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Why contact tracers are key to unlocking economy | TheHill – The Hill

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A robust network of “contact tracers” is needed to control the spread of the coronavirus and eventually reopen the country, experts say, a massive undertaking for a public health system that has been understaffed and underfunded for decades. 

State and local health departments are lobbying Congress for billions of dollars to hire at least 100,000 contact tracers — workers responsible for tracking down people who have been exposed to confirmed coronavirus cases and asking them to self-quarantine.

The goal is to break the chains of transmission within communities and prevent outbreaks before they happen, especially when a second wave of the virus hits in the fall. 

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Public health groups say at least $3.6 billion is needed from Congress hire contract tracers, of which there are only about 2,200 in the U.S. 

“I think there is a real recognition that while this is a lot of people and a lot of money, the other side of the coin is a country where we continue to be in lockdown, where our commerce is forced to a fault, people are scared, and kids are not in school,” said Adriane Casalotti, chief of government and public affairs for the National Association of County and City Health Officials (NACCHO). 

“This is a big investment and is a big risk but it gets us out of the current situation we have,” Casalotti added.

Contact tracing is one of the oldest infectious disease interventions in the book.  

Public health departments around the country employ more than 2,000 of these tracers to stop the spread of sexually transmitted diseases, HIV and tuberculosis. While most of these workers have been redeployed to the coronavirus response, hundreds of thousands more are needed to track a disease that is this infectious and fast-spreading, experts say. 

“There’s been a lot of attention, rightfully so, paid to the need for more testing. But without contact tracing and being able to go to potential cases early and have them quarantined safely, we won’t be able to stop community spread of COVID,” said Anita Cicero, deputy director of Johns Hopkins Center for Health Security, and co-author of a national plan to use contact tracing for COVID-19. 

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“I really do think that is the key, and a very important key, to helping us get back to some semblance of normalcy,” she added. 

The method has been used in New Zealand and Iceland with success. Contact tracing is also a large part of the response in Asian countries but primarily relies on technology, which would likely run afoul of U.S. privacy laws. 

The national contact tracing plan developed by Johns Hopkins Bloomberg School of Public Health and the Association of State and Territorial Health Officials (ASTHO) recommends starting with an additional 100,000 contract tracers for a 12-month deployment, with Congress needing to appropriate about $3.6 billion in emergency funding for state and local public health departments. 

NACCHO, which represents local health departments, has made a similar recommendation.

But the number of contact tracers could grow as more cases are identified through testing. Former Centers for Disease Control and Prevention Director Tom Frieden has said at least 300,000 tracers are needed. 

Contact tracing alone isn’t a cure for the nation’s testing woes. 

“Testing is one of the critical components. If you can’t find the cases, there’s no way to successfully do the contact tracing that’s really going to stop the spread of the disease in its tracks,” Casalotti said.

Ideally, once a person tests positive for COVID-19, a contact tracer would connect with them and ask for information about whom they have been in contact with.  

Most of the work could be done over the phone, so workers aren’t put at risk of catching the virus, though they might need to visit people’s houses occasionally. 

Ideally, contacts of a COVID-19 case would be asked to quarantine for 14 days and would be connected with services, including paid time off, safe housing, access to food, medical care and other materials. 

While it’s likely to be three to six months before there is widespread COVID-19 testing in the U.S., departments are looking to scale up their contract tracing forces now since it takes time to hire and train people, Casalotti said. 

Departments are starting to look at who they have on staff who can be moved into contact tracing roles. Volunteers might also become a key part of the network, through the Peace Corps or the U.S Medical Reserve Corps, a national network of volunteers. 

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Massachusetts is working with a global health nonprofit to recruit an extra 1,000 workers for contact tracing.

Vermont hopes to have 48 people by the end of the week solely focused on contact tracing, up from the two people they had on the project, according to VTDigger.

San Francisco is also building up a similar program. 

