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ELC Enhancing Detection: North Dakota Testing Plan
From the Document: "The North Dakota Department of Health (NDDoH) has already surpassed the goal of testing 2% of its population each month. In May, the NDDoH is supporting PCR [polymerase chain reaction] testing of 2,500 people per day, which would be 75,000 people (10% of the population). The NDDoH plans to expand this testing to 8,000 tests (diagnostic and serology) per day or 248,000 tests per month (33% of the population) between diagnostic and serology."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Oklahoma Testing Plan
From the Document: "Pursuant to guidelines provided by the Commissioner of Health in response to the Governor, Oklahoma has set a goal to test 90,000 people each month, or 2.25% of the state's population, for SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2]."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Iowa Testing Plan
From the Document: "Testing is a key component for Iowa's plan to recover from the pandemic. Iowa has strived to increase testing capacity since the pandemic arrived here in February 2020. Supply shortages from multiple manufacturers has forced the lab to be able to test for SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] on multiple platforms. The State Hygienic Laboratory (SHL) provides approximately 50% of all the testing performed in Iowa. At this point approximately, 1 in 32 Iowans have been tested and SHL has performed over 45,000 tests. To reach a goal of at least 66,000 tests performed each month by SHL and ramping up to 99,000 tests performed each month, SHL will need to add staff, supplies and equipment and to restructure where testing is performed to meet the needs of Iowa."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: West Virginia Testing Plan
From the Document: "The State of West Virginia Department of Health and Human Resources (DHHR) is already testing a minimum of 2% of West Virginia's population for SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] each month, and will maximize the use of testing platforms, particularly those that are high throughput, across the state to reach higher targets by prioritizing target populations."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Virginia Testing Plan
From the Document: "VDH's [Virginia Department of Health] overarching strategy will include setting goals for testing, establishing testing targets, identifying private sector barriers, and initiating testing priorities and strategies to enhance detection of COVID-19 [coronavirus disease 2019] across Virginia. Primary goals of the VDH testing strategy include: increase containment activities as a result of reopening, expand testing to support identification of cases and contacts including those with mild and asymptomatic presentations, and testing more aggressively where increased burden or high risk of transmission exist (e.g. LTCFs [long-term care facilities], congregate settings, jails, schools)."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Washington Testing Plan
From the Document: "The State of Washington has approximately 7.6M residents. The priorities for testing are tiered and range from testing persons who are symptomatic, contacts of persons testing positive, persons in congregate settings where there has been one or more positive cases, testing of asymptomatic groups at highest risk of severe illness (e.g. those in long term care settings), and essential workers, including: first responders, health care workers, agricultural workers, and grocery store workers. It is also a priority for the state to work with stakeholders and community members to effectively outreach to and test traditionally marginalized groups, including but not limited to: people experiencing homelessness, people of color, members of tribal nations, Latinx people and those with disabilities. To meet a minimum of testing 2% of the population monthly, 5,000 persons need to be tested daily. Testing numbers in Washington have slowly increased as specimen collection supplies and PPE [personal protective equipment] have become more available."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Texas Testing Plan
From the Document: "The State of Texas has expanded efforts to meet the federal expectation of testing two percent of the state's population per month, or 20,000 per day. The State goal is to achieve a testing volume of 30,000 tests per day for diagnostic testing as we enter flu season. The overall goals of the testing strategy include: 1. Diagnose disease for isolation and tracing; 2. Respond rapidly to disease outbreaks; 3. Screen vulnerable populations; 4. Create a network for continued surveillance and predictive modeling; 5. Allow the academic study of the disease."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Wisconsin Testing Plan
