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A2   UP FRONT
                 Thursday 20 January 2022
            Continued from Front         that address. As those com-  signed  to  jump-start  home  Dr.  David  Michaels,  a  for-  science  officer  for  home
            The  government  website's  plaints  surfaced  on  social  test production.            mer  member  of  President  testing  service  eMed,  who
            limit  of  four  tests  may  not  media, people began shar-  Countries  like  Britain  and  Joe Biden's COVID-19 advi-  once called for using billions
            go very far in some house-   ing advice on how to enter  Germany  purchased  and  sory board, said the admin-       of tests per month to crush
            holds.                       apartment or unit numbers  distributed  billions  of  the  istration will probably need  the pandemic. "We should
            Kristen  Keymont,  30,  is  a  in  a  way  that  the  website  tests  soon  after  they  be-  to  request  more  federal  now be thinking about how
            voice  and  piano  teacher  would accept them.            came available last year.    money  to  fund  testing  for  to use these tests in a strate-
            who  teaches  online  and  The  U.S.  bungled  its  initial  "If  you  leave  the  manu-  years to come.            gic way. We don't want to
            shares  a  house  in  Ipswich,  rollout   of   government-  facturers  to  their  own  de-  "Congress  was  willing  to  just  dilute  them  out  across
            Massachusetts,  with  her  made  COVID-19  tests  in  vices,  they're  just  going  to  put  trillions  of  dollars  into  the  population."  Mina  was
            partner  and  two  other  the  early  days  of  the  out-  respond to what's happen-   infrastructure  primarily  to  until recently a professor at
            people.  When  one  of  her  break  and  has  never  re-  ing right now," said Dr. Amy  improve    transportation.  Harvard and has informally
            housemates tested positive  ally  gotten  back  on  track.  Karger,  a  testing  special-  This  is  infrastructure,"  said  advised federal officials on
            just  before  Christmas,  she  While  private  companies  ist  at  the  University  of  Min-  Michaels,  a  public  health  testing.
            and her partner spent $275  are  now  producing  more  nesota  Medical  School.  professor at George Wash-          Mina  and  others  acknowl-
            buying more than a dozen  than  250  million  at-home  "And then there's not a lot  ington University. "We need  edge  widespread  use  of
            tests.                       tests  per  month,  that  is  still  of  bandwidth  if  something  billions  more  in  testing  to  rapid  tests  is  not  without
            "One  test  each  is  nice,  I  not  enough  to  allow  most  surprising happens, as it did  save lives and maintain the  its  downsides.  Results  from
            guess,"  she  said.  "I'm  glad  Americans  to  frequently  with  omicron."  Even  with  economy."                  at-home  tests  are  seldom
            we  have  them,  but  we're  test themselves.             government  intervention,  For now, testing will proba-   reported to health authori-
            still  going  to  need  to  buy  The  Biden  administration  the  U.S.  faces  a  massive  bly continue to be strained.  ties,  giving  an  imperfect
            more  if  one  of  us  gets  ex-  focused  most  of  its  early  testing load because of its  And  even  the  most  bull-  picture  of  the  spread  and
            posed."                      COVID-19  efforts  on  rolling  population,  which  is  five  ish proponents say the U.S.  size of the pandemic.
            It would be better, she said,  out vaccines. As infections  times larger than Britain's.  will have to carefully weigh  More than 2 million test re-
            if  requests  were  linked  to  fell last spring, demand for  The  U.S.  would  need  2.3  where  home  tests  can  sults a day are being report-
            each  person  rather  than  testing  plummeted  and  billion  tests  per  month  for  have  the  greatest  benefit  ed  to  U.S.  health  officials,
            each residential address.    many  manufacturers  be-     all  teens  and  adults  to  — for instance, by dispens-  but nearly all of them come
            Also, some people who live  gan  shutting  down  plants.  test  themselves  twice  per  ing them to those most vul-  from  laboratory-processed
            in  buildings  with  multiple  Only in September — after  week.  That's  more  than  nerable to the virus.          tests. Some researchers es-
            units  had  their  requests  the  delta  surge  was  in  full  double  the  number  of  at-  "The  fact  is  we  just  don't  timate  the  real  number  of
            for  tests  rejected,  with  the  swing — did the Biden ad-  home  tests  the  administra-  have that kind of mass test-  daily  tests  is  roughly  5  mil-
            website  saying  tests  had  ministration  announce  its  tion plans to distribute over  ing  capacity  in  the  U.S."  lion,  when  accounting  for
            already  been  ordered  for  first  federal  contracts  de-  several months.           said Dr. Michael Mina, chief  at-home ones.q

              Prior infection, vaccines provide best protection from COVID



              By  MIKE  STOBBE    Associ-  people  who  had  no  past  unknowns to rely only on a  the  coronavirus  is  likely  to  also  looked  at  COVID-19
              ated Press                  infection.                  past infection, especially a  become  less  and  less  ef-  hospitalizations  in  Califor-
              NEW  YORK  (AP)  —  A  new  The  Centers  for  Disease  long-ago  one,  added  im-   fective against newer, mu-  nia.
