An employee of the Department of General Services Division of Consolidated Laboratories' Virginia Public Health Labratory adds chemicals in the second step of testing a sample for the Coronavirus at the lab in Richmond, Va. on Wednesday, March 4, 2020. The three step process of rendering a suspected virus sample inert, adding chemicals to help in the identity process and finally determine a positive or negative result can take from 24-48 hours. As of Wednesday all results have been negative for 17 people in the state tested.( Joe Mahoney/Richmond Times-Dispatch via AP)
HHS secretary: We don't know how many have been tested yet
03:28 - Source: CNN
Washington CNN  — 

Health and Human Services Secretary Alex Azar said Tuesday the department does not know how many Americans have been tested for coronavirus and suggested older Americans avoid large gatherings such as campaign rallies.

“We don’t know exactly how many, because hundreds of thousands of our tests have gone out to private labs and hospitals that currently do not report in to (the Centers for Disease Control and Prevention),” Azar told CNN’s John Berman on “New Day” when asked how many Americans have been tested for coronavirus at this point. “We’re working with the CDC and those partners to get an I.T. reporting system up and running hopefully this week where we would be able to get that data to keep track of how many we’re testing.”

He continued, “We think we’ve got through, put at the moment, probably 10,000 a day or could be getting tested by the end of the week, 20,000 a day, according to a study by (American Enterprise Institute) that I heard about. We’ve got now 2.1 million tests available, and 1.1 million have shipped. We actually have a surplus at the moment that are awaiting orders to be shipped.”

Asked by CNN for a copy of the study Azar cited, a spokesperson told CNN that the institute’s data on US testing capacity has not been published in a study. Rather, the data was being reported on its “COVID-19 Test Capacity” Twitter account, @COVID2019tests.

The Twitter account tracks testing capacity nationwide from AEI. Resident AEI fellow and former FDA Commissioner Dr. Scott Gottlieb tweeted on Tuesday about the page, which gets updated by his assistant, Abigail Keller, according to the institute. The account was created in July for another project and then “repurposed” for the test capacity tracking, Keller said.

CNN has contacted Health and Human Services for additional comment about Azar’s reference.

The availability of test kits to health care providers has been one of the most scrutinized aspects of the federal government’s response to the crisis, leading to frustrations from state and local officials, and there has been confusion among Trump administration officials over the number of testing kits that have been mailed out.

Vice President Mike Pence, who is leading the administration’s response to the outbreak – which CNN now considers a pandemic – acknowledged last week there was a shortfall in the number of testing kits required to meet demand. But, he said, the government would be able to provide testing for those who are believed to have been exposed or showing symptoms.

Meanwhile, fissures between the White House and national health agencies, including the CDC, have begun to expand as the coronavirus pandemic spreads to more American states, creating dissonance between President Donald Trump and the professionals tasked with containing the virus further.

Shifting figures from administration

pence coronavirus task force white house
Reporters ask Pence if he and Trump have been tested
01:22 - Source: CNN

Trump administration officials have repeatedly been asked about the number of Americans who have been tested for the virus and the number of testing kits available and have given various answers.

CDC Director Dr. Robert Redfield said Tuesday during a House Appropriations hearing that 4,856 coronavirus tests have been run in public health labs across the US, but that number, last updated on Monday, does not include clinical labs or private labs.

When asked on Sunday by CNN’s Jake Tapper on “State of the Union” how many people had been tested, US Surgeon General Dr. Jerome Adams explained that “the numbers are tough because they’re changing minute by minute.”

“They should know that we have 75,000 tests available right now for folks. By early next week, tomorrow, we should have over 2 million tests available,” he also told Tapper. “By the end of the week, through partnerships with private industry, over 4 million tests available,” he said when asked for a rough estimate on the number testing kits available.

Housing and Urban Development Secretary Dr. Ben Carson, a member of the White House coronavirus task force, told ABC’s George Stephanopolous on “This Week” Sunday “over a million tests were shipped out already this past week.”

“Tomorrow another 640,000 will be available,” he said. “And those are only the ones that are being dealt with on a federal official level.”

Azar told Berman on Tuesday there is a “surplus of tests” available.

“At no time, at no time, has a public health official who wanted to get an individual tested for novel coronavirus been unable to get them tested through the CDC’s labs or other labs authorized by CDC early on,” he said.

As the virus has spread, public health officials have suggested those especially vulnerable – including the elderly and those with respiratory problems – avoid large gatherings. But the President and the two leading contenders for the 2020 Democratic nomination, Joe Biden and Bernie Sanders, have vowed to continue holding campaign rallies.

Asked if he would advise his elderly parents to go to a campaign rally, Azar said, “I would encourage any individual who is elderly or is medically fragile to think long and hard about going into any large gathering that would involve close quarter and potential spread. And if they do go, to take appropriate, personal hygiene protections. Don’t shake hands.”

This story has been updated to include additional background.

CNN’s Amanda Watts contributed to this report.