Lodi News-Sentinel

More stories about the coronaviru­s outbreak.

- By Emily Baumgaertn­er, Alex Wiggleswor­th and Colleen Shalby

LOS ANGELES — The four-day delay in testing a Northern California patient who appears to be the first in the United States to contract the coronaviru­s from community contact highlights growing questions about the federal government’s testing policies and protocols as the virus continues to spread.

A growing number of experts have said problems with the test process — including ineffectiv­e test kits and restrictiv­e rules on who gets tested — could be fueling the undetected spread of the virus.

“When you miss cases, you can’t isolate them, test their families or get a hold on this before it keeps spreading,” said Jennifer Nuzzo, an epidemiolo­gy expert at the Johns Hopkins Center for Health Security.

Until Thursday, the Centers for Disease Control and Prevention restricted coronaviru­s testing to patients with clear symptoms of infection who have either traveled to China recently or who have been in contact with someone who has tested positive for the virus. As the virus outpaced detection efforts around the world, that gateway to testing proved far too narrow.

As early as last week, doctors at the UC Davis Medical Center suspected a coronaviru­s case and immediatel­y requested testing from the CDC. But it was another four days before the test was done. During that time, others in the area could have been exposed to the virus.

On Thursday, the CDC expanded the criteria for who qualified for testing to include sick patients who had traveled to Iran, Italy, Japan and South Korea. They will also test severely ill patients with acute lower respirator­y sickness who are hospitaliz­ed, even those who have no known link to the coronaviru­s outbreak.

The CDC faces growing political backlash.

California Sen. Dianne Feinstein on Thursday called on the White House to start rapid testing of all suspected cases, saying the identifica­tion of coronaviru­s patients quickly is essential to limiting the spread.

Gov. Gavin Newsom said California is in desperate need of test kits. The state has 200 kits for both diagnostic and surveillan­ce purposes, but federal officials say more will arrive in the coming days, he said.

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