Editor's Note <\/p>\n\n\n\n
November 28, 2022<\/p>\n\n\n\n
Entrance surveillance screenings have been widely implemented in health care settings during the COVID-19 pandemic. These measures, which are required by the US Department of Labor,1<\/a><\/sup> rely on self-reported factors such as symptoms or exposure history and are intended to reduce risk to patients and health care workers. In this issue of JAMA Internal Medicine<\/em>, Roberts and colleagues2<\/a><\/sup> examine the usefulness of entrance surveillance screenings at a single academic medical center. They find that during the first wave of the pandemic, about 1 in every 38 people screened positive. However, during later periods, the catch rate was considerably lower, closer to 1 in every 3000 people. This lower rate was constant regardless of community incidence of disease. It cannot be known from their findings if the screening requirement itself acted as a deterrent to those who might have otherwise sought entry to the health care center. Awareness of the screening procedure or of the nature of COVID-19 symptoms may have increased over the course of time.<\/a><\/p>\n\n\n\n Surveillance screening is expensive for health care systems and a daily annoyance for those who work there. The authors suggest that screening may have maximum utility during the early phase of a public health crisis.2<\/a><\/sup> Nonetheless, self-reported symptoms have a low sensitivity for true infection with COVID-19,3<\/a><\/sup> so it remains unclear the degree to which screening measures are truly effective in reducing the spread of COVID-19.<\/a><\/p>\n\n\n\n Certainly there is value in keeping all symptomatically ill workers and visitors out of the hospital\u2014not merely those who are infected with COVID-19. It is known that some health care workers come to work under virtually any personal health circumstance due to tacit pressure.4<\/a><\/sup> COVID-19 surveillance screening has enabled workers to appropriately stay home when they are ill.<\/p>\n","protected":false},"excerpt":{"rendered":" Editor’s Note November 28, 2022 The Unc […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[24,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/23228"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=23228"}],"version-history":[{"count":1,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/23228\/revisions"}],"predecessor-version":[{"id":23229,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/23228\/revisions\/23229"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=23228"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23228"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}