MSNBC

MSNBC 25 Mar 2020

Mass Antibody Testing Could Offer New Coronavirus Insights

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Dr. Diana Koelliker, deputy medical officer of San Miguel County, Colorado, talks with Rachel Maddow about a plan to test everyone in the county for coronavirus antibodies for insights on the virus's spread, containment and immunity. Aired on 3/25/20.


Washington state is ramping up testing for the new coronavirus as the state reports its 10th death. State health officer Kathy Lofy says the state is contacting the University of Washington and private labs to expand testing for COVID-19. (March 5)
NEW: New York Gov. Andrew Cuomo opens drive-through testing facility in New Rochelle, site of a coronavirus outbreak; the facility will service about 200 cars per day.

"It's not only faster and easier, it's also smarter and safer." abcn.ws/2TYW18W #covid19 #coronavirus #newyork #newrochelle #coronavirustest
There has been a mass wedding in South Korea despite coronavirus fear. Many of the 6,000 couples wore face masks.
Festivals, concerts and graduation ceremonies have been cancelled because of the risk.
But the church says it went ahead with the weddings as it was the 100th anniversary of its leader's birth.
Followers from China were asked not to attend.
Mass weddings with tens of thousands of couples have been a signature feature of the church since the 1960s.
Governor Andrew Cuomo updates on the new coronavirus cases in New York state. He concludes the press conference saying, "the anxiety here is outpacing the reality of the situation."

