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Test Sensitivity for Infection versus Infectiousness of SARS-CoV-2

Joshua Gans

No 27780, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: The most commonly used test for the presence of SARS-CoV-2 is a PCR test that is able to detect very low viral loads and inform on treatment decisions. Medical research has confirmed that many individuals might be infected with SARS-CoV-2 but not infectious. Knowing whether an individual is infectious is the critical piece of information for a decision to isolate an individual or not. This paper examines the value of different tests from an information-theoretic approach and shows that applying treatment-based approval standards for tests for infection will lower the value of those tests and likely causes decisions based on them to have too many false positives (i.e., individuals isolated who are not infectious). The conclusion is that test scoring be tailored to the decision being made.

JEL-codes: D81 I18 (search for similar items in EconPapers)
Date: 2020-09
Note: EH PR
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (7)

Published as Joshua S. Gans, 2022. "Test sensitivity for infection versus infectiousness of SARS‐CoV‐2," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 43(6), pages 1880-1887, September.
Published as Joshua S. Gans, 2022. "Test sensitivity for infection versus infectiousness of SARS‐CoV‐2," Managerial and Decision Economics, vol 43(6), pages 1880-1887.

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