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“Don’t try this at home,” Thai FDA warns against self-diagnosis using Covid-19 rapid test

Caitlin Ashworth

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“Don’t try this at home,” Thai FDA warns against self-diagnosis using Covid-19 rapid test | The Thaiger
PHOTO: Nation Thailand
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With Covid-19 rapid test kits now available online, the Thai Food and Drug Administration is warning the public not to use the tests at home, unless they are a medical professional.

Now that Thailand is experiencing a new wave of infections, with active cases exceeding 4,000, far higher than the first wave’s peak of 1,451 active cases in April, FDA secretary general Surachoke Tangwiwat says many people are buying rapid test kits online and performing the tests themselves.

Surachoke says rapid tests detect a change in a person’s immunity level, not the actual virus. He says doctors and experienced health technicians need to analyse the result to make sure there isn’t a misdiagnosis.

“In some cases, test-takers found the results to be negative, but in fact they had just contracted the virus and it could spread to others if they do not isolate themselves.”

He adds that the Ministry of Public Health announced that Covid-19 rapid test kits are only allowed to be sold to hospitals, clinics or licensed medical professionals and all rapid test kit sales must be reported to the FDA.

People who came in close contact with a Covid-19 patient or travelled to areas classified as a “red zone” and at a high risk for Covid-19 and then started experiencing flu-like symptoms, should be tested for the virus at a hospital. Common Covid-19 symptoms are fever, loss of taste, cough, sore throat and muscle ache.

SOURCE: Nation Thailand

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20 Comments

20 Comments

  1. Avatar

    Issan John

    Wednesday, January 6, 2021 at 11:18 am

    That’s the two stage danger with all these “rapid” tests – none have been found to be accurate, with the most widely used giving over half the positives detected by PCR tests as negatives, and they give those testing negative false confidence so they’re likely to take less precautions and so spread the virus quicker if contagious.

    They should be banned, and sites selling them closed.

  2. Avatar

    Toby Andrews

    Wednesday, January 6, 2021 at 1:08 pm

    However the rapid tests if positive do identify the persons who are highly contagious, whereas the PCR test will identify those that are very lightly infected and not highly contagious.
    Therefore, a rapid test is good, and should be used just to identify those that are highly contagious.
    In this way the rapid test is useful.

    • Avatar

      Issan John

      Wednesday, January 6, 2021 at 2:40 pm

      Not correct, Toby A.

      Not even partly correct.

      The rapid tests DON’T always identify “those who are highly contagious” except under lab conditions and by a trained professional, and even then not in as many cases as PCR tests.

      Read the results of the definitive study in the UK, with a 51% failure rate, which is why this test, when self-administered, was abandoned after the trials in Liverpool and Manchester.

      … and even if you were correct, which the UK trials have established beyond any doubt you’re NOT, that still wouldn’t be “good” or make the test “useful” as you’d still have a lot of people walking round thinking they were negative when they were actually contagious so taking less precautions and making the situation worse – AS THE EXPERTS WHO CONDUCTED THE TRIAL IN THE UK CONCLUDED.

      I don’t mind you contradicting me for the sake of it, but at least do other people the courtesy of checking things first before coming out with this crap, since while it sounds melodramatic your pettiness could, literally, cost someone their life.

    • Avatar

      John Brown

      Wednesday, January 6, 2021 at 4:08 pm

      As long as the rapid tests are antigen tests (not antibody), are calibrated to catch all the prevalent strains where they are being used, and are cheap enough to be able to repeat to confirm positive results to address specificity issues (that PCRs also share), then what you wrote is actually correct.

      It’s not a complete solution though. We still need PCRs, and we still need lockdowns. But low cost antigen at-home tests given for free/cheap that everyone can use every 4 days will massively reduce the reliance on PCR volume and reduce lockdown time.

      See my comment further below for more details.

      • Avatar

        Issan John

        Wednesday, January 6, 2021 at 5:17 pm

        The problem, John Brown, is that THEY’RE NOT.

        TESTS LIKE THAT DO NOT EXIST, which is why no country in the world uses them – even Japan recognises the limitations of the tests.

        NO COUNTRY IN THE WORLD APPROVES OF THE TESTS AS YOU DESCRIBE THEM. WHY DO YOU THINK THAT IS?????

  3. Avatar

    John Brown

    Wednesday, January 6, 2021 at 4:00 pm

    There are two types of rapid tests that can be done entirely at home. Antibody (Ab) tests, and antigen (Ag) tests.

    Antibody (Ab) tests are *not useful* for detecting a current infection. They are only useful for detecting if a person *has been infected in the past*, and will only turn positive after several weeks have passed and the person is most likely no longer infectious.

