Friday, April 24, 2020

Illinois tests more than 10,000 for COVID-19 per day

Excerpt from Governor Pritzker Coronavirus Conference

Friday, Apr 24, 2020

* Gov. Pritzker with some good news for a change…

We had tested 5660 people in the preceding 24 hours on Wednesday. And yesterday, we surpassed 9000 tests. Today, we met our goal of 10,000 daily tests. In fact we surpassed it with 16,124.

* More interesting news…

The overall positive rate for today’s batch of tests is about 17%, which is well below our cumulative average of 21%.

It’s too early to say whether this is a result of expanded testing criteria, versus an indicator of flattening the curve, but it’s a positive sign nonetheless for everyone when more people are getting tested and there is a lower ratio of positives

Please pardon all transcription errors.

* Pritzker continued…

Surpassing 10,000 tests is a very important milestone, not only because it allows us to isolate more of those who are COVID positive so that they don’t spread the infection, but also because it moves us in the direction of expanding our surveillance for outbreaks.

More testing means we can potentially lower the infection rate. So we’re going to continue to push that number up. Our ability to test and get results quickly is key to our ability to map the presence of this virus, and to gradually reduce our mitigation measures and get more people back to work.

* Public testing sites…

We now have 112 public testing sites in every one of IDPH’s 11 regions, including eight sites in the Rockford region, eight sites in the Peoria region, four sites in the Springfield region, four in the Edwardsville region, 31 sites in the Marion region, eight sites in the Champaign region, 22 sites in the city of Chicago, nine sites in the southwest suburbs, three sites in the west suburbs, five sites in the northwest suburbs and 10 sites in the north suburbs.

Remember, those are only the sites that are available to the public and the tests at those locations are entirely free. Beyond those 112 locations, there are healthcare providers that conduct tests for their own existing patients, the full list of public testing sites with hours, testing parameters and contact information is available on our coronavirus website, coronavirus.illinois.gov.

* Antibody tests…

I also want to talk briefly today about antibody tests, which have been in the headlines recently and have created a lot of buzz. I want to make sure that people have the facts about whether and how these tests are useful.

In theory, these tests could be an effective tool. We’re craving answers in an uncertain time and antibody tests offer the potential for more security. But I’m afraid we’ve seen many of these tests promoted in a way that errs on the side of irresponsible.

To be clear, these tests are not quite where we need them to be to offer a true metric of immunity in Illinois. This is not an Illinois specific problem. As of today, there still are no antibody blood tests certifiably proven to accurately and consistently diagnose COVID-19 antibodies. There are several reasons for that.

First, no one yet knows the true sensitivity and specificity of these tests. That is how accurate or inaccurate they are. Obviously you want to test to be accurate and not offer many false positives or false negatives. That kind of accuracy is in part tied to how long it’s been since a person, potentially had the virus, since it takes, each of us time to produce antibodies, and it’s in part tied to the quality of the test.

Second, this is a novel virus, entirely new. So researchers don’t yet know the extent to which having COVID-19 antibodies equals, having immunity. That’s a question whose answers will only be revealed over weeks or months, and maybe even years, for example, is there a certain exposure level at which antibodies don’t protect you. Or, if you can become immune. How long would immunity last?

Third, it’s not yet confirmed that these tests are able to explicitly identify COVID-19 antibodies versus Corona viruses that cause things like the common cold. The test must, must definitively identify antibodies for COVID-19, and nothing else for them to be fully effective. […]

We’re monitoring those studies and we’re planning how we could deploy those tests when they’re ready. As soon as they prove themselves accurate and reliable, I will make it a priority to get them into our communities as widely as we can. What I won’t do is run full speed ahead with these tests before they’re proven. Because, among other things, we will be offering people a false sense of security. I’ve said since the beginning that here in Illinois, we will rely on factual data, and we will lead with the science. That, and the goodwill of the people of Illinois, will be what sees us through this pandemic.

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