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Medicine

Bill Gates Complains America's Coronavirus Testing Data is 'Bogus' (businessinsider.com) 185

Appearing on CNN Thursday, Bill Gates called America's coronavirus testing data "bogus," in part because "the United States does not make sure you get results in 24 hours." Business Insider reports: Testing in the U.S. remains a long and complicated task, and it can take several days before people are told whether they have tested positive or negative for COVID-19. "If you get your test results within 24 hours so you can act on it, then let's count it," Gates said, adding that people were most infectious within the first three to four days after infection and might continue to interact with others and spread the virus until they have definitive results. "What's the point of the test?" he said. "That's your period of greatest infectiousness."

Gates added that residents of low-income neighborhoods had lesser access to testing facilities and were not prioritized, despite indications that the virus has taken a disproportionate toll on marginalized communities. "Our system fails to have the prioritization that would give us an accurate picture of what's going on," he said.

While America is now testing about 200,000 people a day, the article cites experts from Harvard University who believe 20 million tests a day are what's needed to fully "remobilize the economy."
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Bill Gates Complains America's Coronavirus Testing Data is 'Bogus'

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  • by quonset ( 4839537 ) on Saturday May 02, 2020 @12:43PM (#60014822)

    The governor of Maryland was able, with the help of his wife, to procure 500,000 test kits from South Korea. The entire batch was flown in under cover of darkness to BWI rather than Dulles and taken to an undisclosed location where it is protected by the National Guard and State police [newsweek.com]. Why? Because the governor didn't want the con artist stealing the kits as has already been done [ems1.com] with other equipment [latimes.com] throughout the country [businessinsider.com].

    • The governor of Maryland was able, with the help of his wife, to procure 500,000 test kits from South Korea.

      So, at three tests per person (one to establish that they have it, two to verify that they're over it), he got about 3% of what was needed for Maryland alone...

      Yeah, 500,000 tests sounds like a lot. But it's a drop in the bucket of the 1,000,000,000 or so tests needed for the whole country.

    • All that matters in testing is how many and how fast. I do not care if for some tests people paid through the nose.

      Are these hoarded tests being used?

  • Join the Software Workers Union.

    When we stop working the Internet stops working.

    • My non-union software shop treats me 10x better than my friend's unionized IT job at a University. He gets more fringe benefits, like "free" lousy cafeteria food, but his job is a political nightmare and it's nearly impossible for him to get anything done. The only reason he still works there is to get free university classes, which is actually a nice benefit, but he's out of there the second he gets his degree.

  • Bullshit (Score:2, Troll)

    by sexconker ( 1179573 )

    were most infectious within the first three to four days after infection

    You don't even get symptoms that quickly. This leads to a respiratory disease.
    You are most infectious if you get symptoms and end up coughing all over the place and going to a hospital to seek help.
    You are least infectious if you have no symptoms and just go about your day. Yes, you are still potentially infectious, but that's why we're sOcIaL dIsTaNcInG, right?

    Outside of a few hot spots where governors and mayors encouraged people to gather in crowds in March, the US has done remarkably well with this thi

    • were most infectious within the first three to four days after infection

      You don't even get symptoms that quickly..

      You can be infectious without having symptoms.

      • by dgatwood ( 11270 )

        Correct. By the time symptoms appear, you have been spreading the virus far and wide for days. You are most infectious for the two or three days before symptoms appear and on the first day of symptoms. Remember that the symptoms are caused by your body trying to take control, so after they appear, your contagiousness typically starts to fall off.

    • Re:Bullshit (Score:5, Informative)

      by Maxo-Texas ( 864189 ) on Saturday May 02, 2020 @02:04PM (#60015170)

      Actually, while you are infectious after your symptoms manifest after an average of 5.2 days- you are most infectious (shedding the most particles) from about 12 hours after exposure until about 2 days after you manifest symptoms.

      The rest of your post is wrong. Hopefully you are just deluded and not actively lying.
      We had 36,000 cases yesterday. C19 is waning in NY but it's rising exponentially by over a1,000 cases a day in a half dozen states.
      We are averaging 2,000 test certified deaths per day (Since we don't test most corpses... the real death total is *much* higher.)

      https://www.worldometers.info/... [worldometers.info]
      Especially click on the "USA" link and look at the states.

      https://gisanddata.maps.arcgis... [arcgis.com]
      Note that we have multiple cases in almost every *county* in the U.S. now. That includes rural areas with 25+ cases in counties with tiny populations.

