Los Angeles homeless rec center (Mario Tama / Getty) Environmental factors [in trasmission] include population density and the availability and use of infection prevention and control measures in healthcare facilities. SARS and MERS had relatively low rates of person-to-person transmission but caused explosive outbreaks in healthcare settings (). Rapid person-to-person transmission of COVID-19 appears likely to have occurred in healthcare settings, on a cruise ship, and in a church (). In a study of 110 case-patients from 11 clusters in Japan, all clusters were associated with closed environments, including fitness centers, shared eating environments, and hospitals, the odds for […]
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