People Rarely Transmit COVID-19 Before Experiencing Symptoms: Lancet Study

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In a blow to the COVID-19 โ€œsilent spreaderโ€ narrative that has been used to push for universal masking, including controversially among schoolchildren, a recent study published in The Lancet suggests that people who are non-symptomatic rarely have the ability to infect others.

Silent transmission is the idea that those who are infected with COVID-19 but show no symptoms can still spread the virus to other people.

While all relevant studies show that presymptomatic and asymptomatic โ€œsilent spreadersโ€ account for some proportion of infections in other people, the degree of silent transmission is less clear.

A number of early studiesโ€”in some cases affected by limitations that may have led to their proportion of presymptomatic transmission to be โ€œartifactually inflatedโ€โ€”suggested that silent transmission accounted for around half of secondary infections, or even more.

The early studies led public health authorities to argue that everyone should wear a mask at all times when out in public or crowded places. This, in turn, helped drive draconian universal masking policies, including in schools, in a bid to reduce the spread of COVID-19.

For instance, Dr. Anthony Fauci, former director of the National Institute of Allergy and Infectious Diseases (NIAID), initially discouraged universal mask-wearing early in the pandemic but later did a U-turn.

Initially, โ€œwe didnโ€™t realize the extent of asymptotic spread,โ€ Dr. Fauci said in July 2020, adding that later, โ€œwe fully realized that there are a lot of people who are asymptomatic who are spreading infection.โ€

โ€œSo it became clear that we absolutely should be wearing masks consistently,โ€ Dr. Fauci said at the time.

But new research calls into question the significance of the threat of silent transmission, which comes as COVID-19 cases are on the rise in America, driving what some are calling a renewed pandemic โ€œhysteriaโ€ and calls for a fresh round of restrictions, including mask mandates.

โ€˜Very Few Emissionsโ€™ Before Symptom Onset

The new study, published in the August issue of The Lancetโ€™s Microbe journal, shows that people who are sick with COVID-19 but donโ€™t show any symptoms have a limited ability to spread the virus to other people.

By Tom Ozimek

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