As is typical with these fact checks, they need to be fact checked. They should just call them Strawmen Fact Checkers.... Not "False" rather true. People are arguing that it doesn't prove an actual infectious illness. No one is arguing about the use of a word "infection vs case" So the fact check actually says what I am sayin is true.
"As explained in the previous review, this claim fails to distinguish between the test’s ability to confirm a COVID-19 infection—which is what case numbers measure—with the test’s ability to determine contagiousness, which is the key issue that both the podcast and the New York Times article address. The two categories are distinct. For instance, recovering (convalescent) COVID-19 patients can still test positive for a certain period of time, as documented by South Korea’s Center for Disease Control. This is because the PCR test cannot distinguish between infectious and “dead” (non-infectious) virus.
The New York Times article also states that in recovering patients, “Tests with thresholds so high may detect not just live virus but also genetic fragments, leftovers from infection that pose no particular risk.” Fauci also refers to such patients with the statement, “So, I think if somebody does come in with [a Ct value of] 37, 38, even 36, you got to say, you know, it’s just dead nucleotides, period.” According to the New York Times article, “Most tests set the limit at 40, a few at 37. This means that you are positive for the coronavirus if the test process required up to 40 cycles, or 37, to detect the virus.” However, experts who were interviewed found this to be too high, and that a better cutoff for a positive result would be between 30 and 35, or even less.
Alternatively, the New York Times article also points out that low viral loads can be detected by PCR tests of people who are in the early stages of infection, “The F.D.A. noted that people may have a low viral load when they are newly infected. A test with less sensitivity would miss these infections.” But these people could become infectious later when viral load increases as the infection progresses.
It is inaccurate to label these high Ct positive results as “false positives”. The term “false positive” indicates that a person tested positive but does not have the disease[1]. However, a person who is or has been infected if they test positive, regardless of whether the test had a high or low Ct value. This also means that it is appropriate to consider a person with a positive result and high Ct value as a COVID-19 case.
Therefore, the sensitivity of the PCR test is not responsible for the high number of COVID-19 cases in the U.S. Simply put, COVID-19 case numbers are high because there are many infected people. This indicates a high level of virus transmission in the community and public health measures, such as physical distancing and lockdowns, are effective and important for reducing the number of COVID-19 infections and protecting the community[2,3]."