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In-flight transmission of SARS-CoV-2: a review of the attack rates and available data on the efficacy of face masks

In-flight transmission of SARS-CoV had previously been demonstrated during the symptomatic but not asymptomatic phase of illness. In 2003, up to 22 transmissions occurred on a single flight from a single index case;1 conversely, several other carefully studied flights resulted in no transmission. SA...

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Hauptverfasser: Freedman, David O. (VerfasserIn) , Wilder-Smith, Annelies (VerfasserIn)
Dokumenttyp: Article (Journal) Editorial
Sprache:Englisch
Veröffentlicht: 25 September 2020
In: Journal of travel medicine
Year: 2020, Jahrgang: 27, Heft: 8, Pages: 1-6
ISSN:1708-8305
DOI:10.1093/jtm/taaa178
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/jtm/taaa178
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Verfasserangaben:David O. Freedman, and Annelies Wilder-Smith

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520 |a In-flight transmission of SARS-CoV had previously been demonstrated during the symptomatic but not asymptomatic phase of illness. In 2003, up to 22 transmissions occurred on a single flight from a single index case;1 conversely, several other carefully studied flights resulted in no transmission. SARS-CoV-2, the novel coronavirus that shares 86% homology with SARS -CoV, differs in having both significant transmission from pre-symptomatic and asymptomatic persons as well as secondary cases that may remain asymptomatic even with a 14-day follow-up period. At the same time, cases secondary to in-flight transmission may be detected in as few as 3 days post-flight. As timing is so critical, the burden of absolute proof for ascertaining in-flight transmission risk is high. A possible secondary case, who presents with COVID-19 symptoms, or is detected as an asymptomatic person with a positive COVID-19 PCR several days after arriving at their destination, could have been infected: (i) in the days before departure from the flight origination point; (ii) en-route to the airport; (iii) while at the airport; (iv) on the flight or even (v) on/after arrival at the destination airport. 
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