MPH student Faith Washington talks about her contact tracing work



Q: Is the work you’re doing for CUPHD different than what you were trained for in the MPH program?

A: In the MPH program, I am studying health behavior and promotion, so there are a few parallels regarding convincing people to do what is in their own best interest and the public’s best interest. I think the main difference is the turnaround time. For the health behaviors I study and would like to ultimately work to promote, the effects may not be seen as quickly as the impact of my advice regarding COVID-19 would be. For example, encouraging people to get screened for prostate cancer would potentially decrease the disease’s mortality rates because more cases are caught in the early stages. Still, that data wouldn’t be evident for quite a while, whereas encouraging people to isolate and quarantine has an almost immediate impact on the spread and identification of COVID-19 cases in the community.

Q: What field/industry were you hoping to work in upon graduation?

A: I hope to work in either public health program research, implementation, and evaluation at a state or federal level or to work as a health journalist. I am very passionate about improving the general public’s health literacy so that people can better advocate for themselves and their needs in medical settings and ultimately lead healthier happier lives.

Q: What kinds of questions do you ask in the work you’re currently doing?

A: As a contact tracer, I ask COVID-positive people how they feel, what symptoms they are experiencing if they require any resources like masks or food, and with whom they have recently interacted. At CUPHD, there is an emphasis on ensuring that everyone has what they need to safely and adequately quarantine or isolate. Hence, all of these questions are really important. I have found that giving out CUPHD contact information also reassures people that if they have a need that they don’t disclose during the interview, that is OK. We will still be prepared to assist them.

Q: Do you find people are willing to respond truthfully?

A: For the most part, people are willing to answer truthfully. It becomes relatively easy to tell when people are being dishonest. The one question that seems to get the most pushback is, “Do you have any close contacts?” Generally, people do not want to give out the personal information of their friends and family. Still, once I explain that we protect and respect everyone’s privacy and confidentiality and that we are only asking so that we may reach out to their close contacts and provide them with proper guidance and assistance regarding quarantine, people become more willing to disclose that information.

Q: Any frustrations that people are not listening to the health guidelines?

A: I become very frustrated when I see people not adhering to health guidelines because I see the negative impacts this virus has had on so many people and their families. It is hard to have one conversation with someone severely ill and potentially dying and then call another person who has mild symptoms or is asymptomatic and refuses to isolate and could be spreading this virus to others, who may then be my next severely ill call.

Q: Do people you know ask you for COVID advice?

A: My family doesn’t ask me for COVID advice because I always offer it before they have a chance. I am always in contact with my parents and brother to ensure that they are not succumbing to quarantine fatigue and they are continuing to follow all health guidelines. Fortunately, my family has been taking this very seriously, and my parents and brother are all able to work and learn from home right now. My friends sometimes ask me for COVID advice or ask me general questions if they don’t understand the reasoning behind something that public health officials are asking everyone to do right now. However, for the most part, my friends are also all still staying home and not really physically interacting with the world right now.

Q: What are you missing out on because of the pandemic, in terms of working face-to-face with people?

A: I think what I am most missing out on are the benefits of in-person classes. This is my first semester as an MPH grad student, but I studied communication with a concentration in health for my undergraduate degree here at UIUC, and there is such a stark difference between learning on Zoom and learning in a classroom. Mainly because there is so much collaboration necessary in public health courses. I am concerned that the connections I am making with my cohort are not as strong as they would have been had the semester been typical, but a lot of MPH students also work at CUPHD right now, so I do have more interaction with them through work, which I value a lot.

Q: What ways has COVID-19 affected you? Have you traveled? Have you been able to go home, see family?

A: I generally count myself as lucky because, while COVID has affected me a lot, it could have been much worse. Like many other class of 2020 students, I didn’t get a formal graduation, which was upsetting. I also have not been able to see my friends from high school for a very long time. We usually all congregate when we are home in Chicago, but due to the pandemic, we haven’t been home, and we haven’t been willing to potentially risk the health of our families by being together. I also have not traveled, which is rare for me. I usually travel to see friends or just take a trip to some landmark or interesting spot in the country, but most things are closed, and I am also not willing to get on a plane right now. While all of these things have been less than ideal, I count myself as fortunate because I do not personally know anyone who has died from COVID, and I was the only member of my immediate family and friend group to ever catch the virus, which I recovered from.

