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EBOLA CONTACT TRACING FOR LOCAL HEALTH DEPARTMENTSAn Overview of North Carolina’s Procedure for Ebola Contact Tracing :Guidance, Tools, and Exercises for Public Health
Operation: Ready, Set, Go
Presented by the N.C. Communicable Disease Branch October 2014
Objectives
Use this next week to Get Ready:
Acknowledge the critical role that contact tracing plays in interrupting disease transmission
Assess your capacity to conduct a scalable Ebola contact tracing event
Describe the process and locate the data collection data management tools
Prepare for onsite state and federal assistance Exercise multiple tabletop exercises for Ebola
contact tracing
Contact tracers are the people who will stop the outbreak of Ebola:
Get Ready, Get Set…..
R – Review the GuidanceE – Engage your Epi TeamA – Assess your CapacityD – Designate your Tracers
Y – Yes to Tabletop Exercises
State Support for Local Public Health Contact Tracing
Deploy state team immediately for assistance with data management Epidemiologist
Deploy state team for field investigations Nurse Consultant Disease Intervention Specialist
Access to Risk Assessment Advisor Personal Readiness KitsThermometers
Safety
Prepare, Practice and PracticeKnow the ProceduresKnow the ToolsTalk, Reassure, SupportTravel in PairsDo not touch
EZ Document ID Ebola Document Name
-- N.C. Contact Tracing Webinar PresentationsA N.C. Contact Tracing Procedure
B1 N.C. Contact Listing Questionnaire- Part 1 B2 N.C. Contact Listing Questionnaire- Part 2B3 N.C. Contact Listing SpreadsheetC N.C. Contact Investigation Questionnaire
D1 N.C. Monitoring Instructions for the LHDD2 N.C. Monitoring Instructions for the Contact
D2-F N.C. Monitoring Instructions for the Contact (French)
D2-S N.C. Monitoring Instructions for the Contact (Spanish)
D3 N.C. Guidance for the Contact Who Becomes Ill
D3-F N.C. Guidance for the Contact Who Becomes Ill (French)
D3-S N.C. Guidance for the Contact Who Becomes Ill (Spanish)
D4 N.C. Ebola Symptom Monitoring LogD4-F N.C. Ebola Symptom Monitoring Log (French)D4-S N.C. Ebola Symptom Monitoring Log (Spanish)
E N.C. Case Investigation Form
Documents Table of Contents
A few things to keep in mind:
Ebola Contact Tracing: Procedures
Ebola Contact Tracing: Phases
a. Identify contacts by interviewing patient or other informants
b. Interview all identified contacts to evaluate need for PH follow-up
Monitor contacts with high- or low-risk exposures for 21 days following last exposure
Release on 22nd day following last exposure
1. Identification and interviewing
2. Active monitoring
3. Discharge
Symptomatic Contacts
At ANY point in this process you may encounter contacts with symptoms of
Ebola.
You must know and be able to carry out your LHD procedure to safely respond to
this situation.
Identification and Interviewing Tools
a. Identify contacts by interviewing patient or other informants
1. Identification and interviewing
b. Interview all identified contacts to evaluate need for PH follow-up
Identification and Interviewing Tools
a. Identify contacts by interviewing patient or other informants
1. Identification and interviewing
b. Interview all identified contacts to evaluate need for PH follow-up
Identification and Interviewing Tools
a. Identify contacts by interviewing patient or other informants
1. Identification and interviewing
b. Interview all identified contacts to evaluate need for PH follow-up
Identification and Interviewing Tools
a. Identify contacts by interviewing patient or other informants
1. Identification and interviewing
b. Interview all identified contacts to evaluate need for PH follow-up
Monitoring Tools
Monitor contacts with high- or low-risk exposures for 21 days following last exposure
2. Active monitoring
Monitoring Tools
Monitor contacts with high- or low-risk exposures for 21 days following last exposure
2. Active monitoring
Monitoring Tools
Monitor contacts with high- or low-risk exposures for 21 days following last exposure
2. Active monitoring
Monitoring Tools
Monitor contacts with high- or low-risk exposures for 21 days following last exposure
2. Active monitoring
3. Discharge
Discharge
Release on 22nd day following last exposure
Ebola Contact Tracing: Phases
a. Identify contacts by interviewing patient or other informants
b. Interview all identified contacts to evaluate need for PH follow-up
Monitor contacts with high- or low-risk exposures for 21 days following last exposure
Release on 22nd day following last exposure
1. Identification and interviewing
2. Active monitoring
3. Discharge
Data Management
EID EXXX
1. Every case and potential contact receives a unique ID
Contact ID Number nNNNN-XXX
Contact ID Number 1 NNNN-XXX
3. If any contact becomes a case they also receive an NC EDSS Event Number:
2. For each case a person may have been exposed to, a contact ID Number is created:
Every potential contact will receive a minimum of two ID numbers: an EID and at least one contact ID number (a person may have multiple contact ID numbers if exposed to multiple cases). They will also have an NC EDSS event number if they become symptomatic.
Identification of persons in Ebola Contact Tracing
Example of ID numbers
Name EID NC EDSS Event Number
Contact ID Number
John Snow E001 100905678
Edward Jenner E002 5678-001
Louis Pasteur E003 5678-002
Name EID NC EDSS Event Number
Contact ID Number
Florence Nightingale
E004 --- 4567-001
Louis Pasteur E003 --- 4567-002
Contact tracing for our second case
Contact tracing for our first case
100904567
ID numbers continued
EZ Document ID Ebola Document Name
-- N.C. Contact Tracing Webinar PresentationsA N.C. Contact Tracing Procedure
B1 N.C. Contact Listing Questionnaire- Part 1 B2 N.C. Contact Listing Questionnaire- Part 2B3 N.C. Contact Listing SpreadsheetC N.C. Contact Investigation Questionnaire
D1 N.C. Monitoring Instructions for the LHDD2 N.C. Monitoring Instructions for the Contact
D2-F N.C. Monitoring Instructions for the Contact (French)
D2-S N.C. Monitoring Instructions for the Contact (Spanish)
D3 N.C. Guidance for the Contact Who Becomes Ill
D3-F N.C. Guidance for the Contact Who Becomes Ill (French)
D3-S N.C. Guidance for the Contact Who Becomes Ill (Spanish)
D4 N.C. Ebola Symptom Monitoring LogD4-F N.C. Ebola Symptom Monitoring Log (French)D4-S N.C. Ebola Symptom Monitoring Log (Spanish)
E N.C. Case Investigation Form
Documents Table of Contents
Documents Table of Contents
Documents are available online
The CDB webpage: http://epi.publichealth.nc.gov/cd/diseases/hemorrhagic.html
OR
CD Manual:http://
epi.publichealth.nc.gov/cd/lhds/manuals/cd/reportable_diseases.html
Tabletop Exercises
And More…• Survey Monkey
Evaluation• Onsite
Instruction for Tracers
Questions, Comments, Concerns
Thank you
Kathy Dail, RN MEd Heather Dubendris,
MSPH Kristin Sullivan,
MPH Rob Pace, BGS Reed Underhill, BA
North Carolina Division of Public HealthCommunicable Disease Branch
Bhavini Patel Murthy, MD, MPHPreventive Medicine ResidentUniversity of North Carolina at Chapel Hill
Neil Chandra Murthy, MD, MPHEmergency Medicine ResidentDuke University Medical Center