EBOLA CONTACT TRACING FOR LOCAL
HEALTH DEPARTMENTS
An Overview of North Carolina’s Procedure for
Ebola Contact Tracing :
Guidance, Tools, and Exercises for Public Health
Presented by the N.C. Communicable Disease Branch
October 2014
Use this next week to Get Ready:





Acknowledge the critical role that contact tracing
plays in interrupting disease transmission
Assess your capacity to conduct a scalable Ebola
contact tracing event
Describe the process and locate the data collection
data management tools
Prepare for onsite state and federal assistance
Exercise multiple tabletop exercises for Ebola
contact tracing
 R – Review the Guidance
 E – Engage your Epi Team
 A – Assess your Capacity
 D – Designate your Tracers
 Y – Yes to Tabletop Exercises

Deploy state team immediately for
assistance with data management
 Epidemiologist

Deploy state team for field investigations
 Nurse Consultant
 Disease Intervention Specialist



Access to Risk Assessment Advisor
Personal Readiness Kits
Thermometers






Prepare, Practice and Practice
Know the Procedures
Know the Tools
Talk, Reassure, Support
Travel in Pairs
Do not touch
Documents Table of Contents
EZ Document ID
-A
B1
B2
B3
C
D1
D2
D2-F
D2-S
D3
D3-F
D3-S
D4
D4-F
D4-S
Ebola Document Name
N.C. Contact Tracing Webinar Presentations
N.C. Contact Tracing Procedure
N.C. Contact Listing Questionnaire- Part 1
N.C. Contact Listing Questionnaire- Part 2
N.C. Contact Listing Spreadsheet
N.C. Contact Investigation Questionnaire
N.C. Monitoring Instructions for the LHD
N.C. Monitoring Instructions for the Contact
N.C. Monitoring Instructions for the Contact
(French)
N.C. Monitoring Instructions for the Contact
(Spanish)
N.C. Guidance for the Contact Who Becomes Ill
N.C. Guidance for the Contact Who Becomes Ill
(French)
N.C. Guidance for the Contact Who Becomes Ill
(Spanish)
N.C. Ebola Symptom Monitoring Log
N.C. Ebola Symptom Monitoring Log (French)
N.C. Ebola Symptom Monitoring Log (Spanish)
Factsabout Ebola
Ebola virus is not spread through
Casual contact
Air
Water
Foodgrownor legallypurchasedin
theU.S.
Howdoyouget theEbolavirus?
1. Identification and
interviewing
2. Active monitoring
a. Identify contacts by
interviewing patient
or other informants
Monitor contacts with
high- or low-risk
exposures for 21 days
following last
exposure
b. Interview all
identified contacts to
evaluate need for PH
follow-up
3. Discharge
Release on 22nd day
following last
exposure
At ANY point in this process you may encounter
contacts with symptoms of Ebola.
You must know and be able to carry out your LHD
procedure to safely respond to this situation.
1. Identification and
interviewing
a. Identify contacts by
interviewing patient
or other informants
b. Interview all
identified contacts to
evaluate need for PH
follow-up
1. Identification and
interviewing
a. Identify contacts by
interviewing patient
or other informants
b. Interview all
identified contacts to
evaluate need for PH
follow-up
1. Identification and
interviewing
a. Identify contacts by
interviewing patient
or other informants
b. Interview all
identified contacts to
evaluate need for PH
follow-up
1. Identification and
interviewing
a. Identify contacts by
interviewing patient
or other informants
b. Interview all
identified contacts to
evaluate need for PH
follow-up
2. Active monitoring
Monitor contacts with
high- or low-risk
exposures for 21 days
following last
exposure
2. Active monitoring
Monitor contacts with
high- or low-risk
exposures for 21 days
following last
exposure
2. Active monitoring
Monitor contacts with
high- or low-risk
exposures for 21 days
following last
exposure
2. Active monitoring
Monitor contacts with
high- or low-risk
exposures for 21 days
following last
exposure
3. Discharge
Release on 22nd day
following last
exposure
1. Identification and
interviewing
2. Active monitoring
a. Identify contacts by
interviewing patient
or other informants
Monitor contacts with
high- or low-risk
exposures for 21 days
following last
exposure
b. Interview all
identified contacts to
evaluate need for PH
follow-up
3. Discharge
Release on 22nd day
following last
exposure
1. Every case and potential
contact receives a unique ID
EID
EXXX
2. For each case a person may
have been exposed to, a contact
ID Number is created:
Contact ID Number 1
NNNN-XXX
3. If any contact becomes a case
they also receive an NC EDSS
Event Number:
Contact ID Number n
NNNN-XXX
Every potential contact will receive a minimum of two ID numbers: an EID and at least
one contact ID number (a person may have multiple contact ID numbers if exposed to
multiple cases). They will also have an NC EDSS event number if they become
symptomatic.
Contact tracing for our first case
Name
EID
NC EDSS Event Contact ID
Number
Number
John Snow
E001
100905678
Edward Jenner
E002
Louis Pasteur
E003
100904567
5678-001
5678-002
Contact tracing for our second case
Name
EID
Florence Nightingale E004
NC EDSS Event
Number
---
Contact ID
Number
4567-001
Louis Pasteur
---
4567-002
E003
Documents Table of Contents
EZ Document ID
-A
B1
B2
B3
C
D1
D2
D2-F
D2-S
D3
D3-F
D3-S
D4
D4-F
D4-S
Ebola Document Name
N.C. Contact Tracing Webinar Presentations
N.C. Contact Tracing Procedure
N.C. Contact Listing Questionnaire- Part 1
N.C. Contact Listing Questionnaire- Part 2
N.C. Contact Listing Spreadsheet
N.C. Contact Investigation Questionnaire
N.C. Monitoring Instructions for the LHD
N.C. Monitoring Instructions for the Contact
N.C. Monitoring Instructions for the Contact
(French)
N.C. Monitoring Instructions for the Contact
(Spanish)
N.C. Guidance for the Contact Who Becomes Ill
N.C. Guidance for the Contact Who Becomes Ill
(French)
N.C. Guidance for the Contact Who Becomes Ill
(Spanish)
N.C. Ebola Symptom Monitoring Log
N.C. Ebola Symptom Monitoring Log (French)
N.C. Ebola Symptom Monitoring Log (Spanish)
Documents Table of Contents
Documents are available online
The CDB webpage:
http://epi.publichealth.nc.gov/cd/diseases/hemorrhagic.html
OR
CD Manual:
http://epi.publichealth.nc.gov/cd/lhds/manuals/cd/reportable_diseases.html
And More…
• Survey Monkey
Evaluation
• Onsite Instruction for
Tracers
Kathy Dail, RN MEd
Heather Dubendris,
MSPH
 Kristin Sullivan, MPH
 Rob Pace, BGS
 Reed Underhill, BA


North Carolina Division of
Public Health
Communicable Disease
Branch

Bhavini Patel Murthy,
MD, MPH
Preventive Medicine Resident
University of North Carolina
at Chapel Hill

Neil Chandra Murthy,
MD, MPH
Emergency Medicine
Resident
Duke University Medical
Center