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10.1377/hlthaff.2020.01409

http://scihub22266oqcxt.onion/10.1377/hlthaff.2020.01409
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33264048!ä!33264048

suck abstract from ncbi


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pmid33264048      Health+Aff+(Millwood) 2021 ; 40 (1): 70-81
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  • Increased Intensity Of PCR Testing Reduced COVID-19 Transmission Within Countries During The First Pandemic Wave #MMPMID33264048
  • Rannan-Eliya RP; Wijemunige N; Gunawardana JRNA; Amarasinghe SN; Sivagnanam I; Fonseka S; Kapuge Y; Sigera CP
  • Health Aff (Millwood) 2021[Jan]; 40 (1): 70-81 PMID33264048show ga
  • Experts agree that reverse transcription-polymerase chain reaction (PCR) testing is critical in controlling coronavirus disease 2019 (COVID-19), but decision makers disagree on how much testing is optimal. Controlling for interventions and ecological factors, we used linear regression to quantify testing's impact on COVID-19's average reproduction number, which represents transmissibility, in 173 countries and territories (which account for 99 percent of the world's COVID-19 cases) during March-June 2020. Among interventions, PCR testing had the greatest influence: a tenfold increase in the ratio of tests to new cases reported reduced the average reproduction number by 9 percent across a range of testing levels. Our results imply that mobility reductions (for example, shelter-in-place orders) were less effective in developing countries than in developed countries. Our results help explain how some nations achieved near-elimination of COVID-19 and the failure of lockdowns to slow COVID-19 in others. Our findings suggest that the testing benchmarks used by the World Health Organization and other entities are insufficient for COVID-19 control. Increased testing and isolation may represent the most effective, least costly alternative in terms of money, economic growth, and human life for controlling COVID-19.
  • |*COVID-19/diagnosis/transmission[MESH]
  • |*Communicable Disease Control[MESH]
  • |Basic Reproduction Number/statistics & numerical data[MESH]
  • |COVID-19 Testing/*statistics & numerical data[MESH]
  • |Developed Countries[MESH]
  • |Developing Countries[MESH]
  • |Global Health[MESH]
  • |Humans[MESH]
  • |Physical Distancing[MESH]
  • |Polymerase Chain Reaction/*statistics & numerical data[MESH]


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