From the Document: "Wisconsin's testing strategy is that all Wisconsinites who need a COVID-19 [coronavirus disease 2019] test should have access to a test. The goal is to establish a sustainable testing infrastructure within all Wisconsin communities, sufficient to ensure all persons who are symptomatic have timely access to testing. It should build and support local capacity to ensure effective and timely public health investigations and ensure that individuals who test positive have the appropriate supports for safe isolation. Particularly as Wisconsin reopens, we anticipate a higher rate of infection and project a demand for more testing. This will allow individuals who are infected and contagious to isolate. Testing is provided free of charge to all individuals. In addition to individuals experiencing any symptom of COVID-19, even mild symptoms, DHS encourages testing for some individuals without symptoms who are prioritized by health departments or clinicians, for any reason, including: public health monitoring, sentinel surveillance, or screening of other asymptomatic individuals according to state and local plans."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Vermont Testing Plan
From the Document: "The Vermont Department of Health Laboratory (VDHL) is utilizing the ThermoFisher KingFisher Flex testing platform for SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] testing. [...] The State of Vermont has a goal of conducting 7,500 tests per week (up from 4,000 tests a week today) to achieve the 152 tests per 100,000 recommendation from the Harvard Institute. This will greatly exceed the goal set by the CDC [Centers for Disease Control and Prevention] of testing at least 2% of the population each month."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: USVI Testing Plan
From the Document: "Due to the relatively small population base, approximately 105,000 persons, all symptomatic cases and their contacts have been able to be tested with support from CDC [Centers for Disease Control and Prevention]. More recently this is entirewly [sic] being conducted locally. These supplies have been difficult to obtain but the DOH [Department of Health] has 5000 tests currently on hand and will work closely with Hologic and the Federal Government to procure additional supplies as warranted by testing demand. At current testing rates these supplies are likely to last up to 90 days. The expected testing demand in USVI [U.S. Virgin Islands] to maintain testing of all symptomatic cases and contacts is extremely low in comparison to other jurisdictions. The DOH also has the capacity to perform Hologic Fusion testing, which has a lower user base nationally, and could provide for contingency testing if those supplies become available. These have been purchased but the Territory has never been allocated these resources."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: RMI Testing Plan
From the Document: "The population of the Republic of the Marshall Islands (RMI) is distributed among 29 Atolls with the majority (~27,000) in the Capital City on Majuro Atoll and another 10,000 in Ebeye in Kwajalein Atoll with the remainder (~8,000) spread throughout the far-flung smaller atolls. The predominant race/ethnicity is Marshallese (95%) with some other Asian/Pacific Islanders (Chinese, Kiribati, etc) and about 2% Caucasians (US, Australia, etc). Thus most of the population is considered 'at risk', especially because the prevalence of diabetes mellitus is 25%. SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] testing is available in the two cities, Majuro and Ebeye. Currently there are no cases of SARS-CoV-2 detected in RMI."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Utah Testing Plan
From the Document: "Since mid-March, the public health laboratory, the laboratory for the largest hospital system in the state (Intermountain Healthcare Central Laboratory {IHC}), and ARUP [Associated Regional and University Pathologists, Inc.], a national commercial laboratory located in the state, have met three days a week to discuss instrumentation, testing platforms, and plans to expand capacity. Through these efforts and those of other high-throughput laboratories in the state, we have a state capacity to perform up to 9,000 tests per day."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: California Testing Plan
From the Document: "California (CA) has a multi-pronged approach to increasing availability and access for SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] testing. Since late March, daily volumes of PCR [polymerase chain reaction] testing in CA have increased from 2,000 tests/day to a current peak of ~67,000 tests/day with capacity to test 4-5% of the overall population monthly. Initiatives are in place to further expand testing volumes to support reopening. Maintaining and expanding capacity for testing requires resources, leadership, and active collaboration across stakeholders."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Arizona Testing Plan
