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US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection

 
DoorBert
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08/16/2014 08:26 AM
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US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
Hospitals nationwide are hustling to prepare for the first traveler from West Africa who arrives in the emergency room with symptoms of infection with the Ebola virus.

Dr. Thomas R. Frieden, director of the Centers for Disease Control and Prevention, has said such a case is inevitable in the United States, and the agency this month issued the first extensive guidelines for hospitals on how recognize and treat Ebola patients.

The recommendations touch on everything from the safe handling of lab specimens to effective isolation of suspected Ebola patients. But one piece of advice in particular has roused opposition from worried hospital administrators.

The C.D.C. says that health care workers treating Ebola patients need only wear gloves, a fluid-resistant gown, eye protection and a face mask to prevent becoming infected with the virus. That is a far cry from the head-to-toe “moon suits” doctors, nurses and aides have been seeing on television reports about the outbreak.


[link to www.nytimes.com]
beeches

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08/16/2014 08:58 AM

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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
bump
you didn't write that post, someone else did it for you!
DeadManWalkin'

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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
The minute I hear we have an Ebola patient in-house, I'm a gone muthahumpa.

Straight to the parking lot, leaving my mask, gown, gloves, & shoe covers laying in the dirt.

fuckit
-.. . .- -.. / -- .- -. / .-- .- .-.. -.- .. -. --.


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Anonymous Coward
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08/16/2014 09:18 AM
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
Bio informatics work primarily like computer informatics.
Only difference is that genes have a quite different code.

If this was a lab escape no one can stop it.
The virus will evolve and be hosted in passive manner in some cases.
You know how many billion sequences there are in our DNA/RNA?
Game over.
R&y

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08/16/2014 01:30 PM
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
They will raise the standard for treatment on the same day they announce marital law and mandatory quarantines.
Anonymous Coward
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08/16/2014 01:35 PM
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
Thread: What tha? Ebola Epidemic Most Likely Much Larger Than Reported, W.H.O. Says
Anonymous Coward
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
Minimal protection should work just fine against ebola.







ahhh




zombies
Anonymous Coward
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
The minute I hear we have an Ebola patient in-house, I'm a gone muthahumpa.

Straight to the parking lot, leaving my mask, gown, gloves, & shoe covers laying in the dirt.

:fuckit:
 Quoting: DeadManWalkin'


Our hospital has had no communications about this, has your hospital? Sure, infection control and ourselves have talked about the 'what if', but no definite communications. Lab reportables already handle the HL7 straight to state/fed.
Anu, father of Enki

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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
You cannot catch it from casual contact...stopposting1
I ordered the destruction of mankind, why are you still here?
SarahC

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08/16/2014 01:59 PM
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
I imagine it's because there wont be enough space-suits to care for everyone coming through the doors.

So to stop panic spreading..... they specify some precautions ALL hospitals can take easily.


It sure beats the hospital advisory:
"You NEED space-suits or you're fucked. We know you don't have more than 4. Sucks for ya! Bye!"
SarahC

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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
You cannot catch it from casual contact...stopposting1
 Quoting: Anu, father of Enki


Hah, where've you been?

Sweat is infectious. Sputum (bloody) is infectious. People touch there face 3000 times a day.

The virus can get in through the lips, mouth, eyelids, and conjunctiva.

It'd be a BSL 3 virus if it was so hard to catch.
Anu, father of Enki

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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
You cannot catch it from casual contact...stopposting1
 Quoting: Anu, father of Enki


Hah, where've you been?

Sweat is infectious. Sputum (bloody) is infectious. People touch there face 3000 times a day.

The virus can get in through the lips, mouth, eyelids, and conjunctiva.

It'd be a BSL 3 virus if it was so hard to catch.
 Quoting: SarahC


Then I would recommend not licking the patients, other than that minimal protection should suffice.

You GLPers are a suspicious bunch. Now trust me on this... stopposting1
I ordered the destruction of mankind, why are you still here?
Medic
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08/16/2014 02:06 PM
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
You cannot catch it from casual contact...stopposting1
 Quoting: Anu, father of Enki


Absolutely False. Turn off the TV and read some literature.
Anonymous Coward
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
Hhmmm. This can't be good. It appears that a time of unrest may be near.. and not a racial, fake engineered one.

So what happens when someone is found with Ebola?

Won't they practically have to start doing massive quarantine?

Wouldn't that be the end of the economy and any desire to trade Ebola dollars?

Won't mass panic ensue?

Power grid?

UN peacekeeping?

Well good thing they did such a good job with the quarantine efforts in Africa on this one.

