Andy Flach 🌵 Profile picture
Sep 15, 2020 12 tweets 4 min read Read on X
This Pima Co. memo says the health dept is struggling to reach COVID-19 cases & close contacts.

By my estimate only 11% of close contacts were traced.

This has to improve!

What can the community do?
What can the health dept do?

@pchd 1/12
webcms.pima.gov/UserFiles/Serv…
11% is a long way from what we need to prevent a second wave, but even small improvements can have big benefits. There’s more to contact tracing than epidemic suppression. 2/12
Contact tracing finds people who are getting other people sick and helps them stop.

If you stop people from getting sick, you prevent suffering. Stop enough people from getting sick and deaths are prevented. Preventing suffering and death is a good goal all on its own. 3/12
The contact tracing situation is also holding back reopening. Contact tracing is the only Pima Co. Health Dept. benchmark still stuck in the red. 4/12
According to the memo to the Pima Supervisors, contact tracers were only able to reach 1,002 out of 2,392 (42%) of cases. 5/12

webcms.pima.gov/UserFiles/Serv…
When contact tracers did manage to interview someone, they had trouble reaching that person's contacts.

Only 593 out of 1,778 (33%) of contacts were interviewed. 6/12
Here's how I estimated only 11% of contacts were reached.

Memo says interviewed cases had an avg of 2.2 close contacts.

Total cases (2,392) * 2.2 = 5,262 estimated close contacts

Tracers only reached 593 close contacts, so 593/5,262 = 11%

7/12
How does Pima county contact tracing work right now?

The linked May 26 memo to the Pima Supervisors describes the process in detail. 8/12

webcms.pima.gov/UserFiles/Serv…
To simplify the process described in the memo, investigators call people who have tested positive and interview them. If nobody answers, they leave a voicemail.

If close contacts are identified, contact tracers call them, and leave a message if the person doesn't answer. 9/12
The memo describes a thorough contact tracing protocol, but it can't work if tracers can't contact people!

We need to improve this situation.

What can the community do?

What can Pima County Health Department do?

Let me know what you think. 10/12
My idea for improving the efficacy of contact tracing is weekly reporting of contact tracing statistics.

Weekly reporting of contact tracing statistics would raise awareness of contact tracing, which may result in more people answering contact tracing calls. 11/12
Here are the proposed metrics for contact tracing from the May 26 memo. I think these should be in the media every week to keep people thinking and talking about contact tracing. 12/12

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More from @AndyfromTucson

Jun 6, 2021
Thread: Arizona Covid-19 update as of Sun June 6.

507 newly reported cases (592 added - 85 withdrawn)
• 413 (81.5%) from samples collected in the last 7 days.

7 day average is now 390.3;
• a week ago it was 622.4 (-37.3% change).
5,357 newly reported AZ ELR Diagnostic tests on June 6 (6,576 added - 1,230 withdrawn + 11 fudge factor)

Newly reported ELR Diagnostic pos/tests:
191/5,347 = 3.6%

Newly reported ELR Diagnostic positives/tests from samples collected in last 7 days:
293/6,566 = 4.5%
Arizona Covid-19 cases, Diagnostic tests & positive rate by sample collection date as of June 6, with the cases added in the last 3 days color coded by date added.
Read 8 tweets
Jun 6, 2021
Pima Covid-19 update as of Sun June 6.

-94 newly reported cases (19 added - 113 withdrawn)
• 13 from samples collected in the last 7 days.

Going to stop reporting the 7 day avg for newly reported Pima cases bc they have been so distorted by churn in old cases recently
626 newly reported Pima ELR Diagnostic tests on June 6 (840 added - 208 withdrawn - 6 fudge factor).

Newly reported ELR Diagnostic pos/tests:
20/632 = 3.2%

Newly reported ELR Diagnostic positives/tests from samples collected in last 7 days:
31/833 = 3.7%
Pima fully vaccinated per CDC as of yesterday, June 5

1,664 newly reported fully vaccinated
• 7 day average is now 1,102
• a week ago it was 1,662 (-33.7% change)

43.5% of the population fully vaccinated
Read 6 tweets
Jun 5, 2021
Arizona Covid-19 update as of Sat June 5 .

277 newly reported cases (378 added - 101 withdrawn)
• 287 (103.6%) from samples collected in the last 7 days.

7 day average is now 406.9;
• a week ago it was 579.3 (-29.8% change).
10,443 newly reported AZ ELR Diagnostic tests on June 5 (10,865 added - 451 withdrawn + 29 fudge factor)

Newly reported ELR Diagnostic pos/tests:
852/10,412 = 8.2%

Newly reported ELR Diagnostic positives/tests from samples collected in last 7 days:
313/6,061 = 5.2%
Arizona Covid-19 cases, Diagnostic tests & positive rate by sample collection date as of June 5 , with the cases added in the last 3 days color coded by date added.
Read 8 tweets
Jun 5, 2021
Thread: Pima Covid-19 update as of Sat June 5 .

-57 newly reported cases (38 added - 95 withdrawn)
• 32 from samples collected in the last 7 days.

7 day average is now 57.9;
• a week ago it was 37.6 (+54.0% change).
The 7 day average of newly reported cases is still distorted on the high side because of hundreds of old cases being newly reported on May 30. The cases by sample date charts are the most reliable indicator of current trends.
563 newly reported Pima ELR Diagnostic tests on June 5 (705 added - 153 withdrawn + 11 fudge factor).

Newly reported ELR Diagnostic pos/tests:
14/554 = 2.5%

Newly reported ELR Diagnostic positives/tests from samples collected in last 7 days:
27/679 = 4.0%
Read 7 tweets
Jun 4, 2021
Thread: Arizona Covid-19 update as of Fri June 4 .

346 newly reported cases (415 added - 69 withdrawn)
• 390 (112.7%) from samples collected in the last 7 days.

7 day average is now 446.9;
• a week ago it was 591.9 (-24.5% change). Image
6,274 newly reported AZ ELR Diagnostic tests on June 4 (7,562 added - 1,221 withdrawn - 67 fudge factor)

Newly reported ELR Diagnostic pos/tests:
216/6,343 = 3.4%

Newly reported ELR Diagnostic positives/tests from samples collected in last 7 days:
351/7,506 = 4.7% Image
Arizona Covid-19 cases, Diagnostic tests & positive rate by sample collection date as of June 4 , with the cases added in the last 3 days color coded by date added. Image
Read 8 tweets
Jun 4, 2021
Thread: Pima Covid-19 update as of Fri June 4 .

4 newly reported cases (61 added - 57 withdrawn)
• 54 (1,350%) from samples collected in the last 7 days.

7 day average is now 73.7;
• a week ago it was 36.3 (+103.1% change). Image
The 7 day average of newly reported cases is still distorted on the high side because of hundreds of old cases being newly reported on May 30. The cases by sample date charts are the most reliable indicator of current trends.
820 newly reported Pima ELR Diagnostic tests on June 4 (1,038 added - 207 withdrawn - 11 fudge factor).

Newly reported ELR Diagnostic pos/tests:
16/831 = 1.9%

Newly reported ELR Diagnostic positives/tests from samples collected in last 7 days:
38/1,033 = 3.7% Image
Read 6 tweets

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