We need targeted public health interventions to reduce transmission from asymptomatically infected individuals. Like COVID, silently spreading pathogens can lead to far more infections and fatalities
The telltale runny nose of a common cold, or the fever and aches associated with the flu, mark the way we classify respiratory illnesses—with their symptoms. Public health messaging relies on these symptoms, urging those who are symptomatic to stay home and avoid others. That makes sense. It reduces the risk that one case becomes many.when they spread without symptoms.
The deadly consequences of asymptomatic transmission soon arrived in the U.S. On March 10, 2020, the Skagit Valley Chorale gathered outside Seattle for a rehearsal. Despite efforts to limit physical contact, within a few days it was evident that someone in the group had unwittingly infected others. Ultimately, 53 of the 61 attendees were infected, and two died. Thisthat asymptomatic transmission was “very rare.” The pandemic was raging, but we were losing precious time to confront silent spread.
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