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>>> THERE ARE TWO WAYS OF
>>> THERE ARE TWO WAYS OF TESTING TO FIND OUT, TO SEE IF
TESTING TO FIND OUT, TO SEE IF YOU’VE BEEN EXPOSED TO THE NOVEL
YOU’VE BEEN EXPOSED TO THE NOVEL CORONAVIRUS.
CORONAVIRUS. THE FIRST IS TO TEST FOR THE
THE FIRST IS TO TEST FOR THE PRESENCE OF THE VIRUS.
PRESENCE OF THE VIRUS. THAT’S GENERALLY WITH A SWAB OF
THAT’S GENERALLY WITH A SWAB OF YOUR NOSE OR THROAT.
YOUR NOSE OR THROAT. THAT’S KIND OF THE TEST THAT IS
THAT’S KIND OF THE TEST THAT IS SO HARD TO COME BY IN THIS
SO HARD TO COME BY IN THIS COUNTRY.
COUNTRY. THAT’S THE TEST THAT ACTUALLY
THAT’S THE TEST THAT ACTUALLY TESTS FOR THE VIRUS, FOR THE
TESTS FOR THE VIRUS, FOR THE ANTIGEN ITSELF.
ANTIGEN ITSELF. THE SECOND WAY IS TO TEST YOUR
THE SECOND WAY IS TO TEST YOUR BLOOD FOR ANTIBODIES TO THE
BLOOD FOR ANTIBODIES TO THE VIRUS.
VIRUS. SO IF YOU’VE GOT THE VIRUS, AND
SO IF YOU’VE GOT THE VIRUS, AND YOUR BODY FOUGHT IT OFF, YOUR
YOUR BODY FOUGHT IT OFF, YOUR BODY MADE AND USED CORONAVIRUS
BODY MADE AND USED CORONAVIRUS ANTIBODIES IN THAT FIGHT.
ANTIBODIES IN THAT FIGHT. AND WITH A RELATIVELY SIMPLE
AND WITH A RELATIVELY SIMPLE CHEAP QUICK BLOOD TEST, DOCTORS
CHEAP QUICK BLOOD TEST, DOCTORS CAN TELL WHETHER YOU HAVE THOSE
CAN TELL WHETHER YOU HAVE THOSE ANTIBODIES, AND THEREFORE
ANTIBODIES, AND THEREFORE WHETHER OR NOT YOU’VE BEEN
WHETHER OR NOT YOU’VE BEEN EXPOSED.
EXPOSED. TODAY, THE U.K. SAID THEY WOULD
TODAY, THE U.K. SAID THEY WOULD TRY TO GO AHEAD WITH ANTIBODY
TRY TO GO AHEAD WITH ANTIBODY TESTING OF THE BRITISH
TESTING OF THE BRITISH POPULATION ON A MASS SCALE.
POPULATION ON A MASS SCALE. THEY SAID THEY’VE ALREADY
THEY SAID THEY’VE ALREADY ORDERED 3.5 MILLION ANTIBODY
ORDERED 3.5 MILLION ANTIBODY TESTS AND THEY’RE IN THE PROCESS
TESTS AND THEY’RE IN THE PROCESS OF ORDERING MILLIONS MORE.
OF ORDERING MILLIONS MORE. THE ANTIBODY TESTING ADVANTAGE,
THE ANTIBODY TESTING ADVANTAGE, AS I MENTIONED IS IN PART SPEED
AS I MENTIONED IS IN PART SPEED AND EASE.
AND EASE. COMPARED TO THE KINDS OF TESTS
COMPARED TO THE KINDS OF TESTS THAT LOOK FOR THE VIRUS ITSELF,
THAT LOOK FOR THE VIRUS ITSELF, ANTIBODY TESTING IS QUICK,
ANTIBODY TESTING IS QUICK, RELATIVELY EASY AND RELATIVELY
RELATIVELY EASY AND RELATIVELY CHEAP.
CHEAP. IT THEREFORE DOES HAVE THE
IT THEREFORE DOES HAVE THE PABLTS OF BEING USE, HAVE THE
PABLTS OF BEING USE, HAVE THE POSSIBILITY OF BEING USED ON A
POSSIBILITY OF BEING USED ON A MASS SCALE AND IT COULD BE
MASS SCALE AND IT COULD BE HELPFUL, TO REVEAL HOW FAR THE
HELPFUL, TO REVEAL HOW FAR THE VIRUS HAS SPREAD THROUGH A
VIRUS HAS SPREAD THROUGH A PARTICULAR COMMUNITY AND COULD
PARTICULAR COMMUNITY AND COULD POTENTIALLY REVEAL WHETHER
POTENTIALLY REVEAL WHETHER PEOPLE WHO HAVE RECOVERED FROM
PEOPLE WHO HAVE RECOVERED FROM THE VIRUS MAY BE IMMUNE FROM IT,
THE VIRUS MAY BE IMMUNE FROM IT, AT LEAST FOR A WHILE, AND IT MAY
AT LEAST FOR A WHILE, AND IT MAY BE VERY IMPORTANT IN THINKING
BE VERY IMPORTANT IN THINKING ABOUT PEOPLE RELIEVING
ABOUT PEOPLE RELIEVING OVERWORKED HEALTH WORKERS OR
OVERWORKED HEALTH WORKERS OR RESTART PARTS OF THE ECONOMY.
RESTART PARTS OF THE ECONOMY. IT TURNS OUT THE BRITS ARE NOT
IT TURNS OUT THE BRITS ARE NOT THE ONLY ONES GETTING READY TO
THE ONLY ONES GETTING READY TO DEPLOY ANTIBODY TESTING AT LARGE
DEPLOY ANTIBODY TESTING AT LARGE SCALE A COMPANY IN COLORADO IS