From the Document: "The Arizona Department of Health Services' (ADHS) plan to expand COVID-19 [coronavirus disease 2019] testing is a multi-tiered approach leveraging public and private partnerships. The plan has four core strategies in various stages of implementation: Strategy 1: Arizona Testing Blitz; Strategy 2: Increased testing of vulnerable adults in congregate settings; Strategy 3: Increased testing at additional community sites (e.g. pharmacies, urgent cares, community health centers); Strategy 4: Contracting with complex laboratories to increase targeted testing of healthcare workers, first responders, university students and staff, and other critical infrastructure personnel; Strategy 5: Increased testing in laboratories with unutilized or underutilized instrumentation to support COVID-19 testing."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Colorado Testing Plan
From the Document: "In order to contain the spread of the virus and stop future outbreaks, based on public health guidance, Colorado plans to maintain a 1 positive to 10 negative diagnostic test ratio over a rolling 7 day period by July 1. This ratio allows for flexibility and scaling based on current circumstances. Until that target is met, Colorado's plan is to scale up testing to 10,000/day between our State Public Health Laboratory (State Lab) and commercial labs. As the flu season in the fall and winter approach Colorado plans to scale up testing in excess of 17,000 tests per day. Due to supply constraints to date (reagents and swabs), Colorado has been unable to meet these goals, though we are close to being able to test approximately 2% of our population per month. Over the last 2 weeks, Colorado has run 3000-5000 tests per day."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Connecticut Testing Plan
From the Document: "The State of Connecticut has developed an adaptive, phased strategy to scale and implement testing to safeguard our community and fight COVID-19 [coronavirus disease 2019] in 4 phases. Each phase will coincide with our plans for progressive reopening of the state. Each phase has distinct goals and critical populations we aim to address as we ramp-up capacity. We will complement this widespread and ongoing COVID-19 RT-PCR [real time polymerase chain reaction] testing with point prevalence testing in nursing homes, assisted living and other congregate settings."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Arkansas Testing Plan
From the Document: "The current goal for SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] testing of the state of Arkansas' population has been established at benchmark of a 2%. This goal has been met using the Arkansas Department of Health Public Health Laboratory's (ADH PHLs) currently available, albeit, limited testing capacity in combination with commercial and academic resources. Current ADH PHL testing capacity is based on semi-automated methodology that is labor-intensive and time consuming based on a combination of manual and automated nucleic acid extraction and nucleic acid amplification using SARS-CoV-2 detection methodology developed and released by the Centers for Disease Control and Prevention."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: American Samoa Testing Plan
From the Document: "American Samoa is the only territory of the United States south of the equator. Currently, the main health issue is related to chronic diseases with an increase in the prevalence of obesity. This upsurge in obesity is associated with a number of conditions such as hypertension, cardiovascular disease, type II diabetes, arthritis, gout and various forms of cancer, conditions that have shown to increase risk of severe manifestation symptoms of COVID 19 [coronavirus disease 2019] and death. Fortunately, American Samoa currently does NOT have any confirmed cases of COVID 19. As of May 28, 2020, a total of 208 individuals have been tested since March 14, and all have tested negative."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Delaware Testing Plan
From the Document: "Delaware's statewide program - which will allow for 80,000 tests in Delaware monthly - will be implemented in partnership with the Division of Public Health (DPH), the Delaware Emergency Management Agency (DEMA), Delaware hospital systems, primary care physicians, Federally Qualified Health Centers, pharmacies, and community organizations. Delaware's new testing program is based on guidance from the U.S. Centers for Disease Control and Prevention. The State of Delaware will prioritize testing under the new statewide program for: [1] Any symptomatic individual. [2] Anyone with known exposure to COVID-19. [3] Vulnerable Delaware populations, including elderly Delawareans and members of low-income communities. [4] Certain front-line essential workers."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Chicago Testing Plan
