Determining SARS-CoV-2 non-infectivity state–A brief overview

• Published in: Frontiers in Public Health
• Main Authors: Siggeir F. Brynjolfsson, Hildur Sigurgrimsdottir, Olafur Gudlaugsson, Mar Kristjansson, Karl G. Kristinsson, Bjorn R. Ludviksson
• Format: Article in Journal/Newspaper
• Language: English
• Published: Frontiers Media S.A. 2022
• Subjects: COVID-19; SARS-CoV-2; transmission of SARS-CoV-2; non-infectious state; viral testing; Public aspects of medicine; RA1-1270; Iceland
• Online Access: https://doi.org/10.3389/fpubh.2022.934242; https://doaj.org/article/724c709bd9814e2d88bed06e69507926

From the beginning of the COVID-19 pandemic, it has claimed over 6 million lives, and globally the pandemic rages with detrimental consequences, with the emergence of new more infectious and possibly virulent variants. A clinical obstacle in this battle has been to determine when an infected individual has reached a non-infectious state. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) can be transmitted under diverse circumstances, and various rules and regulations, along with different testing methods, have been applied in an attempt to confine the transmission. However, that has proven to be a difficult task. In this review, we take together recently published data on infectivity and transmission of SARS-CoV-2 and have combined it with the clinical experience that physicians in Iceland have accumulated from the pandemic. In addition, we suggest guidelines for determining when patients with COVID-19 reach a non-infectious state based on a combination of clinical experience, scientific data, and proficient use of available tests. This review has addressed some of the questions regarding contagiousness and immunity against SARS-CoV-2.