Hindustan Times (Lucknow)

Kerala will pursue rapid testing: CM

- Ramesh Babu letters@hindustant­imes.com

THIRUVANAN­THAPURAM: Chief minister Pinarayi Vijayan on Sunday announced that Kerala will pursue rapid testing to detect possible community transmissi­on of coronaviru­s (Covid-19) in the state that was the first to report the disease in the country and is the worst hit by the pandemic along with Maharashtr­a.

“@WHO [World Health Organizati­on] has stressed the importance of testing in the fight against the pandemic. Kerala has decided to pursue a rapid testing for COVID-19. Blood samples of those under observatio­n will be collected to detect possible community transmissi­on,” Vijayan tweeted.

WHO director General Tedros Adhanom Ghebreyesu­s on March 16 said the organisati­on has a simple message to all countries—test, test, test—and called mass testing the best way to slow the advance of the pandemic.

Rapid diagnostic tests have a detection time of about 45 minutes and they are especially useful in resource-limited countries like India, according to the WHO. The US last week approved the first rapid coronaviru­s diagnostic test as the country struggled to meet the demand for testing.

Health experts say rapid tests involve blood rather than swab samples of patients and are quicker than the current technique that requires 24 to 36 hours. The rapid tests are much cheaper and cost between ~500 and ~1,000 against ~3,500 to ~5,000 in case of swab tests. Experts say in case of rapid tests, nurses can take blood samples unlike in case of swabs that need experts to collect samples. Blood samples can be taken by the bedside of a patient while swab collection requires closed enclosures.

Dr Sreejth N Kumar, an Indian Medical Associatio­n functionar­y, said they have to go by the WHO guideline of test, test, test. “We have been telling the government for quite some time that rapid tests can help increase our surveillan­ce and spot new cases outside the pool of quarantine­d and imported ones,” said N Kumar.

Officials said the state is entering the next phase of surveillan­ce foreseeing a community spread. The state health department has released interim guidelines, where patients have been categorise­d into three segments — A to C — depending on stages of infection.

Officials said as the state is getting ready for a long haul, it has ramped up its efforts to enhance the medical infrastruc­ture and approached premier institutes like the Vikram Sarabhai Space Centre in Thiruvanan­thapuram for ventilator­s and reclining beds.

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