Who say, “Let Him speed, let Him hasten His purpose, If we are to give thought; Let the plans of the Holy One of Yisrael be quickly fulfilled, if we are to give heed.” Isaiah 5:19
Slow testing methods of COVID-19 sick and carriers has created a dangerous bottleneck in fighting the pandemic and protecting healthy residents from infection.
Now, researchers at Technion-Israel Institute of Technology and Rambam Medical Center in Haifa have successfully tested a method that will dramatically increase the current testing capacity using existing available resources. This technique, known as pooling, makes possible the simultaneous testing of dozens of samples. Its implementation has the potential to greatly accelerate the rate of testing and detection of COVID-19 infected patients in the population, the scientists said.
The trial was completed in a matter of days thanks to the support of the Health Ministry in Jerusalem and the close collaboration between the Technion and Rambam.
Testing for COVID-19 is currently being conducted in Israel with the focus on people with specific symptoms. The current rate of testing – only about 1,200 a day – does not allow for monitoring of carriers in the population who have no symptoms – which is vital for curb the epidemic.
COVID-19 is diagnosed with polymerase chain reaction (PCR) testing, which is common for virus monitoring. This test examines the presence of a unique genetic sequence of viruses in a sample taken from the patient and takes several hours.
According to Dr. Yuval Gefen, director of Rambam’s clinical microbiology laboratory: “Today, we receive approximately 200 COVID-19 test samples a day, and each sample undergoes individual examination. According to the new pooling approach we have currently tested, molecular testing can be performed on a “combined sample,” taken from 32 or 64 patients. This way we can significantly accelerate the testing rate. Only in those rare cases, where the joint sample is found to be positive, will we conduct an individual test for each of the specific samples.”
According to Prof. Roy Kishony, head of the research group in the Faculty of Biology at Technion, “This is not a scientific breakthrough, but a demonstration of the effectivity of using the existing method and even the existing equipment to significantly increase the volume of samples tested per day. This is done by pooling multiple samples in a single test tube. Even when we conducted a joint examination of 64 samples in which only one was a positive carrier, the system identified that there was a positive sample,” he said. Although there are some logistical challenges in implementing the method, we expect that it will greatly increase the volume of samples tested per day so that we can identify the asymptomatic carriers. This approach should reduce the chance of infection and flatten the infection curve.”
Dr. Moran Szwarcwort-Cohen, the director of the Rambam Virology Lab, estimates that, “implementing pooling in the final stage of the PCR test will make it easier for us to shorten the entire process and significantly increase the test rate.”
Technion president Prof. Uri Sivan commented: “This experiment…is complex, and under normal circumstances, it would take months. This is a remarkable example of the mobilization of an outstanding team in a time of crisis. The initial experiment was completed in less than four days. This achievement emphasizes the importance of the close relationship between Technion and Rambam and between medicine and engineering. Technion researchers have been enlisted in the war against the Coronavirus and this is one of the many activities currently underway at Technion to combat the spread of the disease.”
Rambam Medical Center director-general Prof. Michael Halberthal said, “This collaboration between Technion and Rambam, for the benefit of all humanity, is just one example of many joint projects between the two institutions. These collaborations are designed to harness the multidisciplinary capabilities of Technion researchers for the advancement of medicine.”