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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Shivani Shah talks about her Applied Practice Experience change



Q: How are your experiences different from what you expected?

A: Pre-COVID, I expected my experience with the SAHELI and SAATH research teams to be primarily community facing—I was going to be recruiting research participants and doing educational outreach. Now, my experience has been more focused on designing modified study arm materials and brainstorming implementation logistics for when research recruitment can resume. 

Q: Are you doing something different for your APE than what you originally planned?

A: While I am at my planned APE site, the work certainly shifted to be less hands-on and more planning and logistics, as I previously mentioned. This has exposed me to details including the protocols and extensive planning that goes into putting together a robust research study, alongside the challenges of modifying these components due to COVID. While unplanned, I am seeing a completely new side of organizational management, which is meaningful.

Q: Does your APE lead you to think about a different career path?

A: I was previously hesitant about working in a research setting as I worried it would be more distant from communities. However, this experience quickly shifted my understanding, as I see my team making important contributions to both the research world and on the lives of community participants. I’d love to continue exploring community based participatory research in my career. 

Q: What happened to your original APE? 

A: I’m grateful that my APE site was able to keep me onboard in a remote capacity.

Q: Are you working remotely? 

A: For the most part, yes. Given the importance of group cohesion and a basic medical examination for the research study efficacy, I was recently able to participate in a few minimal risk in-person activities.

Q: What are you missing out on because of the pandemic, in terms of working face-to-face with people?

A: My internship was primarily outreach and education-based, which was entirely people-facing. I was looking forward to connecting with community members and hearing their stories in addition to better understanding their needs and perceptions around health. I certainly wish I had this experience, especially because participants also generally really enjoy the in-person interactions. 

Q: What advice do you have for future students who might have disrupted APEs?

A: The world is very unpredictable, and things may not go the way you initially anticipated. But ultimately, it’s part of the learning and growing process. Stay true to yourself and your goals—there are alternative pathways to learn and achieve your goals, and the MPH program faculty is an incredible resource in helping you get there. 

Q: What other ways has COVID-19 affected you? Have you traveled? Have you been able to go home, see family?

A: This pandemic is a mentally and emotionally taxing event on the globe as a whole. It is difficult to find a new normal—as someone who loves being outdoors and struggles with online communications, it is an adjustment. Thankfully, however, I have the privilege of being home in the suburbs in the company of my family. 

Editor’s note:

To reach Vince Lara, email vinlara@illinois.edu.
 

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MPH student Mateo Solis Rueda discusses his APE change



Q: How are your experiences different from what you expected?

A: My initial expectation was to be on-site at the health organization throughout the week where we would work on contact tracing as a team. I pictured having a team leader who would guide us through the process of how to properly use the online system, and promptly address issues as they occurred. However, working remotely has presented with additional challenges. Although circumstances are less than ideal, we are powering through it all, and we are still able to maintain close contact through weekly meetings which are conducted virtually to address any problems and discuss future goals and obstacles we may encounter as we continue COVID-19 contract tracing.
 
Q: Are you doing something for your APE other than what you trained for?

A: I feel like my coursework provided me with adequate training for my APE. In my previous courses, we have discussed extensively about collecting data from community members. Additionally, we practiced hands on creating and administering surveys, as well as collecting, analyzing, and reporting our results. It is definitely interesting to see how this unravels in the real world, and how it differs from the classroom environment.
 
Q: Does your APE work lead you to think about a different career path?

A: Fortunately, my APE work surrounds one of my top interests in public health, infectious diseases. I am treating this as a great opportunity to get a feel for this discipline of public health. If anything, my work so far has reinforced my interest in this career path.
 
Q: You’re doing contract tracing for Spanish-speaking populations, as well as English. Are there differences in how you approach the two populations?

A: Due to a high demand for contract tracing within the Spanish-speaking population, I have only spoken with individuals who speak Spanish thus far. I have been pleased with the generally kind and open demeanor of all the individuals I have spoken with, as well as their willingness in allowing me to interview them and answer all my questions. Although, I have yet to contact someone who speaks English, I have thought about similarities and differences in approaching these two populations. Overall, I would say the approach would be very similar due to having a script we must stick with, and attempting to extract the identical information.
 
