State Approaches to Contact Tracing during the COVID-19 Pandemic

In New York City, the city’s public hospital system will lead tracing work.

The University of South Dakota’s Community Action Response Epidemiology (CARE) team partnered with the state to provide contact tracing and health promotion for the university and for the state’s tribal communities.

Contact tracers refer people to Alabama Voluntary Organizations Active in Disaster, which supports and helps people who are self-isolating.

The state recommends schools use seating charts in classrooms and buses to assist with contact tracing. If a student or staff member tests positive or has COVID-19 symptoms, the nurse will use these seating charts to identify close contacts and complete the school contact tracing log. Doctors, school nurses, and principals must report positive cases to the state within four hours for contact tracing.

Contact tracers provide instruction, education, and support to ensure close contacts do not infect others if they become ill themselves.

The state recommends contact tracers work with employers if a person with COVID-19 attended work while infectious but cannot remember who they came into close contact with.

In March 2021, Anchorage began requiring establishments that serve the public to keep customer or client contact information for at least 30 days in case it is needed for contact tracing. Businesses are required to communicate to employees and the health department any known COVID-19 exposures.

In November 2020, the state health department began asking people who test positive to call their own close contacts as soon as possible and recommended all Alaskans keep their social circles small to keep track of contacts.

Ketchikan, a town in Alaska experienced a surge of cases in their unvaccinated population, and the state stepped in to support with contact tracing and case investigation.

A close contact is defined as someone who has been within six feet of an infected person for a total of 15 minutes of more over a 24-hour period starting two days before illness onset, or test date for asymptomatic cases.

The state uses an automated monitoring and reporting system called Qualtrics to allow contacts of positive cases to report symptoms over a period of 14 days by text or email.

The state partnered with LabCorp to offer a free home COVID-19 test kit to eligible contacts of positive cases.

The state recommends congregate settings maintain visitor logs to aid contact tracing efforts.

In Maricopa County, older adults  who test positive and anyone living in a communal setting receive a phone call from a contact tracer, and new cases among younger, lower-risk people are contacted via text message.

Among the White Mountain Apache tribe in Arizona, contact tracing includes home visits.

As of March 2021, the Pima County health department recommends that schools, businesses, and government entities ask employees or students to alert their organization if they test positive for COVID-19 and were in the facility within 48 hours of symptom onset or the date they were tested. The county is also attempting in-person contact tracing if it cannot reach cases by phone, text, or email.

Migrant farm workers in Arizona are not required to be tested, but produce companies like The Growers Co, who employ the farmers have partnered with non-profit health organizations to provide testing and contact tracing for their workers.

Contact tracers provide information to help people safely quarantine, find alternate arrangements as necessary, and help them get tested, if recommended. Contact tracers also connect people with services available through the Department of Health, such as food delivery or alternate housing.

Contact tracers refer people to their local public health departments for more information about available resources, such as testing, medical care, housing, or other resources.

Contact tracers tell people how to get tested, how to quarantine, and link them to a COVID-19 navigator for support services access such as food, lodging, and financial help.

The state uses a software system called ContaCT for monitoring test results and positive cases. ContaCT will identify and refer people who need support at initiation and throughout self-isolation or self-quarantine. Case workers will support people in self-isolation or self-quarantine by connecting them with state, local, and regional resources as necessary, such as food and housing.

Contact tracers conduct in-person visits for those who did not provide phone numbers at the testing laboratories or did not respond to the call. If a surge in infections exceeds the capacity of localities to make notifications, the software has the capability to alert new cases and close contacts through text and email-based questionnaires.

The state uses the Centers for Disease Control and Prevention’s recommendations and definitions for contact tracing and identifying cases.  County health departments or the Connecticut COVID Tracing Systems typically contact patients who test positive within 24 hours of their result, but patients are encouraged to reach out on their own if they do not hear back within that time frame.

In September 2020, the state established a rapid response team to address outbreaks and implement best practices in nursing homes and assisted living facilities as needed.

The contact tracing mailer outlines how a positive case should talk to their close contacts, but no other resource sharing is specified.

In August 2020, contact tracing began to include home visits for individuals who did not complete contact tracing interviews or could not be reached by contact tracers.

The Phase Two guidance encourages restaurants and swimming pools to maintain customer logs to facilitate contact tracing, if required. Places of worship conducting in-person services are required to cooperate with contact tracing if contacted by DC Health. The DC Health Director indicated that contact tracing would be a “24/7 operation for the duraction of the pandemic.”

Positive cases or confirmed contacts who need extra support to self-quarantine (e.g., grocery delivery or alternative housing) are referred to a network of local community health workers coordinated by Healthy Communities Delaware.

The state requires that contact tracers call grocery stores, restaurants, pharmacies, and other businesses to inform them if someone who tested positive recently visited the establishment.

If a positive case or a symptomatic contact of a positive case is identified in a school setting, a case investigator will work with the school to conduct contact tracing. The case investigator will notify schools to ensure that positive cases and contacts do not return to school until after their isolation or quarantine period is over.

Anyone within six feet of a person with COVID-19 for at least 15 minutes, starting two days before they became sick, is considered a contact.

Contact tracers assess people’s needs and connect them with a care resources coordinator to get them support to help with quarantining.

The state created a Health Liaison position at the Department of Education to work with the Department of Health on school health issues.  This role will include ensuring efficient and expedited testing, contact tracing, data collection, reporting, and supports for COVID-19 in school settings. The state recommends that schools participate in contact tracing efforts.

Two school districts created their own contact tracing teams. When a student tests positive in these districts, the teams check seating charts, work with teachers, and watch school bus footage to identify close contacts. The districts then provide this information to the state at the end of the day to complete contact tracing.

As of April 2021, Kauai has increased its contact tracing efforts amid an uptick in statewide cases.

In August 2020, the state announced that social workerswould offer education and resources to those required to isolate or quarantine. The state was prioritizing contact tracing for people in high-risk occupations, living in high-risk settings, or with high-risk factors.

In July 2020, the state released specific contact tracing guidance for positive cases and close contacts at schools and workplaces.

Contact tracers connect people to a case investigator or support services as needed, such as getting them food, medications, and services. Contact tracers make calls in English and Spanish.

The state has guidance for several settings, including workplaces, schools, places of worship, and long-term care facilities with specific contact tracing steps if an individual tests positive or has been in close contact with a confirmed case.

In March 2021, the state health department and Illinois State Board of Education updated guidelines to require all schools in the state to conduct contact tracing.

Due to a recent surge, the state has approved funds for some local health departments for contact tracing through the end of the year.

As of April 2021, contact tracers in Cook County were also using phone conversations as an opportunity to talk with residents about the COVID-19 vaccine.

Cases who report  living or working in a congregate setting, are flagged to the local health department, which then investigates to determine whether there is an outbreak at the facility.

State contact tracers are advising individuals infected with COVID-19 to separately reach out to their close contacts and direct them to the resources on the coronavirus.in.gov website, based on an assumption that people would be more inclined to respond to a known telephone number or text message from a friend.

