Friday, May 22, 2020

Par for the Trump admin course

The Centers for Disease Control and Prevention (CDC) acknowledged Thursday that it is combining the results from viral and antibody COVID-19 tests when reporting the country's testing totals, despite marked differences between the tests.

[...]

“You’ve got to be kidding me,” Ashish Jha, director of the Harvard Global Health Institute, told The Atlantic. “How could the CDC make that mistake? This is a mess.”

Viral tests — commonly referred to as PCR tests as most of them use a process known as polymerase chain reaction — are used by health professionals to determine whether or not a person is currently infected with the disease. During the pandemic, viral tests have been the most effective way of being able to diagnose a positive case of COVID-19. They are what state governments have been counting to track the number of confirmed cases of the virus they have.

Antibody, or serology, tests serve a different purpose. Unlike viral tests that are taken by nose swab or saliva sample, antibody tests examine a person's blood to see if their immune system has created antibodies to combat COVID-19. These tests allow doctors to see if someone has previously been exposed to the virus. As the push for widespread testing in the U.S. has strengthened, antibody tests have been widely produced, many experts have balked at saying that antibodies equate to immunity from COVID-19. Serology tests are also less accurate than PCR tests, increasing the chances for a false negative.

Moreover, a negative test means different things for either test. A negative PCR test indicates to physicians that the patient isn't currently ill with the disease. But, a negative serology test means that the patient has most likely not been exposed to or infected with COVID-19.

  The Hill
Dollars to doughnuts that was not a mistake. It was a Trump admin attempt to make it appear we're doing more testing for infection than we are. Also...
The combining of the tests could lead to the skewing of the overall positivity rate of the test, a measurement that is one of the benchmarks used in the reopening guidelines released by the White House and CDC.

"I suspect it will artificially lower the percent positive," Caitlin Rivers, an epidemiologist at the Johns Hopkins Bloomberg School of Public Health, told NPR.

The White House's guidelines say that for a state to reopen it must observe a downward trajectory in its number of daily cases or its percentage of positive cases.
It wasn't a mistake. It was intentional.

...but hey, do what you want...you will anyway.

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