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COVID-19: Pakistani Medical Company develop Fast Test Kits with Finland company | Digital, Rapid tests to help Pakistan fight pandemic | To give fast of actual Coronavirus Infections

The finger-prick blood test can help determine infection while digitizing the process

Published: April 08, 2020 13:31 Sana Jamal, Correspondent

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Pakistani healthcare company, Innovative Healthcare Systems (IHS), has procured the digital test kits from Finland to make COVID testing efficient and digital. Image Credit: IHS
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Islamabad: After nearly 40 days and 4,000 confirmed cases, Pakistan’s focus is now shifting to rapid testing to assess the reach and contain the spread of the coronavirus. To improve the capacity, a new rapid Covid-19 digital test can prove to be a game-changer, health experts say.

A Pakistani medical company, Innovative Healthcare Systems (IHS), has partnered with a company in Finland and procured digital test kits, which would be rolled out after finalising details with the provincial and federal governments as well as the hospitals.

“The iSTOC IDA mobile diagnostics platform from the Finnish company can detect antibodies and provide a digital analysis. It integrates diagnostics, mobile technology and cloud computing into one platform. It basically turns your smartphone into a virtual lab where the results are displayed, offering faster, easier, and precise diagnostics, enabling quick action and treatment,” Umair Azam, founder and CEO of IHS, told Gulf News. “The biggest advantage is that it creates a digitised diagnostic data with geographical mapping that can help monitor and control outbreaks.”

The tests can help government achieve two results in one go: enhance rapid testing and enable digital diagnostic data. Pakistan has conducted around 42,000 tests so far as the total number of confirmed cases rise to 4,072 (as of April 8).

How does it work?

The test kit works in the same way blood sugar is tested by using a pinprick on patients’ thumbs. The results can be obtained within minutes. Explaining the process, Dr Zia Azam, director health informatics at IHS, told Gulf News that “the rapid test kits, with 95 per cent accuracy, can help save time and reduce direct contact as one counter set up at a village, town or city can test hundreds. Instead of inviting patients to hospitals, we are taking the tests to the masses.”

After the test is conducted, the data (complete with patient information and GPS location) is automatically sent to the IDA (immediate diagnostics and analytics) secure cloud and is available for the health care professionals. The experts then accordingly guide the person on the ground. “It it’s negative, no action is required. If it’s positive, guide them to the treatment services. If there’s some error, we test again,” he said.

The company claims the blood-based-test is more efficient than the polymerase chain reaction (PCR), the nose and throat swab test. “Time is of essence to protect our people, especially health care workers on the frontline, from the infection. We need a smart approach to deal with the challenge,” he added. The cost of the test is significantly low as compared to PCR test.

How the test is done in three steps?

1. Take a test — Nurse or doctor performs the diagnostic test
2. Read the test — Scanned in a mobile phone using IDA application
3. Store result — IDA Secure Cloud checks the result immediately for diagnosis

What do medical expert think of the rapid test?

Pakistani health professionals have welcomed the rapid tests but still consider PCR tests the “gold standard” for Covid-19 testing. “With the increasing number of patients, Pakistan urgently needs tests that are cheaper, quicker and more accessible. ELISA based test, which detects antibodies in your blood, appear promising and can be a great tool for screening patients, at the point of care, rapidly and cost effectively. However, the best method would be to follow the rapid test with PCR test,” Dr Muhammad Jabran Nawaz, a general physician, told Gulf News.

There are two types of diagnostic tests for infectious organisms. “PCR test is used to detect current infection and antibody based tests to diagnose previous infection,” explained Dr Fouzia Sadiq, Director Research at Shifa Tameer-e-Millat University. “Both tests have their own significance. PCR is the correct first step to detect viral RNA in the blood as compared to the antibody tests that help identify the infection from about a week after the onset of infection.” The antibody testing with its digital analytics and real-time data features can prove to be a critical tool for health experts in the future but “both tests together can get more effective results.”

2. Read the test — Scanned in a mobile phone using IDA application

3. Store result — IDA Secure Cloud checks the result immediately for diagnosis

What do medical expert think of the rapid test?
Pakistani health professionals have welcomed the rapid tests but still consider PCR tests the “gold standard” for Covid-19 testing. “With the increasing number of patients, Pakistan urgently needs tests that are cheaper, quicker and more accessible. ELISA based test, which detects antibodies in your blood, appear promising and can be a great tool for screening patients, at the point of care, rapidly and cost effectively. However, the best method would be to follow the rapid test with PCR test,” Dr Muhammad Jabran Nawaz, a general physician, told Gulf News.

