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What does the huge coronavirus testing undercount in the US mean

Testing is the foundation of a modern public health approach to controlling this virus

Coronavirus testing
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It remains that many cases are mild and are not severe enough to be hospitalized or cause severe illness.

Melissa Hawkins | The Conversation
Researchers from the Centers for Disease Control and Prevention and other institutions recently published a study which estimated that the true number of people infected by COVID-19 could be six to 24 times higher than the number of confirmed cases. Melissa Hawkins, professor of public health at American University, explains what this large undercount means and why insufficient data is hampering the U.S.‘s ability to control the pandemic.
Melissa Hawkins explains the implications of the COVID-19 testing undercount.

What are some reasons for the large disparity between the true number of infected cases and the confirmed case

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