In August 2020, the state launched a COVID-19 hotline for schools, to  provide information and contact tracing toolkits.

In December 2020, the state-level contact tracers  changed to a shorter script notifying residents about a positive COVID-19 test result and directing them to quarantine guidelines and assistance programs.

As of February 2021, the state will no longer require quarantine or contact tracing for K-12 classroom exposures if the students and teachers remain at least three feet apart and are always wearing masks.

Contact tracers offer to set up services, such as grocery deliveries, and share advice on how to safely social distance or quarantine.

Due to the increased case volume, as of February 2021, the state temporarily adjusted its contact tracing guidelines to tracing of contacts to household contacts only.

As of February 2021, the Department of Public Health conducts contact tracing for more than two-thirds of the state’s counties. The state will not contact schools or employers about positive cases, though localities may continue this work.

Tracers are encouraged to make contact at least two days per week for 14 days since last exposure. Contact tracers will refer people to agencies if they need additional assistance.

The state Department of Health and Environment advises prisons to do initial and periodic screening of inmates and to screen staff and visitors and requests all cases be reported immediately to the Health and Environment’s Epidemiology Hotline, which is monitored 24/7.

The state recommends contact tracers notify any restaurant or retail business if someone diagnosed with COVID-19 reports they visited that restaurant or retail business in the 14 days since being diagnosed and to provide additional guidance and next steps.

In March 2021, the state announced that it will not require child care facilities to shut down in the event of a possible exposure, as long as contact tracing is conducted.

As of November 2020, the city of Louisville halted active contact tracing given the surge in cases statewide.

The Louisiana Department of Health’s Contact Tracing program is using SMS text messaging to provide COVID-19-positive individuals, their contacts, and travelers to Louisiana with public health guidance andocial services support w while quarantined.

The contact tracers also collect personal information from individuals through SMS text messaging about their COVID-19 symptoms, health, isolation and quarantine plans.

The state asks businesses that reopen to maintain contact information for clients and customers and the staff in case a customer or client tests positive for the virus.

As of April 2021, vaccinated students who are contact traced in the University of Maine system will be exempt from quarantine requirements.

In November 2020, the state temporarily revised contact tracing scripts to ask fewer questions in an effort to keep up with increasing cases.

Anyone within six feet of a person with COVID-19 for at least 10 minutes beginning two calendar days before symptom onset is considered a contact.

Local boards and the Community Tracing Collaborative help arrange for medical and quarantine support for positive cases. Contacts receive testing and quarantine support (through care resource coordinators) for themselves and their households, if applicable, and general information as needed.

Contact tracers investigating COVID-19 cases are responsible for indicating when people who test positive can return to work. Local boards of health, with assistance from epidemiologists, conduct extensive investigations and contact tracing if clusters of cases emerge in long-term care facilities and nursing homes.

The state asks restaurants or bars to ask patrons for their name and phone number, but does not require the patron to comply.

Due to increased infections, as of April 2021, Jackson County contact tracers  will only conduct case investigations and contact tracing in nursing homes, hospitals, schools, and other large, high-risk venues.

In February 2021, the state updated guidelines for middle and high schools, requiring daily documentation of student mealtime seating to support contact tracing in the event of an exposure.

In September 2020, the state released contact tracing guidelines for employers. In August, the state released a COVID-19 toolkit with contact tracing guidelines for shelters and drop-in centers.

Three school districts are conducting their own contact tracing. In one district, parents are alerted by phone and letter if a student might have been in contact with a person with COVID-19; another district sends an alert to all families and notifies the local newspaper; and a third district notifies parents but does not do a districtwide announcements.

The state recommends individuals keep track of their contacts to assist in the contact tracing process using a downloadable contact tracing worksheet.

The state advises schools   to provide local public health agencies guidance on how to contact trace based on the seven-day case rate and require them to report positive tests from students to the state.

The state recommends that businesses have policies and procedures for workforce contact tracing if an employee tests positive. The state links to Ford’s Return to Work Playbook as an informational resource on contact tracing.

Anyone within six feet of a person with COVID-19 for at least 15 minutes in the two days before onset of symptoms is considered a contact. In some counties, case managers can deliver food, medications, and other essentials to help people safely quarantine. Earlier in the pandemic, the state performed enhanced surveillance testing in tribal communities.

In January 2021, the state legislature contracted with Lewis and Clack counties to provide a contact tracer solely dedicated to case investigation among members of the legislature.

Anyone within six feet of a person with COVID-19 for at least 10 minutes is considered a contact.  Contact tracers hand off cases that involve exposure in a congregate setting for a higher-level investigation given the high risk.

The Nebraska Department of Health and Human Services recommends  contact tracers send a thermometer to people who have tested positive and their close contacts, inquire about wraparound services, link to clinical services, and provide advice and instructions on how to quarantine.

In April 2021, NEDHHS contracted with Creighton University and its clinical partner, CHI Health, to perform COVID-19 variant testing. Identified cases of COVID variants become a priority for contact tracing.

Anyone within six feet of a person with COVID-19 for at least 15 minutes is considered a contact.

After scaling back during the November 2020 surge, New Hampshire resumed universal contact tracing for new cases in February 2021. Cases from high-risk groups, including people under age 18 or over age 65, those living in communal settings or affiliated with health care facilities, communities of color, and those connected to clusters or outbreaks,  will still be prioritized. While the state resumed a more comprehensive contact tracing program, health officials say the case load is still too high to resume universal case monitoring at this time (case monitoring involves daily phone calls for people in isolation and calls every other day to people in quarantine).

The Department of Health and Human Services (NHDHHS) recommends long-term care facility staff conduct enhanced surveillance in the event that a resident tests positive. In the event of an outbreak, the facility will coordinate with the NHDHHS Cluster investigation team.

People dining in restaurants are required to provide their name and phone number for contact tracing purposes

In April 2021, the state issued updated guidance on contact tracing for schools. In school settings, a contact is considered anyone within six feet of a person with COVID-19 for at least 10 minutes.

Anyone within six feet of a person with COVID-19 for at least 15 minutes starting two days before symptoms emerged is considered a contact.

Contact tracers connect those who need help with additional support, including securing living situations for those who cannot safely quarantine at home.

On March 23, 2021, the state issued updated guidance for contact tracing in schools.  The state recommends that schools work with local health departments to identify and exclude close contacts if a COVID-19 case is identified within a school.

In the fall, restaurants were required to keep logs of of customers for contact tracing purposes. Businesses also participated in surveillance testing and contact tracing with the Department of Health to avoid closures. Essential businesses could avoid mandatory closures if they regularly tested employees and helped with state contact tracing efforts.

Anyone within six feet of a person with COVID-19 for at least 15 minutes is considered a contact. They do not identify the individual who tested positive, nor if that person was infected with a variant strain.

Contact tracers connect people with supports and offer information about how to keep their family safe while staying at home.

As of December 2020, contact tracers were focused on identifying clusters of COVID-19 cases.

