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'A false reassurance': Health officials caution against widespread use of rapid antigen tests

Supermarket chain LIDL made headlines on Thursday when it announced it will stock rapid antigen testing kits in its stores.

SUPERMARKET CHAIN LIDL made headlines last week when it announced it will begin stocking rapid antigen testing kits in its stores.

It prompted public health officials like Chief Medical Officer Dr Tony Holohan to sound a warning about using these kits, which are less reliable than PCR tests. 

While Government acknowledges that antigen testing is an additional measure in combating Covid-19, it is not a substitute for following public health advice, Holohan said. 

No test – PCR or antigen – is 100% accurate. 

Unlike PCR, antigen tests work more effectively if a person is symptomatic but are not as effective at identifying pre-symptomatic cases. 

An antigen test won’t confirm if a person without symptoms has Covid-19 as these tests rely on a high viral load to identify presence of Covid-19. 

According to the HSE, antigen tests are about 80% accurate if a person is symptomatic but only about 50%-60% accurate if a person has no symptoms and self-administers an antigen test.

If a person is symptomatic and receives a negative antigen test result the advice is that they should also get a PCR test, which can also detect early infection in a person. 

The Department of Health advice is clear on this – it does not currently advise the use of antigen tests by the general public, according to a spokesperson. 

Furthermore, if a person gets an antigen test from a private company and tests positive this will not be automatically reported to the HSE and, if it is indeed a “true positive” result, close contacts will not be informed and could spread Covid-19 to others, the spokesperson added. 

There is also a risk with antigen tests that a person could receive a false positive or a false negative which could have implications for the person and others around them, they said. 

The official advice remains that if a person develops symptoms they should self-isolate and contact their GP who will arrange a free PCR test. 

However, rapid antigen testing is another weapon in our arsenal. 

The Government’s Expert Advisory Group on rapid testing last month recommended their widespread use in schools. Similarly, HIQA recently recommended the use of antigen testing in meat plants. 

(The HSE already carries out antigen testing twice per week in meat plants and has so far carried out over 20,000 of these tests, but it is also in addition to a monthly PCR test for employees.)

Professor of Experimental Immunology, School of Biochemistry and Immunology at Trinity College Dublin Kingston Mills, who sat on the Expert Advisory Group, said there are “huge benefits to antigen testing as an adjunct to PCR testing”. 

Mills told The Journal that people can be trusted to know how to self-administer a rapid antigen test but said people misinterpreting what a negative results means is “a worry”. 

“People could think ‘I’m not infectious, I don’t have Covid-19, I can do what I like’, that’s my biggest worry. I understand that concern,” said Mills, who said a public information campaign about the benefits and risk of these tests could help inform people. 

Speaking on RTÉ’s News At One yesterday, Dr Holohan said the issue was not a question of trusting the public but about “people’s interpretation of what the result means”. 

From NPHET’s perspective, it comes down to individual behaviour and informing people about the limitations of these antigen tests if they were to be used by the wider public who may purchase one in a supermarket. 

“The risk that we see is that if you get a negative test it might falsely reassure you… if it falsely reassures a person who is going to a wedding… now you’ve got the potential for a superspreading event to take place,” said Holohan. 

Tánaiste Leo Varadkar echoed this sentiment on Monday when he raised concerns about how LIDL had marketed their antigen testing kits, saying it sent out the “wrong message”. 

Varadkar said Government supports the wider use of antigen testing as Ireland reopens, and that guidelines to businesses carrying out rapid antigen testing would be issued shortly. But he said that the public should be aware of its limitations. 

With reporting by Nicky Ryan.

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    Mute Local Ore
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    Mar 3rd 2022, 1:58 PM

    Well, they clung on for long enough, who would have known they would be burying themselves? The worst possible leader given the parties absolute disconnection with its base.

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    Mute Peter McGlynn
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    Mar 3rd 2022, 2:00 PM

    @Local Ore: that’s the party though – he just reflects what they stand for or rather that they stand for nothing.

    158
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    Mute Local Ore
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    Mar 3rd 2022, 2:10 PM

    @Peter McGlynn: Bacik is the worst potential leader possible for Labour. Labour’s grass routes organisation needs to go back to the people and their members and ask them what they Labour to be? They need the most dramatic reset in the history of politics in the state if they are to survive because Bacik represents everything they should not, and should never, be. Self serving, self righteous and out of touch with the people who were once their base. If Labour is to exist in the future, as they won’t survive her leadership, they need to get rid of people like her – Joan Burtons biggest supporter – and reset with proper, working class, centre left people

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    Mute John Mulligan
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    Mar 3rd 2022, 2:50 PM

    @Local Ore: Bacik is one of the most competent parliamentarians in Dail Eireann. I’d imagine we’ve passed the low point for Labour, and they will be seen by a lot of people as a safe place for a protest vote compared to SF, or the greens.
    Their attempt to curb the worst excesses of FG in the previous administration backfired on them, and SF in particular managed to heap the blame for any cutbacks on Labour despite them being a minor partner in that coalition. Labour will do a SF on it next time, sitting safely in opposition where they won’t have to make decisions.

