“I’ve never had a flu that felt like that in my life,” Allan said.<\/p>\n
A week after getting\u00a0tested, the public health nurse called back \u2014 Allan had tested positive for the disease. But Martha\u00a0tested negative.<\/p>\n
Martha was told it was highly likely she really did have COVID-19 based on her symptoms and close proximity to Allan.<\/p>\n
“I was really sick. So she was quite sure that at that point I had been exposed,” she said.<\/p>\n
The nurse told her she had likely been tested too soon, before the virus was detectable in her body.<\/p>\n
The couple worries people who receive\u00a0a negative result might actually have the disease and unknowingly spread it to others.<\/p>\n
“It could give some people a false sense of security in thinking, ‘I don’t have it, I can go out …\u00a0I can go shopping, I can visit my mother,” Martha said.<\/p>\n
“When really, whether you get tested or not, whether you think you’ve been exposed or not, what everybody really needs to do is physically distance from each other,” Martha said\u00a0from the couple’s home, where they have been in quarantine since returning to Winnipeg.<\/p>\n
“You have to think that you are going to transmit the disease, so you have to act like you have it,” Allan said.<\/p>\n
‘Testing is extremely sensitive’<\/h2>\n
Microbiologist Kelly MacDonald said there’s a\u00a0one per cent chance a person will test negative for COVID-19\u00a0\u2014 but actually have the disease\u00a0\u2014\u00a0if they have been\u00a0tested too early.<\/p>\n
At that point, the viral levels are just starting to go up,\u00a0and the few cells that are positive are missed during the swab, she said.<\/p>\n
Once it’s in the lab, the actual test\u00a0for COVID-19 is accurate 99 per cent of the time, which is better than\u00a0similar tests for other respiratory issues, she said.<\/p>\n
“The testing is extremely sensitive,” said Dr. MacDonald, who is the head of the University of Manitoba’s infectious disease program and a clinical scientist.<\/p>\n
The error often occurs when the swab of\u00a0the nose\u00a0isn’t done properly, which happens about 8 to 10 per cent of the time, MacDonald said.<\/p>\n
“So for instance if someone sticks the swab in the nose and doesn’t stick it far enough into the nose to collect the little cells on the inside, we know that the sample will be potentially a false negative.”<\/p>\n
<\/p>\n That’s why people who are tested are told to go home,\u00a0isolate, and watch for\u00a0symptoms, she said.<\/p>\n “What we tell everybody is, if they have symptoms, and their test is negative, that it doesn’t mean that they are home free,” MacDonald said.<\/p>\n “Everybody is warned that there is a chance of a false negative, and that they’ve got to go home and act as if they have COVID-19, regardless of the test results.”<\/p>\n The test is only one way of determining whether you have COVID-19.<\/p>\n “I tell people to use common sense,” MacDonald\u00a0said.<\/p>\n “If they still have a fever and a cough, or symptoms consistent with a viral illness that could be COVID-19, we tell them to continue to isolate and assume that they have COVID-19 … If you deteriorate seriously and all your instincts tell you that this is a serious thing, then you need to be seen by a physician,” she said.<\/p>\n Dr. Brent Roussin, the province’s chief medical officer of health, said the false negative rate in people who have symptoms is low, but\u00a0because testing is still so new, there is still not much evidence on it.<\/p>\n “It’s one of the reasons why we don’t test people without symptoms, because we feel the false negative rate is much increased in that population,” Roussin said.<\/p>\n There have been several recent cases of false positives in Manitoba, which MacDonald said are usually caused when the sensitive test picks up on a different, local\u00a0coronavirus strain.<\/p>\n Before COVID-19 arrived, there’s\u00a0been a whole variety of coronaviruses circulating causing mild respiratory tract infections, she said.<\/p>\n The test for COVID-19 is sensitive enough it can pick up the disease in people who don’t have symptoms, which means it will also sometimes pick up a different, local strain of a coronavirus.<\/p>\n CBC<\/p>\n![\"\"](\"https:\/\/i.cbc.ca\/1.5504019.1586920380!\/fileImage\/httpImage\/image.jpg_gen\/derivatives\/original_780\/nasopharyngeal-swab-1.jpg\")
<\/div>Use common sense, watch for symptoms<\/h2>\n
False positives also\u00a0rare<\/h2>\n