Enhanced testing can substantially improve defense against several types of respiratory virus pandemic

Mass testing to identify and isolate infected individuals is a promising approach for reducing harm from the next acute respiratory virus pandemic. It offers the prospect of averting hospitalizations and deaths whilst avoiding the need for indiscriminate social distancing measures. To understand sce...

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Main Authors: James Petrie, James A. Hay, Oraya Srimokla, Jasmina Panovska-Griffiths, Charles Whittaker, Joanna Masel
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Epidemics
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Online Access:http://www.sciencedirect.com/science/article/pii/S1755436524000732
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author James Petrie
James A. Hay
Oraya Srimokla
Jasmina Panovska-Griffiths
Charles Whittaker
Joanna Masel
author_facet James Petrie
James A. Hay
Oraya Srimokla
Jasmina Panovska-Griffiths
Charles Whittaker
Joanna Masel
author_sort James Petrie
collection DOAJ
description Mass testing to identify and isolate infected individuals is a promising approach for reducing harm from the next acute respiratory virus pandemic. It offers the prospect of averting hospitalizations and deaths whilst avoiding the need for indiscriminate social distancing measures. To understand scenarios where mass testing might or might not be a viable intervention, here we modeled how effectiveness depends both on characteristics of the pathogen (R0, time to peak viral load) and on the testing strategy (limit of detection, testing frequency, test turnaround time, adherence). We base time-dependent test sensitivity and time-dependent infectiousness on an underlying viral load trajectory model. We show that given moderately high public adherence, frequent testing can prevent as many transmissions as more costly interventions such as school or business closures. With very high adherence and fast, frequent, and sensitive testing, we show that most respiratory virus pandemics could be controlled with mass testing alone.
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id doaj-art-0b8f9bb71f8948fa922cdff7e49a80d0
institution Kabale University
issn 1755-4365
language English
publishDate 2025-03-01
publisher Elsevier
record_format Article
series Epidemics
spelling doaj-art-0b8f9bb71f8948fa922cdff7e49a80d02025-02-08T05:00:02ZengElsevierEpidemics1755-43652025-03-0150100812Enhanced testing can substantially improve defense against several types of respiratory virus pandemicJames Petrie0James A. Hay1Oraya Srimokla2Jasmina Panovska-Griffiths3Charles Whittaker4Joanna Masel5Pandemic Sciences Institute, University of Oxford, United Kingdom; Big Data Institute, University of Oxford, United Kingdom; Corresponding author at: Pandemic Sciences Institute, University of Oxford, United Kingdom.Pandemic Sciences Institute, University of Oxford, United Kingdom; Big Data Institute, University of Oxford, United KingdomNuffield Department of Medicine, University of Oxford, United KingdomPandemic Sciences Institute, University of Oxford, United Kingdom; Big Data Institute, University of Oxford, United Kingdom; UK Health Security Agency, United Kingdom; The Queen’s College, University of Oxford, United KingdomDepartment of Infectious Disease Epidemiology, Imperial College London, United KingdomEcology & Evolutionary Biology, University of Arizona, United States of AmericaMass testing to identify and isolate infected individuals is a promising approach for reducing harm from the next acute respiratory virus pandemic. It offers the prospect of averting hospitalizations and deaths whilst avoiding the need for indiscriminate social distancing measures. To understand scenarios where mass testing might or might not be a viable intervention, here we modeled how effectiveness depends both on characteristics of the pathogen (R0, time to peak viral load) and on the testing strategy (limit of detection, testing frequency, test turnaround time, adherence). We base time-dependent test sensitivity and time-dependent infectiousness on an underlying viral load trajectory model. We show that given moderately high public adherence, frequent testing can prevent as many transmissions as more costly interventions such as school or business closures. With very high adherence and fast, frequent, and sensitive testing, we show that most respiratory virus pandemics could be controlled with mass testing alone.http://www.sciencedirect.com/science/article/pii/S1755436524000732Mass testingMathematical modelNon-pharmaceutical interventionPandemic responseTest sensitivity
spellingShingle James Petrie
James A. Hay
Oraya Srimokla
Jasmina Panovska-Griffiths
Charles Whittaker
Joanna Masel
Enhanced testing can substantially improve defense against several types of respiratory virus pandemic
Epidemics
Mass testing
Mathematical model
Non-pharmaceutical intervention
Pandemic response
Test sensitivity
title Enhanced testing can substantially improve defense against several types of respiratory virus pandemic
title_full Enhanced testing can substantially improve defense against several types of respiratory virus pandemic
title_fullStr Enhanced testing can substantially improve defense against several types of respiratory virus pandemic
title_full_unstemmed Enhanced testing can substantially improve defense against several types of respiratory virus pandemic
title_short Enhanced testing can substantially improve defense against several types of respiratory virus pandemic
title_sort enhanced testing can substantially improve defense against several types of respiratory virus pandemic
topic Mass testing
Mathematical model
Non-pharmaceutical intervention
Pandemic response
Test sensitivity
url http://www.sciencedirect.com/science/article/pii/S1755436524000732
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