SCALE A COMPANY IN COLORADO IS GOING TO TRY ANTIBODY TESTING,
GOING TO TRY ANTIBODY TESTING, THAT ENTIRE COUNTY, FOR FREE.
THAT ENTIRE COUNTY, FOR FREE. AND IT COMES OUT OF AN UNUSUAL
AND IT COMES OUT OF AN UNUSUAL SET OF CIRCUMSTANCES IN SAN
SET OF CIRCUMSTANCES IN SAN MIGUEL COUNTY, COLORADO.
MIGUEL COUNTY, COLORADO. TWO BIOTECH EXECUTIVES HAPPENED
TWO BIOTECH EXECUTIVES HAPPENED TO OWN A HOME IN THE RITZY SKI
TO OWN A HOME IN THE RITZY SKI TOWN OF TELLURIDE COLORADO AND
TOWN OF TELLURIDE COLORADO AND THEY DECIDED TO OFFER ANTIBODY
THEY DECIDED TO OFFER ANTIBODY TESTING TO ALL OF THE ROUGHLY
TESTING TO ALL OF THE ROUGHLY 8,000 RESIDENTS OF TELLURIDE AND
8,000 RESIDENTS OF TELLURIDE AND THE SURROUNDING COUNTY OF SAN
THE SURROUNDING COUNTY OF SAN MIGUEL FOR FREE.
MIGUEL FOR FREE. THE COUNTY PLANS ON TESTING
THE COUNTY PLANS ON TESTING EVERYONE, REGARDLESS OF ANY
EVERYONE, REGARDLESS OF ANY SYMPTOMS OR ANY KNOWN CONTACT
SYMPTOMS OR ANY KNOWN CONTACT WITH ANYONE WHO HAS THE
WITH ANYONE WHO HAS THE CORONAVIRUS.
CORONAVIRUS. SAN MIGUEL COUNTY SAYS THEY HAVE
SAN MIGUEL COUNTY SAYS THEY HAVE ALREADY TESTED ALL OF THE FIRST
ALREADY TESTED ALL OF THE FIRST RESPONDERS OF THE COUNTY AND
RESPONDERS OF THE COUNTY AND THEIR FAMILIES, AND THAT WAS 645
THEIR FAMILIES, AND THAT WAS 645 TESTS, AND NOW THEY’RE GOING TO
TESTS, AND NOW THEY’RE GOING TO START TESTING EVERYONE ELSE.
START TESTING EVERYONE ELSE. THEY’RE GOING TO ROLL IT OUT IN
THEY’RE GOING TO ROLL IT OUT IN PHASES AND TRY TO GET TO EVERY
PHASES AND TRY TO GET TO EVERY SINGLE PERSON IN THE COUNTY.
SINGLE PERSON IN THE COUNTY. AND WHEN DO YOU THAT, WHEN YOU
AND WHEN DO YOU THAT, WHEN YOU APPROACH IT THAT WAY, WHEN YOU
APPROACH IT THAT WAY, WHEN YOU TEST AN ENTIRE COMMUNITY, YOU
TEST AN ENTIRE COMMUNITY, YOU END UP PROVIDING INDIVIDUAL
END UP PROVIDING INDIVIDUAL PEOPLE WITH INDIVIDUALLY
PEOPLE WITH INDIVIDUALLY INTERESTING DATA, PEOPLE FIND
INTERESTING DATA, PEOPLE FIND OUT IF THEY’VE GOT ANTIBODIES TO
OUT IF THEY’VE GOT ANTIBODIES TO THE VIRUS, BUT I MAY ALSO SEE
THE VIRUS, BUT I MAY ALSO SEE THINGS IN THE DATA THAT COULDN’T
THINGS IN THE DATA THAT COULDN’T HAVE BEEN APPARENT THROUGH ANY
HAVE BEEN APPARENT THROUGH ANY OTHER APPROACH.
OTHER APPROACH. IN ICELAND, FOR EXAMPLE THEY
IN ICELAND, FOR EXAMPLE THEY TRIED LARGE-SCALE TESTING IN
TRIED LARGE-SCALE TESTING IN THAT SMALL ISLAND NATION.
THAT SMALL ISLAND NATION. THAT THUS FAR HAS SHOWN NOT JUST
THAT THUS FAR HAS SHOWN NOT JUST WHO HAD THE VIRUS, SO THEY COULD
WHO HAD THE VIRUS, SO THEY COULD BE ISOLATED, TO STOP IT FROM
BE ISOLATED, TO STOP IT FROM SPREADING ANY FURTHER, BUT ALSO,
SPREADING ANY FURTHER, BUT ALSO, THAT ICELAND MASS TESTING
THAT ICELAND MASS TESTING PROGRAM, SHOWED THAT HALF OF THE
PROGRAM, SHOWED THAT HALF OF THE PEOPLE WHO TESTED POSITIVE WERE
PEOPLE WHO TESTED POSITIVE WERE ASYMPTOMATIC.
ASYMPTOMATIC. WHICH ENDS UP BEING A VERY BIG
WHICH ENDS UP BEING A VERY BIG PIECE OF INFORMATION, NOT JUST
PIECE OF INFORMATION, NOT JUST ABOUT ICELAND BUT ABOUT THIS
ABOUT ICELAND BUT ABOUT THIS VIRUS.
VIRUS. WITH THIS NEW ROUND OF TESTING
WITH THIS NEW ROUND OF TESTING IN THIS ONE COUNTY OF TESTING
IN THIS ONE COUNTY OF TESTING WILL SHOW US ABOUT IT HERE IN
WILL SHOW US ABOUT IT HERE IN COLORADO.
COLORADO. AND JOINING US IS DR. DEANNA
AND JOINING US IS DR. DEANNA KOLLGER, DEPUTY MEDICAL OFFICER
KOLLGER, DEPUTY MEDICAL OFFICER FOR SAN MIGUEL COUNTY COLORADO,
