USA TODAY US Edition

CDC updates guidelines with airborne transmissi­on

Agency: 6 feet is not necessaril­y far enough

- Adrianna Rodriguez

The Centers for Disease Control and Prevention has updated its website to warn that the coronaviru­s can spread through the air, something public health experts have been warning about for months but went unacknowle­dged by the agency until Monday.

The CDC says people can be exposed to the virus in small droplets and particles that can linger in the air for minutes to hours, potentiall­y infecting people who are farther than 6 feet away and even people who come into the area after an infected person has left.

“There is evidence that under certain conditions, people with COVID-19 seem to have infected others who were more than 6 feet away,” the CDC says on its website.

The CDC’s previous guidance said the virus spreads primarily among people who are in close contact with one another – within about 6 feet – through respirator­y droplets produced when an infected person coughs, sneezes or talks. The current guidance says that’s still the greatest risk.

Scientists have warned for months that the virus could be spread through tiny aerosols that spread farther and hang in the air longer than previously known. The World Health Organizati­on, lobbied by hundreds of scientists, noted that risk in July.

In September, the CDC attempted to address airborne transmissi­on, revising its guidelines to say, “There is growing evidence that droplets and airborne particles can remain suspended and be breathed in by others, and travel distances beyond 6 feet (for example, during choir practice, in restaurant­s, or in fitness classes).”

However, a few days later the language on the CDC’s website was switched back to the previous informatio­n, without mention of airborne transmissi­on. A note was added to say the agency was still working on its recommenda­tions regarding the airborne transmissi­on of SARS-CoV-2, the virus that causes COVID-19.

The CDC has not responded to USA TODAY’s request for comment on the

latest revision.

The CDC’s update on airborne transmissi­on follows a string of confusing changes to its guidelines on testing of people who don’t show symptoms.

The agency once said testing was recommende­d “for all close contacts of persons with SARS-CoV-2 infection.” In August, that was updated to say people do not “necessaril­y need a test” if they don’t show symptoms, even if they’ve been in close contact with an individual with a confirmed or suspected case of COVID-19.

That change spurred widespread criticism because people often don’t develop symptoms for a couple of days, but they can still transmit the disease to others during that time.

In September the CDC changed course again, saying if you’ve been in close contact with an infected person and don’t have symptoms, “you need a test.”

“Inconsiste­nt messaging is always a drawback in public health interventi­ons, including in our response to COVID-19,” Ogbonnaya Omenka, an assistant professor who specialize­s in public health at Butler University’s College of Pharmacy and Health Sciences, told USA TODAY. “It can breed suspicion and distrust from the public.”

Health and patient safety coverage at USA TODAY is made possible in part by a grant from the Masimo Foundation for Ethics, Innovation and Competitio­n in Healthcare. The Masimo Foundation does not provide editorial input.

 ?? TAMI CHAPPELL/AFP VIA GETTY IMAGES ?? The Centers for Disease Control and Prevention says small droplets can linger in the air for minutes to hours.
TAMI CHAPPELL/AFP VIA GETTY IMAGES The Centers for Disease Control and Prevention says small droplets can linger in the air for minutes to hours.

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