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helen salisbury@phc ox ac uk Follow Helen on Twitter: @HelenRSalisbury Once upon a time (two months ago), if I saw a patient with a notifiable infectious disease I’d make a clinical diagnosis, usually send a sample to the hospital laboratory, and email the local public health department for relevant follow-up and contact tracing When patients attend the emergency department with covid symptoms they may have multiple blood tests, x rays, and even scans to exclude pulmonary emboli, but still no swab for the virus The only people tested in this town are those sick enough to need admission, a few residents of nursing homes (although the number of tests per home is limited), and key workers
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