Letters to the Editor • Opinion
We already know how to prevent pandemics
The Food and Drug Administration campus in Silver Spring, Md., in October 2015. (Andrew Harnik/AP)

People who think they were exposed to the coronavirus face a number of logistical obstacles in the United States to get tested: Many tests take days to produce results, require leaving quarantine to visit a medical professional, or — most likely — both.

That could change with Lucira Health’s “All-In-One” test kit, which on Tuesday became the first rapid, at-home test authorized by the Food and Drug Administration.

The California biotechnology company’s single-use home test kit, which it expects to sell for less than $50, requires a prescription from a doctor. As winter approaches and infections have surged in most states, the at-home test will allow people who are possibly infected to not have to go into clinics or hospitals to get tested, potentially spreading a virus that has already killed more than 247,000 people in the United States.

Unlike rapid antigen tests, which experts warn can be unreliable, the kit will test genetic material in a method similar to the laboratory tests that have become the standard for detecting the virus. After swirling the nasal specimen into a solution, home-testers plug the vial into a portable, battery-operated device, which uses a light to indicate the test result within 30 minutes. A positive test result can be generated in as few as 11 minutes.

The test is expected to be available to patients of Northern California’s Sutter Health and South Florida’s Cleveland Clinic “in the near future” but not reach the national market until early spring 2021 as Lucira scales up its manufacturing capabilities, the company said Wednesday morning.

The company said that when it compared its test to one of the most reliable FDA-authorized tests out now, it agreed with positive and negative results 94.1 percent and 98 percent of the time respectively in a study of more than 100 people in California. A clinical trial in Florida is ongoing.

While some retailers, including Costco, have already been selling home coronavirus tests to consumers, they are more than twice as expensive — about $130 — and require people to mail their sample to a lab and wait up to two days for results, The Washington Post’s William Wan reported.

Nearly 300 coronavirus testing kits have been authorized to date by the federal agency, according to the Associated Press, but most require either a nasal swab by a doctor or nurse or processing with high-tech lab equipment.

Home tests could help in the fight against the coronavirus. So where are they?

Under its emergency use powers, the FDA also authorized Lucira’s test for medical settings like doctor’s offices, hospitals and urgent care centers. Patients ages 13 and under must have the test administered by a medical professional.

In recent months, companies have been racing to see who could be first to provide an at-home test, Wan reported. Many manufacturers said the test could be especially helpful this winter, with infections surging and consumers wanting to get tested before holiday gatherings.

“At a time when so many people feel like they’ve lost control of so much of their lives, it would put power back in their hands,” Mara G. Aspinall, a biomedical diagnostics professor at Arizona State University, told The Post last month. “That’s no small thing.”

Scientists have weighed the merits of two different ways of detecting the virus. Some of the two dozen or so companies trying to develop home tests have focused on polymerase chain reaction (PCR) tests, a molecular process that is more precise but also more expensive and takes longer.

Many more manufacturers are close to developing at-home antigen tests, which detect proteins on the surface of the virus. But these rapid tests are less sensitive, producing false negatives that could give people a false sense of security.

In July, the FDA issued guidelines noting any at-home test must be accurate and easy enough for untrained people to use without confusion. Antigen tests sold directly to consumers must be more accurate than those used in medical settings up until now, the agency said, because consumers at home will be left to interpret the results on their own.

Lucira said on its website that the company’s at-home test relies on molecular nucleic acid amplification technology, which is designed to detect whether an individual is shedding the coronavirus that causes covid-19. Before the pandemic, the manufacturer was focused on developing similar technology for an at-home flu test.

The FDA’s emergency use authorization for the Lucira home test requires prescribing health professionals to report test results from patients according to local, state and federal requirements.

Doctors and public health specialists had expressed worries about reporting and receiving data from at-home tests, because labs are not involved. These experts fear that without clear mechanisms, the country would be flying blind as it navigates the pandemic.

William Wan and Laurie McGinley contributed to this report.

Coronavirus: What you need to know

Where do things stand? See the latest covid numbers in the U.S. and across the world. In the U.S., pandemic trends have shifted and now White people are more likely to die from covid than Black people.

The state of public health: Conservative and libertarian forces have defanged much of the nation’s public health system through legislation and litigation as the world staggers into the fourth year of covid.

Grief and the pandemic: A Washington Post reporter covered the coronavirus — and then endured the death of her mother from covid-19. She offers a window into grief and resilience.

Would we shut down again? What will the United States do the next time a deadly virus comes knocking on the door?

Vaccines: The CDC recommends that everyone age 5 and older get an updated covid booster shot. New federal data shows adults who received the updated shots cut their risk of being hospitalized with covid-19 by 50 percent. Here’s guidance on when you should get the omicron booster and how vaccine efficacy could be affected by your prior infections.

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