      The rate of new cases and of deaths is *not* dropping fast. It's likely that what we are really seeing is the limits to testing but if we are not then it's important to realize that the rate of new cases is close to stable under current conditions- not declining rapidly. We do not have this under control. It's growing by 3% in most population groups.
      https://aatishb.com/covidtrend... [aatishb.com]

      If the IFR is 1% then based on our 65,000 deaths we have 6.5 million active cases waiting to spread when we open things back up.

      And the leader of the covid19 protest group has tested *positive* for covid 19.
      https://www.salon.com/2020/04/... [salon.com]

      I have 30 years experience with exponential and logistic curves in a business forecasting background and my models don't get less than 200,000 deaths by year end at this point.

      • you are most infectious (shedding the most particles) from about 12 hours after exposure until about 2 days after you manifest symptoms.

        You're going to need a citation on that one, because it sounds like you've been reading conspiracy websites.

        • I understand. Lots of crazy folks out there.

          I've been following this since january (Doctor John Campbell on Youtube has been a fantastic evidence based daily listen plus "MedCram" has also been good) so I can't recall the specific article but a quick google turns up some articles with these facts from reliable looking sources...

          Here's one...
          https://www.sciencenews.org/ar... [sciencenews.org]
          "Coronavirus is most contagious before and during the first week of symptoms"

          https://www.statnews.com/2020/... [statnews.com]
          "The researchers found ve

          • ". According to the paper, more than 1 in 10 infections were from people who had the virus but did not yet feel sick."

            The article refers to that as "asymptomatic transmission" but it's likely they already had a fever. The distinction is important because if they have a fever, then using thermometers to screen people will still work (or something like an Oura Ring for yourself).

  • Let's see, 20 million tests per day to "remobilize the economy."

    Who, exactly, creates these tests? Where? How are they distributed? Where do the resources come from? Where does the money come from?

    20 million per day is testing everyone in the US in about 2 weeks.

    All this does is expose Harvard "experts" as being idiots and Business Insider people as having no bs meter.

    These people would look at the classic cartoon of two scientists discussing equations where one scientist says to to the other, "I think you

    • by hey! ( 33014 )

      Who, exactly, creates these tests? Where? How are they distributed? Where do the resources come from? Where does the money come from?

      You do realize that the fact that it would be extremely difficult to manufacture and distribute test kits fast enough to administer 20 million tests per day doesn't somehow make that number ridiculous? Answers that upset us aren't automatically wrong.

      Right now the most tested population in the world, if you exclude microstates, is Iceland. On a per capita basis they're currently doing about 4x the number of tests per day that the US is; altogether they've done roughly 7x the number of tests per capita th

      • Iceland has only tested 18k total...18k total. Their population is only 364k. When you hold these numbers up to what the US has accomplished, even wrapped in your fluff, they're not that impressive.

        If Iceland were as efficient as the US( 200k tests a day ), their entire population would have been tested in less than 2 days.

        Why are you comparing a pebble to a mountain and praising the pebble for being much larger?
        • by hey! ( 33014 )

          Yes, seriously. On a per capita basis, Iceland's effort is larger than ours. We're a thousand times larger than them, but we also have a thousand times the resources going by GDP.

          • by JackAxe ( 689361 )
            Yep we are much larger, and 200k a day is substantially more impressive than a the few hundred a day Iceland has mustered.
            • by hey! ( 33014 )

              It may impress you, but the virus is the actor here that matters.

            • Re:Seriously? (Score:5, Insightful)

              by Chibi Merrow ( 226057 ) <mrmerrow@monkeyi ... t minus math_god> on Saturday May 02, 2020 @05:50PM (#60016006) Homepage Journal

              I don't think you understand what "per capita" means. Or numbers, really.

              Comparing total numbers between the US and Iceland is nonsensical. We literally have 1000x the population and capacity for production that they have.

              The closest comparison you could come to is comparing Wyoming to Iceland, as they only have twice the population. And... Wyoming has done 1/5 the testing that Iceland has done. So twice the population, 1/5 the testing. If you understand numbers, that means Wyoming is managing to test its people at 1/10th the rate of Iceland.

              So, in summary: We're doing a really shitty job testing. 200k is not even remotely impressive, merely less embarassing than a month ago. Yes, Iceland is doing a better job than the US.

      • Its really not impossible, just very difficult.

        A few q-tip factory wouldn't have much issue retooling to make that many swabs, the problem comes in the analysis. If you are doing RNA testing its possible to finish the test by dunking the swab in a chemical bath, something that "can" be mass produced, but not yet. Retooling factories to make these test are the real issue, and few factories would be willing to spend a billion dollars to retool for a job that will only exist for a few months. This is where go

        • by hey! ( 33014 )

          Even if it were impossible to do, that would necessarily make it false.

