Three Tests, a Private Jet, and a New Rule: How Nick Saban Made Kickoff

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Alabama’s immense resources and a newly developed Southeastern Conference policy paved the way for Saban to return to the field only days after he tested positive for the coronavirus.

A private jet, the crimson “A” of the University of Alabama painted on its tail, lifted off from Tuscaloosa, Ala., around daybreak Saturday with extraordinary cargo: cellular debris collected from the nose of Nick Saban, the football coach.

Three days earlier, Saban had announced that he had tested positive for the coronavirus. Now, still in isolation hours before second-ranked Alabama was to play third-ranked Georgia, Saban knew the specimen aboard the plane was his diagnostic lifeline to the sideline. If a laboratory in Mobile, Ala., reported that the sample was negative for the virus, Saban, who had asserted that he had no symptoms and had repeatedly tested negative after his initial result, would be allowed to leave isolation a week early and coach in the prime-time game.

And so it was. Hours after a final negative result — and with no small help from a rule change that Southeastern Conference leaders approved six days before the positive test that shocked Alabama — millions of people watched on television as Saban led the Crimson Tide to a 41-24 victory.

The episode underscored two aspects of the response to the virus: Even the most rigorous tests — in this case a polymerase chain reaction, or P.C.R., widely considered the gold standard of infectious disease diagnostics — can falter. And, more than seven months into the nation’s coronavirus crisis, access to testing remains inconsistent, except among America’s elite.

While tests remain scarce in many communities, and too expensive to allow some leagues and universities to compete this fall, they have more than once helped break a prominent figure out of isolation.

“It’s a reminder of the stark disparity between the haves and have-nots,” said Dr. Ashish Jha, dean of the Brown University School of Public Health.

Alabama’s football program is clearly one of the haves. Anchored by one of the most celebrated brands in college football — the university claims 17 national championships, including five during Saban’s tenure, now in its 14th season — Alabama’s athletic department is among the country’s wealthiest. Bryant-Denny Stadium just had a $107 million renovation, and Saban is to earn more than $9 million for this season.

As the pandemic has strained athletic finances on campuses nationwide, it has, in some ways, put Alabama’s resources and football obsession on greater display. The SEC, for instance, requires its football teams to be tested at least three times a week under a protocol that hinges almost entirely on P.C.R. testing, one of the most accurate and expensive techniques on the market. But Alabama opted for daily screenings of its football players and coaches.

“The most likely culprit was probably some sort of contamination,” possibly from a nearby sample that came from someone who actually had the virus, said Sarah Jung, the scientific director of clinical microbiology at Children’s Hospital Colorado. “This is detecting things we can’t see. That makes it all the more difficult.”

Mishaps are also bound to happen during a flood of tests. Alabama’s athletic department has said little about its testing throughout the pandemic, but the football program is administering at least 120 screenings a day, Saban suggested on ESPN on Saturday. The SEC’s 14 athletic programs are collectively running thousands of P.C.R. tests every week.

“It’s a game of numbers,” Dr. Jung said. “I’m not saying it’s inevitable, but when groups like this test a lot, the chances for a situation like this to occur increase.”

But in the weeks before Saban’s test, the conference had an experience with a false positive involving a soccer player at Texas A&M, Sports Illustrated reported. And the league's medical experts had also begun to worry about the potential public health effects of an unchecked false positive: a person’s being dropped from routine testing and perhaps acquiring a sense of invincibility that they could no longer contract the virus — potential fodder for an outbreak, should that person be exposed.

Less than 24 hours after the positive result, Saban took the first of the three SEC-sanctioned tests he would need to pass to exit isolation.

His first formal follow-up tests, conducted around 7 a.m. on Thursday and Friday, showed negative results, as did two other P.C.R. tests that Alabama ordered “out of an abundance of caution” at another lab. Alabama announced the first SEC test’s results, and ESPN reported the findings of the second as it broadcast from Alabama’s stadium on Saturday morning.

Word had already begun to circulate through the SEC that Saban might prove eligible to coach.

Driving the last specimen to Mobile would have taken more than three hours on game day, potentially stripping Saban of precious time with his team. So Alabama athletics turned to its speediest option: its jet.

Before noon in Tuscaloosa, with the Crimson Tide Foundation’s plane already long gone from Mobile, the decisive report arrived.

Saban headed to work.

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