Archive for the ‘Testing’ Category

Study Shows COVID-19 Testing As Bad As Lyme/MSIDS Testing

https://www.ncbi.nlm.nih.gov/pubmed/32133832?

2020 Mar 5;41(4):485-488. doi: 10.3760/cma.j.cn112338-20200221-00144. [Epub ahead of print]

Potential false-positive rate among the ‘asymptomatic infected individuals’ in close contacts of COVID-19 patients

[Article in Chinese; Abstract available in Chinese from the publisher]

Abstract

Objective: As the prevention and control of COVID-19 continues to advance, the active nucleic acid test screening in the close contacts of the patients has been carrying out in many parts of China. However, the false-positive rate of positive results in the screening has not been reported up to now. But to clearify the false-positive rate during screening is important in COVID-19 control and prevention.

Methods: Point values and reasonable ranges of the indicators which impact the false-positive rate of positive results were estimated based on the information available to us at present. The false-positive rate of positive results in the active screening was deduced, and univariate and multivariate-probabilistic sensitivity analyses were performed to understand the robustness of the findings.

Results: When the infection rate of the close contacts and the sensitivity and specificity of reported results were taken as the point estimates, the positive predictive value of the active screening was only 19.67%, in contrast, the false-positive rate of positive results was 80.33%. The multivariate-probabilistic sensitivity analysis results supported the base-case findings, with a 75% probability for the false-positive rate of positive results over 47%.

Conclusions: In the close contacts of COVID-19 patients, nearly half or even more of the ‘asymptomatic infected individuals’ reported in the active nucleic acid test screening might be false positives.

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**Comment**

Hopefully it is clear from this study that the prevalence of cases is far lower than is being reported if these tests are being used as predictors of infection.

This testing is as bad as Lyme/MSIDS testing and shouldn’t be taken seriously by anyone.  

**UPDATE, March 25, 2020**

https://madisonarealymesupportgroup.com/2020/03/25/new-dna-sequencing-test-for-covid-20-100-accurate-can-also-test-for-5-strains/

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Meanwhile, the CDC has developed a new PCR test which is also riddled with problems, intended for labs certified under the Clinical Laboratory Improvement Amendments (CLIA) to perform high complexity tests. (But other CLIA-certified labs doing testing for Lyme/MSIDS are called “home-brewed” by the CDC).  

They are also working on a new test which will detect antibodies https://www.cdc.gov/coronavirus/2019-ncov/about/testing.html
The Lyme community is well aware of the short comings of antibody testing as this sort of testing has kept thousands from being diagnosed with tick-borne illness.

Regarding the problems with PCR testing, author David Crowe explains:

To use PCR as a test, you assume that you are starting with an unknown number of strands and end up with an exponential multiple after n cycles. From the quantity of materials at termination the starting quantity can be estimated. A major problem with this is that because PCR is an exponential (doubling) process, errors also grow exponentially.

The second problem is that the Coronavirus is believed to be composed of RNA, but this can be solved by converting all RNA into DNA with the Reverse Transcriptase enzyme at the start of the process.

The technology, after these two adaptations, is known as RT-PCR (Reverse Transcriptase PCR).

Now you have the information necessary to understand the numbers from 20-40 on the vertical axis of the graphs above. These are the number of cycles. It implies that it always took at least 20 PCR cycles before any RNA could be detected, and they stopped after a maximum of 37 cycles. The blue line is at cycle 38, and the black dots do not mean RNA was detected after 38 cycles (as clarified in the paper), but that it wasn’t detected by 37 cycles, and so the process terminated. This “Serial Cycle Threshold (Ct)” was the arbitrary definition of a negative result by the authors of reference [24].

We can see that it was arbitrary, because in another paper, reference [13], the authors had two end points: 37 and 40. Anything less than 37 was considered positive and anything 40 or greater was defined as negative. The in-between values were re-tested and re-interpreted. Note that this paper would treat 37 as indeterminate but the Singapore paper would treat it as positive.  https://madisonarealymesupportgroup.com/2020/03/16/does-the-coronavirus-exist/

His paper goes on to show many people testing positive, then negative, then positive again.  Results were all over the place.  Regarding antibody cut off points, the Lyme/MSIDS community again, is all too aware of how this has kept people from being diagnosed, only instead of false positives as in COVID-19 testing, it’s false negatives that are killing Lyme patients.  False positives only serve those who want to show high numbers of infected people.

