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The time lag is rendering contact tracing -- the system of tracking down all known contacts of the infected person to warn them to quarantine or get tested -- much less effective.

The Oregon Health Authority is tracking active outbreaks in at least 30 of what the state calls “congregate care facilities,” while outbreaks at another 38 of these locations have been resolved.

The study identified nearly 10 million health services Oregonians received between 2016 and 2018, and found that 40% of those services provided little medical benefit compared to their costs.