Loading...
Thumbnail Image
Publication

The Case for Altruism in Institutional Diagnostic Testing [preprint]

Specht, Ivan
Sani, Kian
Botti-Lodovico, Yolanda
Hughes, Michael
Heumann, Kristin
Bronson, Amy
Marshall, John
Baron, Emily
Parrie, Eric
Glennon, Olivia
... show 3 more
Embargo Expiration Date
Link to Full Text
Abstract

Amid COVID-19, many institutions deployed vast resources to test their members regularly for safe reopening. This self-focused approach, however, not only overlooks surrounding communities but also remains blind to community transmission that could breach the institution. To test the relative merits of a more altruistic strategy, we built an epidemiological model that assesses the differential impact on case counts when institutions instead allocate a proportion of their tests to members’ close contacts in the larger community. We found that testing outside the institution benefits the institution in all plausible circumstances, with the optimal proportion of tests to use externally landing at 45% under baseline model parameters. Our results were robust to local prevalence, secondary attack rate, testing capacity, and contact reporting level, yielding a range of optimal community testing proportions from 18% to 58%. The model performed best under the assumption that community contacts are known to the institution; however, it still demonstrated a significant benefit even without complete knowledge of the contact network.

Source

medRxiv 2021.03.16.21253669; doi: https://doi.org/10.1101/2021.03.16.21253669. Link to preprint on medRxiv

Year of Medical School at Time of Visit
Sponsors
Dates of Travel
DOI
10.1101/2021.03.16.21253669
PubMed ID
Other Identifiers
Notes

This article is a preprint. Preprints are preliminary reports of work that have not been certified by peer review.

The PDF available for download is Version 2 of this preprint. The complete version history of this preprint is available at https://doi.org/10.1101/2021.03.16.21253669.

Funding and Acknowledgements
Corresponding Author
Related Resources

Now published in Scientific Reports doi: 10.1038/s41598-021-02605-4

Related Resources
Repository Citation
Rights
The copyright holder for this preprint is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license.