Caitlin Rivers, PhD+ Your Authors @cmyeaton Outbreak science + epidemiology + health security. Assistant professor at Johns Hopkins Center for Health Security (@JHSPH_CHS). ELBI alum. Apr. 28, 2020 1 min read + Your Authors

We need a clearer understanding of where people are getting infected and how that has changed over time. What fraction of new cases are in households? Special settings like long term care or correctional facilities? We shld know this ideally for each county or at least state. 1/

If household transmission is playing a large role, it would be important to make e.g. hotel rooms available to people who would prefer to recover away from home to reduce risk to their families. 2/

If special settings like nursing homes and correctional facilities are the source of most new cases, we may assess general community risk as lower. We know those places are v. high risk, but it would be good to know what % of new cases now are associated with those facilities 3/

If most infections are in essential workers, including e.g. grocery store employees, that suggests we need to be doing much more to protect those people, including restructuring work duties and providing proper personal protective equipment. 4/

If general community transmission is still widespread, with cases diagnosed in all sorts of places and conditions, that suggests staying home to slow the spread has not been effective, and if that is the case, we need to figure out why and what more can be done. 5/

This data would be enormously helpful for guiding decisions, especially as some states move to reopen. It should be collected through epidemiological investigations and reported publicly and regularly so that changes can be tracked over time. 6/6

You can follow @cmyeaton.


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