In March 2021, the North Dakota Department of Corrections and Rehabilitation announced it would allow in-person visits to prisons. Visitor names will be provided to the Department of Health for any necessary contact tracing.

The Ohio Department of Health is updating its system to allow local health departments to enter information about where an infected person was in contact with people prior to their positive test.

The state is adopting a “backward” contact tracing approach, in an attempt to identify the source of each case instead of only identifying close contacts to prevent future spread.

As of May 2021, the Mid-Ohio Valley Heath Department is stepping up contact tracing efforts due a local outbreak at the Calhoun County public schools.

Contact tracers also text  close contacts of positive cases and individuals who have been potentially exposed. The text prompts the person to fill out a questionnaire and receive quarantine-related messages; they may also be contacted by phone.

In December 2020, the state was advising most individuals who test positive to notify their own close contacts.

In May 2021, the State Health Department is conducting contact tracing in Cleveland County for individuals who may have been exposed to the B.1.617.2 variant from India, after 18 cases were detected.

Contact tracers connect people with case managers who offer supports to make sure that people who must isolate or quarantine have access to needed services, such as food, shelter, mental health care, and more. The state also provides a resource packet that includes a thermometer.

The state recommends testing all asymptomatic employees and residents in group-living situations in which someone is suspected to have COVID-19. Long-term care, assisted living, and residential care facilities are expected to develop and implement plans for ongoing monitoring, including testing residents and staffs at least once a month.

As of April 2021, Multnomah County is prioritizing contact tracing for those most at risk of serious illness or of spreading the virus to a lot of other people.

As of April 2021, Marion County is only attempting to contact positive cases once via phone.  If they are unable to reach the positive case, the health department will send a letter with instructions about quarantining.

Community health nurses provide information describing how to isolate, asymptomatic transmission, and how to  monitor symptoms. Contact tracers notify individuals who may have been exposed in congregate settings, and   follow up with the respective facilities where congregation took place. Contact tracers are also playing a large role in educating individuals.

The state has prioritized contact tracing to populations considered  most vulnerable and cases that could lead to greater community spread.

Since January 2021, contact tracing at long-term care facilitieshas been conducted by individual county health departments.

The state uses a text-based contact tracing system enabling residents to fill out an online form, providing contact information for close contacts. The system will automatically text the list of people, informing them they must self-quarantine. The system is not designed to replace human contact tracers but to supplement the contact tracing work.

Rhode Island Department of Health launched an on-site Business Testing Program, providing businesses with rapid COVID-19 tests, with the employer agreeing to train the team, conduct the tests, and report the results to RIDOH.

Contact tracers refer positive cases and contacts to supportive services, including medical and social services.

As of January 2021, in response to increased case counts, the Department of Health and Environmental Control has transitioned from a “containment” to a “mitigation” approach. Contact tracers will now focus exclusively on household contacts exposed to the virus in the past six days and people located in places where a spread has been possible.

The South Carolina Department of Health and Environmental Control (SCDHEC) recommends that any residents in residential treatment facilities for children and adolescents who were recently cared for by a staff member who tested positive be restricted to their rooms and monitored for symptoms. SCDHEC recommends that adult day care facilities keep logs of names and contact information for all staff, participants, visitors, and vendors in case the DHEC needs to contact them.

The South Carolina Department of Corrections (DEC) conducts contact tracing if an inmate or staff tests positive in a correctional facility. The DEC built an app to assist with tracking infections among prison staff.

Some school districts have worked with the state to develop a letter to alert parents that their children might have been exposed to a positive case.

The South Dakota Secretary of Health re-emphasized in April 2021 that contact tracing remains a critical strategy as part of the state’s response to COVID-19.

The Tennessee Department of Health (TDH) provides recommendations for contact tracing to staff members, clients, and close contacts in congregate settings, such as shelters, group care homes, and residential facilities. Contact tracing in these settings includes identifying roommates, people who shared bathrooms, and whether staff wore appropriate personal protective equipment.

It is the local public health department’s responsibility to perform contact tracing in schools and universities. When a school is notified of a confirmed case, it should contact the local health department to provide contact information and other details about the case. The local health department then recommends ways to mitigate the spread of COVID-19 in the school.

In February 2021, Shelby County Health Department launched case notification via text messaging.  Staff text anyone who tests positive for COVID-19 with a link to an online case investigation/contact tracing questionnaire.

The state conducts initial contact tracing outreach via manual calls to positive cases, presumptive positive cases, and their contacts. Contact tracers help link people with supports, such as how to get food during self-isolation.

The state requires schools to notify their local health department and all teachers, staff, and students’ families if a positive case has been in a school. Schools must also submit an online form alerting the state of the cases, which will be posted publicly on the state website. Two of the state’s largest school districts, however, said they will only notify families of students who were close contacts because this policy is not a legally binding  requirement.

As of December 2020, some health departments were prioritizing positive cases and asking those individuals to reach out to their contacts and ask them to quarantine and be tested.

In December 2020, the state began sending automated text messages and emails to positive cases and contacts of positive cases who do not answer an initial phone call from contact tracers. The text message or email includes a link to a secure form where the person can provide contact tracing information electronically.

If an employee tests positive, the state will follow up with the business to offer resources and help identify other employees who might have encountered the person who tested positive.

Each school will designate a point of contact to work with the health department on contact tracing.

As of February 2021, Salt Lake County is asking most positive cases reach out to their own contacts. For positive cases that are identified as being caused by a variant, the county will follow-up individual with each of the case’s contacts.

Anyone within six feet of a person with COVID-19 for at least 15 minutes is considered a contact. The state also asks for contacts starting 14 days before someone began showing symptoms. As of December 2020, contacts may receive a text message prior to receiving a call.

The state relies on a rapid response team, made up of Health Department staff and state partners, to conduct contact tracing in long-term care and group living settings if a case of COVID-19 is found.

If a positive case was at a school during his/her infectious period, the state will support schools with contact tracing. School administrators will be asked to communicate with teachers, staff, and families to provide quarantine guidance. The state also posts a list of confirmed school-based cases and transmissions on a weekly basis.

In November 2020, the state began requiring restaurants and businesses who host non-essential activities to maintain a 30-day log of employee and guest names and contact information for contact tracing. The state requires all residents to comply with these contact tracing requests.

During outreach, contact tracers also attempt to enroll cases into the Sara Alert system.

This softward is used to conduct symptom monitoring through text or email. The contact tracer will provide education, information, and support to help those who might have been exposed.

As of May 2021, individuals who have been fully vaccinated will not be required to quarantine.

In December 2020, the state adopted Centers for Disease Control and Prevention guidance around contact tracing prioritization to help deal with a surge in cases. The state will prioritize recently diagnosed individuals and their household members, people living or working in congregate living facilities, people in known clusters or outbreaks, and people at increased risk of severe illness.

In January 2021, the state began notifying positive cases via a series of automated text messages. The texts include a link to the new COVIDWISE Verification Code Portal which allows those who have tested positive to submit their results to the COVIDWISE app for exposure notification.

