1 00:00:00,592 --> 00:00:03,175 (upbeat music) 2 00:00:14,260 --> 00:00:15,960 - Contact tracing is the process 3 00:00:15,960 --> 00:00:18,820 of identifying people who may have come into contact 4 00:00:18,820 --> 00:00:23,000 with a COVID-19 infected person contacts in subsequent 5 00:00:23,000 --> 00:00:26,500 collection of further information about these contacts. 6 00:00:26,500 --> 00:00:29,510 The aim is to reduce infections by tracing the contacts 7 00:00:29,510 --> 00:00:32,400 of infected individuals testing them for infection 8 00:00:32,400 --> 00:00:35,030 if possible, treating the infected 9 00:00:35,030 --> 00:00:36,943 and tracing their contacts in turn. 10 00:00:38,030 --> 00:00:41,230 Training command will only conduct contact tracing 11 00:00:41,230 --> 00:00:44,830 for uniformed personnel and government civilians. 12 00:00:44,830 --> 00:00:46,290 The contact tracing process 13 00:00:46,290 --> 00:00:48,370 is a three step process initiated 14 00:00:48,370 --> 00:00:51,740 when an individual tests positive for COVID-19 15 00:00:51,740 --> 00:00:54,800 or is classified as a person under investigation known 16 00:00:54,800 --> 00:00:59,800 by the acronym PUI Persons Under Investigation. 17 00:01:00,540 --> 00:01:03,990 The CDC clinical criteria for COVID-19 persons 18 00:01:03,990 --> 00:01:06,200 under investigation have been developed 19 00:01:06,200 --> 00:01:08,500 based on available information. 20 00:01:08,500 --> 00:01:10,650 These criteria are subject to change 21 00:01:10,650 --> 00:01:13,223 as additional information becomes available. 22 00:01:14,200 --> 00:01:18,200 The clinical features of COVID-19 include fever, signs 23 00:01:18,200 --> 00:01:20,610 and symptoms of lower respiratory illness 24 00:01:20,610 --> 00:01:23,320 such as cough or shortness of breath. 25 00:01:23,320 --> 00:01:26,740 And epidemiological risk to include any person 26 00:01:26,740 --> 00:01:30,160 including healthcare workers who has had close contact 27 00:01:30,160 --> 00:01:33,210 with a laboratory confirmed COVID-19 patient 28 00:01:33,210 --> 00:01:36,550 within 14 days of symptom onset. 29 00:01:36,550 --> 00:01:37,900 Any person with a history 30 00:01:37,900 --> 00:01:40,240 of travel from affected geographic areas 31 00:01:40,240 --> 00:01:43,193 within 14 days of symptom onset. 32 00:01:44,190 --> 00:01:45,540 Any person with fever 33 00:01:45,540 --> 00:01:48,170 and severe acute lower respiratory illness 34 00:01:48,170 --> 00:01:51,410 such as pneumonia requiring hospitalization 35 00:01:51,410 --> 00:01:54,760 and without alternative explanatory diagnosis 36 00:01:54,760 --> 00:01:56,193 such as influenza. 37 00:01:57,320 --> 00:02:01,580 Step one of contact tracing is to identify contacts. 38 00:02:01,580 --> 00:02:04,210 Once someone is confirmed as infected with a virus 39 00:02:04,210 --> 00:02:07,810 or is classified as a PUI, contacts are identified 40 00:02:07,810 --> 00:02:10,940 by asking about the person's activities and the activities 41 00:02:10,940 --> 00:02:14,080 and roles of the people around them starting from 48 hours 42 00:02:14,080 --> 00:02:16,610 before illness onset until the time 43 00:02:16,610 --> 00:02:18,523 the individual is isolated. 44 00:02:19,460 --> 00:02:21,950 Contacts can be anyone who has been in contact 45 00:02:21,950 --> 00:02:25,290 with an infected person with particular focus on anyone 46 00:02:25,290 --> 00:02:28,840 they have had close contact with less than six feet 47 00:02:28,840 --> 00:02:32,603 for a sustained period of time greater than 30 minutes. 48 00:02:33,700 --> 00:02:36,630 The infected individual or person under investigation 49 00:02:36,630 --> 00:02:39,040 will be asked a series of nine questions using 50 00:02:39,040 --> 00:02:42,240 the contact tracing analysis questionnaire to determine 51 00:02:42,240 --> 00:02:45,620 the individuals they have come into contact with. 52 00:02:45,620 --> 00:02:47,340 These nine questions will be answered 53 00:02:47,340 --> 00:02:49,323 for each of the days being traced. 