The government has now released some info on how LFTs compared to PCR in field tests in Liverpool. h/t @ScienceShared
It's not great.
LFTs found about half the people that tested positive with PCR. Which is a little better than my back of the envelope estimate.
But...
It only found "more than" 70% of people "with higher viral loads, who are likely to be the most infectious".
Far less than the 95% it managed in the original Porton Down trial, which was in a lab using spiked samples, not members of the public shoving swabs up their noses.
So although the LFTs have found a few hundred cases that would have been missed otherwise, they still missed half the people with the virus that were tested.
Including 20-30% of the ones most likely to be infectious.
Meanwhile the "prospectus", which reads like a sales pitch, claims "pilots .. in Liverpool and Merthyr Tydfil are showing positive impact".
As noted earlier, cases were already falling in Liverpool before the trial began and don't seem to be falling noticeably faster now.
And the "prospectus" has to admit the MHRA hasn't actually approved LFTs for community testing yet, and that they're not designed for mass testing of asymptomatic people using self-swabbing.
DHSC says it's in "ongoing and constructive dialogue" with the MHRA about this.
Despite all this, the government says "community testing .. may enable areas to move down through the tiers".
Dangling a possibly unrealistic carrot in front of local authorities representing the millions of people still facing the toughest restrictions as lockdown ends.
There's even a plan to let people in tier 3 areas go to live performances and sports events, although that at least requires TWO negative tests.
But if each test only has a 50:50 chance of detecting the virus, it's still far from foolproof.
All of which raises concerns about how and why the tests are being fast tracked before the full data from Liverpool has been published.
And whether the tests are sensitive enough when used this way to avoid giving people a false sense of security.
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This week's Test & Trace report shows cases falling sharply in the week to November 25th, thanks to lockdown 2.0.
There's also a sudden big improvement in contact tracing performance (which turns out to be smoke and mirrors), and some odd revisions to old pillar 1 testing data.
Cases in England were falling sharply towards the end of November, with both the number and percentage of people testing positive falling by about a quarter compared to the previous week.
There's a small drop in the number of tests done, but it may well be due to reduced demand.
In case there's any doubt about the effectiveness of lockdowns, regional data shows clearly that all areas where cases were level or still rising when lockdown 2.0 began started falling in perfect unison about a week later.
The question now is whether that can be sustained.
The latest ONS report shows another rise in excess deaths in the week to November 13th.
All causes deaths were 18% above the five year average, meaning 1,917 extra deaths.
Still far above the highest number of deaths we've seen in any of the last five years.
And excess deaths are still following almost exactly the same curve as all measures of covid-19 deaths (due to, involving, and within 28 days of a test).
This is not a coincidence.
As usual, the vast majority of death certificates in that week which mentioned covid-19 had it listed as the underlying cause of death - 88%.
In other words, people are mostly dying "from" covid-19, not "with" it.
Shocking scenes at Randox's lab in last week's @C4Dispatches report.
Staff crammed together on 12 hour shifts, huge stacks of boxes waiting to be unpacked, delays processing tests, samples accidentally thrown away, faulty tubes leaking, sealed tubes jumbled together in boxes...
And yet despite these failings there don't seem to be significant numbers of false positives.
The same lab handles tests from Premiership Rugby. In late August / early September, when they were running over capacity, their positivity rate was under 0.1%.
The @DailyMailUK and @RossjournoClark have published another article downplaying the second wave, which got a government health warning from @DHSCgovuk, who said it was "misleading".
1) They claim half of all hospitals don't have any covid-19 patients.
That's because they counted mental health units, cosmetic surgeries, community health centres and specialist units like Moorfields Eye Hospital. These would NEVER treat covid patients.
Lest we forget, Patel is no stranger to breaching ministerial standards, after she was caught having secret meetings with the Israeli government while supposedly on holiday, and was forced to resign from her job as International Development Secretary.
And now the senior civil servant whose departure from the Home Office sparked the investigation has weighed in, saying that, contrary to Patel's claims that she didn't know she was upsetting people, he'd talked to her repeatedly about her behaviour.