Houston Chronicle

As COVID-19 testing soars, Americans wait longer for results

- By Phil Galewitz Kaiser Health News is a national health policy news service. It is an editoriall­y independen­t program of the Henry J. Kaiser Family Foundation.

Elliot Truslow went to a CVS drugstore on June 15 in Tucson, Ariz., to get tested for the coronaviru­s. The drive-thru nasal swab test took less than 15 minutes.

More than 22 days later, the University of Arizona graduate student was still waiting for results.

Truslow was initially told it would take two to four days. Then CVS said five or six days. On the sixth day, the pharmacy estimated it would take 10 days.

“This is outrageous,” said Truslow, 30, who has been quarantini­ng at home since attending a large rally at the school to demonstrat­e support of Black Lives Matter. Truslow has never had any symptoms. At this point, the test findings hardly matter anymore. Truslow’s experience is an extreme example of the growing and often excruciati­ng waits for COVID-19 test results in the United States.

While hospital patients can get the findings back within a day, people getting tested at urgent care centers, community health centers, pharmacies and government-run drivethru or walk-up sites are often waiting a week or more. In the spring, it was generally three or four days.

The problems mean patients and their physicians don’t have informatio­n necessary to know whether to change their behavior. Health experts advise people to act as if they have COVID-19 while waiting meaning to self-quarantine and limit exposure to others. But they acknowledg­e that’s not realistic if people have to wait a week or more.

Atlanta Mayor Keisha Lance Bottoms, who announced Monday that she had tested positive for the virus, complained she waited eight days for her results in an interview on MSNBC Wednesday. During that time, she held a number of meetings with city officials and constituen­ts — “things that I personally would have done differentl­y had I known there was a positive test result in my house,” she said on “Morning Joe.”

“We’ve been testing for months now in America,” she added. “The fact that we can’t quickly get results back so that other people are not unintentio­nally exposed is the reason we are continuing in this spiral with COVID-19.”

The slow turnaround for results could also delay students’ return to school campuses this fall. It’s already keeping some profession­al baseball teams from training for a late July start of the season. The lag times could even foil Hawaii’s plan to welcome more tourists. The state had been requiring visitors to quarantine for 14 days, but it announced last month that starting Aug. 1 that mandate would be lifted for people who could show they tested negative within three days before arriving in the islands.

Dr. Amesh Adalja, an infectious disease expert at the Johns Hopkins Center for Health Security in Baltimore, said the long waits spell trouble for individual­s and complicate the national response to the pandemic.

“It defeats the usefulness of the test,” he said. “We need to find a way to make testing more robust so people can function and know if they can resume normal activities or go back to work.”

The problem is that labs running the tests are overwhelme­d as demand has soared in the past month.

“We recognize that these test results contain actionable informatio­n necessary to guide treatment and inform public health efforts,” said Julie Khani, president of the American Clinical Laboratory Associatio­n, a trade group. “As laboratori­es respond to unpreceden­ted spikes in demand for testing, we recognize our continued responsibi­lity to deliver accurate and reliable results as quickly as possible.”

Charlie Rice-Minoso, a spokespers­on for CVS Health, said patients are waiting five to seven days on average for test results. “As demand for tests has increased, we’ve seen test result turnaround times vary due to temporary processing capacity limitation­s with our lab partners, which they are working to address,” he said.

Quest Diagnostic­s, one of the largest lab companies in the United States, said average turnaround time has increased from three to five days to four to six days in the past two weeks. The company has performed nearly 7 million COVID tests this year.

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