2021
DOI: 10.1073/pnas.2100814118
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Measuring the scientific effectiveness of contact tracing: Evidence from a natural experiment

Abstract: Contact tracing has for decades been a cornerstone of the public health approach to epidemics, including Ebola, severe acute respiratory syndrome, and now COVID-19. It has not yet been possible, however, to causally assess the method’s effectiveness using a randomized controlled trial of the sort familiar throughout other areas of science. This study provides evidence that comes close to that ideal. It exploits a large-scale natural experiment that occurred by accident in England in late September 2020. Becaus… Show more

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Cited by 80 publications
(69 citation statements)
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“…The reason lies in the fact that a substantial share of these tests is driven by an elevated probability to carry the virus, i.e., showing symptoms of CoViD-19 or following up on a positive test of a household member. The latter is essentially a form of contact tracing, which has been shown to be very effective 2 , 25 , 26 . Indeed, a deeper analysis in Supplementary Material B.15 shows that the same amount of rapid tests administered randomly in the population would not have been nearly as effective.…”
Section: Resultsmentioning
confidence: 99%
“…The reason lies in the fact that a substantial share of these tests is driven by an elevated probability to carry the virus, i.e., showing symptoms of CoViD-19 or following up on a positive test of a household member. The latter is essentially a form of contact tracing, which has been shown to be very effective 2 , 25 , 26 . Indeed, a deeper analysis in Supplementary Material B.15 shows that the same amount of rapid tests administered randomly in the population would not have been nearly as effective.…”
Section: Resultsmentioning
confidence: 99%
“…Importantly, ( 4 ) showed - using genome sequence data - that New Zealand contact tracing was highly effective in identifying SARS-CoV-2 infection clusters. Then, ( 25 ) recently exploited an accidental, partial breakdown of English contact tracing to show that normal contact tracing in early fall 2020 reduced transmissions by 63% in the 6 weeks following a positive case. This measure is within the range of our estimates for a transmission slowdown in Switzerland in summer 2020.…”
Section: Discussionmentioning
confidence: 99%
“…To limit COVID-19 person-to-person transmission and slow the spread of the virus, various control measures are indicated: raise awareness on healthy behavior, detecting cases, detecting contacts, isolation and quarantine, infection control practice in health facilities, social measures, vaccination… Despite being in in the context of community transmission, the contact tracing is still valid option to slow down the epidemic curve and reduce mortality burden (4, 5, 6).…”
Section: Background and Objectivementioning
confidence: 99%