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    Mute Credalytics ☘️
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    Mar 3rd 2022, 3:30 PM

    @John Mulligan:

    Her solution to just about everything is more abortion.

    I suppose she’s right in a way. There’s less problems to deal with if nobody is left around.

    What an inspiring woman.

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    Mute Local Ore
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    Mar 3rd 2022, 4:30 PM

    @John Mulligan: John, I was a Labour supporter for years, for my shame, and I met the woman while she was with Joan Burton. To describe a person who has failed to be elected in more than two thirds of their attempts running for political positions, who spent 15 years in the Seanad – a completely irrelevant body – and has been a TD for less than year as one of the most competent parliamentarians in Dàil Eireann is ludicrous in the extreme! Are you basing that on her few months in the Dàil? Are you basing it on her ineffectual time in the Seanad or what are you basing it on? Completely ridiculous claim to make. I would say she is a competent and intelligent politician but has no connection, at all, to the core values of what Labour used to be or should be. Your statement is ridiculous

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    Mute Liam Byrne
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    Mar 4th 2022, 9:03 PM

    @Credalytics ☘️:
    That’s so unfair, she’s for Euthanasia too. Another Millionaire “Socialist ” Skumbag.

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    Mute Donal Desmond
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    Mar 3rd 2022, 2:08 PM

    The open road to the leadership of the Labour party with Ivana Bacik will ensure the Labour party will follow the PDs into the dustbin of history.

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    Mute Local Ore
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    Mar 3rd 2022, 2:12 PM

    @Donal Desmond: And they don’t see it all, the handful of them remaining think this is a progressive step…. I, like many others, once voted Labour, I’m ashamed of what they have become and can’t believe there is anyone left in that party that could ever support a Joan Burton acolyte as leader in 2022

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    Mute Toon Army
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    Mar 3rd 2022, 2:32 PM

    @Donal Desmond: You never know. I can see Bacik transform the party from low single digits to, well, slightly higher low single digits..

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    Mute Donal Desmond
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    Mar 3rd 2022, 3:01 PM

    @Toon Army: Agree, That’s as good as it will get.

    33
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    Mute Michael Howe
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    Mar 3rd 2022, 6:55 PM

    @Local Ore: there are none so blind as them that won’t see.

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    Mute Niall Power
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    Mar 3rd 2022, 2:37 PM

    If Bacik is leader will she have to speak to any poor people or will she have an interpreter for that?

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    Mute Roland Tarrant
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    Mar 3rd 2022, 2:10 PM

    From one dose to another…

    178
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    Mute Local Ore
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    Mar 3rd 2022, 2:14 PM

    @Roland Tarrant: If Alan Kelly is as clever as he is given credit for, he will join FG or FF or whatever before that absolute dose is announced leader. There cannot be another TD with a brain cell that would support JB2.0 as leader? Surely?

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    Mute Aidan Bergin
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    Mar 3rd 2022, 2:30 PM

    Disconnected from the working class years ago so who cares who the leader is.

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    Mute William Tallon
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    Mar 3rd 2022, 3:10 PM

    Why does it still insist on calling itself the ‘Labour’ Party? These people live in a political fantasy world. They have zero affinity with the working people of this country and Ivana Bacik exemplifies that absurd disconnect from reality…

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    Mute Longlin
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    Mar 3rd 2022, 2:13 PM

    If that’s the direction that Labour are heading, they might as well fast track a merger with the Social Democrats ASAP. Absolutely pointless having two identical parties and they are far removed from the once respectable Labour party who actually represented the interests of the common man and woman.

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    Mute Graham Manning
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    Mar 3rd 2022, 4:31 PM

    @Longlin: why would the Soc Dems want or agree to that???

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    Mute Longlin
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    Mar 3rd 2022, 5:02 PM

    @Graham Manning: Could you outline the major ideological differences that would warrant Ivana Bacik and the like of Holly Cairns being in different parties? Looking on from the outside, I would think that they weren’t far off being identical.

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    Mute Fakë Ăvatăř
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    Mar 3rd 2022, 2:46 PM

    Bacik as leader is a death sentence for Labour.

