Geospatial Hotspots Need Point-of-Care Strategies to Stop Highly Infectious Outbreaks: Ebola and Coronavirus.
Identifieur interne : 003B11 ( Ncbi/Merge ); précédent : 003B10; suivant : 003B12Geospatial Hotspots Need Point-of-Care Strategies to Stop Highly Infectious Outbreaks: Ebola and Coronavirus.
Auteurs : Gerald J. Kost [États-Unis]Source :
- Archives of pathology & laboratory medicine [ 1543-2165 ] ; 2020.
Abstract
Context. Point-of-care testing (POCT), diagnostic testing at or near the site of patient care, is inherently spatial, that is, performed at points of need, and also intrinsically temporal, because it produces fast actionable results. Outbreaks generate geospatial "hotspots." POC strategies help control hotspots, detect spread, and speed treatment of highly infectious diseases. Objectives. To stop outbreaks, accelerate detection, facilitate emergency response for epidemics, mobilize public health practitioners, enhance community resilience, and improve crisis standards of care. Data Sources. PubMed, WWW, newsprint, others were searched until COVID-19 was declared a pandemic, the US, a national emergency, and Europe, the epicenter. Coverage comprised interviews in Asia, email to/from Wuhan, papers, articles, chapters, documents, maps, flowcharts, schematics, and geospatial-associated concepts. EndNote X9.1 (Clarivate Analytics) consolidated literature as abstracts, ULRs, and PDFs, recovering 136 hotspot articles. More than 500 geospatial science articles were assessed for relevance to point-of-care testing. Conclusions POCT can interrupt spirals of dysfunction and delay by enhancing disease detection, decision making, contagion containment, and safe spacing, thereby softening outbreak surges and diminishing risk before human, economic, and cultural losses mount. Point-of-care tests results identify where infected individuals spread COVID-19, when delays cause death, and how to deploy resources. Results in national cloud databases help optimize outbreak control, mitigation, emergency response, and community resilience. The COVID-19 pandemic demonstrates unequivocally that governments must support POCT and multidisciplinary healthcare personnel must learn its principles, then adopt POC geospatial strategies, so that onsite diagnostic testing can ramp up to meet needs in times of crisis.
DOI: 10.5858/arpa.2020-0172-RA
PubMed: 32298139
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Kost</name><affiliation wicri:level="2"><nlm:affiliation>Emeritus Professor, CEO, Knowledge Optimization, Director, POCT•CTR (Point-of-care Testing Center for Teaching and Research), University of California, Davis, 506 Citadel Drive, Davis, CA 95616.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Emeritus Professor, CEO, Knowledge Optimization, Director, POCT•CTR (Point-of-care Testing Center for Teaching and Research), University of California, Davis, 506 Citadel Drive, Davis</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32298139</idno><idno type="pmid">32298139</idno><idno type="doi">10.5858/arpa.2020-0172-RA</idno><idno type="wicri:Area/PubMed/Corpus">000083</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000083</idno><idno type="wicri:Area/PubMed/Curation">000083</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000083</idno><idno type="wicri:Area/PubMed/Checkpoint">000479</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000479</idno><idno type="wicri:Area/Ncbi/Merge">003B11</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Geospatial Hotspots Need Point-of-Care Strategies to Stop Highly Infectious Outbreaks: Ebola and Coronavirus.</title><author><name sortKey="Kost, Gerald J" sort="Kost, Gerald J" uniqKey="Kost G" first="Gerald J" last="Kost">Gerald J. Kost</name><affiliation wicri:level="2"><nlm:affiliation>Emeritus Professor, CEO, Knowledge Optimization, Director, POCT•CTR (Point-of-care Testing Center for Teaching and Research), University of California, Davis, 506 Citadel Drive, Davis, CA 95616.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Emeritus Professor, CEO, Knowledge Optimization, Director, POCT•CTR (Point-of-care Testing Center for Teaching and Research), University of California, Davis, 506 Citadel Drive, Davis</wicri:cityArea></affiliation></author></analytic><series><title level="j">Archives of pathology & laboratory medicine</title><idno type="eISSN">1543-2165</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><b>Context.</b> Point-of-care testing (POCT), diagnostic testing at or near the site of patient care, is <u><i>inherently spatial</i></u>, that is, performed at points of need, and also <u><i>intrinsically temporal</i></u>, because it produces fast actionable results. Outbreaks generate geospatial "hotspots." <i>POC strategies</i> help control hotspots, detect spread, and speed treatment of highly infectious diseases. <b>Objectives.</b> To stop outbreaks, accelerate detection, facilitate emergency response for epidemics, mobilize public health practitioners, enhance community resilience, and improve crisis standards of care. <b>Data Sources.</b> PubMed, WWW, newsprint, others were searched until COVID-19 was declared a pandemic, the US, a national emergency, and Europe, the epicenter. Coverage comprised interviews in Asia, email to/from Wuhan, papers, articles, chapters, documents, maps, flowcharts, schematics, and geospatial-associated concepts. EndNote X9.1 (Clarivate Analytics) consolidated literature as abstracts, ULRs, and PDFs, recovering 136 hotspot articles. More than 500 geospatial science articles were assessed for relevance to point-of-care testing. <b>Conclusions</b> POCT can interrupt spirals of dysfunction and delay by enhancing disease detection, decision making, contagion containment, and safe spacing, thereby softening outbreak surges and diminishing risk before human, economic, and cultural losses mount. Point-of-care tests results identify where infected individuals spread COVID-19, when delays cause death, and how to deploy resources. Results in national cloud databases help optimize outbreak control, mitigation, emergency response, and community resilience. The COVID-19 pandemic demonstrates unequivocally that governments must support POCT and multidisciplinary healthcare personnel must learn its principles, then adopt POC geospatial strategies, so that onsite diagnostic testing can ramp up to meet needs in times of crisis.