1/ False promise of mass testing:
False reassurance due mass testing can lead to unintended community transmissions, *particularly* if exposed contacts (or cases) do not adhere to strict quarantine (or isolation) measures.
@AndreaFeller2
h/t @mustafahirji @IrfanDhalla https://twitter.com/andreafeller2/status/1298405028454191104
False reassurance due mass testing can lead to unintended community transmissions, *particularly* if exposed contacts (or cases) do not adhere to strict quarantine (or isolation) measures.
@AndreaFeller2
h/t @mustafahirji @IrfanDhalla https://twitter.com/andreafeller2/status/1298405028454191104
2/
This is why Taiwan’s Central Epidemic Command Ctr @Taiwan_CDC @MOHW_Taiwan created an educational video to explain the scientific rationales behind its testing strategy recently — when opposition party questioned the CECC for not testing all inbound travellers at border entry.
This is why Taiwan’s Central Epidemic Command Ctr @Taiwan_CDC @MOHW_Taiwan created an educational video to explain the scientific rationales behind its testing strategy recently — when opposition party questioned the CECC for not testing all inbound travellers at border entry.
3/
Taiwan’s CECC video went through 2x2 table calculations w/ these parameter to illustrate the negative downstream impact of FPs & FNs test results:
- #SARSCoV2 PCR test w/ 90% sensitivity & 95% specificity
- approx. 0.2% prevalence in its 250,000 inbound travellers in 2020 https://twitter.com/mohw_taiwan/status/1302948585072328711
Taiwan’s CECC video went through 2x2 table calculations w/ these parameter to illustrate the negative downstream impact of FPs & FNs test results:
- #SARSCoV2 PCR test w/ 90% sensitivity & 95% specificity
- approx. 0.2% prevalence in its 250,000 inbound travellers in 2020 https://twitter.com/mohw_taiwan/status/1302948585072328711
4/
Instead of mass screening, #Taiwan tests only symptomatic ppl & focuses its resource on breaking all possible chains of transmission:
- enforce 14d quarantine w/ ‘digital fence’ for all inbound travellers
- all confirmed COVIDA-19 cases are isolated in community hospitals
Instead of mass screening, #Taiwan tests only symptomatic ppl & focuses its resource on breaking all possible chains of transmission:
- enforce 14d quarantine w/ ‘digital fence’ for all inbound travellers
- all confirmed COVIDA-19 cases are isolated in community hospitals
5/5
For a pop’n of nearly the size of Australia, #Taiwan (23.7million pop’n) has effectively eliminated community transmission w/in its border.
Total case numbers are approaching 500, but total deaths remain at 7 since @Healthmac asked about False Positive result a while back. https://twitter.com/mohw_taiwan/status/1303575052957282304
For a pop’n of nearly the size of Australia, #Taiwan (23.7million pop’n) has effectively eliminated community transmission w/in its border.
Total case numbers are approaching 500, but total deaths remain at 7 since @Healthmac asked about False Positive result a while back. https://twitter.com/mohw_taiwan/status/1303575052957282304
Due to difference in testing strategy (Taiwan remained steadfast in testing individuals only at onset of symptoms, albeit even if very mild symptoms), the False Positive test result would occur at a much lower rate in #Taiwan
than in Canada
. @Healthmac
FYI @IrfanDhalla https://twitter.com/healthmac/status/1275418211459235840


FYI @IrfanDhalla https://twitter.com/healthmac/status/1275418211459235840