There is a paradigm shift taking place, to correct misunderstanding in how respiratory infections are actually transmitted. /2
Traditional understanding of transmission routes was defined mainly by epidemiological observations--who gets sick when and where--and relied on being able to envision viruses moving between people in large droplets or on objects (fomites). /3
This led to incorrect assumptions about how viruses behave in the air. This, coupled with reluctance to call for N95s and negative pressure rooms in hospitals, produced a blind spot when it comes to transmission of viruses in aerosols. /4
Plus, hospitals usually have excellent ventilation, so it’s harder to see airborne transmission there. But in other buildings, it’s easier for viruses to accumulate in the air. /5
I suspect that inhalation of aerosols is the dominant route of transmission for SARS-CoV-2 and other respiratory viruses, but have been afraid to say so because I have been ignored or ridiculed in the past. /6
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