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PCR, rapid and self-tests: Your guide to coronavirus testing in Switzerland

Which tests are available in Switzerland - and how do they work? Here's what you need to know.

PCR, rapid and self-tests: Your guide to coronavirus testing in Switzerland
(Photo by Ina FASSBENDER / AFP)

With the vaccine campaign still yet to fully click into gear, the centrepiece of Switzerland’s coronavirus strategy remains testing. 

Since the middle of March, coronavirus tests have been made free in almost every case, while free ‘self tests’ have been available at Swiss pharmacies since April 7th. 

Then there’s the PCR tests – which usually involve a deep nasal excavation – which are considered to be the most reliable.

But what are the differences between the tests? And which tests are accepted where? 

Here’s what you need to know. 

PCR versus antigen

The first tests made available in Switzerland for coronavirus – and probably the best known – are the PCR tests. 

PCR stands for polymerase chain reaction. These tests look for genetic material of the virus and can also detect fragments of the virus if you are no longer infected. 

With the PCRs, the result is generally available within 24 to 48 hours.

READ MORE: Where can you get tested for Covid-19 in your Swiss canton for free?

Then there are the ‘antigen tests’. 

Both rapid tests and self tests are antigen tests as opposed to PCR tests. This means that they do not look for traces of the virus’ genetic material, but can detect its surface characteristics.

Neither are as accurate as a PCR test. Particularly, if you have just become infected, the antigen test might not come back positive.

For this reason, for official results, PCR tests are preferred. In most cases, when you test positive via an antigen test, you will then need to take a PCR test to confirm (and in other cases you’ll be told to stay home and isolate). 

What are the rapid tests?

If you’ve been paying attention to the news recently, you’ve probably heard lots of talk about rapid tests and home tests/self tests.

There are similarities and differences between these two types of testing.

Rapid tests are antigen tests which are conducted by a trained professional – for instance a doctor, a nurse or someone at your local pharmacy – who takes a swab from deep inside one’s throat, a somewhat tricky procedure to get right.

Results are available after about 20 minutes. 

When these tests were made widely available in Switzerland in autumn of 2020, the government said it was aware that they were less accurate. 

However, the rapid tests “will make it easier to access testing and allow more people to be tested. This will enable more positive cases to be detected sooner”, FOPH said.

A coronavirus antigen test. (Photo by Piero Cruciatti / AFP)

What are self tests?

One of the strategies of free testing, focusing on curbing the spread of infections and preventing new outbreaks, is that each Swiss resident will be entitled to five free coronavirus ‘self-tests’ per month. 

This was announced in March and the tests became available in April in pharmacies across the country for home use. 

READ MORE: Everything you need to know about Switzerland’s free coronavirus tests for every resident

They a sample from the front of the nose instead of the larynx, making them more comfortable and easy to use. 

They rely on you taking a swab from the front of your nose or mouth and placing it on the test kit. The result will be available fifteen minutes later: one stripe on the kit is a negative result, two stripes is positive.

Are self-tests really available nationwide?

Yes, although they have been popular so stocks aren’t guaranteed. 

In order to pick them up, you will need to present your healthcare card.

Reader question: Do I need my health insurance card to get vaccinated in Switzerland?

What is the point of the self tests?

The Swiss government has repeatedly said that a negative self-test result does not mean people are now free to ignore the rules on contact restrictions.

“A negative test must not lead to false security and unreasonable behaviour,” said the government’s press release

It adds that a result should only be considered valid for a single day.

The major motivations for the self-tests is to get a quick and accurate idea of how the virus is spreading throughout the community and to encourage infected people to isolate so that infection chains can be broken. 

At this stage, testing negative does not give someone the permission to do certain things such as visiting hairdressers or restaurants, although such a plan is in development and will likely be implemented in future as part of an ‘immunity passport’ scheme. 

‘Green pass’: Everything you need to know about the coronavirus immunity card in Switzerland

What about travel and quarantine?

Testing negative does however give you certain permission with regard to travel and quarantine. 

For instance, you may be allowed to leave quarantine earlier after testing negative, while you will also need to show a negative test result in order to enter Switzerland. 

Not all tests are treated equally however, with airport officials preferring PCR tests in many cases. Antigen tests will be accepted in some instances – but usually within a shorter time frame. 

The following guide highlights which tests will be accepted in which circumstances. 

Reader question: Are antigen tests sufficient for entry into Switzerland?

How much do the tests cost? 

At a cost of roughly CHF1 billion, the government has promised to cover the costs of the tests in the majority of cases. 

This means all residents of Switzerland can get tested free of charge, even if they  have no coronavirus symptoms.

If you need a PCR test because you have Covid symptoms, or if you were ordered by a doctor to get screened, the test will be free as well.

However, if you request a PCR test to be able to travel, you will have to pay for it yourself, according to the Federal Office of Public Health.

EXPLAINED: How will Switzerland’s free coronavirus ‘self-testing’ scheme work?

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TRAVEL NEWS

Covid face mask rule on flights in Europe set to be eased

The mandatory EU-wide mask requirement for air travel is set to be dropped from Monday, May 16th, but airlines may still require passengers to wear masks on some or all flights

Covid face mask rule on flights in Europe set to be eased

Europe-wide facemask rules on flights are set to be ditched as early as next week in light of new recommendations from health and air safety experts.

The European Union Aviation Safety Agency (EASA) and European Centre for Disease Prevention and Control (ECDC) dropped recommendations for mandatory mask-wearing in airports and during flights in updated Covid-19 safety measures for travel issued on Wednesday, May 11th.

The new rules are expected to be rolled out from Monday, May 16th, but airlines may still continue to require the wearing of masks on some or all of flights. And the updated health safety measures still say that wearing a face mask remains one of the best ways to protect against the transmission of the virus.

The joint EASA/ECDC statement reminded travellers that masks may still be required on flights to destinations in certain countries that still require the wearing of masks on public transport and in transport hubs.

It also recommends that vulnerable passengers should continue to wear a face mask regardless of the rules, ideally an FFP2/N95/KN95 type mask which offers a higher level of protection than a standard surgical mask.

“From next week, face masks will no longer need to be mandatory in air travel in all cases, broadly aligning with the changing requirements of national authorities across Europe for public transport,” EASA executive director Patrick Ky said in the statement. 

“For passengers and air crews, this is a big step forward in the normalisation of air travel. Passengers should however behave responsibly and respect the choices of others around them. And a passenger who is coughing and sneezing should strongly consider wearing a face mask, for the reassurance of those seated nearby.”  

ECDC director Andrea Ammon added: “The development and continuous updates to the Aviation Health Safety Protocol in light of the ongoing Covid-19 pandemic have given travellers and aviation personnel better knowledge of the risks of transmission of SARS-CoV-2 and its variants. 

“While risks do remain, we have seen that non-pharmaceutical interventions and vaccines have allowed our lives to begin to return to normal. 

“While mandatory mask-wearing in all situations is no longer recommended, it is important to be mindful that together with physical distancing and good hand hygiene it is one of the best methods of reducing transmission. 

“The rules and requirements of departure and destination states should be respected and applied consistently, and travel operators should take care to inform passengers of any required measures in a timely manner.”

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