From the Document: "The State of Illinois has publicly committed to ramping up to 30,000 tests per day in the effort to continue the fight against COVID-19 [coronavirus disease 2019]. Chicago has established the minimum goal of testing 5% of Chicago residents monthly (4,500 tests daily) as one of the criteria to enable the gradual, phased reopening of the economy, with the goal of increasing to 10,000 tests per day in the effort to continue the fight against COVID-19. CDPH [Chicago Department of Public Health] is committed to ensuring testing is accessible for all Chicago residents with symptoms of COVID-19; available by increasing specimen collection and testing supplies and building capacity in clinical settings; adaptable to provide testing in affected communities based on evolving epidemiology. In addition to leveraging robust testing at the IL Department of Health's State Laboratory, CDPH plans to make testing widely available by partnering closely with academic hospital laboratories, federally qualified health centers, and other outpatient settings. The proposed implementation plan aims to leverage clinical and laboratory infrastructure to significantly improve both testing capacity and reporting for adequate support of case identification, contact tracing and surveillance."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Georgia Testing Plan
From the Document: "Testing is an essential part of identifying, mitigating, and containing the disease to protect Georgia's populations. While the initial testing plan closely followed Centers for Disease Control and Prevention (CDC) recommendations to limit testing to hospitalized patients and symptomatic high priority individuals, the State is currently working to remove barriers so that any individual who believes they have been exposed to COVID-19 [coronavirus disease 2019] can get tested. Widespread testing will allow DPH [Georgia Department of Public Health] to determine the prevalence of the disease, whether the rate of positive cases is decreasing over time, and if control and mitigation measures are successful. As the State implements its reopening plans, testing is a critical path for keeping vulnerable populations safe, quickly identifying those with active disease, and for ensuring the safety of those returning to work. Testing is also the first step and a key component of the State's Contact Tracing Plan and helps to identify hot spots for targeted deployment of resources. The State surpassed the initial cumulative 2% testing goal on May 7, 2020, with 210,000 completed molecular tests. Since the onset of the pandemic, the State has continued to expand testing capacity."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Indiana Testing Plan
From the Document: "Indiana is projected to test 150,000 Hoosiers in May 2020 (2.2% of the population). Compared to April, this represents a 60,000 test-per-month increase. The State of Indiana has the goal of increasing specimen collection, testing, and reporting to 900,000 per month by the end of December 2020. Here is our plan to achieve these numbers. Indiana will use a three-pronged approach to maximize COVID-19 [coronavirus disease 2019] testing. First, help clinical laboratories scale operations based on the needs of their local communities. Second, continue to establish high-throughput, centralized mechanisms to test what local community resources cannot cover. [...] Finally, continue to distribute near-point-of-care (near-POC) instruments to test vulnerable populations, including rural or underserved populations and correctional facilities."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Idaho Testing Plan
From the Document: "In April, the Governor of Idaho established a Testing Taskforce to determine the current testing capacity in the state and to set goals for testing over the next several months. The Taskforce documented significant gaps in testing capacity in the state and noted specific areas of the state with little testing. The Taskforce also noted that a key to the success of reopening Idaho's economy is increasing testing significantly. This will include a distributed network of local clinical testing laboratories to supplement the testing provided by reference laboratories. Local accurate and timely testing using only FDA Emergency Use Authorization methods in the appropriate setting is necessary to provide rapid SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] testing for symptomatic persons in the community, healthcare workers, hospitalized patients, long-term care residents and staff, and other high priority populations."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Houston Testing Plan
From the Document: "The current literature and guidance suggest that we provide testing to both symptomatic and asymptomatic persons, since a large percentage of infected persons are asymptomatic. We plan to increase testing capacity substantially to support geographic areas of the city with low testing saturation. To identify areas of need, Houston Health Department (HHD) has used a data-driven strategy to identify and prioritize geographic areas for testing. Access and equity were the core philosophies undergirding the HHD testing strategy. Testing penetration was geographically overlaid with areas with vulnerable populations under the Federal Poverty Level (FPL) that are most likely to have the poorest outcomes from a COVID [coronavirus disease 2019] [sic]. We plan to achieve: a) Testing at a level of 2% of our population size (minimum 46,000 tests/month); b) Decline in positivity rates - Less than 10% of all tested are positive."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Illinois Testing Plan
