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Am J Trop Med Hyg. Novel Coronavirus Disease (COVID-19) Serosurveillance May Facilitate Return-to-Work Decisions

tetano

Editor, Senior Moderator
Am J Trop Med Hyg. 2020 Apr 23.
doi: 10.4269/ajtmh.20-0302. Online ahead of print.
Novel Coronavirus Disease (COVID-19) Serosurveillance May Facilitate Return-to-Work Decisions


Martin Krsak[SUP] 1 [/SUP], Steven C Johnson[SUP] 1 [/SUP], Eric M Poeschla[SUP] 1 [/SUP]



Affiliations

Abstract

Public health measures are needed to resolve the novel coronavirus disease (COVID-19) pandemic, although a looming economic fallout merits close attention. Early safe reintroduction of immune individuals into the workforce may be essential to protecting the economic welfare of communities. Reverse transcriptase-polymerase chain reaction testing, our primary diagnostic tool to date, has sensitivity and timing concerns, owing to sampling/handling errors, as well as a complex virus-host interaction. Reverse transcriptase-polymerase chain reaction assays do not establish immune status once the virus has been cleared. Targeted serosurveillance for the determination of individuals' potential for transmissibility, particularly if paired with direct pathogen testing, may aid in "cleared for business" decision-making.
 
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