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Interior Health seeks to clarify RAT memo
Interior Health (IH) this afternoon (Jan. 9) issued a social media reaction to an internal memo related to COVID-19 testing that is circulating on social media (pictured).
The Jan. 8 memo to “all clinical staff and medical providers, infection prevention and control practitioners, medical health officers and emergency network” is about the discontinuation of COVID-19 Rapid Antigen Testing (RAT) in Interior Health.
The memo opens: “COVID-19 Rapid Antigen Testing (RAT) are not reliable for diagnosis of COVID-19. On Nov. 21, 2023, the BCCDC and Provincial Laboratory Medicine services issued a memo stating that the BCCDC oversight of COVID-19 RAT has been withdrawn. As such, COVID-19 testing can no longer be used to direct clinical care or infection prevention and control measures, and must be discontinued immediately in Interior health affiliated emergency rooms, hospitals, long-term care facilities or outpatient settings.”
Additionally, the memo notes health care workers no longer require COVID-19 RAT testing to direct a return -to-work process.
The memo says a required action for health care workers is to immediately discard COVID-19 RAT kits.
As a result of the memo being circulated on social media, IH this afternoon published the following social media post seeking to make clarifications.
“Rapid antigen tests (RAT) detect infections in more than 70 to 80% of patients with COVID-19 and are a great tool within the community to help inform members of the public if they could be infected with COVID-19 to help them prevent spread of the virus to others.
“However, RAT is unable to test for other common respiratory viruses such as Influenza and Respiratory Syncytial Virus, which are also circulating, so regardless of RAT results, it’s important to use respiratory hygiene measures and stay home until you feel well enough to participate in regular day-to-day activities.
“In health care settings, critical treatment and infection control decisions are made based on results, and since more accurate polymerase chain reaction (PCR) testing which can also detect Influenza and RSV is readily available, RAT is not the preferred test.
“RAT still has a role in diagnosing COVID-19 in members of the public and is a valuable tool if positive, but it does not rule out respiratory viral illness if negative, especially since it doesn’t test for other respiratory viruses like Influenza or RSV. That is why PCR testing is required in the more crucial health care setting.
“Moving forward, RAT will no longer be used for clinical decision making in our health care facilities which is a change supported across the province to ensure all clinical care and infection prevention and control decisions are based on the most accurate information to maintain patient safety.
“During the respiratory viral season, it is important for everyone to protect themselves and those around them by getting vaccinated for Influenza and COVID-19 if eligible, staying home while symptomatic with respiratory infections, and seeking medical care if experiencing severe symptoms. More elderly patients or those with underlying medical conditions may benefit from COVID-19 treatment with mild to moderate symptoms. For more information on who is eligible for COVID-19 treatment, see: https://bit.ly/3HefYBS.”
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