Gov. Laura Kelly today outlined a statewide testing strategy for COVID-19 that would test 60,000 people each month through the end of 2020, with the goal of 2 percent of the population.
There has been an increase in labs’ ability to run tests, she said.
“We are at a point where we can roll out a formal statewide testing strategy,” Gov. Kelly said at a 4 p.m. Thursday news conference.
Because of the early actions taken with restrictions, Kansas has half the number of COVID-19 cases and deaths as Iowa and Nebraska, she said. The past three months were filled with challenges for Kansas trying to get testing kits, supplies and equipment.
Tests through the state laboratory in most cases must meet the “patient under investigation” criteria, she said. The criteria included some symptoms or some exposure to COVID-19. In some situations, both symptomatic and asymptomatic persons may be recommended for testing, she said.
To meet the 2 percent testing goal, Kansas will receive large quantities of testing supplies from the U.S. Health and Human Services Department, she said.
The state has created a real-time map of testing locations, capacities and available testing platforms, she said. The Kansas Department of Health and Environment will assist with various local health department efforts for testing, she said.
The governor listed types of testing facilities – the KDHE lab, commercial labs, local reference labs, mobile labs and collection teams.
“Today’s announcement will continue to aid Kansas in the progress that will allow us to return to normal,” Gov. Kelly said, “but we must do so safely so that the sacrifices that all have made will not have been made in vain.”
Dr. Lee Norman, Kansas secretary of health, said the “person under investigation” criteria used for the state lab tests, are for persons who have symptoms. The tests can be given to those without symptoms if the persons are in a high prevalence area. The state usually doesn’t test people without symptoms because the molecular test only reflects the moment the test is taken, and does not indicate whether the persons could be positive the next day; the CDC and FDA do not have an approved asymptomatic test available; and it would be impractical to test 150 million Americans on a regular basis.
Dr. Norman said the KDHE will deploy a mobile testing unit to areas around the state. The test will be given to persons, and the results can be run at the site. It will be able to test both symptomatic and asymptomatic persons, if they are going to a high prevalence area, he said. The unit would be dispatched to areas with a disproportionate impact of the disease, he said.
African-Americans in Kansas as of June 1 had almost twice the positive COVID-19 case rate per 100,000 individuals, he said. The rate is about 450 per 100,000 for African-Americans, compared to about 242 per non-African-Americans, he said.
The death rate for African-Americans from COVID-19 has been almost five times higher, he said. The death rate was about 25.7 per 100,000 for African-Americans as compared to about 5.7 for non-African-Americans, he said.
The cause of disparities has not been entirely answered, but he noted that some African-Americans live in areas that are farther distances from medical facilities, causing them to be out more. Also, black Kansans are 1.6 times more likely to be uninsured, he said. In addition, there are more serious underlying conditions, more likely to have complications, he said. He also said there were economic disparities causing some to not be able to work from home, and forcing some to have more face-to-face contact.
He said the KDHE wants to work with communities of color, through local health departments and community leaders, to do community-based testing using the mobile units and other testing strategies.
“Based on state data, we want to deploy the mobile unit first to Reno and Wyandotte counties,” Dr. Norman said.
This strategy will increase the number of testing sites available, Dr. Norman said.
Also, with a more rapid deployment force, they will be able to more quickly identify a positive case, for example a positive case in a nursing facility, and test everyone. Those persons at a nursing facility or a correctional facility, for example, could be asymptomatic but because they also are in a high prevalence area, they are more likely to come back positive, he added.
Dr. Norman said there were about 40 testing sites around the state. The state lab can handle about 1,000 tests a day, with commercial labs able to handle about 2,000 tests a day, while the KU hospital lab is able to do about 700 or so tests a day.
He said testing will be more strategically deployed, to places that need it. Earlier, the state didn’t have materials and resources.
“There’s many links in the chain that had to work,” he said. Swabs, test kits, supplies and devices were needed. It wasn’t until the governor made the trip to Washington, D.C., that they could get sufficient quantities of materials, he said.
“We had to have the elements in order to really roll it out,” he said.
The state’s rules about who may get a test apply to tests sent through the state lab. Otherwise, residents may go to their doctors or clinics, and if a doctor orders a test, the tests can get sent through a commercial lab, he said.
Dr. Norman was asked about case rates declining in some areas, and he said they want to do testing to find cases early, and do contact tracing.
“Testing is where the work starts, contact tracing is really where the work is. That’s the detective work,” he said.
With broader testing strategy and geographic dispersal of the testing possibilities, it’s earlier case identification, earlier contact tracing and earlier action, he said.
From the state, there is no charge for the COVID-19 test, he said. In private testing, often there is a charge around $100, and it might be covered by insurance. Some providers have stated that there is no out-of-pocket charge to their tests because it is covered by the CARES Act.
Tests in Wyandotte County
The state’s mobile testing vehicle locations are expected to be announced in a week or two.
In Wyandotte County, according to the Unified Government Health Department’s COVID-19 webpage, testing is being held from 1 to 5 p.m. each afternoon from Monday through Friday at the Health Department’s parking lot at 6th and Ann Avenue, with no appointment necessary. The tests are free. Information is at https://wyandotte-county-covid-19-hub-unifiedgov.hub.arcgis.com/pages/what-to-do-if-you-think-you-have-covid-19.
COVID-19 testing is being held at Swope Health at the Bethany medical office building location from 9:30 a.m. to 4 p.m. Monday through Friday at 21 N.12th St., Suite 400, Kansas City, Kansas. Those interested should call to schedule an appointment, 816-923-5800.
Pop-up tests are being held at mobile sites around Wyandotte County on three days a week, through the Health Department and Vibrant Health. The tests are free.
CVS Health announced today it would begin COVID-19 drive-through testing on Friday, June 12, at CVS Pharmacy, 950 Minnesota Ave., Kansas City, Kansas; and CVS Pharmacy, 3750 State Ave., Kansas City, Kansas. They will have self-swab tests. Registration in advance will be necessary for the tests. There are requirements on who will receive the tests. According to CVS, there is no out-of-pocket cost. Appointments can be made at https://www.cvs.com/minuteclinic/covid-19-testing.
Walmart at 10824 Parallel Parkway, Kansas City, Kansas, and at 12801 Kansas Ave., Bonner Springs, has been offering COVID-19 tests for some time. The tests are available from 7 to 9 a.m. Mondays, Wednesdays and Friday. There are eligibility requirements. According to Walmart, there is no out-of-pocket cost. Appointments are necessary and information is at DoINeedaCOVID19test.com.
The Sharon Lee Family Health Care Clinic was one of the first clinics providing COVID-19 testing in Wyandotte County. For more information on the clinic, visit http://www.swbfhc.org/.
To see the governor’s news conference, visit https://www.facebook.com/GovLauraKelly/videos/181713886602771/?v=181713886602771
The state’s COVID-19 testing page is at https://www.coronavirus.kdheks.gov/280/COVID-19-Testing
The UG’s COVID-19 information page is at https://alpha.wycokck.org/Coronavirus-COVID-19-Information.
Wyandotte County is currently under Phase 3. See covid.ks.gov.
The state plan’s frequently asked questions page is at https://covid.ks.gov/wp-content/uploads/2020/05/Reopening-FAQ_5.19.2020_Final.pdf.
Test sites are listed on the Wyandotte County website at https://wyandotte-county-covid-19-hub-unifiedgov.hub.arcgis.com/pages/what-to-do-if-you-think-you-have-covid-19.
The CDC’s COVID-19 web page is at https://www.cdc.gov/coronavirus/2019-nCoV/index.html.