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FDA just cleared a $20 Covid-19 antibody test

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Re: FDA just cleared a $20 Covid-19 antibody test

#141
post #24

> The sensitivity is 97.90 %, the specificity is 91.77%. This seems like it could provide a false sense of security to many if used widely by the general population.

RT-PCR tests can be way worse than this.

https://i1.wp.com/emcrit.org/wp-content/uploads/2020/03/perf...

https://emcrit.org/ibcc/COVID19/

Re: FDA just cleared a $20 Covid-19 antibody test

#142
post #57

Earlier quoted context omitted.

There is evidence that people can become re-infected, so antibodies aren't enough.

There’s not good evidence of that. There have been cases of people testing negative then positive again but that doesn’t mean they had cleared the virus and got reinfected. It more likely means they had a false negative. (E.g. I have a friend in hospital right now with COVID-19 that has had four tests, one positive, two negative, then one positive again, all tests within the space of four days.) It also can be the ca…

> It also can be the case if you are immune compromised that you may clear the virus through good luck, drugs, and your innate immune response.

uh, how? Perhaps this is tangential, but it's important that anyone who is immunocompromised takes this seriously. Don't just think you'll be ok with a bit of luck. If you are immunocompromised your immune response is by definition weak and we have no working therapeutics.

Yeah, yeah, I know there are 2 promising ones but its not really clear. The Gilead one is fairly legit, but the protocol used to compare Chloroquine for covid is fucking bullshit. They compared people across hospitals, way too many things different, you can't actually draw any valid scientific conclusion - it's purely anecdotal (as thankfully Fauci made more clear to the public today).

Re: FDA just cleared a $20 Covid-19 antibody test

#143
post #99

Is this a serum or antibody test? If so, this is very good news. If mass testing occurs we will know very soon the true nature of the disease. For example, after serum testing for H1N1 we learned -- to our horror -- that 1.4 billion people had it. However, it also meant that H1N1 wasn't as dangerous as we thought it was. I hope this will give the medical community and our governments the clear data we desperately nee…

> after serum testing for H1N1 we learned -- to our horror -- that 1.4 billion people had it. However, it also meant that H1N1 wasn't as dangerous as we thought it was. Citations please?

Which part? I'm happy to oblige for specifics, but it's all available on the Wiki:

https://en.wikipedia.org/wiki/2009_flu_pandemic

Re: FDA just cleared a $20 Covid-19 antibody test

#144
post #138

Earlier quoted context omitted.

This is an antibody test which will only be positive days after the onset of symptoms. This isn't really what your Twitter link says. That links says: "Both IgM & IgG (those are two different kinds of antibodies, with IgA being a third) were low or undetectable at day 0, but increased by day 5 in nearly all patients (N=16)" -- Reports strongly indicate there are many infected people who are asymptomatic after five da…

Does "N=16" mean they've approved this test after such limited testing? I think my high school stats class told me not to trust studies where N < 30.

I would be told off if I coded with magic global variables and is why I find math and bio frustrating. Care to explain the purpose of N?

Re: FDA just cleared a $20 Covid-19 antibody test

#145

Earlier quoted context omitted.

I'm interested in the frontline response here as if you already have immunity that person can serve in "risky" positions like working at airports, etc.

Serious question: can an employer discriminate based on immunity status? My personal opinion is absolutely. But I'm 99% certain a vocal minority will spoil it for us.

I am pretty sure there is a list of things that employers (in the US) can't discriminate on, and immunity to Coronavirus isn't one of them.

I think it will ultimately be in the hands of workers to decide whether or not they want to do the job. Maybe I'm immune to Coronavirus so I should work in a pharmacy... but I get paid 10x as much writing software, so I'm probably going to do that instead.

Re: FDA just cleared a $20 Covid-19 antibody test

#146
post #74

This is an antibody test which will only be positive days after the onset of symptoms. This is principally useful for several purposes: 1. Figuring out who to isolate in hospitals if the RNA test isn't available in sufficient quantity 2. Understanding who has already recovered from COVID-19 and is thus immune with all that implies in terms of inability to spread the disease and reduced need for PPE 3. Enabling us to…

> 2. Understanding who has already recovered from COVID-19 and is thus immune with all that implies in terms of inability to spread the disease and reduced need for PPE I've been looking forward to seeing this kind of test just for this reason so we can whitelist people. But since a large percentage of people don't have symptoms how can you tell if you're still shedding the virus?

I assume if you test positive for the antibody and N days later test negative for the virus, you’d be in the clear to be whitelisted.

Re: FDA just cleared a $20 Covid-19 antibody test

#147
post #138

Earlier quoted context omitted.

This is an antibody test which will only be positive days after the onset of symptoms. This isn't really what your Twitter link says. That links says: "Both IgM & IgG (those are two different kinds of antibodies, with IgA being a third) were low or undetectable at day 0, but increased by day 5 in nearly all patients (N=16)" -- Reports strongly indicate there are many infected people who are asymptomatic after five da…

Does "N=16" mean they've approved this test after such limited testing? I think my high school stats class told me not to trust studies where N < 30.

I think the acceptable value for N depends on the size of the effect being studied.

For example if it’s a massive effect, maybe 10 people is sufficient, but if it’s tiny enough to get swallowed up in statistical noise until you have 1000, then you need N >= 1000

Re: FDA just cleared a $20 Covid-19 antibody test

#148

Earlier quoted context omitted.

My wife is a health care provider in Seattle (meaning that our family has much higher than average exposure risk) and the last few months have been brutal. We've all been sick one way or another since January and have had all the common Covid symptoms. So I wouldn't be the least bit surprised if a test showed I've already had it.

If that's true, it seems to me that it would imply that this whole thing is a mass hysteria, at least as applied to the U.S. population, since Seattle would have looked like Italy a month ago.

There's absolutely no evidence to suggest that happened.

Re: FDA just cleared a $20 Covid-19 antibody test

#149
Very interesting. I am kind of curious as to whether or not I had COVID-19, and would be willing to pay $20 to find out.

(The backstory is... I went to this party in early February. My friends were sick and they said that there was a really strange cold going around their office; everyone was sick, and the symptoms were different from their usual colds. Everyone there travels like crazy. About 3 days later, I got sick, and indeed... it was very unlike my usual colds and very much like the symptoms associated with COVID-19. It didn't raise any alarm to me at the time, but with a month and a half of knowledge later, it sure seems suspicious to me.)

Re: FDA just cleared a $20 Covid-19 antibody test

#150

Earlier quoted context omitted.

If that's true, it seems to me that it would imply that this whole thing is a mass hysteria, at least as applied to the U.S. population, since Seattle would have looked like Italy a month ago.

The total number of confirmed deaths (~250 in the US) is still incredibly low compared to the normal number of deaths attributed to respiratory problems over the same time range. Anecdotally, I keep hearing from other healthcare professionals about the high number of respiratory-related deaths in hospitals lately - most of which never get tested for Covid. I'd really like to know if there has been a bump in respirato…

Same with Germany - they are likely classifying some sars-cov-2 deaths as from another cause. Not trying to suggest any of this is being done as some sort of cover up - given the circumstance it isn't necessarily possible to definitively say cause of death in all situations.
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