Transmission of COVID-19

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Transmission of COVID-19 refers to the ways in which the coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), spreads from person to person. Understanding the modes of transmission is crucial for implementing effective control measures to prevent and reduce the spread of the virus. This article outlines the primary and secondary modes of transmission as identified by health organizations worldwide.

Primary Modes of Transmission[edit | edit source]

The primary mode of transmission of COVID-19 is through respiratory droplets produced when an infected person coughs, sneezes, talks, or breathes. These droplets can be inhaled into the lungs of individuals who are in close proximity, typically within 6 feet (about 2 meters), of the infected person. This mode of transmission is most common in crowded and poorly ventilated spaces where people spend long periods of time together in close contact.

Airborne Transmission[edit | edit source]

Evidence has shown that under certain conditions, people with COVID-19 can infect others even if they are more than 6 feet away. This is known as airborne transmission and occurs in enclosed spaces with inadequate ventilation. In these settings, the virus can spread through smaller droplets and particles suspended in the air over long distances and times.

Contact Transmission[edit | edit source]

Contact transmission occurs when a person touches a surface or object contaminated with the virus and then touches their own mouth, nose, or possibly their eyes. Although not considered the primary way the virus spreads, this mode of transmission can contribute to the spread of COVID-19.

Secondary Modes of Transmission[edit | edit source]

Secondary modes of transmission include fomite transmission, where the virus is spread through touching surfaces contaminated by the virus, and fecal-oral transmission, which is considered less common and involves the virus being present in feces and potentially spreading to others through contaminated water or food, or by touching contaminated surfaces and then the face.

Preventive Measures[edit | edit source]

Preventive measures focus on reducing the risk of airborne and contact transmission. Key strategies include:

  • Maintaining physical distance from others (social distancing)
  • Wearing face masks in public settings, especially when social distancing cannot be maintained
  • Practicing good hand hygiene by washing hands with soap and water for at least 20 seconds or using a hand sanitizer with at least 60% alcohol
  • Improving ventilation in indoor spaces
  • Avoiding crowded places and close contact settings
  • Getting vaccinated with a COVID-19 vaccine to reduce the severity and spread of the disease

Conclusion[edit | edit source]

The transmission of COVID-19 primarily occurs through respiratory droplets and airborne particles. Understanding these modes of transmission can help individuals and communities adopt effective preventive measures to reduce the spread of the virus. Ongoing research and adherence to guidelines from health authorities are essential in the global effort to control the pandemic.


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Contributors: Prab R. Tumpati, MD