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May 22, 2020 04:05 pm

Social Distancing Is Not Enough

We will need a comprehensive strategy to reduce the sort of interactions that can lead to more infections. The Atlantic: COVID-19 has mounted a sustained attack on public life, especially indoor life. Many of the largest super-spreader events took place inside -- at a church in South Korea, an auditorium in France, a conference in Massachusetts. The danger of the indoors is more than anecdotal. A Hong Kong paper awaiting peer review [PDF] found that of 7,324 documented cases in China, only one outbreak occurred outside -- during a conversation among several men in a small village. The risk of infection indoors is almost 19 times higher than in open-air environments, according to another study [PDF] from researchers in Japan. Appropriately, just about every public indoor space in America has been shut down or, in the case of essential businesses such as grocers, adapted for social-distancing restrictions. These closures have been economically ruinous, transforming large swaths of urban and suburban life into a morbid line of darkened windows. Today, states are emerging from the lockdown phase of the crisis and entering a queasy period of reopening. But offices, schools, stores, theaters, restaurants, bars, gyms, fitness centers, and museums will have no semblance of normalcy until we learn how to be safe -- and feel safe -- inside. To open these spaces, we must be guided by science and expertise. Fortunately for us, researchers are discovering the secrets of how COVID-19 spreads with a combination of clever modeling and detective work. Before we review the relevant studies and draw out lessons for the future of the great indoors, a brief word of humility. Our understanding of this disease is dynamic. Today's conventional wisdom could be tomorrow's busted myth. Think of these studies not as gospels, but as clues in a gradually unraveling mystery.

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