COVID-19 contact tracing: The Welsh experience

Objective: Contact tracing is one of the key public health response actions to control the outbreak of a novel virus. This paper describes the preparation process, activation and operational experience for contact tracing of individuals in response to confirmed COVID-19 cases in Wales. Study design:...

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Main Authors: Diana Bright, Graham Brown, Richard J. Roberts, Simon Cottrell, Ashley Gould, Amrita Jesurasa, Philip Daniels, Llion Davies
Format: Article
Language:English
Published: Elsevier 2020-11-01
Series:Public Health in Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666535220300343
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author Diana Bright
Graham Brown
Richard J. Roberts
Simon Cottrell
Ashley Gould
Amrita Jesurasa
Philip Daniels
Llion Davies
author_facet Diana Bright
Graham Brown
Richard J. Roberts
Simon Cottrell
Ashley Gould
Amrita Jesurasa
Philip Daniels
Llion Davies
author_sort Diana Bright
collection DOAJ
description Objective: Contact tracing is one of the key public health response actions to control the outbreak of a novel virus. This paper describes the preparation process, activation and operational experience for contact tracing of individuals in response to confirmed COVID-19 cases in Wales. Study design: A descriptive approach has been adopted and lessons learned from our initial public health response to COVID-19 will be used to develop a new operational model for contact tracing in Wales. Methods: As part of preparations for the response in Wales, Public Health Wales formed a Contact Tracing Cell (CTC) ready to be mobilised in the event of a confirmed case. Results: Trial activation of the CTC during the preparation period helped to resolve some issues before ‘real’ activation. A highly flexible approach was needed due to the constant changes to the guidance that required rapid understanding, updates to pathways and clear communication to contact tracers. Conclusions: Our experience and recommendations may benefit future efforts to control the spread of the virus in Wales and elsewhere, particularly in supporting COVID-19 outbreaks in enclosed settings such as care homes or in geographically localised areas. Learning from the initial public health response to COVID-19 will guide the delivery and implementation of a new contact tracing model as we move to a later stage of the pandemic when containment measures become feasible in localised outbreaks. This may include scaling-up the CTC to mobilise contact tracers to local teams and the potential use of digital technologies to support the next operational model of the CTC in Wales.
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spelling doaj.art-46606967d66f48f2ae7a679d05e4e2542022-12-21T22:41:01ZengElsevierPublic Health in Practice2666-53522020-11-011100035COVID-19 contact tracing: The Welsh experienceDiana Bright0Graham Brown1Richard J. Roberts2Simon Cottrell3Ashley Gould4Amrita Jesurasa5Philip Daniels6Llion Davies7Knowledge Directorate, Public Health Wales, Floor 5, Number 2 Capital Quarter, Tyndall Street, Cardiff, South Glamorgan, Wales, CF10 4BQ, UK; Corresponding author.Health Protection Division, Public Health Services Directorate, National Public Health Service for Wales, Preswylfa, Hendy Road, Mold, Flintshire, CH7 1PZ, UKHealth Protection Division, Public Health Services Directorate, Public Health Wales, Floor 4, Number 2 Capital Quarter, Tyndall Street, Cardiff, South Glamorgan, Wales, CF10 4BQ, UKHealth Protection CDSC, Public Health Wales, Floor 4, Number 2 Capital Quarter, Tyndall Street, Cardiff, South Glamorgan, Wales, CF10 4BQ, UKHealth and Wellbeing Directorate, Public Health Wales, Floor 5, Number 2 Capital Quarter, Tyndall Street, Cardiff, South Glamorgan, Wales, CF10 4BQ, UKHealth and Wellbeing Directorate, Public Health Wales, Floor 5, Number 2 Capital Quarter, Tyndall Street, Cardiff, South Glamorgan, Wales, CF10 4BQ, UKPolicy, Research and International Development Directorate, Public Health Wales, Floor 5, Number 2 Capital Quarter, Tyndall Street, Cardiff, South Glamorgan, Wales, CF10 4BQ, UKKnowledge Directorate, Public Health Wales, Floor 5, Number 2 Capital Quarter, Tyndall Street, Cardiff, South Glamorgan, Wales, CF10 4BQ, UKObjective: Contact tracing is one of the key public health response actions to control the outbreak of a novel virus. This paper describes the preparation process, activation and operational experience for contact tracing of individuals in response to confirmed COVID-19 cases in Wales. Study design: A descriptive approach has been adopted and lessons learned from our initial public health response to COVID-19 will be used to develop a new operational model for contact tracing in Wales. Methods: As part of preparations for the response in Wales, Public Health Wales formed a Contact Tracing Cell (CTC) ready to be mobilised in the event of a confirmed case. Results: Trial activation of the CTC during the preparation period helped to resolve some issues before ‘real’ activation. A highly flexible approach was needed due to the constant changes to the guidance that required rapid understanding, updates to pathways and clear communication to contact tracers. Conclusions: Our experience and recommendations may benefit future efforts to control the spread of the virus in Wales and elsewhere, particularly in supporting COVID-19 outbreaks in enclosed settings such as care homes or in geographically localised areas. Learning from the initial public health response to COVID-19 will guide the delivery and implementation of a new contact tracing model as we move to a later stage of the pandemic when containment measures become feasible in localised outbreaks. This may include scaling-up the CTC to mobilise contact tracers to local teams and the potential use of digital technologies to support the next operational model of the CTC in Wales.http://www.sciencedirect.com/science/article/pii/S2666535220300343Covid-19Contact tracingContainmentPublic healthWales
spellingShingle Diana Bright
Graham Brown
Richard J. Roberts
Simon Cottrell
Ashley Gould
Amrita Jesurasa
Philip Daniels
Llion Davies
COVID-19 contact tracing: The Welsh experience
Public Health in Practice
Covid-19
Contact tracing
Containment
Public health
Wales
title COVID-19 contact tracing: The Welsh experience
title_full COVID-19 contact tracing: The Welsh experience
title_fullStr COVID-19 contact tracing: The Welsh experience
title_full_unstemmed COVID-19 contact tracing: The Welsh experience
title_short COVID-19 contact tracing: The Welsh experience
title_sort covid 19 contact tracing the welsh experience
topic Covid-19
Contact tracing
Containment
Public health
Wales
url http://www.sciencedirect.com/science/article/pii/S2666535220300343
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AT simoncottrell covid19contacttracingthewelshexperience
AT ashleygould covid19contacttracingthewelshexperience
AT amritajesurasa covid19contacttracingthewelshexperience
AT philipdaniels covid19contacttracingthewelshexperience
AT lliondavies covid19contacttracingthewelshexperience