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Florida contact tracing: As a surge in 19 Covid cases, Florida health authorities often fail to trace contacts

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Florida contact tracing: As a surge in 19 Covid cases, Florida health authorities often fail to trace contacts

The Rivera family awaits the call. And waiting. And waiting. But the call never came.

“I was surprised,” said Rivera, a nurse who has since recovered from a virus attack.

Despite claims that Florida is tracking every Covid-19 case, CNN investigations have found that health authorities in Florida, now the country’s number one hotspot for the virus, often fail to trace contacts, long considered to be the main tool in epidemic control.

Florida set a record for most cases of corona virus in the US in one day on Saturday, totaling 11,458, according to data collected by Johns Hopkins University, and on Sunday, the state surpassed 200,000 Covid-19 cases.

The challenge of Florida contact tracing is an indication of how difficult it is for countries hit by Covid-19 to conduct correct contact tracing, which is a challenge even in the best of circumstances. This virus has spread in countries like Florida so it is a very big task to track every infected person and follow up with all their close contacts.

CNN spoke with 27 Florida people, or their family members, who tested positive using Covid-19. Of those, only five said they had received a call from the health authority asking for their contact.

There are concerns about contact tracing nationally, not just in Florida. In an interview in June, CNN asked Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, how he thinks contact tracing takes place in the United States.

“I don’t think we did well,” he replied.

What is contact tracking?

Contact tracing is a centuries-old practice, and the basics have not changed much: Basically, health care workers ask for a list of infected people who have been contacted while potentially communicable. The worker then tells the contacts to quarantine themselves and monitor the symptoms.

Contact tracing 101: How it works, who can be hired, and why it's so important in fighting coronavirus now
That CDC providing detailed contact tracking guidelines to the state health department, explaining that “monitoring of COVID-19 contacts can effectively break the chain of disease transmission and prevent further spread of the virus in a community.”
White House guidelines described contact tracing as one of the responsibilities of the core states of preparedness.
A online infographic the Florida Department of Health described contact tracing as “a core public health function,” and stated that local epidemiologists would ask people with the virus to list all the people they had contacted for the past two weeks, and the county health department would monitor those contacts.

A spokesman for the Florida Department of Health in Miami-Dade County sent CNN a statement about tracing contacts in his country.

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“When the Ministry of Health receives notification that someone has tested positive for COVID-19, the department carries out extensive epidemiological investigations in relation to [Centers for Disease Control and Prevention] to identify people who might have close contact with the virus. These people were then told by their regional health department and instructed to isolate themselves for 14 days after exposure to the virus, and to immediately contact their local health department and health care provider if they experience symptoms. “This process is followed for all those who test positive in Florida,” Olga Connor wrote in an email.

The number of contact tracers in Florida is unclear

That National Association of District and City Health Officers estimates that during a pandemic, people need 30 contact tracers for every 100,000 people. Florida, with a population of 21.5 million people, will need 6,443 contact tracers.
Florida doesn’t have nearly that much, and it’s not alone. According to the July 3 report by Nephron Research, only seven states have enough contact tracker to meet NACCHO standards.

It is unclear how many contact trackers are employed by the state of Florida, because a spokesman for the Department of Health gave CNN two different numbers.

“More than 1,600 people, including students, epidemiologists, and other staff from across the Department, are currently involved in tracing every positive COVID-19 case in Florida,” Candy Sims, a spokesman for the Florida Department of Health in Broward County wrote to CNN.

Florida topped 200,000 cases of coronavirus when the state marked a different July 4th

The department has involved private companies to hire 400 additional contact trackers, Sims added.

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But Alberto Moscoso, a spokesman for the health department, citing a larger number, wrote to CNN that Florida has 2,300 “individuals involved in contact tracing.”

Sims and Moscoso did not respond to CNN’s questions about the differences in their numbers.

In a online infographic, Florida Department of Health asks infected people to call their own contacts.

“Immediately notify people who have been in close contact with you when you are sick,” according to the picture, noting that the contact must be quarantined for 14 days.

That CDCHowever, giving different advice. The agency recommended that the local health department request a list of people they had close contact with an infected person starting two days before experiencing symptoms.

The Florida infographic does not explain what to do if someone is tested positive for Covid-19 but never shows symptoms. According to the CDC, in that case, people must be notified if they have close contact with an infected person two days before that person has a Covid test.

5 out of 27 Florida residents received contact tracing

Of 27 Florida residents who tested positive using Covid-19, five told CNN that they had received a call from a health worker asking for their contact.

Among the 27 cases, the earliest diagnosis was in February, and the most recent was last week.

