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Testing and Contact Tracing

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I see advertisements for Covid-19 antibody tests. Is it worth getting tested? What will an antibody test tell me?

Testing and Contact Tracing

A: Antibody tests are important in understanding Covid-19 and its spread through a population, but the information might not be as useful on a personal level just yet. When considering a serology test, we encourage you to think about why you are getting the test, where you will receive the test, and how it will Read more…

I’ve been hearing a lot about false negative COVID test results. Can you explain?

Data and Metrics Testing and Contact Tracing

A: The false negative rate is the % of infected individuals who incorrectly test negative for COVID. For example, a hot-off-the-press NPR article reports a 15% false negative rate for Abbott’s new rapid COVID test. A 15% false negative rate indicates that out of 100 infected individuals, 15 would incorrectly test negative. How do we Read more…

I now know a little more about serological testing and antibodies. But I still have questions. For example, I read about antibody studies in California that say as many as 4% of all people have had the coronavirus. What does this mean?

Testing and Contact Tracing

A: The short answer, as statistician Thomas Lumley says, is that “counting rare things is hard.” There is much we still don’t know about antibody testing for COVID-19 (levels of detection, interpretation, length/duration/extent of immunity). One issue is the testing itself. While current active illness tests (swab/PCR) are very accurate when performed correctly and at Read more…

What does contact tracing look like now, what could it look like in the future and do I need to be worried about privacy?

Testing and Contact Tracing

A: Health departments are notified when an individual tests positive for COVID-19. Contact tracing staff reach out to new cases by phone to determine who (i.e., friends, family, co-workers) they may have had close contact with (within 6 ft) beginning with the days leading up to the onset of their symptoms, as well as what Read more…

How do we best protect front-line physicians when society reopens?

Reopening Testing and Contact Tracing

A: A relentless focus on the three “Ts” — TEST, TRACE, and TREAT. (And, for all that is good and holy, more PPE). The Nerdy Girls are proud supporters of the amazing physician leaders at Impact, authors of this U.S. News and World Report article. cc: Vinny Arora Eve Bloomgarden Pfanzelter Laura Zimmermann Shikha Jain Kumar Amisha Wallia Link Read more…

I have been hearing about CT scans as possibly being better at testing for COVID-19 than the current swab test. Is this true?

Clinical Symptoms Testing and Contact Tracing

A: It’s a little more complicated. Experts believe that the false negative rate (people who have a negative test result but are actually positive) can be around 30% with the swab test, generally due to improper sample collection. CT scans check for lung appearance, specifically ”ground glass” opacities, which are common to several diseases (pneumonia, Read more…

Why is everyone suddenly talking about the positivity rate? Is this positive psychology or something else?

Data and Metrics Data Literacy Infection and Spread Testing and Contact Tracing

A: Definitely not positive psychology! The positivity rate is simply the fraction of people who test positive for COVID-19 out of all the people who get tested. It is important because it is a rough indicator of how much of the true extent of COVID-19 infection is being detected and diagnosed. In other words, a Read more…

I’ve heard a lot of people talking about contact tracing. What is it, why is it so important, and does this work?

Testing and Contact Tracing

A: In sum, contact tracing helps us identify people who have been in close contact with a person infected with the virus by 1) Identifying the contacts; 2) Listing the contacts and recommending self-isolation or quarantine; and 3) Following up with contacts to assess for symptoms of illness. This is critical because it helps limit Read more…

What are feasible ways to track the spread of asymptomatic cases in a community?

Testing and Contact Tracing

A: Sampling sewage (!) and/or a small number of randomly selected individuals Testing wastewater (aka sewage) is a validated monitoring tool for opioid misuse and antibiotic resistance, and new evidence is demonstrating its effectiveness for detecting the coronavirus. Utah and Ohio are examples of states rolling out individual-level random sampling on a small subset of Read more…