There are two types of diagnostic tests for infectious organisms. “PCR test is used to detect current infection and antibody based tests to diagnose previous infection,” explained Dr Fouzia Sadiq, Director Research at Shifa Tameer-e-Millat University. “Both tests have their own significance. PCR is the correct first step to detect viral RNA in the blood as compared to the antibody tests that help identify the infection from about a week after the onset of infection.” The antibody testing with its digital analytics and real-time data features can prove to be a critical tool for health experts in the future but “both tests together can get more effective results.”
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Can the new test kits prove to be a game-changer?

1. It enables faster, convenient, precise and cost-effective diagnostics combining mobile technology and cloud computing.

2. As compared to PCR tests, the digital test reduces both human error and technology gaps. It saves time and cost as the results are recorded digitally and uploaded to the cloud platform instead of manual reports and visit to labs.

3. Reduce direct contact and virus exposure, as patients do not need to go to hospitals or clinics.

4. Test results obtained in minutes whereas the PCR tests results may take 24 to 48 hours.

5. It can help generate and divide data by age, gender and locations, publishing visual reports and producing heat maps of infections.

How the mobile technology helped Pakistan earlier?

This is not the first time Pakistan’s IHS has collaborated with the Finnish company iSTOC. In 2018, together with Sindh government, they utilised the mobile diagnostics technology to screen 120,000 people in Sindh province for six infectious diseases. “We conducted mass screening to identify, treat and rehabilitate people affected by infectious diseases such as hepatitis B, hepatitis C, HIV, malaria, dengue and chikungunya, covering more than 70 locations in less than four weeks for free of cost,” explained Dr Zia Azam. The screening helped the government track health care progress and take necessary measures. The same technology can help Pakistan curb coronavirus pandemic too, experts hope.

https://gulfnews.com/world/asia/pak...ts-to-help-pakistan-fight-pandemic-1.70869089
 
Need to check quality and reliability.



Rapid digital test for COVID-19 will starts soon in Pakistan




Pakistan desperately requires fast testing, large testing of people.



Rapid-digital-test-for-COVID-19-will-starts-soon-in-Pakistan.jpg




Health experts believe that a faster COVID-19 digital test could prove to be a game-changer. That is where a Pakistani medical company known as Innovative Healthcare Systems steps into the frame.



Innovative Healthcare Systems joined hands with a company in Finland for procuring digital test kits that will soon be rolled out once the details are finalized with the federal and provincial governments as well as the hospitals.



Founder, and CEO of Innovative Healthcare Systems Umair Azam said that the iSTOC IDA mobile diagnostics platform from the Finnish company can detect antibodies and provide a digital analysis. It integrates diagnostics, mobile technology, and cloud computing into one platform.



He further said that it basically turns your smartphone into a virtual lab where the results are displayed, offering faster, easier, and precise diagnostics, enabling quick action and treatment. The biggest advantage is that it creates a digitized diagnostic data with geographical mapping that can help monitor and control outbreaks.



Director of health informatics at Innovative Healthcare Systems Dr. Zia Azam informed related to working of kits. They work much similar to how you use the device for taking readings for your blood sugar. It relies on the use of a pinprick on patients’ thumbs. The results of the test are available within minutes.



He further said that these rapid test kits with 95 percent accuracy, can help save time and reduce direct contact as one counter set up at a village, town or city can test hundreds. Instead of inviting patients to hospitals, we are taking the tests to the masses.



Dr. Zia added that the blood-based-test is far more efficient as opposed to the polymerase chain reaction (PCR), the nose and throat swab test.



He further added that we need a smart approach to deal with the present challenge faced globally. The best thing about digital kits is that the cost of this is far lower as charged for the current methods of testing.



https://www.technologytimes.pk/


 
Dharhi wale medical store owners will sell these at jacked up prices.
 
the problem with these rapid tests is that they need the person to be patient for several day before they become positive . so you must be careful while you decipher them.
 
the problem with these rapid tests is that they need the person to be patient for several day before they become positive . so you must be careful while you decipher them.

How many days? I think Rapid Test is like Sugar/Diabetic Test with blood sugar levels within 15-30 mins.
 
How many days? I think Rapid Test is like Sugar/Diabetic Test with blood sugar levels within 15-30 mins.
the answer come fast, the problem is your body must produce enough antibody so the test be able to detect them and that take time.
its like you have a room and a pipe pass trough it and it leaking a chemical agent and you have a detector there to detect the agent . the detector won't show anything untill enough of that chemical agent gather in the room for it to detect
 
the answer come fast, the problem is your body must produce enough antibody so the test be able to detect them and that take time.
its like you have a room and a pipe pass trough it and it leaking a chemical agent and you have a detector there to detect the agent . the detector won't show anything untill enough of that chemical agent gather in the room for it to detect


So this Rapid Test is not succesful unless you have antibodies?

