Nevertheless, I am excited about this development. I think this is very good for start for US and although 500 million across 350 million is not massive per person - this has the ability ensure that this process is in place and the US will have tests when needed beyond Omicron
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Today - in midst of Omicron - millions of Americans are begging for access to rapid tests, thousands dying daily.
Get this:
many manufacturers with very high quality rapid tests are begging To ship 100’s of millions of tests to US
But can’t.
1/
These are some of the largest companies in the world that make diagnostic tests.
Their rapid tests have been used the world around in this pandemic with research paper after research paper showing their benefit and quality.
But FDA has them in a holding pattern for months
2/
Why?
Bc despite tremendous amount of data from real world use in millions of ppl - FDA demands the companies check off onerous but remarkably useless check boxes designed for evaluating medical devices.
FDA formally does not recognize that public health testing exists
3/
“we found that Liverpool city region’s early rollout of community rapid testing was associated with a 32% fall in Covid-19 hospital admissions after careful matching to other parts of the country in a similar position to Liverpool but without rapid testing”
2/
“We also found that daily lateral flow testing as an alternative to quarantine for people who had been in close contact with a known infected person enabled emergency services to keep key teams such as fire crews in work, underpinning public safety.”
3/
Believe me, I’ve tried probably more than any human on earth (literally) to have us not arrive where we are:
with a predicted variant overtaking vaccines in a world where no one has access to tests
I am sorry I couldn’t do more
2/
And going back to first tweet. If testing is not frequent then likelihood of testing on day 1,2 is not terribly high so by time you test, you’ll usually be positive if you are infectious. This is how it’s always worked
W Omicron it raises stakes further for speed/frequency
3/
Person: I want a pair of binoculars to see the moon when hiking
FDA: Great but do they allow you to see Pluto?
P: Umm, no…?
FDA: ah, well, if they can’t help you see Pluto, we deem them illegal for use in the US.
P: What?
FDA: Yep. Get a telescope
This is an analogy to point out how ridiculous it is that the FDA continues, to this day, to require comparison of a rapid antigen test to PCR when they have entirely different qualities and uses.
If FDA wasn’t so stubborn, they’d make the comparison test a BinaxNoW.
Use a high bar against BinaxNoW.
Here, Simple:
For authorization, a new rapid test must achieve 95% sensitivity compared to Abbott BinaxNOW (since we’ve already deemed it appropriate), and must have fewer than 1 in 2000 false positives.