From the Document: "The Illinois Department of Public Health (IDPH) is involved in all aspects of testing expansion, in partnership with local governments, agencies, hospitals, and private labs. The State's goal of expanding testing significantly by the end of September 2020 will be achieved by: [1] Maintaining more than 20,000 tests per day; [...] [2] Adding 10,000-20,000 tests per day increase from hospitals partners who already possess testing equipment that has not been able to be used yet; [...] [3] Adding 5,000 tests per day increase through new public/private collection with local government partners including the City of Chicago; [4] Maximizing additional lab capacity (50,000+ tests a day)."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Florida Testing Plan
From the Document: "Florida, with a population of 21 million residents, has been asked to ensure testing of a minimum of 420,000 residents each month to meet the ELC [Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Disease] Enhancing Detection Goals. Florida Department of Health (Department) is an integrated public health agency with county health departments (CHDs) in each of the state's 67 counties. The CHDs work closely with county governments and health care stakeholders in each local community. The Department has three public health laboratories located in Jacksonville, Miami and Tampa. Florida's emergency management services (EMS) are also coordinated through the Department and EMS personnel have been actively engaged statewide in this response."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Hawaii Testing Plan
From the Document: "The Hawaii Department of Health (HDOH) is engaging a number of partners in long-term care facilities, correctional facilities, homeless programs, universities, etc. to establish active surveillance programs to regularly screen persons for symptoms and recommend COVID [coronavirus disease 2019] testing at a low threshold (e.g., only one of the following present: subjective fever, chills, cough, or sore throat; or for certain populations such as elderly, altered mentation or acute change in activities of daily living). Specimens from such persons would be directed to SLD [State Laboratories Division] for both COVID-19 and respiratory pathogen panel (RPP) testing to allow monitoring of all potential respiratory pathogens and gain an understanding of their activity and trends in relation to each other."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Guam Testing Plan
From the Document: "Enhancing detection will require both the assessment of how widespread COVID-19 [coronavirus disease 2019] infections are in the community (prevalence) through serologic testing, as well as on-going PCR [polymerase chain reaction] testing to determine active infectious cases (incidence)."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Washington DC Testing Plan
From the Document: "As of May 29th, approximately 37,881 residents of the District of Columbia have been tested for COVID-19 [coronavirus disease 2019]. In addition to close contacts of all new positives, priority groups for testing include the following: [1] Hospitalized patients and healthcare facility workers with COVID-19 symptoms of fever, cough, and shortness of breath. Many of the patients in this group are currently receiving testing within hospitals and through their health systems' occupational health programs. [2] Patients in long-term care facilities with symptoms; patients over the age of 65 with symptoms; patients with underlying conditions such as diabetes, heart disease, lung disease who also have symptoms; and first responders with symptoms. [3] Critical infrastructure workers with symptoms; individuals who do not meet any of the above categories but have symptoms; healthcare facility workers and first responders; and individuals in detention centers and individuals experiencing homelessness with symptoms. DC Health in collaboration with the DC Public Health Laboratory is supporting COVID-19 testing in a myriad of ways. In addition to testing within hospitals, efforts have been directed toward standing up drive-thru testing sites, a mobile truck laboratory for skilled nursing facilities and group homes, and community mass screenings targeting the populations such as the homeless."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Rhode Island Testing Plan
From the Document: "The broad goals of the Rhode Island State Testing Plan are as follows: 1) Implement efficient and timely testing for symptomatic individuals with suspected COVID-19 [coronavirus disease 2019]; 2) Perform screening of asymptomatic individuals at high-risk of COVID-19 and from underserved populations; 3) Perform sentinel surveillance of populations with a focus on high-risk and underserved populations; 4) Ensure isolation and timely contact tracing of SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2] positive cases with quarantining of close contacts. Rhode Island is currently performing >60,000 tests/month. This represents 5.7% of the state's population."
United States. Department of Health and Human Services
2020
