Why False Positives Matter, Too
The ever-increasing availability of digital platforms would possibly make that transition straightforward for some, Dr. Mazer mentioned. However for individuals whose work can solely be completed in particular person, or who lack a monetary buffer, “this may very well be an enormous deal,” he mentioned. “They might lose their paycheck. They might lose their job.”
Caregivers, too, could discover themselves put in a precarious place by false positives, which might drive them to separate from kids, older relations or different susceptible contacts. Ought to one other particular person want to return in and take their place, the dangers of publicity to the virus might enhance for all concerned.
And for services with restricted house, inserting an individual in pointless isolation might shift gear, medical care and even follow-up checks away from somebody who would possibly want these sources extra.
Underneath sure circumstances, a false constructive might seed new coronavirus circumstances. Crowded services, corresponding to nursing properties, prisons or hospitals, would possibly isolate coronavirus-positive individuals collectively.
In a worst-case situation, “if somebody isn’t truly constructive, we may very well be sending them to their loss of life,” mentioned Dr. Valerie Fitzhugh, a pathologist at Rutgers College.
In early October, officers in Nevada ordered the state’s nursing properties to halt the use of two rapid coronavirus tests till additional discover, citing issues about accuracy. (Nearly 40 percent of the nation’s recognized Covid-19 deaths have come from nursing properties, in keeping with an evaluation by The New York Instances.) A rash of false positives had been uncovered, in keeping with the directive, which had risked inserting uninfected residents into items with contaminated individuals, giving the coronavirus extra alternative to unfold. Such a situation “might lead to inflicting hurt to a inhabitants that we’ve got collectively labored so laborious to guard,” officers famous in a follow-up directive. Under pressure from the federal government, Nevada officers revoked the rapid testing prohibition on Oct. 9.
Missed or inappropriate therapy
False positives will also be disastrous from a therapy standpoint, mentioned Linoj Samuel, a medical microbiologist at Henry Ford Well being System in Detroit. Folks with the flu or Covid-19, for instance, usually present related signs, however could solely be examined for one in all them at a time. If a affected person is given an incorrect prognosis of Covid-19, that particular person may very well be disadvantaged of therapy that would alleviate their sickness, or be given a pricey remedy that does little to hurry their restoration.