UTAH

Detective, nurse, confidant: Utah virus tracer plays many roles

May 21, 2020, 3:56 PM
wearing a mask...
FILE PHOTO - A new Deseret News/Hinckley Institute of Politics survey is shedding some light on how Utahns feel about wearing a mask in public, which includes an interesting partisan split.

SALT LAKE CITY (AP) — Health investigator and virus tracer, Mackenzie Bray, smiles and chuckles as she chats by phone with a retired Utah man who just tested positive for the coronavirus.

She’s trying to keep the mood light because she needs to find out where he’s been and who he’s been around for the past seven days. She gently peppers him with questions, including where he and his wife stopped to buy flowers on a visit to a cemetery. She encourages him to go through his bank statement to see if it reminds him of any store visits he made.

Midway through the conversation, a possible break: His wife lets slip that they had family over for Mother’s Day, including a grandchild who couldn’t stop slobbering.

“Was there like a shared food platter or something like that?” Bray asks. “There was, OK, yep … sharing food or sharing drinks, even just being on the same table, it can spread that way.'”

Suddenly, with a shared punch bowl, the web has widened, and Bray has dozens more people to track down.

Virus tracer is a new job title

She is among an army of health professionals around the world filling one of the most important roles in the effort to guard against a resurgence of the coronavirus. The practice of so-called contact tracing requires a hybrid job of interrogator, therapist and nurse as they try coax nervous people to be honest.

The goal: To create a road map of everywhere infected people have been and who they’ve been around.

While other countries have devised national approaches, a patchwork of efforts has emerged in the U.S. where states are left to create their own program.

Bray normally does this type of work to track contacts for people with sexually transmitted diseases. She is now one of 130 people at the Salt Lake County health department assigned to track coronavirus cases in the Salt Lake City area. The investigators, many of them nurses, each juggle 30 to 40 cases, and try to reach everyone the original person was within 6 feet (1.8 meters) of for 10 minutes or more. They stay in touch with some people throughout the 14-day incubation period, and calls can take 30 minutes or more as they meticulously go through a list of questions.

More virus tracers are needed

Some estimate as many as 300,000 contact tracers would be needed in the U.S. to adequately curtail the spread. While some states like Utah have reported having enough contact tracers, others are hundreds or even thousands of people short.

The contact tracers often find themselves in a tangled web of half-truths and facts that don’t match up. Language and cultural barriers arise that require interpreters and taxing conversations that leave the investigators wondering if the person understands what they’re trying to do.

They land on occasion into complicated family dynamics where people are reluctant to tell the truth.

Health investigator Maria DiCaro found out days into a case that a father was sleeping in his car because he and his wife were separating. The man had stopped returning DiCaro’s calls, and that key information came from his child.

“I get people that lie all time,” DiCaro said. “I try to get as much information from the beginning but it’s just not always the case. And time is one of those things you can’t take back when you are trying to prevent and you know do these contact tracing investigations.”

Kindness works best

Each call is an exercise in good cop, bad cop. She needs people to cooperate, but no one is legally required to answer the questions. Usually kindness works better than strong words.

Some people lie because they’re scared, or they forget an outing. Construction workers, housekeepers and others without paid sick time may gloss over symptoms so they can get back to work. Some immigrants without documentation brush off testing because they fear it could lead to deportation.

“People sometimes think contact tracing is black and white but there is a lot of gray that goes into it,” said Bray, who often thinks about her parents and 97-year-old grandmother as she works to help stop the spread of the virus. “Our worst fear is that we push too hard and we lose someone. It’s not just their health on the line, it’s the people around them.”

No matter the tension, Bray and DiCaro give frequent reminders of why it all matters: “Thank you for what you’re doing. You’re helping the community,” DiCaro says during one call.

She knows that on the other end of the line, the first call from a tracer can be jarring. Sometimes, DiCaro and Bray have to break the news that someone was exposed or tested positive.

“It’s normal to talk to like your doctor, but you don’t ever expect the health department to call you and be like, ‘You were exposed to a serious disease,'” said Anissa Archuleta.

How the virus spreads: one woman’s story

The 23-year-old got a call from DiCaro after she, her sister and her mother took a rare break from hunkering down to help organize a drive-by birthday party for a young cousin. They dropped off a present, then caved and accepted an impromptu invitation to go inside to grab some food.

What they didn’t know: the father of the birthday boy had the coronavirus, and unknowingly exposed more than a dozen people at the gathering.

After that first call, DiCaro checked in every day for two weeks. The fear slowly faded after their tests came back negative and they began building a rapport with DiCaro. She asked about their symptoms and how they were feeling each day and learned about how Archuleta’s mother lost her voice to fibromyalgia. Archuleta would pass along messages her mother whispered in her ear.

And after a while, Archuleta began asking DiCaro about her life and how she was holding up.

About a week into their calls, on the daily check-in, Archuleta thanked DiCaro for caring about them and checking in every day. Tears welled up in DiCaro’s eyes.