I thought the Rapid Test and the common PCR are used to detect if a person has Coronavirus or not.
 
So this Rapid Test is not succesful unless you have antibodies?

I thought the Rapid Test and the common PCR are used to detect if a person has Coronavirus or not.
PCR is different , it detect virus copies not antibodies that our body build against it . on other hand rapid test don't detect viruses , they detect antibodies that our bodies build against them . and it take time for body to build those antibodies.
and both of them can be used to see if a person have Coronavirus or not . the difference is with PCR you can detect virus at sooner stages but it take time for the answer to come back on other hand rapid test give you answer very fast but only is useful after several day of being infected
 
PCR is different , it detect virus copies not antibodies that our body build against it . on other hand rapid test don't detect viruses , they detect antibodies that our bodies build against them . and it take time for body to build those antibodies.
and both of them can be used to see if a person have Coronavirus or not . the difference is with PCR you can detect virus at sooner stages but it take time for the answer to come back on other hand rapid test give you answer very fast but only is useful after several day of being infected
the rapid test anti body test is the only solution to quickly find out the extent of the disease in the community. it is cost effective and if the test comes positive than that individual will be able to perform his job more confidently as compare to others. pcr is expensive and time taking test which shows only the active virus carriers. antibody screening is the key but unfortunately our so called health experts are not visionary.

an asymptomatic person with a positive IgG levels shows that he contracted the disease at least 3 weeks ago and now he has antibodies against it.
 
Breaking: 'No disease-free area': Report Summary to Punjab CM estimates 670,800 cases in Lahore city alone

An alarming summary presented by the Punjab Primary and Secondary Healthcare Department to Chief Minister Sardar Usman Buzdar almost two weeks ago had revealed that "no workplace and residential area of any town is disease-free" in the provincial capital, and that total virus cases in the city are estimated at around 0.7 million, it emerged on Monday.

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A screenshot of one of the pages of the said report.
Advising the chief minister to immediately enforce a complete lockdown for "at least four weeks", the summary, a copy of which is available with Dawn.com, said a smart lockdown would not work since all areas of the city had been impacted by the disease, adding that asymptomatic cases became the "main source of infection and local transmission" in the metropolis.

"Any subsequent decision of lifting, relaxing or doing away with lockdown measures should be taken after reviewing the results of smart sampling conducted with regular intervals till the final tapering down of the virus," it had recommended.

The summary — signed by Primary and Secondary Healthcare Department Secretary Muhammad Usman and dated May 15 — listed the results of a "smart sampling project" to "detect and determine the spread of Covid-19 and to structure and guide [the department's] response towards its containment".

Under the exercise, randomised targeted sampling (RTS) and smart sampling (SS) were carried out; the former was to determine the prevalence of the disease in occupational sectors that remained functional during the lockdown, while the latter was to understand community spread.

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After these exercises, the report said, it could be estimated that Lahore, which has a population of over 11 million, has around 670,800 coronavirus cases. But as of June 1, the entire Punjab province has officially reported just 26,240 infections and 497 fatalities.

Analysing the data from various hotspots including workplaces and residential areas, the summary noted "a worrisome picture of Covid-19 prevalence" in communities, with 5.18pc infection rate for RTS and 6.01pc for SS.

"This means that no workplace and residential area of any town is disease-free and, as such, Lahore exhibits an alarmingly similar transmission pattern."

Elaborating on the findings for the testing carried out in the provincial capital, the summary stated that six per cent of all those who were tested turned out positive for Covid-19, while some towns showed a positivity rate as high as 14.7pc.

"These cases being asymptomatic could not be reported to health facilities, but became the main source of infection and local transmission," the report said.

"The town wise breakdown shows a value of more than three per cent for all towns — except Wagha Town — and ranges between 2.11pc and 9.33pc."

The summary added that people over 50 years of age are the ones most affected by the respiratory illness, as is reflected in international literature and research.

It concluded that any decisions regarding lifting or enforcing lockdown measures can't and shouldn't be taken in isolation. "It should be necessarily articulated through larger consensus and based on evidence gathered through smart sampling and testing."

The sampling exercise was carried out with the technical assistance of a working group, consisting of a panel of experts, that was constituted on the directives of the provincial cabinet to provide an "international perspective and input to determine Covid-19 prevalence", according to the report.

https://www.dawn.com/news/1560616
 
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