Peace
TruthNow88

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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
You cannot catch it from casual contact...stopposting1
 Quoting: Anu, father of Enki


Hah, where've you been?

Sweat is infectious. Sputum (bloody) is infectious. People touch there face 3000 times a day.

The virus can get in through the lips, mouth, eyelids, and conjunctiva.

It'd be a BSL 3 virus if it was so hard to catch.
 Quoting: SarahC


Then I would recommend not licking the patients, other than that minimal protection should suffice.

You GLPers are a suspicious bunch. Now trust me on this... stopposting1
 Quoting: Anu, father of Enki


Sigh...

Australia Group Common Control List Handbook – Volume II - V13.Ebola virus
Exposure / Infection Routes:
-Inhalation (lungs): Aerosols
Human Transmissibility:
-Yes (direct and respiratory)
Human-to human transfer usually occurs through direct contact with bodily fluids from an infected individual though aerosol transmission can occur between individuals in close proximity to one another.

[link to www.defence.gov.au]

Federal Ministry of Health Abuja, Nigeria - Ebola Virus Disease Fact Sheet
How is Ebola Virus Disease spread?
6.Inhalation of contaminated air in hospital environment;
[link to www.health.gov.ng]

CDC defines transmission for Ebola as follows.
1 Casual contact is defined as a) being within approximately 3 feet (1 meter) or within the room or care area for a prolonged period of time (e.g., healthcare personnel, household members) while not wearing recommended personal protective equipment (i.e., droplet and contact precautions–see Infection Prevention and Control Recommendations); or b) having direct brief contact (e.g., shaking hands) with an EVD case while not wearing recommended personal protective equipment (i.e., droplet and contact precautions–see Infection Prevention and Control Recommendations). At this time, brief interactions, such as walking by a person or moving through a hospital, do not constitute casual contact.
* Outbreak affected countries include Guinea, Liberia, Sierra Leone, and Lagos, Nigeria, as of 4-August-2014

[link to www.cdc.gov]

USAMRIID’s MEDICAL MANAGEMENT OF BIOLOGICAL CASUALTIES HANDBOOK - Sixth Edition - April 2005
VIRAL HEMORRHAGIC FEVER
Isolation and Decontamination:

All VHF patients should be cared for using strict contact precautions, including hand hygiene double gloves, gowns, shoe and leg coverings, and faceshield or goggles. Airborne precautions should be instituted to the maximum extent possible. At a minimum, a fit-tested, HEPA filter-equipped respirator(such as an N-95 mask), a battery-powered, air-purifying respirator, or a positive pressure supplied air respirator should be worn by personnel sharing an enclosed space with or coming within six feet of a VHF patient. Multiple patients should be cohorted to a separate building or a ward with an isolated air-handling system. Ideally, VHF patients should be isolated in a negative pressure isolation room with 6-12 air exchanges per hour. Environmental decontamination is accomplished with hypochlorite or phenolic disinfectants.
[link to www.dhhr.wv.gov]
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Overcomer777

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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
What do they call it? Oh yeah, a Trojan horse.

Has everyone else lost their mind?

They are bringing infected Ebola people into your nations and nobody seems to think this strange.

And the stupid sheep just comply. Baaaaaa. sheep

Last Edited by Overcomer777 on 08/16/2014 02:15 PM
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Anonymous Coward
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
I imagine it's because there wont be enough space-suits to care for everyone coming through the doors.

So to stop panic spreading..... they specify some precautions ALL hospitals can take easily.


It sure beats the hospital advisory:
"You NEED space-suits or you're fucked. We know you don't have more than 4. Sucks for ya! Bye!"
 Quoting: SarahC


^^^^This.

Might be a real good time to invest in 3M (makers of N100 masks) and DuPont (makers of Tyvek suits). No, not the stocks. I mean the actual products they manufacture.
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
You cannot catch it from casual contact...stopposting1
 Quoting: Anu, father of Enki


Hah, where've you been?

Sweat is infectious. Sputum (bloody) is infectious. People touch there face 3000 times a day.

The virus can get in through the lips, mouth, eyelids, and conjunctiva.

It'd be a BSL 3 virus if it was so hard to catch.
 Quoting: SarahC


Then I would recommend not licking the patients, other than that minimal protection should suffice.

