If isolation stops early before there are effective treatments
then we are back to the same exponential spread. The problem is we don’t have
good monitoring and we aren’t able to detect patients who are asymptomatic and
highly contagious. We won’t be back to anywhere near normal until we have
reliable and readily available testing and good protocols for continued habits
to avoid spreading the virus. We won’t be out of the woods completely until we
have a good vaccine. It’s going to be a long time before nursing homes prisons
and other group settings will be back to normal. one of the problems with
rapidly evolving and newly brought to market screening tests is there may be
both false negatives and false positives. I suspect at least some people who
show recurrent virus after testing negative may be because of a false negative
by the previous test; this could be either because the sample didn’t pick up
virus, because it was at a much lower level, (sampling error), or an inherent
problem with the test itself. it may be that confirmatory tests on sequential
days could be required. It’s my belief that once the virus is truly cleared
that it will cease to be present altogether, and that most of these recurrences
are a result of sampling or analytical error
Particularly
for new screening tests I don’t think we have the experience to adequately
define the parameters under which they work and do not work, confounding factors,
negative and positive predictive values.
False
positives can also occur if other benign corona viruses, of which there are many
circulating, causing common colds, cross-react with the test.
By rushing these tests to market
I doubt whether they have been thoroughly tested along these lines, and bad
data are only a little better than no data “note – are sounds funny with this
but the singular is datum the plural form is data”( James Gideon)
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