PDF(Pubmed)
Abstract：
COVID-19 remains a communicable disease with the capacity to cause substantial damage to health and health systems. Enhanced health screening at points of entry (POEs) is a public health measure implemented to support early detection, prevention and response to communicable diseases, such as COVID-19. The purpose of this study was to review the available evidence on the effectiveness of POE health screening in the detection and containment of the COVID-19 pandemic. This study was registered under PROSPERO and followed PRISMA guidelines in which the literature between 2019 and 2022 was retrieved from Scopus, PubMed, Web of Science, Global Health, CINAHL, Embase, Google Scholar and international organizations. A total of 33,744 articles were screened for eligibility, from which 43 met the inclusion criteria. The modeling studies predicted POE screening able to detect COVID-19 in a range of 8.8% to 99.6%, while observational studies indicated a detection rate of 2% to 77.9%, including variants of concern depending on the screening method employed. The literature also indicated these measures can delay onset of the epidemic by 7 to 32 days. Based on our review findings, if POE screening measures are implemented in combination with other public health interventions such as rapid tests, they may help detect and reduce the spread of COVID-19.
摘要：
COVID-19仍然是一种传染性疾病，有可能对健康和卫生系统造成重大损害。在入境点加强健康筛查（POE）是一项旨在支持早期发现的公共卫生措施，预防和应对传染病，比如COVID-19。这项研究的目的是回顾关于POE健康筛查在检测和遏制COVID-19大流行方面有效性的现有证据。这项研究是根据PROSPERO注册的，并遵循PRISMA指南，其中2019年至2022年的文献是从Scopus检索的。PubMed,WebofScience,全球卫生,CINAHL,Embase,谷歌学者和国际组织。总共筛选了33,744篇文章的资格,其中43人符合纳入标准。建模研究预测POE筛查能够在8.8%至99.6%的范围内检测到COVID-19，而观察性研究显示检出率为2%至77.9%，包括关注的变体，具体取决于所采用的筛选方法。文献还表明，这些措施可以将流行病的发作延迟7至32天。根据我们的审查结果，如果POE筛查措施与快速检测等其他公共卫生干预措施相结合，它们可能有助于检测和减少COVID-19的传播。