              study  in  two  states  that  Control  and  Prevention,  munologist  Ali  Ellebedy  at  tated versions.          Overall,  about  70%  of  the
              compares       coronavirus  which  released  the  study  Washington University in St.  However,  she  and  other  adults  in  each  state  were
              protection from prior infec-  Wednesday,  noted  sever-  Louis.  "There  are  so  many  experts  said,  there  are  a  vaccinated;  another  5%
              tion and vaccination con-   al caveats to the research.  variables you cannot con-   number  of  possible  other  were vaccinated and had
              cludes getting the shots is  And some outside experts  trol  that  you  just  cannot  factors  at  play,  including  a previous infection. A little
              still  the  safest  way  to  pre-  were cautious of the find-  use it as a way to say, 'Oh,  whether  the  vaccine's  ef-  under  20%  weren't  vac-
              vent COVID-19.              ings and wary of how they  I'm infected then I am pro-   fectiveness  simply  faded  cinated;  and  roughly  5%
              The study examined infec-   might be interpreted.       tected,'" Ellebedy said.     over time in many people  were  unvaccinated  but
              tions in New York and Cali-  "The bottom line message  The  research  does  fall  in  and  to  what  extent  mask  had a past infection.
              fornia last summer and fall  is  that  from  symptomatic  line with a small cluster of  wearing and other behav-  The researchers looked at
              and  found  people  who  COVID  infection  you  do  studies  that  found  unvac-     iors played a part in what  COVID-19  cases  from  the
              were  both  vaccinated  generate some immunity,"  cinated  people  people  happened.                             end of last May until mid-
              and  had  survived  a  prior  said  immunologist  E.  John  with  a  previous  infection  CDC  officials  noted  the  November,  and  calculat-
              bout of COVID-19 had the  Wherry of the University of  had  lower  risks  of  COVID  study was done before the  ed  how  often  new  infec-
              most protection.            Pennsylvania.  "But  it's  still  diagnosis  or  illness  than  omicron variant took over  tions  happened  in  each
              But  unvaccinated  peo-     much safer to get your im-  vaccinated  people  who  and  before  many  Ameri-       group.
              ple  with  a  prior  infection  munity  from  vaccination  were  never  before  infect-  cans   received   booster  Compared  with  unvacci-
              were  a  close  second.  By  than from infection."      ed.                          doses, and so it's not clear  nated people who hadn't
              fall,  when  the  more  con-  Vaccination   has   long  The  findings  do  seem  what       impact    boosters  been diagnosed with CO-
              tagious  delta  variant  had  been  urged  even  after  a  plausible,  said  Christine  might  have.  The  analy-  VID-19, case rates were:
              taken  over  but  boosters  prior  case  of  COVID-19  Petersen,  a  University  of  sis  also  did  not  address  — 6-fold lower in California
              weren't  yet  widespread,  because both kinds of pro-   Iowa  epidemiologist.  She  the  risk  of  severe  illness  or  and 4.5-fold lower in New
              those people had lower di-  tection  eventually  wane  said a vaccine developed  death from COVID-19.            York  in  those  who  were
              agnoses  than  vaccinated  — and there are too many  against  an  earlier  form  of  The study authors conclud-  vaccinated but not previ-
                                                                                                   ed  vaccination  "remains  ously infected.
                                                    LIKE US ON                                     the safest strategy" to pre-  — 29-fold lower in Califor-
                                                                                                   vent  infections  and  "all  nia  and  15-fold  lower  in
                                                                                                   eligible  persons  should  be  New  York  those  who  had
                                                                                                   up to date with COVID-19  been  infected  but  never
                                                                                                   vaccination."               vaccinated.
                                                                                                   The researchers looked at  —  32.5-fold  lower  in  Cali-
                                                                                                   infections in California and  fornia  and  20-fold  lower
                                                                                                   New York, which together  in  New  York  in  those  who
                                       Facebook.com/arubatoday/                                    account for about 18% of  had  been  infected  and
                                                                                                   the  U.S.  population.  They  vaccinated.q
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