Dr Gérald Kierzek: “Do we really have to continue testing?”

Dr Gerald Kierzek Do we really have to continue testing

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    2 min read

    The question may surprise at a time of the omicron wave sweeping our country, but it is time to ask it for epidemiological, economic and social reasons. Otherwise, our country risks breaking down for good!

    On an epidemiological level, a wave is breaking. But this wave has nothing to do with the waves of hospitalizations in early 2020. It is a relatively benign wave of positive or few symptomatic cases of coronavirus. The Omicron variant has been a game-changer by mutating to a less virulent and more contagious form.

    “Test Tracer Isolate” no longer makes sense in the epidemic phase

    The virus surprised us with a very large number of cases (more than 200,000 per day). But today we are witnessing a decorrelation of the curves. The cases are increasing in mass, but the serious forms requiring hospitalizations or even critical care remain low. The hospital is not overwhelmed by COVID patients and foreign countries (South Africa, United Kingdom, Denmark, etc.) that have suffered the wave before us confirm that hospitalizations have never exploded there in recent weeks. Many Western countries have relaxed isolation and tracing measures. Our “old virus” doctrine: “Test Tracer Isolate” no longer makes sense in the epidemic phase and in the face of viral mutation.

    It is illusory and useless to want to test when an entire population tends to be contaminated! It is more than likely that the real number of cases is greatly underestimated.

    It is illusory and useless to trace when the virus is too contagious! Despite all their good will, the Health Insurance teams have not been able to identify contact cases for weeks.

    It is illusory and useless to isolate contact cases when there are too many of them! But especially when the disease boils down in the vast majority of cases to mild symptoms and naturally leads to collective immunity!

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    The more we search, the more we find, the more we panic!

    Massive testing creates a vicious circle! The more we search, the more we find, the more we panic. The maddening numbers of positive tests are extremely anxiety-provoking. The protocol of iterative testing at school creates an anxious atmosphere among children, their parents and teachers. Queues in front of laboratories and pharmacies contribute, moreover, to an expensive congestion of the system. The short and long term psychological consequences are underestimated and must also enter into the equation of crisis management.

    Our country has had enough of this atmosphere of fear and permanent threats for almost 2 years….

    No longer testing would allow an essential economic recovery

    On an economic level, the positive cases and contacts are innumerable, leading to a risk of paralysis of the country without obvious health benefit. Tomorrow, everyone will be in contact and the majority must no longer isolate themselves and go back to work. COVID-positive caregivers are even ordered to rework and the situation is unmanageable in many companies. What is the point of testing if the behavior to be taken is the same anyway?

    An economic recovery of the country as well as those of public services such as schools, nurseries and hospitals, necessary for the country today.

    So of course, some patients will present, as with any disease, unpredictable complications, but the vaccination of the most vulnerable and why not a strengthening of the means of the Hospital should make it possible to manage the patients and anticipate a crisis, without panic and in a responsible manner. .

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    dts1