Daily Sabah (Turkey)

How long can you be around someone with COVID-19 before you get infected?

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HOW long does it take to get the coronaviru­s if you are around someone who is infected? Unfortunat­ely, there is no magic number of minutes.

The U.S. Centers for Disease Control and Prevention (CDC) recently revised how it defines a close contact, the people contact tracers track down and advise to quarantine and get tested.

Previously, a close contact was anyone who spent at least 15 minutes within six feet (180 centimeter­s) of a person confirmed to have COVID-19. Now, those 15 minutes don’t need to be consecutiv­e. Instead, a close contact is anyone who was within six feet of an infected person for a minimum of 15 minutes within a 24-hour period.

Why did the rules suddenly change?

The guidelines follow the release of a study that showed how a correction­al officer in Vermont tested positive for COVID-19 after multiple, brief interactio­ns with six inmates who had no symptoms. In an eight-hour shift, the employee had 22 encounters with the inmates for a total of 17 minutes.

So, are you safe if you’ve spent less than 15 minutes with someone infected?

Not necessaril­y. Fifteen minutes is just a guide.

“You want to give some kind of broad guideline that’s easy to remember but in reality it’s a continuum,” said Neal Goldstein, assistant research professor of epidemiolo­gy and biostatist­ics at Drexel University.

“You could be at low risk for an extended period of time or you could be at high risk for a short period of time. There are so many variables that impact the dose (of the virus) that someone receives, and that’s really what matters the most,” he said.

Beyond exposure time, other factors at play include whether the infected person had symptoms, had no symptoms or developed symptoms later, if you were inside or outside, what kind of ventilatio­n there was, how many other people were there, and what kind of activity you were doing.

For example, if you were singing together inside a friend’s basement versus sitting together in the park, your risk level goes up and you may get infected in less time.

“There are so many different layers, so it’s tough to describe the percentage of risk you face, but you want to avoid multiple layers,” said Goldstein.

What if you were wearing a mask?

The CDC’s guidelines for contact tracing don’t change if you were wearing a mask. You’re considered a close contact even if both you and the infected person were wearing one. But masks are still important to prevent getting sick.

“Masks make a big difference. I would never go, ‘Oh, I’m going to hang out with this person without masks, and it’s OK for 14 minutes but not 15 minutes,’” said Henry Raymond, an associate professor and epidemiolo­gist at Rutgers University.

“These are guidelines to help facilitate contact tracing in a meaningful way, but they shouldn’t be applied as guidelines for how to protect yourself,” he said.

The CDC says it doesn’t factor in masks for contact tracing because the general public hasn’t been formally trained on choosing a mask and wearing it properly. And wearing your mask wrong increases your risk of spreading and getting the coronaviru­s – as does longer exposure time and closer proximity to someone who is infected.

While 15 minutes isn’t a hard-and-fast guarantee that we’ll stay safe, neither is six feet, but both help contact tracers narrow down who it makes sense to quarantine and get tested after an exposure.

“You don’t want to have contact tracing go back to the moment you checked out with a cashier or passed someone on the street,” said Goldstein.

“There’s never a situation with zero risks but that’d be an unreasonab­le burden and a tremendous waste in resources,” he said.

 ??  ?? A patient breathing in CPAP (continuous positive air pressure) ventilatio­n headgear talks to a doctor in the sub-intensive COVID-19 unit of the Tor Vergata Polyclinic Hospital, Rome, Italy, Nov. 7, 2020.
A patient breathing in CPAP (continuous positive air pressure) ventilatio­n headgear talks to a doctor in the sub-intensive COVID-19 unit of the Tor Vergata Polyclinic Hospital, Rome, Italy, Nov. 7, 2020.

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