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NYC Only Testing for COVID-19 in Patients Needing Hospitalization
NBC New York ^ | March 20, 2020 | Chris Glorioso

Posted on 03/24/2020 11:19:36 PM PDT by FoxInSocks

On Friday, New York City's health department sent out a health alert to thousands of physicians instructing them to only test for COVID-19 in patients that require hospitalization.

The advisory said: "Persons with COVID-like illness not requiring hospitalization should be instructed to stay home. It is safer for the patients and health care workers and testing does not currently change clinical management or recommendations about staying home."

The advisory suggested the only justification for alternate testing venues would be for hospital systems trying to offload testing activities so they do not put too much stress on emergency departments.

Aside from patient and health care worker safety, the city is also discouraging the use of high-volume testing sites because they burn though the chemicals used to extract genetic material from the coronavirus.

<snip>

Drive-Thru Testing 'Irresponsible and Dangerous'

The latest advisory comes as the total number of positive COVID-19 cases in New York Friday accounted for nearly half of all confirmed cases in the country, Gov. Cuomo said -- proof that the state's testing capacity has improved since the start of the novel coronavirus outbreak.

But not all medical professionals think increased testing is good news.

Laboratory Director for the NYC Department of Health Jennifer Rakeman worries the flood of people looking for testing could do more harm than good.

"There was a point where doing more testing was helpful because that might help us, when there’s not a lot of cases, to find where there might be cases to see if there’s something for some sort of containment. But we’re past that now,” Rakeman said in an interview with News 4.

Testing has shot up thanks to the construction of mobile testing sites at hospitals as well as community-based health centers and drive-thru testing facilities, of which there are roughly a dozen scattered across the tri-state (tests are done by appointment only).

"Right now, personal protective equipment required by healthcare workers to take care of sick patients is critically, critically low. We’re going to run out of PPE and every little bit of PPE that’s being used to test a patient who really doesn’t need a test is taking away from PPE that a healthcare worker needs to take care of a seriously ill patient," Rakeman said.

On Thursday, New York City Mayor Bill de Blasio urged the federal government to supply desperately needed medical supplies. According to the mayor, the city is "two weeks or three weeks away from running out of supplies."

In his Thursday evening address, de Blasio said the city needs 3 million masks, 50 million surgical masks, 15,000 ventilators, and 25 million surgical gowns, coveralls, gloves and face masks.

The situation was dire enough in New Jersey that a new drive-thru testing facility that opened in Paramus Friday morning had to close by lunchtime due to hitting its capacity. Gov. Phil Murphy said it will reopen Saturday morning and will go up until 350 tests.

"I don’t see value in those drive-up testing centers. In fact, they are, I feel irresponsible and dangerous at this point – because they are using up things like masks and gloves that are important for healthcare workers and are more important as we see more serious cases throughout the city that need hospital care," Rakeman said.

Rakeman also says people with mild to moderate symptoms should stay home.

“We know that the circulating virus right now that’s causing respiratory like illness or flu-like illnesses is COVID-19. You don’t need a test to tell you that," she said.

"And when patients are going to urgent care centers or their private physician’s office or a drive thru testing center, they’re putting other people at risk because they’re traveling to that site or going to that site and interacting with other people."


TOPICS: Government; News/Current Events; US: New York
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To: Mom MD
"You also see patchy ground glass infiltrates with influenza and rsv"

That is, can they do so without the much discussed test?

41 posted on 03/25/2020 3:17:52 AM PDT by familyop ("Welcome to Costco. I love you." - -Costco greeter in the movie, "Idiocracy")
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To: zeestephen

So the big problem for NYC is that the CV hit at the same time they’re being stretched by flu cases. Had it waited a few months, NYC would’ve been able to deal with it. At least, that’s how I read it.

Another thing I wonder is how many people with a cold or mild flu who normally wouldn’t have sought medical attention are running to clinics and ERs thinking they have CV.


42 posted on 03/25/2020 3:18:27 AM PDT by Ken H (Best SOTU ever!)
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To: Jeff Chandler; familyop
it doesn’t make sense to test the general population

It will make sense in the next phase, when those not infected will go about their lives, and only those infected will be quarantined.

Unfortunately that is not true. The tests will have at least 1% false positives. If the prevalence is, for example 1 in 100,000, then the tests will show 1001 positives but only 1 will be a true positive. We will then have a fake pandemic.

43 posted on 03/25/2020 3:51:59 AM PDT by palmer (Democracy Dies Six Ways to Sunday)
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To: FoxInSocks

The local news media ABC,CBS,NBC have a lock on the hysteria that fuels these people living in a sanctuary city. Not having a leader who is prepared and able to instruct and direct and give much needed good information is another.


44 posted on 03/25/2020 4:16:39 AM PDT by ronnie raygun (nicdip.com)
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To: FoxInSocks

But the pandemic is Trump’s fault because the CDC didn’t have enough tests available?


45 posted on 03/25/2020 4:20:27 AM PDT by dangus
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To: FoxInSocks

....and 25 million surgical gowns, coveralls, gloves and face masks”

Certainly they don’t need THAT many at this point, do they?! What about the other states with high volume of patients and will be running short?


46 posted on 03/25/2020 5:43:38 AM PDT by kelly4c
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