Community ScreeningIdeally, testing

Community ScreeningIdeally, testing should be carried outwithin a health care setting because ofthe need for follow-up and treatment.Community screening outside a healthcare setting is generally not recommendedbecause people with positivetests may not seek, or have access to,appropriate follow-up testing and care.However, in specific situations where anadequate referral system is establishedbeforehand for positive tests, communityscreening may be considered. Communitytesting may also be poorly targeted;i.e., itmay fail to reach the groups most atrisk and inappropriately test those at verylow risk or even those who have alreadybeen diagnosed (48).