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Remote Laboratory Management: Respiratory Virus Diagnostics
Published on: April 6, 2019
Outbreak preparedness and response in a globalized world: are we ready?
Francesca F Norman1, David Brett-Major2, Chiara Sepulcri3
1National Referral Unit for Tropical Diseases, Infectious Diseases Department, Ramón y Cajal University Hospital, IRYCIS, CIBERINFEC, Madrid, Spain.
Global travel clinics show limited diagnostic capacity for Oropouche virus (OROV), a potential emerging threat. Strengthening OROV testing infrastructure is crucial for pandemic preparedness and rapid outbreak response.
Area of Science:
- Global Health Security
- Infectious Disease Surveillance
- Diagnostic Capacity Assessment
Background:
- Recent epidemics underscore the need for robust diagnostic capabilities to address emerging infectious threats.
- Enhanced operational capacities and emergency response infrastructure are vital for controlling outbreaks and preventing escalation.
Purpose of the Study:
- To assess the diagnostic capacity for Oropouche virus (OROV) testing in specialized travel medicine clinics.
- To evaluate the availability of OROV RNA and serological testing, as well as testing for other arboviruses.
Main Methods:
- An email-linked survey was distributed to clinics within the GeoSentinel and TropNet surveillance networks.
- The survey, conducted from January to March 2025, collected data on OROV diagnostic testing capabilities and other arbovirus testing.
- Response data from 58 participating sites were analyzed.
Main Results:
- Only 50% of responding sites had OROV diagnostic testing available through a reference laboratory, with 40% capable of OROV RNA detection and 17% offering onsite serological testing.
- Median turnaround times for OROV molecular results were 4 days onsite and 6 days at reference labs.
- Over 50% of sites could test for other arboviruses like dengue and chikungunya, with 67% offering onsite serological testing for non-OROV arboviruses.
Conclusions:
- The study revealed significant gaps in diagnostic capacity for OROV at international travel medicine clinics, highlighting potential weaknesses in novel pathogen preparedness.
- Findings emphasize the need for improved communication, strategic planning, and strengthened diagnostic infrastructure to enhance response to future arbovirus outbreaks.
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