{"id":8066,"date":"2020-05-24T10:29:09","date_gmt":"2020-05-24T10:29:09","guid":{"rendered":"https:\/\/www.gdg.travel\/?p=8066"},"modified":"2020-05-28T10:47:58","modified_gmt":"2020-05-28T10:47:58","slug":"covid-19-testing","status":"publish","type":"post","link":"https:\/\/www.gdg.travel\/en-us\/blog\/covid-19-testing\/","title":{"rendered":"COVID-19 Testing and Contact Tracing"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; admin_label=&#8221;Header: COVID-19 Testing&#8221; _builder_version=&#8221;4.4.2&#8243; background_color=&#8221;rgba(0,0,0,0)&#8221; background_enable_image=&#8221;off&#8221; background_position=&#8221;top_center&#8221; collapsed=&#8221;on&#8221;][et_pb_fullwidth_header title=&#8221;COVID-19 Testing and Contact Tracing&#8221; subhead=&#8221;UK Information Update&#8221; text_orientation=&#8221;center&#8221; header_fullscreen=&#8221;on&#8221; _builder_version=&#8221;4.4.2&#8243; title_line_height=&#8221;1.2em&#8221; subhead_font_size=&#8221;30px&#8221; background_color=&#8221;#414042&#8243; background_image=&#8221;https:\/\/www.gdg.travel\/wp-content\/uploads\/2020\/05\/Covid-19-testing_A.jpg&#8221; background_position=&#8221;top_center&#8221; background_blend=&#8221;overlay&#8221; z_index_tablet=&#8221;500&#8243; button_one_text__hover_enabled=&#8221;on|desktop&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;content&#8221; _builder_version=&#8221;4.4.2&#8243; custom_padding=&#8221;75px|0px|110px|0px|false|false&#8221; border_color_all=&#8221;rgba(255,186,96,0.6)&#8221; border_width_right=&#8221;8vw&#8221; border_color_right=&#8221;#5b8cb1&#8243; collapsed=&#8221;on&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; admin_label=&#8221;intro&#8221; _builder_version=&#8221;4.4.2&#8243; collapsed=&#8221;on&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_image src=&#8221;https:\/\/www.gdg.travel\/wp-content\/uploads\/2020\/05\/Covid-19-testing_B.jpg&#8221; admin_label=&#8221;image: guy with thermometer&#8221; _builder_version=&#8221;4.4.2&#8243;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text admin_label=&#8221;Intro&#8221; _builder_version=&#8221;4.4.2&#8243; text_line_height=&#8221;1.9em&#8221; header_3_line_height=&#8221;1.4em&#8221;]<\/p>\n<p><strong>There are now over 170 different commercial tests available to purchase in the UK. Only a limited number are compliant with the required UK and EU regulations and have been approved by Public Health England (PHE) for use in the UK.<span class=\"Apple-converted-space\">\u00a0<\/span><\/strong><\/p>\n<p><strong>Questions remain around reliability of test results, which can be affected by factors such as timing, or how the sample is collected, how testing programmes should be coordinated and their role in supporting employers with their strategies to return employees to a more normal work environment.<span class=\"Apple-converted-space\">\u00a0<\/span><\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;divider&#8221; _builder_version=&#8221;4.4.2&#8243; collapsed=&#8221;on&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_divider _builder_version=&#8221;4.0.6&#8243;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; admin_label=&#8221;current position&#8221; _builder_version=&#8221;4.4.2&#8243; collapsed=&#8221;on&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text admin_label=&#8221;title: Current UK Position&#8221; _builder_version=&#8221;4.4.2&#8243; header_2_line_height=&#8221;1.3em&#8221;]<\/p>\n<h2>Current UK Position<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text _builder_version=&#8221;4.4.2&#8243;]<\/p>\n<p>Current government and NHS guidelines indicate that all COVID-19 testing should be carried out using the central UK government process. This can include tests being completed at home, if using test kits supplied by an authorised body in the UK and analysed by a PHE laboratory.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>The government has indicated it will soon extend the current testing programme to everyone in England (over the age of 5 years) who are experiencing symptoms, or who live with someone with symptoms. Other regions in the UK have already extended testing to the wider population and may adopt differing approaches as antibody testing is introduced.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>The current testing programme is only looking at active disease and is not testing for antibodies, although this is planned as part of the future testing programme.