Inside San Francisco's Ambitious Plan to Bring Universal Coronavirus Testing to An Entire U.S. City

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San Francisco has plans to bring COVID-19 testing to anyone in the city who asks, while specifically ensuring those most at risk get a test.

are capable of analyzing 4,300 tests a day, according to the health department. Currently, they’re analyzing about 1,300, and health officials have set a goal of raising that to between 1,600 and 2,000 in the coming weeks. Among the reasons for that gap are a continuing struggle to get supplies needed to conduct tests, as well as the need to train staff and obtain protective equipment. But officials also don’t want to turn anyone away.

Another way to interpret vulnerability is to focus on exposure: who is most likely to get infected or to transmit the virus to others? Is it the venture capitalist who has been able to work from home or the bus driver who encounters dozens of strangers every day? “Just thinking it through,” Philip says,it’s going to be a grocery clerk or a delivery driver.” This led the city’s latest step: expanding testing to all essential workers, regardless of whether they have symptoms, on May 4.

In partnership with the city, local activists and other groups, researchers from the University of California San Francisco attempted to test everyone who lives or works in a single census tract, in the Mission. Overall, about 2% tested positive. A central lesson San Francisco is applying from its efforts to respond to the HIV epidemic, he says, is that there’s “a human side to what it means to develop an infection. It doesn’t happen in a vacuum.”

 

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