Cause of Covid-19: Transmission

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Cause of Covid-19

COVID-19 is caused by infection with the severe acute respiratory syndrome coronavirus


2 (SARS-CoV-2) virus strain.
Transmission
Main article: Transmission of COVID-19

Droplets produced when a man sneezes, visualised using Tyndall scattering

COVID-19 is a new disease, and how it spreads remains under investigation.[15][13][12] It


spreads from person to person, most often when they are physically close[b], but also
over longer distances, especially indoors.[13][14] When an infected person breathes,
coughs, sneezes, talks or sings, it produces contaminated droplets and particles such
as aerosols.[13][14][36][37] These travel through the air, over short and longer distances,
infecting other people who inhale them. [13][14][36][37] It transmits very easily and
sustainably, with one infected person generally infecting between 2 and 3 others. [14]
[13] This is more infectious than influenza, but less so than measles. [14][13] It can transmit
when people are symptomatic, also for up to two days prior to developing symptoms, and
even if a person never shows symptoms (asymptomatic transmission), but it is unclear
how often this happens.[7][13][12][15][14] A July 2020 systematic review found that the
proportion of asymptomatic cases ranges from 6% to 41%. [16]
People remain infectious in moderate cases for 7–12 days, and up to two weeks in
severe cases.[14]
Airborne transmission occurs particularly in crowded and less ventilated indoor spaces,
which are particularly effective for transmitting the virus, such as restaurants, nightclubs,
public transport and gatherings such as funerals. [37][38][14]
It may be possible that people may be infected if they touch contaminated surfaces and
then their eyes, nose or mouth with unwashed hands (fomite transmission), but this has
not been conclusively demonstrated.[16][14] Surfaces are easily decontaminated with
household disinfectants which destroy the virus outside the human body or on the hands.
[7] Disinfectants or bleach are not a medical treatment for COVID-19, and cause health
problems when not used properly, such as when used inside the human body. [39]
Sputum and saliva carry large amounts of virus.[7][13][12][40] Although COVID-19 is not
a sexually transmitted infection, direct contact such as kissing, intimate contact,
and fecal–oral routes are suspected to transmit the virus.[41][42] The virus may occur in
breast milk, but whether it is transmittable to the baby is unknown. [43][44] The WHO
recommends that mothers with suspected or confirmed COVID-19 should be encouraged
to initiate or continue to breastfeed. [45][16]
Estimates of the number of people infected by one person with COVID-19, the R0, have
varied. The WHO's initial estimates of R0 were 1.4–2.5 (average 1.95); however, a
review in early April 2020 found the basic R0 (without control measures) to be higher at
3.28 and the median R0 to be 2.79. [46] However, a CDC study from the same month
found that the median R0 of the virus was 5.7, with a basic R0 potentially as high as 8.9
without control measures, with a 95% confidence interval. [47]

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