Q: Help! I am confused by all of the various types of #COVID__19 tests!
A: @NPR has a great cheat sheet describing the three major types of #COVID tests under discussion: #PCR, #antibodies, and #antigen tests. More detail in this thread.
(1) PCR Tests for CURRENTLY ACTIVE infections via identification of genetic material in mucus; (2) Antibodies Test for PAST INFECTIONS in the blood; (3) Antigen - Test for CURRENTLY ACTIVE infections via identification of proteins in nose and throat secretions.
There's an ACCURACY VERSUS SPEED trade-off across the numerous variants of these tests.
Cheap, quick tests such as Abbott's rapid PCR test can be great *screening* tools, but are not-so-hot *formal diagnostic* tools.
Expensive tests requiring days-long lab analysis are great *diagnostic* tools but are typically too burdensome and/or costly to use to screen large numbers of asymptomatic populations.
Bottom line: We need to be aware that, for now, there isn't one silver bullet test that is both SPEEDY AND ACCURATE. We should expect an ongoing need for multiple types of testing to tackle the unique priorities of varying contexts.
We promise to update early and often as the testing landscape continues to quickly evolve!
1/ Q: Has almost everyone been infected with COVID by now?
A: Recent estimates suggest around 58% of the population in the US and over 70% in England have been previously infected, with BIG increases during the Omicron wave.
3/ ➡️ During the Omicron wave from December 2021-February 2022, this estimate increased from 33% to 58%.
➡️ Rates vary a lot by age, ranging from 33.2% for those over age 65 to 75% for those under age 18.
2/ Not likely. If your kids are suddenly getting sick a lot, this is likely due to “catching up” on exposures rather than a weakened immune system.
3/ Many families w/ young kids have been hunkered down for the better part of 2 years– a good % of a young child’s entire life. While isolation had *many* downsides, we can agree that not having to suction snot out of infant noses or clean up norovirus puke was a happy upside.
1/ Q: Are cases peaking? That means it’s all downhill from here, right?
A: Sort of…. Remember that even if cases come down as quickly as they rise, there will be as many cases *after* the peak as before (think area under the curve).
2/ ➡️ And if the downward slope is *slower* than the rise, we will see *more* cases during the decline from a surge.
3/ Burning fast could be a silver lining of super transmissible #Omicron. Cases rose & fell quickly in S. Africa (w/ hospitalizations & deaths still lagging). The UK appears to have turned the Omicron corner. Many US states appear past their peak in cases, w/ regional variation:
Unfortunately, this includes New Year’s Eve plans. The perfect storm of a new variant & holiday get-togethers is hitting communities & health care w/ FORCE! Testing is in short supply.
3/ Health care is under extreme pressure with surging cases. If you can avoid even one additional contact, you are helping. This is a temporary and urgent request (from a health care provider).