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Problems with a government-created coronavirus test has limited the U.S. capacity to rapidly increase testing, just as the outbreak has entered a worrisome new phase in countries around the world. Experts are increasingly concerned that the small number of U.S. cases thus far may be a reflection of limited testing, not of the virus’ spread.

While South Korea has run more than 35,000 coronavirus tests, the U.S. has tested only 426 people for the virus, not including people who returned on evacuation flights. Only about a dozen state and local laboratories can currently run tests outside of the Centers for Disease Control and Prevention in Atlanta because the CDC kits sent out nationwide a week and a half ago included a faulty component.