          However on a practical standpoint, knowing you had to do the impossible is actually useful. It tells you you've got to cut down the problem by other means first.

    • by makomk ( 752139 )

      Yeah, 20 million tests per day is so far beyond what any country anywhere on the planet can manage, despite concerted efforts by a number of them, that it's as good as saying that testing is not feasible for the purpose they want to use it for. Not that you'd realize that from any of the mainstream media reporting. All of the mainstream publications like the New York Times have worked hard to make it sound like the ludicrous testing numbers they're expecting are totally normal things that countries which ar

      • (Testing success story South Korea is actually testing substantially fewer people per capita than the US nowadays, though you wouldn't know that from the mainstream media reporting either.)

        South Korea easily has the capacity to test more. They are selling tests to other countries.
        The reason South Korea is doing less testing now, is that they just don't need to any more. [worldometers.info] They hardly have any infections. They do much better contact tracing and testing of people who need it. America isn't even in the same league.

    • If you click the link and view the publication, the second page lists the authors, of which there are 23 in total. It doesn't list all of their credentials so they may have more expertise than could be presumed from what information is provided, but based on what is there, I'd skeptical that they should be given any special deference. Mainly the information provided is related to affiliations (i.e. job position at some company) as opposed to specific information that suggests their statements are any more q
  • Not addressed so far in the discussion, but I'm wondering how the costs would be affected by mass testing a la mass production.

    The only fairly sold number I've seen in all these weeks has been about $18/test. That was for the (lucky) Maryland purchase of South Korean test kits. Not sure if that included supporting equipment, and obviously it doesn't include the time of the people who administer and process the tests.

    However the theory of mass production is that producing at large volume drives down the per-

  • Is Bayes Theorem some kind of secret?
    • It is to doctors. Actually, to most doctors it seems like a heresy. So maybe they do know it, but they are just not allowed to think about it.
  • I'm not trolling, but I don't understand the point of an individual wanting to be tested. If one has symptoms, he should stay home for 14(+) days. If the symptoms increase/meet certain criteria, he should contact the hospital.

    Otherwise, a negative test today does not mean he's safe tomorrow; he'd have to be tested again, and again. So, what's the point--there is no constant testing. 'Ruling out other diseases, perhaps, but the tests are not infallible either.
  • ...people were most infectious within the first three to four days after infection and might continue to interact with others and spread the virus until they have definitive results.

    People are imbeciles if they don't quarantine themselves until they get their results.

    I mean seriously, at this point I wonder how many people on this planet actually understand what a pandemic is, how viruses spread, etc. From what we've seen on the news, it's probably less than 1%.

  • And he's wrong.

    Washington State still refuses to to any testing that is statistically meaningful. You get tested if; 1) you are a first responder, 2) you are a member of an 'at-risk' group, 3) you are a VIP, or 4) you are already exhibiting symptoms of covid-19. God forbid that we should test a randomly selected cross section of the population to see what the infection rate is. Everything is based upon deaths or recoveries compared to 'confirmed cases'. We simply can't have anyone raising the denominator o

  • If you look at the amount of new cases for each day, it should be a gradual change, like with literally every other country.

    But first I noticed this for France: The daily numbers jumped down in big steps, every fee day, that were completely unrealstic. With normal gradual changes or no changes in-between. And then a big step again. It looked like stairs instead of a slope!

    And then Spain started doing it too.

    Sorry, but that smells as bogus as an "Adibas" tracksuit.

  • It's not insurance. It's not paying for it. It's lack of testing. It is common, if not prevalent, to treat the likely explanation for a set of symptoms and see if the treatment takes. It's more likely to be offered treatment than to be given high-fidelity test. COVID-19 has exposed this because there is no treatment. So the usual way of doing things does not work. This is why the doctors panic. This is why there was such a high demand for the breathing machines. Because they are the only thing which provides any resemblance to treatment.

    It's why there are so many phantom "conditions" that are being pushed by questionable sources. Fibromyalgia, Irritable Bowel Syndrome, etc.? If you read a little about them, you'll see that these are just sets of symptoms. You can't test for whether you have those or not. You can only try a "treatment" which "has sometimes worked." What makes these worse is that these sets of symptoms have other possible causes. The "treatments" might just as well be placebos. If you don't know the causes, you don't know whether the treatment eliminated them or not.

  • Canada has the same problems, only a million times worse.

  • Underreported deaths, insufficient tests, a dysfunctional CDC and lack of streamlined reporting pipelines. It's a universal shitshow from a data perspective. Just have to stay cautious until a vaccine or decent treatments are found.
  • I miss my old /. account as well before the shift.

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