UMMS Affiliation
Department of Emergency Medicine
Publication Date
2021-06-30
Document Type
Article
Disciplines
Community Health and Preventive Medicine | Health Services Administration | Infectious Disease | Virus Diseases
Abstract
The COVID-19 pandemic caused more than 30 million infections in the United States between March 2020 and April 2021. In response to systemic disparities in SARS-CoV2 testing and COVID-19 infections, health systems, city leaders and community stakeholders in Worcester, Massachusetts created a citywide Equity Task Force with a specific goal of making low-barrier testing available to individuals throughout our community. Within months, the state of Massachusetts announced the Stop the Spread campaign, a state-funded testing venture. With this funding, and through our community-based approach, our team tested more than 48,363 individuals between August 3, 2020 and February 28, 2021. Through multiple PDSA (Plan-Do-Study-Act) cycles, we optimized our process to test close to 300 individuals per hour. Our positivity rate ranged from 1.5% with our initial testing events to a high of 13.4% on January 6, 2021. During the challenges of providing traditional inpatient and ambulatory care during the pandemic, our health system, city leadership, and community advocacy groups united to broaden the scope of care to include widespread, population-based SARS-CoV2 testing. We anticipate that the lessons learned in conducting this testing campaign can be applied to further surges of SARS-CoV2, international environments, and future respiratory disease pandemics.
Keywords
COVID-19, SARS-CoV2, pandemic, public health, testing, Worcester, Massachusetts
Rights and Permissions
Copyright © 2021 Broach, Lowell, Brown, Martin, Muller, Shirshac, Perrone, Smith, Castiel, Kobayashi, Lapriore, Dickson and Babu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
DOI of Published Version
10.3389/fpubh.2021.695442
Source
Broach JP, Lowell M, Brown O, Martin C, Muller M, Shirshac J, Perrone D, Smith W, Castiel M, Kobayashi KJ, Lapriore CM, Dickson EW, Babu KM. A Citywide Approach to SARS-CoV2 Testing. Front Public Health. 2021 Jun 30;9:695442. doi: 10.3389/fpubh.2021.695442. PMID: 34277553; PMCID: PMC8277977. Link to article on publisher's site
Journal/Book/Conference Title
Frontiers in public health
Related Resources
PubMed ID
34277553
Repository Citation
Broach JP, Lowell M, Brown O, Martin C, Muller M, Shirshac J, Perrone D, Smith W, Castiel M, Kobayashi KJ, Lapriore CM, Dickson EW, Babu KM. (2021). A Citywide Approach to SARS-CoV2 Testing. COVID-19 Publications by UMMS Authors. https://doi.org/10.3389/fpubh.2021.695442. Retrieved from https://escholarship.umassmed.edu/covid19/279
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Included in
Community Health and Preventive Medicine Commons, Health Services Administration Commons, Infectious Disease Commons, Virus Diseases Commons