Page 23 - HOH
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A2   UP FRONT
                      Friday 13 March 2020
            Virus testing is 'failing,' leaving cases uncounted




            Continued from Front

            As  of  Thursday  afternoon,
            the  Centers  for  Disease
            Control  and  Prevention
            reported  about  1,260  U.S.
            illnesses  —  a  number  that
            trailed  independent  re-
            searchers,  who  are  add-
            ing  reports  from  individual
            states more quickly.
            But  some  experts  believe
            any number based on test
            results of individual patients
            is  a  dramatic  undercount.
            Researchers  at  Cedars-Si-
            nai  Medical  Center  in  Los
            Angeles this week estimat-
            ed that the true count of in-
            fections was close to 9,000
            — about two weeks ago.
            "I  expect  there  are  more
            infected  individuals  now,"
            said  one  of  the  research-
            ers,  Dr.  Jonathan  Braun.
            "This means that the level of
            disease in the U.S. is much
            greater  than  has  been  re-
            ported by actual testing."
            The problem, these experts
            say: The U.S. simply isn't test-
            ing enough people.           A medical personnel holds a kit for the test for Coronavirus outside one of the emergency structures that were set up to ease
                                         procedures outside the hospital of Brescia, Northern Italy, Tuesday, March 10, 2020.
            There  are  no  official  num-                                                                                                  Associated Press
            bers from the federal gov-
            ernment  on  the  country's  government,  private  and  processing  thousands  of  Alex  Azar  told  reporters  strategy"  if  cases  started
            overall  testing  capacity.  academic  labs.  It  reflects  samples at a time. In con-  earlier this week.          appearing, she said.
            One  of  the  only  compre-  the total number of patient  trast,  the  equipment  used  Azar said the government is  But earlier this week, near-
            hensive  estimates  comes  results that could be proc-    by most U.S. state and local  working to set up a system  ly  a  month  after  the  an-
            from Dr. Scott Gottlieb, the  essed in a day, not the cur-  labs  requires  technicians  to  combine  government  nouncement,  doctors  and
            former  FDA  commissioner  rent number being run.         to  manually  process  each  testing figures with those of  scientists  were  still  await-
            who  is  now  a  resident  fel-  Whatever   the   actual  sample  in  small  batches,  outside laboratories.        ing  word  on  whether  that
            low at the American Enter-   number,  the  U.S.  effort  is  sometimes 100 or fewer per  Government  officials  have  surveillance system was up
            prise  Institute,  a  conserva-  trailing other nations.  day.                         pledged  that  large  pri-   and running.
            tive think tank.             South  Korea,  a  country  The  testing  process  in  the  vate testing companies like  On  Thursday,  the  CDC  re-
            As  of  Thursday,  his  group  one-sixth  the  size  of  the  U.S. requires mixing various  Quest Diagnostics will dras-  vealed  that  some  labs
            estimated  U.S.  labs  could  U.S. in population, is report-  chemicals  to  setup  chain  tically expand U.S. capac-  had  begun  the  testing.
            process  results  for  more  edly  testing  15,000  people  reactions  that  extract  ge-  ity.  A  Quest  spokeswom-  But the list of test sites had
            than  20,000  patients  per  per  day.  CDC  Director  Dr.  netic  information  from  pa-  an  on  Wednesday  said  it  changed, and the agency
            day. The figure is based on  Robert Redfield noted that  tients' swabs. Each lab must  could take up to six weeks  did not explain why.
            a  combination  of  publicly  officials  there  are  using  fine-tune  the  process  on  to  ramp  up  to  testing  tens  In its initial announcement,
            reported  information  and  automated,      high-volume  its  own  equipment,  some-   of  thousands  of  samples  the  CDC  said  the  work
            historical  estimates  from  testing systems capable of  thing  experts  have  likened  per  week.  The  company  would  begin  in  Chicago,
                                                                      to perfecting a new recipe.  expects  to  complete  sev-  Los Angeles, New York City,
                                                                      Unlike  countries  with  cen-  eral  thousand  tests  by  the  San  Francisco  and  Seat-
                                                                      tralized,     government-    end of this week.            tle.  On  Thursday,  it  said  it
                                                                      based health care systems,  On  Feb.  14,  the  CDC's  Dr.  instead had begun in Chi-
                                                                      the  U.S.  response  is  frag-  Nancy   Messonnier   said  cago and four sites in Cali-
                                                                      mented  between  public  the agency planned in the  fornia  —  Los  Angeles,  San
                                                                      labs and private efforts by  coming  weeks  to  use  labs  Diego,  San  Francisco  and
                                                                      hospitals,  universities  and  in  five  cities  to  provide  a  Santa Clara.
                                                                      diagnostic companies.        good look at whether coro-   Five  other  locations  are
                                                                      U.S.  officials  have  boasted  navirus  might  be  appear-  working  to  get  surveil-
                                                                      of shipping well over 1 mil-  ing.  The  idea:  When  pa-  lance testing going, a CDC
                                                                      lion tests to labs across the  tients  test  negative  for  flu,  spokeswoman  said.  They
                                                                      country.  But  it's  unclear  their  specimens  would  go  are New York City; Orange
                                                                      how  many  have  actually  through  coronavirus  test-    County and Solano in Cali-
                                                                      been  used  on  patients,  ing  to  see  if  the  new  bug  fornia; and the states of Ha-
                                                                      because  tests  have  gone  caused their symptoms.        waii and Washington.
                                                                      to  some  private  labs  and  "Results  from  this  surveil-  The agency did not imme-
                                                                      hospitals  that  don't  report  lance  would  be  an  early  diately  detail  what  the  so-
                                                                      into  the  CDC,  Health  and  warning  signal,  to  trigger  called  sentinel  testing  sites
                                                                      Human  Services  Secretary  a  change  in  our  response  have found.q
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