On Native American Land, Contact Tracing Is Saving Lives

Hospitals across the United States are trying, in systematic ways, to reduce the risk of infection and other preventable dangers that can leave patients in worse shape after their stay. Some of the approaches include limiting entrances and exits during surgeries and administering antibiotics in a timely manner.

The South African Centre for Infectious Disease Surveillance is piloting a program to use smartphone technology to report and respond to infectious disease outbreaks. The program trains community members to recognize signs of infectious diseases, such as vomiting and diarrhea, and report them through their smartphones. These reports are relayed to a team of specialists who track the location and frequency of these reports to determine if an outbreak of disease is occurring and respond accordingly.

In Japan, the southwestern region of Kansai is less predicated by government oversight and relies more strongly on independence. In the Wakayama prefecture, that attitude has resulted in the region's leaders implementing an independent approach to battling the coronavirus outbreak. The approach, which utilizes widespread testing and contact tracing, is now being regarded by other regions as a model of success.

Rather than send local residents to city-run testing sites in the East Bay of California, clinics in East Oakland are now running their own testing sites to better serve their community. Although one of the sites has already tested nearly 100 people and residents who are underinsured or uninsured can be tested for free, some believe the effort should have started much sooner.

Scientists have been mapping microbes in public places for a long time and are now tracking Covid-19 by swabbing subways, park benches, ATMs, and even the air, for traces of genetic material to better understand the virus’ transmission dynamics and detect hotspots before transmission becomes widespread. Molecular monitoring has identified how long the virus can live on different surfaces and the origin of different strains, which can flag sanitation priorities and help contact tracers. There are limits to what it can reveal because finding virus on surfaces does not always lead to definite infection.

Health officials in North Carolina have shown that contact tracing can successfully identify those who have been exposed to COVID-19. The efforts of the contact tracers in one county resulted in 35 people being quarantined after an exposure to the virus during a child's birthday party, however that was only possible because of those individuals "were willing to be open and honest and forthcoming."

The state of Vermont has been able to keep COVID-19 cases to a minimal, at least in part by focusing on offering preventive protections for the most at-risk and vulnerable – such as the unhoused. The state's response has included "state-supported housing for the homeless, hazard pay, meal deliveries, and free, pop-up testing in at-risk communities," all of which prioritize high-risk populations rather than those who can easily self-isolate at home.

The CARES Act was meant to help small businesses, including hospitals, find financial stability during the coronavirus pandemic, but confusing guidelines and a lack of oversight have impeded the success. This reality has been especially difficult for rural hospitals, some of which "have left millions in relief aid untouched, spiraling deeper into debt for fear that the wrong decision could force them to return money."

During the NFL's 2020/21 season, "700 players, coaches and other team personnel tested positive for the coronavirus," but none of those individuals were associated with the Seattle Seahawks – the only team that lasted the entire season without one positive case. The Seahawks enacted strict protocols such as dividers between showers and lockers, upgraded ventilation systems, daily testing, and a mobile meal app, but they also relied on innovative tactics like creating a competition for which position group could maintain the fewest close contacts.

Teams of Community Direct Distributors (CDD) are leading drug distribution campaigns to prevent and eliminate neglected tropical diseases in hard-to-reach, rural areas. These CDDs are members of the community they serve and are trained to educate the locals on disease prevention and administer the drugs themselves. With the CDDs’ help, several states have already eliminated some diseases and greatly reduced the spread of others.