US has a problem...
Michael Mina @michaelmina_lab
Reminder: As of today (Feb 23), the US remains extremely limited in #COVID19 testing. Only 3 of ~100 public health labs have @CDC test kits working and CDC is not sharing what went wrong with the kits. How to know if COVID19 is spreading here if we are not looking for it. 1/7
Now >10 days since CDC recalled kits w still no explanation for failure. Failure to share what went wrong hinders progress by all labs nationwide. Expeditious sharing of information is a must during epidemics. We say this to China and CDC should practice as well. 2/7 ...
Without more information, public health labs & well resourced hospital labs setting up CDC published assay in-house are held at complete standstill, unable to prepare for what will inevitably be concern for local transmission. 3/7 ....
Without rapid diagnostics ready to go, healthcare infrastructure may become rapidly inundated, even if cases turn out all negative - an abundance of caution will require quarantines until test rules out a case. Any backlog can quickly hamper hospitals. 4/7...
Additionally, recommendations for testing continue to tie in to recent travel to China or some contact. With cases in at least 28 countries, and local transmission increasing, testing and surveillance nationally must move forward. 5/7 ...
We cannot know if there is coronavirus here in US if we are not testing. We must get the US up to speed for diagnostics and we need expeditious information sharing from @CDC to the lab testing community here and abroad. 6/7 ...
For a country with arguably the greatest resources - we are far behind in our surveillance efforts. Now that China has bought us some time w stringent quarantines, we should be using it wisely - beginning with an ability to properly diagnose cases if and when they come in. 7/7
As someone responsible for overseeing virology diagnostics at our hospital @harvardmed @BrighamWomens - the need for clarity and quick turnaround is paramount to keep the hospital running smoothly in event of local transmission. So far, process from CDC leaves much to be desired
At least this report is encouraging...
www.politico.com/amp/news/2020/02/22/emergency-coronavirus-funding-116761?__twitter_impression=true
White House to ask Congress for emergency coronavirus funding
However, the amount could be significantly lower than some public health officials have argued is necessary.
Number is up to four public health labs. Here is some good coverage of this issue from @politico @davidalim.
Problems with CDC coronavirus test delay expanded U.S. screening
www.politico.com/amp/news/2020/02/20/cdc-coronavirus-116529?__twitter_impression=true
Problems with CDC coronavirus test delay expanded U.S. screening
The delay could impede the U.S. government’s ability to detect scattered cases before they snowball into larger outbreaks.