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(Harvard Magazine) - COVID-19 May Be Much More Contagious Than We Thought

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'..during the past several weeks, epidemiologists have been discussing the possibility that the basic reproduction number of SARS-CoV-2 (the virus that causes COVID-19), originally thought to be in the 2 to 3 range, may be closer to 5 or 6.

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Michael Mina made the same point during his conference call. “In many ways, it doesn’t make a lot of sense to say, ‘This is the R nought for the U.S.,’ because we are such a heterogeneous country,” he explained. “I think it should be viewed in a much more localized fashion. For example, in a rural area, somebody over the course of a week or two of being infectious may not come in contact with a huge number of people… Whereas in New York, somebody at the peak of infection on the subway could on average spread it to very many people. So R nought is really a function of environment and the pathogen itself.”

The implication, he continued, is that “in cities like Boston and New York, in places where there is more potential for transmission, I think we will have to be more careful about how we open up. Continuing to wear masks, continuing to be diligent about washing your hands, about carrying hand sanitizer with you at all times—these things will help, but they will not prevent transmission.” And even though vaccine research and testing are proceeding at a record pace—and a triple-drug antiviral combination tested in COVID-19 patients in Hong Kong has just returned the first positive results for any therapy to treat the disease—he said that governments should in the meantime “put resources into protecting the vulnerable people who end up in the hospital at higher rates,” while at the same time slowly trying “to build herd immunity” in the rest of the population. That, he emphasized, “is one path that we have to become comfortable with, and figure out how to do well.” '

- Harvard Magazine, COVID-19 May Be Much More Contagious Than We Thought, May 13, 2020



Context

(BBC) - New Zealand says it has stopped community transmission of Covid-19, effectively eliminating the virus.

(BBC) - South Korea fears second wave after spike in new cases