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CDC changes its coronavirus testing advice AGAIN: Agency drops controversial guidance that said people exposed to COVID-19 may not need to get tested if they don't feel ill

 U.S. health officials on Friday dropped a controversial piece of coronavirus guidance and said anyone who has been in close contact with an infected person should get tested.

The Centers for Disease Control and Prevention (CDC) essentially returned to its previous testing guidance, getting rid of language posted last month that said people didn't need to get tested if they didn't feel sick. 

That change had set off a rash of criticism from health experts who couldn't fathom why the nation's top public health agency would say such a thing amid the pandemic.

It was 'not consistent with the basic principles of controlling an epidemic,'said Dr Silvia Chiang, a pediatric infectious diseases expert at Brown University who applauded the change announced Friday.


 

The CDC now says anyone who has been within six feet of an infected person for at least 15 minutes should get a test. In a statement, the agency called the changes a 'clarification' that was needed 'due to the significance of asymptomatic and pre-symptomatic transmission.'

During Wednesday Senate testimony, CDC director Dr Robert Redfield was pressed over the controversial guidance. He defended the advice, but said that it had been 'misinterpreted.' 

Officials from the CDC told the New York Times that the guidance on testing, amended on August 24, had actually been written by officials from the Department of Health and Human Services, over the heads of the CDC staff. 

Trust in the CDC has been eroded in recent weeks. Senator Jeff Merkley, a Democrat from Oregon, implied that Redfield had bowed to  political pressure by suggesting that a coronavirus vaccine could be ready by October. 

And a Pew Research survey found that 78 percent of Americans think that progress toward a vaccine is moving too quickly. Separate polling from the Kaiser Family Foundation found that trust in the CDC has plummeted by 16 percent since April.  

The CDC has dropped controversial guidance suggesting people exposed to COVID-19 but without symptoms may not need to get tested after agency director Dr Robert Redfield claimed the advice was 'misinterpreted' during  Senate testimony  this week

The CDC has dropped controversial guidance suggesting people exposed to COVID-19 but without symptoms may not need to get tested after agency director Dr Robert Redfield claimed the advice was 'misinterpreted' during  Senate testimony  this week 

Agency officials declined additional comment.

Health officials were evasive about why they had made the change in August, and some outside observers speculated it was forced on the CDC by political appointees within the Trump administration.

At the time, administration officials said the language originated at the CDC but the decision came out of meetings of the White House coronavirus task force. 

Dr Brett Giroir, an assistant secretary at HHS and Trump's coronavirus testing said many federal leaders outside the agency were involved in 'lots of editing, lots of input.' 


He said it was difficult to attribute the final language to any one source.

The New York Times, citing internal federal documents and unnamed sources, on Thursday reported that the guidance was placed on the CDC's website over the objections of agency scientists.

Public health experts have noted that testing the contacts of infected people is a core element of efforts to keep outbreaks in check, and that a large percentage of those infected with the coronavirus exhibit no COVID-19 symptoms.

The CDC's chief, Dr Robert Redfield, issued a statement shortly after the controversy erupted that did little to clarify why the change was deemed necessary. 

The main intent seemed to be to assure state health officials that they could continue to recommend that all close contacts be tested if they felt that was wisest, despite the website language that said it was not necessary.


During a U.S. Senate hearing on Wednesday, Redfield continued to defend the language that was dropped Friday. 

He said the August changes had been 'misinterpreted' and were part of an effort to increase engagement by doctors and local health officials in the handling of potential illness clusters.

These clusters are cropping up across the US, particularly at universities. 

Coronavirus cases deaths have fallen from the pandemic's July peak, but have crept back up in recent weeks. 


The US is doing about 800,000 coronavirus tests a day. The positivity rate has hovered around five percent for most of September. 

Neglecting to test asymptomatic people for coronavirus would skew that number downward, but allow the virus to spread undetected. 

President Trump said last week that he believes the US is 'rounding a corner' in the pandemic, a sense of optimism that he extends to the completion of a vaccine to prevent infection. 

But even as he has insisted that a vaccine may well be ready before the November 3 election, health officials - including Dr Redfield - have maintained that that is a possible but unlikely scenario.  

1 comment:

  1. Maybe they want to test everyone to sell more vaccines? Hoax?

    ReplyDelete