I cannot believe how poor the penetration is for this story. It feels like I’m manually telling everyone I know, and they’re each hearing it for the first time.

The free rapid tests that Shoppers Drug Mart has been distributing are duds! They throw a false negative at everything but the highest viral loads!! A negative result from one of these is basically zero information!!! Do not rely on them!!!!

Tell your friends, save lives.

https://globalnews.ca/news/10183219/covid-test-supplier-canada/

COVID test supplier received billions in pandemic contracts after submitting edited results

The familiar lime-green kits were not always reliable in detecting COVID-19, experts say, putting Canadians at risk.

Global News
@elana fuck yeah that explains a lot actually
@kitten right?? I had that feeling for a long time, wild that it was true
@elana the only times it ever worked for me were the time I had a viral load so high that i was still testing very positive 2 weeks later >.<
@kitten ooof, I'm so sorry to hear that 😣

@elana hmm.

I’d say, instead:

- it’s shitty that they fudged data and cheated the government, but they still have helped lots of people realize they were infected and highly infectious, it’s not that they’re duds

- LOTS of rapid tests are just as insensitive, it’s not that these are especially bad

- better rapid tests exist, and if you’re buying them instead of using free ones, buy those instead, here’s a link /1

https://www.medsupmedical.com/products/acon?variant=40755438158032

L031-125V5 Flowflex SARS-CoV-2 Antigen Rapid Test

@elana - don’t throw this kind away! they do work well to show when you have a high viral load, so use them to show you the first steps in the process of becoming non-infectious

- it’s not just THESE tests, you can’t rely on ANY rapid tests to show you conclusively that you’re not infected—if you absolutely need to know that, you need something other than even the best rapid tests, here’s a link /2

@elana
- any rapid test can tell you if you’re infected with a high viral load, including the ones that company lied about, so don’t disregard a positive result from any rapid test—if you test positive it means you have COVID /3fin.

@IPEdmonton Those are all great points!!! I hope people scroll downthread and read them.

The main takeaway I hope people grab from my original, oversimplified phrasing is that the negatives are unreliable. A lot of people don't realize this about ANY test, and are willing to take a negative result as gospel truth. These tests are extra bad, in a way that confirms what I've been observing for a long time but couldn't support with any data of my own.

@elana yes, but people are throwing away their stashes of these tests (when they still have their uses) and then purchasing alternatives that are either just as bad or not much better (which means that they have learned NOTHING useful from the story). Both of which are HUGE PROBLEMS.

@IPEdmonton I'll be honest, no one I know had even heard this story at all, much less taken any action about it 😞

in longer conversations, I certainly advise them that the tests are still good for positives.

I've been a little bit (okay a lot) cynical about testing in general, because it's so unreliable and gives people a false sense of security. I'm definitely in the 'act as if everyone is positive' camp. so I'm not mad if people toss tests, but I understand others have a different system.

@elana my students have been testing with these to confirm that their symptoms indicate COVID and to show them how long it can take to test negative again (which are perfectly valid uses of any mediocre rapid test). These are not people who would buy tests, they use them because they had a bunch lying around, and they use them liberally. I bet that next semester, after superficial interpretations of this story, they will stop testing altogether. I DREAD this.
@IPEdmonton this is a huge secondary effect that I did not consider!!!! Aw man 😩
@IPEdmonton @elana we use them. We use the cheek, throat, nasal swab combo and get results we expect. Positive within 24h of symptoms, no negatives before day 10 and feeling better, and don't trust a negative unless we have 2 negatives 48h apart. Not duds. Useful, with the proper instructions, which admittedly public health agencies did not communicate.

@Kellyshenanigans @elana We also use them. They were free, and they WILL show you if you're positive and highly infectious, so it would be terrible to just throw them away!

Also, even with these (or any other) mediocre rapid tests, if you test twice a day for two weeks and never test positive, you proooooobably don't have COVID and never did (though again, if you have symptoms and you need to know for sure, you do need to get a better test, and this is true for ANY RAPID TEST not just these).

