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The time to move to rapid #SARSCoV2 testing is long overdue. It's about switching from diagnosing *infections* to determining whether someone is *infectious*
In minutes, not days. Anywhere. Cheap.
My table here summarizes the differences and why this should be the #1 US priority
In order to get this done, we need a reboot at @US_FDA, which currently requires rapid tests to perform like PCR tests.

That's wrong. This is a new diagnostic category for the *infectious* endpoint, requiring new standards and prospective validation.
The @US_FDA just came around today (yes, a new template, a coincidence with the prior post). Great to see a sign of progress
fda.gov/news-events/pr… via @nataliexdean @DanLarremore
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Eric Topol
@EricTopol
Just out @nature: 35% of healthy people (#SARSCoV2 seronegative) have reactive SARSCoV2 CD4 T cells to spike protein, presumably d/t cross-reactive coronavirus exposure
nature.com/articles/s4158…
Important implications for explaining variable response to infections & vaccine trials
The healthy people in this report were an average age of 42, youngest age 20. Wondering what per cent in kids with ready made CD4 T cells vs #SARSCoV2 (likely higher than 35%)
The healthy people SARSCoV2 seronegative and their T cell reactive response (RHD) to the 4 common cold coronaviruses
(from supplementary material).
Extends prior work @CellCellPress cell.com/cell/pdf/S0092…
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Eric Topol
@EricTopol
This simple #SARSCoV2 saliva test costs $1, gets results in <1 hour, and can be performed anywhere without electricity
medrxiv.org/content/10.110… by @PrakashLab
Why isn't there US support to get rapid validation of such tests and provided to every household?
For a very good review of all the better types of tests in the hopper
cell.com/matter/pdf/S25…
Here's another excellent view of the landscape of the rapid tests
nature.com/articles/d4158…
Read 4 tweets
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Eric Topol
@EricTopol
1. The early use of inhaled interferons is emerging as a promising strategy to prevent severe #COVID19: lines of support include mechanism, rare genomic variants, a multicenter retrospective report, and a small randomized trial
2. On mechanism, our innate immune response, first line of defense relies, at least in part, on the interferon response.
2 figures from @VirusesImmunity's terrific thread, and the link to it
3. Yesterday's @JAMA_Current report of loss-of-function TRL7 rare variants in 4 young men from 2 independent families w/ severe #COVID19 connects with their impaired interferon response
Editorial @rplenge jamanetwork.com/journals/jama/…
Paper by @ahoischen et al jamanetwork.com/journals/jama/…
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