Test and trace strategy has overlooked importance of clinical input, clinical oversight and integration

Harding‐Edgar, Louisa; McCartney, Margaret; Pollock, Allyson M

doi:10.1177/0141076820967906

Cited by 11 publications

(8 citation statements)

References 4 publications

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“…56 These are surprising findings given that the nationwide rate of infection for the 12-24 years demographic was estimated as being between 1.0% and 1.5% during early December 2020. 57 A coordinated track, test and isolate scheme is an essential facet of an information-led, public health strategy for Covid-19 disease control, 58,59 and it will be interesting to see if the LFT programme will be effective in crowded university environments when these institutions eventually repopulate more fully.…”

Section: The Pandemic On Campus-physical Health Impacts and Epidemiologymentioning

confidence: 99%

Impacts of the Covid‐19 pandemic on the health of university students

Ihm

Zhang

Vijfeijken

et al. 2021

Health Planning & Management

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The Covid-19 pandemic caused by the novel Sars-CoV-2 coronavirus, has resulted in millions of deaths and disruption to daily life across the globe. University students have been additionally affected by a sudden move to online learning, the closure of campuses and dramatic societal changes that have upended their experiences of higher education. Here we focus on the physical and mental health consequences of the pandemic for this population sector during 2020, and the interdependencies of these impacts.We survey the challenges for infection control on campuses and for monitoring the disease dynamics in student communities. Finally, we explore the psychological and mental health problems that have been exacerbated by the pandemic and evaluate the underlying factors that are most relevant to students.

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Section: The Pandemic On Campus-physical Health Impacts and Epidemiologymentioning

confidence: 99%

Impacts of the Covid‐19 pandemic on the health of university students

Ihm

Zhang

Vijfeijken

et al. 2021

Health Planning & Management

View full text Add to dashboard Cite

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“…Overall, for 1027 patients with both LFT and RT-PCR test outcomes, these were strongly correlated (r = 0.968, 95%CI= 2. Patients in Group 1 (true reactive) had shorter pre-test duration of symptoms (mean 3.1 days (range= [1,21])) than patients in Group 2 (false non-reactive) (4.4 days (range= [1,10])); lower Ct-value (mean 23 (range= [11,36]) vs 30 (range= [18,35])); but similar mean age (49 years (range= [11,83]) vs. 48 years (range= [6,102])). Furthermore, despite a difference in the data size for Groups 1 and 2, there was a notable difference in the distributions across these variables between both groups (Fig.…”

Section: Resultsmentioning

confidence: 99%

Comparing the Diagnostic Accuracy of Point-of-Care Lateral Flow Antigen Testing for SARS-CoV-2 with RT-PCR in Primary Care (REAP-2)

et al. 2021

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Background: Testing for COVID-19 with quantitative reverse transcriptase-polymerase chain reaction (RT-PCR) may result in delayed detection of disease. Antigen detection via lateral flow testing (LFT) is faster and amenable to population-wide testing strategies. Our study assesses the diagnostic accuracy of LFT compared to RT-PCR on the same primarycare patients in Austria. Methods: Patients with mild to moderate flu-like symptoms attending a general practice network in an Austrian district (October 22 to November 30, 2020) received clinical assessment including LFT. All suspected COVID-19 cases obtained additional RT-PCR and were divided into two groups: Group 1 (true reactive): suspected cases with reactive LFT and positive RT-PCR; and Group 2 (false non-reactive): suspected cases with a non-reactive LFT but positive RT-PCR. Findings: Of the 2,562 symptomatic patients, 1,037 were suspected of COVID-19 and 826 (79.7%) patients tested RT-PCR positive. Among patients with positive RT-PCR, 788/826 tested LFT reactive (Group 1) and 38 (4.6%) non-reactive (Group 2).

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“…Effective support, including prompt financial help, during self-isolation is the key to controlling transmission 4647. To make the most of an expanded case definition, public health and NHS systems must integrate more at both local and national levels,484950 enabling nimbler, more equitable targeting of test-trace-isolate resources5152 and surge vaccination 53. In addition, combinations of RT-PCR and rapid antigen tests may be helpful in reducing delays between symptom onset, testing, self-isolation, and initiation of contact tracing 39…”

Section: Refining Test Trace and Isolatementioning

confidence: 99%