Recently I posted a video of Dr. Wolfgang Wodarg, pulmonologist, epidemiologist, and past chairman of the Parliamentary Assembly of the Council of Europe Health Committee.  He states the following on his website, regarding testing:

Without PCR-Tests there would be no reason for special alarms.

We are currently not measuring the incidence of coronavirus diseases, but the activity of the specialists searching for them.https://www.wodarg.com

BTW, Wodarg is the one who pointed out the Swine flu hoax and states this:

We have experienced similar alarmist actions by virologists in the last two decades. WHO’s “swine flu pandemic” was in fact one of the mildest flu waves in history and it is not only migratory birds that are still waiting for “birds flu”. Many institutions that are now again alerting us to the need for caution have let us down and failed us on several occasions. Far too often, they are institutionally corrupted by secondary interests from business and/or politics.  https://www.wodarg.com

Lastly, he states

It is a well-known fact that in every “flu wave” 7-15% of acute respiratory illnesses (ARI) are coming along with coronaviruses, the case numbers that are now continuously added up are still completely within the normal range.  https://www.wodarg.com

Regarding nucleic acid testing (NAT) used in the study, this article explains the benefits and constraints of such tests:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3943139/
NAT technique is highly sensitive and specific for viral nucleic acids. It is based on amplification of targeted regions of viral ribonucleic acid or deoxyribonucleic acid (DNA) and detects them earlier than the other screening methods thus, narrowing the window period of HIV, HBV and hepatitis C virus (HCV) infections.
According to the article, these are the downsides of NAT:
  • highly technically demanding
  • high cost
  • dedicated infrastructure facility
  • equipment
  • consumables
  • technical expertise
  • And lastly, at least regarding COVID-19 – the high false positive rate

And then, the latest attention grab is COVID-19 testing is that is supposed to give results within 45 minutes, such as this one from Cepheid:  https://www.cepheid.com/coronavirus.  The problem is, if the test is inaccurate to begin with, getting the results quicker isn’t any more helpful.  We are told here by a Yale MD that COVID-19 is mutating:  https://madisonarealymesupportgroup.com/2020/03/21/its-not-the-exact-same-virus-everywhere-in-the-world/

Current tests only detects SARS-CoV-2.

Recently this frightening article came out on how tests were contaminated WITH COVID-19:  https://www-standard-co-uk.cdn.ampproject.org/c/s/www.standard.co.uk/news/health/coronavirus-test-kits-contaminated-covid-19-a4403021.html?amp

Hopefully this demonstrates that the numbers floating out there are all based upon faulty testing – just like Lyme/MSIDS.  Again, I’m not saying people don’t die of viruses – they do – and they always have and most probably always will.  But, this thing is being blown up to monster proportions when frankly, they haven’t a clue on prevalence.

I hope that the World Health Organization and White House Coronavirus Task Force takes Lee up on his offer to retest borderline or questionable positive coronavirus samples as the high false positive rate is causing undue panic and unconstitutional measures by governments.

Brain Aneurysm Caused By Bartonella

https://www.ncbi.nlm.nih.gov/pubmed/32135054

2020 Feb;73(2):68-70.

Mycotic Aneurysm of the Middle Cerebral Artery Leading to Subarachnoid Hemorrhage, as the Initial Presentation of Bartonella henselae Endocarditis.

Abstract

Bartonella species was first reported as a cause of endocarditis in 1993, currently it is thought to account for 3-4 percent of all diagnosed cases. Initial symptoms of Bartonella endocarditis are non-specific like weight loss, fever and fatigue. There are very few reported cases of Bartonella endocarditis causing mycotic aneurysm.

We present a case of a 60-year-old male who presented with subarachnoid hemorrhage secondary to mycotic aneurysm. Due to high suspicion of endocarditis leading to mycotic aneurysm he underwent transesophageal echocardiography which showed mitral valve vegetations. His blood cultures were negative, he was eventually diagnosed with Bartonella henselae by elevated IgG titers greater than 1:800. Due to repeated mycotic aneurysms on antibiotics, he underwent surgical mitral valve replacement along with the full course of antibiotics and has been asymptomatic since.

