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Test workers examine citizens for covid-19 virus nucleic acid, Wuhan, Hubei Province, China, May 15, 2020.

Costfoto/Barcroft Media via Getty Images

On May 11, the Chinese city of Wuhan ordered all 11 million of its residents to be tested for the novel coronavirus.

The citywide testing campaign began after six new cases emerged in the city, ending Wuhan’s 35-day streak of no new reported infections.

Two weeks in, they’ve reported that 6.5 million people have been tested. By comparison, the US has only tested a total of 14 million people in 4 months.

Thousands of medical doctors have been mobilized and makeshift sites have been built to test communities as quickly as possible. These photos reveal how they’re making it happen.

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In under two weeks, Wuhan has collected more than 9 million samples and tested 6.5 million residents for the coronavirus in a sweeping new citywide initiative.

On May 11, the city announced plans for a widespread testing campaign that ultimately aims to give all 11 million residents of Wuhan a free diagnostic test. The campaign came after six new cases signified the end of a month-long streak of no new reported infections.

The city ended its 76-day lockdown on April 8, and had since returned to a level of normalcy with the reopening of transportation, businesses, parks, and restaurants.

But the string of six new cases led the government to act quickly. “There will not be a new minor peak,” China’s chief epidemiologist Wu Zunyou,said in a statement. “We will not allow scattered cases to develop into massive outbreaks.”

While some are critical of the efficacy in testing so many people in such a short period of time, others see it as a way to ensure the people of Wuhan that daily life can resume safely.

These photos show how Wuhan has implemented its new testing efforts, while the US and other countries continue to lag behind.

After a 35-day streak of no new reported infections, the city of Wuhan recorded six new coronavirus cases in early May. Officials responded swiftly to the outbreak by ordering all 11 million of its residents to be tested for free.

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A worker tests a citizen for COVID-19 virus nucleic acid, in Wuhan, Hubei Province, China, on May 15, 2020.

Costfoto/Barcroft Media via Getty Images

Source: Business Insider

The first to be tested were elderly and at-risk people, followed by those living in densely populated areas, and communities with large migrant populations.

A worker tests a citizen for COVID-19 virus nucleic acid, in Wuhan, Hubei Province, China, on May 15, 2020.

Costfoto/Barcroft Media via Getty Images

Source: Business Insider

So far, China state media has reported that more than 9 million people have been sampled via swab tests and 6.5 million people were tested for the virus from May 15-23.

Worker test citizens for COVID-19 virus nucleic acid, in Wuhan, Hubei Province, China, on May 15, 2020.

Costfoto/Barcroft Media via Getty Images

Sources: CNN, China News

According to state-run media, the largest single-day testing occurred on May 22, when 1.4 million tests were conducted. By comparison, the highest daily number of coronavirus tests in the US stands at 441,248 recorded on Monday, according to the COVID Tracking Project.

A medical worker takes a swab from a resident for the novel coronavirus test during community on May 15, 2020 in Wuhan, Hubei, China.

Getty Images

Sources: China News, Xinhua, The COVID Tracking Project

From May 15-16, the number of people tested in Wuhan nearly doubled. According to Bloomberg, by May 23, the testing capacity increased by more than 26 times from the first day of the campaign.

Residents wearing face masks line up for nucleic acid testings at a residential compound in Wuhan, the Chinese city hit hardest by the coronavirus disease (COVID-19) outbreak, Hubei province, China May 17, 2020.

Aly Song/REUTERS

Source: Reuters, Bloomberg

Thousands of medical workers have been mobilized to join the citywide testing campaign. In some cases, healthcare workers went door to door to collect samples from elderly and disabled residents, China News reported.

Worker test citizens for COVID-19 virus nucleic acid, in Wuhan, Hubei Province, China, on May 15, 2020.

Costfoto/Barcroft Media via Getty Images

Source: The New York Times, China News, CNN

Makeshift testing sites are set up at schools and plazas throughout the city, largely in the open air, and residents get a specific appointment time. Over the weekend, authorities set up 231 extra testing booths.

Residents take the nucleic acid test at a testing post set up at a primary school in Dongxihu District in Wuhan, central China’s Hubei Province, on May 15, 2020.

Xinhua/Xiao Yijiu via Getty Images

Source: The New York Times, CNN

“Our community was checked in a day,” 32-year-old resident Wang Yuan told The New York Times, adding that she expected results back in two to four days.

Residents take nucleic acid tests at a testing post set up at a plaza in Wuhan, central China’s Hubei Province, May 15, 2020.

Xinhua/Xiao Yijiu via Getty Images

Source: The New York Times

The city was able to ramp up testing capacity by testing samples together in batches. Before the campaign, labs were testing about 46,000 samples per day, but with the new batch system, nearly 1.5 million samples can be tested in a day.

Medical workers in protective suits conduct nucleic acid testings for residents at a residential compound in Wuhan, the Chinese city hit hardest by the coronavirus disease (COVID-19) outbreak, Hubei province, China May 15, 2020.

Aly Song/REUTERS

Source: CNN, The New York Times

This type of batch testing could be effective for Wuhan, where cases are currently very low. To do batch testing, swabs from multiple people are combined into a plastic tube and analyzed with one test. If the full batch comes back negative, it can be discarded. If it comes back positive, the people who made up that batch are retested.

