Saturday, April 25, 2020

Pandemic Contact Tracing


Full circle
        ^ Years ago and by years I mean decades. We’re tripping back to the late 50s and early 60s. One of the couple that the folks played cards with was a nurse. Her job was to track down cases of sexually transmitted diseases.
        ^ I wasn’t old enough to be a part of this conversation. I was however old enough to find a place to listen in on the conversations of adults without being detected. Many small children possess this ability so parents be wary. (I had discovered a medical reference textbook that parents had and read way above my age group so I was technically knowledgeable way beyond my years.)
        ^ Anyway, the nurse was relating the culmination of a contact tracing that had taken months. (No she didn’t use names even then.) It started with one guy that she interviewed that had contracted syphilis. She got the names of who he had sexual contact with and then visited them. Then she found out who they had contact with and visited them. And so on and so on. She ended up talking with 180 people that had contracted the disease starting from just the one guy. The sad news. She ended back up with him. That’s right. The same guy that started it all ended up catching it again. One. Guy. One. Hundred. Eighty. People.

HIV/AIDS
        ^ Acquired Immunodeficiency Syndrome (AIDS). When AIDS came along it was widely regarded as a disease that affected gay people. Queers were deemed to be the primary target of the HIV virus. There were Evangelicals then that considered AIDS to be retribution from God. Then somebody thought to test prostitutes in Dade County in Florida and discovered that half of them had AIDS. Then people got interested.
        ^ One of the most effective PSAs that I heard then was that when a person had sex with someone they just had sex with every person that person had sex with. In other words if the person you were with had had sex with a person that had AIDS then it was possible that you could contract the disease without knowing it. Kind of sobering. AIDS is still out there. No cure has been discovered and there’s no vaccine. So there is still risk.
        ^ When I was in the service and stationed in Korea soldiers contracting venereal disease was a huge problem. At one time almost all the guys in my section were confined to base until they were cured of their venereal disease. I knew two married guys that went home with venereal disease. Yep, took it home to their wives. (BTW that wasn’t supposed to happen but it did.) My guess knowing these guys is that they would blame it on their wives. But that’s another story.

Confined.
        ^ Guys with sexually transmitted diseases were confined to base to limit their contact and spreading of the disease. Business girls that had it were banned from the enlisted club until they tested negative. Thursday was the day that “entertainers” for the EM club would get tested to be allowed to visit the EM club.
        ^ Since we were in the Army there was no expressed concerns for our Constitutional rights being violated. Uncle Sam owned us.
        ^ Quarantines are not new. They are used as a matter of public safety. The scope of this pandemic is certainly larger and more complex compounded by the incredible lack of leadership at the Federal level.

No one checked.
        ^ Contact tracing during a pandemic is a whole other ball game. Those tracking people down don’t have months to do their job. It has to be done fast and efficiently. People have to know what they’re doing and have a unique set of skills when it comes to getting the necessary information from people. They have to have their boots on the ground at the very beginning.
        ^ SARS-CoV-2 was spreading undetected and unchecked for weeks. People were spreading the disease without even knowing that they had it. There was no contact testing being coordinated nationwide. According to the President it was under control and would blow over. The disease had spread all over the globe. The warning signs were ignored. Good grief, it showed up at Mar a Lago and that wasn’t enough! I’m surprised that there isn’t a conspiracy theory tying Hillary Clinton’s emails to it.
        ^ Tests weren’t available in the beginning because it SARS-CoV-2 was new. SARS-CoV-2 is the scientific name for the virus now. The tests developed since then that are needed to detect have still not been distributed as was promised by the President early on. Widespread testing is needed for contact tracing to have success.
        ^ In the story that I shared in the beginning the guy that contracted the venereal disease was tested and came back positive for syphilis. In this pandemic people were tested and died before the results came back. At times it was days before the results were known.

“Will Circle be Unbroken?”
        ^ If the country can get to the place where adequate testing can be conducted to tell who has it and who had it without knowing then the country can begin to get a handle on it and better prepare for a second wave IF one comes. That is a big unknown. The virus can also mutate and become more lethal to a broader spectrum than oldsters and black people.
        ^ The one guy mentioned above spread disease to 180 people. One. Guy. This whole limiting crowd size to groups of 10 or less is arbitrary. Especially with an airborne virus. 10 is not some magic number that automatically confers safety upon those in the group. It still only takes one infected person to infect others. Staying 6 feet away from people is helpful but it is an airborne virus. Upwind? Downwind? Does it hang around in calm air just waiting for some unsuspecting person to walk into it? Keeping away from people as much as possible is what works.
        ^ Everybody wearing a mask would be incredibly helpful. Not likely though. Trump supporters and Republican Jesters on the whole think this is a hoax. Their primary concern is playing to their base and getting reelected.
        ^ The meme circulating that adds percentages to mask wearers versus non-mask wearers are not substantiated. However wearing masks is substantiated as reducing exposure. Obviously it can still happen. But we have the people claiming that they have a constitutional right not to do anything safe just because they don’t want to do it in their world view. Their right to not self-quarantine is more important than not killing you. It’s no different than those guys and gals that think that it’s funny to cough on people during a pandemic. They believe in the rule of law except for the ones that they don’t want to follow.

And then good people will die trying to take care of their sorry asses.