1/ Routine screening of people with no symptoms and 2/ testing symptomatic are very different pools of people.
They should never have been mixed up.
I completely understand that when the datasets were set up originally repeat screenings were probably not in their minds.
But that is no reason to continue to embed a mess.
Especially as one group (repeat screening) could probably be filtered through a pooled testing pathway to filter out the negatives in an early triage.
So there is a FINANCIAL and also efficiency/ resources benefit.
But first you you have to disentangle to two strands so the base point data on positivity/negativity and unclears can be transparent and the pooled testing methodology can be validated at scale.
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I did not realise, when I suggested it, that pooled testing for the routine “screening” cohort -eg care homes HCW (as opposed to the symptomatic testing cohort) was already in use in Germany, USA &++ countries
It is one of the reasons why I think there is an urgent need to separate out the cohorts in testing and positivity rates.
Partly to monitor positivity rates separately and partly to provide a gold standard base line to pilot pooled testing in a resource limited environment.
Once the positivity rates in the cohort gets too high it makes pooled testing less useful.
“COVID affects millions of people & their families around the world. It is not a rare disease and we need scalable, affordable, and equitable treatment solutions.
The @WHO SOLIDARITY trial has done the world a huge favour by producing clear, independent evidence”
If we fritter away precious money on ineffective treatments (and poorly validated tests) we will have less money overall to spend where it is proven to be effective.
Incredibly important when we have such massive numbers getting the virus.
Please stop tweeting out the latest article on the latest superfast test etc until you are quite sure that there is substantial high quality INDEPENDENT validation across all groups. Negatives. Asymptomatics. Pauci-symptomatic as well as symptomatic. In large numbers.
To try and relieve pressure, bosses at the University Hospitals Birmingham (UHB) they would be “closing the front door” of its 3 main hospitals to non-emergency patients for the first time as CV19 has stretched to ‘its limits’.
“Anyone who turns up and who has not been involved in an accident or does not have an emergency will not be treated. Instead patients will be told to see their GP, call NHS 111 or care for themselves.”
“The trust estimates this could affect up to 330 patients a day and help prevent long delays in patients stuck waiting in ambulances because the A&E departments are full. “