The International Air Transport Association (IATA) has urged governments to accept best-in-class rapid antigen tests in fulfilment of COVID -19 testing requirements following the publication of new research by OXERA and Edge Health.
The OXERA-Edge Health report, commissioned by IATA, found that antigen tests are accurate, convenient and cost efficient.
The best antigen tests provide broadly comparable results to PCR tests in accurately identifying infected travellers. The BinaxNOW antigen test, for example, misses just one positive case in 1000 travellers (based on an infection rate of 1% among travellers). And it has similarly comparable performance to PCR tests in levels of false negatives.
Processing times for antigen tests are 100 times faster than for PCR testing and antigen tests are, on average, 60% cheaper than PCR tests.
“Restarting international aviation will energize the economic recovery from COVID-19. Along with vaccines, testing will play a critical role in giving governments the confidence to re-open their borders to travellers. For governments, the top priority is accuracy. But travellers will also need tests to be convenient and affordable. The OXERA-Edge Health report tells us that the best-in-class antigen tests can tick all these boxes. It’s important for governments to consider these findings as they make plans for a re-start,” said Alexandre de Juniac, IATA’s Director General and CEO.
Testing requirements are currently fragmented, which is confusing to travellers. Moreover, many governments do not allow rapid testing. If the only options available for travellers are PCR tests, these come with significant costs disadvantages and inconvenience. And in some parts of the world, PCR testing capacity is limited, with first priority correctly given to clinical use.
“Travelers need options. Including antigen testing among acceptable tests will certainly give strength to the recovery. And the EU’s specification of acceptable antigen tests offers a good baseline for wider international harmonization of acceptable standards. We now need to see governments implement these recommendations. The goal is to have a clear set of testing options that are medically effective, financially accessible, and practically available to all prospective travellers,” said de Juniac.