Why is COVID so bloody good at spreading?
The lack of specific immunity because it's new is obvious, droplets, many really are going after aerosol spread as the smoking gun- BUT
looking at how COVID measures affect other viruses is immensely interesting. Lookit here, friends:
1/
The bile green and cyan lines are last influenza season in Alberta, brown is RSV - all these resp viruses got going around as usual, week 40-44 (October) then most dropped in COVID lockdown (week 12 ish).
EXCEPT...that purple line.
Rhino Enterorhinovirus don't care...
2/
about COVID precautions all that much. If influenza melts in the face of COVID precautions and rhino enteroviruses (common cold) keep ticking along, does that tell us anything about transmission?
Maybe in addition to "opportunistic" aerosol transmission, rather than saying...
/3
that it MUST be more aerosol, we should LOOK AT RHINO-ENTEROVIRUS transmission for clues, given how rhinoentero and COVID are happily transmitting during COVID precautions unless deep lockdown.
So, how do we get rhino-entero colds?
HANDS. OBJECTS...
4/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728576/
...maybe (inefficient) a bit in large particle aerosols.
Mucousy hands and high touch surfaces are an issue.
Now I'll say SARSCoV2 may be neither fish nor fowl in transmission
so (not "like" influenza but nor exactly "like" enterorhino either)
https://pubmed.ncbi.nlm.nih.gov/21412799/ 
5/
...for example, kids figure highly in enterorhino spread and much less in COVID19.
But up front, this pattern suggests to me that if we are going to be chasing after defining the proportion of aerosol spread in transmission we ALSO need to chase after hands, and surfaces.
6/
...Not as an afterthought, but with more studies and REAL attention to hand hygiene and wipedown practices.
(...No I am NOT going to start wiping down packages, but I wash hands after opening, and shopping
- and sanitizing hard high touch surfaces is here to stay for me)
7/
Now is this a fresh thought?
Not sure, but it's not in the spotlight anyway: I'm tagging some of my usual smart COVID sources because I'd like to see if anyone wants some more discussion about this
@mugecevik @PaulSaxMD @MackayIM @KindrachukJason @angie_rasmussen @GermHunterMD
You can follow @AntibioticDoc.
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