As the number of positive COVID-19 cases began to skyrocket around the world, civil servants and global health experts alike looked to past epidemics and pandemics for evidence-based containment methods. Many found inspiration in contact tracing, a method in which health workers trace and monitor the interactions of infected people.
In 2014, health teams in Nigeria and Senegal relied heavily on contact tracing as part of their strategy to stop a lethal Ebola outbreak in its tracks. Visiting 18,500 homes in Lagos, more than 150 contact tracers tracked down 894 people who had been in contact with the 20 confirmed patients in the country, even using mobile-phone data, airplane manifests, and law enforcement agencies by presidential decree. In Senegal, tracers located 74 contacts associated with the country’s one Ebola patient. Similarly, in 2015, South Korea fought a MERS outbreak with an aggressive contact tracing regime, which incorporated data from security camera footage, credit card records, and GPS systems.
Even though COVID-19 has erupted on a much larger scale, it turns out contact tracing works for the current pandemic as well.
To become a contact tracer, highly specialized medical training is not necessary. In Alaska, an army of volunteer nurses, many from temporarily closed elementary or high schools, have received a two-hour contact tracing training, which can be low-tech but detail-heavy. And in Massachusetts, the state government launched a $44 million program to hire nearly 1,000 tracers.
State and local governments do not have to scale up on their own. In Philadelphia, the city government has partnered with the nearby University of Pennsylvania to train tracers, and in the Massachusetts program, a non-profit organization called Partners for Health has led the charge. On a national level, the Centers for Disease Control runs a more in-depth, two-year training program called the Epidemic Intelligence Service Program.
As with the South Korea example, technology plays a crucial role in current contact tracing efforts. In New York City, the Mt. Sinai Health System has developed an app that allows users to complete a survey that includes many of the questions a contact tracer would ask, including demographics, exposure, and symptom history.
Mass messaging is also important. One article on the Indian state of Kerala links to a flow chart disseminated by the local government, which lists dates, times, and locations to detail the journey of one coronavirus patient before he or she was admitted to the hospital. In South Korea, citizens receive emergency alerts on their cellphones with incredibly detailed information on where and when infected people traveled.
But contact tracing is not without its own potential pitfalls. Privacy ethicists caution against the abuse of real-time phone-location data to track virus carriers’ movements, data that Britain, Germany, and Italy are all considering using. And in some places, the scale of positive cases has reached such a level that proper contact tracing would be impossible to carry out, given the spread of the virus.
For more examples of solutions stories about contact tracing, click here.