Your friend's test was probably done by the state public health lab located in Jacksonville, FL. Why do you compare 康内尔大学to 北佛州大学? Florida has three public health labs in three cities, that is why you have three labs who can conduct the test in the state.
Your friend's test was probably done by the state public health lab located in Jacksonville, FL. Why do you compare 北佛州大学? Florida has three public health labs in three cities, that is why you have three labs who can conduct the test in the state.
公用马甲24 发表于 3/6/2020 11:26:24 AM
It was codeveloped by UNF , quickly available . NY state has public labs too, why can they do the same ?
Health officials: Possible third coronavirus case in Georgia 3/6/2020
FLOYD COUNTY, Ga. - Health officials are investigating a possible new coronavirus case in Georgia.
On February 29, a 46-year-old female went to Floyd Medical Center's Emergency Care Center in Rome with flu-like symptoms. Hospital officials said she didn't meet the Centers for Disease Control and Prevention (CDC) and Georgia Department of Public Health (GDPH) criteria for COVID-19 testing, so she was treated and released.
The patient started feeling worse and returned to the hospital a few days later on Tuesday. Hospital officials said she again didn't meet coronavirus testing criteria but was admitted due to her worsening condition. They then placed her in isolation.
After "adamant urging" from the doctor caring for her and the district health director, the CDC and GDPH finally authorized a COVID-19 test. That preliminary test came back positive.
Now, the hospital is waiting on the results from a confirmation test from the CDC.
The hospital said public health officials have advised them to notify caregivers who treated the patient prior to her being put in isolation.
"In addition, although the risk of exposure is low, Floyd has made the decision to proactively notify all patients who may have had contact with any of these caregivers or who may have been in the ER at the time the patient was present in order to instruct them on next steps and address concerns," the hospital said in a news release Friday morning.
不要说纽约加州，就是我们这个州也可以测，朋友没有旅行历史，由于感冒持续三个星期有轻微支气管炎症状，她医生也order test，state health department昨天也come back negative， 大概前天下午四点多采的样，昨天早上结果就出来了， 并不需要征得CDC的同意。难道纽约加州没有一家有能力检测？就一定要送去CDC的public lab？我的坐标在南部某州.
不要说纽约加州，就是我们这个州也可以测，朋友没有旅行历史，由于感冒持续三个星期有轻微支气管炎症状，她医生也order test，state health department昨天也come back negative， 大概前天下午四点多采的样，昨天早上结果就出来了， 并不需要征得CDC的同意。难道纽约加州没有一家有能力检测？就一定要送去CDC的public lab？我的坐标在南部某州.
FDA动用紧急授权后，佛罗里达州三家lab with health Dept，Jacksonville， Miami和Orlando 全部上线，覆盖北，中，南，送到几小时就可以知道结果，结果纽约医生还要上电视控诉we have no way to get test done, 记住纽约还有那么高的州税，佛罗里达没有，那些州税的钱去哪儿了？
哈哈哈哈。楼主说得好。 贵州是真美国典范。 可惜大疫区纽约华州不给测。 纽约本人昨天亲测。 华州政府说不要死了不给测。 https://www.doh.wa.gov/Emergencies/NovelCoronavirusOutbreak2020/TestingforCOVID19 Who can get tested for the virus that causes COVID-19 and why? A common question right now is, “Why can’t I get tested?” The answer: Not everyone needs to be tested. And, people with flu-like symptoms are not being tested for COVID-19 unless they meet certain criteria set by the CDC. The criteria are set by the CDC as a condition of the FDA-approved emergency use authorization, which allows new tests to be used in an emergency situation on high-risk people only. That criteria has widened in the last week to include people who are hospitalized with symptoms that are otherwise unexplained. That is in addition to testing people with travel history, and people with contacts to a known case. These criteria may evolve to include more people over time, as this situation is evolving rapidly 大衣被禁 发表于 3/6/2020 9:54:07 AM
FDA动用紧急授权后，佛罗里达州三家lab with health Dept，Jacksonville， Miami和Orlando 全部上线，覆盖北，中，南，送到几小时就可以知道结果，结果纽约医生还要上电视控诉we have no way to get test done, 记住纽约还有那么高的州税，佛罗里达没有，那些州税的钱去哪儿了？
