Table 1:

Daily human resource and laboratory capacity needs for active testing strategies for SARS-CoV-2 across Canada

Outcome categoryStatus quo: current strategy*Strategy 1: systematically trace and test contacts (in addition to status quo)At-risk populations
Strategy 2: test all employees of acute care hospitalsStrategy 3: test all CHW and employees and residents of long-term care facilitiesStrategy 4: test all essential employees with major public or interpersonal contactStrategy 5: test all children and staff of schools
Duration of human resource and capacity needed, dContinuousContinuous28282842
No. of people sampled per day41 75147 35327 14635 62091 732143 146
Primary analysis
Human resource requirements
 No. of health care professionals11401385439497711 55020 956
 No. of clerical staff§32613920890548412 83722 950
 No. of laboratory staff72181849461315782462
 No. of total personnel if including Strategy 1794617 19732 08852 491
Laboratory capacity requirements
 No. of laboratory tests run per day41 75147 35327 14635 62091 732143 146
 No. of laboratory tests run per day including Strategy 174 49982 972139 085190 499
Sensitivity analyses
Saliva sampling**
Human resource requirements
 Change in no. of health care professionals−194−921−2150−4090
 Change in no. of clerical staff§−65−921−2150−4090
Pooling samples 4:1
Human resource requirements
 Change in no. of clerical staff+13+19+3+3+3+2
 Change in no. of laboratory staff−473−525−322−423−1100−1718
Laboratory capacity requirements
 Change in no. of laboratory tests run per day−29 880−33 465−19 972−26 216−67 878−105 928
 Change in no. of laboratory tests run per day including strategy 1−53 437−59 680−101 342−139 393
All analyses together††
Human resource requirements
 Change in no. of health care professionals−194−921−2150−4090
 Change in no. of clerical staff+13+19−62−918−2147−4088
 Change in no. of laboratory staff−473−525−322−423−1100−1718
Laboratory capacity requirements
 Change in no. of laboratory tests run per day−29 880−33 465−19 972−26 216−67 878−105 928
 Change in no. of laboratory tests run per day including strategy 1−53 437−59 680−101 342−139 393
  • Note: CHW = community health care workers, SARS-CoV-2 = severe acute respiratory syndrome coronavirus 2.

  • * As of July 17, 2020.

  • The numbers required are the total number of people (working a total of 8 h) in each work category needed per day to carry out all tasks contained in our 6-stage framework.

  • For current strategy and strategy 1, 61%–68% of these health care professionals are nurses, 13%–14% are auxiliary (assistant) nurses, and 1%–2% are physicians. For strategies 2–5, 91%–98% of these health care professionals are nurses, 1% are auxiliary (assistant) nurses and 1%–3% are physicians.

  • § This also includes a small proportion of data managers (1%–3%), with the high end of the range necessary when contact tracing is implemented.

  • Categories included only if a change in human resource or laboratory capacity requirements occurred.

  • ** Saliva sampling employed only for large-scale, prevalence-based testing programs in at-risk populations (strategies 2–5).

  • †† Combination of saliva and pooling samples.