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Unmasking CDC Deception

The document summarizes several recent studies that found: 1) Transmission of COVID-19 can occur from asymptomatic individuals, suggesting case detection and isolation may require different strategies than for SARS. 2) Viral loads in asymptomatic COVID-19 patients were similar to levels in those with symptoms, indicating asymptomatic carriers could transmit the virus. 3) Asymptomatic cases were found in a family cluster of COVID-19 patients in China, requiring more detailed study of symptom progression and testing results. 4) The mechanism of transmission from asymptomatic carriers requires further study.

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185 views4 pages

Unmasking CDC Deception

The document summarizes several recent studies that found: 1) Transmission of COVID-19 can occur from asymptomatic individuals, suggesting case detection and isolation may require different strategies than for SARS. 2) Viral loads in asymptomatic COVID-19 patients were similar to levels in those with symptoms, indicating asymptomatic carriers could transmit the virus. 3) Asymptomatic cases were found in a family cluster of COVID-19 patients in China, requiring more detailed study of symptom progression and testing results. 4) The mechanism of transmission from asymptomatic carriers requires further study.

Uploaded by

Tina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Recent Studies:

•Rothe C, Schunk M, Sothmann P, et al. Transmission of 2019-nCoV Infection from


an Asymptomatic Contact in Germany. The New England journal of medicine.
2020;382(10):970-971.
•Zou L, Ruan F, Huang M, et al. SARS-CoV-2 Viral Load in Upper Respiratory
Specimens of Infected Patients. The New England journal of medicine.
2020;382(12):1177-1179.
•Pan X, Chen D, Xia Y, et al. Asymptomatic cases in a family cluster with SARS-CoV-2
infection. The Lancet Infectious diseases. 2020.
•Bai Y, Yao L, Wei T, et al. Presumed Asymptomatic Carrier Transmission of COVID-
19. Jama. 2020.
•Kimball A HK, Arons M, et al. Asymptomatic and Presymptomatic SARS-CoV-2
Infections in Residents of a Long-Term Care Skilled Nursing Facility — King County,
Washington, March 2020. MMWR Morbidity and mortality weekly report. 2020;
ePub: 27 March 2020.
•Wei WE LZ, Chiew CJ, Yong SE, Toh MP, Lee VJ. Presymptomatic Transmission of
SARS-CoV-2 — Singapore, January 23–March 16, 2020. MMWR Morbidity and
mortality weekly report. 2020;ePub: 1 April 2020.
•Li R, Pei S, Chen B, et al. Substantial undocumented infection facilitates the rapid
dissemination of novel coronavirus (SARS-CoV2). Science (New York, NY). 2020.

(1) Transmission of 2019-nCoV Infection from an Asymptomatic Contact in


Germany
Rothke
https://www.nejm.org/doi/full/10.1056/NEJMc2001468
Despite these concerns, all four patients who were seen in Munich have had mild
cases and were hospitalized primarily for public health purposes. Since hospital
capacities are limited — in particular, given the concurrent peak of the influenza
season in the northern hemisphere — research is needed to determine whether
such patients can be treated with appropriate guidance and oversight outside
the hospital.
(2) SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected
Patients
Lirong Zou
https://www.nejm.org/doi/10.1056/NEJMc2001737
These findings are in concordance with reports that transmission may occur early
in the course of infection5 and suggest that case detection and isolation may
require strategies different from those required for the control of SARS-CoV. How
SARS-CoV-2 viral load correlates with culturable virus needs to be
determined.

(3) Asymptomatic Cases in a Family Cluster


https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30114-
6/fulltext
Pan X, Chen D.
In the case of this family, since the time between presentation and
identification of SARS-CoV-2 infection was short, more studies are needed to
observe the symptoms and test results of infected individuals in greater
detail.

(4) https://jamanetwork.com/journals/jama/fullarticle/2762028
Presumed Asymptomatic Carrier Transmission of COVID-19 (Yan Bai, et al)

The mechanism by which asymptomatic carriers could acquire and transmit the coronavirus that causes
COVID-19 requires further study.

(5) Epidemiology of Covid-19 in a Long-Term Care Facility in King County, Washington


[WRONG AUTHOR CITATIONS]
https://www.nejm.org/doi/full/10.1056/NEJMoa2005412

CONCLUSIONS
In the context of rapidly escalating Covid-19 outbreaks, proactive steps by long-term care facilities
to identify and exclude potentially infected staff and visitors, actively monitor for potentially
infected patients, and implement appropriate infection prevention and control measures are needed to
prevent the introduction of Covid-19.
(6) Presymptomatic Transmission of SARS-CoV-2 — Singapore, January 23–March 16, 2020
Wei

https://www.cdc.gov/mmwr/volumes/69/wr/mm6914e1.htm
presymptomatic or asymptomatic transmission modes have not been definitively
documented for COVID-19

(7) https://www.ncbi.nlm.nih.gov/pubmed/32179701
https://science.sciencemag.org/content/368/6490/489

Substantial undocumented infection facilitates the rapid dissemination of novel


coronavirus (SARS-CoV-2
reporting inaccuracies and changing care-seeking behavior add
another level of uncertainty to our estimations. Although the data
and findings presented here indicate that travel restrictions and
control measures have reduced SARS-CoV-2 transmission
considerably, whether these controls are sufficient for
reducing Re below 1 for the length of time needed to eliminate the
disease locally and prevent a rebound outbreak once control
measures are relaxed is unclear.

"Competing interests:J.S. and Columbia University disclose partial


ownership of SK Analytics. J.S. also reports receiving consulting
fees from Merck and BNI. "
NO EVIDENCE FOR SOCIAL DISTANCING
https://www.cebm.net/covid-19/what-is-the-evidence-for-social-distancing-during-global-pandemics/

Although limited, the best available evidence appears to support social distancing
measures as a means of reducing transmission and delaying spread. Staggered and
cumulative implementation of these interventions may prove most effective. The
timing and duration of such measures is critical.

EMERGING EVIDENCE IN COVID-19


Given its novelty, information on the effects of social distancing during the current
COVID-19 pandemic is limited but emerging.

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