key: cord-0828446-iw0zibhv authors: Cookson, B. title: Regarding “Understanding the emerging coronavirus: what it means to health security and infection prevention” date: 2020-05-21 journal: J Hosp Infect DOI: 10.1016/j.jhin.2020.05.021 sha: a80b5cad447ff6c5b62342da1c1c23c8ba6329e2 doc_id: 828446 cord_uid: iw0zibhv nan Regarding "Understanding the emerging coronavirus: what it means to health security and infection prevention" Sir, I read with interest the recent paper by Peters and coworkers [1] . There is a feature of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) not mentioned here but especially relevant to infection prevention and control. At an early stage in the pandemic, and confirmed by several studies since, the virus was found in extremely high concentrations in the upper respiratory tract [2e4]. Whereas the consensus, at present, is that it does not spread by fine droplets, this finding does support the idea that transmission e especially from pre-symptomatic and early symptomatic subjects e may occur via direct contact with contaminated fomites. Hand hygiene thus becomes an even more important intervention, and we need to be aware that the misuse of masks could increase the spread of this awful infection. None declared. None. Understanding the emerging coronavirus: what it means to health security and infection prevention Virological assessment of hospitalized patients with COVID-2019 SARS-CoV-2 viral load in upper respiratory specimens of infected patients Temporal dynamics in viral shedding and transmissibility of COVID-19