I dont think they decided to stop testing so much as the Floridian mind doesn't see it necessary. During the spike everyone was like "oh Sh!@" I need to get tested everyones getting it. Now that the spike has gone down, people feel a false sense of security, similar to what we saw in May.
A whole bunch of posters said:
There's no reason for me to get tested, I don't have symptoms and haven't had an exposure.
The lack of testing isn't an individual deciding to get tested issue, it's a public health system failure in identifying people who should be tested.
As long as the percent positive is around 5% or higher there’s not enough testing being done. The problem is more with contact tracing then with finding people to randomly test. I don’t know what the answer is, but you can’t control community spread without adequate testing and tracing. If the goal is just to keep cases low enough to not overwhelm hospitals than mission accomplished.
This accurately describes the failure. Without the fast testing, that enables tracing, and then fast tracing, leading to testing all the contacts, the spread will never be contained. All the other stuff, from masks to distancing, only slow the spread they do not contain it.
Fewer people seemingly aren't feeling the need to be tested. But if you're making safe decisions, then it's really not false. Otherwise, those safe decisions would be meaningless. If they don't have symptoms or if they haven't been engaging in "risky" behavior or if they haven't been around someone known to be positive...? Why would they voluntarily get tested?
Perhaps we need to test more in order to get a clearer picture on the scope of infection. But in most situations you can't make people get tested. Thankfully people seem to have bought in on safe behaviors. Absent cheap, comfortable, at-home testing that may be the best we're going to get right now.
This highlights the problem. The public health tracing infrastructure isn't performing the way it needs to. The 5% positive means community spread isn't under control. There are to many infections not being found. That leaves to many people out there spreading it to others. We're still left slowing not containing the spread.
This assumes 1) adequate contact tracing is being performed, and 2) those who are traced back to potential exposure are willing to get tested and so forth. I think we've collected enough evidence to be sure that neither of these will happen at a sufficient level in Florida, or most of the country. There's a large portion of the population who don't care to cooperate for whatever reason. It is what it is. It's not a capacity issue; we're just riding it out at this point.
Continuing to play out this way is sad and unfortunate. It's a failure of public health infrastructure, much like other infrastructure and disappointing. We shouldn't just accept it and all the poor outcomes that accompany it.
The results from the test solely will let the person tested know if they are positive or negative at the time the test was administered. In sports and other areas personnel are constantly tested to reassure them that they remain negative. The test itself prevents nothing. Behavioral changes / modifications, mask wearing and all the other things discussed at nauseum help reduce spread. It feels good to be told you are negative, good for stats but it does not help resolve the issue of counteracting the disease. The medical community is still wrestling with that.
It shouldn't be a random test (mostly), and the outcome definitely impacts controlling community spread. If you're positive, you isolate and avoid infecting outhers. There's no wrestling with this question.
Mostly not random, since random surveillance testing of populations where transmission is likely is a valid tool to supplement contact tracing and find cases that slip through. More important when community spread isn't under control.
If you're going to talk about NY...
NY State's positivity got under 2% in June and is now under 1%.
View attachment 496516
My understanding is NY rolled out a robust contact trace and testing program. Data showing large numbers of tests, low percent positive, and significant slowing of new cases would seem to reflect this.
If people want to submit voluntarily to random testing, I have no issue with that. But for me, I think it’s inefficient, silly, and wasteful to go get tested if you’ve no reason to suspect you’re infected. Particularly if you aren’t in an at risk group. I believe even the bumbling CDC doesn’t recommend testing in that circumstance.
It would be silly. This isn't a decision an individual can randomly make like "I wonder, should I get a test?". It's about the public health infrastructure determining someone had an exposure and getting them a test to determine if they're continuing to spread the infection. There's nothing random about it.
Even surveillance testing isn't random, it's about testing areas of likely transmission. There's no sense randomly testing the office worker who's at home now and doesn't see almost anyone. But, the grocery store clerk who works 6 days a week, or the teachers/students in a classroom full of people for extended periods would both be good choices for some random testing.
Good luck with this, NY. With schools reopening, college kids back in town, and now indoor dining, it should be a fun November! Social distancing works in the city, when it’s empty... But in tiny restaurants, all I can do is pray. And the transportation it will take to go to said restaurants — another obstacle.
If they get the community spread under control, they will not need any of the items that are designed to slow the spread. They'll have contained it. Now, because they cannot close their borders, they'll have issues of people from less contained areas coming in and breaking their containment. There's no way around that until it's contained at the country level.
False negatives are a much bigger problem with the current test than false positives.
False negatives tend to occur when viral load is to small. Enough testing over multiple days can account for this. Just one test, a negative isn't helpful. But, several in a row over a week, and the early ones are not likely false. The last one still could be, if you're early in the infection occurring in the middle of the testing.