Why the Rise of Rapid Tests Makes COVID-19 Case Counts Hard to Trust

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Why the Rise of Rapid Tests Makes COVID-19 Case Counts Hard to Trust
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Countless cases are being missed

Similarly, only about 5,700 people have reported a positive result through Washington State’s hotline since August 2021, a health department representative told TIME. That, too, represents a tiny fraction of the tests taken during that time frame; during the peak of the Omicron surge, the state was recording thousands of cases every day.It would be technologically easy for the CDC or another U.S. government agency to build a website where users could quickly log their at-home diagnoses.

For more people to opt in to a reporting system, they would need a reason beyond being a “Good Samaritan,” Mina says. His company, eMed, is trying to incentivize self-reporting. After someone uses an eMed-compatible home test, the company generates a lab report that is shared with public-health departments. That also benefits the individual, Mina says, because they can use the report to be cleared for, work, or school if they’re negative.

Another option, Lazer says, would be to conduct repeated, large surveys of American households, asking if anyone in the home recently tested positive for COVID-19 and, if so, on which type of test.To Beth Blauer, executive director of the Centers for Civic Impact at Johns Hopkins University and an expert on government data systems, the data problem in the U.S. involves more than at-home tests.

“If COVID has taught us anything, it’s that we have to be much more agile in the way that we dial up and dial down public-health interventions,” Blauer says. “As we dilute that data, it becomes harder and harder to be agile.”

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