Riveras signed Covid in early March, when contact tracers were under far less pressure than they are now. Shaila Rivera said an official from the Miami-Dade District Health Department called and asked questions about their illness but did not ask about their contacts.

Contact tracing can be a routine part of office life. This is how it works

“We were surprised,” said Rivera, a child nurse practitioner. “The whole conversation took less than a minute. There was no question as to who you were in contact with? Did you go to work? There was nothing like that.”

Eleven others out of 27 said they, like Riveras, received a call from a Florida health official but were not asked for their contact.

David Pugh, who lives in Broward County, said he received such calls.

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“I do not know that we can rely on the state to do a thorough job. I think there are clearly deficiencies in the system,” he said.

Doubts about the usefulness of contact tracing

Contact tracing has been carried out since the first case in the United States more than five months ago, and there are several reasons why it failed to withstand an outbreak.

First, CDC estimates that 35% of Covid’s cases are asymptomatic, and these people are as contagious as those who have symptoms.

“How do you track contacts when someone has no symptoms?” Fauci said in his interview with CNN. “The identification, alienation, standard and standard contact search paradigms don’t work, however good you are because you don’t know who you are tracking.”

Also, he said some people were hesitant to talk with government officials.

“The points are not connected because a lot is done by telephone,” Fauci said. “Fifty percent of people because you come from authority, don’t even want to talk to you.”

On top of all these problems, some experts doubt the usefulness of contact tracing in areas such as Florida where cases are very large.

Epidemiologist Michael Osterholm urged Florida leaders to focus on other strategies, such as finding out where the virus is spreading.

“For example, if young adults in a bar are a problem, you have to close the bar,” said Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota, who recently issued report on contact tracking.

With thousands of new cases a day in Florida, Osterholm doubts that contact tracing will have much effect.

“If Florida can get back under 50 to 100 cases a day, contact tracing can help. But at the moment, it is unlikely to have a measurable impact,” he said. “It’s like trying to put out a forest fire with a fire truck. That won’t make a dent.”

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Portugal beat Switzerland with Gonçalo Ramos hat-trick to play Morocco in World Cup quarter-finals – Observer

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Portugal beat Switzerland with Gonçalo Ramos hat-trick to play Morocco in World Cup quarter-finals - Observer

Absence of Ronaldo, favorite song and game with Morocco. Gonzalo Ramos sums up a (beautiful) night he never dreamed of

Goncalo Ramos’ debut as a starter at the World Cup saw him score three goals and have a great night. Although there was talk before the game about the absence of CR7 in the starting lineup, the Benfica player said that it was different in the dressing room: “Honestly, in our dressing room, no one talked about it. Cristiano as our captain did what he does in every game. He helped us, motivated us and gave me a word of encouragement both for himself and for everyone else.”

After explaining at a press conference that he only had time to call his parents and best friends, Gonçalo Ramos turned to the next game, in which Portugal would “come out with everything”. “The game against Morocco will start 0-0. Today’s score doesn’t matter anymore.”

When asked about today’s performance, the Benfica player said that even in his wildest dreams he never thought of making his debut in the starting lineup in the World Cup playoffs with a hat-trick. “In relation to exemplary players, Ronaldo is an idol for many. I also like Lewandowski and Ibrahimovic.”

In a more relaxed moment, journalists asked Ramos what his favorite song is and what song he would like to hear when he scores goals. “This song contains profanity. Maybe it’s better not to mention it. Another? The music when we score is good. This can continue.”

After the press conference, Gonzalo Ramos went to receive the Man of the Match trophy. Upon receiving the award, he was asked which of his teammates he would give it to if he could choose: “I would give it to the whole team, because without the whole team it’s impossible to win games.”

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Turismo Centro de Portugal promotes discussion on the importance of the Portuguese route to Santiago for the region : Gazeta Rural

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Turismo Centro de Portugal promotes discussion on the importance of the Portuguese route to Santiago for the region : Gazeta Rural

BUT Tourism in Central Portugal organizes on December 19 and 20 two conferences on the importance of Caminhos de Santiago tourism product in Central Portugal.

The colloquium will take place in melkhada you Covilhã and offer a reflection on Structuring, Knowing, Experience and Dynamizing different layouts portuguese way santiago, with a focus on the importance of this tourism product for the local economy.

The first action, on the 19th, will take place at the Cineeatro Messias, in Mealhada, a municipality that is on the Caminho Português Central route. The next day, the stage will be the Hall of the Municipal Assembly of Covilhã, the city where the Caminho Português Nascente takes place.

