As cases start to surge again and countries are reentering lockdown, you might be asking yourself just who is spreading COVID-19 around now?

Is it political rallies, protestors, or kids going to school?
Where is COVID-19 Spreading Now?
In addition to very large gatherings, like political rallies, some folks might be surprised to learn that COVID-19 is now spreading:
- after religious events and holidays
- in daycare centers and schools
- among recreational, high school, and college sports teams
- at very large gatherings (>50 people), including funerals and weddings, some of which turn into superspreading events
- at large gatherings (>10 people) of family and friends
Not surprisingly, SARS-CoV-2 is spreading wherever a lot of people are getting together.
Hopefully, understanding that can help us all avoid getting sick with COVID-19!
“Regardless of the origin of superspreading, we emphasize the particular fragility of a disease in which a major part of infections are caused by the minority. If this is the case, the disease is vulnerable to mitigation by reducing the number of different people that an individual meets within an infectious period. The significance is clear; Everybody can still be socially active, but generally only with relatively few – on the order of ten persons. Importantly, our study further demonstrates that repeated contact with interconnected groups (such as at a work-place or in friend groups) is comparatively less damaging than repeated contacts to independent people.”
Superspreaders provide essential clues for mitigation of COVID-19
Remember, the pandemic isn’t over yet.
If anything, we are heading into another big wave in most parts of the world.
And although COVID-19 vaccines are on the way, they won’t be hear quick enough to stop it.

Only you can stop it by social distancing from others as much as possible (stay at least 6 feet away), wearing a mask (yes, masks still work despite the new study some folks are talking about), and washing your hands regularly.
Most importantly, understand that:
- someone can be contagious for up to two days before they develop symptoms of COVID-19 or they test positive and will continue to be contagious for at least 10 more days, their isolation period
- if exposed to someone with COVID-19, you should avoid others and go into self-quarantine for at least 14 days after your last contact, as that is the incubation period (the time from exposure to when you might develop symptoms)
- in addition to those who are sick before they develop symptoms (pre-symptomatic), some are contagious even though they never develop symptoms (asymptomatic transmission)
- you can’t test out of your quarantine after being exposed
- there are no good treatments and there is definitely no cure for COVID-19
And know that COVID-19 can be life-threatening, especially for folks who are in high risk groups, including those who are elderly and anyone with chronic health problems.
What does all of this mean?
That you have to adapt to life with COVID-19 now, so that you will still be around when COVID-19 is finally gone.
More on the Spread of COVID-19
- Are Kids Dying With COVID-19?
- Mask Exemptions for Kids During the COVID-19 Pandemic
- 7 Things to Know About COVID-19
- Who Are the Real COVID-19 Experts?
- Why There is Still So Much COVID-19 Confusion
- CDC – Celebrating Thanksgiving
- AAP – Thanksgiving During COVID-19: Keep Safety on the Table
- WHO – Coronavirus disease (COVID-19): How is it transmitted?
- Super-spreading Trump rallies led to more than 700 COVID-19 deaths, study estimates
- The Effects of Large Group Meetings on the Spread of COVID-19: The Case of Trump Rallies
- Estimating and explaining the spread of COVID-19 at the county level in the USA
- The implications of religious event and holidays on the transmission of SARS-CoV2 : the impact of behavioral changes on transmission
- The Risk of Indoor Sports and Culture Events for the Transmission of COVID-19 (Restart-19)
- Wrong person, place and time: viral load and contact network structure predict SARS-CoV-2 transmission and super-spreading events
- MMWR – Transmission of SARS-COV-2 Infections in Households — Tennessee and Wisconsin, April–September 2020
- MMWR – COVID-19 Outbreak Among a University’s Men’s and Women’s Soccer Teams — Chicago, Illinois, July–August 2020
- MMWR – An Outbreak of COVID-19 Associated with a Recreational Hockey Game — Florida, June 2020
- MMWR – Adolescent with COVID-19 as the Source of an Outbreak at a 3-Week Family Gathering — Four States, June–July 2020
- Indoor transmission of SARS-CoV-2
- Super-spreading wedding party demonstrates COVID-19 risk posed by holiday gatherings
- Superspreaders provide essential clues for mitigation of COVID-19
- Innovative Holiday and Winter Gatherings in the Time of COVID-19
Last Updated on November 21, 2020 by Vincent Iannelli, MD
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