In the absence of vaccines and effective antiviral drugs, control of the spread
of coronavirus disease (Covid-19) relies mainly on the adequacy of public health
resources and policies. Hence, failure to establish and implement scientifically
reliable control measures may have a significant effect on the incidence of
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, severity
of the disease, and death toll. The average number of secondary transmissions
from an infected person, or reproduction numbers (R
0
and R), and the
points at which the collective immunity begins to reduce the transmission of the
infection, or herd immunity thresholds, are important epidemiological tools used
in strategies of Covid-19 control, suppression, and mitigation. However,
SARS-CoV-2 transmission through asymptomatic carriers and, possibly, aerosols,
has been ignored, and this may affect the effectiveness of Covid-19 control
strategies. Therefore, consideration of the two possible ways of transmission
would substantially increase the values of reproduction numbers, but if
estimates of the contingent of the population naturally resistant to the virus,
plus those with pre-existing cross-immunity to SARS-CoV-2 were considered, the
evaluation of herd immunity thresholds should reach their real and achievable
levels.