54 00:02:50,210 --> 00:02:52,650 The infected individual will answer the questions 55 00:02:52,650 --> 00:02:55,370 on their own and will then review their answers 56 00:02:55,370 --> 00:02:57,770 with a designated member of the command 57 00:02:57,770 --> 00:03:01,133 to ensure all details are complete and accurate. 58 00:03:02,230 --> 00:03:05,012 Prior to administering the questions the PUI 59 00:03:05,012 --> 00:03:07,610 and or infected person will be asked 60 00:03:07,610 --> 00:03:10,090 to provide a privacy act waiver. 61 00:03:10,090 --> 00:03:13,640 If the PUI and or infected agrees to waive his 62 00:03:13,640 --> 00:03:16,900 or her privacy, the command can share with those 63 00:03:16,900 --> 00:03:18,700 on the contact list the identity 64 00:03:18,700 --> 00:03:21,560 of the PUI during notification. 65 00:03:21,560 --> 00:03:24,960 The PUIs will not be coerced nor compelled 66 00:03:24,960 --> 00:03:26,963 to waive their rights to privacy. 67 00:03:28,360 --> 00:03:31,640 If the PUI and or infected does not agree 68 00:03:31,640 --> 00:03:33,560 then the command cannot divulge 69 00:03:33,560 --> 00:03:37,497 any personally identifiable information PII 70 00:03:37,497 --> 00:03:41,290 and or protected health information PHI 71 00:03:41,290 --> 00:03:44,110 included COVID-19 positive status 72 00:03:44,110 --> 00:03:46,980 to anyone on the contact list. 73 00:03:46,980 --> 00:03:49,810 Additionally, the following statement will be read 74 00:03:49,810 --> 00:03:52,540 to the infected individual and or PUI. 75 00:03:54,380 --> 00:03:56,630 You will be asked a series of questions related 76 00:03:56,630 --> 00:03:59,360 to your activities over the past few days. 77 00:03:59,360 --> 00:04:01,190 You are being asked to answer these questions 78 00:04:01,190 --> 00:04:04,410 because you have either tested positive for COVID-19 79 00:04:04,410 --> 00:04:06,320 or have been identified as a person 80 00:04:06,320 --> 00:04:09,270 under investigation previously described. 81 00:04:09,270 --> 00:04:12,210 At this time you are not suspected of having committed 82 00:04:12,210 --> 00:04:15,960 a crime or any violation under the UCMJ. 83 00:04:15,960 --> 00:04:17,790 When answering the questions, if you feel 84 00:04:17,790 --> 00:04:20,330 that you may potentially incriminate yourself, 85 00:04:20,330 --> 00:04:22,400 you may choose not to answer. 86 00:04:22,400 --> 00:04:25,100 Your responses will not be compelled. 87 00:04:25,100 --> 00:04:27,390 Please answer the following questions to the best 88 00:04:27,390 --> 00:04:29,360 of your recollection in order for us to get 89 00:04:29,360 --> 00:04:32,780 a more accurate assessment of the situation at hand. 90 00:04:32,780 --> 00:04:35,360 If you cannot recall the information requested, 91 00:04:35,360 --> 00:04:37,373 simply leave the question blank. 92 00:04:38,270 --> 00:04:41,380 Line one, identify and or describe 93 00:04:41,380 --> 00:04:43,230 your activities on this day. 94 00:04:43,230 --> 00:04:45,853 Who, what, when, where. 95 00:04:46,690 --> 00:04:49,840 Line two, were you symptomatic on this day? 96 00:04:49,840 --> 00:04:51,270 Yes or no? 97 00:04:51,270 --> 00:04:55,463 If yes, identify and or describe symptoms noted. 98 00:04:56,640 --> 00:05:00,970 Line three, what protective and or preventive measures 99 00:05:00,970 --> 00:05:03,550 did you take on this day to minimize exposure 100 00:05:03,550 --> 00:05:06,513 to, or spread of COVID-19? 