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.

No abstract

Reconstructions of the carbonate compensation depth (CCD) in the past have been used to inform hypotheses about the nature of weathering, tectonics, climate change, and the major ion content of the world's oceans over the Cenozoic. These reconstructions are sensitive to uncertainties in the input data, in particular, the paleodepth estimates of sediment cores. Here we propose that a significant, previously unconsidered contributor to uncertainties in paleodepth estimates is from dynamic topography produced by radial stresses exerted on the Earth's surface by the convecting mantle; these stresses can warp the ocean floor by hundreds of meters over broad regions and also vary significantly over millions of years. We present new reconstructions of the equatorial Pacific and Indian Ocean CCDs over the last 30 and 23 Myr, respectively, which demonstrate an overall deepening trend since the Miocene, and illustrate the possible effect of long‐term changes in dynamic topography on these reconstructions.

No abstract

No abstract