Blog Post

Covid-19 Testing on the Eastern Shore, as of June 8, 2020

Jane Jewell • Jun 09, 2020

Testing for covid-19 has been slow in coming, all across America. For a long time, it was difficult — if not impossible — to get a test unless the patient was sick enough to require hospitalization. And even then, the results that confirmed covid-19 often came after the patient had recovered enough to be sent home or, sadly, had died.  

That is finally beginning to change in Maryland. Now testing for covid-19 is open to everyone. You do not have to have symptoms or a doctor’s permission. This makes sense as it is now well known that many people have the virus with only mild symptoms or no symptoms at all. Recent research reported in Time Magazine found that at least 30 percent and more likely 40-45 percent of covid-19 cases were transmitted by people who were unaware they had the coronavirus.  

There is also growing evidence that those with mild or no symptoms may not be getting off so easy after all. Chest x-rays of some positive-testing but asymptomatic people have shown lung damage similar to those who were hospitalized with more severe cases. And we have all heard about the serious problems that have shown up weeks later in some children who had light or no symptoms. There is still a lot to be learned about covid-19 and its long-term effects on the body.

So what does it mean if a person tests positive for covid-19? The test is a snapshot of the day the test was taken. If you have symptoms, then it is an easy diagnosis. Yes, you have covid-19. Call your doctor. Stay home.

But what about an asymptomatic person? The positive test may mean that you are coming down with the virus and will develop symptoms within the next week or so. Or it might mean that you had the virus recently without any symptoms and that you are — or soon will be — over the illness. If you remain asymptomatic, follow-up tests are advisable to figure out what’s going on. In the meantime, you should contact your doctor and quarantine at home while strictly following all the guidelines for protecting yourself and others. Family members and anyone you have had recent contact with should also follow the guidelines as well as get tested themselves.

Tests are being offered by county health departments and by some CVS pharmacies and a few other stores, including some Walmarts.   

Appointments are still required. Call your county health department or check out the health department’s website to find when and where testing is available in your county. Requirements are similar. Most all are free.

In Kent County, for example, covid-19 tests are available Monday and Wednesday from 9:00 a.m. until noon starting Monday, June 8. It’s drive through. No cost. You must wear a mask at the testing site and you will need an appointment. The health department asks for your name, birthdate, address, and a phone number to call with the results in about four days. According to the health department, someone will call with the result, even on a weekend, especially if the test comes back positive.  

As this article goes to press, cases of covid-19 on the Eastern Shore continue to rise — but not as fast as in previous weeks. Wicomico County still has the highest load with 984 cases. Cecil County is second with 408 confirmed cases. When adjusted for population, Wicomico is still the highest with 956 per 100,000 residents. However, Cecil County slips to sixth place with a rate of 394 per 100,000. Kent County’s rate of 954 is almost as high as Wicomico’s. And the death rate of 97 per 100,000 in Kent County is over three times higher than Wicomico’s death rate of 31. This undoubtedly reflects the fact that the hotspots in Wicomico tend to be in workplaces such as poultry processing plants with people of all ages, while Kent County’s hotspots are mostly in nursing homes with more vulnerable, older people.

The next milestone for covid-19 testing will be the development of accurate, reliable antibody tests. These will indicate whether a person had the virus sometime in the past and now has antibodies that should provide some protection in the future. Current antibody tests have too many false positives and false negatives.  

Sources:

Time Magazine, June 5, 2020; “Nearly Half of Coronavirus Spread May Be Traced to People Without Any Symptoms”

Statistics for the number of cases and deaths in the first chart are from the official Maryland State Coronavirus website at https://coronavirus.maryland.gov/. The website is updated daily at 10:00 a.m. with information for the state as a whole with a breakdown of data for each individual county. There are also data by age, gender, race, and ethnicity, though not all of those categories are available for the county level.  

The per capita rates per 100,000 population are from the New York Times interactive Coronavirus Map and Case Count at https://www.nytimes.com/interactive/2020/us/maryland-coronavirus-cases.html. This site is updated several times a day for all 50 states with breakdowns by county.

Other useful sites and articles include:
“A comprehensive timeline of the new coronavirus pandemic,” Business Insider
Johns Hopkins University Covid-19 Dashboard https://coronavirus.jhu.edu/map.html
How to Properly Wash Your Hands, CNAclassesnearme.com


Jane Jewell is a writer, editor, photographer, and teacher. She has worked in news, publishing, and as the director of a national writer's group. She lives in Chestertown with her husband Peter Heck, a ginger cat named Riley, and a lot of books.

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