As businesses reopened Friday in more of the U.S., an overwhelming majority of states still fall short of the COVID-19 testing levels that public health experts say are necessary to safely ease lockdowns and avoid another deadly wave of outbreaks, according to an Associated Press analysis.
Rapid, widespread testing is considered essential to tracking and containing the coronavirus. But 41 of the nation's 50 states fail to test widely enough to drive their infections below a key benchmark, according to an AP analysis of metrics developed by Harvard’s Global Health Institute.
Among the states falling short are Texas and Georgia, which moved aggressively last month to reopen stores, malls, barbershops and other businesses.
As health authorities expand testing to more people, the number of positive results should shrink compared with the total number of people tested. The World Health Organization and other health researchers have said a percentage above 10% indicates inadequate testing. South Korea, a country praised for its rapid response, quickly pushed its positive cases to below 3%.
Most governors are moving ahead with unlocking their states, even in cases where they are not meeting broad guidelines recommended by the White House.
Texas Gov. Greg Abbott has set a goal of 30,000 tests per day as his state launched one of the nation’s most aggressive reopenings on May 1. He never set a firm date on when the state would hit the 30,000 mark, but for most of May, the daily testing numbers have fallen well short of that.
Local leaders say tests are still in short supply. El Paso officials have pleaded with the governor to postpone easing up any more business restrictions in light of the COVID-19 cases there surging 60% over the past two weeks.
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The first stage of reopening in Maryland was scheduled to take effect Friday evening, when some retail stores will be allowed to reopen and a stay-at-home order lifted. But some of the hardest-hit parts of the state, including the suburbs of Washington, D.C., extended restrictions for residents and businesses.
Maryland averaged 4,265 tests per day this week, compared with about 4,900 the previous week. Nearly 22 percent of people tested positive in Maryland on average over the last seven days
Maryland Gov. Larry Hogan made headlines last month when the state acquired 500,000 test kits from a South Korean company in a confidential deal, but Maryland has not had all the components needed for testing — like swabs — to meet demand. Hogan said Maryland just received swabs this week from the Federal Emergency Management Agency.
“We requested 350,000,” Hogan said Wednesday. “They’ve committed to 225,000, and I think we got 75,000 yesterday with another 125,000 that are supposedly days away, along with the tubes and the stuff that goes with them. So it’s not enough, but it helps us.”
Researchers at Harvard University have calculated that the U.S. needs to test a minimum of 900,000 people per day to safely reopen the economy, based on the 10% positivity rate and several other key metrics. That goal is nearly three times the country’s current daily testing tally of about 360,000, according to figures compiled by the COVID Tracking Project website.
“The fact that testing has become the Achilles’ heel that has made it hard for us to have a great national response to this pandemic is a tragedy,” said Dr. Ashish Jha, director of Harvard’s Global Health Institute. “I’d like us to have a massive amount of ubiquitous testing so that, of all the things we need to worry about, testing isn’t one of them.”
President Donald Trump insisted again this week that his administration had “met the moment” and “prevailed” on testing, even as he continued to shift responsibility for the effort to the governors. Administration officials said they will provide states with enough testing supplies to conduct about 400,000 tests per day in May and June. But that’s still less than half the total recommended by the Harvard team.
Only nine states met the daily rate recommended by Jha and his colleagues, according to the AP analysis. Most of those states are large and rural, such as Montana, Alaska, North Dakota and Wyoming. Meanwhile, states with some of the biggest testing shortfalls, including New York and New Jersey, have signaled they will keep stay-at-home orders in place.
“I really do feel there are dangers here opening up without enough tests, but I don’t feel it’s a uniform danger everywhere in the country,” Jha said.
In New York, Gov. Andrew Cuomo will allow many smaller cities and rural regions of upstate New York to gradually reopen first, industry by industry, in areas that have been spared the brunt of the coronavirus outbreak. The first wave of businesses includes retail — though only for curbside or in-store pickup — along with construction and manufacturing. Cuomo also announced that beaches would be allowed to open in time for the Memorial Day weekend.
In Virginia, some nonessential businesses including hair salons reopened Friday under modified restrictions set in place by Gov. Ralph Northam. Retail stores could expand their capacity, but beaches were still off limits to sunbathers.
New Jersey Gov. Phil Murphy will let individual shore towns decide when it comes to reopening beaches. His long-awaited guidance Thursday directed them to set occupancy limits, require 6 feet (2 meters) of space between beachgoers, except family members or couples, and prohibit groups of 10 or more from congregating on the beach. Beaches also reopened this week in Los Angeles County, with masks required.
North Carolina is among the states that have made major progress on testing, reporting on Friday an all-time high of more than 12,000 additional tests completed compared with the previous day. But the state’s seven-day rolling average of just over 6,000 tests is still well below the 11,000 daily tests recommended by Harvard’s team. The testing increases over the past few weeks contributed in part to Gov. Roy Cooper and state leaders feeling comfortable with easing his stay-at-home order May 8.
Volume of testing isn’t the only concern. The Food and Drug Administration said late Thursday that it was investigating preliminary data that suggested a rapid COVID-19 test used by Trump and others every day can miss infections and falsely clear infected patients. FDA Commissioner Steve Hahn said Friday that his agency has provided new guidance to the White House after data suggested the 15-minute test may provide inaccuracies and false negatives.
The test, by Abbott Laboratories, is used daily at the White House to test Trump and key members of his staff, including the coronavirus task force.
The FDA warning came a day after researchers at New York University reported results suggesting Abbott’s test can miss up to half the infections caught by a rival test made by Cepheid. The research has not been peer-reviewed or published in a medical journal and was based on about 100 patients.
Worldwide, there have been more than 4.4 million coronavirus infections reported and 300,000 deaths, while nearly 1.6 million people have recovered, according to a tally by Johns Hopkins University.
Witte reported from Annapolis, Maryland. Forster reported from New York City. Associated Press writers Gary Robertson in Raleigh, North Carolina; Michael Kunzelman in Silver Spring, Maryland; and Paul Weber in Austin, Texas, also contributed to this report.