irvinehomeowner said:
Kenkoko said:
[...]
why a massive seemingly doomed to fail plan (NYC tracing +quarantine) is gaining traction.
@Ken: I was a little confused by this statement. Are you saying that tracing will not help? I thought you were pro-tracing?
I ask because in Newsom's update today, they are talking quite a bit about tracing and tracking.
I was pro-tracing when we still had under 10k cases.
The consensus among public health officials was, at that level, we could pull it off with revamping existing systems & redeploying resources using infra-structures already in place.
It has gotten exponentially harder since then because of the scale. In NYC, they are talking about building an almost unimaginably huge new city agency--equivalent in size to the FDNY--to trace and isolate everyone who has COVID or has been exposed.
They?ll need an army of contact tracers (aka ?disease detectives?) to do this work. They'll identify everyone who has had close, sustained contact with those infected, to warn them about possible risk and the need to quarantine.
The hardest part is what comes after.
Everyone with mild COVID (not serious enough to be in a hospital) will need an option of isolating in a hotel room, so as not to contaminate their family at home. NYC has already begun reserving 1000s of hotel rooms for this purpose.
Those whom contact tracers identify as potentially exposed will need to remain quarantined at home for 14 days, closely monitoring themselves for the emergence of symptoms.
All of those who are isolating and quarantining will need significant support from the City. Staff will need to check-in at least daily via phone to ensure that patients are well and are self-monitoring. They?ll need to scale up a large call center for this.
They need to ensure people who are quarantining don?t have to leave home for anything other than medical care. So how will they get food and medications? Do laundry? Take out the trash? Walk the dog? The city will need to provide or arrange for all of this.
When someone who is sick needs to relocate to a hotel, they shouldn?t take mass transit because of the risk that they could infect someone. So that means City needs to create a transportation system to move people around.
To pull all this off--the tracing, hoteling, transportation, call center, telemedicine, support services, the estimate is they will need a massive workforce, possibly as much as 15,000. And it's costly, the last proposal calls for over 1 billion dollar. There's also a timing issue - they need to do all that in about a month. It strikes me as near impossible.
I understand the cost of safely reopening our economy. The argument is that every dollar they spend on this will yield many times the equivalent in economic activity. But if it doesn't work, just imagine the backlash.
California isn't NYC so there's hope. We only have a fraction of NY's case #. But I don't know if it would work in CA without inter-state collaboration. We don't have physical barriers to keep people out.