CDC Deployments to State, Tribal, Local, and Territorial Health Departments for COVID-19 Emergency Public Health Response - United States, January 21-July 25, 2020

Abstract

Coronavirus disease 2019 (COVID-19) is a viral respiratory illness caused by SARS-CoV-2. During January 21-July 25, 2020, in response to official requests for assistance with COVID-19 emergency public health response activities, CDC deployed 208 teams to assist 55 state, tribal, local, and territorial health departments. CDC deployment data were analyzed to summarize activities by deployed CDC teams in assisting state, tribal, local, and territorial health departments to identify and implement measures to contain SARS-CoV-2 transmission (1). Deployed teams assisted with the investigation of transmission in high-risk congregate settings, such as long-term care facilities (53 deployments; 26% of total), food processing facilities (24; 12%), correctional facilities (12; 6%), and settings that provide services to persons experiencing homelessness (10; 5%). Among the 208 deployed teams, 178 (85%) provided assistance to state health departments, 12 (6%) to tribal health departments, 10 (5%) to local health departments, and eight (4%) to territorial health departments. CDC collaborations with health departments have strengthened local capacity and provided outbreak response support. Collaborations focused attention on health equity issues among disproportionately affected populations (e.g., racial and ethnic minority populations, essential frontline workers, and persons experiencing homelessness) and through a place-based focus (e.g., persons living in rural or frontier areas). These collaborations also facilitated enhanced characterization of COVID-19 epidemiology, directly contributing to CDC data-informed guidance, including guidance for serial testing as a containment strategy in high-risk congregate settings, targeted interventions and prevention efforts among workers at food processing facilities, and social distancing.

FIGURE 1

Location of deployments by CDC staff members to state, tribal, local, and territorial health departments — United States, January 21–July 25, 2020 Abbreviations: DC = District of Columbia; NMI = Northern Mariana Islands; PR = Puerto Rico; USVI = U.S. Virgin Islands. * 726 CDC staff members deployed on 208 teams, as part of 1,009 total deployments (individual staff members could deploy more than one time).

FIGURE 2

Number of CDC deployment teams to state, tribal, local, and territorial health departments and reported COVID-19 cases, by week — United States, week 4–30 (N = 208 teams) Abbreviation: COVID-19 = coronavirus disease 2019. * Does not include deployments to U.S. quarantine stations and airports, repatriations centers, as part of outbreak response on cruise ships, or other response teams.