FDA动用紧急授权后，佛罗里达州三家lab with health Dept，Jacksonville， Miami和Orlando 全部上线，覆盖北，中，南，送到几小时就可以知道结果，结果纽约医生还要上电视控诉we have no way to get test done, 记住纽约还有那么高的州税，佛罗里达没有，那些州税的钱去哪儿了？
同样，这是Miami herald， 佛罗里达一个报纸。widely test 和 able to test 完全两回事，佛罗里达test必须有doctor order， 即使test kits available， 也不可能widely test。比较纽约加州： 我们医生要测，但是CDC不给test kits， 这是完全两回事。
同样，这是Miami herald， 佛罗里达一个报纸。widely test 和 able to test 完全两回事，佛罗里达test必须有doctor order， 即使test kits available， 也不可能widely test。比较纽约加州： 我们医生要测，但是CDC不给test kits， 这是完全两回事。
Czboy 发表于 3/6/2020 3:10:36 PM
点开link看看呗，州长的spokewoman说的。而且还说了下面这个。跟你前面说的对比下哈 Unless the state is able to expand its testing capability, the current standards for testing in Florida are that a patient meet two of the following three criteria: ▪ Travel to or from an area with widespread community transmission — Italy, China, South Korea and Japan — and showing symptoms of COVID-19: cough, shortness of breath and fever. ▪ Close contact with a confirmed COVID-19 case, with the same symptoms. Severe, acute lower respiratory illness and fever requiring hospitalization, and without an alternate diagnosis, like the flu. Ferré said those restrictions are crucial public health measures to make sure state labs aren’t overwhelmed, but a lack of proactive testing has been a major concern for public health experts since before novel coronavirus even arrived in Florida. Without wide testing, it’s impossible to detect the spread of the contagion in the community.
点开link看看呗，州长的spokewoman说的。而且还说了下面这个。跟你前面说的对比下哈 Unless the state is able to expand its testing capability, the current standards for testing in Florida are that a patient meet two of the following three criteria: ▪ Travel to or from an area with widespread community transmission — Italy, China, South Korea and Japan — and showing symptoms of COVID-19: cough, shortness of breath and fever. ▪ Close contact with a confirmed COVID-19 case, with the same symptoms. Severe, acute lower respiratory illness and fever requiring hospitalization, and without an alternate diagnosis, like the flu. Ferré said those restrictions are crucial public health measures to make sure state labs aren’t overwhelmed, but a lack of proactive testing has been a major concern for public health experts since before novel coronavirus even arrived in Florida. Without wide testing, it’s impossible to detect the spread of the contagion in the community.
So much confusion and conflicting info in testing. Pence said everybody can get tested, but seems some states are still adhering to CDC criteria and approval. https://whyy.org/articles/n-j-now-has-two-patients-who-tested-positive-for-covid-19/ "There is currently only one certified laboratory, in West Trenton, that has the capability to test for the virus in New Jersey. Assistant Health Commissioner Chris Neuwirth said the department received additional testing materials from the Centers for Disease Control and Prevention Thursday morning to be ready to test additional patients. The state is testing only patients who meet the CDC’s criteria for persons under investigation and who have been authorized for testing by the CDC."
没错，我的问题是南部一个州在那个医生上电视之前已经有三家地方实验室上路了，全部在48小时之内开通。而那个急诊科医生号称还在等CDC，而他本身是康内尔大学的医学教授，难道不能去东63街问问自己的lab怎么样了？你的同事在忙什么？为什么university of North Florida 一天就能完成test kits和protocol ？
Czboy 发表于 3/6/2020 10:08:45 AM
mm你从哪儿听来的source啊？怎么可能是UNF自己完成的？ 这都哪儿跟哪儿啊.. 佛州official还在blame CDC 导致没有足够的test kit. “We don’t have enough test kit to test absolutely everyone”. 感觉所有州都在等CDC的测试盒. 只是现在可以测试而已. 并不能自己完成制作测试盒.
mm你从哪儿听来的source啊？怎么可能是UNF自己完成的？ 这都哪儿跟哪儿啊.. 佛州official还在blame CDC 导致没有足够的test kit. “We don’t have enough test kit to test absolutely everyone”. 感觉所有州都在等CDC的测试盒. 只是现在可以测试而已. 并不能自己完成制作测试盒.