@Kellyshenanigans @elana however, when we ran out of the free ones and were in a position where we had to buy our own, we went for a test with much much much higher sensitivity. Here's a link where Canadians can buy them (they're not so expensive!): https://www.medsupmedical.com/products/acon?variant=40755438158032
L031-125V5 Flowflex SARS-CoV-2 Antigen Rapid Test

@IPEdmonton That looks like the kind our library is switching to giving out! ^_^ Hooray that they're switching to genuinely better ones!
@Kellyshenanigans @elana
@Kellyshenanigans mmmm, good to know. I think a lot of people were trusting those negatives, though, and a lot of unfortunate things have happened because of that.
@IPEdmonton @elana This particular brand of Rapid Test worked very efficiently a year ago, when my husband was pretty sick with covid. It gave a fainter line on day 2 of symptoms and a very dark line for the next 10 days, before fading to no line on day 14. Don't throw them out. Just don't completely trust a negative result. Especially if you have symptoms.
@WJBL @elana yes. they were never good enough, and there have always been better rapid tests, and it sucks that our governments didn’t know that. But they have always been, and continue to be, better than nothing.
@IPEdmonton that’s a great point. I always forget that “nothing” is on the table as an option for so many people 😔
@IPEdmonton @elana I can't seem to find the link

@robryk @elana sorry, I wrote that just for Elana and was just using shorthand to convey to her what I'd tell others instead of what she's been saying. I assumed she knew the link (and still assume that), but here it is for you! https://www.medsupmedical.com/products/acon?variant=40755438158032

Just remember, though, that while these tests are A LOT more sensitive than the ones provided by Canadian governments, they're still not enough to PROVE that you're NOT infected. If you need to know that, any rapid test is the wrong tool.

L031-125V5 Flowflex SARS-CoV-2 Antigen Rapid Test

@robryk @elana I will also edit the original post to add the link seeing that my side conversation with Elana is now circulating much more widely than originally intended! 😆​
@IPEdmonton I'm so glad people are seeing your valuable contributions!!!!!!!!!!!
@IPEdmonton @robryk @elana The thing is, they are the only testing tool the vast majority of us have access to.
@kataclyst @robryk @elana yes, and so we should use them. But we should simultaneously be doing our best to purchase ones like the above, that do work much better, and also to be aware of the shortcomings of even the best rapid tests.
@kataclyst totally valid, and they still have their uses, it's just really important to understand their limitations (positives are meaningful, negatives are not a guaranteed free pass to share air). Actually this is kind of true of all the rapid tests, but these ones turned out to be especially insensitive!
@IPEdmonton @robryk @elana The ones currently on offer have an expiration date of February, 2024. Not sure how seriously one should observe that.
@kataclyst @robryk @elana I bought only a small amount for that reason.

@elana

So they deleted parts of the study where the tests were wrong... and then had legal permission to call tests imported from China as "Made in Canada" (because importing is manufacturing, of course).

It boggles my mind that anyone in North America (or other developed nations) still trust their medical systems. I'm sure that someone will label this statement, and not the deleting of results from a study falsely proving safety, as "anti-science".

Jeeze.

@Blort yep! the past nearly four years have been me sadly tossing out my faith in institution after institution. good news is, the bar is now pretty darn low, so we can get in there and start building the world we want to see!!!!
@elana See this. Not sure how many of these brands are for sale in Canada, but some must be: https://www.fda.gov/medical-devices/coronavirus-covid-19-and-medical-devices/home-otc-covid-19-diagnostic-tests
At-Home OTC COVID-19 Diagnostic Tests

Expiration dates and more about authorized at-home OTC COVID-19 diagnostic tests information.

U.S. Food and Drug Administration
@wndlb not actually looking for tests but thank you!
@elana Surprised it isn't bigger news and sorry to read this. But it was predictable, in that the company was given huge economic incentives to misrepresent the efficacy of its product. It's what can happen when medicine gets commodified.
@IHender predictable, maybe. preventable, too, with a little more oversight. I hope this will make people look at their tests a little bit more carefully and think about what they mean: namely, a positive result is actionable (time to isolate), but a negative is not a free pass to share air with others.

@elana people called me crazy for thinking the gov't might knowingly send out ineffective tests to lower covid reporting while still letting 'er rip...

Turns out it wasn't a conspiracy at all! Just capitalism, doing capitalism.

Hooray!

@esklarski yeah, doesn't seem like it was 'knowingly' at least… and it's not like anyone was reporting at-home test results anyway 😔 I just hope people take the time to think about the difference between a positive test result (stay home!!!) and a negative test result (not a free pass to share air willy-nilly!!!)
@elana IHealth had some of these tests too, in the US. It's one reason I tell people RATs are just one part of "do I have covid," symptoms and pulse oximetry are important too
@mybarkingdogs interesting! I hadn't heard about pulse oximetry. I mostly just assume everyone around me has covid at all times and behave accordingly 🙃
@elana that's probably best of all

@mybarkingdogs @elana everyone I trust in the US says you need to swab the back of your throat and your cheeks/gums in addition to your nose in order to detect later less symptomatic variants (that i.e. produce a sore throat first) -- the fact that the instructions haven't been updated since the beginning tells me most of these corps and agencies are phoning it in.

