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       70   Science & technology                                                                                    The Economist April 25th 2020






























































           Covid-19                                                                                     sus is emerging among its scientists, econ-

           Tests of reason                                                                              omists and public-health officials that a
                                                                                                        massive increase in testing capacity—cre-
                                                                                                        ating a system that can test millions of peo-
                                                                                                        ple a day for the virus—will be needed to
                                                                                                        get the place out of lockdown safely. A test-
                                                                                                        ing system of this kind has never been built
                                                                                                        before. It will be expensive, costing tens,
           To end their lockdowns safely, countries will have to build and deploy testing
           systems at unprecedented scale                                                               possibly hundreds of billions of dollars in
                                                                                                        America alone. But it offers a way to return
              ars-cov-2, the virus that causes co-        flowing in response. The result will be        to something approaching normal life with
           Svid-19, is an unobtrusive piece of biolog-    mounting death tolls, depressed econo-        a degree of confidence that the pandemic is
           ical machinery. It spreads parasitically       mies and confidence-sapping uncertainty.       under control.
           through the respiratory tracts of human be-    This can, however, be partly ameliorated by       The goal of this new testing regime
           ings, often without provoking symptoms         extensive testing for the virus. Testing en-  would be to track down every carrier of the
           in those who carry it. Yet for some, particu-  ables the government to keep tabs on the      virus so that those at risk of spreading it
           larly the old, it is deadly. This combination  disease, reveals which social-distancing      could be isolated. The contacts of anyone
           of properties make the pandemic both dan-      measures work, and, if those testing posi-    who tested positive would be traced and
           gerous and difficult to stop. As of April        tive remain at home, instils confidence in     tested as soon as possible, to cut off further
           22nd it had killed 182,000 people.             the public that it is safe to go out.         chains of transmission. Trevor Bedford,
              So far, every country that has reduced                                                    who studies viruses and immunity at the
           covid-19 infection to low levels has relied to  Economies of scale                           Fred Hutchinson Cancer Research Centre
           some degree on “social distancing”—that        America is in a particularly tight spot. Parts  in Seattle, has said that what is currently
           is, either encouraging or forcing people to    of its government responded slowly to the     known about the virus suggests that the
           stay at home, and to keep well apart if they   pandemic to start with, and it now faces      system must track down and isolate all of
           find that they have to go out—to prevent        high levels of infection that are spread      an infected person’s contacts within 48
           the virus from spreading. On top of this       across the country. In response, a consen-    hours of their positive test if the transmis-
           many are in any case fearful to go out, lest                                                 sion chain is to be broken. If testing and
           they catch the illness. Without a vaccine or        Also in this section                     tracing can do this, then people can go safe-
           therapeutic drugs, neither of which is guar-                                                 ly about their lives.
           anteed, countries therefore face a future of    72 A past pandemic and the present one           Currently, the test employed to find out
           bouncing in and out of lockdown every few       73 By invitation: Bill Gates                 if someone is infected looks for the virus it-
           months, with infection rates ebbing and                                                      self using a technique called reverse tran- 1
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