Q: What happened to your original APE?

A: My original plan was to conduct my APE at the local public health district (CUPHD), however with some guidance and encouragement from my instructor, we decided to switch it to working on contact tracing at a different health organization. Fortunately, I am still working alongside the original public health district, though it is now my ILE.

Q: Has anything been frustrating about your change in APE status?

A: Thankfully there have not been any major frustrations. Instructors, as well as supervisors and team members at the health organizations are all aware and understanding of the current unique circumstances. It has been interesting to watch everyone within the public health field come together and continue to help in any way they can.
 
Q: What are you missing out on because of the pandemic, in terms of working face-to-face with people?

A: I am missing out on the potential connections that could have been made within the community. Having to phone people at various hours of the day and asking for personal information makes it challenging to establish a connection at first, as many people are initially hesitant to answer questions. To overcome this, I try my best to start off with a bit of conversation to let them know I am only checking to ensure they are doing fine, while encourage them to stay safe. This seems to work well, as everyone I have spoken with has been gracious. A second thing I am missing out on is meeting and working alongside health professionals at the health organization. I have only met them through online video meetings, which is not the same as it would be in person. This makes communicating back and forth a bit slower and less personable.
 
Q: What advice do you have for future students who might have disrupted internships or APEs?

A: My advice is that if you ever find yourself frustrated or stuck, take it as a sign to pause, take a step back, and occupy yourself with something you enjoy. Go out for a run, a walk, a bike ride, read, take a nap, etc. After some time has passed, come back with a fresh mind and continue where you left off. I find that when I do this, I come up with new ideas, perhaps it might work for others. I also want to mention that the instructors are around to lend help whenever needed, so do not hesitate to reach out.
 
Q: What other ways has COVID-19 affected you? Have you traveled? Have you been able to go home, see family?

A: Due to COVID-19, I was pushed to move back to Chicago sooner than I previously anticipated.  Stay-at-home orders, and shelter-in-place regulations added additional challenges and stresses to this move. Fortunately, I have been able to stay in contact with family and friends through social media, and virtual meetups. More recently, I was able to visit family while continuing to follow health guideline and remaining safe.

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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MPH student Kelly Licata talks about her Applied Practice Experience



Q: How are your experiences different from what you expected?
 
A: Off the bat, I did not expect to be doing my internship remotely. I was expecting the immersive experience of working in the office, full-time, sitting in on meetings and programs that I get to learn from.  But seeing as Aging Care Connections works with a much higher-risk population, everything is moved to online resources and I’m interacting with clients via Zoom.  
 
Q: Are you doing something different for your APE than what you trained for?
 
A: No, the MPH program at U of I really prepares us for anything and my APE has moved a lot of its resources online, which has allowed my APE to move forward just with some flexibility of how we are providing education, information and data analysis to put our focus on whatever older adults need the most. 
 
Q: Does your APE work lead you to think about a different career path?
 
A: I’ve loved completing my APE at Aging Care Connections; it’s been a really great experience and despite working remotely, it’s been hands-on. I wouldn’t say it’s changed my career path, I’m still interested in policy and healthcare resources regarding older adults.
 
Q: What happened to your original APE?
 
A: I was really lucky that my APE was not cancelled or altered too significantly, that this placement and project is pretty much the original without data collection being administered in face-to-face surveys and teaching all programs through Zoom format and not on-site.  
 
Q: Are you working remotely?
 
A: I am working remotely. It’s definitely different than what I anticipated since now I can just roll out of bed and start working, but there’s still plenty to do and I am definitely learning a lot as we go!  
 
Q: Has anything been frustrating about your change in APE status?
 
A: The most frustrating part about the changes with my APE project are really just the lack of face-to-face interaction with my preceptor, team members and clients.  I was really looking forward to the hands-on experience of leading class programs face to face and getting to know our clients on a deeper level, and that can be tough on Zoom.  Also, our clients are older adults and Zoom can be challenging  for any new user. They’ve gotten the hang of Zoom with impressive speed but there still can be technological issues that sometimes arise in our classes and it can be difficult to troubleshoot for them.  
 
Q: What are you missing out on because of the pandemic, in terms of working face-to-face with people?
 
