An alternative could be pool testing, were samples of x number of people are combined and tested. Only if a pool comes back as positive action is needed.
My best,
Imke Schroder
From: ACS Division of Chemical Health and Safety <DCHAS-L**At_Symbol_Here**PRINCETON.EDU> on behalf of Yaritza Brinker <YBrinker**At_Symbol_Here**FELE.COM>
Reply-To: ACS Division of Chemical Health and Safety <DCHAS-L**At_Symbol_Here**PRINCETON.EDU>
Date: Wednesday, May 20, 2020 at 6:43 AM
To: "DCHAS-L**At_Symbol_Here**PRINCETON.EDU" <DCHAS-L**At_Symbol_Here**PRINCETON.EDU>
Subject: Re: [DCHAS-L] Covid Testing and Universities
Good morning,
HEPA laws in the US prohibit an employer from viewing an employee's health records. This includes COVID test results. An employer has only the right to know about a
confirmed positive case in order to enact internal policies that protect other workers. Policies such as closing a facility for deep cleaning and granting the affected employee extended sick time to meet quarantine requirements.
The way laws, policies, and insurance contracts work in the US, basically prohibit you from initiate these protocols without having a medical lab confirm the case.
Also, results from a non-medical lab cannot be disclosed to the test subject because that would likely constitute "diagnosing without a medical license".
As this thought exercise progresses, I've come to the conclusion that data gathered in this manner could only be used to "monitor the situation" at a facility by random testing of
anonymous individuals.
Thank you all for your input!
Yaritza Brinker
260.827.5402
From: ACS Division of Chemical Health and Safety <DCHAS-L**At_Symbol_Here**PRINCETON.EDU>
On Behalf Of Michael Schaffer
Sent: Wednesday, May 20, 2020 5:52 AM
To: DCHAS-L**At_Symbol_Here**PRINCETON.EDU
Subject: Re: [DCHAS-L] Covid Testing and Universities
** External Email **
The mental health of individuals is cause for concern as all kits have certain false negative and false positive results.
An unconfirmed positive test result might cause Depression or worse , a suicide attempt.
A medical professional( physician) is recommended to educate and evaluate the results of these tests.
.
Michael I. Schaffer, Ph.D., F.A.B.F.T., NRCC-TC
VP Laboratory Operations
Psychemedics Corporation
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{Culver City, CA 90230}
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On May 19, 2020, at 6:12 PM, Tamara Vartanian <tamara.h.vartanian**At_Symbol_Here**gmail.com> wrote:
This Message Originated Outside the Company
Hello All,
I am interested in learning more on if anyone has started to administer these tests yet in a non-CLEA certified lab. If we are interested in checking for the health and safety for staff daily, are you using a saliva test or nasal swab for testing? Is there anyone who can share any protocols they are currently using? We are considering moving in this direction and I really would appreciate your advise. We want to be able to test in-house, get results within a few hours and provide feedback to staff by end of day.
Please let me know your thoughts and any recommendations.
Thank you!
Tamara Vartanian
On Fri, May 8, 2020 at 8:12 AM <pzavon**At_Symbol_Here**rochester.rr.com> wrote:
My point was that if it is not a research project then it comes under FDA and state regulation of medical labs.
Peter Zavon
Penfield, NY
PZAVON**At_Symbol_Here**Rochester.rr.com
From: ACS Division of Chemical Health and Safety <DCHAS-L**At_Symbol_Here**PRINCETON.EDU> On Behalf Of Margaret Rakas
Sent: Friday, May 8, 2020 7:29 AM
To: DCHAS-L**At_Symbol_Here**PRINCETON.EDU
Subject: Re: [DCHAS-L] Covid Testing and Universities
Peter- you're absolutely right that an IRB wouldn't be required to be involved if it weren't a research project. And many businesses would not have qualms about proceeding down this path, with an HR review by some and not by others.
I was thinking of a university setting, where again an IRB review wouldn't be a regulatory requirement but I believe most colleges and universities would feel a strong need for some type of ethics review. Sloppy phrasing on my part..
Margaret
Sent from my iPhone
On May 8, 2020, at 5:28 AM, "pzavon**At_Symbol_Here**rochester.rr.com" <pzavon**At_Symbol_Here**rochester.rr.com wrote:
It is not a research project if you are using the results to guide your administrative actions.
I would also point out that, although we think it likely, and hope, that having antibodies indicates at least temporary immunity, that has yet to be shown to be the case and there are a few cases that may suggest otherwise.
Peter Zavon, CIH
Penfield, NY
PZAVON**At_Symbol_Here**Rochester.rr.com
From: ACS Division of Chemical Health and Safety <DCHAS-L**At_Symbol_Here**PRINCETON.EDU> On Behalf Of Yaritza Brinker
Sent: Thursday, May 7, 2020 3:42 PM
To: DCHAS-L**At_Symbol_Here**PRINCETON.EDU
Subject: Re: [DCHAS-L] Covid Testing and Universities
The question is more around the lines of what if you just tested your staff only as a "research study". Can you do it without going thru the certification hoops necessary to test the general public?
This article talks about 1/3 of test subjects testing positive for antibodies in Massachusetts. The random screening of 200 was done on the street. That's a lot of people that are immune and no-longer contagious (it takes 3+wks post recovery to build enough antibodies to be detectable in the test).
Thank you,
Yaritza Brinker
260.827.5402
From: ACS Division of Chemical Health and Safety <DCHAS-L**At_Symbol_Here**PRINCETON.EDU> On Behalf Of Jeffrey Lewin
Sent: Thursday, May 7, 2020 2:28 PM
To: DCHAS-L**At_Symbol_Here**PRINCETON.EDU
Subject: Re: [DCHAS-L] Covid Testing and Universities
** External Email **
Yaritza,
We've done just that
Just be prepared for the time and effort - it took 20 some staff, many grad students trained to perform the procedures, a board-certified pathologist to lead the group, a CLIA application, working through an FDA Emergency Use Authorization, tying up two laboratories, and a host of other management issues. Well worth it, but it takes work to start a testing lab from scratch. If you are seriously interested in starting one, message me privately and I'll put you in touch with the people that got it up and running.
Jeff
On Thu, May 7, 2020 at 1:05 PM Yaritza Brinker <YBrinker**At_Symbol_Here**fele.com> wrote:
Here's a thought provoking questionÉ
Although research laboratories are not approved health laboratories, many do have the facilities to provide accurate testing. So, the question isÉ would it be okay for universities to test their employees and paid student staff in order to guide decision about resuming activities on campus. And could you extend testing to students enrolled in courses that require face-to-face interaction such as labs.
Of course, you'd have to have a health care professional collect the samples. "Test subjects" would have to voluntarily agree. EtcÉ
Thank you,
Yaritza Brinker
260.827.5402
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Jeff Lewin
Director of Chemical Laboratory Operations
Research Integrity Office
Laboratory Operations
207 Advanced Technology Development Complex (ATDC)
Michigan Technological University
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Best Regards,
Tamara Vartanian
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