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Peter Nayland Kust's avatar

Calling PCR inaccurate is itself inaccurate to the point of falsity.

The issue with PCR lies in the cycle threshold that is used to delimit the test. For SARS-COV-2, PCR tests use a cycle threshold as high as 40.

However, no less than Anthony Fauci himself has said that Ct greater than 34 or 35 is only finding "dead nucleotides", and the CDC tells health agencies not to submit test samples for sequencing with Ct above 28 as those samples do not generally contain culturable virus. Last winter Rochelle Walensky also threw shade on PCR tests saying they tested positive on "fragments"

https://newsletter.allfactsmatter.us/p/did-rochelle-walensky-just-demolish

At high Ct values, PCR tests are not reliable for ACTIVE SARS-COV-2 infection. At Ct above 28, absent symptoms of active infection the test results quite possibly indicate prior and perhaps asymptomatic infection.

This is one reason why historical practice and WHO guidelines are for cases to be symptoms PLUS positive PCR tests (influenza testing is typically not even done unless one goes to the doctor with symptoms).

PCR testing works. That does not mean it is being used properly. There's considerable evidence to indicate it has not been for SARS-COV-2.

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Modern Discontent's avatar

As someone who did COVID testing it was generally the idea that the tests were very sensitive. Depending on how samples were aliquoted it would be easy to get contamination, usually a random gene would amplify in another sample, or sometimes you'll get a "ring" of amplification suggesting maybe one well may have spilled over into neighboring cells.

In any case, there did appear to be a general idea higher Ct values ran into some issues. Usually at higher ends you may get one gene that amplifies at a lower Ct value, and yet the others may be over the cutoff, so you have to sometimes test again until you get more than 1.

My general belief with the Ct values is that they were derived from a hypothetical "infectious" value of virions. I believe this came from early samples and data from China. But if you assume X virions is enough to become infectious, then the Ct count may be set up with that infectious number in mind.

I think one of the problems with the PCR discussion is that people have a broad idea of what PCR is, but many people may not have spent time actually looking at how it works. I don't think many people know what primers are, or the different genes that can sometimes be amplified.

Everyone sort of knows that PCR amplifies, and the discussion is around whether the amplification is for too long via Ct counts or if the use of PCR would just be wrong.

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