In addition the AVERAGE case mentioned was based on viral loads where ppl were becoming symptomatic/testing once already at peak virus load & transmission always coming down
But now ppl are becoming symptomatic day 1 & day 4,5 may now be when ppl still at peak infectiousness
2/
I’m 1000% on board with cutting down isolation as much as possible
Heck - most ppl who tested positive in this pandemic on PCR over the past 2 years were already no longer infectious by the time they started isolation. I have argued that those ppl required 0 days isolation
3/
Policy can’t be perfect - esp when we don’t have tools available. And so I understand the reasoning behind the policy
But let’s not come out and say misleading statements to back up the policy just released. Just say what it is: not perfect, owes to limited resources, etc
4/
I believe we should stick to facts when describing ideal policy & recommendations when ideal can’t be met
Rather than throw crucial tools under the bus
Fact: There is a LOT of data that rapid Ag tests correlate w active replicating culturable & likely transmissible virus
5/
Rather than trying to undermine rapid tests and say they don’t indicate likely infectious virus…
Say
We recommend using a test at day 5 and if still highly positive, consider yourself still a high risk to others and remain isolating 3 additional days if possible”
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@US_FDA’s remarkably vague (likely false) statement w ZERO supporting information that serves only to damage confidence in one of the best tools we have is insane
The data FDA offers is:
“early data suggests… rapid tests MAY have reduced sensitivity”
Because of this line - with no supporting information - effectively every major news outlet today has reported that rapid tests are less sensitive to detect Omicron.
But the actual data suggests otherwise. Omicron is not mutated where the tests detect.
2/
It’s a bit like saying
“I got plastic Surgery on my face”
and FDA says
“Oh, Your shoes may not fit you anymore”
The reality is the tests likely detect Omicron same as they did Delta… but Omicron is more infectious so any test will have a harder time picking up at first
3/
CDC’s new guidance to drop isolation of positives to 5 days without a negative test is reckless
Some ppl stay infectious 3 days,Some 12
I absolutely don’t want to sit next to someone who turned Pos 5 days ago and hasnt tested Neg
Test Neg to leave isolation early is just smart
I am 100% for getting people to drop isolation early.
Heck, I formally recommended it to CDC in May 2020 and Published the recommendation in J of Clin Infectious Diseases in April 2020.
But it was always with a negative test.
What the heck are we doing here?
2/
This is the part that hurts the most. The reason they are doing this:
"The change is motivated by science demonstrating... SARS-CoV-2 transmission occurs... generally in the 1-2 days prior to onset of symptoms and the 2-3 days after"
Need rapid tests for travel or treatment or New Years or... but can't find them?
@eMedCertified allocated 1,000,000 for individuals to be able to obtain. Note, these are a proctored version that enable a lab result for travel & public health reporting
Please note, I am now the Chief Science Officer of eMed.
I try to stay away from using this important platform for anything except informing on public health and science. However, I also will post when there is a good reason to about the company I am now CSO of.
Also, please note, eMed is NOT a test manufacturer but a live proctoring software company to authenticate and validate tests.
If you purchase tests via eMed (can also get them through Optum store I believe) what you are purchasing is live person proctoring - tests come with it
This article captures so well the difficulty, persistence and personal toll it’s taken to help the US (and elsewhere) have the crucial tools we all need to keep society going through this pandemic.
I can’t say I succeeded. If I had, we wouldn’t have long lines and empty shelves. I truly did everything possible and imaginable to me to try to ensure we didn’t end up right here, right now. Blind in the face of a much more infectious virus that is sweeping the globe.
2
A year ago, @hannaskrueger profiled a series of epidemiologists & public health leaders. That, in my view, was a remarkable portrayal of just how difficult the virus had been on many front line workers.
I wish I could say it got better. But 2021 was immensely more difficult
3/