Vaccines are great - But not getting to everyone now - and not for many months.
We have a tool now that could allow society to run MUCH safer.
Holidays spent MUCH safer
Stores and restaurants open and MUCH safer
Schools MUCH safer
This is doable, now-if our leaders wanted it.
Today, we have US companies making millions of rapid tests that people COULD be using to:
Know if their child is bringing SARS-CoV-2 virus back from school
Safely go to work, dine at restaurant, shop for groceries.
Instead US companies are forced to ship them overseas.
These tests are being sent overseas because they are not legal in the US because the @US_FDA is treating every test as though it is a medical diagnostic test requiring a doctors prescription. Rather than an urgently needed public health tool that could stop spread.
Imagine how the risk-benefit would change if we decreased the risk of contagious people entering into schools, churches, offices, restaurants, shops, grocery stores... by 95%.
We would simultaneously see reduced spread of the virus and start to see society look normal again.
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First at-home rapid test w FDA EUA! This is a great milestone! Congratulations to @EllumeHealth on this triumph. The EUA for this at-home test should be celebrated. I am supportive & have used it myself! I want to put this in context...
This is a terrific milestone. An OTC rapid test is a great advance. It means some will have access to much needed test to help know status, without going through barriers of an MD.
Since many are asking, this is not quite THE public health screening test I'm calling for.
2/10
Inside, @ellume (right) has simple but powerful paper strip test. It requires battery, circuits, sensors, and bluetooth with a mobile phone. Thus, not quite THE mass public health screening test that will scale for frequent use by millions (i.e. vs simple one on left).
On Wednesday I spoke first to the @Heritage Foundation and immediately after to the @NewDemCoalition
1/
Here is a link for the first talk, with the @Heritage Foundation - I believe there is a video recording of the event there, with @paulmromer and Doug Badger, moderated by Marie Fishpaw
One of my favorite scientific themes is the identification of within-host immune kinetics from population data.
The divergence of the curves following pfizer #COVID19 vaccine at around day 10 demonstrates perfectly the time required for antibody secreting cells to proliferate
Have a #COVID19 test results that took more than a few days after the swab was taken??
Throw it out and refuse to pay!
A lab result delayed more than a couple days isn’t just not useful, it’s misleading and dangerous!
A test with a 4+ day turnaround should have EUA revoked.
The only way it’s useful is if it’s positive. Remember, start the isolation clock from the time of the swab. Not the result.
Also, I’m not blaming the labs here. Im highlighting a massive systemic problem.
Though I will say that all clinical labs have a responsibility to accept only specimens that they can process within a clinically relevant time. A 7-day turnaround does more harm than good.
Getting tested during a pandemic is mostly to keep others around us safe. If +ve, the test wont change that
• Tests for #COVID19 should NOT require MD order
• No person should have to pay for a test intended to help them not infect others
This is Public Health, not medicine
Testing is also performed for medicine, of course.
And if you end up in the doctors office b/c you're sick-all bets are off w regard to pay (I'm not wading into chargemaster wars!)
But if getting a test simply b/c you don't want to infect others... you should NOT have to pay.
Also- lets be honest - the questionnaire to get a test to get an automatic doctors prescription from some doctor you don't know and will never talk to... it's complete BS.
It hikes up prices, plays into a medical versus a concerted public health response and offers little else
I think going back and seeing what we got right and what we got wrong, in hindsight, will be an important exercise to help us understand, with some objectivity, what tools/models will be most useful in future pandemics and what are total rubbish.