A: It’s been really interesting to say the least of starting a position when you haven’t met 95 percent of your co-workers.  To hop in on conference calls where you’ve never interacted with anyone face to face is a different experience.  There’s always a split second when I join Zoom meetings or conference calls that everyone thinks that they’ve got a Zoom crasher joining.  
 
Q: What advice do you have for future students who might have disrupted internships or APEs?
 
A: I guess just be flexible and open to any new program or project you may come across.  There’s still ways to complete APEs if you’re open to new ideas and different solutions.  

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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MPH student Nicole Alberto talks about her Applied Practice Experience



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Q: How are your experiences different from what you expected?

A: As a full-time intern this summer, I was expecting that I would be at the office from 8 a.m. to 5 p.m. and doing field work at nearby counties. But since my supposed summer internship was cancelled due to COVID-19, I had to find an alternative placement, go back home and do my APE completely remotely.

Q: Are you doing something for your APE than what you trained for?

A: Yes! My work with Dr. Brynn Adamson as a Graduate Research Assistant of the MOVE MS program requires me to write and/or edit documents to be submitted to the Institutional Review Board (IRB). Because a lot of our courses focused on the development and promotion of health behavior programs, the logistics concerning IRB of these community/research programs were not discussed that much.

Q: Does your APE work lead you to think about a different career path?

A: Not really. In fact, my APE work solidified my passion to conduct my own research in the future. My four-year experience (undergraduate and graduate) with research gave me the knowledge, experience, confidence and drive to continue pursuing research in my future career as a Public Health Professional and a Physical Therapist.

Q: What happened to your original APE?

A: My original APE with the Carle Foundation was cancelled due to COVID-19. I had been working with my Carle preceptor since Fall 2019 and all APE paperwork had been completed. Unfortunately, Carle Foundation cancelled all summer internships last minute.

Q: Are you working remotely?

A: Yes, back at home in Chicago.

Q: Has anything been frustrating about your change in APE status?

A: I think the most frustrating part was when my original APE was cancelled last minute. I was one of the first to secure an APE site at the beginning of the year so it never occurred to me to find an alternative site. I had to cram to find one during the last weeks of school. Fortunately, my advisors were there to help me.

Q: What are you missing out on because of the pandemic, in terms of working face-to-face with people?

A: My internship with Carle required me to be at the office and do a lot of field work. I attended many events, met amazing people in the community and developed relationships with my supervisors. All of these were cut short by the stay-at-home order. I really miss the bonding and social interaction in the office and out in the field.

Q: What advice do you have for future students who might have disrupted internships or APEs?

A: Trust the process and your advisors! You are not alone in this dilemma. Your advisors will be there to assist you (or even rescue you) when you start to worry about delayed graduation due to your disrupted APE. Be flexible, work with them, and be open to new experiences. Your new site may be out of your comfort zone, but it may also be a new avenue for a better and bigger career path.

Q: What other ways has COVID-19 affected you? Have you traveled? Have you been able to go home, see family?

A: I think COVID-19 has affected me the same way as everybody else. My APE was cancelled, my two jobs ended, I had to go back home, I had to cancel all my summer travel plans and I had to adjust my lifestyle and schedule in many ways. I have a bit of hard feelings but surprisingly, staying at home this summer still got me very busy!

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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MPH alums are on the front line of the pandemic battle



Graduates of the Master of Public Health degree program in the College of Applied Health Sciences are finding themselves on the front line in the battle against COVID-19. And thanks to their University of Illinois education, they are better-equipped to handle a pandemic for which few could have been prepared.

Ken Borkowski, a 2012 MPH graduate, is working for the Michigan Department of Health and Human Services, conducting contact tracing with known cases of COVID-19 within the Metro-Detroit area. He credits his ability to succeed in the job in part because of what he learned in the MPH program.

Going back to the basics of EPI 101, it kind of goes back to how this disease moves, and collecting all the information that’s necessary to give us accurate models of how things are going to look and progress, and what do we need to do to inform the public-health work that we do here in Michigan.”

Borkowski’s job involves calling people dealing with COVID-19—or their family members if the patient is too ill—and collecting information.

Some of the key things that we’re looking at now is onset date of symptoms, as well as have people been able to quarantine and then did they go to any sort of high-risk areas such as nursing homes, long-term-care facilities, childhood daycare centers, and so on.”

