are developing antigen tests. Why, then, have these cheap and rapid tests not become the foundation of our national testing strategy? The answer lies with test sensitivity.
Antigen tests require higher levels of virus than qPCR to return a positive result. There has been a significant pushback from those who believe it would be irresponsible to widely use a test that might miss many positive cases. But the frequency of testing and the speed of results counters that concern. The qPCR tests are currently slowing laboratories to a crawl.
The evidence makes clear it is time for a paradigm shift on testing. Our goal should be to identify and prevent every cluster and every outbreak of COVID-19. Cheap and rapid antigen testing can achieve that goal, even if the test sensitivity never matches that of qPCR. It is time for the federal government to take strong leadership on directing our resources toward this new strategy. The U.S.
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