The importance of widespread testing for COVID-19 pandemic: systems thinking for drive-through testing sites.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2020-04-26 eCollection Date: 2020-01-01 DOI:10.1080/20476965.2020.1758000

Ozgur M Araz, Adrian Ramirez-Nafarrate, Megan Jehn, Fernando A Wilson

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引用次数: 42

Abstract

On 11 March 2020, the World Health Organisation (WHO) declared COVID-19 a pandemic. Early epidemiological estimates show that COVID-19 is highly transmissible, infecting populations across the globe in a short amount of time. WHO has recommended widespread clinical testing in order to contain COVID-19. However, mass testing in emergency department (ED) settings may result in crowded EDs and increase transmission risk for healthcare staff and other ED patients. Drive-through COVID-19 testing sites are an effective solution to quickly collect samples from suspected cases with minimal risk to healthcare personnel and other patients. Nevertheless, there are many logistical and operational challenges, such as shortages of testing kits, limited numbers of healthcare staff and long delays for collecting samples. Solving these problems requires an understanding of disease dynamics and epidemiology, as well as the logistics of mass distribution. In this position paper, we provide a conceptual framework for addressing these challenges, as well as some insights from prior literature and experience on developing decision support tools for public health departments.

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COVID-19大流行广泛检测的重要性:免下车检测点的系统思考

2020年3月11日，世界卫生组织(世卫组织)宣布COVID-19为大流行。早期流行病学估计表明，COVID-19具有高度传染性，可在短时间内感染全球人群。世卫组织建议进行广泛的临床检测，以遏制COVID-19。然而，在急诊科(ED)环境中进行大规模检测可能导致急诊科拥挤，并增加医护人员和其他急诊科患者的传播风险。免下车COVID-19检测点是快速收集疑似病例样本的有效解决方案，对医护人员和其他患者的风险最小。尽管如此，仍存在许多后勤和操作方面的挑战，例如检测试剂盒短缺、医疗保健人员数量有限以及采集样本的时间长。解决这些问题需要了解疾病动力学和流行病学，以及大规模分布的后勤。在本立场文件中，我们为解决这些挑战提供了一个概念性框架，以及从先前的文献和为公共卫生部门开发决策支持工具的经验中获得的一些见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.