Neither I nor my partner have ever tested positive despite having occasionally concerning symptoms. 🤷‍♂️

@elana
Same. I was filling my dad in - he hadn't heard, and he basically lives in the news. Of course we all have boxes of them and we've all been relying on them for years. They're what they government handed out.

But hey, at least a few guys in Ontario made a LOT of money, right?

@elana You may have just literally saved our New Years (if not more). We went through all of our other tests this week with my husband sick, and had two boxes of those at the bottom of the pile that we were going to rely on to decide whether it’s safe yet for him to come out of isolation and visit family tonight. I’ll pick up fresh tests thanks to your post. Thank you for sharing!

@saralobkovich so glad to hear it ☺️ a better quality test will definitely do that job better!

pro tip: any rapid tests are really only about 34% accurate at detecting an asymptomatic covid case! You can improve your odds of bypassing a false negative by testing multiple times, 48 hours apart. Here's a thread + study discussing this more: https://mstdn.science/@DrZoeHyde/110685736952352573

good luck, be safe, wishing your whole family good health!!!

Dr Zoë Hyde (@[email protected])

A new study shows that multiple rapid antigen tests are needed to reliably detect COVID-19. During the first week of infection, a single test has 82.5% sensitivity in symptomatic cases and only 34.4% in asymptomatic cases, compared to a PCR test. 🧵 https://www.acpjournals.org/doi/10.7326/M23-0385

mstdn.science
@elana I’ve found even the reputable rapid tests to do a poor job of detecting *symptomatic* cases in my household — I don’t know if we just generate lower viral loads, but I tested negative until day 9 of symptoms with my first infection, and with my 2nd I caught COVID at home with my only contact being family members who never tested positive during the window I would have been exposed. I trust positive rapid tests, not negative ones.

@saralobkovich That is the right way to do it for sure!!!!

Stop me if you already know this, but: vaccination trains our immune system to respond more quickly to the virus, so you show symptoms earlier, at lower viral loads—sometimes before there's enough virus for the test to catch! BUT THEN, each infection seems to cause a period of immune dysregulation (currently being researched; 6 months? a year?) whilst you become *more* susceptible to all kinds of infections! Definitely best to avoid!!!

@elana I wasn’t, but I’m at the very careful end of the spectrum w/ Long COVID x 2 (onset of first “type” May 2022 after 1st infection, second “type” with a whole new cluster of symptoms after second infection in March 2023).

That IS really good / important data for me in case of another known exposure when managing high risk treatment timelines. Are PCR tests prone to potential false negatives due to the same dynamic? (I also tested negative on PCR during my first infection.)

@saralobkovich oof I am so sorry to hear about your long covid 😣 that sucks so much. Lots of precautions solidarity from me & mine 🫶

I’m certainly no expert but PCRs are *supposed* to have greater sensitivity, but I am hearing a lot of stories about lab tests coming back negative, then testing again and returning a positive, just as you’re saying 😣 it’s no wonder the technology can’t keep up with a rapidly evolving virus that we’re letting mutate freely in as many hosts as it likes 😓

@saralobkovich @elana are you testing with the updated testing protocols? We all have high immunity in nasal and oral mucosa so we don’t shed as much virus. Best sensitivity is swabbing cheeks, throat and nose - both sides - at least 10s each.
@mviktoro great tips! Better swab technique does catch a few positives that you mightn’t otherwise. But the false negative rate on rapid tests is still bad enough that I wouldn’t bet my life (or anyone else’s) on one.
@elana This story explains why I'm certain I've had Covid 3-4 times and I've never once had a positive test from these RATs.
@Aecernist ooof. yeah. might be so. it checks out from what I've seen and heard around me too. hope you're doing okay.
@elana So much corruption has been found regarding Covid medical supply contracts in multiple countries, eg. The UK PPE scandal: https://www.theguardian.com/uk-news/2022/dec/09/revealed-the-full-inside-story-of-the-michelle-mone-ppe-scandal Either corruption is rife in the medical supplies industry and Covid govt funding was just a windfall or else experienced grifters were easily able to pivot to garnering Covid $$$.
Revealed: the full inside story of the Michelle Mone PPE scandal

PPE Medpro and supply chain partners made as much as £100m in profits; Tory peer and husband now selling yacht and homes

The Guardian
@elana That probably explains why the free test kits I just got from my pharmacy (not Shoppers) are a different brand.
@oclsc great! I would say “use them in good health”, but, well 😆