Florida topped 200,000 coronavirus cases as nation marked a different July 4th

Florida Contact Tracing: As the incidence of Covid-19 increases, Florida health authorities often fail to locate contact.

Rivera was waiting for that phone call. And I waited. And I waited. But the call never came.

“I was shocked,” said Rivera, a nurse who was rescued from her virus infection.

Despite claims to detect Florida in each of the Corrid-19 cases, a CNN investigation found that health authorities in Florida are now the country’s number one hotspot for the virus, often failing to find contact, which has long been considered a key tool in the outbreak.

According to data compiled by Johns Hopkins University, Florida averaged the most coronavirus cases in the United States in a single day on Saturday, and the state surpassed 200,000 Covid-19s on Sunday.

Florida Communication Challenges Indicate how difficult it is for states to trace proper communications by Covid-19, even in the ultimate challenge.

CNN27 spoke to Floridians or their family members who tested positive for Covid-19. Only five of them said they received a call from the health authorities to contact them.

Not just in Florida, but nationally there are concerns about finding communication. In an interview in June, CNN asked Dr. Anthony Fawcett, director of National Allergy and Infectious Diseases, his idea of ​​how to find contact in the United States.

“I don’t think we’re doing very well,” he replied.

What is contact tracing?

Finding contact is a century-old practice, and the basics haven’t changed much: Basically, healthcare workers have contacted infected people for a list of each of those they have contacted in a potentially infectious state. The worker then asks those contacts to isolate themselves and look for signs.

101 Contact Tracing: How it works, who can be hired and why there is so much criticism now in the fight against the coronavirus
The CDC Directs detailed communications to state health departments, explaining that “monitoring of these CVD-19 communications can effectively break the chain of transmission of the disease and prevent further spread of the virus in a community.”
White House Guidelines Describe contact tracing as “one of the main state preparation responsibilities.”
A Online infographic The Florida Department of Health describes contact identities as “key public health functions,” and says a local epidemiologist will ask for a list of everyone they’ve contacted over the past two weeks and that county health department will monitor those contacts.

A spokesman for the Florida Department of Health in Miami-Dade County sent a statement to CNN about the issue in its state of communications.

“When the Department of Health is notified that a person has tested positive for COVID-19, the department conducts a comprehensive epidemic investigation in conjunction with it. [Centers for Disease Control and Prevention] To identify individuals who may be in close contact with viruses. These individuals are then notified by their county health department and instructed to self-isolate for 14 days after being infected with the virus and to contact their county health department and healthcare provider immediately if symptoms appear. The procedure is followed for all people who test positive in Florida, “Olga Connor wrote in the email.

The number of contact tracers in Florida is unclear

The National Association of County and Urban Health Officers It is estimated that 30 contact finders are needed for every 100,000 people in a community during an epidemic. Florida, with a population of 21.5 million people, needs 6,443 contact finders.
There aren’t nearly as many in Florida and it’s not alone. According to a report in July Nephron research, Only seven states have sufficient number of communication tracers to meet the NACCHO standard.

It is not clear how many communications finders have been hired in the state of Florida, as Department of Health spokesmen gave CNN two separate numbers.

“More than 1,600 people are currently in contact with the department, including students, epidemiologists and other department staff, to identify every positive case of CVID-19 in Florida,” wrote Candy Sims, a spokesman for Brocard County’s Florida Department of Health. CNN

Florida topped the 200,000 coronavirus case on July 4, when the country was identified as separate

The department has hired a private company to hire an additional 400 contact tracers, Sims added.

But Alberto Moscow, a spokesman for the Department of Health, told CNN, citing a large number, that there were 2,300 “communicators in Florida.”

Sims and Moscow did not respond to CNN inquiries about differences in their numbers.

In a Online infographic, The Florida Department of Health tells infected people to call to make their own contact.

According to the graphic “immediately notify people of your close contact in case of illness”, specifying that those contacts should be separated for 14 days.

The CDCHowever, gives different suggestions. The agency recommends that local health departments ask for a list of each of the infected people they had close contact with two days before the onset of symptoms.

Which Florida infographic tested positive for Covid-19 but did not explain what to do but never showed symptoms. According to the CDC, in that case, the person should be notified if they have close contact with an infected person two days before the Covid test.

5 out of 27 Floridians found contact

Five of the 22 Floridians who tested positive for Covid-19 told CNN that they received a phone call from a health official asking for contact.

Of the two cases, the earliest diagnosis was in February and the most recent was last week.

Rivera contracted Kovid in early March, when communications seekers were under considerable less pressure than they are now. Shayla Rivera said a Miami-Dade County Department of Health official called to ask about their illness but did not ask about their contact.

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“We were surprised,” said Rivera, a pediatric nurse practitioner. “The whole conversation lasted less than a minute. There was no question as to who you were in contact with. Did you go to work? None of that.”

Eleven of the 227 people said they received a call from a Florida health official, like Rivera, but were not asked to be contacted.

David Pugh, who lives in Broward County, said he received the phone call.

“I don’t know if we can rely on the state to do the whole thing. I think there are obvious flaws in the system,” he said.

Doubts about the effectiveness of the communication search

Contact has been sought since the first case in the United States more than five months ago and there are various reasons for its failure to control the outbreak.

First, CDC It is estimated that 35% of cases of covid are non-communal and that these people are as contagious as those with symptoms.

“How do you find a contact if no one has any symptoms?” Fawcett said in an interview with CNN. “Identification norms, classic instances, isolation, communication tracing are not effective considering how good you are because you do not know who you are tracing.”

Also, he said some people are hesitant to talk to government officials.

“The dots aren’t connected because it’s done on a lot of phones,” Fawcett said. “Fifty percent of people because you come from the authorities, don’t even want to talk to you.”

On top of these problems, some experts doubt the effectiveness of communication in cases like Florida where cases have spread.

Epidemiologist Michael Osterholm urged Florida leaders to focus on other strategies, such as determining where the virus is spreading.

“For example, if young people have problems with bars, you need to close them,” said Osterholm, director of the Center for Infectious Diseases Research and Policy at the University of Minnesota. Report In contact tracing.

With thousands of new cases a day in Florida, Osterholm suspected that the search for contact would have an impact in most cases.

“If Florida could get back between 50 and 100 cases a day, it would be helpful to look for contact, but it is unlikely to have a measurable impact right now,” he said. “It’s like trying to start a forest fire with a single fire truck

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