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Home / Health / Covid-19 testing: AMA and others seek new priority guidance from Alex Azar due to massive delays

Covid-19 testing: AMA and others seek new priority guidance from Alex Azar due to massive delays



This would be good news for those symptoms who are suffering or who were obviously exposed to someone with coronavirus.

But that can mean longer delays for those looking for test results before returning to work, back to school, or visiting friends or family.

“Updated guidelines are essential to manage the growing demand for COVID19 testing,” as “no additional production capacity for many test supplies is likely to be available within the rest of this year,” write the AMA and some other medical groups in a letter dated Tuesday to Secretary of Health and Human Services Alex Azar.

“As the country continues to struggle to provide laboratories with a stable supply of reagents, viral transport vehicles, plastics (such as pipette tips), and other essential items to ensure COVID-1

9 and non-COVID-19 testing, we recommend that the Administration consider updating testing prioritization guidelines to ensure that the limited testing resources available are directed to those with a demonstrated medical need for testing and those identified by well-defined health surveillance efforts. public. “

Trump administration testing The Trump administration has said the results should ideally be delivered within 24 hours of a coronavirus test. The Department of Health and Human Services did not respond Wednesday to CNN’s request for comment on the letter.

Who will take the test with priority, and who will not?

Medical groups suggested “those with COVID19 symptoms, those with known exposures to COVID-19, and those in need of preoperative testing” should have access to rapid testing and test results.

But while some health officials have encouraged asymptomatic people to be tested to help reduce the spread of asymptomatic, massive demand for testing has created delays for those who already have symptoms or those who have been exposed directly to someone with Covid-19.
Trump:

“While significant increases in new cases of COVID-19 create significant demand for new tests, we are also seeing an increase in demand for testing asymptomatic individuals without any indicated medical need for testing services,” the letter said.

“These include tests for employees returning to work, students returning to colleges and universities, and individuals wishing to engage in non-essential travel.”

And without improving the supplies available, “we simply do not have the resources to meet the high demand for testing by asymptomatic individuals without exposure to COVID-19,” the groups write.

“We remain hopeful that the United States will soon be able to boost production to meet the needs of anyone who wants a COVID-19 test. However, until production can meet our unprecedented demand for testing services “It is essential that we prioritize our testing resources where they are most needed.”

The American Academy of Pediatrics on Thursday issued separate recommendations – but virtually identical – to help health care providers determine when to test for coronavirus. Children with symptoms, those who have been in close contact with someone with confirmed Covid-19, or those who have elective surgery should be tested, the guideline states.

How big delays do some tests make ‘border line useless’

This coronavirus is known for how easily it is spread by people who are asymptomatic or pre-symptomatic. So the longer an asymptomatic infected person has to wait for test results, the longer that person can infect others without knowledge.
Here is the difference between asymptomatic and paramptomatic spread
“People can be contagious without symptoms. And in fact – a bit surprisingly in this case – people tend to be more contagious before they show symptoms, if they will show symptoms,” CNN chief medical correspondent Dr. Sanjay Tha Gupta.

“They call it the pre-symptomatic period. So people tend to have more viruses at that point apparently in their nose, in their mouth. That ‘s even before they get sick. And they can shed that virus. in the environment. “

The U.S. Centers for Disease Control and Prevention estimates that 40% of coronavirus transmissions occur before people feel sick. This is one of the reasons why wearing a mask is so important.

In June, after crowds of young people were seen enjoying themselves without face masks, the White House coronavirus force coordinator called on all millennials to be tested.

“Thanks to the millennials who have listened to our instructions, they have been moving forward and doing tests,” said Dr. Deborah Birx.

Trump's Covid-19 testing bazaar says the government is doing everything it can in evidence.  This is not what the experts say.

“Whereas before we told them to stay home, now we are telling them to get tested. And this is a great change for us because it now allows us to find asymptomatic and mild diseases that we could not find. before.”

But since then, testing skills have not kept up with the demands.

In late July, the Trump administration’s testing czar said that while testing capabilities have improved, “we will not stop our efforts until testing is exactly where we want it to be with a quick turnaround time.”

“We will never be satisfied with testing until we get return times within 24 hours,” Adm said. Brett Giroir, a physician. At the time, he said, about half of the tests performed had results within about 24 hours.
But since early August, some people have waited more than 10 days to get the test results – meaning that asymptomatic carriers could spread Covid-19 to others.

At that point, testing becomes the “useless limit,” Dr. said. Ashish Jha, director of the Harvard Global Health Institute.

If faster testing was universally available, he said in late July, “we could lead this epidemic, and we could bury it and take a very low number of cases.”

CNN’s Naomi Thomas contributed to this report.


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