Miami Herald

Here’s what Trump and his aides keep getting wrong about coronaviru­s testing

- BY KARIN KLEIN Los Angeles Times Karin Klein is a member of the Los Angeles Times editorial board.

Alpha Centauri is the closest star system to Earth. Even so, the starlight visible from here is more than 4 years old because of the distance it must travel.

So what does that have to do with the president’s coronaviru­s infection?

Coronaviru­s testing has to navigate a similar kind of delay. The tests aren’t that good at detecting whether we are infected if we’re tested within a couple of days of being exposed to the virus. That’s because it often takes more than a day or two for the virus to propagate enough in our bodies to be discovered. The tests are better at determinin­g whether we were infected four or five days earlier — which is why health experts generally advise people to be tested five days after a possible exposure.

This tells us a lot about President Trump and the foolhardy way he has gone about his activities and his messaging on COVID-19. It’s true that the science about COVID-19 can be confusing and changes over time. But understand­ing it and acting accordingl­y are a literal matter of life and death.

So why can’t our leaders get this right?

Trump is tested every day, with a rapid-results test. For each day he was tested, he knew that as of five or maybe seven days before, he hadn’t been infected. It’s a lot more informatio­n than most of us have. It lowers the chances that he has an infection, because at least he didn’t have one several days ago. But it is far from a free pass to attend a rally or social event — or, perhaps, an indoor debate with another elderly man in which there were no masks or plexiglass partitions.

And the negative test results that former Vice President Joe Biden has gotten in recent days don’t mean he’s clear.

The issue isn’t just that Trump is sick; it’s how many people he might have exposed to all the president’s germs. And yet his administra­tion continues to send out misleading and dangerous messages through irresponsi­ble behavior.

White House Chief of Staff Mark Meadows wore no mask to talk to reporters Friday morning, using the pallid excuse that he’d gotten a negative test. A negative, you’d think he’d know by now, doesn’t necessaril­y mean he wasn’t infected. It just means any infection he might be carrying hasn’t gotten bad enough to be detected yet.

Likewise, if Biden was tested Friday, he still doesn’t know if Trump passed along the infection at the debate. That wasn’t long enough ago for a reliable negative result.

So what’s the point of testing? For people who are asymptomat­ic several days after being infected, it can tell them they are infected and must quarantine, though they should have limited their social interactio­n as soon as they knew they were exposed. And if the exposure was several days beforehand, a negative test lets them know they weren’t infected by it.

But if they haven’t been careful since that exposure and party like it’s 2019, they’re endangerin­g themselves and the people around them. For months, Trump has been explicitly and implicitly giving the opposite impression. He has mocked masks and concerns about indoor spread and failed to physically distance himself. Will his latest bad news give him any new respect for science?

Well, there’s this much: The drug he pushed relentless­ly for months, hydroxychl­oroquine, isn’t on his medication list.

(c) 2020 Los Angeles Times

 ?? AP ?? President Donald Trump went to Walter Reed National Military Medical Center on Friday after he was diagnosed with COVID-19. He left the facility on Monday.
AP President Donald Trump went to Walter Reed National Military Medical Center on Friday after he was diagnosed with COVID-19. He left the facility on Monday.
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