FOR SAN MIGUEL COUNTY COLORADO, AND COORDINATING THIS ANTIBODY
AND COORDINATING THIS ANTIBODY TESTING.
TESTING. THANKS FOR JOINING US.
THANKS FOR JOINING US. LET ME ASK YOU, IF I EXPLAINED
LET ME ASK YOU, IF I EXPLAINED THAT RIGHT OR IF I GOT ANYTHING
THAT RIGHT OR IF I GOT ANYTHING WRONG ABOUT WHAT YOU GUYS ARE
WRONG ABOUT WHAT YOU GUYS ARE DOING IN SAN MIGUEL COUNTY?
DOING IN SAN MIGUEL COUNTY? >> HI, RACHEL.
>> HI, RACHEL. YOU GOT IT EXACTLY CORRECT.
YOU GOT IT EXACTLY CORRECT. YOU COVERED ALL OF THE BASES AND
YOU COVERED ALL OF THE BASES AND WE’RE SUPER EXCITED TO BE ABLE
WE’RE SUPER EXCITED TO BE ABLE TO OFFER THIS TO THE MEMBERS OF
TO OFFER THIS TO THE MEMBERS OF OUR COUNTY.
OUR COUNTY. >> CAN YOU DESCRIBE FOR US HOW
>> CAN YOU DESCRIBE FOR US HOW THE ANTIBODY TEST IS
THE ANTIBODY TEST IS ADMINISTERED, HOW LONG IT TAKES
ADMINISTERED, HOW LONG IT TAKES TO GET RESULTS, AND HOW
TO GET RESULTS, AND HOW CONFIDENT YOU ARE IN THE
CONFIDENT YOU ARE IN THE ANTIBODY TEST THAT YOU ARE GOING
ANTIBODY TEST THAT YOU ARE GOING TO BE USING?
TO BE USING? >> SURE.
>> SURE. THE ANTIBODY TEST IS
THE ANTIBODY TEST IS SPECIFICALLY A TEST FOR IGG
SPECIFICALLY A TEST FOR IGG ANTIBODY, SO THE TYPE OF
ANTIBODY, SO THE TYPE OF ANTIBODY THAT IS PRODUCED
ANTIBODY THAT IS PRODUCED USUALLY ABOUT EIGHT TO TEN DAYS
USUALLY ABOUT EIGHT TO TEN DAYS AFTER INFECTION.
AFTER INFECTION. THIS TEST IS A BLOOD TEST, A
THIS TEST IS A BLOOD TEST, A SERUM TEST, THAT HAS A
SERUM TEST, THAT HAS A RELATIVELY SHORT TURN-AROUND
RELATIVELY SHORT TURN-AROUND TIME, LESS THAN A COUPLE OF
TIME, LESS THAN A COUPLE OF DAYS, IS OUR PLAN, AND AS YOU
DAYS, IS OUR PLAN, AND AS YOU SAID EARLIER, IT REALLY ALLOWS
SAID EARLIER, IT REALLY ALLOWS US TO DO MASS TESTING, AND GIVES
US TO DO MASS TESTING, AND GIVES US A BETTER IDEA OF THE
US A BETTER IDEA OF THE PREVALENCE OF THE VIRUS IN OUR
PREVALENCE OF THE VIRUS IN OUR COUNTY.
COUNTY. CURRENTLY, WE HAVE BEEN ABLE TO
CURRENTLY, WE HAVE BEEN ABLE TO DO SOME OF THE NASAL SWAB TESTS,
DO SOME OF THE NASAL SWAB TESTS, ABOUT 150, IN THE PAST FEW
ABOUT 150, IN THE PAST FEW WEEKS, AND 100 OF THOSE WERE
WEEKS, AND 100 OF THOSE WERE DONE WITH OUR STATE CDP, OUR
DONE WITH OUR STATE CDP, OUR STATE PUBLIC HEALTH FACILITATED
STATE PUBLIC HEALTH FACILITATED WITH THE NATIONAL GUARD.
WITH THE NATIONAL GUARD. UNFORTUNATELY OUT OF THOSE 150
UNFORTUNATELY OUT OF THOSE 150 TESTS, WE HAD ONE POSITIVE, BUT
TESTS, WE HAD ONE POSITIVE, BUT WE’VE ONLY HAD 24 RESULTS, AND
WE’VE ONLY HAD 24 RESULTS, AND SO THE TESTING NOT ONLY HAS IT
SO THE TESTING NOT ONLY HAS IT BEEN UNAVAILABLE, BUT IT’S BEEN
BEEN UNAVAILABLE, BUT IT’S BEEN WOEFULLY INADEQUATE AS FAR AS
WOEFULLY INADEQUATE AS FAR AS THE TIME IT TAKES TO GET THOSE
THE TIME IT TAKES TO GET THOSE RESULTS BACK.
RESULTS BACK. THIS BLOOD TESTING IN CONTRAST,
THIS BLOOD TESTING IN CONTRAST, WE’RE HOPING TO BE ABLE TO TEST
WE’RE HOPING TO BE ABLE TO TEST EVERYBODY IN OUR COUNTY, ONCE,
EVERYBODY IN OUR COUNTY, ONCE, AND THEN AGAIN, 14 DAYS LATER,
AND THEN AGAIN, 14 DAYS LATER, SO THAT WE CAN REALLY SEE WHO
SO THAT WE CAN REALLY SEE WHO HAS SEEN THE VIRUS, WHO HAS
HAS SEEN THE VIRUS, WHO HAS CREATED ANTIBODIES, AND PERHAPS
CREATED ANTIBODIES, AND PERHAPS IS IMMUNE TO IT, AND WHO HASN’T
IS IMMUNE TO IT, AND WHO HASN’T HAD ANY EVIDENCE IN THEIR

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