In long-term care facilities, residents who were cared for by staff who were symptomatic and tested positive will undergo careful monitoring and have limited exposure to others. Roommates of residents who test positive will also have limited exposure to others. In correctional facilities, contacts of those who test positive will be quarantined for 14 days with twice-daily symptom and temperature checks.

If a school or child care facility is operating in person, the state requires school and child care personnel to participate in contact tracing investigations. In K–12 schools, contact tracing includes working with school staff to obtain class schedules, seating charts, and other information.

Anyone within six feet of a person with COVID-19 for at least 15 minutes is considered a contact.

Anyone who had direct physical contact with the person, was within six feet of the person for more than 15 minutes, had contact with the person’s respiratory secretions, or stayed overnight for at least one night in a household with the person who tested positive for COVID-19 is considered a contact.

Ketchikan, a town in Alaska experienced a surge of cases in their unvaccinated population, and the state stepped in to support with contact tracing and case investigation.

They will only conduct case investigations and contact tracing in nursing homes, hospitals, schools, and other large high-risk venues.

As of April 2021, Marion County is only attempting to contact positive cases once via phone. If they are unable to reach the positive case, the health department will send a letter with instructions about quarantining.

In addition to health department staff, partners contributing staff include the Anchorage Health Department, school districts, nonprofits, tribal health organizations, a hospital, the Centers for Disease Control and Prevention’s Arctic Investigations Program,  the Alaska National Guard, the University of Alaska Anchorage’s Center for Rural Health and Workforce, and AM Trace, a public health firm.

A partnership with the University of Alaska Anchorage’s College of Health added training capacity, and new partnerships with community health centers and a workforce and technology company, Rose International, Inc. will expand the contact tracing workforce.

The state is training state employees and working with statewide university partners to use faculty, staff, and students in public health, medicine, nursing, and social work programs. The state is also partnering with the federal CDC Foundation for recruiting and

assigning new employees to staff up to 40 teams of public health investigators, which can be deployed statewide.

In July 2020, Pima County began contracting with a private company, Maximus Health Services, to hire at least 150 contact tracers. In April 2021, the county extended the contract to January 2022.

The state has paid and volunteer contact tracers, including California Health Corps, California Conservation Corps, CalVolunteers, and AmericaCorps staff.

An April 2021 audit of the California Department of Public Health revealed that while the department exceeded testing targets, statewide contact tracing efforts are lagging. DPH was recommended to update their contact tracing protocols by May 2021.

The state maintains a contact tracing team to support local governments and partner organizations who hire and manage their own teams.

Local governments have retrained public workers   and police in Denver). As of August 2020, the state had hired more than 800 AmeriCorps and Senior Corps members  supportingthe state’s COVID-19 response, including contact tracing.

A volunteer group of public health professionals, the Colorado Public Health Workforce Collaborative, provides support to local public health agencies by coordinating statewide initiatives and rollout of a contact tracing workforce – including: recruiting and training that workforce, monitoring the rollout, and facilitating complementary containment activities.

Across the state more than 100 college students from various schools join public health staff and volunteers to make up the state’s team of contact tracers.

In August 2020, the state announced a partnership with the Community Emergency Response Teams to recruit volunteers.

School districts have also helped conduct contact tracing in Delware, and have closely partnered with their local health departments.

In May 2020, the state hired a third-party call center, Maximus, to bolster the state’s contact tracing workforce.

The National Guard  the University of Hawaii,  Medical Reserve Corps volunteers, and the Kaua’i Police Department have all assisted with contact tracing. The state health department’s Pacific Islander priority investigations and outreach team prioritize contact tracing for marginalized groups.

As of April 2021, Cook County had 300 contact tracers.

In September 2020, the state released grant applications for the COVID-19 Pandemic Health Navigator Program, to fund regional coordinators to provide contact tracing support to the Illinois Contact Tracing Collaborative.

Cook County launched the Suburban Cook County COVID-19 Contact Tracing Community Supports Program to focus on contact tracing for priority populations.

Chicago contact tracers include staff from local health departments, health care organizations, schools, and community organizations. The partnership includes the University of Illinois at Chicago School of Public Health, NORC at the University of Chicago, Malcolm X College, and Sinai Urban Health Institute.

In March 2021, the state started providing mental health support to contact tracing staff through the state’s FEMA-funded Crisis Counseling Program.

In May 2020, the state shifted staffing for contact tracing  to a private company, Maximus. Public health students and epidemiologists at the state health department will assist the contact tracers, if needed.

Tracers will take a three- to four-hour online training course provided by the American State and Territorial Health Officers.

Many of the state’s contact tracers are helping rural counties with small public health departments. Larger counties are handling much of the work themselves.

Local health departments are leading contact tracing. Many are retraining staff, but others are hiring new staff. The state monitors virus hot spots throughout the state and fill gaps at local health departments.

University of Louisville students, trained through the Johns Hopkins University online contact tracing course, are also involved with state and city contact tracing. As of December 2020, the Louisville Metro Health Department had 250 contact tracers.

The state health department is working with Deloitte on the statewide contract tracing effort and partnering with vendors across the state to hire up to 700 contact tracers and social support connectors. A social support coordinator assists with any daily needs, such as groceries, a person may require help with while isolating.

The state partners with over 20 vendors to hire and train contact tracers.

The state contracted with Accenture and Salesforce to manage the contact tracing process and create an electronic contact tracing platform. The state uses four Louisiana-based call centers and two hiring agencies. The training for these contact tracers are managed by Louisiana State University.

As of March 2021, college athletic trainers also act as contact tracers for student athletes, coaches, and staff.

One local health department reassigned school nurses and disease prevention and behavioral health nurses. Another partnered with a community college to hire and train contact tracers.

Rock Connections will manage volunteers and Deloitte will manage technology for the tracing program.

Rose International is providing support and hiring staff on behalf of the Minnesota Department of Health.

At least one health system has assisted with contact tracing.

As of December 2020, the state’s health department had redeployed 235 staff members, who normally work on other public health initiatives, to help with contact tracing. Fifty-person teams of Department of Health and Senior Services employees have also been trained to assist with contact tracing.

All contact tracers are trained in Missouri’s Advanced Contact Tracing System, a central system that manages tracing and investigations.

The Montana Public Health Training Center and Montana Department of Public Health and Human Resources is offering a Montana Public Health Contact Tracing Certificate course tailored specifically to the state of Montana. Those that obtain a certificate are eligible to volunteer with the state for pay. As of January 2021, almost 300 people have completed the course.

The state selected PRC, a health care research company based in Omaha, to partner with for contact tracing.

The state is also working with Nelnet and North End Teleservices to staff contact tracing positions.

The Washoe County Health District has taken over the contact tracing work from the state and has partnered with the University of Nevada – Reno to handle the new work.

