New England Journal of Medicine article details the challenges with symptom-based approaches to screening for COVID-19 in skilled nursing facilities.

“Presymptomatic SARS-COV-2 Infections and Transmissions in a Skilled Nursing Facility”, The New England Journal of Medicine, Arons, et al, April 24, 2020

The research by Arons, et al establishes the lack of efficacy in symptom-based approaches to mitigating virus transmission in skilled nursing facilities, a high-risk environment. The paragraph below highlights the priority for identification of virus in individuals while they are in a presymptomatic state. A full reference to the article can be found at https://www.nejm.org/doi/full/10.1056/NEJMoa2008457.