But the public health workforce has shrunk by a quarter since the 2008 recession, and funding has been reduced by 30 percent in the last 15 years. About 100,000 people work at public health departments now. 

While health departments got an infusion of coronavirus response money through emergency funding bills passed by Congress, it’s not enough to support a massive contact tracing program, experts say. 

“We’re talking about doubling the public health workforce,” said Michael Fraser, CEO of ASTHO. 

“But there’s no other way to do it and reopen [the country],” he added. “You have to have the capacity to contain individuals that have the virus. And then follow up with folks who might have been exposed and monitor them and in most cases, probably ask them isolate them as well.”

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A timeline of events in the bread price-fixing scandal

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Almost seven years since news broke of an alleged conspiracy to fix the price of packaged bread across Canada, the saga isn’t over: the Competition Bureau continues to investigate the companies that may have been involved, and two class-action lawsuits continue to work their way through the courts.

Here’s a timeline of key events in the bread price-fixing case.

Oct. 31, 2017: The Competition Bureau says it’s investigating allegations of bread price-fixing and that it was granted search warrants in the case. Several grocers confirm they are co-operating in the probe.

Dec. 19, 2017: Loblaw and George Weston say they participated in an “industry-wide price-fixing arrangement” to raise the price of packaged bread. The companies say they have been co-operating in the Competition Bureau’s investigation since March 2015, when they self-reported to the bureau upon discovering anti-competitive behaviour, and are receiving immunity from prosecution. They announce they are offering $25 gift cards to customers amid the ongoing investigation into alleged bread price-fixing.

Jan. 31, 2018: In court documents, the Competition Bureau says at least $1.50 was added to the price of a loaf of bread between about 2001 and 2016.

Dec. 20, 2019: A class-action lawsuit in a Quebec court against multiple grocers and food companies is certified against a number of companies allegedly involved in bread price-fixing, including Loblaw, George Weston, Metro, Sobeys, Walmart Canada, Canada Bread and Giant Tiger (which have all denied involvement, except for Loblaw and George Weston, which later settled with the plaintiffs).

Dec. 31, 2021: A class-action lawsuit in an Ontario court covering all Canadian residents except those in Quebec who bought packaged bread from a company named in the suit is certified against roughly the same group of companies.

June 21, 2023: Bakery giant Canada Bread Co. is fined $50 million after pleading guilty to four counts of price-fixing under the Competition Act as part of the Competition Bureau’s ongoing investigation.

Oct. 25 2023: Canada Bread files a statement of defence in the Ontario class action denying participating in the alleged conspiracy and saying any anti-competitive behaviour it participated in was at the direction and to the benefit of its then-majority owner Maple Leaf Foods, which is not a defendant in the case (neither is its current owner Grupo Bimbo). Maple Leaf calls Canada Bread’s accusations “baseless.”

Dec. 20, 2023: Metro files new documents in the Ontario class action accusing Loblaw and its parent company George Weston of conspiring to implicate it in the alleged scheme, denying involvement. Sobeys has made a similar claim. The two companies deny the allegations.

July 25, 2024: Loblaw and George Weston say they agreed to pay a combined $500 million to settle both the Ontario and Quebec class-action lawsuits. Loblaw’s share of the settlement includes a $96-million credit for the gift cards it gave out years earlier.

Sept. 12, 2024: Canada Bread files new documents in Ontario court as part of the class action, claiming Maple Leaf used it as a “shield” to avoid liability in the alleged scheme. Maple Leaf was a majority shareholder of Canada Bread until 2014, and the company claims it’s liable for any price-fixing activity. Maple Leaf refutes the claims.

This report by The Canadian Press was first published Sept. 19, 2024.

Companies in this story: (TSX:L, TSX:MFI, TSX:MRU, TSX:EMP.A, TSX:WN)

The Canadian Press. All rights reserved.

