How do we engage people in testing for COVID-19? A rapid qualitative evaluation of a testing programme in schools, GP surgeries and a university

Abstract Background The UK Scientific Advisory Group for Emergencies (SAGE) emphasises the need for high levels of engagement with communities and individuals to ensure the effectiveness of any COVID-19 testing programme. A novel pilot health surveillance programme to assess the feasibility of weekly community RT-LAMP (Reverse transcription loop-mediated isothermal amplification) testing for the SARS-CoV-2 virus using saliva samples collected at home was developed and piloted by the University of Southampton and Southampton City Council. Methods Rapid qualitative evaluation was conducted to explore experiences of those who took part in the programme, of those who declined and of those in the educational and healthcare organisations involved in the pilot testing who were responsible for roll-out. This included 77 interviews and 20 focus groups with 223 staff, students, pupils and household members from four schools, one university, and one community healthcare NHS trust. The insights generated and informed the design and modification of the Southampton COVID-19 Saliva Testing Programme and the next phase of community-testing. Results Discussions revealed that high levels of communication, trust and convenience were necessary to ensure people’s engagement with the programme. Participants felt reassured by and pride in taking part in this novel programme. They suggested modifications to reduce the programme’s environmental impact and overcome cultural barriers to participation. Conclusions Participants’ and stakeholders’ motivations, challenges and concerns need to be understood and these insights used to modify the programme in a continuous, real-time process to ensure and sustain engagement with testing over the extended period necessary. Community leaders and stakeholder organisations should be involved throughout programme development and implementation to optimise engagement. </jats:sec

Microplastic abundance and distribution in the open water and sediment of the Ottawa River, Canada, and its tributaries

Microplastic pollution is prevalent in the Ottawa River, with all open water samples (n = 62) and sediment samples (n = 10) containing microplastics. The median microplastic concentration of nearshore 100 L water samples was 0.1 fragments per L (ranged between 0.05 and 0.24 fragments per L). The larger volume Manta trawls samples taken in the middle of the Ottawa River had an overall mean concentration of plastics of 1.35 fragments per m3. Plastic concentrations were significantly higher downstream of the wastewater treatment plant (1.99 fragments per m3) compared with upstream of the effluent output (0.71 fragments per m3), suggesting that the effluent plume is a pathway for plastic pollution to the Ottawa River. The mean concentration of microplastic fragments recovered in the sediment samples was 0.22 fragments per g dry weight. The abundance of microplastics in the sediment was not significantly related to the mean particle size or the organic content of the sediment. The most common form of plastic particles found was microfibers. These made up between 70% and 100% of all plastic particles observed, although plastic microbeads and secondary plastic fragments were also recovered

How best do we engage the general population in testing for COVID-19?

The UK Scientific Advisory Group for Emergencies (SAGE) emphasises the need for high levels of engagement with communities and individuals to ensure the effectiveness of any COVID-19 testing programme. A novel pilot health surveillance programme to assess the feasibility of weekly mass RT-LAMP testing for the SARS-CoV-2 virus using saliva samples collected at home was developed and piloted by the University of Southampton and Southampton City Council. Rapid qualitative evaluation was conducted to explore experiences of those who took part in the programme, of those who declined and of those in the educational and healthcare organisations involved in the pilot testing who were responsible for roll-out. This included 77 interviews and 20 focus groups with 223 staff, students, pupils and household members from four schools, one university, and one community healthcare NHS trust. Conversations revealed that high levels of communication, trust and convenience were necessary to ensure people’s engagement with the programme. This suggests community leaders and stakeholder organisations should be involved throughout programme development and implementation to optimise these features of the testing. Participants’ and stakeholders’ motivations, challenges and concerns need to be understood and these insights used to modify the programme in a continuous, real-time process to ensure and sustain engagement with testing over the extended period necessary

Disquieting uncertainty. Three glimpses into the future

Abstract The article sketches three major realms - the realm of world order, the realm of work, and the realm of social policy - that will in all likelihood undergo fundamental change in the years and decades ahead, raising deeply unsettling questions about their future. The account is framed by the concept of global modernity, which, while not spelled out in detail, guides the presentation of data and other secondary materials in the aim to demonstrate connections between, and, at least to some extent, common roots of, phenomena and developments that might otherwise appear to be quite disparate. The author does not present any solutions for the problems and challenges discussed in the article, but hopes to sensitize readers to their urgency and to stimulate fruitful ideas for what will ultimately have to be a collective endeavor involving not only scholars from around the world but also the general public