Teresa Castaneda, who graduated from the MPH program in 2019, has a similar job as a communicable disease investigator for the Champaign-Urbana Public Health District, and also gives credit to her Illinois experience.

“The (epidemiology) knowledge and biostatistics prepared us for how a pandemic is going to come in waves, how we can track cases. There’s really no way to prepare for this, but just knowing the science and the (epidemiology) behind it really helps,” she said.

Castaneda started at CUPHD as a case manager for HIV patients, and was working with a communicable diseases investigator for routine communicable disease cases.

“I assist her when we have someone who tests positive for e-coli or salmonella, or hepatitis B or C, so I’m used to doing that type of investigation.” But she wasn’t surprised when the pandemic hit, or by getting pulled into that type of investigation.

“I’ve been involved in these conversations since right around Christmastime,” she said. “We’ve been having ‘When-it-comes-to-Champaign-County conversations,’ not ‘If-it-comes-to-Champaign-County conversations.”’

Derrius Carter is also a 2019 MPH grad and working for CUPHD in contact tracing and as a public information officer. Part of his job is akin to what Borkowski and Castaneda are doing, but Carter also has a public-facing role.

“What we do is create and provide guidance,” Carter said. “How to grocery shop, how long people should stay home.” Like Castaneda, Carter’s background was more involved with HIV and other infectious disease.

“But we have to be mindful about how all the variables intersect, and create avenues in which we can educate people about both HIV and COVID-19.”

One of Carter’s task is engaging in community-based risk reduction.

“Like using dating apps,” he said. “Just because COVID-19 is around, it doesn’t mean people aren’t being sexually active; so talking about how to reduce their risk of contracting COVID-19, in addition to contracting HIV.”

Like Borkowski and Castaneda, Carter credits his MPH education for getting him ready as he could be.

“We had some classes that touched on emergency preparedness, but I don’t think anybody can prepare you for doing the work,” he said. “Moreso learning the different mechanisms to respond. But when you’re actually in it, it’s a little bit different.”

One thing the MPH alums agree on is that their knowledge and healthcare experience have caused them to approach their personal lives with a high degree of COVID-19-related care.

“Because I take this very seriously, I have not been in a grocery store in so long,” Carter said. “I just feel like it makes the most sense. Limiting my risk. I haven’t been to the gym in quite some time. I knew gyms weren’t practicing social distancing.”

Castaneda also tries to limit her time outside.

“Definitely going less frequently (to the grocery store),” she said. “My husband and I, one of us goes once a week. I pretty much go to work, and go to the store once a week.”

The MPH alums are heeding their own advice, but they are most concerned that some people are listening to advice from less-reputable sources.

“Misinformation is most alarming for me,” Carter said. “I’ve gotten calls from people asking, ‘Oh, I can hold my breath for a minute. Does that mean I don’t have COVID-19?’ And I’ve gotten calls asking if a specific demographic is immune.

“And that’s alarming to me because then it means people aren’t taking it as seriously. (Director of the National Institute of Allergy and Infectious Diseases) Dr. (Anthony) Fauci has been continuously been on a media campaign to spread information about COVID-19, but it’s Facebook articles that people are adhering to, and not his guidance.”

Castaneda agreed.

“The public’s response … I didn’t expect the craziness.”

The Illinois graduates remain hopeful the crisis can end in the upcoming months, but are imploring people to follow state and federal guidelines.

“Pandemics come in waves, and we see that historically,” Castaneda said. “So I don’t think when we get to the end of the downturn of this one, that will be the end of COVID-19, but social distancing and washing your hands are the best things you can do for yourselves.

“Look at the amount of flu outbreaks we have every year, and think about what social distancing and hand-washing could do to those. I do hope in a couple of months we will return to some normalcy,” she said.

“My advice for anybody who wants good information is follow your local health department or the state, we always have the best stuff.”

Now engaged in the worst pandemic since the outbreak of H1N1 in 2009, Michigan-native Borkowski is grateful for what he learned at Illinois.

“There’s been times where people that ask me, ‘Do you regret going out of state for school and doing your degree elsewhere and so on? And given everything that my schooling has led me to and got me into the field that I’m in and working in the job that I’m currently working, it was all well worth it. I definitely appreciate knowing that I have such a profound impact on the community that I’m trying to help and serve.”

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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