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Friday, October 23, 2020

JEREMY R. HAMMOND

© MMXX V.1.0.0
by Morley Evans





Hi Morley,

Since the start of the SARS-CoV-2 pandemic and the "lockdown" responses, we've heard a lot about reverse transcription-polymerase chain reaction (RT-PCR) tests. There's a lot of confusion about these tests and plenty of misinformation, so here, briefly, is what you need to know.

First, there are popular claims still being spread widely that the virus has never been proven to even exist. This is false. The virus has been isolated, and its whole genome repeatedly sequenced by scientists all over the world. There are sequence databases scientists use to track evolutionary changes in the virus as it moves through the human population.

There also seems to be a fairly widespread belief that PCR tests produce lots of false positives because they don't discriminate between SARS-CoV-2 and viral RNA of common human coronaviruses, other viruses, or even human DNA. This is also untrue. The tests are specific to SARS-CoV-2 and will not return a positive result for other viruses, much less human DNA. What can cause false positives is contamination or other human error in handling or processing the tests.

The tests work by cyclically amplifying any present SARS-CoV-2 RNA. If a certain cycle threshold value is met, the result is "positive". If fewer cycles are required to reach the threshold, the inference is of a higher "viral load"; whereas if a greater number of cycles are required, the inference is that less viral RNA was present in the sample.

I've seen the belief expressed many times that if the threshold value is set high enough, the tests will be positive no matter what. This is also incorrect. If there is no SARS-CoV-2 RNA present in the sample, there is nothing to amplify, and so the result will be negative.

Where the cycle threshold (or "Ct") value really matters is in the implication concerning contagiousness. The key point, which I have emphasized repeatedly in my writings over the past several months, is that the detection of SARS-CoV-2 RNA is not necessarily indicative of the presence of the viable, infectious virus.

So when the New York Times and other media have reported, for example, that SARS-CoV-2 is airborne transmissible because the such-and-such study found viral RNA in air samples, they were stating a fallacious conclusion.

For another example, when they've said that children are contagious because they have "viral loads" at least as high as adults, they are stating a fallacious conclusion.

Similarly, PCR tests are highly relevant to the shifted justification for extreme lockdown measures. These measures were originally sold to the public on the grounds they were temporarily required to "flatten the curve" and prevent hospitals from being overwhelmed. But then, the justification shifted, and we were told that the measures must continue indefinitely to reduce "cases" to near zero.

The number of "cases" in turn is dependent on the numbers of "positive" PCR tests. You may have seen the term "casedemic" being used to describe the situation, and while that term can also be misused, it legitimately calls attention to the problem of using PCR tests for diagnostic purposes and justifying policies based on "cases".

For example, how meaningful a metric is an increasing number of "cases" when it's a consequence of increased testing? How meaningful is it when hospitalizations and deaths are declining?

The use of "cases" to justify lockdown measures is all the more absurd given the fact that a positive result does not even mean that "case" is infected with SARS-CoV-2.

Again, all it means is that viral RNA was present in the sample. Even the pro-lockdown New York Times has admitted that 90% of people identified as "cases" by PCR testing were probably not contagious, as inferred from Ct values indicating low viral loads and a high likelihood of "positive" results indicating the presence of non-viable RNA fragments as opposed to infectious virus.

The appropriate threshold for positive PCR test results has not been determined scientifically. They are arbitrary, and the Times acknowledged that the tests are wrongly being used to diagnose patients based on threshold values that are too high.

Also, even if a high "viral load" is inferred from Ct values, it still does not necessarily indicate the presence of the infectious virus. For example, in one study, researchers were unable to detect viable virus (using cell cultures to see whether there are cytopathic effects and viral reproduction) after 8 days since symptom onset despite continued high viral loads as determined by PCR tests.

In other words, there is not a perfect correlation between a high viral load and infectiousness.

Another aspect of the testing regimes is the mathematical implication of false positives, especially in areas with low prevalence. If 1% of results falsely indicate the presence of SARS-CoV-2 RNA, then out of a tested population of 10,000 people, 100 people will be counted as "cases" even if there is no transmission of SARS-CoV-2 in that community. There can be a "casedemic" in areas of low prevalence just because there's a massive amount of testing happening.

So, to sum up, while PCR tests can be useful to confirm a diagnosis of COVID-19, they should never be used by themselves as a diagnostic tool. Yet, in "case" counts, that is precisely what's been done: people who do not have the disease and are not contagious are being counted as COVID-19 "cases", and these numbers, in turn, are being cited to justify continued lockdown measures.

In my latest article, "New York Times Lies about Science to Push School Closures", I discuss how policymakers and the media have misused, misinterpreted, and deceived about the meaning of PCR test results since the start of the pandemic to create fear and manufacture consent for extremely harmful lockdown measures.

In case you haven't read it yet:
Learn how the New York Times misreports science using PCR tests to advocate continued school closures.
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