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Updated: Sep 11, 2025

Large-Scale SARS-CoV-2 Testing Utilizing Saliva and Transposition Sample Pooling

Large-Scale SARS-CoV-2 Testing Utilizing Saliva and Transposition Sample Pooling

Published on: June 23, 2022

A policy roadmap for sustainable mass-testing.

Sergey N Krylov^1,2, Svetlana M Krylova^1,2, An T H Le^1,2

¹Centre for Research on Biomolecular Interactions, York University, Toronto, Canada M3J 1P3.

Health Affairs Scholar

|August 18, 2025

Summary

This summary is machine-generated.

Mass testing with affordable self-tests can save lives and reduce pandemic costs. Investing in sensitive self-test technology creates a sustainable system for future public health needs.

Keywords:

decentralized testing infrastructure diagnostic sensitivity economic sustainability of mass testing mass testing pandemic preparedness policy point-of-need testing technologies

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Published on: April 9, 2021

Area of Science:

Public Health
Biotechnology
Health Policy

Background:

Population-wide mass testing is crucial for pandemic control, minimizing economic and societal disruption.
Past pandemic responses, like COVID-19, saw self-test manufacturing capacity lag and subsequently dismantled, risking future delays.
Lack of sustained capacity for mass testing poses a significant risk for future public health emergencies.

Purpose of the Study:

To propose a policy roadmap for an economically sustainable and scalable mass-testing system.
To advocate for public investment in research and development (R&D) for improved self-test sensitivity.
To outline a strategy for transforming mass testing into a proactive public health foundation.

Main Methods:

Developing a policy roadmap for a sustainable mass-testing infrastructure.
Advocating for R&D investment to enhance self-test sensitivity for diverse applications.
Proposing a system supported by scalable manufacturing, real-time data, predictive analytics, and sustainable financing.

Main Results:

Improved self-test sensitivity can drive demand beyond pandemics, supporting routine health screening, food safety, and environmental monitoring.
A robust system requires four pillars: scalable manufacturing, real-time data infrastructure, predictive analytics, and sustainable financing.
Public investment in R&D can create a durable foundation for mass testing, moving beyond reactive crisis response.

Conclusions:

A sustainable mass-testing system, supported by sensitive and affordable self-tests, is achievable through strategic policy and investment.
Enhancing self-test sensitivity unlocks broader applications, ensuring consistent demand and manufacturing capacity.
Prioritizing investment in self-test technology transforms mass testing into a resilient public health asset.