The state is also building a Community Contact Tracing Corps through a two-stage approach. In stage one, the state  partnered with the state’s higher education institutions to train public health graduate students and alumna. For stage two, the state contracted with Public Consulting Group (PCG) to recruit, train, and manage tracers  deployed to areas with increasing COVID-19 cases. Staff recruited by PCG are required to complete the contact tracing training developed with Rutgers School of Public Health.

Bloomberg Philanthropies helps the state health department recruit potential contact tracers for the program. The Johns Hopkins Bloomberg School of Public Health developed an online curriculum. The nonprofit Vital Strategies provides technical and operational advising.

The state is part of the Carolina Community Tracing Collaborative, partnering with Community Care of North Carolina and the North Carolina Area Health Education Centers. These organizations work with the nonprofit Partners in Health to coordinate with and build on contact tracing workforce in the local health departments. The state recruits those who are unemployed, have community engagement experience, and live in the communities that they  serve.

In collaboration with Community Care of North Carolina, the North Carolina Area Health Education Centers Program created an onboarding training curriculum that local health departments can use to train volunteers and other staff as contact tracers or case investigators.

Contact tracers also include some public health graduate students who are receiving course credit and volunteers of the Medical Reserve Corps. The nonprofit Lutheran Social Services is assisting with contact tracing efforts for people who speak English as a second language.

The state partnered with Partners in Health, to increase its contact tracing workforce. The state’s existing force of contact tracers consists of about 700 workers in the state’s 113 local health departments in a three-tiered staffing plan. College students and faculty members are part of the state’s volunteer pool called the Public Health Assist Team.

Contact tracers are  also helping set up vaccine appointments.

In December 2020, the state closed its centralized state contact tracting location in Oklahoma City, which employed 400 staff. A  state legislative report found the contact tracing efforts in the state led to no insights, was marred by technology issues, and failed to collect proper data.

As of May 2021, the state requires counties to have a minimum of 15 contact tracers per 100,000 people for them to enter Phase 1 of Reopening.

The Oregon COVID-19 Contact Collaborative is a joint contact tracing effort with Oregon Health Authority, local health authorities, health districts, tribal authorities and community-based organizations (including advocacy and community health worker groups).

The state created the Commonwealth Civilian Coronavirus Corps, which bolsters  local and community contact tracing efforts.

Regional consortiums will assess the number of contact tracers needed in each area of the state, as well as recruit more staff and coordinate efforts accordingly.

As of December 2020, the state had about 400 contact tracers. As of October, the state had 80 contact tracers dedicated to schools grades K-12.

Contact tracers are trained by Johns Hopkins School of Public Health and the Association of State and Territorial Health Officials. Both are nonprofit organizations that have offered trainings at no charge during the pandemic.

The University of South Dakota’s Community Action Response Epidemiology (CARE) team has partnered with the state to conduct contact tracing. The CARE team includes current health sciences undergraduate students, recent graduates, and School of Health Sciences faculty members.

The Metro Public Health Department replaced 50 contact tracers with an automated messaging platform called Teletask to leverage the savings to add staff to the county’s COVID-19 vaccine roll-out.

The state is contracting with the MTX group, a private technology company, to build and manage a team  of contact tracers, with a goal of recruiting 4,000 tracers. The state also works with university partners to replace and increase staff as needed.

Two counties are working with local universities to increase their staffing. One county is also working with Texas A&M University School of Public Health’s Department to develop a larger increase in their pool of epidemiologists. Another county is working with the University of North Texas to recruit 90 students as part-time contact tracers.

As of November 2020, the University of Utah had deployed 200 contact tracers to the state through a partnership agreement to train and field contact tracers.

The state also has three case managers who follow up with positive cases and contacts to link them to resources, such as grocery shopping.

The governor established the Vermont Enhanced Testing and Tracing Task Forces that include experts from the Department of Health and agencies affiliated with the Human Services and Digital Services, to monitor technological and workforce needs going forward.

In January, the state began accepting bids for a contract to provide up to 75 full-time contact tracers. The state would provide training to these staff and continue to lead the contact tracing effort. In April 2021, the contract was awarded to Applied Memetics, LLC.

Multiple universities have taken on contact tracing for their respective campuses. The University of Virginia partnered with its local health district to fund seven new positions for contact tracing on campus, Virginia Commonwealth University has hired 13 contact tracers, and Virginia Tech has implemented a Case Management Team to assist with contact tracing and coordinating quarantining  and isolation on campus.

As of May 2021, the local health jurisdiction of King County reported having 54 contact tracers on staff.

The National Guard assists with contact tracing (along with other services, such as food delivery and personal protective equipment procurement and distribution). The state health department also partnered with West Virginia University to develop an online class to train contact tracers and certify them through the Association of State and Territorial Health officials.

The app was developed by the Birmingham-based tech company MotionMobs in collaboration with the state health department and the University of Alabama at Birmingham where it was piloted before being release statewide.

As of March 2021, 250,000 people have downloaded the app. The state has joined the Association of Public Health Laboratories’ National Key Server, which allows Guidesafe to download keys from other exposure notification apps on the server.

In August, the state launched the DiMagi/CommCare application to manage information for COVID-19 cases and contacts, coordinate work, and measure and improve contact tracing efforts.

Contacts of positive cases use an automated monitoring and reporting system called Qualtrics to report symptoms over a 14-day period by text or email.

The state released  Covid Watch Arizona, an anonymous exposure notification app, statewide in April 2021. The app is a joint project of the University of Arizona and WeHealth that uses Bluetooth technology developed by Apple and Google to log Bluetooth signals of other nearby users.

The state has joined the Association of Public Health Laboratories’ National Key Server, which allows COVID Watch Arizona to download keys from other exposure notification apps on the server.

The state partnered with Accenture to launch a system using Salesforce and Amazon Connect for case management.

The state launched CA Notify in December 2020. The app detects whether participants were near someone with COVID-19 via Bluetooth. As of January 2021 the state estimated that 8 million people had activated the app.

The CA Notify app is part of the Association of Public Health Laboratories’ National Key Server, which allows it to download keys from other exposure notification apps that are on the server.

The state uses a mobile service application in partnership with Google and Apple called CO Exposure Notifications. The app uses Bluetooth to sense whether a user’s device has been within six feet of someone who has tested positive for COVID-19 for a total of 15 minutes or longer in a given period.  As of December 2020, 1.4 million people had downloaded the app.

The state is a participant in the Association of Public Health Laboratories’ National Key Server. The state’s exposure notification app can download the keys or codes of any other state’s exposure notification app if they are both participating.

The state uses  Google and Apple’s exposure notification app, COVID Alert CT. The app uses Bluetooth to sense whether a user’s device has been within six feet of someone who has tested positive for COVID-19 for a total of 15 minutes or more in one day. If a user tests positive, a contact tracer (working for a state, local health department, or higher education institution) will manually ask the case to share the “close contact” codes their app has logged while they had been contagious. If the user agrees, those who met the close contact criteria for the app will receive an alert notifying them that they were a close contact of an anonymous case. As of January 2021, the app had been activated on 1 million mobile devices.

