Wednesday, August 5, 2020

SARS-CoV-2 Screening Strategies and Return to Campus: Reality Check


I read with great interest this article just published in JAMA Network Open,  on SARS-CoV-2 screening and return to campus.

Let's make the leap of faith and assume that students will respect social distancing, wash their hands and meticulously wear face masks. Let's further assume that there will be no supply chain issues with testing for SARS-CoV-2.  

If the above is true, the article's relevancy and punchline is in the concluding paragraph:

We believe that there is a safe way for students to return to college in fall 2020. In this study, screening every 2 days using a rapid, inexpensive, and even poorly sensitive (>70%) test, coupled with strict interventions that keep Rt less than 2.5, was estimated to yield a modest number of containable infections and to be cost-effective. This sets a very high bar—logistically, financially, and behaviorally—that may be beyond the reach of many university administrators and the students in their care

This model was based on the return to campus of 5000 students, which may work for small colleges with significant finances.

For the rest, this is a reality check.