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SARS-CoV-2 testing in travellers: Can we be smarter?

机译:SARS-CoV-2测试旅客:我们可以更聪明吗?

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An editorial in CMAJ emphasized that a smarter response to the COVID-19 pandemic is required.1 Re-evaluating the mandatory reverse transcription-polymerase chain reaction (RT-PCR) testing policy for all travellers entering Canada may be a good place to be smarter.According to the Public Health Agency of Canada,2 in the past 4 months, 605000 vaccinated travellers were tested and 1031 were identified as positive for SARS-CoV-2 infection (16 cases/10000 tested). With an average cost of $200 per test, a total of $120 million or $120000 per positive test has been spent. That’s quite a cost. Other costs to this strategy include the time wasted arranging for testing and the illusory sense of security associated with a negative RT-PCR test, given the high falsenegative rate in the first days after exposure. At what level of detection does this policy of screening all vaccinated travellers no longer make sense? Will we maintain this policy if detection rates fall to 10 in 10000,5 in 10000, or 1 in 10000?
机译:协会的一篇社论强调,聪明应对required.1 COVID-19大流行重新评估强制扭转聚合酶链反应(rt - pcr),测试政策为所有旅客进入加拿大可能是一个更聪明的好地方。加拿大的公共卫生机构,2在过去605000年4月,接种疫苗的旅行者测试和1031人被确认为阳性SARS-CoV-2感染(16例/ 10000测试)。平均每个测试的成本200美元,总共1.2亿美元或120000美元/积极的测试花了。这种策略包括浪费的时间安排用于测试和虚幻的安全感与消极的rt - pcr相关测试,考虑到高falsenegative率后的第一天曝光。检查所有接种旅行者没有政策不再有意义吗?如果检测利率降至10 10000年,510000年,10000年或1 ?

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