Mass-testing reduces Liverpool Covid-19 cases by a fifth, says study

The community testing pilot scheme offered everyone in Liverpool tests whether or not they had symptoms. PHOTO: REUTERS

LONDON (REUTERS) - A mass rapid-testing scheme reduced Covid-19 cases in the English city of Liverpool by more than a fifth, researchers said on Wednesday (July 7), arguing that it was an effective public health intervention despite concerns over accuracy of the devices.

The community testing pilot scheme launched in November, and offered everyone in the city tests whether or not they had symptoms, in an attempt to find a new way to use testing to limit the spread of the coronavirus.

The study, led by the University of Liverpool with government backing, concluded that community testing led to an 18 per cent increase in case detection and a 21 per cent reduction in cases compared with other areas up to mid-December.

The spread of the Alpha variant first identified in Kent made comparisons between areas more difficult after that point, the researchers said.

"The Liverpool pilot showed that community testing can work, and it works well if it is nationally flexible and locally grounded," Professor Iain Buchan, the University of Liverpool expert leading the trial, told reporters.

Some scientists have questioned the use of rapid lateral flow tests, saying they might do more harm than good, and the United States regulator has warned that the performance of the Innova test in use in Britain has not been adequately established.

Despite concerns about the lower accuracy of lateral flow tests compared to polymerase chain reaction (PCR) tests, the Liverpool researchers said that the devices identified most cases with a high viral load.

The rapid turnaround times had a benefit, too, as lateral flow tests give a result in 30 minutes, rather than needing to be processed in a laboratory.

"If it's positive, (people) get immediate reinforcement that they need to take action...we can see it drove down cases," said University of Liverpool's Professor of Outbreak Medicine Calum Semple.

As part of the study, 283,338 Liverpool residents took a test using a lateral flow device between Nov 6, 2020 and April 30, 2021.

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