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A12   HEALTH
                  Friday 20 November 2020

            FDA allows 1st rapid virus test that gives results at home


            By MATTHEW PERRONE                                                                                                  for  COVID-19.  However,
            AP Health Writer                                                                                                    the FDA outlined a number
            WASHINGTON  (AP)  —  U.S.                                                                                           of  study  requirements  for
            regulators  on  Tuesday  al-                                                                                        manufacturers.
            lowed  emergency  use  of                                                                                           These  hurdles  have  less  to
            the  first  rapid  coronavirus                                                                                      do  with  COVID-19  specifi-
            test that can be performed                                                                                          cally, and more to do with
            entirely at home and deliv-                                                                                         decades-long     concerns
            ers results in 30 minutes.                                                                                          about   whether    people
            The announcement by the                                                                                             without  any  medical  train-
            Food and Drug Administra-                                                                                           ing can accurately screen
            tion  represents  an  impor-                                                                                        themselves  and  interpret
            tant  step  in  U.S.  efforts  to                                                                                   the results.
            expand  testing  options  for                                                                                       The FDA has only ever ap-
            COVID-19  beyond  health                                                                                            proved  one  home  test  for
            care  facilities  and  testing                                                                                      an infectious disease — an
            sites. However, the test will                                                                                       HIV  test.  And  even  com-
            require a prescription, likely                                                                                      monplace  over-the-coun-
            limiting its initial use.                                                                                           ter  tests—  such  as  home
            The  FDA  granted  emer-                                                                                            pregnancy kits — were sub-
            gency authorization to the                                                                                          ject to years of scrutiny be-
            single-use  test  kit  from  Lu-  This image provided by Lucira Health shows the Lucira COVID-19 all-in-one home test kit.   fore FDA allowed their use
            cira  Health,  a  California                                                                       Associated Press   in the 1970s.
            test  developer.  The  com-                                                                                         Experts  say  that  careful
            pany's  test  allows  users  to  virus  to  others,  including  search  the  company  was  FDA  said  in  its  release.  approach  is  warranted  for
            swab themselves to collect  health care workers. Rapid  doing  to  develop  an  at-    Those  who  test  negative  coronavirus.
            a  nasal  sample.  The  sam-  test  results  are  critical  to  home  flu  test,  according  but  still  have  coronavirus  "I  think  increased  testing
            ple is then swirled in a vial  quickly  quarantining  those  to the company's website.  symptoms  should  consult  closer to patients, including
            of  laboratory  solution  that  who are infected and trac-  Founded  in  2013,  Lucira  a doctor; a negative result  in the home, is the way of
            plugs  into  a  portable  de-  ing  their  contacts.  But  for  adapted  its  technology  does not rule out COVID-19  the  future,"  said  Dr.  Robin
            vice.  Results  are  displayed  months,  U.S.  testing  has  to  detect  COVID-19  after  infection. The FDA said Lu-  Patel of the Mayo Clinic, in
            as lights labeled positive or  been  plagued  by  slow  re-  the outbreak. The test uses  cira's  test  was  also  autho-  an interview before the an-
            negative.                    sults due to bottlenecks at  technology  similar  to  ge-  rized for use in doctor's of-  nouncement  was  made.
              To  date,  the  FDA  has  au-  testing  laboratories.  There  netic   laboratory-based  fices and testing sites. Cur-  "But  there  are  consider-
            thorized nearly 300 tests for  are  other  rapid  tests  but  tests that are the standard  rently  all  U.S.  testing  sites  ations that have to be ad-
            coronavirus.  The  vast  ma-  most  require  a  small,  spe-  tool  for  COVID-19  screen-  must  report  results  to  state  dressed  to  make  sure  that
            jority  require  a  nasal  swab  cial machine operated by  ing.  That's  different  than  and federal health authori-  this is done in a safe and ef-
            performed by a health pro-   a health professional to de-  most  rapid  tests  currently  ties tracking the pandemic.  fective way."
            fessional and must be pro-   liver results.               used in the U.S., which look  Doctors will be required to  FDA  regulators  authorized
            cessed  at  laboratories  us-  "Now, more Americans who  for viral proteins called an-  report the home test results.  the  new  test  using  their
            ing  high-tech  equipment.  may have COVID-19 will be  tigens — not the virus itself.  "If the results are not report-  emergency   powers   to
            A  handful  of  tests  allow  able  to  take  immediate  They  typically  have  lower  ed back, it may be difficult  quickly speed the availabil-
            people to collect their own  action,  based  on  their  re-  accuracy for detecting the  to  figure  out  what  is  hap-  ity  of  experimental  prod-
            sample at home — a nasal  sults, to protect themselves  virus than lab-based tests.    pening  in  the  community  ucts  during  public  health
            swab or saliva — that's then  and  those  around  them,"  Lucira  said  its  test  results  at  large,"  said  Dr.  Alberto  crises.  In  normal  times,  the
            shipped  to  a  lab,  which  Dr.  Jeff  Shuren,  director  of  matched  those  of  a  lab-  Gutierrez,  former  head  of  FDA  requires  evidence  of
            usually means waiting days  the  FDA's  devices  center,  oratory-based  test  94%  of  the  FDA's  testing  office,  in  safety  and  effectiveness
            for  results.  Health  experts  said in a statement.      the  time  when  screening  an interview before the an-   before clearing a new test.
            have  called  for  options  to  Lucira  said  it  expects  the  for the virus.         nouncement.                  But  during  public  health
            allow people to test them-   test to cost $50 and to be  Anyone  that  tests  positive  More than two dozen com-    emergencies  the  agency
            selves  at  home,  reducing  available  nationwide  by  using  the  test  should  iso-  panies  have  been  racing  can lower those standards
            turnaround  times  and  the  next spring. The Lucira CO-  late  and  seek  care  from  for  months  to  develop  the  if the test's benefits appear
            potential  spread  of  the  VID-19 test grew out of re-   a  health  professional,  the  first, rapid home-based test  to outweigh its risks.q


              Will social distancing weaken my immune system?


                                                                      In short, no.               "We're constantly exposed  Experts  say  anyone  look-
                                                                      Some worry a lack of con-   to  microbes,"  said  Akiko  ing to boost their immune
                                                                      tact with others will weak-  Iwasaki,  an  immune  sys-  health  during  the  pan-
                                                                      en their immune system by  tem  researcher  at  Yale  demic  should  practice
                                                                      reducing  its  active  con-  University.  "Our  immune  habits such as stress man-
                                                                      tact with germs.            system is always being trig-  agement,  healthy  eating,
                                                                      But even when we're stay-   gered."                     regular  exercise  and  get-
                                                                      ing  6  feet  from  others  or  The  effects  of  childhood  ting enough sleep.
                                                                      spending most of our time  vaccines  and  other  built-  "These  are  the  things  that
                                                                      at  home,  our  bodies  are  up immunity are also long-  actually  affect  the  im-
                                                                      continuously   responding  lasting,  Iwasaki  said,  and  mune   system,"   Iwasaki
                                                                      to plenty of bacteria and  won't disappear overnight  said.
                                Associated Press Illustration/Peter Hamlin
                                                                      other  germs  that  inhabit  because  we're  keeping  A seasonal flu shot will also
              By The Associated Press     weaken  my  immune  sys-    indoor  and  outdoor  envi-  our  distance  from  others  help protect you from one
              Will   social   distancing  tem?                        ronments.                   during the pandemic.        more potential illness. q
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