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S&P/TSX composite up more than 250 points, U.S. stock markets also higher

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TORONTO – Canada’s main stock index was up more than 250 points in late-morning trading, led by strength in the base metal and technology sectors, while U.S. stock markets also charged higher.

The S&P/TSX composite index was up 254.62 points at 23,847.22.

In New York, the Dow Jones industrial average was up 432.77 points at 41,935.87. The S&P 500 index was up 96.38 points at 5,714.64, while the Nasdaq composite was up 486.12 points at 18,059.42.

The Canadian dollar traded for 73.68 cents US compared with 73.58 cents US on Thursday.

The November crude oil contract was up 89 cents at US$70.77 per barrel and the October natural gas contract was down a penny at US2.27 per mmBTU.

The December gold contract was up US$9.40 at US$2,608.00 an ounce and the December copper contract was up four cents at US$4.33 a pound.

This report by The Canadian Press was first published Sept. 19, 2024.

Companies in this story: (TSX:GSPTSE, TSX:CADUSD)

The Canadian Press. All rights reserved.

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Construction wraps on indoor supervised site for people who inhale drugs in Vancouver

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VANCOUVER – Supervised injection sites are saving the lives of drug users everyday, but the same support is not being offered to people who inhale illicit drugs, the head of the BC Centre for Excellence in HIV/AIDS says.

Dr. Julio Montaner said the construction of Vancouver’s first indoor supervised site for people who inhale drugs comes as the percentage of people who die from smoking drugs continues to climb.

The location in the Downtown Eastside at the Hope to Health Research and Innovation Centre was unveiled Wednesday after construction was complete, and Montaner said people could start using the specialized rooms in a matter of weeks after final approvals from the city and federal government.

“If we don’t create mechanisms for these individuals to be able to use safely and engage with the medical system, and generate points of entry into the medical system, we will never be able to solve the problem,” he said.

“Now, I’m not here to tell you that we will fix it tomorrow, but denying it or ignoring it, or throw it under the bus, or under the carpet is no way to fix it, so we need to take proactive action.”

Nearly two-thirds of overdose deaths in British Columbia in 2023 came after smoking illicit drugs, yet only 40 per cent of supervised consumption sites in the province offer a safe place to smoke, often outdoors, in a tent.

The centre has been running a supervised injection site for years which sees more than a thousand people monthly and last month resuscitated five people who were overdosing.

The new facilities offer indoor, individual, negative-pressure rooms that allow fresh air to circulate and can clear out smoke in 30 to 60 seconds while users are monitored by trained nurses.

Advocates calling for more supervised inhalation sites have previously said the rules for setting up sites are overly complicated at a time when the province is facing an overdose crisis.

More than 15,000 people have died of overdoses since the public health emergency was declared in B.C. in April 2016.

Kate Salters, a senior researcher at the centre, said they worked with mechanical and chemical engineers to make sure the site is up to code and abidies by the highest standard of occupational health and safety.

“This is just another tool in our tool box to make sure that we’re offering life-saving services to those who are using drugs,” she said.

Montaner acknowledged the process to get the site up and running took “an inordinate amount of time,” but said the centre worked hard to follow all regulations.

“We feel that doing this right, with appropriate scientific background, in a medically supervised environment, etc, etc, allows us to derive the data that ultimately will be sufficiently convincing for not just our leaders, but also the leaders across the country and across the world, to embrace the strategies that we are trying to develop.” he said.

Montaner said building the facility was possible thanks to a single $4-million donation from a longtime supporter.

Construction finished with less than a week before the launch of the next provincial election campaign and within a year of the next federal election.

Montaner said he is concerned about “some of the things that have been said publicly by some of the political leaders in the province and in the country.”

“We want to bring awareness to the people that this is a serious undertaking. This is a very massive investment, and we need to protect it for the benefit of people who are unfortunately drug dependent.” he said.

This report by The Canadian Press was first published Sept. 18, 2024.

The Canadian Press. All rights reserved.

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