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ABSTRACT: Background
Testing recommendations for COVID-19 in the United States varied by state and over time in the spring and summer of 2020.Methods
We compiled data about COVID-19 testing, cases, and deaths, and excess pneumonia + influenza + COVID-19 deaths to assess relationships between testing recommendations, per capita tests performed, epidemic intensity, and excess mortality during the early phase of the COVID-19 pandemic in the United States.Results
As of July 2020, 16 states recommended testing asymptomatic members of the general public. The rate of COVID-19 tests reported in each state correlates with more inclusive testing recommendations and with higher epidemic intensity. Higher per capita testing was associated with more complete reporting of COVID-19 deaths, which is a fundamental requirement for analyzing the pandemic.Conclusions
Reported deaths due to COVID-19 likely represent an undercount of the true burden of the pandemic. Coordinated, consistent guidelines for COVID-19 testing should be a high priority for state and national health systems.
SUBMITTER: Perniciaro SR
PROVIDER: S-EPMC7668755 | biostudies-literature | 2020 Nov
REPOSITORIES: biostudies-literature
Perniciaro Stephanie R SR Weinberger Daniel M DM
medRxiv : the preprint server for health sciences 20210226
<h4>Background</h4>State health departments have been responsible for prioritizing and allocating SARS-CoV-2 tests and vaccines. Testing and vaccination recommendations in the United States varied by state and over time, as did vaccine rollouts, COVID-19 cases, and estimates of excess mortality.<h4>Methods</h4>We compiled data about COVID-19 testing, cases, and deaths, and excess pneumonia + influenza + COVID-19 deaths to assess relationships between testing recommendations, <i>per capita</i> te ...[more]