The state is a participant in the Association of Public Health Laboratories’ National Key Server. The state’s exposure notification app can download the keys or codes of any other state’s exposure notification app if they are both participating.

DC is a participant in the Association of Public Health Laboratories’ National Key Server. DC’s exposure notification app can download the keys or codes of any other state’s exposure notification app if they are both participating.

In September 2020, the state launched an app, COVID Alert DE, that uses Bluetooth technology to alert users they have come in contact with someone who has tested positive for COVID-19. In February 2021, the app had been downloaded 100,000 times.

The state is a participant in the Association of Public Health Laboratories’ National Key Server. The state’s exposure notification app can download the keys or codes of any other state’s exposure notification app if they are both participating.

Several counties in South Florida use an exposure notification app, CombatCOVID, which notifies users if they have come into contact with someone who has COVID-19.

In January 2021, the state began using the Healthy Together Mobile App for contact tracing. Use of the app is voluntary and relies on location and Bluetooth data.

In April 2021, the state launched the Stronger Than C-19 community action survey. The anonymous survey is designed to gather information that helps the state track COVID-19 to improve the distribution of resources and initiatives across the state.

Georgia Tech uses the NOVID exposure notification app, which uses Bluetooth and sound waves to detect distance between two phones using the app and logs the anonymous codes of phones that are within six feet for more than 15 minutes. The app is voluntary for students, faculty, and staff on campus.

The state uses two local apps called AlohaSafe Story, which uses GPS technology to log the user’s location, and AlohaSafe Alert, which anonymously records contacts through Bluetooth and  Google/Apple Exposure Notification  technology. By March 2021, the app had 450,000 downloads.

The state also participates in the Association of Public Health Laboratories’ National Key Server. The state’s exposure notification app can download the keys or codes of any other state’s exposure notification app if they are both participating.

In March 2021, Marion County unveiled a contact tracing plan requiring all NCAA staff and athletes to wear a contact tracing device called SafeTag during the men’s basketball tournament in Indianapolis.

In August 2020, the University of Kansas launched an app created by CVKey Project to reopen its campus. Users can conduct a health self-assessment and then generate a QR code to verify access to campus buildings.

As of August 2020, the state rolled out GovConnect Contact Tracing software as a comprehensive case management system for COVID-19.

The state uses a COVID-19 tracing app called COVID Defense. The free app uses Bluetooth technology to send exposure alerts to contacts.

The Louisiana Department of Health’s Contact Tracing program is using SMS text messaging to provide COVID-19 positive individuals, their contacts, and travelers to the State with advice and support about infection, isolation and quarantine, how to protect their own health and that of others, and assistance in meeting basic needs while quarantined.

The contact tracers also collect personal information from individuals through SMS text messaging about their COVID-19 symptoms, health, isolation and quarantine plans.

In December 2020, the state launched  technology to send text messages to individuals who test positive for COVID-19. Individuals must opt-in to receive the text messages.

The state is a participant in the Association of Public Health Laboratories’ National Key Server. The state’s exposure notification app can download the keys and codes of any other state’s exposure notification app if they are both participating.

On May 10, 2021, the Maryland Department of Health launched a media campaign, called “Don’t Invite COVID,” to encourage residents to continue participation in testing and contact tracing. The campaign uses  social media and will run through October, 2021. It also features TV and radio public service announcements as well as outdoor and other digital media.

Salesforce helps capture data from case investigations and contact tracing. Data from Salesforce are uploaded to MAVEN, the state disease surveillance system, daily. Testing facilities also report cases and contact info to MAVEN.

In April 2021, the state began piloting MassNotify app with two cities. MassNotify builds on Apple and Google’s automated exposure notification platform using Bluetooth technology. When two people using MassNotify are near each other, their phones exchange random anonymous codes using Bluetooth. When a person tests positive for COVID-19, they receive a text message with instructions on how to anonymously share their test result with other users. MassNotify users who were near the person who tested positive may receive an anonymous alert about possible exposure. The alert will have a link to guidance on how to protect themselves and others.

The state uses  MI COVID Alert, an app based on Apple and Google’s exposure notification platform using Bluetooth technology. Users who test positive receive a PIN that enables them to see their test results. Close contacts, defined as other app users within six feet of the person with COVID-19 for at least 15 minutes, will receive a notification that they are a close contact of an anonymous case, but only after the test results are manually entered into the system. As of January 2021, the MI COVID Alert app had been downloaded by about 500,000 people.

The state is a participant in the Association of Public Health Laboratories’ National Key Server. The state’s exposure notification app can download the keys and codes of any other state’s exposure notification app if they are both participating.

The Michigan Restaurant and Lodging Association produced two mobile applications called “Temp Check” and “Guest Protect” to help restaurants could meet state requirements for screening staff and collecting guests’ contact information in advance.

HealthPartners and the University of Minnesota developed a mobile application called SafeDistance. Clinicians at HealthPartners are encouraging patients and the public in the Twin Cities area to use the application.

In November 2020, the state launched COVIDaware MN, an app that notifies people when their phone has been in close proximity to the phone of a person with COVID-19 for enough time to be considered a close contact. By January 2021, the app had been downloaded 367,000 times.

COVIDaware MN participates in the Association of Public Health Laboratories’ National Key Server, which allows the state to download keys from other exposure notification apps that are on the server.

The Electronic COVID-19 Case Reporting System allows medical providers and required reporting entities to enter positive case information.

EpiTrax is a comprehensive disease surveillance system that receives reports from COVID-19 tests. EpiTrax uses test data to trigger case management and investigations by local public health agencies (LPHAs) and DHSS staff.

MO ACTS uses COVID-19 case contacts from EpiTrax and serves as the central contact tracing system for LPHAs, DHSS and contracted staff. Through MO ACTS, contacts can be contacted by phone, text or email.

Missoula County uses PatientOne, a locally developed app, to help with case management of quarantined individuals.

Yellowstone County is using software for trend identification for positive cases and contacts.

Some counties are struggling with the Salesforce platform. For that reason, Clark County began using EpiTrax. Now the state plans to expand EpiTrax use to the rest of the state.

The state uses COVID Trace, an opt-in contact tracing app developed by Google and Apple that allows phones to anonymously exchange information when in close contact through Bluetooth.

The state has expanded capabilities of the COVID Trace app with the Exposure Notification Express (ENX) through a partnership with Apple and Google. Now individuals can turn on ENX to alert users who have been within six feet for more than 15 minutes of a COVID-19-positive individual. The app is on the National Key Server, which allows apps to download keys from other state apps on the server. As of May 2021, 23 states and Washington, DC have joined the National Key Server.

The state has also implemented a vendor developed Salesforce solution to support contact notification and monitoring called Granite Trace.

In September 2020, the state launched an exposure notification app, COVID Alert NJ, using Bluetooth proximity technology. The app is based on the platform developed by Google and Apple. The app is on the National Key Server which allows apps to download keys from other state apps on the server. As of May 2021, 23 states and Washington, DC have joined the National Key Server.