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; admin_label=&#8221;Types of Test&#8221; _builder_version=&#8221;4.4.2&#8243; collapsed=&#8221;on&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text admin_label=&#8221;title: Types of Tests&#8221; _builder_version=&#8221;4.4.2&#8243; header_2_line_height=&#8221;1.3em&#8221;]<\/p>\n<h2>Types of Tests<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text _builder_version=&#8221;4.4.2&#8243; header_4_font_size=&#8221;20px&#8221;]<\/p>\n<p>There are two main tests for COVID-19 which check for active or past infection with the disease.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<h4>Testing for active infection<span class=\"Apple-converted-space\">\u00a0<\/span><\/h4>\n<p>Using an oral\/nasal swab or a saliva sample, these tests are completed by a healthcare professional or the individual and the sample is sent back to a laboratory for analysis. These tests are commonly referred to as polymerase chain reaction (PCR) tests.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>This test is not looking for antibodies and will only provide accurate results if someone is infected with Coronavirus when the sample is taken. As it is hard to self-administer a swab test correctly, this can lead to false negative results when undertaken at home.<\/p>\n<p><span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<h4>Testing for antibodies<span class=\"Apple-converted-space\">\u00a0<\/span><\/h4>\n<p>Using a blood sample, which is normally a finger prick, these tests can be completed at home by the individual. Some provide \u2018instant\u2019 results and some need to be sent to a laboratory for analysis. These tests are referred to as serology tests.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Only tests which draw a sample of blood to be sent to a laboratory currently have a CE mark and approval by PHE. A potential issue with these tests is that they may indicate a recent infection, which may or may not have been caused by COVID-19. The test results should only be interpreted by a qualified healthcare professional.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p><span class=\"Apple-converted-space\"><\/span><\/p>\n<blockquote>\n<p><b><i>It\u2019s important to remember that a positive antibody test does not indicate immunity from COVID-19.<span class=\"Apple-converted-space\">\u00a0<\/span><\/i><\/b><\/p>\n<\/blockquote>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; admin_label=&#8221;Approved Tests in the UK&#8221; _builder_version=&#8221;4.4.2&#8243; collapsed=&#8221;on&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text admin_label=&#8221;title: Approved Tests&#8221; _builder_version=&#8221;4.4.2&#8243; header_2_line_height=&#8221;1.3em&#8221;]<\/p>\n<h2>Approved Tests in the UK<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text _builder_version=&#8221;4.4.2&#8243;]<\/p>\n<p>PHE (Public Health England) have approved a limited number of tests for use in the UK. All of these carry a CE mark, which indicates that they meet the required Medical Devices Directive (MDD) requirements. Tests which do not carry this mark have not been approved.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>No home testing kits using saliva\/swabs to test for active infection have approval by PHE for use in the UK at this time. Some home testing kits using blood samples which are sent to a laboratory for analysis to check for antibodies do have PHE approval.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; admin_label=&#8221;Contact Tracing&#8221; _builder_version=&#8221;4.4.2&#8243; collapsed=&#8221;on&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text admin_label=&#8221;title: Contract Tracing&#8221; _builder_version=&#8221;4.4.2&#8243; header_2_line_height=&#8221;1.3em&#8221;]<\/p>\n<h2>Contract Tracing<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text _builder_version=&#8221;4.4.2&#8243;]<\/p>\n<p>The third element to the UK government\u2019s test, track and trace strategy focuses on tracking how and where the virus is spreading in the UK and tracing people who have become infected.<span class=\"Apple-converted-space\">\u00a0<\/span>NHSX, the NHS digital research division, has developed a smartphone app which is being piloted on the Isle of Wight. The app uses Bluetooth technology to alert other users of the presence of an infected person in their area.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>It is not without flaws, for example, alerting people incorrectly of the proximity of an infected individual, and experts suggest over 60% of the population would need to use the app for it to be effective.