In reply to: Here's a question on the testing? If we find that it is true posted by DomerJon
But when applied to a disease with low prevalence even going from 99 to 98% sensitivity decreases positive predictive value considerably
For all these tests a negative is for all practical purposes a true negative. But until disease prevalence increases PPV will remain lower
Some feel if you have antibodies and have recovered you are safe.
What is your opinion?
It’s an issue of people not understanding statistics, prevalence, and pre-test probability.
Basically - the prevalence in most communities makes pre-test probability extremely low, so even a test with 99% sensitivity/specificity will end up having a false positive nearly as often as a true positive.
Extreme example of the statistics concept: you have a pregnancy test that is 99.9% accurate. But you are administering it to a man. Pre-test probability of a true positive test is 0, so it doesn’t matter how accurate your test is.