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Peer reviewedOpen accessGastroenteritis

Rapid diagnostic test: a critical need for outbreak preparedness and response for high priority pathogens

BMJ Global Health·

Solomon Abebe Yimer, Birgitte Boonstra Booij, Gwen Tobert, Andrew Hebbeler, Paul Oloo, Polina Brangel, Maïna L'Azou Jackson, Richard Jarman, Danielle Craig, Michael Selorm Avumegah, Henshaw Mandi, Timothy Endy, Stacey Wooden, Carolyn Clark, Valentina Bernasconi, Amy Shurtleff, Paul A Kristiansen

DOI
10.1136/bmjgh-2023-014386
PMID
38688565
PMCID
PMC11085978
OpenAlex
W4396243863
Study type
Journal article
Publisher
BMJ
Article type
journal-article
Integrity
current

Why this research matters now

Rapid diagnostic tests are essential for early case identification, surveillance, case management, and deployment of vaccines and monoclonal antibodies during outbreaks. The paper argues that pandemic preparedness will be incomplete without parallel investment in diagnostics alongside vaccines and therapeutics.

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Structured evidence summary

Research question

The paper examines the critical role of rapid diagnostic tests in outbreak preparedness and response for high priority pathogens, particularly in the context of the 100 Days Mission.

Study design

This is a perspective or commentary article discussing policy and investment challenges related to rapid diagnostic test development and deployment.

Population and setting

The discussion addresses global outbreak preparedness with particular attention to resource constraints in low-income countries and the roles of Member States, public and private funding sources, and the diagnostic industry.

Main findings

Currently available rapid diagnostic tests have limited clinical sensitivity and specificity and inadequate validation. Vaccine development receives the largest funding among medical countermeasures, while diagnostic and therapeutic development remain underfunded. Implementation of diagnostic capacity strengthening is likely impeded by limited financial resources and competing priorities, especially in low-income settings.

Public-health relevance

Rapid diagnostic tests are essential for early case identification, surveillance, case management, and deployment of vaccines and monoclonal antibodies during outbreaks. The paper argues that pandemic preparedness will be incomplete without parallel investment in diagnostics alongside vaccines and therapeutics.

Important limitations

This summary is limited to the supplied single-article abstract and metadata. The original paper is required for decision-grade interpretation of the policy arguments, investment gaps, and recommendations presented.

GIDS interpretation

The classifier linked this article to gastroenteritis and outbreak investigation, diagnostics, surveillance, vaccination, and One Health topics, making it discoverable in searches for diagnostic preparedness across outbreak contexts.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 11 auditable classifier relationships to diseases, places, topics, and study design.

about diseaseaddresses topicaddresses topicaddresses topicaddresses topicaddresses topicevaluates interventionevaluates interventionhas pathogen typestudied population settinguses study design