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A12   HEALTH
                Tuesday 8 sepTember 2020
            Bold hopes for virus antibody tests still unfulfilled




                                                                                                                                that,"  said  Admiral  Brett
                                                                                                                                Giroir,  the  administration's
                                                                                                                                "testing czar."
                                                                                                                                The FDA pulled back on its
                                                                                                                                lax policy for antibody tests
                                                                                                                                in  May,  requiring  compa-
                                                                                                                                nies  to  begin  submitting
                                                                                                                                data  on  accuracy.  The
                                                                                                                                FDA  has  authorized  about
                                                                                                                                40  thus  far,  while  dozens
                                                                                                                                more await review.
                                                                                                                                Despite  the  precautions
                                                                                                                                from regulators, some test-
                                                                                                                                ing companies continue to
                                                                                                                                advertise the tests for work-
                                                                                                                                ers and others. Big labora-
                                                                                                                                tories,  including  LabCorp
                                                                                                                                and  Quest,  offer  the  tests
                                                                                                                                to  employers,  along  with
                                                                                                                                other services like tempera-
                                                                                                                                ture checks.
                                                                                                                                "We are aware of the CDC's
                                                                                                                                guidance,"  Quest  spokes-
                                                                                                                                woman  Kimberly  Gorode
            In this Tuesday, May 5, 2020 file photo, a health worker draws blood from a patient for a COVID-19 coronavirus antibody test in   said in a statement. "That is
            DeLand, Fla.                                                                                                        why  we  recommend  that
                                                                                                               Associated Press   employers  use  antibody
            By MATTHEW PERRONE           lished  last  week  was  more  Antibody tests are different  the world.                testing as part of a holistic
            AP Health Writer             promising,  suggesting  that  from  the  standard  nasal  In  the  meantime,  experts  approach to bringing their
            WASHINGTON  (AP)  —  At  antibodies last at least four  swab  tests  that  diagnose  say antibody tests are use-    employees back to the of-
            the  height  of  the  corona-  months after diagnosis and  active  infections.  Instead,  ful  for  two  things:  Large  fice."
            virus  lockdown,  President  do not fade quickly.         they use a blood sample or  studies in the general pop-   At testing sites in New York
            Donald  Trump  and  his  top  For  now,  the  Centers  for  finger-prick of blood to look  ulation  to  see  how  widely  City  in  April,  doctors  with
            health  advisers  trumpeted  Disease  Control  and  Pre-  for signs of a past infection,  the coronavirus has spread,  Somos  —  a  medical  non-
            a new test that would help  vention and the American  whether  the  person  was  and screening people who  profit  serving  low-income
            Americans  reclaim  their  Medical  Association  ex-      sick or had no symptoms at  may  be  able  to  donate  communities  —  told  peo-
            lives — one that would tell  plicitly  warn  that  antibody  all. Based on other viruses,  their  antibody-rich  blood  ple  who  tested  positive
            them  if  they  already  had  tests  should  not  be  used  experts  expect  those  with  plasma, which is used as an  for  antibodies  that  they
            the virus and were protect-  to  make  decisions  about  coronavirus  antibodies  to  experimental treatment for  could safely return to work,
            ed from getting it again.    returning workers to the of-  be  at  least  partly  immune  COVID-19.                 although  they  acknowl-
            Their arrival would help "get  fice  or  students  to  school,  for  several  months,  if  not  But  those  uses  were  not  edged  "nothing  is  100%."
