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• Discovery puzzlemaker word search manual#

As currently written, this proposal oversimplifies the clinical manifestations of these viruses and ignores the value of determining a specific etiology of a disease that cannot be determined from direct testing for influenza and RSV alone. Utility in Outbreak Situations for Patient Care: During outbreaks, multiplex panels fill an important role in clinical decisions by ruling in other etiologies and providing reassurance in a rapid manner to clinicians, patients, families and public health officials.These findings are supported by studies in the U.S. Clinical and Seasonal Overlap of Respiratory Viruses: To clarify the proposal’s assertion that diagnosis can be made by a clinician on the basis of seasonality and clinical symptoms, as public health practitioners, our individual state laboratory-based surveillance systems for respiratory illnesses provide ample evidence that many of the viruses included in these panels share symptoms and overlap in seasonality.Additionally, we would like to clarify several public health issues that were cited in the decision rationale. While we recognize that Palmetto’s proposed non-coverage decision is strictly a clinical testing reimbursement issue, we would like to take the opportunity to express our concerns about the impact on public health and clinical care. APHL’s membership comprises governmental public health laboratories who are experts in both diagnostic and surveillance testing for respiratory pathogens. The Association of Public Health Laboratories (APHL) appreciates the opportunity to comment on the Palmetto Molecular Diagnostics (MolDx) Draft Local Coverage Determination (“dLCD”) for Multiplex Nucleic Acid Amplified Tests for Respiratory Viral Panels (RVPs) (D元7713). Not endorsed by the AHA or any of its affiliates. Presented in the material do not necessarily represent the views of the AHA. Preparation of this material, or the analysis of information provided in the material. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness orĪccuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the

Discovery puzzlemaker word search manual#

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