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Is COVID’s winter surge already here? Experts warn the pandemic isn’t over

A new surge of Covid-19 cases is expected to start hitting the United States around Thanksgiving just as the holiday season begins, public health experts are warning.

But with more and more Americans vaccinated, it’s not likely to linger as long or do as much damage because there’s a level of protection this season that wasn’t there last year, they say.

“I don’t think the spike will be as bad as last winter because we have vaccines available and the approval for younger age groups is a big game-changer, especially for hospitalizations and death rates,” said Monica Wang, an associate professor of community health sciences at the Boston University School of Public Health.

Dr. Sadiya Khan, an epidemiologist at the Northwestern University Feinberg School of Medicine, agreed.

“I remain hopeful with the approval of vaccines for 5- to 11-year-olds that we are heading into a safer holiday season than last year,” she said.

Still, the threat of another Covid surge is real and political leaders like California Gov. Gavin Newsom, whose state is still recovering from a wave of delta variant infections that clogged hospital emergency rooms, are urging Americans to remain vigilant.

Credit / Article By Denise Chow and Corky Siemaszko:


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Which Test Should You Use After Exposure to COVID?

If you’ve been in close contact with someone who tested positive for COVID-19, you’re going to need to get tested.

Your vaccination status determines whether you need to get tested right away or need to wait a few days after exposure. But what test should you use? With the increased availability of rapid at-home COVID-19 tests, it can be difficult to figure out which test is right for your current needs.

You have two options: rapid (or antigen) tests or reverse transcriptase-polymerase chain reaction (RT-PCR) tests.1

The first is what you can typically scoop up at the pharmacy, a rapid test that can give you results at home in minutes. PCR is your standard COVID-19 test that needs to be sent to a lab.

Although antigen and PCR tests are both used to detect an active COVID-19 infection, their sensitivity to the virus is not the same. Here’s what you need to know about the difference between the two.

Does It Matter What Time of Day You Get Tested for COVID?

What’s the Difference Between Antigen and PCR tests?
“Rapid antigen tests are designed to detect the presence of a viral protein or antigen, while RT-PCR tests are designed to detect the presence of viral genetic material, or viral RNA,” Ashley Lipps, MD, infectious diseases physician at The Ohio State University Wexner Medical Center, tells Verywell. “Both types of tests are generally accurate, although RT-PCR tests are more sensitive than antigen tests, meaning, less likely to get a false negative result. The benefits of antigen testing are that the results are available quicker and are less expensive.”

Rapid antigen tests require a higher level of the virus to be present before turning positive. On the other hand, PCR tests can remain positive as long as it detects any small virus material, even when you’re not contagious anymore.2

“RT-PCR tests detect the viral genome after amplifying a small target section millions of times,” Sheldon Campbell, MD, Ph.D., FCAP, associate director of Yale Medicine’s clinical microbiology lab and professor of laboratory medicine at Yale School of Medicine, tells Verywell. “Because of the amplification step, RT-PCR tests are more sensitive than rapid antigen tests.”

Although the PCR test is more sensitive, neither test is perfect and there’s always a small chance you might get a false result. Sometimes getting a second test is recommended.1

What This Means For You
You need to get tested after a potential COVID-19 exposure to confirm whether you are infected or not. Unless you have symptoms, a rapid antigen test may suffice. If you have symptoms and got a negative antigen test result, you should get a PCR test.

Which Should You Use?
According to the CDC, fully vaccinated individuals do not need to quarantine after a potential COVID-19 exposure if they are asymptomatic, but they should still get tested five to seven days after exposure.3

“Unless you have symptoms, an antigen test is likely adequate for this purpose,” Campbell says. “If you have symptoms, use a PCR test. It’s more sensitive, and diagnosing COVID infection is critical both for prevention and treatment with medications that can prevent more severe disease.”