Medical staff wearing hazmat suits work inside a nucleic acid testing clinic in Beijing on April 29, 2020

NOEL CELIS/AFP via Getty Images

Source: The New York Times, CNN

But it’s unclear what percentage of samples taken were pooled together for batch testing, according to CNN.

A medical worker takes a swab from a resident for the novel coronavirus test during community on May 15, 2020 in Wuhan, Hubei, China.

Getty Images

Source: CNN

To ensure that all residents are signing up for testing, the government has sent people door to door, made announcements over loudspeakers, and in some cases, threatened to downgrade health cards and ban people from entering grocery stores or banks if they are not tested.

Residents wearing face masks line up for nucleic acid testings at a residential compound in Wuhan, the Chinese city hit hardest by the coronavirus disease (COVID-19) outbreak, Hubei province, China May 17, 2020.

Aly Song/REUTERS

Source: The New York Times

The campaign has reached more than 90% of the city, and the government warned those who have not yet signed up for testing that they could have to pay for it themselves after Tuesday.

Residents wearing face masks wait in line for nucleic acid testing at a residential community on May 15, 2020 in Wuhan, Hubei, China.

Getty Images

Source: The New York Times

The citywide campaign costs hundreds of millions of dollars, and the government is covering the expenses. This decision follows China’s efforts to reflect an image of stability and success throughout the pandemic.

A test worker examines a citizen for covid-19 virus nucleic acid, Wuhan, Hubei Province, China, May 15, 2020.

Costfoto/Barcroft Media via Getty Images

Source: The New York Times, Bloomberg

Though many residents have been supportive of the testing efforts, some have protested the campaign, and fear being exposed to the virus through the in-person tests.

Residents wearing face masks line up for nucleic acid testings at a residential compound in Wuhan, the Chinese city hit hardest by the coronavirus disease (COVID-19) outbreak, Hubei province, China May 17, 2020.

Aly Song/REUTERS

Source: The New York Times

“We’re totally opposed to it,” Wuhan resident Herry Tu told The New York Times. “Because even if you weren’t infected to begin with, this testing just means contact … In reality, the government isn’t doing this for the benefit of the people. It’s for the outside world to see.”

Residents line up for nucleic acid testings at a residential compound in Wuhan, the Chinese city hit hardest by the coronavirus disease (COVID-19) outbreak, Hubei province, China May 15, 2020.

Aly Song/REUTERS

Source: The New York Times

But the government has sought to ensure people that testing remains safe by forcing residents to wear a mask, stand at distance, and have their temperatures taken. Medical workers conducting the tests are required to change or disinfect their gloves after each test.

Residents wearing face masks wait in line for nucleic acid testing at a residential community on May 15, 2020 in Wuhan, Hubei, China.

Getty Images

Source: The New York Times

Some experts have been skeptical of the efficacy in testing that many people so quickly, and others have said the scale of the testing is far too excessive for such a small number of new cases.

A medical worker in protective suit conducts nucleic acid testings for residents at a residential compound in Wuhan, the Chinese city hit hardest by the coronavirus disease (COVID-19) outbreak, Hubei province, China May 15, 2020.

Aly Song/REUTERS

Source: The New York Times

 

 

Dr. Jin Dongyan, a virologist from the University of Hong Kong, told The New York Times that it would be difficult to accurately perform that many nucleic acid tests in such a quick succession.

A test worker examines a citizen for covid-19 virus nucleic acid, Wuhan, Hubei Province, China, May 15, 2020.

Costfoto/Barcroft Media via Getty Images

Source: The New York Times

Others have acknowledged the testing campaign could be more of a psychological response than a medical initiative.

Medical workers in protective suits conduct nucleic acid testings for residents at a residential compound in Wuhan, the Chinese city hit hardest by the coronavirus disease (COVID-19) outbreak, Hubei province, China May 15, 2020.

Aly Song/REUTERS

Source: The New York Times

Samples are still being processed, but by Tuesday, the government reported 206 new positive cases. According to Bloomberg, they were all asymptomatic.

Residents take nucleic acid tests at a testing post set up at a primary school in Dongxihu District in Wuhan, central China’s Hubei Province, May 15, 2020.

Xinhua/Xiao Yijiu via Getty Images

Source: The New York Times, Bloomberg

To put this scale of testing into perspective, the US has only tested a total of 14 million people since January 22.

Coronavirus testing continues at the ProHealth testing centers in Jericho, New York on April 22, 2020.

J. Conrad Williams, Jr./Newsday RM via Getty Images

Source: The COVID Tracking Project

In the last few weeks, the US has been testing roughly 300,000 to 400,000 people per day in May, according to the COVID Tracking Project.

A cotton swab used in a nasal passage as health care professionals test for COVID-19 at the ProHEALTH testing site in Jericho, New York on March 24, 2020.

Steve Pfost/Newsday RM via Getty Images

Source: The COVID Tracking Project

But experts say the US testing levels are not nearly enough. For the US to safely reopen, Business Insider’s Dave Mosher reported the “rock-bottom number” is 500,000 tests per day now, and 30 million tests per day by the fall.

guy in a mask American flag bandana

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Source: Business Insider

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