Hindustan Times (Delhi)

Odisha official dies of Covid-19

- Debabrata Mohanty letters@hindustant­imes.com

nBHUBANESW­AR: An additional district magistrate of Odisha’s Covid hot spot Gajapati district died of Covid on Tuesday.

Karunakar Raika quarantine­d himself after developing Covidlike symptoms six days ago, but his condition turned serious on Monday after which he was given oxygen. The 55-year-old officer was in charge of the Covid hospital and Covid care centres in Gajapati that has recorded 718 cases and five deaths.

An antigen test and a Truenat test of his swab sample were taken on Tuesday morning but came back negative, officials said. An antigen test looks for the presence of a foreign molecule that induces an immune response in the body while a Truenat test is a mobile version of the Reverse transcript­ion polymerase chain reaction test that tests for the presence of the Sars-cov-2 virus.

After both tests results came negative despite Covid-like symptoms, swab for an RT-PCR test was sent to the MKCG Medical College and Hospital in Berhampur town. The RT-PCR test result came on Tuesday evening and confirmed the presence of Sars-cov-2 virus in the body, said Gajapti district collector Anupam Saha.

Epidemiolo­gists said it is quite possible for an antigen test and Truenat test to produce a false negative. “Since in antigen testing the virus or its genetic material is not amplified, the swab sample may have too little antigen to be detected. This could produce a false negative result. Similarly, in Truenat test, the portable chip-based diagnostic machine detects an enzyme called Rdrp that is found in the RNA of the coronaviru­s SARSCOV-2. However, ICMR has cautioned that it’s not always accurate. The RT-PCR is still the gold standard of Covid-19 test,” said Dr Binod Patro, a senior epidemiolo­gist of AIIMS, Bhubaneswa­r.

In May, the ICMR revised its testing guidelines to allow the use of the TRUENAT system for confirmati­on of Covid-19. In Truenat system, a computer chip detects the Sars-cov-2 gene in the swab.

The death of the officer came as the total number of Covid deaths in Odisha climbed past 100.

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