The Santa Fe is encouraging residents to use a COVID-19 app, NOVID. Users anonymously log their COVID-19 status; it uses both Bluetooth and ultrasonic technology to measure the “time-sound takes” to sense the proximity of other NOVID-using phones. The app does not use Apple and Google’s platform.

In March, 2021, New Mexico Tech launched MinerSafe, a contact tracing app for campus students, faculty, and staff.

In October 2020, the state released an exposure notification app, COVID Alert NY, using Bluetooth technology. As of February 2021,  more than 1.3 million individuals have downloaded it. The app is based on technology developed by Apple and Google. The app is on the National Key Server which allows apps to download keys from other state apps on the server. As of May 2021, 23 states and Washington, DC have joined the National Key Server.

The state uses an exposure notification app using Bluetooth technology – SlowCOVIDNC.

The app is based on Google and Apple’s Exposure Notification System and alerts users if they have been in close contact with individuals who later test positive for COVID-19. The state is targeting marketing of the app at populations at high risk of exposure to COVID-19, including colleges and universities.

The app is also on the National Key Server which allows apps to download keys from other state apps on the server. As of May 2021, 23 states and Washington, DC have joined the National Key Server.

The state has two apps. The “Care19 Diary” serves as a memory aid that uses location data to help users who test positive for COVID-19 recall where they’ve visited to assist the contact tracing process. The “Care19 Alert” app uses exposure notification technology jointly developed by Apple and Google for public health agencies to supplement their COVID-19 contact tracing efforts.

The Care19 Alert app is on the National Key Server which allows apps to download keys from other state apps on the server. As of May 2021, 23 states and Washington, DC have joined the National Key Server.

Some local entities, such as the Lake County school district and the Cincinnati International Airport, are partnering with Volan Technology to use a Bluetooth-based contact tracing application.

The state uses Orpheus, the state’s reportable disease database, to house information on case investigation and contacts. The state is also developing a separate COVID-19 active surveillance database that will use ARIAS. The platform will be a secure, central database offering needed information to contact tracers, case managers, and case investigators.

The state piloted an exposure notification app, OR Notify, in December 2020. The app used Bluetooth technology and is based on the platform created by Apple and Google. On April 7, 2021, the state announced it would not be launching the app, focusing efforts and resources instead on vaccination.

The state tested the app on the OSU campus, with nearly 5,000 participants. The system is not intended to replace traditional contact tracing, but will be used to alert users who were in close proximity to a positive case.

The state has a digital contact tracing system called Connect and Protect that directs individuals between ages 19 and 64 who test positive to fill out an online contact tracing questionnaire.

In September 2020, the state launched an app, COVID Alert PA, which uses proximity exposure technology. Users voluntarily report when they test positive, which in turn anonymously alerts other phones that have been in proximity for a specified time. It is available in four  languages. Individuals ages 13 through 17 are also able to use the app with parental consent. As of April 2021, there were 877,000 downloads of the App.

The app is on the National Key Server, which allows apps to download keys from other state apps on the server. As of May 2021, 23 states and Washington, DC had joined the National Key Server.

The state uses a text-based contact tracing system enabling residents to fill out an online form, providing contact information for close contacts. The system will automatically text the list of people, informing them they must self-quarantine. The system builds on the existing health portal, which residents use to check their COVID-19 results. The system is not designed to replace human contact tracers but to supplement the contact tracing work.

The CRUSH COVID RI app shares daily location data for up to the past 20 days with the state Department of Health (RIDOH), though the data are only made available if users opt-in to sharing. If locations emerge where multiple people tested positive in a short time frame, the RIDOH uses the data to take steps to close and sanitize the location. The app also includes a symptom tracking survey.

The South Carolina Department of Health and Environmental Control does not use a contact tracing app. They maintain their data separately for privacy and security purposes.

The state uses a patient management software that has the capacity to rapidly reach contacts, provide education on the importance of quarantine, and allow them to monitor positive cases during quarantine.

The South Carolina Department of Corrections built an app to assist with tracking infections among prison staff.

Together with North Dakota, the state launched Care19, a location-tracking app to map the spread of COVID-19 and assist with contact tracing. The Care19 app is a location-logging application for use in contact tracing. The health department will ask people who test positive to share their location log for tracing purposes. The app can also automatically notify others who were close by and may have been exposed. Use of the app and disclosure of location information is voluntary.

A state lawmaker filed a bill in December 2020 that would prohibit the use of cell phone location data in contact tracing.

As Texas schools have resumed in-person learning, some schools are using “high-tech lanyards” with Bluetooth technology to monitor students and alert them if they come in close contact to someone with COVID-19. This helps automate the process of contact tracing, though local health departments still use traditional contact tracing methods.

In February 2021, Utah launched the Google/Apple Exposure Notification Express System to help slow the spread of the COVID-19 through smartphone notification that log close interactions with others. The app is part of the National Key Server which allows it to download keys from other state apps on the server. As of May 2021, 23 states and Washington, DC have joined the National Key Server.

Starting in December 2020, contacts maybe contacted via text message prior to receiving a call.

The state is using the National Electronic Disease Surveillance System Base System to manage COVID-19 case data.  This system helps public health departments manage reportable disease data and supports public health investigations.

The state also uses the Sara Alert system, which sends email and text messages that prompt a person with COVID-19 to complete a daily self-report of their symptoms.

In May 2020, the state launched COVIDCheck, a website which allows people to check their symptoms and guides them to testing, if needed.

The state also launched a proximity tracking app called COVIDWISE. Users must opt-in to the COVIDWISE notification system which uses their phone’s Bluetooth technology to track other app users. If one user encounters another who had a positive COVID-19 test within the last 14 days, the app will provide an exposure notification alert and next steps from the Department of Health.

In December 2020, the COVIDWISE app became part of the National Key Server which allows it to download keys from other state apps on the server. As of May 2021, 23 states and Washington, DC have joined the National Key Server.

In February 2021, the state launched COVIDWISE Express as an additional exposure notification tool for iPhone users. COVIDWISE Express does not require users to download the app, but is activated through the Exposure Logging on their smartphone.  As of May 2021, about 3 million Virginians have downloaded the app and are using COVIDWISE and COVIDWISE express.

The state uses the WA Notify app, which is based on Google Apple Exposure Notification technology. Users can opt in to receive notifications if a contact tests positive for COVID-19.

As of May2021, WA Notify had more than 1.98 million users. The app is also on the National Key Server which allows it to download keys from other state apps on the server. As of May 2021, 23 states and Washington, DC have joined the National Key Server.

The state also uses SARA Alerts, a web-based monitoring tool, to send emails, texts and/or phone calls to cases and identified close contacts during their isolation/ quarantine monitoring period.

The state launched the WI Exposure Notification app in partnership with Apple and Google.  The app is on the National Key Server which allows it to download keys from other state apps on the server. As of March 2021, 1.2 million users have signed onto the contact tracing app.

As of May 2021, 23 states and Washington, DC had joined the National Key Server.

