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COVID-19 surge testing in a unitary local authority in England: an observational study

Norman, Grace; Akomfrah, George; Mytton, Oliver; Brown, Ian; (2023) COVID-19 surge testing in a unitary local authority in England: an observational study. Journal of Public Health , 45 (4) pp. 957-963. 10.1093/pubmed/fdad153. Green open access

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Abstract

BACKGROUND: In May 2021, due to rising case rates and the detection of a new variant of concern, increased asymptomatic 'surge testing' for COVID-19 was implemented in Bedford Borough. METHODS: Over 3 weeks, surge testing in higher incidence areas utilized: (i) mobile testing units, (ii) home test kit collection and drop-off and (iii) Door-to-door outreach. Testing was voluntary and supported by a communication campaign. Test results and data provided by participants were analyzed. RESULTS: During surge testing, 16% (n = 5018) of the target population were tested, resulting in 125 positive results (2.5%). Females, those identifying as white, and those living in the most deprived quintile (Q1) were over-represented in testing. Test positivity was relatively higher for ages 0-19 (4.0%), for minority ethnic groups (2.8%), and those not listing an ethnic group (15.1%). Test positivity was lowest for the door-to-door outreach approach (0.9%), despite collecting the most samples (2225). CONCLUSIONS: Surge testing in Bedford reached a large number of people, was particularly successful at reaching people living in the most deprived areas, and identified cases that might have otherwise been missed. However, the testing did not reach the majority of the population, and began after new infections had begun to fall.

Type: Article
Title: COVID-19 surge testing in a unitary local authority in England: an observational study
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/pubmed/fdad153
Publisher version: https://doi.org/10.1093/pubmed/fdad153
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: COVID-19, non-pharmaceutical interventions, public health
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10178798
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