The city of Fresno’s shelter-in-place order goes until the first Wednesday in May.

Mayor Lee Brand extended the shelter-in-place order to May 6 based on modeling that indicated COVID-19 cases will peak in late April.
Fresno County’s Health Officer, in response to a question Friday from GV Wire said: “I don’t think it’s out of the ballpark.”

How Many Tests Are Needed?

The Fresno County Health Department says it is doing a couple of hundred tests for COVID-19 a day.
During a teleconference, interim Fresno County health officer Dr. Rais Vohra said that a May 7 reopening was possible.
“I think we’re, we’re getting there, you know, I think we’ve probably got a few hundred tests a day going on right now. I think that we will be on track,” Vohra said.
“In the next few weeks, it would make me comfortable to say we have 1,000 negative tests every day. And, hopefully, it won’t be 50 people a day that are new. But, if we get a dozen new cases a day, then that’s something that my contact tracing team can follow up on.”

Contact Tracing

The Associated Press reports that before stay-at-home orders are lifted, the nation’s public health agencies want to be ready to douse any new sparks of coronavirus infection — a task they say could require tens of thousands more investigators to call people who test positive, track down their contacts, and get them into quarantine.

As for Fresno County, “We feel like we have a good team right now that’s able to get the tracing done,” Vohra said. “As the numbers go up and really as the complexity goes up. We may be scarce on our resources.”
Across the country, the work could require as many as 300,000 public health workers — a daunting number given that the combined federal, state, and local public health workforce has been shrinking and is now probably less than 280,000, according to some estimates.
GV Wire asked Vohra whether he has the ability to hire more people in the coming months.
“This is not a sprint, it’s a marathon. And we need to pace ourselves to really be doing contact tracing, testing, messaging, not for the next two weeks or not until May 18th, but really for the next nine months (to) next 18 months,” he said. “In June, it’s not going to be the same contact tracing team that we have today, we absolutely may need to hire more people to get that done.”

Extra Help Available from Federal Government

To address the shortage of help, governments are weighing whether to enlist people with little to no experience in public health, including the Peace Corps volunteers, furloughed social workers, and public health students. San Francisco is training librarians, medical students and people who work for the city attorney’s office.
The extra workers would help conduct testing, isolate sick cases, and trace everyone those sick people had contact with.
The U.S. government has funneled about $800 million to states for coronavirus response work that can include contact tracing.
On top of hundreds of staff sent to states to help with coronavirus work, the CDC has already assembled “community protection teams” of six to 12 people each to do contact tracing and investigate tools that could help with it. Some have already been deployed to states where virus spread has been relatively low.
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Apple, Google to Harness Phones for Virus Infection Tracking

Apple and Google announced a joint effort on April 10 to help public health agencies worldwide leverage smartphones to contain the COVID-19 pandemic.
New software the companies plan to add to phones would make it easier to use Bluetooth wireless technology to track down people who may have been infected by coronavirus carriers.

The idea is to help national, state and local governments roll out apps for so-called “contact tracing” that will run on iPhones and Android phones alike.

The technology works by harnessing short-range Bluetooth signals. Using the Apple-Google technology, contact-tracing apps would gather a record of other phones with which they came into close proximity.

The idea of using technology to help is welcomed by the Fresno County Health Department.
“We’ll also need to change our processes and use whatever resources and technical solutions we have to help ourselves do this,” Vohra said. “We’re already looking to other countries that have really aggressive contact tracing in place and aggressive testing in place as models that we can follow from.”
(The Associated Press contributed to this story.)