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An optimization framework for large-scale screening under limited testing capacity with application to COVID-19.

Jiayi Lin1, Hrayer Aprahamian2, George Golovko3

  • 1Department of Industrial and Systems Engineering, Texas A &M University, College Station, 77843, TX, USA. jiayilin@tamu.edu.

Health Care Management Science
|April 24, 2024
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Summary

Targeted mass screening optimizes limited testing resources by identifying high-risk groups. This proactive approach significantly reduces misclassifications in disease detection, improving public health strategies.

Keywords:
COVID-19Group testingHeterogeneous populationsOperations managementOperations researchTargeted screening

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Area of Science:

  • Operations Research
  • Public Health
  • Epidemiology

Background:

  • Mass screening is crucial for disease control but challenged by limited testing capacity.
  • Effective screening requires targeting susceptible or high-need populations.
  • Existing methods may not optimally allocate resources under constraints.

Purpose of the Study:

  • To develop and analyze targeted mass screening strategies for heterogeneous populations.
  • To optimize the selection of sub-populations for screening under limited capacity.
  • To compare individual and Dorfman group testing schemes for efficiency and accuracy.

Main Methods:

  • Formulation of optimization models for individual and Dorfman group testing.
  • Analysis of model properties to develop efficient solution techniques.
  • Case study application using COVID-19 geographic data in the United States.

Main Results:

  • Proactive targeted screening schemes significantly reduce misclassifications compared to standard practices.
  • Optimization models provide insights into optimal test allocation and design.
  • The study demonstrates the effectiveness of data-driven recommendations for policy-makers.

Conclusions:

  • Targeted mass screening, informed by population risk data, is superior to traditional methods under capacity constraints.
  • Efficient and accurate screening protocols can be developed through optimization.
  • The findings offer practical guidance for managing public health resources during disease outbreaks.