"The WHO’s benchmark for a successful COVID-19 contact-tracing operation is to trace and quarantine 80% of close contacts within 3 days of a case being confirmed — a goal few countries achieve. But even that’s not quick enough, says Christophe Fraser, a mathematical biologist at the University of Oxford, UK. Transmission is too rapid and the virus can spread before symptoms emerge, he points out. Modelling by Fraser and his team suggests that even if all cases isolate and all contacts are found and quarantined within three days, the epidemic will continue to grow. He says that in a single day, 70% of cases need to isolate and 70% of contacts need to be traced and quarantined for the outbreak to slow (defined as each infected person passing the virus to fewer than one other, on average). But there are ways that contact-tracers can get ahead of a rapidly spreading outbreak. One is to cast a wider net around each case, so that second-order contacts — ‘contacts of contacts’ — are traced and quarantined; in Vietnam, tracers sometimes reached out to third-order contacts if a case was identified late in its infectious cycle. As many as 200 contacts for each case are found and tested, says Pham Quang Thai, an epidemiologist at the National Institute of Hygiene and Epidemiology in Hanoi, who leads the national contact-tracing taskforce. “If we want to run as fast as the virus, we have to chase not only the first round,” he says."
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