2020
DOI: 10.21203/rs.3.rs-36269/v1
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Presymptomatic viral shedding and infective ability of Severe Acute Respiratory Syndrome coronavirus 2

Abstract: Abstract We report repeated rRT-PCR detection and infective ability of Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) from a health care worker three days prior to mild COVID-19 symptoms. We propose that this provides evidence for potential early presymptomatic transmission of SARS-CoV-2 and that contagiousness may arise shortly after exposure.

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Cited by 5 publications
(6 citation statements)
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“…We recognize that in a school setting close contacts of individuals may not be the only factor in controlling transmission. In particular, very fine particles with long atmospheric residence times may play a contributory role in airborne transmission in enclosed spaces with poor ventilation [29][30][31]. At least qualitatively, this risk is expected to be proportional to the number of people in a room and the duration they remain there.…”
Section: Discussionmentioning
confidence: 99%
“…We recognize that in a school setting close contacts of individuals may not be the only factor in controlling transmission. In particular, very fine particles with long atmospheric residence times may play a contributory role in airborne transmission in enclosed spaces with poor ventilation [29][30][31]. At least qualitatively, this risk is expected to be proportional to the number of people in a room and the duration they remain there.…”
Section: Discussionmentioning
confidence: 99%
“…The inhibitory effect of nitric oxide (NO) on the replication of SARS-CoV-2 was assessed performing a yield reduction assay combined with RT-qPCR for the quantification of viral RNA. Confluent Vero E6 cells, seeded in 12-wells plates, were inoculated with 0.005 multiplicity of infection (MOI) of SARS-CoV-2 isolated in our laboratory [ 3 ] and at the same time treated with either 200 μM or 400 μM of the nitric oxide (NO) donor S-nitroso-N-acetylpenicillamine (SNAP) (Sigma-Aldrich, product number N3398) or its non S-nitrosated version NAP (Sigma-Aldrich, product number 01423). The chosen SNAP and NAP concentrations were in the same range as used in previous SARS-CoV in vitro tests [ 9 , 10 ].…”
Section: Methodsmentioning
confidence: 99%
“…RNA was extracted using the Direct-zol™-96 RNA kit according to the manufacturer's protocol (Zymo Research, USA). The Envelope (E) gene was quantified by the RT-qPCR assay as described previously [ 3 , 15 ]. The primer pair and probe were based on sequences published by Corman et al [ 16 ].…”
Section: Methodsmentioning
confidence: 99%
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“…2 An individual infected with COVID-19, would potentially infect others by natural human actions such as breathing, speaking, coughing, sneezing, etc. 3,4,5 Healthcare professionals are the most vulnerable population since they are caring for infected patients. 6,7 Considering the severity of the pandemic, it is important to reduce and control the spread of the virus.…”
Section: Introductionmentioning
confidence: 99%