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    Mute Muckser Maher
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    Mar 3rd 2022, 4:20 PM

    You couldn’t make this up. Whatever chance you had of getting a no. 2,3,4 vote from the left leaning voter, you’ve none now. Truely astonishing selection.

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    Mute Tjamr
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    Mar 3rd 2022, 4:03 PM

    This is will see the end of the Labour Party. I voted Labour up until they entered government in 2011 and turned their back on their traditional voters. I was delighted to hear that Alan Kelly was no longer going to be leader, however when I heard that they were considering Ivana Bacik as leader I realised that they have learned nothing.
    Ms Bacik was one of the elite that was at the party in celebration of the awarding of a Government job to Catherine Zappone.
    I wish they would look back to their routes and realise that their traditional voters don’t want a party that cozys up to FF and FG.
    I don’t want a right wing labour party, looks like I will never again vote for Labour

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    Mute Charles McCarthy
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    Mar 3rd 2022, 3:09 PM

    I suppose its akin to inheriting a set of fine bone china tea cups with no handles. They only look good from a certain angle.

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    Mute Liam Byrne
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    Mar 4th 2022, 9:23 PM

    @Charles McCarthy:
    Beautiful, I hope you don’t mind if I use this.

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    Mute Ray Walsh
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    Mar 3rd 2022, 4:21 PM

    Labour pressed the self destruct button a long time ago.
    Consigned to history.

    64
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    Mute Paul Brierley
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    Mar 3rd 2022, 1:59 PM

    The kiss of death from Varadkar!

    95
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    Mute Sean Doheny
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    Mar 3rd 2022, 6:40 PM

    I see Ivana Bacik is the favourite,they are welcome to her it seems to me that she is anti everthing that is good

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    Mute E.J. Murray
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    Mar 3rd 2022, 3:57 PM

    They must have scraped all the way through the bottom of the barrel now, and turned it into a big tube.

    58
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    Mute Hugh Mc Donnell
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    Mar 3rd 2022, 3:11 PM

    Another party down the drain, Old enough to remember dick spring and the difference now

    92
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    Mute Seamus Mac
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    Mar 3rd 2022, 3:38 PM

    @Hugh Mc Donnell: imagine what he thinks of the party nowadays.

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    Mute Liam Byrne
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    Mar 4th 2022, 9:45 PM

    @Seamus Mac:
    Probably proud, himself and Millionaire Fergus Finlay dismantled the Labour movement.

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    Mute Toon Army
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    Mar 3rd 2022, 2:31 PM

    Wow is this still news.

    28
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    Mute Derek Anderson
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    Mar 3rd 2022, 3:55 PM

    Oh dear just another lamb to the slaughter.

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    Mute Alan Dignam
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    Mar 4th 2022, 2:39 AM

    Surprised to hear Alan Kelly Got Emotional when he was resigning. He wasn’t very emotional when he was threatening to cut people’s water off ten year’s ago GUUD LUCK *ank stain

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    Mute Alan Dignam
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    Mar 4th 2022, 2:34 AM

    god help us

    4
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    Mute Jim O'Sullivan
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    Mar 4th 2022, 9:41 AM

    Maybe I misheard; the reason for the heave against Alan Kelly was because of his association with the antics of the 2011-2016 government and in particular, the push to levy water charges. Then it was announced that the front runner to replace Mr Kelly is Ivana Bacik. But Ms Bacik was part of that government too and voiced strong support for water charges stating during the debate in the Seanad “we must incentivise to avoid excessive usage” The “conservation” malarkey was the same excuse being used by members of Fine Gael for the introduction of the charges. Is there a pointer here as to what Labour’s real problem is? Maybe too many of the senior active members are actually in the wrong party?

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    Mute Liam Byrne
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    Mar 4th 2022, 9:19 PM

    @Jim O’Sullivan:
    Thanks Jim, well said.

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    Mute Noel Gallagher
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    Mar 4th 2022, 12:44 AM

    What about God Nash probably the one Labour TD with real legislative achievement i.e. increasing minimum wage and Construction Contracts Act among others. Down to earth with excellent communication skills.

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    Mute Liam Byrne
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    Mar 4th 2022, 9:10 PM

    Communication skills? Talk Bolloks an convince everyone you are sincere.

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    Mute Noel Gallagher
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    Mar 4th 2022, 9:54 PM

    @Liam Byrne: I assume Liam you are referring to God Nash

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    Mute Eugene Comaskey
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    Mar 4th 2022, 6:20 PM

    This is doomed to failure ,–AGAIN -’Another one to end in Tears.

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    Mute Noel Gallagher
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    Mar 4th 2022, 9:56 PM

    Jaysus a lot of angry people posting these comments

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