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**Comment**

A mycotic aneurysm is an aneurysm caused by the growth of fungi or bacteria within the vascular wall, usually following impaction of a septic embolus.  https://medical-dictionary.thefreedictionary.com/mycotic+aneurysm

In this case, Bartonella is the culprit and the patient presented with bleeding in the brain.

Please note the blood culture was negative.

Also note the “repeated mycotic aneurysms on antibiotics.”  I’m not pointing this out to avoid antibiotics but to show that there can be side-effects of treatment.

For more:  https://madisonarealymesupportgroup.com/category/bartonella-treatment/

https://madisonarealymesupportgroup.com/2019/04/24/human-bartonellosis-an-underappreciated-public-health-problem/

https://madisonarealymesupportgroup.com/2020/02/19/bartonella-infection-everywhere-but-we-dont-know-about-it/

 

Study Shows 100% of Robins Infected With Lyme & Songbirds are Spreading Lyme into New Areas

https://www.mdpi.com/2227-9032/8/1/59/htm

Healthcare 2020, 8(1), 59; https://doi.org/10.3390/healthcare8010059

Article

Monitoring of Nesting Songbirds Detects Established Population of Blacklegged Ticks and Associated Lyme Disease Endemic Area in Canada

Abstract

This study provides a novel method of documenting established populations of bird-feeding ticks. Single populations of the blacklegged tick, Ixodes scapularis, and the rabbit tick, Haemaphysalis leporispalustris, were revealed in southwestern Québec, Canada. Blacklegged tick nymphs and, similarly, larval and nymphal rabbit ticks were tested for the Lyme disease bacterium, Borrelia burgdorferi sensu lato (Bbsl), using PCR and the flagellin (flaB) gene, and 14 (42%) of 33 of blacklegged tick nymphs tested were positive. In contrast, larval and nymphal H. leporsipalustris ticks were negative for Bbsl. The occurrence of Bbsl in I. scapularis nymphs brings to light the presence of a Lyme disease endemic area at this songbird nesting locality. Because our findings denote that this area is a Lyme disease endemic area, and I. scapularis is a human-biting tick, local residents and outdoor workers must take preventive measures to avoid tick bites. Furthermore, local healthcare practitioners must include Lyme disease in their differential diagnosis.
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**Comment**
The article is quick to point out that while THIS study didn’t find Bbsl in H. leporsipalustris ticks (rabbit tick), past research has.  If you read the entire study you will see the following excerpts:

4.4. H. leporispalustris Vector Competency

In this study, we did not identify Bbsl in H. leporispalustris ticks. However, Banerjee et al. detected Lyme disease spirochetes in H. leporispalustris ticks collected from a snowshoe hare, Lepus americanus, in northern Alberta [47]. As well, Scott et al. discovered Borrelia lanei-like spirochetes and a Babesia divergens-like piroplasm concurrently in a H. leporispalustris (female) collected from an eastern cottontail, Sylvilagus floridanus, in southern Manitoba [48]. Scott & Durden provide the first record of a Bbsl-positive H. leporispalustris (nymph) collected from an avian host (Swainson’s Thrush) in Canada [14]. Previously, Scott et al. found Bbsl in a H. leporispalustris larva parasitizing a passerine (Canada Warbler) in Québec suggesting that this tick species is a reservoir-competent host [8]. During southbound, fall migration in Canada, larval and nymphal H. leporispalustris frequently parasitize passerines, and are widely dispersed in southern regions.

4.5. Ticks Co-infest Songbirds

One Veery was co-infested with H. leporispalustris (one nymph and one larva), and I. scapularis (two nymphs). Not only is there a breeding colony of I. scapularis present in this Laurentian River basin, an established population of H. leporispalustris is also there. Since these ixodid ticks were collected during the nesting and fledgling period, this bird parasitism denotes a cohabitation of two tick species in this sylvan locale, and signifies that these two tick species are sympatric. The Veery has trans-border and trans-equatorial migration during its northward spring flight, and has a breeding range in southern Canada, including southwestern Québec and northern United States; the wintering range is in central and southeastern Brazil (Figure 4). During the breeding, nesting, and fledgling period, Veeries have localized activity in juxtaposition to the stationary nest. When the young have fledged the nest, these passerines replenish their fat reserves, and prepare for the southbound trek to wintering ranges in southern latitudes during August and September. In late July, they typically moult in preparation for the southbound marathon flight.
Why this is important:  because we continue to be told that ONLY the black legged tick transmits Lyme to humans.  Here we are told transmission by the rabbit tick (H. leporispalustris) is rare:  https://en.wikipedia.org/wiki/Haemaphysalis_leporispalustris
The following pathogens have been found in the rabbit tick:

