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    No cases of asymptomatic SARS-CoV-2 infection among healthcare staff in a city under lockdown restrictions: lessons to inform 'Operation Moonshot'

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    Author
    Martin, Christopher
    Jenkins, David
    Patel, Prashanth
    Goss, Charles
    Price, Arthur
    Barton, Linda
    Gupta, Pankaj
    Zaccardi, Francesco
    Brunskill, Nigel
    Haldar, Pranab
    Pareek, Manish
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    Keyword
    Asymptomatic
    COVID-19
    Healthcare worker
    Lockdown
    SARS-CoV-2
    
    Metadata
    Show full item record
    DOI
    10.1093/pubmed/fdaa237
    Publisher's URL
    https://academic.oup.com/jpubhealth/article/44/2/255/6047809
    Abstract
    Background Leicester was the first city in the UK to have ‘local lockdown’ measures imposed in response to high community rates of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission. As part of this response, a directive was issued by NHS England to offer testing of asymptomatic healthcare workers (HCWs) at University Hospitals of Leicester NHS Trust (UHL) for SARS-CoV-2 infection. Methods Between 20 July and 14 August 2020, we invited all HCWs at UHL to attend for SARS-CoV-2 testing by nucleic acid amplification (NAAT). We combined the result of this assay with demographic information from the electronic staff record. Results A total of 1150 staff (~8% of the workforce) volunteered. The median age was 46 years (IQR 34–55), 972 (84.5%) were female; 234 (20.4%) were of South Asian and 58 (5.0%) of Black ethnicity; 564 (49.0%) were nurses/healthcare assistants. We found no cases of asymptomatic infection. In comparison, average community test positivity rate in Leicester city was 2.6%. Conclusions Within the context of local lockdowns due to high community transmission rates, voluntary testing of asymptomatic staff has low uptake and low yield and thus its premise and cost-effectiveness should be re-considered.
    Citation
    Martin, C. A., Jenkins, D. R., Patel, P., Goss, C., Price, A., Barton, L., Gupta, P., Zaccardi, F., Brunskill, N. J., Haldar, P., Khunti, K., & Pareek, M. (2022). No cases of asymptomatic SARS-CoV-2 infection among healthcare staff in a city under lockdown restrictions: lessons to inform 'Operation Moonshot'. Journal of public health (Oxford, England), 44(2), 255–258.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/15632
    Collections
    Infectious Diseases

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