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Medical Forum / Diseases and Disorders / AIDS / January 2005

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30,000 false, 66 true - Some test!  - The Lancet

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PaulKing - 04 Jan 2005 11:06 GMT
In 1992, the Lancet reported that for 66 true positives, there were 30,000
false positives.

And in pregnant women, “there were 8,000 false positives for 6
confirmations.” (Lancet. 339; 1992)
PaulKing - 04 Jan 2005 11:17 GMT
How a 99.99% Accurate Test Can Be Wrong Half the Time
By Christine Maggiore
 
“A new article in Popular Science explains how allegedly accurate HIV
tests can be dead wrong when performed on people with no risk factors…”
 
===
 
An article in the July 2002 issue of Popular Science magazine gives
readers some surprising food for thought: the allegedly accurate HIV tests
can be dead wrong when performed on people with no risk factors. Here’s
the text from page 78:
 
"HIV testing is 99.99 percent accurate, a doctor might tell his patient.
That suggests that if you receive a positive result, you almost certainly
have HIV. But this is not necessarily the case. The chance of a straight
man with no known risk factors contracting HIV is roughly one in 10,000.
That is also the rate at which an HIV test returns an incorrect result. So
if 10,000 men in this low-risk group get tested for HIV, an average one
positive will come back from the man with HIV, and another man will test
positive even though he is not infected. Thus, in our statistically
perfect world, only one of the two men who test positive actually has HIV.
50 percent of positive HIV tests in the low-risk group turn out to be
false."
 
The article incorrectly assumes that HIV tests can diagnose HIV infection
and that the claimed accuracy rate of 99.99% has been established through
careful scientific studies. In fact, HIV tests have not been approved by
the US Food and Drug Administration for use in diagnosing actual HIV
infection, and all claims of test accuracy are based on estimates and
assumptions.
Don Saklad - 04 Jan 2005 13:47 GMT
Please send that 1992 report from the Lancet...

Or at what uniform resource locator URL around the web?...
David Canzi -- non-mailable address - 05 Jan 2005 01:36 GMT
>Please send that 1992 report from the Lancet...
>
>Or at what uniform resource locator URL around the web?...

The original text of the letter from Voevodin to the Lancet doesn't
seem to be available on line.

The denialist argument based on it is old, old bullshit.  I wrote
this about it in 1994:
<http://groups.google.com/groups?selm=14880%40sci.med.aids>

8 years later, I was still debunking this argument:
<http://groups.google.com/groups?selm=aji5if%246fm%241%40tabloid.uwaterloo.ca>
<http://groups.google.com/groups?selm=ajrche%24q81%241%40tabloid.uwaterloo.ca>

Denialists, like creationists, seem to re-use old arguments previously
shown to be invalid when they think people might not notice and point
it out this time around.

Signature

David Canzi

Don Saklad - 05 Jan 2005 03:42 GMT
What is the correct citation?... What is the complete citation?...

There are a lot of pages in volume 339 of the 1992 Lancet journals.
There are a lot of authors in volume 339 of the 1992 Lancet journals.
GMCarter - 05 Jan 2005 10:45 GMT
>What is the correct citation?... What is the complete citation?...

LOL. Don, he doesn't know. He just makes this sh.t up or copycats from
other denialists. Then snips, cuts, distorts to make a point.
Oh Great Leader of the Tin Hat Brigade - 05 Jan 2005 10:53 GMT
Why the F**CK does this historical reference have anything to with
contemporary practice and theory.
 
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