The two studies used as references in the wikipedia article state the following about the rabbit tick.  While Lyme (borrelia) isn’t mentioned (but should be), Rickettsia is:

Our results support a possible role of H. leporispalustris in the enzootic maintenance of R. rickettsii in Latin America, as previously suggested by earlier works.  https://link.springer.com/article/10.1007%2Fs10493-008-9220-4

We have been able to isolate 2 strains of rickettsiae from the rabbit tick , indistinguishable from isolated from humans in our country (Costa Rica). http://www.ajtmh.org/content/journals/10.4269/ajtmh.1985.34.564

Regarding borrelia (Lyme) in the rabbit tick please note that in 4.4 above, Scott et al. found Bbsl in a H. leporispalustris larva parasitizing a Warbler suggesting that this tick species is a reservoir-competent host. In essence, the rabbit tick clearly has borrelia strains within it.  And further, during southbound, fall migration in Canada, larval and nymphal H. leporispalustris frequently parasitize passerines, and are widely dispersed in southern regions.  In essence, ticks with borrelia are infecting birds that are then going South and spreading their pathogens there.

Let’s say hypothetically that the rabbit tick is incapable of transmitting Lyme to humans.  Who’s to say that an animal that is co-infested with both black-legged ticks & rabbit ticks (as happened in this study) can’t then harbor all of these pathogens simultaneously that could in the the future be be transmitted to humans through the feedings of successive ticks?
I’m just a simple woman, but it appears to me that nobody is considering this.  They would rather look at old studies that state emphatically that only certain ticks in certain locations can transmit to humans and then smugly send patient after patient home with an anti-depressant.  Either we are all nuts or lying, OR something is happening out there that isn’t being picked up.  I vote for the latter.
The study shows that established borrelia infested ticks feeding on songbirds are spreading borrelia (and other things I’m sure) into new areas – far away from where they started and rodents are maintaining the cycle all year round.  
There is no “safe” time of the year.
Lastly, of epidemiological merit 100% of tested American Robins were positive for Bbsl.

Frequency & Magnitude of Seroreactivity to Babesia Microti in 245 Patients Diagnosed by PCR in N.Y. State

https://www.ncbi.nlm.nih.gov/pubmed/32113703

2020 Jan 29:115008. doi: 10.1016/j.diagmicrobio.2020.115008. [Epub ahead of print]

Frequency and magnitude of seroreactivity to Babesia microti in 245 patients diagnosed by PCR in New York State.

Abstract

Multiple methodologies have been used to detect antibodies to Babesia microti. Use of an indirect immunofluorescence assay (IFA) has been the most widely used approach, but IFAs have varied as to which antibody class or classes are being detected and in regard to cutoff titers. In this study, 245 different patients with polymerase chain reaction (PCR)-confirmed B. microti infection were tested by a polyvalent IFA using serum collected within 3 days of the date the blood sample for PCR testing was obtained. Of the 245 patients, 243 (99.2%) had a positive serologic test result (i.e., ≥1:64). Of the 243 patients who were seropositive, 242 (99.6%) had a titer of ≥1:256, 236 (97.1%) had a titer of ≥1:512, and 210 (86.4%) had a titer of ≥1:1024. In conclusion, high titer seropositivity based on a polyvalent IFA is to be expected at the time of PCR confirmation of active babesiosis in clinical practice.

