Routes of transmission
COVID-19 is transmitted via droplets and fomites during close unprotected contact between an infector and infectee. Airborne spread has not been reported for COVID-19 and it is not believed to be a major driver of transmission based on available evidence; however, it can be envisaged if certain aerosol-generating procedures are conducted in health care facilities.
Fecal shedding has been demonstrated from some patients, and viable virus has been identified in a limited number of case reports. However, the fecal-oral route does not appear to be a driver of COVID-19 transmission; its role and significance for COVID-19 remains to be determined. Viral shedding is discussed in the Technical Findings.
Household transmission
In China, human-to-human transmission of the COVID-19 virus is largely occurring in families. The Joint Mission received detailed information from the investigation of clusters and some household transmission studies, which are ongoing in a number of Provinces.
Among 344 clusters involving 1308 cases (out of a total 1836 cases reported) in Guangdong Province and Sichuan Province, most clusters (78%-85%) have occurred in families. Household transmission studies are currently underway, but preliminary studies ongoing in Guangdong estimate the secondary attack rate in households ranges from 3-10%.
There have been reports of COVID-19 transmission in prisons (Hubei, Shandong, and Zhejiang, China), hospitals (as above) and in a longterm living facility. The close proximity and contact among people in these settings and the potential for environmental contamination are important factors, which could amplify transmission. Transmission in these settings warrants further study.
According to the WHO report if you come in contact with someone who tests positive for COVID-19 you have a 1–5% chance of catching it as well. The variability is large because the infection is based on the type of contact and how long.
The majority of viral infections come from prolonged exposures in confined spaces with other infected individuals. Person-to-person and surface contact is by far the most common cause. 78-85% from long term living together, or day to multi-day exposure.
Contact Tracing
China has a policy of meticulous case and contact identification for COVID-19. For example,
in Wuhan more than 1800 teams of epidemiologists, with a minimum of 5 people/team, are
tracing tens of thousands of contacts a day. Contact follow up is painstaking, with a high
percentage of identified close contacts completing medical observation. Between 1% and
5% of contacts were subsequently laboratory confirmed cases of COVID-19, depending on
location.
SOURCES- WHO
Written By Brian Wang, Nextbigfuture.com
Brian Wang is a Futurist Thought Leader and a popular Science blogger with 1 million readers per month. His blog Nextbigfuture.com is ranked #1 Science News Blog. It covers many disruptive technology and trends including Space, Robotics, Artificial Intelligence, Medicine, Anti-aging Biotechnology, and Nanotechnology.
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There was interesting commentary that one of the potential reasons for the low japanese infection count despite the packed trains, is related to total airborne droplet count. Most people were wearing masks, AND they don’t talk on the train. By not talking, you are reducing the airborne droplet count to the bare minimum emitted through normal breathing that is then screened by the masks. Japanese generally don’t walk and talk on the phone either. Whether that is actually providing an additional actual benefit in the presence of high mask usage will have to be studied.
Abbott: WHO Says Prolonged Exposure in Confined Spaces Is Main Coronavirus Transmission
Costello: That’s what I’m asking. Who says that!?
A good friend has an employee home sick and they think it is Covid, the reason it is “think” they would not test him. He was in a hospital for a few days temp about 104 and on O2. He never got a test. He is home now doing better. The numbers are suspect.
I think we are about 1 month away from having 10 new epicenters in other states with the same number of sick as nyc has presently….
They forget… even though numbers are small for other fifty states…it’s still exponential growth for all of them…they are just smaller behind they started later in time….
I’m old enough to remember when the WHO said it wasn’t spread person to person.