EBOLA CONTACT TRACING FOR LOCAL Operation: Ready, Set,

EBOLA CONTACT TRACING FOR LOCAL Operation: Ready, Set,

EBOLA CONTACT TRACING FOR LOCAL Operation: Ready, Set, HEALTH DEPARTMENTS An Overview of North Carolinas Go Procedure for Ebola Contact Tracing : Guidance, Tools, and Exercises for Public Health 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 Guidance E Engage your Epi Team A Assess your Capacity D 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 Kits Thermometers Safety Prepare, Practice and Know the Procedures Know the Tools

Talk, Reassure, Travel in Pairs Do not touch Practice Support Documents Table of Contents EZ Document ID -A B1 B2 B3

C D1 D2 D2-F D2-S D3 D3-F D3-S D4 D4-F D4-S E Ebola Document Name N.C. Contact Tracing Webinar Presentations N.C. Contact Tracing Procedure N.C. Contact Listing Questionnaire- Part 1

N.C. Contact Listing Questionnaire- Part 2 N.C. Contact Listing Spreadsheet N.C. Contact Investigation Questionnaire N.C. Monitoring Instructions for the LHD N.C. Monitoring Instructions for the Contact N.C. Monitoring Instructions for the Contact (French) N.C. Monitoring Instructions for the Contact (Spanish) N.C. Guidance for the Contact Who Becomes Ill N.C. Guidance for the Contact Who Becomes Ill (French) N.C. Guidance for the Contact Who Becomes Ill (Spanish) N.C. Ebola Symptom Monitoring Log N.C. Ebola Symptom Monitoring Log (French) N.C. Ebola Symptom Monitoring Log (Spanish)

N.C. Case Investigation Form A few things to keep in mind: FactsaboutEbola Ebola virus is not spread through Casual contact Air Water Foodgrownorlegallypurchasedin theU.S. HowdoyougettheEbolavirus? Ebola Contact Tracing: Procedures

Ebola Contact Tracing: Phases 1. Identification and interviewing a. Identify contacts by interviewing patient or other informants b. Interview all identified contacts to evaluate need for PH follow-up 2. Active

monitoring 3. Discharge Monitor contacts with high- or lowrisk exposures for 21 days following last exposure Release on 22nd day following last exposure 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 1. Identification and interviewing a. Identify contacts by interviewing patient or other informants b. Interview all identified contacts to evaluate need for

PH follow-up Identification and Interviewing Tools 1. Identification and interviewing a. Identify contacts by interviewing patient or other informants b. Interview all identified contacts to evaluate need for PH follow-up

Identification and Interviewing Tools 1. Identification and interviewing a. Identify contacts by interviewing patient or other informants b. Interview all identified contacts to evaluate need for PH follow-up Identification and Interviewing Tools

1. Identification and interviewing a. Identify contacts by interviewing patient or other informants b. Interview all identified contacts to evaluate need for PH follow-up Monitoring Tools 2. Active monitoring Monitor contacts

with high- or lowrisk exposures for 21 days following last exposure Monitoring Tools 2. Active monitoring Monitor contacts with high- or lowrisk exposures for 21 days following last exposure Monitoring Tools 2. Active monitoring Monitor contacts with high- or lowrisk exposures for

21 days following last exposure Monitoring Tools 2. Active monitoring Monitor contacts with high- or lowrisk exposures for 21 days following last exposure Discharge 3. Discharge Release on 22nd day following last exposure

Ebola Contact Tracing: Phases 1. Identification and interviewing a. Identify contacts by interviewing patient or other informants b. Interview all identified contacts to evaluate need for PH follow-up 2. Active

monitoring 3. Discharge Monitor contacts with high- or lowrisk exposures for 21 days following last exposure Release on 22nd day following last exposure Data Management Identification of persons in Ebola Contact Tracing

1. Every case and potential contact receives a unique ID 2. For each case a person may have been exposed to, a contact ID Number is created: Contact ID Number 1 NNNN-XXX EID EXXX 3. If any contact becomes a case they

also receive an NC EDSS Event Number: Contact ID Number n NNNN-XXX 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. Example of ID numbers Contact tracing for our first case Name EID

John Snow E001 Edward Jenner E002 Louis Pasteur E003 NC EDSS Event Number 100905678

10090456 7 Contact ID Number 5678-001 5678-002 Contact tracing for our second case Name EID Contact ID Number

E004 NC EDSS Event Number --- Florence Nightingale Louis Pasteur E003 --- 4567-002

4567-001 ID numbers continued Documents Table of Contents EZ Document ID -A B1 B2 B3 C D1 D2 D2-F D2-S D3

D3-F D3-S D4 D4-F D4-S E Ebola Document Name N.C. Contact Tracing Webinar Presentations N.C. Contact Tracing Procedure N.C. Contact Listing Questionnaire- Part 1 N.C. Contact Listing Questionnaire- Part 2 N.C. Contact Listing Spreadsheet N.C. Contact Investigation Questionnaire N.C. Monitoring Instructions for the LHD N.C. Monitoring Instructions for the Contact

N.C. Monitoring Instructions for the Contact (French) N.C. Monitoring Instructions for the Contact (Spanish) N.C. Guidance for the Contact Who Becomes Ill N.C. Guidance for the Contact Who Becomes Ill (French) N.C. Guidance for the Contact Who Becomes Ill (Spanish) N.C. Ebola Symptom Monitoring Log N.C. Ebola Symptom Monitoring Log (French) N.C. Ebola Symptom Monitoring Log (Spanish) N.C. Case Investigation Form 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_disease s.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 Health Communicable Disease Branch

Bhavini Patel Murthy, MD, MPH Preventive Medicine Resident University of North Carolina at Chapel Hill Neil Chandra Murthy, MD, MPH Emergency Medicine Resident Duke University Medical

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