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For more:  https://madisonarealymesupportgroup.com/2016/01/16/babesia-treatment/

Anti-Borrelia Antibody Staining of Cultured Biofilms in Human Blood

https://www.linkedin.com/pulse/anti-borrelia-antibody-staining-cultured-biofilms-human-peter-kemp/

Fluorescent antibody stained agent
Fluorescent antibody stained agent

ANTI-BORRELIA ANTIBODY STAINING OF CULTURED BIOFILMS IN HUMAN BLOOD

Peter Kemp
Peter Kemp
Private researcher at Private borreliosis research

INTRODUCTION

Antibody staining can detect specific proteins when a sample contains matching antigens. This experiment used polyclonal antibodies to borrelia burgdorferi targeting at least 5 different proteins. The antibodies used are proprietary off-the-shelf products conjugated with the popular FITC fluorescent molecule and sold by KPL and Abcam. When FITC is excited with blue light it fluoresces and emits green light. With the correct filtering, it is possible to observe only subjects which are fluorescing at specific wavelengths including agents to which the antibodies have bound.

SAMPLE DONORS

All seven UK adult blood sample donors were chronically and long-term ill and six had previously been diagnosed with Myalgic Encephalomyelitis (M.E.). All had symptoms which correspond with Lyme disease.

METHOD

Donors provided 4mls of venous blood in lavender-top vacutainer tubes with EDTA. The blood collection tubes were kept upright for several hours to allow the cells to settle and achieve a degree of cell layering. Gentle centrifuging for 20 minutes at ~20 to 40g’s further compacted and layered the cells. Most of the plasma was drawn-off with a pipette without disturbing the cell layers. 1.5 to 2mls of BSK was gently added to the tubes, minimising disturbance of the cell layers. The tubes were kept at room temperature or incubated at 30°C. Incubation appears to speed the development of a biofilm. After 3 to 7 days all samples developed a bound cluster at the top of the cell layers. This was associated with a cohesive fluid more viscous than the culture medium and which appeared clear to the naked eye. Under the microscope it was slightly milky. The cluster and its associated slime were obtained by removing most of the BSK with a pipette. The cluster could then be ‘grasped’ with a 3ml disposable pipette and with the tube tilted to ~45° or more – was carefully dragged up the side of the tube and deposited on a slide. Sometimes it was easier to grasp the cluster with tweezers, but these have to be very narrow to reach into the tube. Each sample was usually sufficient to prepare 3 – 4 slides. To each slide a drop of FITC conjugated anti-borrelia burgdorferi conjugated antibody, pre-diluted at 10 or 20 to 1, was added and gently mixed.

RESULTS

The results are presented as pairs of micrographs. The top photo in each matched pair, show a normal darkfield image with only the fluorescence emission filter in place. The bottom photo of the pair shows the same field of view with the fluorescence excitation filter installed. In some images refocusing may have slightly offset some subjects. The images can be seen here:  https://www.flickr.com/photos/76898309@N08/albums/72157713385691712

DISCUSSION

The experiment requires replication which includes healthy controls which I will not conduct.

It is notable that in experiments with freshly drawn or stored whole blood, minimal signs of staining with anti-B.b antibodies occurs. After simple culture with BSK, some white blood cells appear to contain granules that react and aside from these a few tiny agents are seen to have stained. It is only after culture with BSK using the method described above that spectacular staining occurred. The culture method layers white blood cells and probably a good number of platelets at the top of the sample. This is where the slime substance is found and where the clumped blood cells contain and/or are surrounded by antigenic material. This suggests the possibility that some white blood cells may be reactive. However, further experiments showed that with lymphocytes, eosinophils and basophils, only a small proportion contained granules within the cytoplasm that bound the antibodies.

Replication of the experiment with monoclonal antibodies could help to determine whether a cross-reaction is occurring, and potentially improve efficiency by identifying which particular B.b. proteins are being expressed, if any.

All donors in the current experiment had been ill and symptomatic for many years, mostly for over a decade. If replication as suggested proved the method for identifying infection with B.b., further experiments with shorter term infections would be required to identify within what time range a 4ml blood sample would be reactive.

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For more:  https://madisonarealymesupportgroup.com/2018/09/27/spirochete-culture-microscopy-videos-see-whats-inside-you/

https://madisonarealymesupportgroup.com/2020/03/02/spirochetes-in-sputum-of-chronic-lyme-patient/

https://madisonarealymesupportgroup.com/2018/09/29/microscopy-of-spirochaete-biofilm/

https://madisonarealymesupportgroup.com/2019/02/27/advanced-imaging-found-bartonella-around-pic-line/