“Ah thanks,” she said as she grabbed a Kleenex to wipe her eyes.

After she hung up, she leaned back in her chair and closed her eyes for a few seconds.

“When you do this like 10-12 hours a day … It’s nice to get those positive reactions from people that are very grateful who do see the purpose of what we are doing,” said DiCaro. “It’s nice to be appreciated.”

 

How To Prevent the Spread of COVID-19Coronavirus

COVID-19 coronavirus is transmitted from person to person. It is a virus that is similar to the common cold and the flu. So, to prevent it from spreading:

  • Wash hands frequently and thoroughly, with soap and water, for at least 20 seconds.
  • Don’t touch your face.
  • Keep children and those with compromised immune systems away from someone who is coughing or sneezing (in this instance, at least six feet)
  • If there is an outbreak near you, practice social distancing (stay at home, instead of going to the movies, sports events, or other activities.)
  • Get a flu shot.

Local resources

KSL Coronavirus Q&A

Utah’s Coronavirus Information

UtahState Board of Education

Utah Hospital Association

The Church of Jesus Christ of Latter-day Saints

Utah Coronavirus Information Line – 1-800-456-7707

National Resources

Centers for Disease Control and Prevention

Commonly asked questions, World Health Organization

Cases in the United States

Today’s Top Stories

Utah

WNBA star and two-time Olympic gold medalist Brittney Griner is escorted to a courtroom for a heari...
JIM HEINTZ Associated Press

Russian media: Griner pleads guilty in Russia drugs trial

MOSCOW (AP) — Jailed American basketball star Brittney Griner on Thursday pleaded guilty to drug possession and smuggling during her trial in Moscow but said she had no intention of committing a crime, Russian news agencies reported. The reports quoted Griner as saying through an interpreter at the court hearing that she had acted unintentionally […]
11 hours ago
Ogden police car...
Mark Jones

Ogden-Weber Technical College evacuated due to bomb threat; no bomb found

Weber County emergency personnel responded to the Ogden-Weber Technical College Wednesday afternoon for a report of bomb threat. After a search of the campus, no device was found.
1 day ago
Black Rifle Coffee...
Lindsay Aerts

Black Rifle Coffee, Dallas Cowboys take heat for timing of business partnership

The timing of a business partnership between Utah-based Black Rifle Coffee and the Dallas Cowboys has generated a lot of emotions on social media.
1 day ago
south jordan police...
Mark Jones

Two children hurt in auto-pedestrian collision in South Jordan

South Jordan police say two children are in critical condition after a auto-pedestrian collision Wednesday. Both children were taken to Primary Children's Hospital.
1 day ago
Local environmental groups are taking a victory lap now that a medical waste incinerator in North S...
Lindsay Aerts

Stericycle can no longer burn medical waste in SLC, but the fight to stop toxic pollutants may not be over

Local environmental groups are taking a victory lap now that a medical waste incinerator in North Salt Lake belonging to Stericycle, has been shut down.
1 day ago
Utah Fire Info says the Deuel Creek Fire is now 100% contained. Photo Credit: Utah Fire Info....
Devin Oldroyd

Deuel Creek Fire is now 100% contained, Utah Fire Info says

Utah Fire Info says the Deuel Creek Fire is now 100% contained after days of firefighters combating the blaze.
1 day ago

Sponsored Articles

Tax Harassment...
Jordan Wilcox

The best strategies for dealing with IRS tax harassment | You have options!

Learn how to deal with IRS tax harassment. This guide will teach you how to stop IRS phone calls and letters, and how to handle an IRS audit.
spend a day at Bear Lake...
Bear Lake Convention and Visitors Bureau

You’ll love spending the day at Bear Lake | How to spend a day at Bear Lake

Bear Lake is a place that needs to be experienced. Spend a day at Bear Lake.
Curb Appeal...
Price's Guaranteed Doors

How to have the best of both worlds for your house | Home security and curb appeal

Protect your home and improve its curb appeal with the latest security solutions like beautiful garage doors and increased security systems.
Prescription opioids can be disposed of during National Prescription Take Back Day...
Know Your Script

Prescription opioid misuse | How to protect your family from the opioid epidemic

Studies have shown that prescription opioid misuse has increased since COVID-19. So what do you need to know about these opioids?
national heart month...
Intermountain Healthcare

National Heart Month: 5 Lifestyle Changes to Make Today to Keep You Heart Healthy

Heart disease is the leading cause of death for both men and women. One person dies every 36 seconds in the United States from cardiovascular disease
Joseph Smith Memorial Building...
Temple Square

The Joseph Smith Memorial Building is an icon of Salt Lake City | Why hosting an event at this beautiful location will make you a hero this year

Here's why hosting an event at the iconic Joseph Smith Memorial Building in downtown Salt Lake City will make you a hero this year.
Detective, nurse, confidant: Utah virus tracer plays many roles