Kilmer, Murray Lead Bipartisan, Bicameral Letter of 48 Lawmakers from States with Confirmed Novel Coronavirus Cases Urging CDC to Distribute Rapid Diagnostic Tests to State and Local Health Officials, Prioritize States with Confirmed Cases
Washington, DC – Following the Department of Health and Human Service’s announcement declaration that the 2019 novel coronavirus is a public health emergency, U.S. Representative Derek Kilmer (WA-06) and U.S. Senator Patty Murray (D-WA), the top Democrat on the Senate health committee, led 48 bipartisan lawmakers from both the U.S. House of Representatives and the U.S. Senate in a letter calling on the Centers for Disease Control and Prevention (CDC) to distribute rapid diagnostic tests for the novel coronavirus as quickly as possible, prioritizing states with confirmed cases of the virus to receive the first available test kits. The letter follows the confirmation of 11 cases of coronavirus in the U.S., including 1 diagnosed case in Washington state.
“…given how rapidly this virus may spread, we agree with your assessment that local and state health jurisdictions must have the tools to detect and react to confirmed cases in real-time. We know that CDC is working to quickly distribute a rapid diagnostic test to state and local officials and urge CDC to do so as soon as possible, without compromising scientific validity. We further urge you to prioritize localities where cases have already been confirmed, so that additional cases may be detected in real-time,” the lawmakers wrote.
The full text of the letter can be found here and below.
February 3, 2020
Dr. Robert R. Redfield
Centers for Disease Control and Prevention
1600 Clifton Road
Atlanta, GA 30329
Dear Director Redfield,
We write today to acknowledge the Centers for Disease Control and Prevention’s (CDC) leadership thus far in responding to the outbreak of the novel coronavirus first identified in Wuhan, China and underscore the importance of state and local access to rapid diagnostic tests. CDC’s efficient coordination with state and local officials, as well as its rapid development of a diagnostic tool, has thus far contained the spread of the virus on U.S. soil. According to CDC, “the immediate health risk from 2019-nCoV to the general American public is considered low at this time.” However, given how rapidly this virus may spread, we agree with your assessment that local and state health jurisdictions must have the tools to detect and react to confirmed cases in real-time. We know that CDC is working to quickly distribute a rapid diagnostic test to state and local officials and urge CDC to do so as soon as possible, without compromising scientific validity. We further urge you to prioritize localities where cases have already been confirmed, so that additional cases may be detected in real-time.
CDC’s response to this outbreak underscores the critical role it plays in protecting public health. Furthermore, it is a notable scientific achievement that CDC was able to develop a rapid diagnostic test for this novel virus just one week after publication of the viral genome sequence. This test has enabled health officials across the country to distinguish positive cases of this novel virus from other respiratory illnesses, allowing them to isolate patients to prevent further spread of the virus and deploy their resources where they are needed most.
However, all patient samples must currently be shipped to Atlanta, Georgia in order to be tested by CDC, which drastically increases the time it takes for local physicians and health officials to confirm these diagnoses. As the number of suspected cases rises, this will become an unsustainable bottleneck in the diagnostic pipeline that could hinder efforts to stop the spread of this disease. Therefore, CDC must continue to work quickly to distribute the rapid diagnostic test to state and local health officials. It is essential that local health care providers continue to devote their resources to those who are confirmed positive for the virus, and this is only possible if the test can be conducted locally and rapidly.
We understand that before the test can be distributed, it must meet stringent quality controls so that it is sensitive enough to accurately detect this novel virus and specific enough to provide confidence in the results. CDC should continue to work with the National Institutes of Health and private entities, where appropriate, to meet these important standards. Further, we urge CDC to coordinate with the Food and Drug Administration to secure an Emergency Use Authorization for the rapid diagnostic test as soon as possible.
Finally, we strongly urge the CDC to prioritize states with confirmed cases of the novel virus to receive the first available test kits. These communities have an identified risk factor for further spread of the virus, and therefore health officials need all the tools at their disposal to rapidly detect and respond to new cases.
Thank you again for your timely response to the outbreak. We are eager to learn when the rapid diagnostic test will be available for use by state and local jurisdictions, and how priority will be determined for swift distribution.