Registration is free and mandatory via the following links:
Colloquium in Mealhada, December 19 – https://bit.ly/caminhosMealhada
Colloquium in Covilhã, 20/12 – https://bit.ly/caminhosCovilha

Work will take place in the morning, from 10:00 to 13:00. In the afternoon (15:00 – 16:30) there will be a practical part with a short walk along the section of the Portuguese route to Santiago, so it is advisable that the participants be prepared for this purpose.

The initiative is aimed at the community, as well as local and regional public and private organizations. It will bring together speakers and participants from the fields of culture, spirituality, tourism and heritage, who will conduct a dialogue on these topics and their prospects for future development in the central region of Portugal.

The colloquium is held as part of a cross-border project “Kaminos – the Jacobin trails of the western peninsula” (POCTEP Interreg) and enjoy the support of the municipalities of Mealhada and Covilhã.

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The Portuguese way is becoming more and more popular

The Camino de Santiago is of great interest to visitors and the number of pilgrims arriving in Santiago de Compostela is increasing. According to the Pilgrims’ Office, the increase in the number of pilgrims along the Portuguese Way has been notorious, which has affected the local economy, namely the accommodation and catering sectors. Turismo Centro de Portugal aims to improve this cultural and religious route.

The cross-border project Caminos – Rede Transborderiça de Caminhos Jacobeus do Oeste Peninsular includes 10 Spanish partners and 3 Portuguese partners and has as its main mission the dissemination of the various routes of the Camino de Santiago, as well as the promotion of its natural and cultural values ​​and its potential tourist.

It also seeks to ensure closer contact between territorial agents in order to create synergies with all social and economic agents associated with the Way, improve equipment, signaling and ICT application on the routes in order to provide them with the necessary infrastructure, thereby increasing the cross-border cultural offer.

It also intends to create conditions for increasing the number of travelers and pilgrims on the various Jacobin routes in the west of the peninsula, promoting the economic development of both territories through tourism-related resources, increasing the competitiveness of the area, increasing employment in the tourism sector and improving the quality of cross-border tourism products and services. .

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The Portuguese still hasn’t scored in the playoffs of the World Cup

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The Portuguese still hasn't scored in the playoffs of the World Cup

It was not enough to fight for the title in Portugal., Cristiano Ronaldo often subjected to pressure Lionel Messi at the 2022 World Cup. Guaranteed in the quarterfinals, the Argentine star is finally scored his first knockout goal at the World Cup, in a victory over Australia, in the 1/8 finals. The Portuguese remains empty in the decisive stages of the competition.

Also participating in his fifth and probably the last Cup in his winning career.In total, Ronaldo has scored eight goals in World Cups. All were noted at the group stages (one in Germany-2006, one in South Africa-2010, one in Brazil-2014, four in Russia-2018 and so far one in Qatar-2022).

At the age of 37, CR7 scored in an edition on Qatari soil only in his debut. He scored a penalty goal that paved the way for a long-suffering 3-2 victory over Ghana. Then, in matches against Uruguay and South Korea, he collected missed opportunities, got offside several times and, above all, became the object of even more contestation. from the critics.

Even against the Uruguayans, the No. 7 Portuguese finished the match believing he had scored the first goal in a 2-0 win. and backstage – who touched the ball with his head (or hair) on a cross by Bruno Fernandez, who at the time, and also after a FIFA reassessment, was confirmed as the author.

Is free ball marketbecause the contract was terminated by mutual agreement Manchester United, Ronaldo has only five finishes in the 2022 Cup so far: two correct and three incorrect. Today with nine goals at the world championships, Lionel Messimeanwhile, has 12 shots (eight correct and four incorrect) – only in the group stage.

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Even after several controversies in England, the veteran striker could not avoid controversy in the national team. The latter came in the defeat against South Korea, in the last round of group H. He could have been spared, like a large part of the team, but he was kept in the starting lineup, mainly because he wants, among other goals, score nine goals in World Cups and equal his historical compatriot Eusebio And now too Messi.

Despite such determination, CR7 proved to be the team’s worst player in a 2-0 loss. To make matters worse, when he was substituted 20 minutes into the second half, he left complaining about the bench: He said these words: “you s… hurry to get me out”🇧🇷 The flash did not find a response in the technical commission, to the point that coach Fernando Santos publicly says he “didn’t like anything” from what he saw.

Between criticism and controversial cases, Cristiano Ronaldo is unlikely to be taken out of the starting XI, especially in the decisive phase. Despite the problems, he remains a big attacking hope for Portugal, who will face Switzerland this Tuesday (6th) at the Lusail Stadium in the round of 16.

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