One expert says that because omicron spreads so quickly, the millions spent on contact tracing could be better spent on more effective masks and more testing
Intensive contact tracing has helped contain COVID-19 outbreaks in some Asian countries. People test positive, they quarantine, and the folks they’ve had contact with are tracked down and asked to — or, in some nations, forced to — quarantine as well.
The U.S. has spent billions on contact tracing, and California alone will have spent $300 million on it through the next fiscal year. But researchers have found that 2 of 3 people with confirmed COVID-19 in the U.S. were either not reached or wouldn’t name contacts when interviewed, and public health authorities haven’t been able to monitor enough cases to stem the tide.
Now, as the pandemic enters its third year, the highly contagious omicron variant spreads like fire through dry grass. The incubation period can be as short as two days. The Centers for Disease Control recommends isolation for as little as five days. More people are testing at home — cases authorities don’t even count in their tallies — and some officials are throwing their hands up and suspending contact tracing.
“(T)he sheer speed of omicron’s transmission means people are exposed, infected and then contagious before the local health department can even identify an outbreak, much less get word to those who are exposed,” said officials in Oregon’s Multnomah County. “Because of that dynamic, contact tracing has become much less effective at lowering COVID-19’s risk, especially when cases are surging so high and when spending time in any indoor public space is essentially considered an exposure for anyone who isn’t up-to-date on their vaccines.”
Financial commitment waning
The financial commitment to contact tracing in California appears to be waning, but remains. The governor’s proposed budget shows that $258.3 million was spent on contact tracing over the first two years of the pandemic, with another $38.9 million going forward through the end of the next fiscal year.
The current and future spending breaks down to a projected $20.6 million this fiscal year, and $18.3 million next fiscal year, said Sonja Petek, principal fiscal and policy analyst for the Legislative Analyst’s Office.
“Contact tracing remains one of our many key tools in responding to the spread of COVID-19,” said a statement from Gov. Gavin Newsom’s press office. “It’s also an important measure utilized in high-risk and congregate settings. Contact tracing assists with notifying exposed people for possible post-exposure treatment, testing, and quarantine in a timely manner.”
Overall, Newsom’s budget proposes $110 million to increase public health and humanitarian efforts at the California-Mexico border — including vaccinations, testing, isolation and quarantine services — “and expanded statewide contact tracing activities to help keep Californians safe and slow the spread.”
Currently, 268 state employees have been redirected to contact tracing efforts, the governor’s press office said. But experts aren’t sure the investment will bring great returns — at least not right now.