Summary
Americans can once again order free COVID-19 test kits starting this month, as the government resumes its program to distribute at-home tests. However, this latest round will primarily feature less sensitive antigen tests, raising concerns about their accuracy compared to more reliable molecular tests that are not included in the free distribution.
The initiative, announced by the Biden administration, aims to provide accessible testing options amid ongoing public health efforts. While the free kits will be available through COVIDTests.gov, manufacturers of more accurate molecular tests have expressed frustration over their exclusion from the program. Antigen tests, while cheaper and more widely available, have a higher likelihood of false negatives, particularly in the early stages of infection. This necessitates repeated testing for those who suspect they may be infected, as recommended by health authorities. The FDA has emphasized the importance of using multiple antigen tests to ensure a more reliable assessment of one’s COVID-19 status, especially during peak contagious periods.
Types of Tests Available
- Antigen Tests: These are the primary tests being distributed for free. They are less sensitive but provide quicker results, typically within 10 to 20 minutes. Some brands included in the distribution are:
- CorDx: Two-packs for $14.99, results in 10 minutes
- iHealth Labs: Two-packs for $17.98, results in 15 minutes
- InBios International: Two-packs for $8.50, results in 20 minutes
- Molecular Tests: These are more accurate but are not part of the free distribution. They detect the virus with greater sensitivity and are generally more expensive, with prices starting around $39.99. Brands include:
- Lucira by Pfizer: Detects both COVID-19 and influenza
- Cue Health: Reusable reader, currently out of stock
Implications for Public Health
The reliance on antigen tests raises important questions about the effectiveness of testing strategies as the pandemic evolves. Although antigen tests can help in determining when to end isolation, their limitations mean that individuals may need to conduct multiple tests over several days to confirm their status accurately. The administration’s focus on subsidizing antigen tests over molecular tests reflects a broader strategy to maintain testing availability while managing costs.
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