Fact Check: Does the Nasal Swab for COVID-19 Test Reach the Blood-Brain Barrier?

New South Wales COVID-19 Testing Rates Some Of Highest In World As Australian Coronavirus Restrictions Begin To Ease
SYDNEY, AUSTRALIA - MAY 15: Registered Nurse Sharan Coulter conducts a nasal swab test on Shi Yang Liu in the clinical assessment room at St George Hospital COVID-19/ Flu Assessment Clinic on May 15, 2020 in Sydney, Australia. St George Hospital has been operating a COVID-19 and flu assessment clinic since 19 March 2020. Since being set up in response to the global coronavirus pandemic, approximately 4107 patients have visited the clinic (as of 13 May 2020), an average of 513 patients per week or 75 per day. The COVID-19 clinic operates seven days a week and is staffed by a team of doctors, nurses, admin support workers, wardspersons and cleaners. All patients are provided with education regarding COVID-19 symptoms, home isolation requirements, hand and respiratory hygiene. If they meet testing criteria, a nose and throat swab is collected. Patients who have been tested are given masks to take home and further information on how to register for AutoSMS or NSW Service App to retrieve their results. While testing in Australia was initially restricted to people who had been in contact with a confirmed COVID-19 case or had severe symptoms, as the country's confirmed infection rate continues to decline and restrictions on social distancing and gatherings begin to ease around the country, Australians with even the mildest symptoms are now being urged to get tested to avoid any coronavirus infection flare ups. In New South Wales nearly 346,000 people have been tested for COVID-19 (as of 14 May 2020), which is one of the highest testing rates in the world. Photo by Lisa Maree Williams/Getty Images

A Facebook post circulating online that has been shared over 16,000 times claimed that the nasal swab, which is popularly used in collecting biological samples for active SARS-CoV-2 infection that is known as the virus causing the Covid-19, abrades and injures the blood-brain barrier (BBB) causing more serious medical concerns. This claim is said to be incorrect since this is anatomically impossible.

The swab practiced in diagnosing Covid-19 does not involve brushing the blood-brain barrier. Rather, it is situated in the nasopharynx, which is a cavity located behind the nose where the most amount of obtainable virus can be accumulated, Health Feedback posted.

The nasopharyngeal swab that is widely being used to detect Covid-19 may cause discomfort that reaches far back into the nose. But the claim saying it damages and scrapes the blood-brain barriers is completely anatomically impossible. The process of swabbing does not reach and hurt the blood-brain barrier, where the brain and blood vessels exchange essential nutrients.

On Tuesday, a viral Facebook post that has over a million views shared an illustration of the swab test of the nasopharyngeal next to an anatomical image of the brain, claiming the test being widely used in determining the presence of the coronavirus in a patient's body damages the blood-brain barrier.

With a raised eyebrow emoji, the post suggested that the swab is exactly being placed on the blood-brain barrier.

One Facebook user shared the same post, saying this is the reason why people are being pushed to undergo swab tests regardless of showing symptoms of the disease or not.

According to Reuters, Dr. Morgan Katz, John Hopkins University's assistant professor of medicine, stated the circulating posts online fundamentally misunderstood what actually happens during the swab testing.

As stated by Katz, in order for the swab to get anywhere close to the blood-brain barrier, it needed to go through layers of fascia and muscles, and also the base of the skull that is a thick bone, adding that it is really impossible for the swab to injure the blood-brain barrier.

Ideally, the respiratory specimen is being gathered from the nasopharynx, which is an area located between the back of the nose and throat where most respiratory viruses live, USA Today cited.

According to Katz, the nasopharynx is the part of the body where the highest yield of respiratory viruses is expected.

It is valid that the blood-brain barrier plays a vital role in keeping harmful toxins away from the brain and delivering essential nutrients into it. Viruses like meningitis can give rise to inflammation in the area, but it is impossible for nasal swabbing to have this result.

Katz uttered that being infected with a harmful virus put someone at a higher risk of damaging the blood-brain barrier than by being tested for that virus.

While the nasal swab is the most prevalent way of collecting respiratory specimens that can be tested to detect the presence of the coronavirus, it was stated by the Centers for Disease Control and Prevention that it is one of the five admissible procedures of collection. Details regarding the different methods of specimen collection allowable in determining the presence of the coronavirus in the person's system is available on the agency's website.

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