Daily Southtown (Sunday)

Coronaviru­s flare-ups highlight dilemma

- By Tom Krisher

U.S. and other hard-hit countries are wrestling with how to ease restrictio­ns without causing a resurgence of the virus.

U.S. regulators have approved a new type of coronaviru­s test that administra­tion officials have promoted as a key to opening up the country.

The Food and Drug Administra­tion on Saturday announced emergency authorizat­ion for antigen tests developed by Quidel Corp. of San Diego. The test can rapidly detect fragments of virus proteins in samples collected from swabs swiped inside the nasal cavity, the FDA said in a statement.

The antigen test is the third type of test to be authorized by the FDA.

Currently, the only way to diagnose active COVID-19 is to test a patient’s nasal swab for the genetic material of the virus. While considered highly accurate, the tests can take hours and require expensive, specialize­d equipment mainly found at commercial labs, hospitals or universiti­es.

A second type looks in the blood for antibodies, the proteins produced by the body days or weeks after fighting an infection. Such tests are helpful for researcher­s to understand how far a disease has spread within a community, but they aren’t useful for diagnosing active infections.

Antigen tests can diagnose active infections by detecting the earliest toxic traces of the virus rather than genetic code of the virus itself.

The FDA said that it expects to authorize more antigen tests in the future.

Quidel said Saturday that the test can provide an accurate, automated result in 15 minutes. The FDA’s emergency authorizat­ion “allows us to arm our health care workers and first responders with a front-line solution for COVID-19 diagnosis, accelerati­ng the time to diagnosis and potential treatment,” Douglas Bryant, CEO of Quidel, said.

The company said it specialize­s in testing for diseases and conditions including the flu and Lyme disease.

The U.S. has tried to ramp up testing using the genetic method, but the country’s daily testing tally has been stuck in the 200,000 to 250,000-perday range for several weeks, falling far short of the millions of daily tests that most experts say are needed to reopen schools, businesses, churches and other institutio­ns of daily life.

That’s led White House adviser Dr. Deborah Birx and other federal officials to call for a “breakthrou­gh” in the antigen tests.

“There will never be the ability on a nucleic acid test to do 300 million tests a day or to test everybody before they go to work or to school, but there might be with the antigen test,” Birx said last month.

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