designing and implementing a volunteer-staffed contact tracing program at a large academic health system from April 2020 to May 2021, including program structure, lessons learned through implementation, results of case investigation and contact tracing efforts, and reflections on how constrained resources may be best allocated in the current pandemic or future public health emergencies. Design, Setting, and Participants: This case series study was conducted among patients at the University of Pennsylvania Health System and in partnership with the Philadelphia Department of Public Health. Patients who tested positive for COVID-19 were contacted to counsel them regarding safe isolation practices, identify and support quarantine of their close contacts, and provide resources, such as food and medicine, needed during isolation or quarantine. Results: Of 5470 individuals who tested positive for COVID-19 and received calls from a volunteer, 2982 individuals (54.5%; median range age, 42 18-97 years; 1628 59.4% women among 2741 cases with sex data) were interviewed; among 2683 cases with race data, there were 110 Asian individuals (3.9%), 1476 Black individuals (52.7%), and 817 White individuals (29.2%), and among 2667 cases with ethnicity data, there were 366 Hispanic individuals (13.1%) and 2301 individuals who were not Hispanic (82.6%). Most individuals lived in a household with 2 to 5 people (2125 of 2904 individuals with household data 71.6% ). Of 3222 unique contacts, 1780 close contacts (55.2%; median range age, 40 18-97 years; 866 55.3% women among 1565 contacts with sex data) were interviewed; among 1523 contacts with race data, there were 69 Asian individuals (4.2%), 705 Black individuals (43.2%), and 573 White individuals (35.1%), and among 1514 contacts with ethnicity data, there were 202 Hispanic individuals (12.8%) and 1312 individuals (83.4%) who were not Hispanic. Most contacts lived in a household with 2 to 5 people (1123 of 1418 individuals with household data 79.2% ). Of 3324 cases and contacts who completed a questionnaire on unmet social needs, 907 (27.3%) experienced material hardships that would make it difficult for them to isolate or quarantine safely. Such hardship was significantly less common among White compared with Black participants (odds ratio, 0.20; 95% CI, 0.16-0.25). Conclusions and Relevance: These findings demonstrate the feasibility and challenges of implementing a case investigation and contact tracing program at an academic health system. In addition to successfully engaging most assigned COVID-19 cases and close contacts, contact tracers shared health information and material resources to support isolation and quarantine, thus filling local public health system gaps and supporting local pandemic control.. © 2022 American Institute of Physics Inc.. All rights reserved. |
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| Keywords | Academic Medical Centers; Adult; Contact Tracing; COVID-19; Female; Humans; Male; Pandemics; SARS-CoV-2; Volunteers; tracer; adult; Article; contact examination; controlled study; coronavirus disease 2019; ethnicity; female; general practitioner; health care system; Hispanic; household; human; major clinical study; male; pandemic; polymerase chain reaction; public health; qualitative analysis; questionnaire; Severe acute respiratory syndrome coronavirus 2; social needs; total quality management; university hospital; epidemiology; pandemic; prevention and control; procedures; volunteer |
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