Community-Based Testing Sites for SARS-CoV-2 - United States, March 2020-November 2021
- PMID: 34882655
- PMCID: PMC8659188
- DOI: 10.15585/mmwr.mm7049a3
Community-Based Testing Sites for SARS-CoV-2 - United States, March 2020-November 2021
Abstract
Immediately following the March 13, 2020 declaration of COVID-19 as a national emergency (1), the U.S. government began implementing national testing programs for epidemiologic surveillance, monitoring of frontline workers and populations at higher risk for acquiring COVID-19, and identifying and allocating limited testing resources. Effective testing supports identification of COVID-19 cases; facilitates isolation, quarantine, and timely treatment measures that limit the spread of SARS-CoV-2 (the virus that causes COVID-19); and guides public health officials about the incidence of COVID-19 in a community. A White House Joint Task Force, co-led by the Department of Health and Human Services (HHS) and the Federal Emergency Management Agency (FEMA), created the Community-Based Testing Sites (CBTS) program working with state and local partners (2). This report describes the timeline, services delivered, and scope of the CBTS program. During March 19, 2020-April 11, 2021, the CBTS program conducted 11,661,923 SARS-CoV-2 tests at 8,319 locations across the United States and its territories, including 402,223 (3.5%) administered through Drive-Through Testing, 10,129,142 (86.9%) through Pharmacies+ Testing, and 1,130,558 (9.7%) through Surge Testing programs. Tests administered through the CBTS program yielded 1,176,959 (10.1%) positive results for SARS-CoV-2. Among tested persons with available race data,* positive test results were highest among American Indian or Alaska Native (14.1%) and Black persons (10.4%) and lowest among White persons (9.9%), Asian persons (7.3%), and Native Hawaiian or Other Pacific Islanders (6.4%). Among persons with reported ethnicity, 25.3% were Hispanic, 15.9% of whom received a positive test result. Overall, 82.0% of test results were returned within 2 days, but the percentage of test results returned within 2 days was as low as 40.7% in July 2020 and 59.3% in December 2020 during peak testing periods. Strong partnerships enabled a rapid coordinated response to establish the federally supported CBTS program to improve access to no-charge diagnostic testing, including for frontline workers, symptomatic persons and close contacts, and persons living in high-prevalence areas. In April 2021, the CBTS Pharmacies+ Testing and Surge Testing programs were expanded into the Increasing Community Access to Testing (ICATT) program. As of November 12, 2021, the CBTS and ICATT programs conducted approximately 26.6 million tests with approximately 10,000 active testing sites. Although the CBTS program represented a relatively small portion of overall U.S. SARS-CoV-2 testing, with its successful partnerships and adaptability, the CBTS program serves as a model to guide current community-based screening, surveillance, and disease control programs, and responses to future public health emergencies.
Conflict of interest statement
All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. Mark F. Miller, Min Shi, Alison Motsinger-Reif, and Clarice R. Weinberg report receipt of intramural research funds from the National Institute of Environmental Health Sciences, Nationl Institutes of Health. No other potential conflicts of interest were disclosed.
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References
-
- Office of the President of the United States. Proclamation on declaring a national emergency concerning the novel coronavirus disease (COVID-19) outbreak, March 13, 2020. Washington, DC: Office of the President of the United States; 2020. https://trumpwhitehouse.archives.gov/presidential-actions/proclamation-d...
-
- Office of the President of the United States. Remarks by President Trump, Vice President Pence, and members of the coronavirus task force in press briefing, March 15, 2020. Washington, DC: Office of the President of the United States; 2020. https://trumpwhitehouse.archives.gov/briefings-statements/remarks-presid...
-
- US Department of Health and Human Services. HHS continues Community Based Testing Sites for COVID-19 [Press release]. Washington, DC: US Department of Health and Human Services; 2021. https://www.hhs.gov/about/news/2021/01/07/hhs-continues-community-based-...
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