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A cost-effective plan for global testing - an infection rate stratified, algorithm guided, multiple-level, continuously pooled testing strategy

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单位: [1]Univ Tennessee, Coll Grad Hlth Sci, Hlth Sci Ctr, Memphis, TN 38103 USA [2]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing 100050, Peoples R China [3]Univ Tennessee, Coll Grad Hlth Sci, Hlth Sci Ctr, Hlth Outcomes & Policy Res, Memphis, TN 38103 USA [4]Harbin Med Univ, Ctr Endem Dis Control, Chinese Ctr Dis Control & Prevent, Key Lab Etiol Epidemiol,Educ Bur Heilongjiang Pro, 157 Baojian Rd, Harbin 150081, Heilongjiang, Peoples R China [5]Minist Hlth 23618104, 157 Baojian Rd, Harbin 150081, Heilongjiang, Peoples R China [6]Univ Tennessee, Coll Nursing, Hlth Sci Ctr, Memphis, TN 38105 USA [7]Univ Tennessee, Hlth Sci Ctr, Dept Physiol & Biophys, Memphis, TN 38163 USA [8]Univ Tennessee, Hlth Sci Ctr, Dept Orthoped Surg & Biomed Engn, Campbell Clin, Memphis, TN 38163 USA [9]Bourgogne Franche Comte Univ, Chronoenvironm Lab, UMR CNRS 6249, F-25030 Besancon, France [10]S Elia Raimondi Hosp, Gastroenterol & Endoscopy Unit, I-93100 Caltanissetta, Italy [11]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Ctr Biomed Res,Dept Resp & Crit Care Med,NHC Key, Wuhan 430030, Peoples R China [12]UNSW Sydney, Ctr Eye Hlth, Sydney, NSW, Australia [13]UNSW Sydney, Sch Optometry & Vis Sci, Sydney, NSW, Australia [14]Unione Contadini Ticinesi, Via Gorelle 7, CH-6592 S Antonino, Switzerland [15]CSIR, Acad Sci & Innovat Res AcSIR, HRDC Campus, Ghaziabad 201002, Uttar Pradesh, India [16]Rutgers State Univ, New Jersey Med Sch, Dept Microbiol Biochem & Mol Genet, Newark, NJ 07103 USA [17]Peking Univ, Beijing Canc Hosp, Canc Hosp & Inst, Beijing, Peoples R China [18]Peking Univ, Dept Gastrointestinal Surg, Key Lab Carcinogenesis & Translat Res, Canc Hosp & Inst, Beijing, Peoples R China [19]Univ Tennessee, Hlth Sci Ctr, Dept Neurol, Memphis, TN 38163 USA [20]Memphis VA Med Ctr, Res Serv, 1030 Jefferson Ave, Memphis, TN 38104 USA
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关键词: Coronavirus COVID-19 Infection Population Screening Test

摘要:
The most effective measure to prevent or stop the spread of infectious diseases is the early identification and isolation of infected individuals through comprehensive screening. At present, in the COVID-19 pandemic, such screening is often limited to isolated regions as determined by local governments. Screening of potentially infectious individuals should be conducted through coordinated national or global unified actions. Our current research focuses on using resources to conduct comprehensive national and regional regular testing with a risk rate based, algorithmic guided, multiple-level, pooled testing strategy. Here, combining methodologies with mathematical logistic models, we present an analytic procedure of an overall plan for coordinating state, national, or global testing. The proposed plan includes three parts 1) organization, resource allocation, and distribution; 2) screening based on different risk levels and business types; and 3) algorithm guided, multiple level, continuously screening the entire population in a region. This strategy will overcome the false positive and negative results in the polymerase chain reaction (PCR) test and missing samples during initial tests. Based on our proposed protocol, the population screening of 300,000,000 in the US can be done weekly with between 15,000,000 and 6,000,000 test kits. The strategy can be used for population screening for current COVID-19 and any future severe infectious disease when drugs or vaccines are not available. (C) 2020 Elsevier B.V. All rights reserved.

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出版当年[2020]版:
大类 | 2 区 环境科学与生态学
小类 | 2 区 环境科学
最新[2025]版:
大类 | 2 区 环境科学与生态学
小类 | 2 区 环境科学
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出版当年[2019]版:
Q1 ENVIRONMENTAL SCIENCES
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Q1 ENVIRONMENTAL SCIENCES

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第一作者单位: [1]Univ Tennessee, Coll Grad Hlth Sci, Hlth Sci Ctr, Memphis, TN 38103 USA [2]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing 100050, Peoples R China
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通讯机构: [2]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing 100050, Peoples R China [8]Univ Tennessee, Hlth Sci Ctr, Dept Orthoped Surg & Biomed Engn, Campbell Clin, Memphis, TN 38163 USA [20]Memphis VA Med Ctr, Res Serv, 1030 Jefferson Ave, Memphis, TN 38104 USA [*1]956 Court Ave, Memphis, TN 38163 USA [*2]6 Tiantanxili, Beijing 100050, Peoples R China
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