Hi All,

I wanted to know if the Indian government or related agencies have set any
standard limit in a crucial setting in the Covid tests called "Cycle
Threshold".

Are the folks collecting stats on covid cases - having any data on cycle
values for those cases?

Have you or someone you know been diagnosed as a Covid-19 case? What was
the cycle value in your test result? Does the lab that did the test share
this data?

Sharing an article and some excerpts from it:

https://www.msn.com/en-us/health/medical/experts-us-covid-19-positivity-rate-high-due-to-too-sensitive-tests/ar-BB18wE8B
Experts: US COVID-19 positivity rate high due to 'too sensitive' tests

"With a cutoff of 35, about half of those tests would no longer qualify as
positive. About 70 percent would no longer be judged positive if the cycles
were limited to 30.
In Massachusetts, from 85 to 90 percent of people who tested positive in
July with a cycle threshold of 40 would have been considered negative if
the threshold were 30 cycles, Mina said. "
"The Food and Drug Administration said that it does not specify the cycle
threshold ranges used to determine who is positive and 'commercial
manufacturers and laboratories set their own.'"
"The CDC said its own calculations suggest its extremely hard to detect a
live virus in a sample above a threshold of 33 cycles. "


This was one - there's many more if I search for "RT-PCR test cycle
threshold value covid" on duckduckgo. (tip: google search is broken when it
comes to anything controversial. Proverbial case of overprotective mother
suffocating the child in the quest to protect it. Take the same query and
run it in Bing, Duckduckgo etc also.)

Looking into this I'm seeing an analogy with vectorizing raster satellite
imagery : Your software can easily fill the whole thing up with false
positives, or can produce no result at all. Lot of fine tuning is required
to get the "perfect setting" that minimizes the false positives and false
negatives, and you often never reach a perfect setting that didn't have any
mistakes. It's not a hard yes/no thing. You invariably need manual
intervention (and even with AI interventions we're seeing problems), and it
frustrates the hell out of people who assumed this technology thing is a
silver bullet.

Inviting people with better knowledge on this topic to correct me: My
understanding is that there is an exponential (maybe doubling, maybe some
other factor) change from one Ct value to the other. To go from 33 to 40,
would be.. well, non-trivial.

So one set of data needed is : What are the Ct limits being used in current
testing? Is there a single value standardized by the government? If there
is variation, then who decides?

Another set of data that can be just as useful : Have these Ct limits been
changed since the pandemic began almost a year ago? How have they changed,
and is there any co-relation between that and the Covid+ case counts? Is it
possible to "explode" / "reign in" a pandemic by merely altering this
setting without any ground level realities changing? If yes, then why is
talk about it missing from the mainstream discourse?


--
Cheers,
Nikhil VJ
https://nikhilvj.co.in

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