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

• Published in: International journal of environmental research and public health 2021-07, Vol.18 (14), p.7251
• Main Authors: Wozniczka, Daniel, Demeke, Hanna B., Thompson-Paul, Angela M., Ijeoma, Ugonna, Williams, Tonya R., Taylor, Allan W., Tan, Kathrine R., Chevalier, Michelle S., Agyemang, Elfriede, Dowell, Deborah, Oduyebo, Titilope, Shiferaw, Miriam, Coleman King, Sallyann M., Minta, Anna A., Shealy, Katherine, Oliver, Sara E., McLean, Catherine, Glover, Maleeka, Iskander, John
• Format: Article
• Language: English
• Subjects: Case reports; Coronaviruses; COVID-19; Data collection; Demographics; Departments; Disease control; Disease prevention; Disease transmission; Emergency preparedness; Emergency response; Epidemics; Health care; Long term health care; Medical personnel; Multidisciplinary teams; Pandemics; Pediatrics; Personal protective equipment; Public health; Quarantine; Real time; Risk assessment; Severe acute respiratory syndrome coronavirus 2; Telemedicine; Workers
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph18147251

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.