所以到了现在多少逃逸的病毒已经不知道了 西雅图那个cluster从测序来讲就是相当典型的6周以上的社区传播 lax那个确诊工作人员负责的是国内来的航班但是这之前整个加州都没几例ta是从哪里染上的？
是的，每年行业年会都会有更新，有的重大有的比较小
现在的策略就是控制超级传播者，减低传播速度，而不是containment, 是mitigation.
至少现在比之前稍微认真对待一点了。游轮回家得客人都通知了让在家隔离两周。希望绝大多数人都会执行吧。
CDC刚允许自己测。这个测试从设计，定试剂(现在厂家忙了，很可能probe很久都不能到)，再validate, 一周起。如果validate不成功需要调整，还需要时间。
我就觉得奇怪，刚西雅图1月份第一个被confirm的人，应该是用cdc的试剂，那时候work, 后来怎么送出去的试剂都有manufacturing flaw却没人发现? 白白耽误这么多时间!
第一批测试盒是阳性率太低，被德州圣安东尼奥告了，所以CDC全部收回，怕官司。很多州地方的public lab早就在做，所以FDA动用紧急条款下放测试，他们都能很快上线。唯独加州纽约还在依赖CDC，自己州到现在还没几个上线。
试剂污染，结果non-conclusive ==
你一个新introduce的病毒等每年更新啥呢？ 黄花菜都凉了 就打算按第二个甲流搞呗
Your friend's test was probably done by the state public health lab located in Jacksonville, FL. Why do you compare 康内尔大学to 北佛州大学?
Florida has three public health labs in three cities, that is why you have three labs who can conduct the test in the state.
APHL will tell you a different story.
我们州之前按cdc政策，州内上周末说可以测。cdc脱了这么久，延误时机，现在亲飘飘一句联邦没责任，好意思吗？州在得到下放的消息后有多少时间来响应？甩锅甩的理直气壮是不要脸。
你这个id平时说的一副正义凛然样子，好像道德水准很高，正是应了那句话，越是满口道德的人做事黑起来越没有底线。我们州测试能力不足，有一半病例还要靠cdc帮着测，你是不是得骂活该，谁让州能力不强是吧？州的能力有限响应时间有限，cdc占着那个位子却没有尽责，还不能骂了？cdc将近2月那个德行，我们州响应时间短，也在尽力。另外你别以为我们没督促州政府。我们有行动。收起你那套道貌岸然的嘴脸，我现在看着就觉得恶心。
It was codeveloped by UNF , quickly available . NY state has public labs too, why can they do the same ?
https://www.fox5atlanta.com/news/health-officials-possible-third-coronavirus-case-in-georgia
Health officials: Possible third coronavirus case in Georgia
3/6/2020
FLOYD COUNTY, Ga. - Health officials are investigating a possible new coronavirus case in Georgia.
On February 29, a 46-year-old female went to Floyd Medical Center's Emergency Care Center in Rome with flu-like symptoms. Hospital officials said she didn't meet the Centers for Disease Control and Prevention (CDC) and Georgia Department of Public Health (GDPH) criteria for COVID-19 testing, so she was treated and released.
The patient started feeling worse and returned to the hospital a few days later on Tuesday. Hospital officials said she again didn't meet coronavirus testing criteria but was admitted due to her worsening condition. They then placed her in isolation.
After "adamant urging" from the doctor caring for her and the district health director, the CDC and GDPH finally authorized a COVID-19 test. That preliminary test came back positive.
Now, the hospital is waiting on the results from a confirmation test from the CDC.
The hospital said public health officials have advised them to notify caregivers who treated the patient prior to her being put in isolation.