If you are not fully vaccinated, you need to quarantine for 14 days after potential COVID-19 exposure and watch out for any symptoms. However, the quarantine period generally varies depending on the circumstances outlined by your local public health department.3

Florida Students Won’t Be Required to Quarantine After Exposure to COVID
“For individuals who are not fully vaccinated, testing should be done at the time the exposure is known and again in another five to seven days if the initial test is negative,”4 Lipps says. “Either a rapid antigen or RT-PCR test can be used, but RT-PCR tests do have higher sensitivity.”

If you do not have health insurance and you need to get tested for COVID-19, talk to a healthcare provider and confirm if they are willing to participate in the HRSA COVID-19 Uninsured Program, which means that they will bill the federal government for the diagnostic test instead of charging you.5

Is It Necessary to Get Tested Twice?
Unvaccinated people should get tested immediately after exposure. If the test comes back negative, they should take a second test five to seven days after the initial one or if symptoms develop.4

“Under most circumstances, using one type of test will suffice,” Lipps says. “However, there may be certain circumstances where your healthcare provider may recommend a second test.”

If you think there’s a good chance you have COVID-19 but your rapid test is negative, you can get a PCR test since antigen tests have higher rates of false negatives, she adds. For instance, the CDC recommends that people who are symptomatic but received a negative antigen test result need to confirm those results with a PCR test to avoid delays in diagnosis, treatment, and infection control.6

While testing after a potential exposure is necessary, experts also emphasize the importance of testing before attending any gathering where you might transmit the virus if you carry it without your knowledge.

“The most important time to get a COVID test is before you do something risky, like going to a crowded event or meeting with a vulnerable loved one, not after the fact,” Campbell says. “The antigen test seems to be a reasonably good test for being infectious. It’s best used to manage risk, to test before being in a setting where you might spread COVID to others.”

The information in this article is current as of the date listed, which means newer information may be available when you read this. For the most recent updates on COVID-19, visit our coronavirus news page.

Key Takeaways

  • If you’re looking to get tested for COVID you have two options: a rapid antigen test or a PCR test.
  • PCR tests are more sensitive than the antigen test.
  • Unless you have symptoms, the antigen test is likely enough.

Blog / Article Author Link By By Carla Delgado

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Is it Covid or the flu? New combo tests can offer an answer

So-called quad tests, now available at thousands of hospitals and clinics, can detect not only the coronavirus but also two types of influenza and the respiratory syncytial virus, or R.S.V.

That might not seem essential given that the United States, like many other countries, witnessed a shocking absence of a flu season this past winter. But as the country begins to reopen, doctors say that flu and other pathogens could make a comeback this fall.

What’s more, even as a growing number of people get vaccinated against Covid, there are still some 40,000 new infections every day in the United States, so testing will still be in demand.

Unlike the antigen tests, the quad test looks for a virus’s genetic material using a polymerase chain reaction, or P.C.R. The P.C.R.-based method is far more accurate than the antigen approach, though P.C.R. sequencing of patient samples used to be more cumbersome and relied on multistep procedures.

Several factors might precipitate the flu’s return in the fall: children returning to school, declining use of masks, and perhaps a lack of recent immune system exposure to the flu. If more people get sick in the fall, they will want to know if it is flu or coronavirus.

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COVID-19 RT-PCR tests for International Travelers

We understand the tight Travel deadlines and provide peace of mind for your next trip. COVID-19 RT-PCR tests for International Travelers.

Get tested with a viral test 3-5 days after travel AND stay home and self-quarantine for a full 7 days after travel. Even if you test negative, stay home and self-quarantine for the full 7 days. If your test is positive, isolate yourself to protect others from getting infected.

Hawaii COVID-19 Testing Requirements & Test Procedures
Register with the State of Hawaii Safe Travels(link is external) online system as is currently required of all trans-pacific passengers. Pre-travel testing is an alternative to the state’s mandatory 10-day self-quarantine. Travelers may elect to take a pre-travel COVID-19 NAAT from a state of Hawaii Trusted Testing and Travel Partner(link is external) within 72 hours of departing on the last leg of their trip to Hawaii. To avoid the state’s mandatory 10-day self-quarantine, the negative test result from that test must be uploaded before departure of the last leg. Click here for the Trusted Travel Partners list(link is external).

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