Abstract

The Delta variant (B.1.617.2) has dominated in many countries over the world. Its sudden outbreak in China has led the government to quickly carry out large-scale nucleic acid testing to curb its spread. This qualitative study aims to find the challenges based on empirical evidence from the perspectives of the different groups of people involved in the testing, and further explore possible strategies to improve the efficiency of large-scale nucleic acid testing. Using a phenomenological approach, we selected 35 participants (seven managers, eight health professionals, six community volunteers and 14 residents) by purposive sampling. The interviews were conducted by in-depth semi-structured interviews and the data were analyzed by Colaizzi’s seven-step method. Qualitative analysis revealed three main themes: unreasonable and unsafe testing points layout settings, human and medical resources challenges, and potential infection risk. From the different angles, participants all experienced challenges during large-scale nucleic acid testing, making positive planning and adequate preparation important parts of the smooth development of testing. Large-scale nucleic acid testing relies on the cooperation and efforts of all to support containment of the spread of the virus. Local governments should improve their ability to respond to and deal with public health emergencies.

Highlights

  • Coronavirus disease (COVID-19) has rapidly developed into a pandemic, causing serious public health problems worldwide since it was first reported in December 2019 [1].As of 7 September 2021, the COVID-19 has caused over 220 million reported cases and4.5 million deaths globally [2]

  • The purpose of this study is to describe the challenges that people faced when participating in large-scale nucleic acid testing, which helps to optimize the tissue of the whole large-scale testing, ensure the safety of detectors and subjects, avoid the occurrence of cross-infection

  • This research identified a series of challenges that affect the smooth development of large-scale nucleic acid testing and, the research was conducted at the early stages of the Delta virus outbreak in Yangzhou

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Summary

Introduction

Coronavirus disease (COVID-19) has rapidly developed into a pandemic, causing serious public health problems worldwide since it was first reported in December 2019 [1].As of 7 September 2021, the COVID-19 has caused over 220 million reported cases and4.5 million deaths globally [2]. Coronavirus disease (COVID-19) has rapidly developed into a pandemic, causing serious public health problems worldwide since it was first reported in December 2019 [1]. As of 7 September 2021, the COVID-19 has caused over 220 million reported cases and. Effective infection control should depend on mass and positive diagnostic testing [3]. Large-scale nucleic acid testing can detect infected people early and play a key role in preventing the spread of the epidemic. Large-scale nucleic acid testing has been carried out in many countries [4,5,6,7]. Some studies believe that mass diagnostic testing could end the epidemic [8,9,10]. Some scholars advocate the use of repeated testing as a COVID-19-locked exit strategy [9]

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