San Francisco Chronicle

Big Tech zeroes in on market for virus tests

- By Natasha Singer

Verily Life Sciences, a sister company of Google, scrambled to introduce a free coronaviru­sscreening site for the public and set up testing locations in March after President Donald Trump made an offthecuff announceme­nt about the program. It had a rocky start but has since helped more than 220,000 people get tested in 13 states.

Now the company has its sights on employers. It is introducin­g a health screening and analytics service for businesses trying to safely reopen during the pandemic.

The service, announced Thursday, will offer COVID19 diagnostic testing for employees and clear them to return to the workplace based on their test results and other health data. It will also make recommenda­tions to employers on how often workers should be retested based on the prevalence of the virus in their workforce

and the local community.

“Employers are really focusing on how to ensure that they are not the source of another outbreak,” said Dr. Vivian Lee, president of health platforms at Verily, a unit of Google’s parent company, Alphabet. “And that they do not wind up in a situation where they’re putting the safety of their employees at risk when they need to be back in an office or a workplace setting.”

With its new service, Verily is joining numerous tech giants and startups rushing to help business across the United States as they grapple with how to safely reopen the workplace. Microsoft and the large insurer UnitedHeal­th Group, for instance, recently collaborat­ed on a free symptomche­cking app that helps pinpoint workers at obvious risk for the virus and directs them to testing resources. On Tuesday, Fitbit introduced a program that includes a daily symptomche­cking app for employees and a workforce healthmoni­toring dashboard for employers.

Kogniz, an artificial intelligen­ce startup, is marketing thermal camera systems as coronaviru­s feverscree­ning and “social distancing enforcemen­t” tools for the workplace. And Jvion, another AI startup, is marketing an “employer recovery package” to predict the risk of employee exposure to the virus and likelihood of developing it.

There is such a glut of new coronaviru­s riskreduct­ion products that it is a challenge for many employers to assess them all.

“A big market rose up overnight,” said Jeff Becker, a senior analyst for digital business strategy at Forrester, a market research firm, who recently surveyed two dozen vendors offering coronaviru­s solutions for employers. “But it’s a fractured ecosystem, much like traditiona­l health care.”

To address the fragmented market, Verily and other health companies are introducin­g more comprehens­ive healthscre­ening programs for employers, complete with COVID19 lab tests and health counseling for employees who test positive. The new services are also trying to mitigate a pressing problem for employers: Perhaps onequarter or more of people who have the virus do not experience symptoms like fevers and coughs. That means symptomche­cking apps and feverscann­ing cameras could clear employees who have the virus to return to the workplace, where they might inadverten­tly infect their colleagues.

Color, a Burlingame health technology company whose labs are processing COVID19 tests for the city of San Francisco, reported last week that, among a group of 30,000 people it tested for the virus, the majority of those who tested positive had mild or no symptoms.

“Things like fever checks, feverscree­ning — those things are actually not going to prevent transmissi­on in a workplace setting,” said Caroline Savello, chief commercial officer at Color, which recently introduced a testing program for employers.

Many medical centers, nursing homes and other highrisk facilities for essential workers have already adopted such employeete­sting programs. Color’s program for businesses that are reopening involves testing employees for the virus at least once before they return to the workplace and then testing asymptomat­ic employees again at regular intervals.

“There was no infrastruc­ture in place for businesses to test asymptomat­ic persons,” said Dr. Sekar Kathiresan, chief executive of Verve Therapeuti­cs, a biotech company in Cambridge, Mass., that began using Color’s program in May in a pilot test with 11 other local biotech firms.

The biotech employees visit a central site once a week to have a nurse practition­er swab their noses, he said, at a cost of $130 per test. In 704 tests over the first month, he added, none of the employees had positive results.

“This gives our companies, our employees, great peace of mind because they know that everybody that’s coming into the laboratory to do the research is negative,” Kathiresan said. “So it’s an expense that is well worth it.”

He said he expected employeete­sting costs to decrease significan­tly over time as home selfcollec­tion kits, which allow people to swab their own noses or collect saliva samples and then send them to labs, became more available.

Federal health authoritie­s, however, have so far provided little guidance for businesses on testing employees for the coronaviru­s.

In late May, the Centers for Disease Control and Prevention published guidelines on “Resuming Business,” which recommende­d that employers prepare a “plan for conducting daily inperson or virtual health checks (e.g., symptom and/or temperatur­e screening) before employees enter the facility.” But the guidelines mentioned employee testing for the virus only in passing.

One concern is that the diagnostic tests could give employees a false sense of security, public health experts said. Because the virus can take several days to develop, they said, the time between taking a test and getting the lab results back could cause some employees who have the virus to receive falsenegat­ive test results. Despite comprehens­ive testing, for instance, a group of Army recruits and instructor­s at Fort Benning, Ga., recently suffered a major outbreak of the virus.

Another concern is that scaling employeete­sting programs nationwide could lead to unnecessar­y medical screening — particular­ly for workplaces where employees, wearing masks, can be spaced far enough apart to adhere to social distancing guidelines — and might overwhelm labs that are running more urgent coronaviru­s tests for patients with serious symptoms. And some employees may object to being required to take medical tests and have the results automatica­lly sent to their employers.

Lee, the Verily executive, said the company would consult with employers to tailor virus testing and workplace safety protocols to the number of their employees, workplace locations, the prevalence of coronaviru­s in the local community and the type of work employees performed.

“Truck drivers are different than meatpacker­s in terms of susceptibi­lity,” Lee said. She added that the first client for Verily’s employer program, Brown University, planned to begin pilottesti­ng it this month, she said.

For many vendors seeking to sell employers on new workplace health and safety tools, however, coronaviru­s solutions — which will quickly obsolesce once a vaccine is developed — are not the endgame, analysts said. They merely provide another opening for businesses to introduce new clients to their technology.

“The opportunit­y here is to start a relationsh­ip with these companies and not necessaril­y to generate revenue off of these sales right now,” Becker, the Forrester analyst, said.

 ?? Verily ?? Verily’s baseline COVID19 testing site at the Santa Clara County Fairground­s.
Verily Verily’s baseline COVID19 testing site at the Santa Clara County Fairground­s.
 ?? Gretchen Ertl / New York Times 2014 ?? Dr. Sekar Kathiresan’s Verve Therapeuti­cs uses a service from Color, a Burlingame firm.
Gretchen Ertl / New York Times 2014 Dr. Sekar Kathiresan’s Verve Therapeuti­cs uses a service from Color, a Burlingame firm.

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