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COVID-19 TESTS

Austria Covid-19 ‘gargle’ tests in expansion drive

Throughout the day, vans loaded with bags full of Covid PCR test kits arrive at a Vienna laboratory, currently analysing an average of 370,000 tests per day.

A laboratory worker prepares samples for PCR tests
A laboratory worker prepares samples for PCR tests. Under the 'Everybody Gargles" system, Viennese can pick up a test from a drugstore, gargle at home and then return the kit for a result within 24 hours. REUTERS/Kai Pfaffenbach

With more than 144 million tests carried out since the beginning of the pandemic, the Alpine nation of nine million is a leader in Covid testing.

But with the latest Omicron wave sending cases spiralling, health experts and policymakers are asking if widespread testing — paid by taxpayers’ money
— is necessary and efficient.

The Lifebrain laboratory, which accounts for a major part of the country’s testing, has been expanding rapidly since it began work just over a year ago on the sprawling ground of a public hospital on Vienna’s outskirts.

Under the “Alles Gurgelt” (“Everybody Gargles”) system, Viennese can register online, go to a drugstore, pick up a test kit, gargle at home and then drop the kit back and wait for an email with results within 24 hours.

“It’s extremely low-threshold,” Lifebrain CEO Michael Havel tells AFP.

Better screening
Vienna came up with the system in late 2020 to offer better screening for the capital’s two million people.

Havel’s laboratory, which analyses the “Everybody Gargles” tests, now employs 1,800 people full time and can analyse up to 800,000 tests a day and run 24/7.

A third of its workforce were hired in the last two months alone. The city pays six euros ($6.80) per test to drugstores and others giving them out.

At the laboratory, workers from dozens of countries drag the bags full of test kits through the aisles of the laboratory set up in rooms in several old buildings on the hospital campus.

Scanning the bar codes on the test tubes one-by-one, they place the tubes into trays for analysis in designated high-tech machines. Computers eventually spit out results saying which batches contain positive Covid samples.

Currently mainly receiving tests from Vienna, Havel says he is prepared to expand capacities within Austria. Before the pandemic, Lifebrain, which Havel co-founded, was most active providing laboratory work in Italy.

“Everybody Gargles” tests are already part of the rigorous testing regime in schools — with students tested several times a week — and Vienna is now looking to expand the system into kindergartens too.

‘Gas and break at same time’
Ulrich Elling, a researcher at the Austrian Academy of Sciences, who helped develop the gargling method, said the “Alles Gurgelt” system was “extremely efficient”.

“So far this test strategy has made a lot of sense… (but) now with Omicron, everything is different. If you go for ‘herd immunity,’ then the question is to what extent it makes sense to step on the gas and brake at the same time,” he told AFP.

For his part, Havel is not concerned that the tests won’t be needed any time soon.

“In autumn I fear that the next wave will come our way… I think testing will only not be necessary anymore once the pandemic is over,” he says.

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COVID-19 TESTS

Reader question: Where can I get tested for Covid-19 in Austria?

Since the beginning of May, street testing sites have no longer been available - and free antigen tests are becoming harder to find in Austrian pharmacies. So, what should you do if you suspect you have Covid or need a test?

Reader question: Where can I get tested for Covid-19 in Austria?

In theory, the Austrian Health Ministry’s instructions for dealing with a possible Covid-19 infection are quite simple: stay at home, reduce contacts, wear an FFP2 mask if necessary, and call the health hotline 1450.

Then, an infection would be confirmed via a test sent by the health hotline or, according to the ministry, after using a test in one of the so-called Teststraße, specific locations dedicated to offering the free Covid-19 tests, either via a swab in the nose or mouth.

READ ALSO: Everything that changes in Austria in May 2023

However, in practice, implementing these guidelines is proving to be difficult in Austria. At the end of April, all test lanes and gargle boxes were discontinued, which has made it challenging for individuals to get tested for Covid-19. When calling the health hotline, many employees say they are overloaded and have no more testing capacity, according to Austrian media reports.

Even in pharmacies, the stocks of antigen or PCR tests are going down every day. The offer for five free antigen tests per person per month was extended until June 30th, but supplies have been low for weeks, according to Austrian pharmacists.

The demand for testing is high, given the current infection numbers. On average, around 650 new infections are reported every day, with the number of unreported cases increasing from day to day, as shown by a comparison with the figures from wastewater monitoring, Der Standard reported.

READ ALSO: Reader question: Do I still have to wear a face mask due to Covid-19 rules in Austria?

How can I get tested in Austria?

Despite the difficulties, every month, in addition to the five rapid antigen tests – if you can get hold of them at a pharmacy – each person is also entitled to five free PCR tests. However, how to get them varies from state to state in Austria.

In Vienna, as part of the “Everyone gargles!” campaign, Viennese citizens can pick up five gargle tests at all Bipa stores. The sample can then be returned to one of the collection points (including Rewe stores, gas stations, and participating pharmacies).

The free PCR tests can also be done in pharmacies all over Austria, which seems to work well. Viennese people can split the five free PCR tests, taking about two tests in pharmacies and doing three “Alles gurgelt!” tests, for example.

READ ALSO: Austria to drop all Covid restrictions by the end of June

To simplify the process of getting tested for Covid-19, registering for a PCR test at the pharmacy at oesterreich-testet.at can help shorten and streamline the process.

However, many testing sites also offer testing without pre-registration.

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