Table 1

Diagnostics infrastructure comparison

Test typeLab infrastructure requirements
(example)
Training requirements
(example)
Turnaround timeTypical costIn-house testCommercial source
Virus isolation, neutralisationHIGH (BSL-3/4)
(reference laboratory)
HIGH
(advanced lab technician)
7–10 days>3
NAAT reference
(includes multiplex)
HIGH (BSL-3/4)
(reference laboratory)
HIGH to MODERATE
(advanced lab technician)
2–3 hours
1–2 hours (prep)
$30–$100>103–5
NAAT POCMODERATE/BSL-2
(district hospital)
MODERATE
(lab technician)
1–2 hours$15–$30
ELISA, IFA/IIFT, WBHIGH to MODERATE
(regional lab, district hospital)
MODERATE
(lab technician)
3–4 hours$5–$15>101–2
RDTLOW
(clinic, health centre, field settings)
LOW
(nurse, healthcare worker)
<30 min$1–$201
  • IFA/IIFT, indirect immunofluorescence assay test; NAAT, nucleic acid amplification test; POC, point of care; RDT, rapid diagnostic test; WB, western blot.