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CDC quietly underestimates the need for testing in asymptomatic people

 


Dr. Robert Redfield testified to the Director of the Centers for Disease Control and Prevention on June 23, 2020, before the House Energy Commission on the Trump administration’s response to the COVID-19 pandemic in Capitol Hill, Washington, DC.

Kevin Dechu | Pools via Reuters

The Centers for Disease Control and Prevention no longer recommends testing to all people exposed to Covid-19, stating that asymptomatic people “not necessarily need testing”.

Authorities quietly revised it Test guidance For asymptomatic individuals on Monday, we recommend that people who are vulnerable to the virus should be tested if they are within 6 feet of the infected person for at least 15 minutes.

agency Previously recommended Test people with “late known or suspicious exposure” to the virus, even if they have no symptoms. Previous guidance from the CDC cited “subclinical and presymptomatic potential infections” as reasons for “asymptomatic identification and testing” of asymptomatic people exposed to the virus. Numerous studies have shown that the virus can be carried and spread in asymptomatic people, in the pre-symptomatic stage a few days before symptoms appear, and in the absence of symptoms.

“You don’t necessarily need testing unless you are a vulnerable individual or your health care provider, or state or local public health authorities advise you to do this,” the CDC site now says. I will. “A negative test does not mean that the person will not develop an infection from close contact or later.”

Authorities did not immediately respond to requests for comment, but added a new language to call asymptomatic individuals “healthy.” This language is frequently used in social media posts and protests against the use of masks.

“In areas with a limited number of new cases, state or local public health officials may demand to test a small number of asymptomatic “healthy people,” especially from unprotected populations. Read the new guidance.

CDC’s latest guidance acknowledges that people can carry the virus and spread, even if they feel asymptomatic and healthy. CDC Pandemic planning scenarioOfficials say that the “current best estimate” is that up to 50% of the spread of the virus occurs before patients begin to experience symptoms.

Some epidemiologists have criticized the change in guidance because asymptomatic people may be involved in the spread of the virus.

“This makes no sense. Asymptomatic people account for up to 50% of infections,” tweeted Dr. Leana Wen, a public health professor at George Washington University and former Health Commissioner in Baltimore. “We need more tests.

The updated guidance also deleted the line on the importance of inspection and oversight to US national response plans.

Previously read guidance: “The test is SARS-CoV-2 surveillance program in the United StatesIt uses multiple surveillance systems and epidemiological networks to monitor the progress and impact of SARS-CoV-2 spread in the United States. “

Guidance has been updated “to reflect current evidence and best public health practices” and Assistant Secretary of Health Brett Guilloire heading the Trump Administration’s testing efforts

“The latest guidance includes vulnerable individuals with symptomatic illness, severely exposed individuals, resident/staff in nursing homes and long-term care facilities, critical infrastructure workers, healthcare workers, first responders, etc. The emphasis is on testing large populations, when public health authorities (possibly asymptomatic) have prioritized,” he said in a statement.

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