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32298139</PMID><DateRevised><Year>2020</Year><Month>04</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1543-2165</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Apr</Month><Day>16</Day></PubDate></JournalIssue><Title>Archives of pathology & laboratory medicine</Title><ISOAbbreviation>Arch. Pathol. Lab. Med.</ISOAbbreviation></Journal><ArticleTitle>Geospatial Hotspots Need Point-of-Care Strategies to Stop Highly Infectious Outbreaks: Ebola and Coronavirus.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.5858/arpa.2020-0172-RA</ELocationID><Abstract><AbstractText><b>Context.</b> Point-of-care testing (POCT), diagnostic testing at or near the site of patient care, is <u><i>inherently spatial</i></u>, that is, performed at points of need, and also <u><i>intrinsically temporal</i></u>, because it produces fast actionable results. Outbreaks generate geospatial "hotspots." <i>POC strategies</i> help control hotspots, detect spread, and speed treatment of highly infectious diseases. <b>Objectives.</b> To stop outbreaks, accelerate detection, facilitate emergency response for epidemics, mobilize public health practitioners, enhance community resilience, and improve crisis standards of care. <b>Data Sources.</b> PubMed, WWW, newsprint, others were searched until COVID-19 was declared a pandemic, the US, a national emergency, and Europe, the epicenter. Coverage comprised interviews in Asia, email to/from Wuhan, papers, articles, chapters, documents, maps, flowcharts, schematics, and geospatial-associated concepts. EndNote X9.1 (Clarivate Analytics) consolidated literature as abstracts, ULRs, and PDFs, recovering 136 hotspot articles. More than 500 geospatial science articles were assessed for relevance to point-of-care testing. <b>Conclusions</b> POCT can interrupt spirals of dysfunction and delay by enhancing disease detection, decision making, contagion containment, and safe spacing, thereby softening outbreak surges and diminishing risk before human, economic, and cultural losses mount. Point-of-care tests results identify where infected individuals spread COVID-19, when delays cause death, and how to deploy resources. Results in national cloud databases help optimize outbreak control, mitigation, emergency response, and community resilience. The COVID-19 pandemic demonstrates unequivocally that governments must support POCT and multidisciplinary healthcare personnel must learn its principles, then adopt POC geospatial strategies, so that onsite diagnostic testing can ramp up to meet needs in times of crisis.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kost</LastName><ForeName>Gerald J</ForeName><Initials>GJ</Initials><AffiliationInfo><Affiliation>Emeritus Professor, CEO, Knowledge Optimization, Director, POCT•CTR (Point-of-care Testing Center for Teaching and Research), University of California, Davis, 506 Citadel Drive, Davis, CA 95616.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>04</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Arch Pathol Lab Med</MedlineTA><NlmUniqueID>7607091</NlmUniqueID><ISSNLinking>0003-9985</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">2019-nCoV</Keyword><Keyword MajorTopicYN="N">Coronavirus disease (COVID-19)</Keyword><Keyword MajorTopicYN="N">Ebola virus disease</Keyword><Keyword MajorTopicYN="N">MERS-CoV</Keyword><Keyword MajorTopicYN="N">acute respiratory distress syndrome (ARDS)</Keyword><Keyword MajorTopicYN="N">crisis standards of care</Keyword><Keyword MajorTopicYN="N">environmental stress</Keyword><Keyword MajorTopicYN="N">epidemic</Keyword><Keyword MajorTopicYN="N">geospatial care path (GCP)</Keyword><Keyword MajorTopicYN="N">geospatial science</Keyword><Keyword MajorTopicYN="N">global emergency</Keyword><Keyword MajorTopicYN="N">global strategies</Keyword><Keyword MajorTopicYN="N">government failure</Keyword><Keyword MajorTopicYN="N">newdemic</Keyword><Keyword MajorTopicYN="N">novel Coronavirus pneumonia (NCP)</Keyword><Keyword MajorTopicYN="N">pandemic</Keyword><Keyword MajorTopicYN="N">panepidemic</Keyword><Keyword MajorTopicYN="N">point of risk</Keyword><Keyword MajorTopicYN="N">point-of-care testing (POCT)</Keyword><Keyword MajorTopicYN="N">public health crisis</Keyword><Keyword MajorTopicYN="N">safe spacing</Keyword><Keyword MajorTopicYN="N">sepsis</Keyword><Keyword MajorTopicYN="N">severe acute respiratory syndrome (SARS)</Keyword><Keyword MajorTopicYN="N">severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2)</Keyword><Keyword MajorTopicYN="N">small-world network (SWN)</Keyword><Keyword MajorTopicYN="N">social distancing</Keyword><Keyword MajorTopicYN="N">spatial care path (SCP)</Keyword><Keyword MajorTopicYN="N">temporal</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>4</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>4</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>4</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32298139</ArticleId><ArticleId IdType="doi">10.5858/arpa.2020-0172-RA</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Kost, Gerald J" sort="Kost, Gerald J" uniqKey="Kost G" first="Gerald J" last="Kost">Gerald J. 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