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                                                                                         WORLD NEWS Thursday 8 OcTOber 2020
            Peru bet on cheap COVID antibody tests; it didn't go well




            By CHRISTINE ARMARIO                                                                                                daily  wages  from  informal
            BOGOTA,  Colombia  (AP)                                                                                             work complicated the gov-
            —  In  the  early  days  of  the                                                                                    ernment's efforts to impose
            coronavirus pandemic, the                                                                                           a  strict  quarantine,  further
            harried  health  officials  of                                                                                      challenging Peru's ability to
            Peru  faced  a  quandary.                                                                                           respond  effectively  to  the
            They  knew  molecular  tests                                                                                        virus.
            for COVID-19 were the best                                                                                          When  Zamora  arrived,  he
            option  to  detect  the  virus                                                                                      said  the  government  had
            –  yet  they  didn't  have  the                                                                                     already  decided  molecu-
            labs,  the  supplies,  or  the                                                                                      lar  tests  weren't  a  viable
            technicians  to  make  them                                                                                         option.  The  nation  didn't
            work.                                                                                                               have    the   infrastructure
            But there was a cheaper al-                                                                                         needed to run the tests but
            ternative  --  antibody  tests,                                                                                     also acted too slowly in try-
            mostly  from  China,  that                                                                                          ing to obtain what little was
            were  flooding  the  market                                                                                         available on the market.
            at  a  fraction  of  the  price                                                                                     "Peru  didn't  buy  in  time,"
            and  could  deliver  a  posi-                                                                                       he  said.  "Everyone  in  Latin
            tive or negative result within                                                                                      America bought before us
            minutes of a simple  finger-                                                                                        – even Cuba."
            stick.                                                                                                              Antibody tests – which de-
            In  March,  President  Martin   Indigenous Shipibo-Conibo displays for sale her artisanal goods including embroidered protec-  tect  proteins  created  by
            Vizcarra took the airwaves   tive face masks, in the Cantagallo neighborhood of Lima, Peru, Thursday, Sept. 24, 2020. Associ-  the  immune  system  in  re-
            to  announce  he'd  signed   ated Press.                                                                            sponse to a virus – had nu-
            off on a massive purchase                                                                                           merous  drawbacks.  They
            of 1.6 million tests – almost  reason why.                when they did, the incred-   Even  now,  months  later,  had not been widely tested
            all of them for antibodies.   "This  was  a  multi-system-  ible  demand  meant  most  Peru's needs are vastly un-  and their accuracy was in
            Now,  interviews  with  ex-  ic  failure,"  said  Dr.  Víctor  weren't able to secure the  der met. To date, the coun-  question. If taken too early,
            perts,   public   purchase  Zamora, Peru's former min-    number they required.        try  has  less  than  2,000  ICU  most  people  with  the  virus
            orders,   import   records,  ister  of  health.  "We  should  "The  collapse  of  global  beds,  compared  to  over  test  negative.  That  could
            government      resolutions,  have  stopped  the  rapid  cooperation  and  a  failure  6,000 in the state of Florida,  lead  those  infected  to
            patients,  and  COVID-19  tests by now."                  of  international  solidarity  which  has  10  million  fewer  think they do not have CO-
            health  reports  show  that  ___                          have  shoved  Africa  out  of  inhabitants,  according  to  VID-19.  False  positives  can
            the  country's  bet  on  rapid  As COVID-19 cases popped  the diagnostics market," Dr.  official data.              be equally perilous, leading
            antibody  tests  went  dan-  up  across  the  globe,  low-  John Nkengasong, director  High  levels  of  poverty  and  people  to  incorrectly  be-
            gerously off course.         and  middle-income  na-      of the Africa CDC, wrote in  people  who  depend  on  lieve they are immune.q
            Unlike  almost  every  other  tions found themselves in a  Nature magazine in April as
            nation, Peru is relying heav-  dilemma.                   the hunt was underway.
            ily on rapid antibody blood  The  World  Health  Organi-  Nations  that  got  an  early
            tests  to  diagnose  active  zation  was  calling  on  au-  jump  start  in  preparing
            cases – a purpose for which  thorities to ramp up testing  or  had  a  relatively  robust
            they are not designed. The  to  prevent  the  virus  from  health  care  system  al-
            tests  cannot  detect  early  spreading  out  of  control.  ready  in  place  fared  best.
            COVID-19  infections,  mak-  One  particular  test  –  a  Two weeks after Colombia
            ing it hard to quickly iden-  polymerase  chain  reac-    identified  its  first  case,  the
            tify and isolate the sick. Epi-  tion  exam  –  was  deemed  country had 22 private and
            demiologists   interviewed  the  best  option.  Using  a  public  laboratories  signed
            by The Associated Press say  specimen  collected  from  up to do PCR testing. Peru,
            their misuse is producing a  deep in the nose, the test is  by  contrast,  relied  on  just
            sizable number of false pos-  developed  on  specialized  one laboratory capable of
            itives  and  negatives,  help-  machines  that  can  detect  200 tests a day.
            ing  fuel  one  of  the  world's  the genetic material of the  For years, Peru has invested
            worst COVID-19 outbreaks.    virus  within  days  of  infec-  a smaller part of its GDP on
            What's  more,  a  number  tion.                           public  health  than  others
            of  the  antibody  tests  pur-  If  COVID-19  cases  are  in the region. As COVID-19
            chased for use in Peru have  caught  early,  the  sick  can  approached,  glaring  de-
            since  been  rejected  by  be  isolated,  their  contacts  ficiencies  in  Peru  became
            the  United  States  after  in-  traced,  and  the  chain  of  evident.  There  were  just
            dependent  analysis  found  contagion severed.            100 ICU beds available for
            they  did  not  meet  stan-  Within  weeks  of  the  initial  COVID-19 patients, said Dr.
            dards  for  accurately  de-  outbreak in China, genome  Víctor  Zamora,  who  was
            tecting COVID-19.            sequences  for  the  virus  appointed  to  lead  Peru's
            Today the South American  were  made  available  and  Ministry of Health in March.
            nation  has  the  highest  per  specialists  in  Asia  and  Eu-  Corruption  scandals  had
            capita  COVID-19  mortality  rope  got  to  work  creating  left numerous hospital con-
            rate of any country across  their own tests. But in parts  struction projects on pause.
            the  globe,  according  to  of the world like Africa and  Peru  also  faced  a  signifi-
            John  Hopkins  University  –  Latin  America,  there  was  cant  shortage  of  doctors,
            and  physicians  there  be-  no such option. They would  forcing the state to embark
            lieve  the  country's  faulty  have to wait for the tests to  on  a  massive  hiring  cam-
            testing  approach  is  one  become  available  –  and  paign.
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