FDA approves the first saliva test for COVID-19 testing

FDA approves the first saliva test for COVID-19 testing

With a rising death toll across the globe, researchers are looking for ways to develop highly effective detection tests for early diagnosis of COVID-19. Though there are tests based on the nasal swabs, other alternative methods like saliva-based tests can prove to be highly robust. In light of this, scientists have created an easy test that uses saliva instead of the nasal swabs as a sample.

The US Food and Drug Administration approved the first saliva test for COVID-19 testing for emergency early this month, which can be used as an alternative to existing tests.

“Considering the high transmission rates of coronavirus and rising cases, it is very crucial to have all types of testing options to carry out as much testing as possible in any form. The only way one can prevent the spread of coronavirus virus is by mass testing and self- isolation”, said by one of the researchers working on infectious disease and pandemic preparedness at the Johns Hopkins University.

Why lookout for alternatives?

Presently, COVID-19 testing involves the use of nasal swabs based tests where health professionals need to insert a swab into each nostril, reaching out at the back of the nasal cavity where the nasopharynx is located. The swab is gently scraped over the tissues to collect the sample and later sent for the analysis. Though the present method is robust, it proved to be very cumbersome to an extent. The nasal swab based testing requires highly professional health practitioners to perform the sample collection. In the present time where we are facing the shortage of healthcare professionals, the nasal swabs based tests increase the burden further. Moreover, extra precautions are needed to carry out this test, which includes wearing fresh gloves, personal protective equipment, and face shield that are in short supply.

On the other side, the collection of saliva samples is quite easy and can be performed by any individual without the requirement of expertise.  Saliva tests have been used in the market for the various genetic tests and are quite common to people. The process involves thoroughly cleaning the hands and spitting the saliva sample into the collection tube up to the mark indicated. The entire process is very easy and doesn’t require a large number of safety requirements such as PPE. However, as per the recent guidelines shared by Food and Drug Administration (FDA), saliva-based testing will still be carried out in the healthcare setting under the guidance and supervision of expert & qualified healthcare professionals.

Saliva testing – a robust alternative

“Saliva testing will help with the global shortage of swabs for sampling and increase testing of patients, and it will not require health care professionals to be put at risk to collect samples,” Andrew Brooks, the chief operating officer of RUCDR Infinite Biologics, a biorepository backed by Rutgers University that developed the spit test, explains in a statement.

The saliva-based testing uses TaqPath Sars-CoV2 Assay which is used in existing coronavirus tests for identifying the viral RNA. Scientists shared that apart from identifying the potential carriers of the COVID-19 virus, the present saliva-based testing can help in re-testing the people who have shown recovery to help them end the self-isolation.

Way ahead

To assess the robustness of the saliva-based test for COVID-19 detection, researchers collected 60 samples from COVID-29 patients using the saliva swab tests. The results for Sars-CoV2 RNA in these saliva samples showed the same results as conventional nasal swab based tests taken from the same infected patients. This highlights the robustness and effectiveness of saliva as high as a nasal based test without any false-negative results.

COVID-19: What you need to be careful of?

COVID-19: What you need to be careful of?

More than 780000 cases of COVID-19 have been reported across the globe. The new coronavirus outbreak has the attention of the entire world as there are no effective medicines or vaccines yet. The virus originated in the Wuhan city of China and spread to numerous countries in almost no time. This does raise multiple questions like what exactly the virus is. Why its transmission rate is so high? And how an individual can avoid catching it? Well, amid this outbreak we will help you know about the virus in detail. Read ahead to gain a brief insight into the challenges the whole world is suffering from and how we all can overcome it.

Understanding the Coronavirus

Coronaviruses are a group of viruses whose exterior layers reflect a crown-like structure. Corona is a Latin word which means crown. There are various types of viruses in this group but most of them cause very slight illness and cold-like symptoms. The pathogenicity of novel Coronavirus has led researchers and scientists across the world to study more about it as there is very little information in the scientific community. Wuhan city of China is considered to be the epicenter of the disease initially from where it spread to numerous countries in no time. The origin of the virus is still not known but some studies suggest that it has been transmitted to humans from the animals.

Symptoms of COVID-19

The symptoms of the COVID-19 are often confusing as they are somewhat similar to the symptoms of common flu. However, the characteristics difference between them is the presence of high fever, sore throat, dry cough, difficulty in breathing and pneumonia in severe conditions. The incubation time for the development of symptoms is considered to be 14 days due to which people suspected of COVID-19 are suggested to quarantine themselves for this period.

