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Karen Brennan, PhD's avatar

Early on during this charade I tried to explain the lunacy of asymptomatic spread in this manner: in January of 2015 you go to the doctor and ask for a flu test. The doctor asks you what kind of symptoms you are having. You proceed to tell the doctor you feel great but want to make sure you don't spread asymptomatic flu around the office and if the test is positive will take 2 weeks off and “rest up.” The doctor writes on his script pad not an order for a flu test but a referral to the psychiatrist. In 2020, same scenario but replace flu with c19 and instead of labeled as crazy you are praised for being such a caring individual.

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Roger Kimber, MD's avatar

I believe that things are a little more complicated than you outline. I am not going to assert anything about silent carriage of COVID. However Salmonella Typhi the bacteria responsible for Typhoid fever can be harbored on gall stones that people can carry symptomatically for years. If such a person gets infected with S. Typhoid and gets Typhoid fever with or without antibiotics they usually recover. The person who has gallstones will often (I don’t have figures @ my fingertips & not sure how representative published figures would be) become a sanctuary for the bacteria, as the bacteria will excrete a biofilm that will prevent both antibiotics and host defenses from eradicating the infection. However, the individual can & will at least from time to time excrete Salmonella in their stool, and if not rigorous and consistent with handwashing can spread it to household contacts and that is why waste water is treated.

This is not relevant to COVID, but:

There are viral illnesses that have a significant incubation period in which a person is contagious (Hepatitis A) & others that a a large portion of infected people are asymptomatic for long periods of time (hepatitis B & C) where they can spread disease/infection by blood or sexual contact (& I think that the viral causes of those are pretty well established, as an aside).

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