[Goose]

I would also criticize the CA Public Health Department for being unable to get the public aligned to doing the actions necessary to stop the spread.  (Yes, there are competing messages from various sources. I'm not sure the task is achievable, but it was the CA PHD's domain.)   I would think that the CA PHD would have been the agency to coordinate the case tracing & to educate the public on its importance & to educate the public on lessons learned from case tracing.


I don't envy her replacement.  I wish him or her success.  California needs it.

I am not sure how much coordination is required, but ensuring it was adequate is something that CA Public Health should have done. AFAK, not much went on there, but it may be the Counties have worked together on things like STDs for so long they have good protocols in place. Educating the public and encouraging/enforcing compliance is an area CA Public Health could make an brobdingnagian difference, but so far they have not. Gaining the trust of essential workers who are at present not cooperating would be another area the State could make a much greater effort. They could also perform case-control studies as suggested by Dr. Scott Morrow, but they have not. Overall, an underwhelming effort on the State level.

[Goose]

I would also criticize the CA Public Health Department for being unable to get the public aligned to doing the actions necessary to stop the spread.  (Yes, there are competing messages from various sources. I'm not sure the task is achievable, but it was the CA PHD's domain.)   I would think that the CA PHD would have been the agency to coordinate the case tracing & to educate the public on its importance & to educate the public on lessons learned from case tracing.


I don't envy her replacement.  I wish him or her success.  California needs it.

I am not sure how much coordination is required, but ensuring it was adequate is something that CA Public Health should have done. AFAK, not much went on there, but it may be the Counties have worked together on things like STDs for so long they have good protocols in place. Educating the public and encouraging/enforcing compliance is an area CA Public Health could make an brobdingnagian difference, but so far they have not. Gaining the trust of essential workers who are at present not cooperating would be another area the State could make a much greater effort. They could also perform case-control studies as suggested by Dr. Scott Morrow, but they have not. Overall, an underwhelming effort on the State level.