Since very little information is available about the virus, researchers and doctors across the globe are contributing crucial information from the recent cases. It is observed that the virus mainly infects people with low immunity. This is the reason that countries with coronavirus outbreak have high infection and death rate among the elderly population. However, it doesn’t stipulate that young people and children are not prone to it. Having weak immunity irrespective of age can make you prone to infections. Therefore, doctors are prescribing for regular exercise and healthy food as a primary effort to protect yourself from the infection.

The major concern over here with the condition is that at the beginning people might not be able to assess the situation (as the grave) due to the mild symptoms associated. In some cases, people confuse the symptoms with that of normal flu and avoid going to the doctor until it becomes severe. During this period, the patient must have come in contact with say ‘n’ number of people which will further infect other ‘n+y’ number of people. This chain continues as the severe symptoms take 14 days to be physically visible. A point comes where there is a sudden outburst of diseases leading to chaos and panic which is often observed in present cases of countries like China, Italy, Iran, the USA, etc.

Precautions to avoid infections

The transmission of coronavirus from an infected person into the atmosphere takes place through the tiny droplets of a sneeze. These droplets though don’t stay suspended in the air for long, it descends and settles onto the surfaces. It is therefore very crucial for every individual to maintain at least 1m of distance from the infected person. Also, one must avoid touching such infected surfaces and later touching their eyes, nose or face. It is therefore very important to wash your hands thoroughly at regular intervals.
To prevent the transmission of the coronavirus, the doctors also suggest avoiding any kind of physical contact with other people such as avoiding handshakes. In case if you are infected with the disease or even with the normal flu, you must sneeze in your elbows rather than in your palms. You can also use handkerchief or tissue to cover your mouth during the sneeze as these practices reduce the chances of the spread of infectious droplets in the atmosphere.

Way ahead

COVID-19 is a disease that may look normal to you due to its mild symptoms at the initial stage. However, the experience in other countries shows that its completely the opposite and one must take effective care as soon as there are visible symptoms. One of the best ways to prevent the spread is to self isolate yourself and undertake prescribed medications. Researchers and scientists across the globe are working hard to come up with potential vaccines and medicine for the disease. But till then we need to consider the basic precautionary steps to avoid escalation of the situation. So, stay safe and spread awareness among your family to help the world fight this disease together. Let’s not forget we all are together in it and we will come out of it together.

The first line of treatment for COVID-19

The first line of treatment for COVID-19

As the number of cases of COVID-19 is increasing worldwide, researches has been carried out rigorously across the globe to curb this inflection to some extent and providing the first line of treatment with existing drugs. A coalition of European researchers has published in the International Journal of Infection that existing approved drugs can help in combating new viruses and help the patients to survive through viral infections.

According to WHO, the coronavirus has symptoms like fever, runny nose, sore throat and cough in the beginning.  In severe cases, for some people, it can lead to pneumonia or breathing problems. It can be even fatal if initial precautions are ignored. More vulnerable are people with medical conditions like diabetes and heart diseases.

Can drug repurposing help?

Drug repurposing  (Drug repositioning, re-profiling, etc.) is the use of an approved drug for the treatment of another disease by generating additional value. Drug repurposing can be a good option until some treatment or vaccine for COVID -19 is discovered.  Many such potential drugs are under testing to see their effect on overcoming the menace of coronavirus. Some of the approved drugs include Teicoplanin, Oritavancin, Dalbavancin, and Monensin, which has shown efficient response in curbing the infectious coronavirus symptoms in the laboratory.

Is drug repurposing a good option?

As the task of drug repurposing is to take out additional value from already approved drugs, the drug development details, chemical synthesis process, manufacturing process and information regarding different phases of clinical testing are already known. Moreover, they have translational opportunities such as the high probability of success to market compared with developing new drugs or vaccines and significantly reduced cost and timeline to clinical availability.

Development of BSSAs (Broad Spectrum Antiviral Agents) 

Broad-Spectrum Antiviral Agents are the drugs that target viruses from two or more different viral families. Nearly 120 drugs are found to be safe for human use and a database is created which is freely accessible. Thirty-one of these are a possible candidate for prophylaxis and treatment of the COVID-19 infection. Five possible drug candidate is under clinical investigation to treat the virus that causes COVID-19.

Way ahead

BSAAs will have a global impact in the future by decreasing morbidity and mortality from viral and other diseases, maximizing life expectancy, improving quality of life and decreasing costs of patient care.  As no concrete treatment is there in place to cure COVID-19, the mentioned discoveries and researches portray hope as a potential step towards overcoming achieving victory against COVID-19.