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A2   UP FRONT
                  Monday 7 deceMber 2020
                                                                      limited testing services and  tions than others.          ing forward?
                                                                      materials,  and  with  little  Administration  officials  say  In  July,  the  Rockefeller
                                                                      guidance  or  training  on  they are proud of the cur-    Foundation called for mak-
                                                                      how to best use the tests.   rent  state  of  testing.  Last  ing  cheap  tests  widely
                                                                      In  April,  President  Donald  month, Vice President Mike  available to better identify
                                                                      Trump  declared  governors  Pence     celebrated   that  people  who  are  infected
                                                                      were responsible for testing.  170 million tests have been  and  don't  know  it.  That
                                                                      Amid  complaints  about  completed,  and  that  an  would  involve  developing
                                                                      shortages  and  delays,  the  expanding  array  of  tests  and  making  cheap  anti-
                                                                      federal government began  are available.                  gen  tests,  which  provide
                                                                      sourcing  and  shipping  key  But the focus should be less  quick  results  but  are  less
                                                                      testing  supplies  to  states,  on  numbers  and  more  on  reliable than genetic tests.
                                                                      beginning with swabs.        action,  said  Dr.  Ali  Khan,  Foundation officials hoped
                                                                      In  the  latest  phase,  Trump  dean  of  the  University  of  the   government   would
                                                                      officials  are  sending  more  Nebraska College of Public  push  companies  to  manu-
            People drop their test kits into an intake receptacle at a CO-  than  100  million  rapid,  Health.                 facture tests the same way
            VID-19 testing site in the North Hollywood section of Los Angeles   point-of-care tests to states.  "It  shouldn't  be  anybody  it has pushed vaccine mak-
            on Saturday, Dec. 5, 2020.                                The  government  said  the  who needs a test can get  ers to mass produce experi-
                                                     Associated Press  first  shipments  went  out  in  a test," Khan said. "It should  mental vaccines.
                                                                      early October.               be  anybody  who  has  a  Some  Harvard  research-
            Continued from Front         first  —  and  most  enduring  Such  tests  are  considered  positive  test  immediately  ers believe that testing half
            The president-elect has en-  —  stumbles  in  the  federal  key to slowing spread, but  gets isolated" and the peo-  the population each week
            dorsed that strategy, called  government's  response  to  states   have   distributed  ple  they  were  in  contact  would be possible by mail-
            for  making  testing  free  for  the  coronavirus  epidemic  them differently. For exam-  with  checked  and  placed  ing those tests to millions of
            all  Americans,  and  said  that hit the nation early this  ple, Alaska is sending tests  in quarantine.            U.S. households.
            government experts at the  year.                          to  oil  drilling  sites,  Colora-  He was echoed by Nunez-  Participation would be vol-
            Centers for Disease Control  In  February,  the  CDC  dis-  do  to  local  public  health  Smith,  the  Biden  coronavi-  untary,  and  positive  results
            and  Prevention  and  other  tributed  test  kits  to  public  agencies for testing home-  rus adviser.             would  have  to  be  con-
            agencies  should  be  em-    health  laboratories  that  less populations, and Missis-  "Testing is only useful when  firmed with genetic tests —
            powered to coordinate the  initially were faulty. U.S. of-  sippi to veterans' homes.  we  can  act  on  the  test,"  the home tests are not con-
            entire effort.               ficials worked with compa-   There's also no federal stan-  said  Nunez-Smith,  a  Yale  sidered as sensitive as more
            "The  reality  is  we're  not  nies to expand testing, but  dard for reporting test data.  health equity researcher.  established   lab-based
            testing  enough  today,"  Dr.  shortages  of  chemicals,  Some  states  report  the  Trump  himself  has  voiced  testing.  Even  so,  it  could
            Marcella  Nunez-Smith,  co-  materials  and  protective  number  of  tests  adminis-   a  lack  of  enthusiasm  for  dramatically  expand  the
            chair of Biden's coronavirus  equipment  meant  fewer  tered, while others tally the  comprehensive  testing.  In  amount  of  infection  moni-
            advisory board, told The As-  tests  were  available  than  number  of  people  tested.  a June tweet, the president  toring going on across the
            sociated Press this week.    what experts said was nec-   Some have counted types  called  testing  a  double-      nation, its proponents say.
            His  transition  team  so  far  essary.                   of  tests  that  others  don't,  edged  sword  that  is  good  During an appearance on
            has  not  gone  into  further  Worse,  some  experts  say,  which can skew results be-  to have but "makes us look  NBC's  "Meet  the  Press,"  Dr.
            detail.                      states and cities competed  cause some tests are better  bad." And Dr. Scott Atlas —  Anthony  Fauci  of  the  Na-
            Testing  was  one  of  the  against each other to buy  at diagnosing active infec-     a top pandemic adviser to  tional  Institutes  of  Health
                                                                                                   Trump  before  he  resigned  said   Americans    should
                                                                                                   Monday — argued against  have  easy  tests  they  can
                                                                                                   testing  people  who  aren't  do in their own homes.
                                                                                                   experiencing symptoms.       "We  don't  have  that,"  he
                                                                                                   But some regard such think-  said. "We should have that."
                                                                                                   ing  as  an  attempt  to  spin  Versions  of  such  an  ap-
                                                                                                   a  leadership  failure  into  proach  have  been  tried
                                                                                                   something else.              in  some  places,  including
                                                                                                   "The executive branch has  Slovakia  and  Minnesota.
                                                                                                   seen  test  results  –  case  But  some  experts  note
                                                                                                   counts  –  as  a  report  card  there is little precedent for
                                                                                                   on  its  performance,"  said  screening tens of millions of
                                                                                                   Carl Bergstrom, a University  people  with  cheap,  rapid
                                                                                                   of  Washington  evolution-   tests—which  would  gener-
                                                                                                   ary  biologist  who  studies  ate a significant portion of
                                                                                                   emerging  infectious  dis-   false results. It's also unclear
                                                                                                   eases.                       whether  people  who  test
                                                                                                   The  nation  may  be  weeks  themselves  at  home  will
                                                                                                   away    from   coronavirus  follow  instructions  to  quar-
                                                                                                   vaccines  becoming  avail-   antine.  Nearly  all  experts
                                                                                                   able,  but  that  won't  erase  agree that more data and
                                                                                                   the  need  for  testing,  said  coordination is needed.
                                                                                                   the  Rockefeller  Founda-    "Having  every  state  do  its
                                                                                                   tion's Eileen O'Connor.      own  thing  without  guid-
                                                                                                   "We're not going to get ev-  ance from the federal level
                                                                                                   erybody  vaccinated  right  — from CDC in particular —
                                                                                                   away.  And  we  still  don't  I think has really hampered
                                                                                                   know how long that immu-     us,"  said  Scott  Becker,  the
                                                                                                   nity  will  last,"  she  said.  So  chief  executive  of  the  As-
                                                                                                   testing  will  still  be  needed  sociation  of  Public  Health
                                                                                                   to monitor where the infec-  Laboratories. "It is a federal
                                                                                                   tion  is  active  and  to  see  if  response  as  much  as  it  is
                                                                                                   infections  are  occurring  in  a state response, but it's a
                                                                                                   vaccinated people.           shared  responsibility.  We
                                                                                                   What should be done mov-     need to work together."q
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