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

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In a blow to the COVID-19 “silent spreader” 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 “silent spreaders” account for some proportion of infections in other people, the degree of silent transmission is less clear.

A number of early studies—in some cases affected by limitations that may have led to their proportion of presymptomatic transmission to be “artifactually inflated”—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, “we didn’t realize the extent of asymptotic spread,” Dr. Fauci said in July 2020, adding that later, “we fully realized that there are a lot of people who are asymptomatic who are spreading infection.”

“So it became clear that we absolutely should be wearing masks consistently,” 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 “hysteria” and calls for a fresh round of restrictions, including mask mandates.

‘Very Few Emissions’ Before Symptom Onset

The new study, published in the August issue of The Lancet’s Microbe journal, shows that people who are sick with COVID-19 but don’t show any symptoms have a limited ability to spread the virus to other people.

By Tom Ozimek

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