Rapid COVID Tests: More Important Than Ever

As COVID-19 vaccines roll out, travel slowly increases, and more schools and businesses begin opening their doors, rapid tests that detect the virus have never been so important.

Why? Because getting enough people vaccinated will take time. And even then, scientists and medical professionals are working to understand the length of vaccine immunity and efficacy of the vaccines against variants of the virus springing up around the world.

Rapid COVID-19 tests can quickly and affordably determine who is most infectious so they can quarantine and not spread the virus to their family and friends.

Among the most widely-used rapid tests is Abbott's antigen test, BinaxNOW, which is the size of a credit card, requires no specialized instrumentation and can be used with a first-of-its kind complementary app called NAVICA, allowing people who test negative to display their results on their mobile device. Adding to the convenience, the test can now be used at home with a prescription through a virtually guided online service.

"Demand for antigen tests could be enormous," Evercore analysts wrote.¹

Abbott's other rapid COVID-19 test is the ID NOW system, a molecular point-of-care test the size of a toaster that's designed to deliver results in 13 minutes.

Chris Scoggins, Abbott's senior vice president of Rapid Diagnostics, gives an inside look at rapid COVID-19 testing, including its real-world benefits, value and impact on recovery.

What's the role of rapid COVID-19 testing in a post-vaccine world?

I think everyone is looking for a silver bullet in this pandemic. Masks aren't a silver bullet alone. Social distancing and testing aren't silver bullets. And although I'm excited about vaccines, they won't be a silver bullet either.

To take a pandemic and move it to epidemic status and get it under control, it will be a multi-faceted approach that requires a concerted effort by the public. This will include widespread, regular testing, mask-wearing, social distancing and hand-washing.

Eventually, a few years from now, when COVID testing ramps down and becomes more like flu testing, the infrastructure put in place because of COVID-19 will remain and play an important role in healthcare. Abbott will have built this new platform outside labs and hospitals that can bring all kinds of rapid tests to people when and where they need them.

Rapid COVID-19 tests generate quick results, but what are the other benefits?

What's really important is what you're testing for and the progression of the disease and its life cycle. Our rapid antigen BinaxNOW test and our ID NOW molecular rapid test are effective at identifying the virus when you're most likely to transmit it. Which is to say, when you're contagious. They determine: Do you have active virus in you right now? And are you contagious? Those are really important questions that you need to answer in the middle of a pandemic.

The other key benefit is access. These tests are portable, easy to perform and can be performed by healthcare providers in some pretty unique healthcare settings — including parking lots or schools — and at home with a virtually guided service. Beyond availability, the tests also have to be affordable.

How are rapid tests impacting the country’s recovery?

They're critical. People are getting tired of the pandemic, so they're starting to travel and spend more time with friends and family. Rapid COVID-19 tests — which are good at identifying people with higher viral loads and who are therefore more likely to be contagious — could help prevent people from unknowingly spreading the virus to their loved ones.

Our complementary NAVICA app, which pairs with BinaxNOW, takes this a step further by enabling people to display a temporary encrypted digital pass with a QR code if they test negative. You could see a NAVICA pass being used in airports, but it could also be helpful in everyday life, such as coming into contact with people in your home and community. It's all about giving people greater confidence.

What's the value of rapid COVID-19 tests during the pandemic?

This virus has put an incredible strain on our economy. When we have to shut down communities or states, there's a massive negative impact on a micro and macro level. If we can help keep our economy running, the economic impact is obvious.

With rapid COVID-19 tests like BinaxNOW and ID NOW, we can help identify more people who are most likely to be contagious, who have an active virus, so they can isolate from the general population and avoid spreading it. When we do this, we'll have a shot at some semblance of normality when it comes to business, opening schools and the economy rebounding, all of which make this country prosper.

Put the accuracy of rapid COVID-19 tests in context.

Abbott's rapid COVID tests are indicated for people who are seven days or less post-symptom onset, and they're effective in doing that. In fact, a recent study of our BinaxNOW test by the University of California San Francisco found that it detected 93.3% of people who were most likely to be actively infectious.2

If you want to catch someone who's more likely to be contagious, a rapid test can be an excellent tool.

References

¹Evercore ISI: PoC 15 min Antigen Test (TRx needed) opens up +$850 MM rev oppty; Validated in >100 samples, August 26, 2020.

²University of California San Francisco, Rapid COVID-19 Test Shows Promise in Community Test Setting, October 15, 2020.

This story was originally published on Dec. 10, 2020. It was updated on Feb. 15, 2021 to include reference to our announcement of Abbott's launch of its BinaxNOW test for at-home use with a prescription through a virtually guided online service.

IMPORTANT SAFETY INFORMATION​

The BinaxNOWTM COVID-19 Ag Card and the BinaxNOWTM COVID-19 Ag Card Home Test have not been FDA cleared or approved. They have been authorized by the FDA under an emergency use authorization for use by authorized laboratories. The tests have been authorized only for the detection of proteins from SARS-CoV-2, not for any other viruses or pathogens, and are only authorized for the duration of the declaration that circumstances exist justifying the authorization of emergency use of in vitro diagnostic tests for detection and/or diagnosis of COVID-19 under Section 564(b)(1) of the Act, 21 U.S.C. § 360bbb-3(b)(1), unless the authorization is terminated or revoked sooner.

The ID NOW COVID-19 EUA has not been FDA cleared or approved. It has been authorized by the FDA under an emergency use authorization for use by authorized laboratories and patient care settings. The test has been authorized only for the detection of nucleic acid from SARS-CoV-2, not for any other viruses or pathogens, and is only authorized for the duration of the declaration that circumstances exist justifying the authorization of emergency use of in vitro diagnostic tests for detection and/or diagnosis of COVID-19 under Section 564(b)(1) of the Act, 21 U.S.C. § 360bbb-3(b)(1), unless the authorization is terminated or revoked sooner.