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@DukeMargolis director Dr. Mark McClellan along with @ScottGottliebMD @cmyeaton @LaurenRSilvis and @Farzad_MD lay out what is needed for a national #COVID19 surveillance system along the #RoadmaptoReopen
https://healthpolicy.duke.edu/sites/default/files/atoms/files/covid-19_surveillance_roadmap_final.pdf
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https://healthpolicy.duke.edu/sites/default/files/atoms/files/covid-19_surveillance_roadmap_final.pdf
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2/10 #TestandTrace needs to have widespread testing and data sharing capacity to focus efforts on specific, individually tailored interventions
Data security is a must
#RoadmaptoReopen
Data security is a must
#RoadmaptoReopen
3/10 Surveillance system needs to track symptomatic reports to indicate where marginal testing resources need to be directed
Timely, accurate and actionable data reporting is needed at all levels of government (city, county, state, national)
#RoadmaptoReopen
Timely, accurate and actionable data reporting is needed at all levels of government (city, county, state, national)
#RoadmaptoReopen
4/10 #Serologic Testing critical to reliably identify individuals who are currently immune to #COVID19
Allows for risk stratification of regions and can be used as benchmarks for allowable activities
Allows for risk stratification of regions and can be used as benchmarks for allowable activities
5/10 Rapid response to appropriately isolate newly infected individuals, contact trace all people that they interact with and quarantine those contacts so that the virus can not explode undetected through communities again
#roadmaptoreopen
#roadmaptoreopen
6/10 federal funding distributed to states is needed to build this capacity. Providers should receive technical and financial support from @CMSGov with payment tied to high quality, timely and accurate reporting of results.
#RoadmapToReopen
#RoadmapToReopen
7/10 Wide-scale testing along the lines of 750,000 tests per week to establish isolation and contact tracing is a guide. Next step is to institute surveillance testing of high risk populations once sufficient point of care testing is available.
#RoadmaptoReopen
#RoadmaptoReopen
8/10 Standardized work flows and reporting structures through Electronic Health Records are needed. This can build on current work. Furthermore building on successful Influenza Like Illness reporting will create a #COVID19 community early warning system
#RoadmaptoReopen
#RoadmaptoReopen
9/10 New serology testing needs to be validated for characteristics, duration and completeness of protection of individuals with #COVID19 antibodies. Right now, serology is a complement for diagnostic testing not a substitute!
#RoadmaptoReopen
#RoadmaptoReopen
10/10 Effective testing, data sharing and surveillance will lead to the ability to effectively identify and isolate new infections, breaking community spread and allowing for a #RoadmaptoReopen to occur sooner and safer than it otherwise would happen.