            Americans  back  to  work"  though  some  labs  still  pro-  longer.  Dr.  Anthony  Fauci  the  focus  of  White  House  In  a  recent  interview,  the
            by  showing  those  who  mote  them  for  those  uses.  and other members of the  briefings  last  spring,  which  group's founder, Dr. Ramon
            might have "the wonderful,  The CDC recommends ev-        White  House  task  force  attracted  between  8  mil-    Tallaj,  defended  the  test-
            beautiful  immunity,"  said  eryone — even those who  said early on it was a "rea-     lion and 10 million cable TV  ing.  He  said  the  workers
            Trump, a point repeated at  were  sick  and  recovered  sonable  assumption"  that  viewers daily, according to  would  have  been  expect-
            the daily briefings last April.  — take precautions to pre-  if  "you  have  the  antibody,  Nielsen. A spokesperson for  ed to go back anyway. The
            Months  later,  the  U.S.  is  vent getting and spreading  you're protected" but add-  the White House coronavi-    antibody  tests  simply  pro-
            awash  in  the  tests  but  the  the virus.               ed that there wasn't proof.  rus  task  force  did  not  pro-  vided  "one  extra  layer  of
            bold   predictions   about  Experts say it was probably  To  get  that  proof,  scien-  vide a response to requests  protection," he said.
            their usefulness have yet to  unrealistic  to  expect  an-  tists  first  run  experiments  in  for comment.        The  CDC  and  state  public
            materialize.                 swers to key immunity ques-  animals. Human trials come  Expecting    massive    de-   health  agencies  continue
            "There was definitely a lot of  tions early in the outbreak.  next  and  can  take  even  mand, the Food and Drug  to  use  antibody  testing  to
            wishful  thinking  that  there  Those  questions  have  tra-  longer.  Researchers  track  Administration   chose   a  track the spread of the vi-
            was going to be a magical  ditionally  been  answered  people who had an infec-        "flood-the-zone"   strategy,  rus in the U.S. So far, in most
            test that was going to save  only through long-term ani-  tion  and  developed  an-    allowing  more  than  170  areas  studied,  fewer  than
            us  all,  but  we're  not  there  mal or human studies, said  tibodies  to  see  if  they  be-  tests  to  launch  with  little  5% of the population have
            yet," said Dr. Jennifer Rake-  Marc Jenkins of the Univer-  come reinfected. Their an-  oversight.                  antibodies.  That's  far  be-
            man  of  New  York  City's  sity of Minnesota.            tibodies  are  measured  to  At  the  same  time,  Trump  low the levels that most ex-
            Public Health Laboratory.    The  National  Institutes  of  to gauge the level needed  highlighted  his  administra-  perts  think  will  be  needed
            The  tests  check  the  blood  Health  and  universities  are  for immunity.           tion's  "fantastic  progress"  for  herd  immunity  against
            for  antibodies  the  body  conducting  some  of  this  Jenkins  and  others  said  it's  bringing  antibody  tests  to  coronavirus,  underscoring
            makes to fight off an infec-  work,  but  much  of  it  has  entirely possible that an ef-  market, some officials were  the need for a vaccine.
            tion. Scientists are still work-  taken  a  back  seat  to  the  fective  vaccine  will  arrive  raising  concerns.  Reports  For  now,  Jenkins  doesn't
            ing  to  figure  out  how  well  rapid development of vac-  before  coronavirus  anti-  of  European  governments  recommend  spending  the
            antibodies  for  the  corona-  cines  in  the  middle  of  a  body  studies  are  complet-  forced to discard millions of  money  to  get  tested  for
            virus  may  shield  someone  pandemic.                    ed, helping answer some of  faulty tests raised alarms.   antibodies  unless  a  doctor
            from  another  infection,  or  "Everyone's impatient and I  the key questions. Vaccines  "We're  going  to  be  very  recommends it.
            how  long  that  protection  can see why," Jenkins said.  spur the production of an-   careful  to  make  sure  that  "Even  the  research  com-
            might last. Some early stud-  "But there's no easy path to  tibodies,  and  a  number  of  when  we  tell  you  you're  munity  can't  really  tell  you
            ies suggested any immunity  this  knowledge"  about  im-  coronavirus  vaccines  are  likely immune from the dis-   what  the  result  means,"
            fades  fast;  research  pub-  munity.                     now  being  tested  around  ease  ...  the  test  really  said  Jenkins said.q
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