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. 2021 Dec 20;399(10326):757–768. doi: 10.1016/S0140-6736(21)02346-1

Table 3.

Examples of testing for SARS-CoV-2 infection as a public health tool, by setting

Public health measure Who to screen Frequency of screening Test to use Action to take in response to test results
Community testing of fixed cohorts of people in regular or daily contact with each other
Health-care facility48, 51, 59, 66, 87, 88 Face masks, ventilation, and (if possible) physical distancing; implement flexible, non-punitive, paid sick leave and supportive employment policies and practices Health-care workers and workers in residential care homes for people aged 65 years or older Twice a week Molecular test if possible, otherwise an Ag-RDT If the test is positive, isolate and initiate contact tracing
School6, 46, 70 Face masks, physical distancing, ventilation, and, if possible, moving activities outdoors Teachers, students, other school staff, and ancillary workers Frequency depends on COVID-19 prevalence within the community Ag-RDT; confirm positive test results using a molecular test If the test is positive, initiate contact tracing and send close contacts home for self-isolation
Workplace59, 60, 80 .. All staff Once or twice a week, depending on community prevalence Ag-RDT; confirm positive test results using a molecular test Allow entry if the test result is negative; stay at or work from home if possible
Mass gatherings of random cohorts who gather at sporadic events
Music event84 Face masks and ventilation All at entry Once, at entry Ag-RDT Allow entry into event if the test result is negative; confirm positive results using a molecular test
Religious gathering85 Face masks, physical distancing, and limit event size to small groups of 20 accompanied by a health worker All at entry and on departure Twice a week for multiday events Molecular test pre-entry and Ag-RDT at event Allow entry into event if the test result is negative; confirm positive results using a molecular test
Sports event86 Face masks and physical distancing Players, staff, and (at entry) spectators Once at entry; no screening during event Molecular test (if possible, otherwise an Ag-RDT) for players; Ag-RDT for staff and spectators; confirm positive test results using a molecular test Stop event if players test positive and initiate contact tracing; if staff or spectators test positive, do not allow them to enter the venue and initiate contact tracing

Ag-RDT=antigen rapid diagnostic test.