Validation testing to determine the sensitivity of lateral flow testing for asymptomatic SARS-CoV-2 detection in low prevalence settings: Testing frequency and public health messaging is key

Lateral flow devices (LFDs) are quickly being implemented for use in large-scale population surveillance programs for SARS-CoV-2 infection in the United Kingdom. These programs have been piloted in city-wide screening in the city of Liverpool and are now being rolled out to support care home visits and the return home of University students for the Christmas break. Here, we present data on the performance of LFDs to test almost 8,000 students at the University of Birmingham between December 2 and December 9, 2020. The performance is validated against almost 800 samples using PCR performed in the University Pillar 2 testing lab and theoretically validated on thousands of Pillar 2 PCR testing results performed on low-prevalence care home testing samples. Our data show that LFDs do not detect infections presenting with PCR Ct values over 29 to 30 as determined using the Thermo Fisher TaqPath asssay. This may be of particular importance in detecting individuals that are either at the early, or late stages of infection, and reinforces the need for frequent, recurrent testing.

Antigen-detecting lateral flow tests are faster than PCR tests in detecting SARS-CoV-2 infection and are being implemented for use in large-scale population surveillance in the UK. An evaluation of the performance of the lateral flow devices, validated using PCR, concludes that lateral flow devices do not detect infections presenting with higher PCR Ct values, reinforcing the need for frequent, recurrent testing.     

Copper-Impaired Chemosensory Function and Behavior in Aquatic Animals

Chemosensation is one of the oldest and most important sensory modalities utilized by aquatic animals to provide information about the location of predators, location of prey, sexual status of potential mates, genetic relatedness of kin, and migratory routes, among many other essential processes. The impressive sophistication of chemical communication systems among aquatic animals probably evolved because of the selective pressures exerted by water as a “universal solvent.” Impairment of chemosensation by toxicants at the molecular or cellular level can potentially lead to major perturbations at higher levels of biological organization. We have examined the consequences of metal-impaired chemosensory function in a range of aquatic animals that represents several levels of a typical aquatic ecosystem. In each case, low, environmentally relevant metal concentrations were sufficient to cause chemosensory dysfunction. Because the underlying molecular signal transduction machinery of chemosensory systems demonstrates a high degree of phylogenetic conservation, we speculate that metal-impaired chemosensation among phylogenetically disparate animal groups probably results from a common mechanism of impairment. We propose developing a chronic chemosensory-based biotic ligand model (BLM) that maintains the advantages of the current BLM approach, while simultaneously overcoming known difficulties of the current gill-based approach and increasing the ecological relevance of current BLM predictions.