"In addition, although the risk of exposure is low, Floyd has made the decision to proactively notify all patients who may have had contact with any of these caregivers or who may have been in the ER at the time the patient was present in order to instruct them on next steps and address concerns," the hospital said in a news release Friday morning.
好帖， 顶！ 说CDC不让测的都是五毛搅屎棍！
对， 有一些是五毛， 有一些是骑墙派， 等着美国出事， 然后逃回中国去
美国做CT贵的要死啊
同意， 说地是事实， 这两天廊坊五毛上班， 一堆地造谣帖子， 祖国和党妈就希望海外华人活得水深火热， 排华不够狠
顺便在营造一个气氛， 天下地乌鸦一样黑，只可惜就算美国政府有失误， 但言论自由， 永远也不会把说出真相地医生抓起来， 和掩盖数据
周末Stanford也可以测了，在这个时候如果加州纽约继续玩政治牌的话，有点过分了。就像读声明的护士，当时确有记者问她，为什么一定要在CDC lab测？有没有doctor order， 结果没回答。
为什么要用这种口气说话呢？ 为什么其它小州的lab能够在48小时内上线呢？为什么加州纽约做不到？难道大家不是在同一个时间点上吗 ？ 而且问题完全不你是测得人数多少, 而是你地方lab一例都没测, 全部依靠CDC。这又是为什么呢？
FDA动用紧急授权后，佛罗里达州三家lab with health Dept，Jacksonville， Miami和Orlando 全部上线，覆盖北，中，南，送到几小时就可以知道结果，结果纽约医生还要上电视控诉we have no way to get test done, 记住纽约还有那么高的州税，佛罗里达没有，那些州税的钱去哪儿了？
所有大学和研究所实验室的钱， 大部分都是政府或者相关的funding，小部分私人捐赠；而每一比钱都是为了某个项目的或者某个目的，这个在申请，或者谈捐赠的时候就已经确定，不能用于其它用途，并不是说大学或者教授想干什么都可以。除非NIH或者相关部门出了条例，或者某个学校或实验室申请获得通过了，才能用这个钱去做别的。
难道所在州没有公立大学？没有办法紧急拨款？
2月29日，FDA就放开了，CDC一直没有权利阻止别人测。
你先看懂了再说话。自己和自己的假想互博好玩吗？谁给你说，我们州里lab一例没测？要不要脸。这么说话就是因为你们歪曲事实不要脸。你自己回头去看到底写了些什么。
我就是说你不好说话，像吵架，为什么要用要不要脸这种口气呢？难道我们在搞批斗吗？我说的都是事实, 纽约在那个医生上电视时候全部用的CDC测试盒，而其他州已经在用FDA批准的自己开发得试剂盒了。
re. 现在很明显所有机构都在积极准备应付让测试的capacity跟的上demand. 而不是想办法不让测。
既然佛州都可以自己快速测了，为啥还要fed 送test kits 啊？ 留给落后的纽约州不好么？
就是这回事，如果州跟不上，你就实事求是说，不能政治化。本来health care management就是州自己为主的，各州policy都完全不一样，纽约加州有点香蕉共和国的样子。CDC肯定也有错误，这点不可否认。
多一点有准备不是更好，但佛州并不在等CDC才能开展检测。
继续哈，Miami Herald, FL state 自己说的，怪CDC 给的不够哦。link 在这里，不谢https://www.miamiherald.com/news/health-care/article240855611.html
同样，这是Miami herald， 佛罗里达一个报纸。widely test 和 able to test 完全两回事，佛罗里达test必须有doctor order， 即使test kits available， 也不可能widely test。比较纽约加州： 我们医生要测，但是CDC不给test kits， 这是完全两回事。
各地情况都不一样，但是说到FDA批准的，现在只有两个：CDC和纽约州的。注意：是批准。
而不是上交待批准中，或者是validation 做完，待上交到FDA.后两种在FDA regulation 放宽后都可以在FDA没批准的情况下测病人。
是的，pending现在就可以使用，不一定要等到批准。
事实上这个Twitter可能反映了真实情况，是地方上health Dept 不让测。
这里是LA county 不让测。
但不反联邦政府，不能体现政治正确，所以要呼吁记者报道。
点开link看看呗，州长的spokewoman说的。而且还说了下面这个。跟你前面说的对比下哈 Unless the state is able to expand its testing capability, the current standards for testing in Florida are that a patient meet two of the following three criteria: ▪ Travel to or from an area with widespread community transmission — Italy, China, South Korea and Japan — and showing symptoms of COVID-19: cough, shortness of breath and fever. ▪ Close contact with a confirmed COVID-19 case, with the same symptoms.
