Tracking COVID Across State Lines
LabWare collaboration with Tangen promises faster testing results, easier data-sharing
LabWare, the leading global provider of enterprise software for testing laboratories, has created a COVID-19 test kit that will help states and hospitals eliminate the paperwork at collection sites, reduce the turnaround for test results, and streamline distribution of the results.
The company, which was founded in 1987 by Vance Kershner, is working with a Delawarean-led Connecticut company called Tangen Biosciences to build on the strengths of LabWare’s new field collection kit and roll out a portable laboratory that will reduce the wait time for results to just minutes, aiding efforts to stem the spread of the virus.
“Everyone is talking about the need for testing,” Kershner says. “But very few people are talking about data collection and the lack of interface nationally.”
This type of coordination around data is especially important as many states have relaxed social distancing restrictions.
“Timely and complete surveillance data is key to controlling further spread of COVID-19 and quickly tamping down any clusters to prevent a full-blown second wave of infections as people begin to travel more,” says Jennifer Horney, professor of epidemiology at the University of Delaware.
In other words, this solves a key underlying problem: Viruses don’t stop at state borders but right now, data does. It also reduces the paperwork challenges tied to explosive growth in COVID-19 testing.
Implementing the LabWare kit and the Tangen GeneSpark instrument could help public health departments monitor the spread of the disease and decrease the number of infections in their communities. In addition, states like New York needing to process a high volume of tests will be able to send them to less busy places across the United States and get their results back within three days, with copies to the U.S. Centers for Disease Control and Prevention and state health organizations done electronically as soon as results are completed. LabWare’s solution can be
used independently with any testing system, enabling it to be utilized nationwide, or even globally.
“After 9/11 happened, there was a concern about bioterrorism, so the federal government gave money to each state to put in a good information management system for public health. But they didn’t require them all to use the same system,” Kershner says, explaining that Florida, Delaware, Texas, Oklahoma, South Dakota, New Mexico and Utah chose LabWare and will get first crack at the new test kits.
“Every single person who sees what we have thinks it’s useful, particularly for surveillance work,” he says. “We know that all 50 states have these issues. Our focus right now is on testing. We thought the hard part would be building this thing. The hard part is communicating that we have it and getting the word out to the states that are in triage mode and need back-end data management.”
Adding Tangen into the mix
“Molecular tests will tell you if you’re carrying the virus right now — that you’re either a carrier or you’re going to get the disease or you have the disease,” Birkmeyer says. “We’ll be able to tell people immediately to go home — unless they’re having breathing problems — and stay isolated.”
Tangen is one of the few companies that have been working on a handheld point-of-care instrument, which is far more sensitive and exact in finding the sequence of the virus in RNA, a type of genetic material within a virus.
While the current instrument will only be able to test for COVID-19, Birkmeyer expects that by early next year, the company will be able to test for all major viruses — including cold and flu viruses, swine flu, COVID, MERS and SARS.
Today, most COVID-19 test results arrive in two to four days from commercial labs, such as LabCorp or Quest Diagnostics. With the Tangen instrument, the results will be ready in 20 minutes and can be communicated to patients while they wait, so infected patients can immediately self-quarantine to reduce the risk of spreading the virus.
LabWare is working with the Florida Department of Health to test its system, which uses iPads that are tied to a mobile hotspot with password-protected Wi-Fi, and includes a battery pack, a thermal bar-code printer and label stock. Ultimately the kit will be available with the Tangen GeneSpark Analyzer and COVID-19 assays.
“Florida started with three kits in Jacksonville and Duval County and has now ordered 150 of them for all 67 counties,” Kershner says. “Procure-ment could be a challenge in the current environment, but we’re wholly committed to fulfilling this order and ramping up for the quantities we are expecting”
Connections matter: The Delaware Way
Kershner was at a Tangen board meeting when he learned about the federal Biomedical Advanced Research and Development Authority’s interest in a COVID-19 solution based on its previous experience with Tangen on an anthrax test. That got him thinking.
“They really weren’t prepared for commercialization,” Kershner says. “And then one day I realized that if you’re going to test in the field, you need to be able to keep track of data with an information management system like ours.”
Kershner reached out to Delaware’s two senators, showing Sen. Chris Coons a prototype a week after they sat down for coffee. Sen. Tom Carper jumped all over it and helped with a lot of calls, Kershner adds. Finally, Florida said it would be a partner to help LabWare understand the requirements for testing in the field.
“We need to be able to test quickly and accurately, and then collect and share that data across states,” Carper said in a statement. “Delaware’s own LabWare is on to something here, and my hope is that their testing phase is successful so their product can help us through this crisis.”
The LabWare development team took their kit to Florida in mid-April and they immediately said it would solve a problem for the state.
“Everything was on paper with multiple touchpoints,” Kershner says. “It was taking 20 minutes at a drive-up testing facility to fill it out, with three people wearing PPE and using clipboards before moving on to a second station. The forms were then sent to a lab and transcribed and in many cases the handwriting was not matching up with the records. Our software eliminates all that and we created a mobile application that the whole thing is now running on.”
The pairing of LabWare and Tangen offers immediate possibilities and farther-reaching opportunities should the virus return this fall or next year. The Tangen test will cost about half what other tests cost and patients will get 10 results versus one.
“Our test will be the gold standard,” Birkmeyer says. “Before nextflu season, we will have it so all the instruments can be reused and reduce the cost. Vance is enabling us to pull up to a mobile sampling place and record that person’s data and send it with the sample to a lab and find hot spots. Combining the two technologies means we can go out to a nursing home, check everyone, see who has COVID versus flu A or flu B, and communicate that immediately to the state lab.
“It’s a fantastic way to stop the spread because it prevents people who may have a positive COVID-19 test from wandering around and infecting everyone else.”