101 00:05:07,470 --> 00:05:11,060 Line four, identify and or describe exposure 102 00:05:11,060 --> 00:05:13,050 to other students within your class 103 00:05:13,050 --> 00:05:16,710 and or close contact cohort on this day. 104 00:05:16,710 --> 00:05:20,130 Line five, identify and or describe exposure 105 00:05:20,130 --> 00:05:22,070 to other students outside your class 106 00:05:22,070 --> 00:05:25,270 and or close contact cohort on this day. 107 00:05:25,270 --> 00:05:29,020 Line six, identify and or describe exposure 108 00:05:29,020 --> 00:05:33,580 to instructors and or support personnel on this day. 109 00:05:33,580 --> 00:05:36,730 Line seven, identify and or describe exposure 110 00:05:36,730 --> 00:05:41,130 to anyone not already identified, family members, friends, 111 00:05:41,130 --> 00:05:44,303 other service members et cetera on this day. 112 00:05:45,410 --> 00:05:48,980 Line eight, did you use the chow hall on this day? 113 00:05:48,980 --> 00:05:50,730 Yes or no? 114 00:05:50,730 --> 00:05:54,800 If the answer is yes, specify which meals, breakfast, 115 00:05:54,800 --> 00:05:59,800 lunch, dinner and identify any individuals dining with you. 116 00:05:59,980 --> 00:06:04,350 Line nine, identify and or describe locations on base 117 00:06:04,350 --> 00:06:06,090 that you may have shared the virus 118 00:06:06,090 --> 00:06:09,110 due to close contact with people or objects. 119 00:06:09,110 --> 00:06:13,980 For example, base gym, commissary, barracks. 120 00:06:13,980 --> 00:06:17,470 All lines must be completed for each day in the trace. 121 00:06:17,470 --> 00:06:21,130 Some lines may be unknown or not applicable. 122 00:06:21,130 --> 00:06:24,660 Minimum trace equals 48 hours before illness onset 123 00:06:24,660 --> 00:06:27,203 until the time the individual is isolated. 124 00:06:29,020 --> 00:06:34,020 Step two of contact tracing is notifying contacts. 125 00:06:34,030 --> 00:06:35,640 A contact list is developed 126 00:06:35,640 --> 00:06:38,520 based on the information obtained in step one. 127 00:06:38,520 --> 00:06:40,640 Service members and government employees 128 00:06:40,640 --> 00:06:43,680 such as contractors and civilians will be notified 129 00:06:43,680 --> 00:06:47,450 by the command immediately of their contact status. 130 00:06:47,450 --> 00:06:50,240 Due to the privacy act of 1974 131 00:06:50,240 --> 00:06:53,160 the PUI should notify civilian family members 132 00:06:53,160 --> 00:06:55,513 and friends on the contact list. 133 00:06:56,540 --> 00:06:58,290 The final step is to determine 134 00:06:58,290 --> 00:07:01,320 the appropriate treatment for contacts. 135 00:07:01,320 --> 00:07:03,160 Training command uniformed contacts 136 00:07:03,160 --> 00:07:04,530 will be treated in accordance 137 00:07:04,530 --> 00:07:08,440 with the COVID-19 exposure risk management protocol. 138 00:07:08,440 --> 00:07:11,350 Government civilians will be directed to quarantine at home 139 00:07:11,350 --> 00:07:15,070 for 14 days and notify appropriate medical providers 140 00:07:15,070 --> 00:07:18,130 in the command if symptoms arise. 141 00:07:18,130 --> 00:07:20,600 Family members and other contacts should be advised 142 00:07:20,600 --> 00:07:22,440 to quarantine for 14 days 143 00:07:22,440 --> 00:07:25,980 and seek medical care if symptoms arise. 144 00:07:25,980 --> 00:07:28,040 The process repeats itself for contacts 145 00:07:28,040 --> 00:07:30,650 who are subsequently isolated in test positive 146 00:07:30,650 --> 00:07:33,363 for COVID-19 or become PUIs. 147 00:07:34,320 --> 00:07:37,310 In summary, the contact tracing process is integral 148 00:07:37,310 --> 00:07:38,480 to minimizing the spread 149 00:07:38,480 --> 00:07:41,350 of COVID-19 virus and aids commanders 150 00:07:41,350 --> 00:07:44,700 in taking appropriate preventive measures to identify 151 00:07:44,700 --> 00:07:48,140 and treat potentially infected individuals. 152 00:07:48,140 --> 00:07:50,960 Training command formal learning centers will utilize 153 00:07:50,960 --> 00:07:54,790 the contact tracing process for all uniformed personnel 154 00:07:54,790 --> 00:07:57,410 and government civilians who have tested positive 155 00:07:57,410 --> 00:08:00,050 for COVID-19 or have been classified 156 00:08:00,050 --> 00:08:02,810 as persons under investigation. 157 00:08:02,810 --> 00:08:05,500 Contact tracing is a three step process 158 00:08:05,500 --> 00:08:09,843 which includes identifying contacts, notifying contacts 159 00:08:09,843 --> 00:08:13,897 and determining appropriate treatment for contacts 160 00:08:13,897 --> 00:08:16,480 (upbeat music)