COVID-19 Contact Tracing Conundrums: Insights From the Front Lines
COVID-19 Contact Tracing Conundrums: Insights From the Front Lines
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DOI：
10.2105/ajph.2021.306200
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发表时间：
2021-05-01
影响因子：
12.7
通讯作者：
Munar, David
中科院分区：
文献类型：
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作者：
Schneider, John;Love, Willie;Munar, David
COVID-19接触者追踪是一种诱导社交网络干预，其中利用社交网络的结构部署经验证的COVID-19干预措施，如检测和社交距离。自伊利诺伊州芝加哥发现第一批病例以来，霍华德布朗健康组织已迅速扩大到包括COVID-19检测、接触者追踪和与资源的联系。COVID-19正在渗透美国最脆弱的网络;由于社区资源和组织不得不暂停服务，现有的不平等正在扩大。在此，我们解决了组织建立接触者追踪能力时出现的几个问题，包括接触者追踪的潜在影响，可能参与的利益相关者，接触者追踪部署的时间，以及数字技术的影响潜力。在疫情下降的后期阶段，接触者追踪至关重要，因为随着大型活动、学校、体育场和节日的重新开放，可能会出现孤立的疫情。地方接触者追踪工作在限制传播方面还可以产生其他间接效益，例如通过提供拯救生命的资源和获得关键的社会支持，提高检测率和解决结构性障碍。
COVID-19 contact tracing is an induction social network intervention in which the structure of the social network is leveraged to deploy proven COVID-19 interventions such as testing and social distancing. The Howard Brown Health organization has rapidly expanded to include COVID-19 testing, contact tracing, and linkage to resources since the first cases were identified in Chicago, Illinois. COVID-19 is penetrating the most vulnerable networks in the United States; existing inequities are widening as community resources and organizations have had to place services on hold.Here we address several questions that arise as organizations build capacity for contact tracing, including questions involving the potential impact of contact tracing, stakeholders who could be involved, the timing of contact tracing deployment, and the impact potential for digital technology.Contact tracing is critical at later stages of epidemic decline given the potential for isolated outbreaks as larger events, schools, stadiums, and festivals reopen. Local contact tracing efforts can have other indirect benefits with respect to limiting transmission, such as increasing testing rates and addressing structural barriers through provision of life-saving resources and access to crucial social support.