COVID-19 testing wasn’t where it needed to be. Then Omicron hit.


The U.S. was already struggling with restricted provides of fast at-home assessments and lengthy turnaround occasions for lab-based assessments in current months, regardless that the variety of COVID-19 infections remained comparatively flat or was solely slowly inching upward.

Now, because the extremely infectious Omicron variant spreads quickly, winter climate strikes and households put together to collect for the vacation season, producers of over-the-counter check kits and labs that course of extra delicate polymerase chain response, or PCR assessments, can’t hold tempo with demand. These days, the sight of lengthy traces of pedestrians queued up alongside sidewalks or motorists sitting bumper to bumper in parking heaps for hours means one factor: People are ready for COVID-19 assessments.

The Biden Administration acknowledged earlier this year that it needed to ramp up the nation’s testing efforts, and pledged to make assessments cheaper and extra extensively accessible by investing $1 billion to develop the provision of at-home COVID-19 assessments. But there are nonetheless not sufficient assessments to go round as of mid-December. Just ask anybody who has tried to get their palms on an Abbot Labs or Quidel check package — two fashionable varieties — in current days and has struck out at a number of main pharmacies throughout New York City’s 5 boroughs and past. 

“The Biden administration has done a lot to make testing more visible, stronger and more available; they shored up the supply chain and put in a lot of money to buy new tests. However, with Omicron it does not seem to be enough,” mentioned Mara Aspinall, a testing skilled and professor of biomedical diagnostics at Arizona State University. “The perfect storm is the Omicron variant, the holidays and the winter season with the flu coming as well.”

The surge in demand for almost each number of COVID-19 check, together with lab-based assessments, fast antigen assessments administered on the level of care, and at-home testing kits, comes because the Omicron variant once more upends how we work together as a society. It has, in current weeks, despatched college students and school house early from schools and universities, pressured the closure of dozens of eating places in New York City and elsewhere, and has delayed main employers’ return to office dates — once more. 

“Sadly we have not mastered it”

The swelling variety of constructive assessments in densely populated areas makes publicity to the virus possible, main extra people to search assessments as a precautionary measure to guarantee they’re wholesome or, if they’re infectious, not to expose others.

“We are definitely lagging in our capacity,” mentioned Keri Althoff, a professor of epidemiology at Johns Hopkins Bloomberg School of Public Health. “Testing has been such a huge challenge since the very beginning of this epidemic and there have been times where it’s gotten better. Sadly we have not mastered it and Omicron is a formidable challenger to our testing system and it’s clear we are not keeping up.”

New Yorkers wait to get COVID-19 assessments at a Northwell Health Covid-19 testing website in New York’s Chelsea neighborhood on Monday, Dec. 20, 2021.

Angus Mordant/Bloomberg by way of Getty Images

In New York City, for instance, the proportion of people that examined constructive reached almost 8% for the week ending December 17— greater than double the seven-day common from per week earlier in accordance to city data. The metropolis calculates the constructive check rate based mostly on molecular check outcomes, together with PCR assessments, and diagnostic assessments, together with antigen assessments. Individuals who use at-home fast assessments don’t at all times report outcomes, indicating that the positivity rate may in reality be even increased.

On the one hand, the rapidity with which the Omicron variant has unfold has caught amenities off guard. In addition, lab technicians who course of check outcomes are usually not immune to the virus both, main to staffing shortages and delays in test-processing occasions. 

“People working in these environments are testing positive for Omicron and that takes them out of those workplaces,” Althoff, added. “The spread happening in the community also impacts health care workers, and lab technicians work in communities. They are not somehow magically not susceptible to that community spread.” 

Free check distribution and different brilliant spots 

Of course some progress has been made since October, when President Biden introduced his administration would ramp up testing efforts, which nonetheless lag in contrast to different different nations, just like the U.Okay., where at-home testing kits are free and extensively accessible.

Baltimore, Maryland-based Althoff mentioned she was just lately contacted by her metropolis’s division of well being, which mentioned it is now distributing free, at-home antigen assessments out of the native public library. 

“Of course that is a really critical piece of the testing puzzle because people can run that out of their homes without delay and make a decision to attend a holiday event based on those results,” she mentioned. 

The Centers for Disease Control and Prevention final week began distributing free at-home check kits at choose airports throughout the nation. They embody  Chicago O’Hare International Airport, Dallas/Fort Worth International Airport, Miami International Airport and Minneapolis- Saint Paul International Airport, in accordance to a CDC spokesperson. They will quickly be accessible at airports in Detroit, Honolulu, Philadelphia and San Juan, Puerto Rico.

The pandemic has additionally spawned a veritable cottage business in lab-based testing for COVID-19, with new labs and clinics seemingly popping up in a single day to deal with new demand. 

Dr. Agus on Omicron unfold, COVID testing


Clear19 Rapid Testing, based in March 2020 earlier than vaccines turned accessible, makes use of a robotic lab for molecular-based testing that may course of 90,000 specimens in a single day, delivering check outcomes to sufferers inside 24 hours. 

“We are continually expanding capacity, and anytime there is a surge the lab can absorb the impact. That’s why we can guarantee overnight results,” mentioned Sandy Walia, founder and director of Clear19.

Peter Foley, founder and CEO of Let’s Get Checked, a house well being testing company that makes lab-based COVID-19 assessments, acknowledged that “with Omicron we’ve found ourselves in a similar situation as to where we were last year.” 

But Foley anticipated the Omicron-driven surge in demand, given the seasonality of the virus. “What’s important is that we are getting pattern recognition for when the peaks may occur, with almost two years of data under the belt,” he added. 

And Steven Crossley, head of operations and technique at testing outfit Genetworx, which has administered 9 million COVID-19 assessments nationwide, mentioned the company staffed up in anticipation of a winter surge, and remains to be ready to ship PCR check outcomes in a single day.  

“We invested heavily in infrastructure and people and processes early on in the pandemic to make sure testing times for patients never fell behind. Today we are still delivering results in less than 24 hours,” he mentioned. 

Genetworx can also be at present hiring, holding a digital hiring occasion for medical technicians and specimen processors in its Woodbridge, New Jersey laboratory. 

“We’re going to continue to do what we ned to do to make sure we stay within those turnaround times,” he added.  

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