ORIGINAL: Lokasenna
Thanks. If it isn't obvious, I am checking back in since Saturday AM and haven't gotten that far yet. If folks have since apologized or retracted, then please accept my apology for not having gotten caught up yet. Lots of activity here.
Yes, I did offer a hearty and ...well a hearty apology. The Chairman Mao thing is just a joke. I stole it from John Lennon. Che Guevara T-shirt, perhaps.
Everything I said about the practical difficulty of testing 330 million people is still true.
By ra way, I sat in a video teleconference with one of the Infectious Disease consultants from CHOC Children's. She had some insights on the initial testing problems in the US. All of the nasal and throat and fecal swab tests in routine use apply a methodology called "PCR" (Polymerase Chain Reaction). This is an enzyme that replicates nucleic acids sequences..so if you have lets say 1000 copies of Covid 19 RNA material in a sample the enzyme will "amplify" the signal to 100K or 1000K copies. Then you incubate the amplified signal with complementary sequences of nuclear material from the viral genome and link the target nucelotide to some colorimetric or fluorescent indicator and you have a test.
The viral genome was published in early January so many, many labs might have been able to do it quickly...but the CDC insisted on quality control and, in the US, the FDA has to license new medical testing. Anyway, the CDC develops a test very quickly and orders health departments and hospitals to send specimens to Atlanta. Then they get cold feet and decide their test has quality problems (still not disclosed but perhaps false negatives or worse false positives). They STOP all testing and rework their test but meanwhile thousands of specimens are piling up in Atlanta[X(] Even worse, they don't have the stones to admit it, but instead instruct state and local health departments to follow very strict inclusion criteria for testing....so all the doctors are getting pissed off. The first community transmission case in Calif. was sitting in a hospital with pneumonia characteristic of covid and the CDC refused to test for 4 days.
By ra way, the Chicoms also had testing problems. What did they do? They accepted reasonable clinical criteria and even Chest CT findings for inclusion. Of course, even after they knew it was a SARS-like Coronavirus they hid it front he WHO.