Mass testing for covid-19 in the UK

@article{Gill2020MassTF,
  title={Mass testing for covid-19 in the UK},
  author={Mike W Gill and Muir Gray},
  journal={BMJ},
  year={2020},
  volume={371}
}
An unevaluated, underdesigned, and costly mess 

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References

SHOWING 1-10 OF 11 REFERENCES

Covid-19: breaking the chain of household transmission

The authors urgently need new measures to protect household contacts from cyber-bullying, according to the World Health Organization.

Screening the healthy population for covid-19 is of unknown value, but is being introduced nationwide

Concerns this will see demolition of hard won frameworks for protecting the public from ineffective, poorly delivered, and unethically practised screening

Covid-19: Government plans to spend £100bn on expanding testing to 10 million a day

The leaked documents reveal a heavy reliance on the private sector to achieve the mass testing and give details of “letters of comfort” that have already been signed with companies to reach three million tests a day by December.

The inverse care law.

Adherence to the test, trace and isolate system: results from a time series of 21 nationally representative surveys in the UK (the COVID-19 Rapid Survey of Adherence to Interventions and Responses study)

Non-adherence was associated with: men, younger age groups, having a dependent child in the household, lower socio-economic grade, greater hardship during the pandemic, and working in a key sector.

Proportion of asymptomatic coronavirus disease 2019: A systematic review and meta‐analysis

AsymPTomatic COVID‐19 patients could have abnormal laboratory and radiational manifestations, which can be used as screening strategies to identify asymptomatic infection.

Population healthcare: designing population-based systems

  • M. Gray
  • Medicine
    Journal of the Royal Society of Medicine
  • 2017
The right structure is useful for simple tasks, but most health and healthcare issues are complex, where complexity is defined as ‘the dynamic state between order and chaos’. This means there is no

NHS test and trace chief admits workers fear "financial" hit if they self-isolate

  • Huffington Post

University of Oxford SARS-CoV-2 test development and validation cell: rapid evaluation of lateral flow viral antigen detection devices (LFDs) for mass community testing

  • Preliminary report from the Joint PHE Porton Down &

UK Standards for Public Involvement