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YEDİ ÜLKENİN COVID-19 TEST SAYILARI VE TEST YAPMA KONUSUNDAKİ YAKLAŞIMLARI

Year 2020, Volume: 5 - COVID-19 Special Issue, 17 - 34, 28.09.2020
https://doi.org/10.35232/estudamhsd.767459

Abstract

Bu çalışmada Türkiye, İtalya, Birleşik Krallık, Almanya, Güney Kore, ABD ve İzlanda’nın SARS-CoV-2 test sayılarının ve stratejilerinin incelenmesi, bunun yanı sıra test sayısı ve stratejilerinin salgının seyrine etkisinin değerlendirilmesi ve bu yolla da test uygulamalarının salgın mücadelesindeki olası katkılarının belirlenmesi amaçlanmıştır. Yedi ülkenin gelişmişlik, eşitsizlik, gelir düzeyi, nüfus, sağlık harcaması, sağlık personeli sayısı, sağlık hizmetlerine erişime ilişkin verileri çeşitli veri tabanlarından elde edilmiştir. COVID-19 ile ilgili 15 günlük aralıklarla hesaplanan salgın istatistikleri, 1 Haziran 2020 itibariyle test sayısı, vaka ve ölüm sayılarını yansıtan değişkenler ve test stratejileri kullanılmıştır. Salgının 15., 30., 45. ve 60. günlerinde en fazla toplam vakaya sahip olan ülke Türkiye’dir. Milyon kişiye düşen test sayısı İzlanda’da 15, 30, 45 ve 60. günlerde diğer ülkelerden daha fazladır. Toplam test sayısı içindeki pozitiflik yüzdeleri bakımından Türkiye 15. ve 30. günlerde, İtalya ise 45. ve 60. günlerde birinci sıradadır. Vaka başına test sayısı 15. ve 30. günde Birleşik Krallık’ta, 45.günde Almanya’da, 60. günde ise Güney Kore’de en yüksektir. Güney Kore 1 vaka başına 80 test yapmıştır. Almanya’nın test kapsayıcılığı  tüm bölgeler için geçerli olmasa da diğer ülkelerden daha geniştir. Milyon kişiye düşen toplam test sayısı açısından İzlanda, Birleşik Krallık ve İtalya; vaka başına test sayısı açısından ise Güney Kore, İzlanda ve Almanya daha olumlu bir tablo çizmektedir. Almanya, Birleşik Krallık ve Güney Kore risk gruplarını daha büyük oranda kapsayan test stratejilerini uygulamaktadır. COVID-19’la mücadelede testlerin erken dönemde ve geniş kapsamlı kullanımı başarıyı getiren en önemli faktörlerdendir. Tanı koyma kapasitesi salgın kontrolünün anahtarıdır.

References

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COVID-19 TEST NUMBERS AND APPROACHES TO TESTING OF SEVEN COUNTRIES

Year 2020, Volume: 5 - COVID-19 Special Issue, 17 - 34, 28.09.2020
https://doi.org/10.35232/estudamhsd.767459

Abstract

In this study, it is aimed to examine the number of SARS-CoV-2 tests and strategies of Turkey, Italy, United Kingdom, Germany, South Korea, the USA and Iceland, as well as to evaluate the impact of the number of tests and strategies on the course of the epidemic, and in this way to determine the possible contribution of test practices to the outbreak. Data of the seven countries on development, inequality, income level, population, health expenditure, number of health personnel, and access to health services were obtained from various databases. Outbreak statistics calculated at 15-day intervals regarding COVID-19, variables that reflect the number of tests, number of cases and deaths as of June 1, 2020 and test strategies were used. Turkey had the most total cases on the 15th, 30th, 45th and 60th days of the outbreak. The number of tests per million people was higher in Iceland than the other countries on the 15th, 30th, 45th and 60th days. In terms of positivity percentages in the total number of tests, Turkey was the first on the 15th and 30th days, while Italy is the first on the 45th and 60th days. The number of tests per case was highest in the UK on the 15th and 30th day, in Germany on the 45th day and in South Korea on the 60th day. South Korea conducted 80 tests per 1 case. The test coverage of Germany was wider than other countries, though not in all regions. In terms of the total number of tests per million people Iceland, the United Kingdom and Italy; in terms of the number of tests per case South Korea, Iceland and Germany seem more positive. Germany, UK and South Korea apply test strategies that cover risk groups to a greater extent. The early and wide-ranging use of tests in the fight against COVID-19 is one of the most important factors that bring success. The capacity to diagnose is the key to outbreak control.

References

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  • 5. Europa.eu [cited 2020 Sep 22]; Available from: https://www.ecdc.europa.eu/en/geographical-distribution-%202019-ncov-
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  • 9. Salathé M, Althaus CL, Neher R, Stringhini S, Hodcroft E, Fellay J, et al. COVID-19 epidemic in Switzerland: on the importance of testing, contact tracing and isolation. Swiss Med Wkly 2020;150:w20225. doi:10.4414/smw.2020.20225
  • 10. Ai T, Yang Z, Hou H. Correlation of chest CT and RT-PCR testing in coronavirus Disease 2019 (COVID-19) in China: a report of 1014 cases [e-pub ahead of print. Radiology 2020;296(2):E32-40.
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  • 36. Government objectives and actions Iceland's response. [cited 2020 July 18]; Available from:https://www.covid.is/categories/ icelands-response.
  • 37. COVID-19 in the USA: a question of time [Internet]. C. 395, The Lancet. Lancet Publishing Group;s.1229. [cited 2020 Jun 22]; Available from: https://pubmed.ncbi.nlm.nih.gov/32305080/
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  • 39. Cohen J, Kupferschmidt K. Countries test tactics in 'war' against COVID-19. Science. 2020;367(6484):1287-8. doi:10.1126/science. 367.6484.1287
  • 40. Lorenzoni G, Lanera C, Azzolina D, Berchialla P, Gregori D, COVID19ita Working Group. Is a more aggressive COVID-19 case detection approach mitigating the burden on ICUs? Some reflections from Italy. Crit. Care 2020;24:175.
  • 41. Iacobucci G. Covid-19: What is the UK’s testing strategy? BMJ.;368:m1222. [cited 2020 Jun 22]; Available from: https://pubmed.ncbi.nlm.nih.gov/32217754/
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  • 43. World Health Organization. COVID-19 -virtual press conference - 30 March 2020. [cited 2020 July 22]; Available from:https://www.who.int/docs/default-source/coronaviruse/transcripts/who-audio-emergencies-coronavirus-press-conference-full-30mar2020.pdf?sfvrsn=6b68bc4a_2/
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Details

Primary Language Turkish
Subjects Public Health, Environmental Health
Journal Section Research Article
Authors

Ayşe Nur Usturalı Mut 0000-0002-6832-8067

Saliha Aydın 0000-0001-7078-6799

Caner Baysan 0000-0002-7675-1391

Erkan Büyükdemirci 0000-0002-1974-4160

Türker Bekar 0000-0002-8231-0269

Meltem Çöl 0000-0001-7089-1644

Publication Date September 28, 2020
Submission Date July 14, 2020
Published in Issue Year 2020 Volume: 5 - COVID-19 Special Issue

Cite

Vancouver Usturalı Mut AN, Aydın S, Baysan C, Büyükdemirci E, Bekar T, Çöl M. YEDİ ÜLKENİN COVID-19 TEST SAYILARI VE TEST YAPMA KONUSUNDAKİ YAKLAŞIMLARI. ESTUDAM Public Health Journal. 2020;5:17-34.

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