Operation: Ready, Set, Go

1. EBOLA CONTACT TRACING FOR LOCAL HEALTH DEPARTMENTS An Overview of North Carolina’s Procedure for Ebola Contact Tracing : Guidance, Tools, and Exercises for Public Health Operation: Ready, Set, Go Presented by the N.C. Communicable Disease Branch October 2014

2. 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

3. Contact tracers are the people who will stop the outbreak of Ebola:

4. 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

5. 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

6. Safety • Prepare, Practice and Practice • Know the Procedures • Know the Tools • Talk, Reassure, Support • Travel in Pairs • Do not touch

7. Documents Table of Contents

8. A few things to keep in mind:

9. Ebola Contact Tracing: Procedures

10. Ebola Contact Tracing: Phases 3. Discharge 1. Identification and interviewing 2. Active monitoring a. Identify contacts by interviewing patient or other informants Monitor contacts with high- or low-risk exposures for 21 days following last exposure Release on 22nd day following last exposure b. Interview all identified contacts to evaluate need for PH follow-up

11. 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.

12. 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

13. 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

14. 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

15. 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

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

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

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

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

20. Discharge 3. Discharge Release on 22nd day following last exposure

21. Ebola Contact Tracing: Phases 3. Discharge 1. Identification and interviewing 2. Active monitoring a. Identify contacts by interviewing patient or other informants Monitor contacts with high- or low-risk exposures for 21 days following last exposure Release on 22nd day following last exposure b. Interview all identified contacts to evaluate need for PH follow-up

22. Data Management

23. Identification of persons in Ebola Contact Tracing EID EXXX 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: 3. If any contact becomes a case they also receive an NC EDSS Event Number: Contact ID Number n NNNN-XXX Contact ID Number 1 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.

24. Example of ID numbers Contact tracing for our first case 100904567 Contact tracing for our second case

25. ID numbers continued

26. Documents Table of Contents

27. 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_diseases.html

28. Tabletop Exercises • And More… • Survey Monkey Evaluation • Onsite Instruction for Tracers

29. Questions, Comments, Concerns

30. 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 Center