    Cheap, at-home antigen (Ag) tests, on the other hand, are *very useful* for detecting existing infections and are sometimes called “contagiousness tests”.

    However, there is a correct way to use Ag home tests, and an incorrect way to use them.

    The incorrect way is to use them when you have symptoms, test negative, then think you’re fine. If you have symptoms, you need to get a PCR and isolate until you get confirmed negative (and even then you should still consider isolating, unless you live somewhere with the resources and public health sense that they will test you again to confirm the negative).

    The correct way to use Ag tests is to test on a regular basis whether or not you have symptoms. The interval proposals range from once every morning, to once every 4 days, to once per week. If a test comes up positive but you have no symptoms, test again. If it’s positive again, seek a PCR test.

    Used correctly and widely, Ag tests can drastically cut case numbers and bring the pandemic under control. Used incorrectly, they will waste a lot of money without helping much. FORTUNATELY, THEY ARE NOT DIFFICULT TO USE.

    This is well-documented and understood by anyone who actually does or follows the science, and isn’t just parroting mainstream news based on quotes from either bureaucrats protecting their territory or elderly clinicians who can’t do math.

    Wide-scale deployment of at-home Ag tests will lower the amount of time for lockdowns to be effective and, when combined with a responsible and responsive lockdown and border control policy and a sensible NPI (non-pharmaceutical intervention) policy, they can help get us to COVID-zero *very fast*.

    However, like all PCR tests, Ab tests need to be updated regularly to keep up with mutations that will affect testing accuracy over time.

    Michael Mina at Harvard’s TS Chan School of Public Health, among many others, has spent all of 2020 campaigning for this. He and many others have made a wealth of accurate information available online for anyone who wants to learn more. They have spent countless hours dispelling dangerous misinformation from ignorant people who FUD rapid tests because their desire to have a loud opinion exceeds their ability to do math, making them useful idiots for those who don’t want the rapid tests to go out for special interests that are against the public benefit.

    Meanwhile here is just the latest study in a long line of studies on the topic of rapid test sensitivity and specificity: “Test sensitivity is secondary to frequency and turnaround time for COVID-19 screening”

    advances sciencemag org/content/7/1/eabd5393

    • Avatar

      Issan John

      Wednesday, January 6, 2021 at 5:27 pm

      John Brown, if “this is well-documented and understood by anyone who actually does or follows the science” then WHY HAS EVERY COUNTRY REJECTED IT?

      Are you seriously saying that all the leading scientists in authority in every country in the world are “ignorant people who FUD rapid tests because their desire to have a loud opinion exceeds their ability to do math, making them useful idiots for those who don’t want the rapid tests to go out for special interests that are against the public benefit”?

      ALL OF THEM? They’re all “ignorant people” who lack the “ability to do math” etc?

      … They’re ALL wrong? All except you, and those you agree with?

      Maybe, just maybe, all the world’s leading scientists in every country, without exception, just might know what they’re talking about as for once they’re all in agreement…..

      • Avatar

        John Brown

        Wednesday, January 6, 2021 at 11:35 pm

        Wow, The Thaiger is refusing to publish my comment about this sad old man I’ve told to leave me alone but who keeps stalking my replies to other people. That’s wild ?

        You blew any chance of me talking to you again when I spent hours on replying to you in good faith and you didn’t even do the primary reading you asked for, John. Now go away, learn to read science arguments from both sides, and do the math in the methodology to see if the reasoning holds up. When you’re able to demonstrate that you’ve done this, you’ll be worth my time again. Now piss off.

        Oh and learn to understand the literacy gap between the real domain experts and the policy-makers that sit on panels while you’re at it.

        • Avatar

          Issan John

          Thursday, January 7, 2021 at 3:09 pm

          Wow. That must have touched a nerve.

    • Avatar

      John Brown

      Wednesday, January 6, 2021 at 5:35 pm

      Sorry, a couple of typos here.

      “However, like all PCR tests, Ab tests…” This should read *Ag* tests. Antigen, antibody.

      And TH Chan, not TS.

  4. Avatar

    Toby Andrews

    Wednesday, January 6, 2021 at 4:24 pm

    I will write this short. Any test that find a person positive for the virus is useful right?
    The same Rapid test might find persons that are positive, not positive, but that does not matter.
    The test has found some persons positive. THAT IS USEFUL.
    This Rapid test does not find persons positive that are not.
    It is a bit like fishing. The test catches some fish and misses others.
    One of my sources is professor Michael Mina of Harvard University. I did check before posting.
    where are your sources, Isaan John? No don’t tell me, it was the British newspaper the Sun, right?
    I see you do not trust Professor Michael Mina Mr Brown, but I do.

