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Why bother with testing someone who is asymptomatic and has no reason to suspect infection? (Original Post) question everything Apr 2020 OP
Say you were infectious for 14 days Midnightwalk Apr 2020 #1
It works when the number of positive tests is way lower. Igel Apr 2020 #5
Interesting view. Thus, we should have tested everyone in the start? question everything Apr 2020 #12
The other reason is to take a random sample of everyone. Girard442 Apr 2020 #2
Thanks. Yes, it can provide a map. But my question, perhaps not well phrased question everything Apr 2020 #9
Also gives better data on the virus itself. MerryBlooms Apr 2020 #3
Because there is lots of evidence Voltaire2 Apr 2020 #4
Exactly. It is unbelievable that would be asked and phrased as such on The DU. nt Blue_true Apr 2020 #6
"How people are spreading Covid-19 without symptoms" Decoy of Fenris Apr 2020 #7
Because knowing is better than not knowing. abqtommy Apr 2020 #8
so we know how rampant the virus is? Skittles Apr 2020 #10
Yes. But how does it help if I am not infected today but will be two days later? question everything Apr 2020 #11
by your reasoning Skittles Apr 2020 #13
If I came in contact with a patient, or if I live in a retirement home with several patients question everything Apr 2020 #15
It's not going to matter much madville Apr 2020 #14

Midnightwalk

(3,131 posts)
1. Say you were infectious for 14 days
Thu Apr 23, 2020, 08:55 PM
Apr 2020

And tested every 7.

In 1 to 7 days you would know you were infected and to quarantine for 2 weeks. With no testing you would he infecting others for 2 weeks rather than a few days.

They could also do contact tracing.

I think it works when the infected rate is lower.

Corrections welcome.

Igel

(35,300 posts)
5. It works when the number of positive tests is way lower.
Thu Apr 23, 2020, 09:13 PM
Apr 2020

Every positive you then backtrack and test everybody they interacted with. And if they interacted too recently, you assume they're infected and keep them from interacting with others.

Yes, you might miss somebody. Which is why you look at cell phone information. Everybody who they came into contact with. Privacy? Que dices? No hablo ingles.

And in some countries they'd publish the name of the infected--"have you had contact with this person?" Privacy? Prosim, nemluvim anglicky! And good luck trying to explain what you mean in ... that language


That handles the asymptomatics. Test not just any person, but those who you suspect.

This has been complicated and has holes in it. Want perfection? First become god, and right after vanquishing COVID make all the mosquitoes into pollinators and make purple martins into seed eaters. And just dispose of fire ants, they're just a plague. In fact, maybe deal with the fire ants first.

Complications? How far back to you trace? A week? Two weeks? Might not show symptoms until more than 14 after infection. And what about one woman who was found dead and whose autopsy showed COVID? She could give no information about where she went.

And then there are people who turn off their phones (or, as mine was Saturday, dead), or have burner phones.

Fortunately most complications resolve themselves. If that dead woman infected 10 people, 7 would have had symptoms and turned up that way--then had contacts traced. The other three might infect people, but they'd be caught and traced back to the asymptomatics. That makes for a lot of sick people and doesn't work if there are too many such cases. (Tracing contacts also has an exponential feature to its progression.)

Another privacy complication, though, are those who don't want to turn themselves in. The program works best if you're immediately sequestered--not with non-infected people, because then you'd do the Chris-Cuomo thing and infect others while quarantining in your basement while riding your bike outside. (It makes sense to somebody; don't ask me.) If you're a mother or the breadwinner in a family you might not want to be sequestered. That means there have to be checks for symptoms in work places--and if you have a symptom, you get reported. Remember--economic hardship pales in comparison to death.

"Snitch culture" is a sine qua non for this to work. Distrust others, distrust local health authorities, and it fails--if somebody takes the position that sheltering an infected person is like sheltering a Jew in Nazi Germany, it doesn't work. Maybe it just fails in small ways--because it would be the same as with the dead woman, just messier. As long as such cases are few in number, it can work--but such cases are costly in terms of both sickness and expense.

question everything

(47,476 posts)
12. Interesting view. Thus, we should have tested everyone in the start?
Thu Apr 23, 2020, 11:54 PM
Apr 2020

And, I thought that with the first patients we did try to find the contacts..

Oh, and not all os us have “smartphones” that can be followed

Girard442

(6,070 posts)
2. The other reason is to take a random sample of everyone.
Thu Apr 23, 2020, 09:01 PM
Apr 2020

Without some kind of picture of what's happening with the overall population, we're flying blind.

question everything

(47,476 posts)
9. Thanks. Yes, it can provide a map. But my question, perhaps not well phrased
Thu Apr 23, 2020, 11:42 PM
Apr 2020

Was more about timing. If I get infected a day or two after found to be negative, how does it help in the wide picture? Or, should all of us or, as many, be repeatedly tested?

MerryBlooms

(11,769 posts)
3. Also gives better data on the virus itself.
Thu Apr 23, 2020, 09:05 PM
Apr 2020

If we're only testing people with severe symptoms, we're leaving out a huge chunk of data.

Voltaire2

(13,027 posts)
4. Because there is lots of evidence
Thu Apr 23, 2020, 09:10 PM
Apr 2020

that infected people can be asymptomatic and can transmit the virus.

But whatever.

 

Decoy of Fenris

(1,954 posts)
7. "How people are spreading Covid-19 without symptoms"
Thu Apr 23, 2020, 09:21 PM
Apr 2020
https://www.vox.com/2020/4/22/21230301/coronavirus-symptom-asymptomatic-carrier-spread

A recent study in one of NYC's homeless shelters indicated something like 80% of the people there were asymptomatic carriers. Remember, around 80% of people infected display anywhere from no-to-minor symptoms. It's only the 20% left that are hospitalized or ventilated.

If you -know- you're infected, you can act to prevent spreading it more diligently. If anything, it's a reason for MAGAT-types to hunker down, because even they know better than to knowingly go out while infected... I hope.

Realistically, given the rate of asymptomatic carriers, this could lurk in the population for a -long- time, years if not decades, before another pandemic similar to or greater than this one hits. Only way to truly stop it would be a true 'quarantine', universal testing and isolation of those infected, but that's a whole bucket of civil rights violations that will never happen.

question everything

(47,476 posts)
15. If I came in contact with a patient, or if I live in a retirement home with several patients
Fri Apr 24, 2020, 12:01 AM
Apr 2020

I wonder whether I should be tested repeatedly, not just once.

madville

(7,410 posts)
14. It's not going to matter much
Thu Apr 23, 2020, 11:57 PM
Apr 2020

All the new data is showing that the majority of those infected are asymptomatic. The lockdowns of course helped slow the spread to vulnerable people and our healthcare system didn't get overwhelmed. Now we know ventilators don't help the survival rate much , only 8% above normal use.

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