Severe, acute lower respiratory illness and fever requiring hospitalization, and without an alternate diagnosis, like the flu. Ferré said those restrictions are crucial public health measures to make sure state labs aren’t overwhelmed, but a lack of proactive testing has been a major concern for public health experts since before novel coronavirus even arrived in Florida. Without wide testing, it’s impossible to detect the spread of the contagion in the community.
这没有错，我的问题是比较纽约加州和佛罗里达州，前者号称CDC不让测或者没有test kits， 这是佛罗里达自己的guideline，但是医生是flexible的，我刚刚说朋友，她参加过Asian gathering， 她有支气管炎症状，佛罗里达就给测了。至于要普查测，我想即使CDC鼓励，没有一个州现在会做。
到什么程度做什么事，没必要大规模普查。
你再看一遍，上面已经说明符合CDC，但洛杉矶卫生部不让测。美国是联邦制国家，CDC这种机构只给guideline，而不是regulation。
这些大学相关专业的教授院士们都出来说个话吧
哥伦比亚大学的病毒学世界一流，难道不可以帮纽约州搞定一个测试盒？纽约downstate和布法罗都是公立大学，也可以搞，所谓养兵一日用兵一时啊，都有现成的大学附属医疗系统，成熟庞大的实验室！斯坦福已经在搞了。
既然FDA已经放开了，为什么不搞？州政府平常都给他们补贴，为什么不要求？
我在这里指的是纽约和加州两个大州。
这就是CDC的表现阿，都让你测了，都positive，怎么办？
这是他们的guideline， 符合要求才测，和纽约的没有test kits， 加州的CDC不让的概念完全不同。
这是他们的guideline， 符合要求才测，和纽约的没有test kits， 加州的CDC不让的概念完全不同。
不能指望上一分钟上级说能测了马上下面就能跟上 这么个官僚系统里面没有点胆子是干不成事的 比如UW
第一次觉得这句话如此的顺耳。
第一次测阳性的话，是不是就不用测第二次了？
我看到的新闻是西雅图一天1000次。你这个2000次哪里来的？
州政府说的是州实验室（the Public Health Laboratory in Shoreline）
和华大是两码事
极权的结果。
CDC一手把持检测权，它不好好做，所有的都死菜。
集中力量搞出大事情。
https://whyy.org/articles/n-j-now-has-two-patients-who-tested-positive-for-covid-19/ "There is currently only one certified laboratory, in West Trenton, that has the capability to test for the virus in New Jersey. Assistant Health Commissioner Chris Neuwirth said the department received additional testing materials from the Centers for Disease Control and Prevention Thursday morning to be ready to test additional patients. The state is testing only patients who meet the CDC’s criteria for persons under investigation and who have been authorized for testing by the CDC."
mm你从哪儿听来的source啊？怎么可能是UNF自己完成的？ 这都哪儿跟哪儿啊.. 佛州official还在blame CDC 导致没有足够的test kit. “We don’t have enough test kit to test absolutely everyone”. 感觉所有州都在等CDC的测试盒. 只是现在可以测试而已. 并不能自己完成制作测试盒.
什么意思？好几家商业公司都出自己的试剂盒，还有非商业的实验室出的。新闻里这么说的啊
纯属扯淡， cdc跟trump不和，
搞不懂你的常识哪里来的
医生要听医院的
而有些医院就是按照cdc的recommandation来：
1.有症状并且14天内去过疫区
2.有症状并且和确诊患者接触过
不满足这两条中的一条不给测