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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, World-Wide Web, newsprint, and others were searched until Coronavirus infectious disease-19 was declared a pandemic, the United States, 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 POCT. 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. POCT results identify where infected individuals spread Coronavirus infectious disease-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 Coronavirus infectious disease-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.
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Objectives -To stop outbreaks, accelerate detection, facilitate emergency response for epidemics, mobilize public health practitioners, enhance community resilience, and improve crisis standards of care (Arch Pathol Lab Med 2020;144:1166-1190;doi: 10 5858/arpa 2020-0172-RA) The goals of this study were as follows: (1) to understand point-of-care (POC) geospatial strategies and concepts needed to stop outbreaks of highly infectious diseases from spreading;(2) to rapidly detect stealth transmission, accelerate response, and control epidemics in time, place, and space;(3) to facilitate diagnostic support, preparedness, and emergency/critical care in healthcare small-world networks;(4) to introduce public health practitioners to POC principles and practice, mobilize them in the use of POC testing, and thereby, enhance manpower, diagnostic access, and community resilience;and (5) to improve crisis standards of care worldwide COVID-19 is generating huge loss of life and resources and redefining human existence, exacerbated by inadequate diagnostic testing, lack of trained field personnel, and limited knowledge of temperature and humidity effects in volatile settings where devices are used and testing performed The Point-of-care Testing Center for Teaching and Research (POCT»CTR) wrote the original Wikipedia article 46 Historic terms include alternate site testing, testing outside the clinical laboratory, point-of-need testing, rapid diagnostic test, and others, now mostly abandoned in favor of the simplified concept above that professionals, laypersons, and politicians alike recognize, especially now during the pandemic
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