The Centers for Disease Control and Prevention (CDC) states that the novel coronavirus (COVID-19) is “NOT currently spreading in the community in the United States,” but that it is an “emerging, rapidly evolving situation.”
“It is impossible to be sure that the virus is not spreading without more extensive testing,” stated Jane M. Orient, M.D., president of Doctors for Disaster Preparedness. Testing for COVID-19 has been restricted to “persons under suspicion” (PUIs), that is persons with fever, signs of a lower respiratory infection, and a history of travel to China or exposure to a person known to have COVID-19 or travel to China within 14 days of symptom onset.
The CDC has now liberalized the criteria: “For severely ill individuals, testing can be considered when exposure history is equivocal (e.g., uncertain travel or exposure, or no known exposure) and another etiology has not been identified.” The availability of test kits is limited, and “performance issues” were identified in the manufacturing of one of the reagents, so these will need to be replaced.
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