Spread of COVID-19 in households is linked to virus on hands and surfaces, say researchers

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Spread of COVID-19 in households is linked to virus on hands and surfaces, say researchers
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Spread of COVID-19 in households is linked to virus on hands and surfaces, say researchers imperialspark LancetMicrobe

of SARS-CoV-2 occurs, and it is the first to link the presence of SARS-CoV-2 on people's hands and frequently touched household surfaces to the risk of infection among contacts. The findings support the use of interventions at home when someone has an infection, in particular frequent handwashing, regular surface disinfection, and physical distancing as well as the use of masks to curb the spread of COVID-19., was conducted at the height of the pandemic during the alpha and pre-alpha waves.

The first study of its kind—by researchers from Imperial College London, the UKHSA, and the University of Oxford—prospectively recruited 414 susceptible household contacts living in the same households as 279 newly diagnosed primary cases between 1 August 2020 and 31 March 2021. Since the study was conducted early in the pandemic, very few had been vaccinated or previously infected and the majority were therefore non-immune and susceptible to infection.

After accounting for other potentially influential factors such as sex, vaccination status, underlying illnesses, and contacts' relationship to the primary case, the researchers found that if the virus was detected on primary cases' hands, then contacts in their household were 1.7 times more likely to get infected than those in households where primary cases did not have the virus on their hands.

Among the contacts who were initially uninfected but became infected with COVID-19 during the study, six had positive hand or household surface swabs prior to becoming infected. This supports the directionality of transmission being from household surfaces and contacts' hands to their nose and throat.

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