COVID-19: Rapid antigen detection for SARS-CoV-2 by lateral flow assay: A national systematic evaluation of sensitivity and specificity for mass-testing

Background Lateral flow device (LFD) viral antigen immunoassays have been developed around the world as diagnostic tests for SARS-CoV-2 infection. They have been proposed to deliver an infrastructure-light, cost-economical solution giving results within half an hour. Methods LFDs were initially reviewed by a Department of Health and Social Care team, part of the UK government, from which 64 were selected for further evaluation from 1st August to 15th December 2020. Standardised laboratory evaluations, and for those that met the published criteria, field testing in the Falcon-C19 research study and UK pilots were performed (UK COVID-19 testing centres, hospital, schools, armed forces). Findings 4/64 LFDs so far have desirable performance characteristics (orient Gene, Deepblue, Abbott and Innova SARS-CoV-2 Antigen Rapid Qualitative Test). All these LFDs have a viral antigen detection of >90% at 100,000 RNA copies/ml. 8951 Innova LFD tests were performed with a kit failure rate of 5.6% (502/8951, 95% CI: 5.1–6.1), false positive rate of 0.32% (22/6954, 95% CI: 0.20–0.48). Viral antigen detection/sensitivity across the sampling cohort when performed by laboratory scientists was 78.8% (156/198, 95% CI 72.4–84.3). Interpretation Our results suggest LFDs have promising performance characteristics for mass population testing and can be used to identify infectious positive individuals. The Innova LFD shows good viral antigen detection/sensitivity with excellent specificity, although kit failure rates and the impact of training are potential issues. These results support the expanded evaluation of LFDs, and assessment of greater access to testing on COVID-19 transmission. Funding Department of Health and Social Care. University of Oxford. Public Health England Porton Down, Manchester University NHS Foundation Trust, National Institute of Health Research

Postcolonial cities

10.1191/030913201680191781Progress in Human Geography253456-46

Deformation bands and the formation of grain boundaries in a superplastic aluminum alloy

Superplastic aluminum alloys are often classified according to the mechanism of microstructural transformation during annealing after deformation processing. In Al-Cu-Zr materials, such as Supral 2004, the presence of fine (10 to 50 nm) second-phase particles retards dislocation rearrangement and the formation and migration of boundaries during either annealing or elevated temperature deformation after thermomechanical processing. This leads to predominance of recovery in the evolution of microstructure, although high-angle boundaries must still form in order to account for the superplastic response of such materials. The mechanisms of high-angle boundary formation in such circumstances have remained unclear. The term “continuous recrystallization” (CRX) has been used as a phenomenological description of recovery-dominated processes that take place uniformly through- out the microstructure and lead to the formation of fine grains with high-angle boundaries. Orientation imaging microscopy (OIM) methods have been employed to assess the as-processed microstructure of this alloy and its evolution during annealing at 450 °C, as well as during superplastic deformation at this temperature. Orientation images demonstrate the presence of deformation bands of alternating lattice orientations that corresponds to the symmetric variants of the brass, or B, texture component ((112){110} in rolled material). During annealing, the high-angle grain boundaries (disorientation of 50 to 62.8 deg) develop from transition regions between such bands while the lower-angle boundaries (i.e., up to 20 deg) separate an evolving cell structure within the bands. Further OIM results show that the bands remain distinct features of the microstructure during either annealing alone or during deformation under superplastic conditions