The app is also on the National Key Server which allows it to download keys from other state apps on the server. As of May 2021, 23 states and Washington, DC have joined the National Key Server.

The state is using more than $30 million in CARES Act funding to provide testing, symptom monitoring, and notification of exposure to COVID-19 for higher education students in all of the state’s public and private institutions.

To develop a contact tracing curriculum, the University of Alaska Anchorage’s Center for Rural Health and Workforce accessed a $95,000 supplemental federal CARES Act grant, which the state matched.

About $2.1 million has been allocated to hire contact tracers.

In February 2021, the Municipality of Anchorage approved a $91,000 contract with Yuit Communications to develop a marketing campaign for a proposed statewide contact tracing app.

In December 2020, the state announced it would provide $115 million to its three public universities to cover COVID-19-related costs. The funds are drawn from the Coronavirus Relief Fund, part of the federal CARES Act.

Arizona will have access to new federal funds of around $1.4 billion for Arizona counties and $1 billion for two dozen of the state’s cities to implement various public health programming including services nad programs to contain the spread of COVID-19, like contact tracing.

As of March 23, 2021, the state has just over $1 million left of their $20 million contact tracing contract, valid through June 29, 2021.  There is a 6-year renewal option that will be assessed before the current contract ends, with the option to hire up to 350 contact tracers and 14 supervising agents.

The state allocated $28 million to institutions of higher education from the state CARES Act Fund.

In November 2020, the state awarded a one-year, $2 million contract to UC San Diego Health to provide call center management support, CA COVID Notify Website maintenance, and other contact tracing operations support.

In February 2021, using funding distributed by the US Centers for Disease Control and Prevention, the California Department of Public Health allocated funds to California counties (Sacramento: $60 million; Yolo: $10.4 million; Placer: $12.1 million; El Dorado: $6.5 million) to support their COVID-19 public health efforts including case investigation and contact tracing.

In December 2020, the governor announced over $311 million of the state’s allocation from the federal COVID relief bill would support vaccination, testing, and contact tracing.

Connecticut Health Foundation has awarded $706,400 in grants to 18 recipients, including an $100,000 grant to Danbury, to help 8 community health workers continue their outreach work to vulnerable residents, including contact tracing. The grant allows them to continue their work through August 31.

The state  invested about $390,000 of federal funding to develop, market, and maintain the COVID Alert DE app.

New Castle County will contribute up to $3.1 million of its federal CARES Act funding to the statewide contact tracing program.

In August 2020, Maximus reported the contract would likely increase to $65 to $75 million.

In March 2021, the state paid World Wide Technology of St. Louis $450,000 to design the Stronger Than C-19 community action survey to improve the distribution of resources and initiatives across the state.

Palm Beach County allocated $1 million in CARES Act funding for contact tracing, through November 2020. The county plans to seek additional resources.

Palm Beach County is using $875,600 in federal coronavirus aid for the CombatCOVID exposure notification app and Miami-Dade will pay $775,000.

In June 2020, the state department of health signed a $2.7 million contract with Twenty Labs, LLC for the state’s contact tracing platform. In December 2020, the governor’s office signed a $1.5 million contract for the company’s mobile contact tracing app Healthy Together.

The state is in a $2.5 million contract with the University of Hawaii using in-state funds for training.

The governor’s 2021 proposed budget includes $250 million to continue to respond to the pandemic, including vaccine rollouts, testing and contact tracing.

In July 2020, the state pledged to provide $150 million to local health departments for contact tracing.

Chicago awarded the Chicago Cook Workforce Partnership $56 million in state and federal funds to work with 31 community-based organizations to create a COVID Contact Tracing Corps and COVID Resource Coordination Hub.

The Cook County Department of Public Health is funded to continue contact tracing through the end of 2021.

The state dedicated $250 million to fund local governments outside of the Chicago area for pandemic expenditures, including contact tracing.

Several school districts in the state will receive funds from the American Rescue Plan, ranging from $1.5 to 76.7 million for pandemic relief, including contact tracing.

Indianapolis is contracting with the Indiana University School of Public Health at $10.5 million to provide contact tracing.

In January 2021, Indianapolis allocated an additional $1.9 million in city funds to support ongoing contact tracing.

The state contracted with DOMO for $250,000 to develop new contact tracing software.

About $112 million in CARES Act funding for contact tracing staffing ran through December 2020.

Nearly $290 million of the state’s share of the December 2020 Federal COVID Relief bill will be used for COVID-19 contact tracing, testing and mitigation efforts.

In May 2021, the CDC Foundation gave Xavier University $420,000 to create strategies for combatting disproportionate rates of COVID-19 among African Americans in New Orleans. These strategies will include community outreach about contact tracing.

The state has a $77 million contract with Partners in Health ($55 million through December 2020 plus  an additional $22 million to  extend the contract through March 2021).

The state has a $39 million contract with Accenture and Salesforce to develop and manage software.

Local boards of health received $10 million in grants from the state’s budget in 2020.

The state has awarded several local and tribal organizations with funding to conduct community-based pandemic efforts, including contact tracing.

The state allocated $100 million from the American Rescue Act for vaccines, testing, contact tracing, and other coronavirus-related expenses.

From August to December 2020, the state paid McKinsey & Company $7.8 million to help implement long-term care reforms and expand contact tracing. The state signed another agreement with the company for vaccine rollout assistance that runs thorugh April 2021.

In March 2021, the New Jersey Department of Health partnered with Catholic Charities to help build a statewide COVID Community Corps to help provide COVID-19 health education, testing, and contact tracing support to underserved groups, including Black and Latinx communities.

New Mexico also has a $7.5 million dollar contract with MTX for contact tracing.

In November 2020, the governor signed a state relief package allocating $10 million dollars for testing, vaccine distribution, and contact tracing.

The state received more than $30 million from the Centers for Disease Control and Prevention to be distributed to counties to enhance COVID-19 contact tracing and flu prevention.

As of March 2021, New York City reported its contact tracing budget for the current fiscal year and the next at $582 million.

As of January 2021, the North Carolina Department of Health and Human Services has spent $125 million CARES Act funding on testing and contact tracing

The governor allocated $100 million of CARES Act funding to higher education, some of which will go to contact tracing.

The Cleveland Foundation is offering grants to community-based Cleveland nonprofits for  contact tracing.

In November 2020, the Cherokee Nation received a $4 million grant for testing and contact tracing through a National Institutes of Health Rapid Acceleration of Diagnostics for Underserved Populations grant.

In July 2020, the state  contracted with Insight Global at  $23 million to increase its contact tracing workforce. In May 2021, the state cut ties with the vendor and is suing after personal health information of about 72,000 Pennsylvanians were compromised.

The state contracted with NearForm Ltd. at $1.9 million to deploy and maintain the Covid Alert PA app.

The 2021 Rhode Island budget included $180 million to cover COVID-19-related expenses, including contact tracing.

In April 2021, the state awarded a $10 million contract to Applied Memetics LLC. The contract would provide up to 75 full-time contract tracers.