However, when the objective is to conduct surveillance for emm types or antibiotic resistance among Strep A isolates, pharyngitis surveillance programs can routinely use RADTs on all children with symptomatic pharyngitis and perform throat cultures on a representative sample of children with positive RADT specimens to obtain isolates for further characterization such as emm typing, antibiotic susceptibility testing, and whole genome sequencing. Here, PIGG is linked to pharyngitis.