<span class=\"Apple-converted-space\">\u00a0<\/span>The government\/PHE have also recruited over 20,000 tracers to manually track and trace individuals identified as having been exposed to someone diagnosed with COVID-19.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>In addition to the centralised government approach to track and trace, there are a number of private companies offering app based technology to support companies to manage their workforce and the return to work process as the restrictions ease.<span class=\"Apple-converted-space\">\u00a0<\/span>There may be regional variation to the approach on contact tracing within the UK, with Scotland, Wales and Northern Ireland making independant decisions on the process they will follow.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; admin_label=&#8221;Key Takeaways&#8221; _builder_version=&#8221;4.4.2&#8243; background_color=&#8221;#5b8cb1&#8243; custom_margin=&#8221;2px||||false|false&#8221; collapsed=&#8221;on&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text admin_label=&#8221;title: Key Points&#8221; _builder_version=&#8221;4.4.2&#8243; text_text_color=&#8221;#ffffff&#8221; header_2_line_height=&#8221;1.3em&#8221; custom_padding=&#8221;|||25px|false|false&#8221;]<\/p>\n<h2><strong><span style=\"color: #ffffff;\">Key Points to<br \/>Take Away<\/span><\/strong><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text _builder_version=&#8221;4.4.2&#8243; text_text_color=&#8221;#ffffff&#8221; text_line_height=&#8221;1.8em&#8221;]<\/p>\n<ul>\n<li>\n<p><span style=\"color: #ffffff;\">UK government advice continues to be that tests should be carried out using the central government\/PHE process.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"color: #ffffff;\">Testing is now being extended in the UK to include everyone over the age of five.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"color: #ffffff;\">Test kits need a CE mark to meet MDD criteria.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"color: #ffffff;\">No home PCR (saliva) test kits are PHE approved.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"color: #ffffff;\">Laboratory assessed home blood tests are PHE approved.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"color: #ffffff;\">All tests need to be interpreted by a healthcare professional.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"color: #ffffff;\">Positive antibody tests do not guarantee immunity from future infection.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"color: #ffffff;\">Track and trace is unlikely to be effective unless undertaken manually.<\/span><\/p>\n<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,3_4&#8243; admin_label=&#8221;More Info&#8221; _builder_version=&#8221;4.4.2&#8243; custom_margin=&#8221;25px||16px||false|false&#8221; collapsed=&#8221;on&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text admin_label=&#8221;title: Contract Tracing&#8221; _builder_version=&#8221;4.4.2&#8243; header_2_line_height=&#8221;1.3em&#8221;]<\/p>\n<h2>More Information<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_text _builder_version=&#8221;4.4.2&#8243;]<\/p>\n<ul>\n<li>Current government guidance on COVID-19 testing in the UK:\u00a0click <a href=\"https:\/\/www.gov.uk\/government\/publications\/how-tests-and-testing-kits-for-coronavirus-covid-19-work\/for-patients-the-public-and-professional-users-a-guide-to-covid-19-tests-and-testing-kits\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>HERE<\/strong><\/a><\/li>\n<li>CE marks: click <strong><a href=\"https:\/\/www.gov.uk\/guidance\/medical-devices-conformity-assessment-and-the-ce-mark\" target=\"_blank\" rel=\"noopener noreferrer\">HERE<\/a><\/strong><\/li>\n<li>MHRA approval of COVID-19 tests: click <strong><a href=\"https:\/\/www.gov.uk\/government\/publications\/how-tests-and-testing-kits-for-coronavirus-covid-19-work\/target-product-profile-antibody-tests-to-help-determine-if-people-have-recent-infection-to-sars-cov-2-version-2\" target=\"_blank\" rel=\"noopener noreferrer\">HERE<\/a><\/strong><\/li>\n<\/ul>\n<p>Thanks to <a href=\"https:\/\/www.willistowerswatson.com\/en-GB\" target=\"_blank\" rel=\"noopener noreferrer\">Willis Towers Watson<\/a> for their help in providing this information update.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; 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