Real-Time CDC Consultation during the COVID-19 Pandemic-United States, March-July, 2020.

Daniel Wozniczka, Hanna B Demeke, Angela M Thompson-Paul, Ugonna Ijeoma, Tonya R Williams, Allan W Taylor, Kathrine R Tan, Michelle S Chevalier, Elfriede Agyemang, Deborah Dowell, Titilope Oduyebo, Miriam Shiferaw, Sallyann M Coleman King, Anna A Minta, Katherine Shealy, Sara E Oliver, Catherine McLean, Maleeka Glover, John Iskander
Author Information
  1. Daniel Wozniczka: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. ORCID
  2. Hanna B Demeke: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. ORCID
  3. Angela M Thompson-Paul: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. ORCID
  4. Ugonna Ijeoma: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  5. Tonya R Williams: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  6. Allan W Taylor: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  7. Kathrine R Tan: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  8. Michelle S Chevalier: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  9. Elfriede Agyemang: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  10. Deborah Dowell: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  11. Titilope Oduyebo: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  12. Miriam Shiferaw: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  13. Sallyann M Coleman King: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  14. Anna A Minta: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  15. Katherine Shealy: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  16. Sara E Oliver: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  17. Catherine McLean: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  18. Maleeka Glover: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
  19. John Iskander: Clinician On-Call Team, COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.

Abstract

CONTEXT: In response to the COVID-19 pandemic, the Centers for Disease Prevention and Control (CDC) clinicians provided real-time telephone consultation to healthcare providers, public health practitioners, and health department personnel.
OBJECTIVE: To describe the demographic and public health characteristics of inquiries, trends, and correlation of inquiries with national COVID-19 case reports. We summarize the results of real-time CDC clinician consultation service provided during 11 March to 31 July 2020 to understand the impact and utility of this service by CDC for the COVID-19 pandemic emergency response and for future outbreak responses.
DESIGN: Clinicians documented inquiries received including information about the call source, population for which guidance was sought, and a detailed description of the inquiry and resolution. Descriptive analyses were conducted, with a focus on characteristics of callers as well as public health and clinical content of inquiries.
SETTING: Real-time telephone consultations with CDC Clinicians in Atlanta, GA.
PARTICIPANTS: Health care providers and public health professionals who called CDC with COVID-19 related inquiries from throughout the United States.
MAIN OUTCOME MEASURES: Characteristics of inquiries including topic of inquiry, inquiry population, resolution, and demographic information.
RESULTS: A total of 3154 COVID-19 related telephone inquiries were answered in real-time. More than half (62.0%) of inquiries came from frontline healthcare providers and clinical sites, followed by 14.1% from state and local health departments. The majority of inquiries focused on issues involving healthcare workers (27.7%) and interpretation or application of CDC's COVID-19 guidance (44%).
CONCLUSION: The COVID-19 pandemic resulted in a substantial number of inquiries to CDC, with the large majority originating from the frontline clinical and public health workforce. Analysis of inquiries suggests that the ongoing focus on refining COVID-19 guidance documents is warranted, which facilitates bidirectional feedback between the public, medical professionals, and public health authorities.

Keywords

References

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MeSH Term

COVID-19
Centers for Disease Control and Prevention, U.S.
Humans
Pandemics
Referral and Consultation
SARS-CoV-2
Telephone
United States

Word Cloud

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