ā
What's new in this revision compared to May 1, 2020 Testing Guidance?
COVID-19
testing in California has rapidly expanded over the past three months
and we have learned much about COVID-19 and which populations and
communities it impacts disproportionately.
Consequently,
CDPH recommends first prioritizing testing of hospitalized individuals with
signs or symptoms of COVID-19 infection followed by testing of other
symptomatic individuals and higher risk asymptomatic individuals and then other
asymptomatic individuals when certain conditions exist. This guidance
should be used for prioritization of patient populations as well as for the
purposes of guiding laboratories in managing specimen processing.
Testing Discrimination and Inappropriate Workplace Testing
As
modifications are made to public health directives and more sectors of
the economy open with adaptations, it is important that employers do not
use testing to impermissibly discriminate against employees who have
previously tested positive for COVID-19 (such as by preventing them from
resuming work after they can do so in a manner consistent with public
health and safety). This does not mean an employer must allow an
employee who currently has COVID-19 to return to work before the
employee's infection is resolved. Further, because PCR tests can
remain positive long after an individual is no longer infectious, proof
of a negative test should not be required prior to returning to the
workplace after documented COVID infection. Rather, symptom-
or protocol-based criteria should be used in determining when an
employee is safe to return to the workplace.
Types of Tests
Diagnostic Tests
Assesses
the presence of the virus at a given point in time. A negative means
only that an individual was negative at the time the test.
- Polymerase
Chain Reaction (PCR) Tests and Nucleic Acid Amplification Testing:
Detects the RNA genetic material in the COVID-19 virus and are often
collected via nasal pharyngeal, mid turbinate, nasal, oral or throat
swab or saliva collection.
- Antigen Tests: Not currently widely
utilized. Detects the presence of COVID-19 specific protein particles
and is collected via a respiratory sample.
Note:
No test is perfect. There is a false negative rate and false positive
rate that varies depending on the test and the collection modality
Non- Diagnostic Tests
Reminder
- These are statewide guidelines. Local jurisdictions may modify these
guidelines to account for local conditions or patterns of transmission.
Originally Published on July 14, 2020