There's still no clear path back to any sense of "business-as-usual" as the COVID-19 pandemic continues, but United Airlines is embarking on a new pilot project to see if easy access to COVID-19 testing immediately prior to a flight can help ease freedom of mobility. The airline will offer COVID-19 tests (either rapid tests at the airport, or mail-in at home tests prior to travel) to passengers flying from SFO in San Francisco to Hawaiian airports, beginning on October 15.
United worked directly with the Hawaiian government and health regulators to meet the state's requirements when it comes to quarantine measures, so that travelers who return a negative result with this pre-trip test won't have to observe the mandatory quarantine period in place upon their arrival. That's obviously a major barrier to travel to a popular tourist destination like Hawaii, as a two-week quarantine eats up all or more of the typical period of stay for anyone coming from the mainland.
The airline has partnered with two companies to provide the tests: Color for the at-home kit, which is ordered by a physician and provides results within 1-2 days of receiving the sample, and GoHealth Urgent Care, which will be providing the on-site tests at the airport using the Abbot ID NOW rapid COVID-19 test that returns results in just 15 minutes.
If passengers choose the Color option, they're advised to request the test kit at least 10 days before they fly, and then to provide their sample for testing within 72 hours before they fly, in order to ensure first that they receive the sample kit in time, and second that the results are recent enough that it's extremely unlikely they've contracted COVID-19 in the ensuing time prior to their flight. Passengers choosing this method can even return the sample via a drop box at SFO, with the results arriving after their landing, but still curtailing their mandatory quarantine period once received.
The on-site option will require scheduling a visit to the testing facility in SFO's international terminal in advance, with tests available between 9 AM to 6 PM PT every day at the airport.
This is just a pilot program, and that's a very good thing, because it will be crucially important to see what happens as a result of this kind of deployment, and its ability to skip the quarantine period. The two-week quarantine after traveling, which is fairly widely adopted globally at this stage in the pandemic, is intentionally meant to apply in most locations regardless of test results, no matter the source or recency.
That's because at this stage in testing, the results aren't anywhere near foolproof -- testing has potentially less efficacy at detecting COVID-19 in asymptomatic individuals, for instance, and when viral loads aren't yet high enough to provide reliable measurement. Those situations can result in false negatives, which isn't an issue when the 14-day quarantine periods are mandatory and universal.
Tourism, especially domestic U.S. tourism, is vital to the economic well-being of states like Hawaii -- and widespread testing could be a lever to open up more of this kind of economic activity both elsewhere in the U.S. and internationally. But it'll require close and careful study, scrutinized by health professionals, as well as improvements in the accuracy and consistency of diagnostics before these measures should expand beyond the pilot stage.