    • Avatar

      John Brown

      Wednesday, January 6, 2021 at 6:51 pm

      Yes, this is right, Toby.

      The rapid tests are far from perfect, especially on specificity. There are way too many false positives.

      But if they are cheap enough that people can afford to take a 2nd test when the 1st test is positive, then this solves the false positive problem with.

      Mina et al demonstrated the math behind this so clearly that people who still disagree are just ? (laughing-crying emoji)…. Except that so many people are dying because of their stupidity that it is actually ? (crying emoji)

      You’ve seen his TIME magazine and NYT articles, right? They’re pretty good.

      time com/5912705/covid-19-stop-spread-christmas/

      nytimes com/2020/07/03/opinion/coronavirus-tests.html

      Another strong article from the Atlantic: theatlantic com/health/archive/2020/08/how-to-test-every-american-for-covid-19-every-day/615217/

      Another Mina piece on Twitter, rejecting another NYT article with a terrible headline that misled the public and caused a lot of damage. Warning: there’s a little math involved!

      twitter com/michaelmina_lab/status/1324250948231979009

      So yes, you are absolutely right about trusting Mina on this particular issue. Rapid tests, used correctly, will help a lot. But lockdowns will still be necessary! Just for shorter periods.

      • Avatar

        Issan John

        Wednesday, January 6, 2021 at 9:06 pm

        Remind me again, would you John Brown, what countries have approved these tests for home use?

        Which of the experts on the national panels in any country have agreed with him?

        Any at all?

        Surely SOME of them can “do the math”?

        Surely they’re not ALL that “stupid”?

        Surely they don’t ALL have “special interests” that mean they don’t care that “so many people are dying because of their stupidity”?

        ALL OF THEM?

      • Avatar

        Issan John

        Wednesday, January 6, 2021 at 9:21 pm

        … and BTW, John Brown, the problem according to the experts isn’t that “there are way too many false positives”, but that there are way too many false NEGATIVES. In the UK’s trial, the rapid flow self-administered tests missed 51% of the positives – as you can “do the math”, you don’t need me to tell you that’s over half.

    • Avatar

      John Brown

      Wednesday, January 6, 2021 at 11:46 pm

      No need to listen to dogs barking, Toby, you’re absolutely right about this. People who can’t do math and are too lazy to even try don’t understand the so-called false negative problem of antigen tests then get really uptight when other people see something is a good idea that they don’t understand because they haven’t put in the work to. It’s the same whether it’s policy-makers or random nobodies in the comments section of website, they get really upset because it makes them feel insecure and uncomfortable that other people know something that they don’t.

      Maybe if they tried to have an original thought for once it would give them the inspiration to get off their lazy ass, learn some new skills, and solve the problem.

      But you can definitely trust Mina here. He knows what he’s talking about. For example, here

      “Also, these nuances of Virus kinetics and PCR positivity vs antigen positivity vs transmissibility are NOT simple and are NOT the types of things, particularly w a novel virus, that most physicians and researchers are supposed to know. This is a niche area of science. It is partly why there has been so much confusion. Most ppl do not study/model within-host virus kinetics and link to diagnostic and public health tools. It’s a small niche area. But for those of us who do study these pre-COVID, this is all turning out as expected – a good thing”

      twitter com/michaelmina_lab/status/1324258894294732801?s=20

  5. Avatar

    Issan John

    Wednesday, January 6, 2021 at 5:39 pm

    ” Any test that find a person positive for the virus is useful right?”

    WRONG.

    If more than half the tests tell people they’re negative when they’re actually positive that’s NOT “useful”. It’s worse than useless.

    … and FWIW, John Brown does trust professor Michael Mina, so you couldn’t even get that right.

    My “sources” are the leading scientists and Covid experts in authority in every country in the world. That’s EVERY country, Toby A, without exception. None happen to agree with Michael Mina. Not one.

    Now, who should I trust ….. all the leading scientists and Covid experts in every country in the world, who for once all agree, or Michael Mina, John Brown, and you?

    … on balance, I think I’ll go along with all the leading scientists and Covid experts in every country in the world …..

  6. Avatar

    Toby Andrews

    Thursday, January 7, 2021 at 12:13 am

    Well I give up, first Issan john writes these tests are useful, and then later writes they are not.
    They identify those with the virus, sometimes accurate, sometimes not, but they still identify those with the virus.
    Despite all, they are an extra way of finding those with the virus, therefore useful . . .
    I will not continue objecting to the ramberlings of this Isaan idiot.

