Excited to have been part of this collaboration to think about #HowWeReopen and adapt the TTSI framework to a global context with @divyasiddart, @belindaarch, @fannan2316, Rohini Somanathan, and @jccardenas1965. https://ethics.harvard.edu/global-pandemic-resilience

Some key takeaways: 1/ most low and middle income countries will struggle to reach the level of testing thought to be best practice. Supply chain issues and financing are major constraints. But there also are major concerns about corruption in such massive procurements.

2/ Developing countries can maximize what they do with the tests they can acquire by implementing or scaling up manuel contact tracing. Contact tracers can make sure that a single positive test doesn't translate into a large number of additional cases.

3/ But contact tracing, as with many parts of the covid-19 response, depends on trust in institutions. Contact tracers will be working with sensitive personal information. Governments need to find ways to leverage existing civil society and local government networks.

4/ The final part of the response is tailoring social policies to enable those with positive tests and their contacts to isolate themselves. It's possible to imagine hitching testing procedures and additional solidarity payments to existing CCT programs.

5/ The example of Kerala in the report shows that some of these elements can be done with pretty low resource investments, but lots of contact tracers, social support, and coordination. Of course, Kerala also is drawing on a long history of successful public health investments.