Saturday, April 18, 2020

Testing

The NY Times reports on what testing should be.We indicated such an algorithm a while back. Namely randomly test 500-1000 people per week per county. There are 3000 counties and that would add up to 1.5 million to 3 million per week.



The Times states:

To reopen the United States by mid-May, the number of daily tests performed between now and then should be 500,000 to 700,000, according to the Harvard estimates. That level of testing is necessary to identify the majority of people who are infected and isolate them from people who are healthy, according to the researchers. About 20 percent of those tested so far were positive for the virus, a rate that the researchers say is too high. 

The Times seems to mix up per day and per week.  They also seem to miss random vs those showing signs. The random tests will be a privacy issue. How many people will agree to be randomly tested, 

The next problem is what result are we looking at. I chose prevalence, namely those showing active viral loads, not Abs. Active viral load greater than say 0.5% may be a reasonable cutoff. Frankly it is a guess and forget the stupid models.

The problem is the logistics of testing. We seem to have left it in the hands of the Government, Feds and State, both grossly incompetent to do this. Thus one wonders why we just cannot allow people to pick up a test vial, log on to the system, deposit the specimen, return the vial, and await their result. There are CVS, Walgreens etc all over, so why not?