    • Avatar

      Issan John

      Thursday, January 7, 2021 at 3:17 pm

      No, Toby, what I’ve said is that they’d be “useful” IF they worked, IF they existed as described.

      IF.

      Unfortunately they don’t, although all Michael Mina says he needs to make them work is $20 billion in funding.

      Flip a coin and you’ll get similar accuracy, rather more cheaply.

  7. Avatar

    Issan John

    Thursday, January 7, 2021 at 3:05 pm

    So not only are ALL the scientists, Covid experts and epidemioligists in EVERY country in the world wrong about one of the few things they all agree on, without exception, and they’re all “idiots” who “can’t do the math”, who are also on the take from their “special interests” and they don’t care that “so many people are dying because of their stupidity” …

    … but now they’re all “too lazy to put the work in” as well.

    ALL OF THEM!

    So instead of trusting all of the world’s leading scientists, covid experts and epidemiologists who are in positions of authority in every country in the world on one of the few things they all agree on, the planet’s only chance of survival lies in Michael Mina’s hands, ably supported by you and Toby Andrews.

    … Oh well …..

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Caitlin Ashworth is a writer from the United States who has lived in Thailand since 2018. She graduated from the University of South Florida St. Petersburg with a bachelor’s degree in journalism and media studies in 2016. She was a reporter for the Daily Hampshire Gazette In Massachusetts. She also interned at the Richmond Times-Dispatch in Virginia and Sarasota Herald-Tribune in Florida.

Coronavirus (Covid-19)

Wuhan remembers Covid-19 lockdown on 1 year anniversary

The Thaiger

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Wuhan remembers Covid-19 lockdown on 1 year anniversary | The Thaiger

Wuhan is remembering the Covid-19 lockdown that 11 million residents endured on today’s 1 year anniversary. The 76 day lockdown on January 23, 2020 saw public transportation shut down by 10am and a ban on anyone exiting the city, unless they were given special permission. In a city the size of London, locking down painted an eerily quiet landscape.

But such an anniversary today has been met with silence by Beijing as no lockdown commemorations have been planned, almost as though the lockdown never happened. A commentary in the Beijing News professed “mixed feelings,” praising the aggressive lockdown as a model for the world, while noting Wuhan’s sacrifices and the looming virus threat.

“We must not lose the hard-won results of the epidemic to negligence, and must not let the epidemic rebound. Pay tribute to Wuhan. Pay tribute to the strong and fearless Chinese people!”

Despite the government’s reluctance to acknowledge the anniversary, Wuhan’s lockdown ordeals remain fresh the memories of Chinese people, especially as localised Covid-19 clusters have spread across China. Such popups in Covid cases have prompted Beijing to implement mass testing and lockdowns in other areas.

76 year old Huang Genben, is one of those who remembers. He says he spent over 2 months in a hospital last year fighting the virus as he spit up blood, expecting to die, but agrees that such a lockdown was necessary.

“When I closed my eyes at night I didn’t know if I would open them again.”

“We can tell from the results that the policy of the government was correct, the cooperation of Wuhan citizens was correct. I feel pain seeing the epidemic all over the world.”

Today, the streets of Wuhan seem to be the stark opposite of what it was 1 year ago, with elderly dancers spinning in parks and crowded bars selling “Wuhan Stay Strong” craft beer, while the rest of the world is still dealing with the fallout of the pandemic.

But 58 year old street vendor Xu Jiajun, contradicts the somewhat merry street scenes as he says things have changed since the pandemic began.

“The situation is not good. I don’t have a stable income like I did before.”

As the Covid-19 virus is generally believed to have spread from a Wuhan wet market where exotic animals were sold as food, World Health Organisation experts are almost finished with a 2 week quarantine in Wuhan where they plan to investigate the coronavirus’ origins.

Worldwide, the virus has been responsible for killing at least 2 million people, but in China authorities have reported fewer than 5,000 deaths, with the vast majority coming from Wuhan when the pandemic most probably originated.

SOURCE: The Phuket News

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Coronavirus (Covid-19)

Patong, Phuket Town to fund residents’ vaccines

The Thaiger

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Patong, Phuket Town to fund residents’ vaccines | The Thaiger

Patong and Phuket Town are planning to fund registered residents’ Covid-19 vaccines, Thai and foreign, with the hope to speed up the inoculation process without waiting for the national government. The mayors of both cities say they have already allocated the funds to move forward with purchasing the vaccines after the government approves which ones may be used.

Like any other municipality in Thailand, the Covid-19 vaccine must be acquired from the Ministry of Public Health. Thanit Sermkaew, Chief of the Phuket Provincial Public Health Office, says his office had yet to receive the news on how many doses of the vaccine Phuket could receive or in which order to vaccinate people.

