Thanks to @sarahkliff and @sangerkatz for highlighting these critical data issues with massive impacts on the public health response to COVID-19.

https://www.nytimes.com/2020/07/13/upshot/coronavirus-response-fax-machines.html

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"[HDs] track the virus’s spread with a distinctly American patchwork: a reporting system in which some test results arrive via smooth data feeds but others come by phone, email, physical mail or fax, a technology retained because it complies with digital privacy standards..."

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"These reports often come in duplicate, go to the wrong HD, or are missing crucial information such as a patient’s phone number or address."

“From an operational standpoint, it makes things incredibly difficult ... the data is moving slower than the disease ( @ushahmd).”

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The COVID-19 pandemic has demonstrated many opportunities for improvement in US public health infrastructure. Notably, we currently have inefficient, redundant, silo& #39;ed surveillance systems. COVID-19 has exposed these flaws.

More here: https://twitter.com/MMFill/status/1244996723757535233?s=20

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