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U.S. has failed to follow lead of other countries

Why aren’t we paying more attention to the experience of other countries in responding to COVID-19? There is no particular country that has the answer to controlling the pandemic — unless you accept the implausible statistics from China, which claims to have only a few cases of the omicron variant in a country of 1.4 billion.

But the U.S., the world’s hardest-hit country by COVID-19 in absolute terms, seems to ignore effective measures that other countries have taken to mitigate the pandemic. To our detriment, this includes efforts to make 15-minute at-home antigen tests widely available, a coherent vaccine policy and monitoring of indoor ventilation.

Many European and Asian countries have been employing rapid COVID-19 testing for over a year. These tests are not a precise diagnostic tool or a panacea, but they are quick, doable at home and reasonably accurate for identifying people who are infected, especially with repeated testing. Negative tests allow for small gatherings and safer travel. Positive tests help break potential contagion chains because a person can isolate afterward. These tests have been shown to reduce the number of infections in other countries.

Yet it wasn’t until December that President Joe Biden made it a priority for the federal government to purchase 500 million COVID-19 rapid tests for home distribution (and those tests may not be readily available for weeks.) According to Vanity Fair, the administration rejected a plan in October to distribute free home tests. Biden has denied the report.

Why would the Biden administration and its public health infrastructure not embrace rapid testing? In retrospect, the testing miscalculation was part of an overly optimistic view that declining cases in early summer heralded a waning pandemic. The delay was also the result of the emphasis since early 2020 on having the medical community determine when and whom to test, as well as the desire for a level of federal regulation of testing. This injected a level of bureaucracy when what we need is greater efficiency.

With the emergence of omicron, the administration has backtracked, but Americans still are waiting in line or are paying exorbitant prices — if they can find home tests at all. The United Kingdom is using rapid tests to indicate whether a person is still contagious after contracting COVID-19 and to help guide isolation time.

The Centers for Disease Control and Prevention has controversially shortened the isolation time for those who test positive but are asymptomatic — without recommending rapid testing for coming out of isolation.

Some officials at the Food and Drug Administration minimized the vaccine experience in Israel, resulting in U.S. booster recommendations being adopted belatedly. Israel has the earliest experience with vaccine distribution and documented that people receiving the vaccines demonstrated waning immunity as early as three months afterward. Skepticism about Israeli data and disagreement between FDA scientists and policymakers in the Biden administration resulted in confusion and delay in administering boosters here.

Another area in which COVID-19 experience in other countries has been virtually ignored is the importance of proper ventilation for indoor activities.

Much still can be learned from other countries’ experience, good and bad.

Dr. Cory Franklin is a retired intensive care physician. Dr. Robert A. Weinstein is an infectious disease specialist at Rush University Medical Center.

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