“I don’t want to wait in the queue to get the vaccine budget. Chalong people deserve to receive vaccines. They do not need to pay.”

Mayor Samran of Chalong confirmed that the Covid vaccines will be freely available to all people registered as living in Chalong Subdistrict, regardless whether the resident is Thai or foreign.

“There are about 20,000 to 30,000 people in Chalong. This includes everyone: Thais, migrant workers and other foreigners registered as living in Chalong, such as retirees and foreigners staying here for other reasons. They will all receive the vaccine.”

Phuket City Mayor Somjai Suwansupana has also confirmed that Phuket City Municipality will also administer free vaccines to the over 79,000 people living in Phuket Town. But he says only people who were registered as living in the city limits at the end of December would be eligible to receive the free vaccines. Chalermluck Kebsup, Mayor of Patong, is also following suit by offering free vaccines to registered residents.

“We deserve to get the vaccine quickly because Phuket is a tourism province, our people depend on tourism.”

It has been 26 days since Phuket had any positive cases of Covid-19, but Chalermluck says a vaccine will curb worries of Covid spreading.

“The vaccine is our hope in stopping this fear. If local residents receive the vaccine as quickly as possible, I think people will be more confident in receiving domestic tourists. Then businesses can run.”

Phuket Chamber of Commerce President Thanusak Phungdet is praising the move by local municipalities to plan free vaccinations.

“Provinces that rely on tourism should receive the vaccine before other provinces. For Phuket, it will create more confidence among tourists wanting to travel here. Then businesses can start operating again, and that will help local people earn incomes that they can live on.”

SOURCE: The Phuket News

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Coronavirus (Covid-19)

ASQ + Vaccine in Thailand proposal gets the thumbs down

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ASQ + Vaccine in Thailand proposal gets the thumbs down | The Thaiger

OPINION

A spokesperson from a Thai tourism association came up with the “cunning idea” yesterday to propose a ASQ + Vaccine package to travellers and tourists. So not only do you get your 14 day mandatory quarantine at an expensive hotel in Bangkok, the opportunity to submit copious amounts of paperwork and drill through the red tape. NOW you get a jab of Covid-19 vaccine included. All for the all time low starting price of 150,000 baht. Read the original story HERE.

Bargain!

Of course The Thaiger readers and viewers raced to congratulate the rocket scientist who came up with this brilliant piece of tourist marketing. Suffice to say, it’s dead in the water even before the ambulance arrives…

Ron Rossington
Until the ditch the 14 day quarantine and end the ineffective lockdowns, Thailand will not get the tourist numbers they are in dire need of to stabilize the economy.

k tara
Another brilliant idea for tourists which will be dead on arrival. Do these people live in reality.

rickdangr
Tourism will NOT return until the 14 day quarantine is gone! Get the vaccine out to the Thai people, then start with allowing tourists in without quarantine, that have been vaccinated. This would be a smart way to open, and to get it done by April 1st, before the Songkran holiday.

Paul D
Hello Thaiger Team, the story with regards to vaccinations tagging on with the STV, seems to me as another of Thailands false hope stories. But I am sure the Government powers may have overlooked the strong suggestions many Airlines have voiced, “that no traveller will be allowed on the flight unless they have proof of vaccinations”. Even this is not 100% at this point. Some countries will not even allow their citizens to leave right now. I think the Thai government, even though are doing as much as they can right now, needs to not provide false hope to travellers at this point.

Energy3
another gimmick by thai officials – free vaccine with STV – sounds like you’re getting a happy meal with a free toy
Sai Sai
This is ridiculous!

Tyler Durden
These Thai officials need to wake up. The reason us tourists aren’t coming to Thailand is because of the 2 week quarantine, adding extra vaccination costs on top of an already expensive STV visa ain’t gonna get me over there that’s for sure. If these officials don’t drop the 2 week quarantine, there once popular visitors are going to be popular visitors elsewhere, as already I know many people traveling to South America.

And this gentlemen, J German, who went to all the trouble for little return…

I went to Bangkok in Dec. for the holidays. I did my 2 weeks of ASQ during which the shrimp market outbreak started. By the time I got out of quarantine, I had 4 nights of fun, but it was far from what the scene once was. I had a fun NYE, then it all got shut down. I went there to be in a country that was “safer” and not on lockdown. I lost that bet. Then Taiwan closed to international flights, cancelling my trip home. I got on the next plane to the US, leaving several weeks early so as not to get stuck there with nothing to do. My advice is, don’t waste your money or your time (like I did) until vaccinations are widely distributed and quarantines are over.

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