You GLPers are a suspicious bunch. Now trust me on this... stopposting1
 Quoting: Anu, father of Enki


Ewww!

chuckle
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
They get the space suit, but we only need a fucking gown and face mask! It must be because we are so much more healthy than them to begin with. Since that is their recommendation, I say they should set the example and start handling the virus without all their protective gear. I'm not going to hold my breath waiting for that to happen. They obviously think we are all stupid! If you could safely work around ebola without all the gear, I doubt they would go to all that trouble and expense.
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Anu, father of Enki

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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
We can all post links...

Health-care workers caring for patients with suspected or confirmed Ebola virus should apply, in addition to standard precautions, other infection control measures to avoid any exposure to the patient’s blood and body fluids and direct unprotected contact with the possibly contaminated environment. When in close contact (within 1 metre) of patients with EBV, health-care workers should wear face protection (a face shield or a medical mask and goggles), a clean, non-sterile long-sleeved gown, and gloves (sterile gloves for some procedures).

[link to www.who.int]

Now really... stopposting1

Last Edited by Anu, father of Enki on 08/16/2014 02:16 PM
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Kezar Stanyan

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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
The minute I hear we have an Ebola patient in-house, I'm a gone muthahumpa.

Straight to the parking lot, leaving my mask, gown, gloves, & shoe covers laying in the dirt.

fuckit
 Quoting: DeadManWalkin'


Our hospital has had no communications about this, has your hospital? Sure, infection control and ourselves have talked about the 'what if', but no definite communications. Lab reportables already handle the HL7 straight to state/fed.
 Quoting: Anonymous Coward 33560264


I'm curious, too.
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08/16/2014 02:28 PM
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
We can all post links...

Health-care workers caring for patients with suspected or confirmed Ebola virus should apply, in addition to standard precautions, other infection control measures to avoid any exposure to the patient’s blood and body fluids and direct unprotected contact with the possibly contaminated environment. When in close contact (within 1 metre) of patients with EBV, health-care workers should wear face protection (a face shield or a medical mask and goggles), a clean, non-sterile long-sleeved gown, and gloves (sterile gloves for some procedures).

[link to www.who.int]

Now really... stopposting1
 Quoting: Anu, father of Enki


So how do you figure you can't catch it from casual contact then? How do you define casual contact? Are you familiar with fomite transmission? You are aware that average person touches their face 3-5 times per minute? It is believed that a single particle of the virus is enough to cause infection. It can exist outside the body for days, dried infected material can be infectious in a clinical setting. Spit on door handles, sweat on sheets, shaking hands, being to close...

Outside of a clinical setting without full PPE, it can certainly be caught by casual contact, no licking required.
Medic
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08/16/2014 02:32 PM
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
My employers have recommended full PPE, basically whatever we have available, gloves, respirator, face shied, goggles, gown etc., on any suspected contact. Plus reverse isolation (n95 on the patient), and then to contact our "Technical Advisor Immediately". The Technical Advisor is the regional CBRNE specialists.

Sounds a little more serious that TB, or H1N1 which I have dealt with many times before without calling the Technical Advisor...
Dresden13

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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
So many people rely on the government for sustenance, this seems the only way to deal with their ilk...idk.
Anonymous Coward
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08/16/2014 02:33 PM
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
We can all post links...

[link to www.who.int]

Now really... stopposting1
 Quoting: Anu, father of Enki


Are you trying to use that link to prove the following point?

Then I would recommend not licking the patients, other than that minimal protection should suffice.

You GLPers are a suspicious bunch. Now trust me on this... stopposting1
 Quoting: Anu, father of Enki


Ebola then spreads in the community through human-to-human transmission, with infection resulting from direct contact (through broken skin or mucous membranes) with the blood, secretions, organs or other bodily fluids of infected people, and indirect contact with environments contaminated with such fluids.

So, the link that you used to try to 'prove' your original assertion contradicts the assertion completely.

You can't be serious?
Anu, father of Enki

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08/16/2014 02:34 PM
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
We can all post links...

Health-care workers caring for patients with suspected or confirmed Ebola virus should apply, in addition to standard precautions, other infection control measures to avoid any exposure to the patient’s blood and body fluids and direct unprotected contact with the possibly contaminated environment. When in close contact (within 1 metre) of patients with EBV, health-care workers should wear face protection (a face shield or a medical mask and goggles), a clean, non-sterile long-sleeved gown, and gloves (sterile gloves for some procedures).

[link to www.who.int]

Now really... stopposting1
 Quoting: Anu, father of Enki


So how do you figure you can't catch it from casual contact then? How do you define casual contact? Are you familiar with fomite transmission? You are aware that average person touches their face 3-5 times per minute? It is believed that a single particle of the virus is enough to cause infection. It can exist outside the body for days, dried infected material can be infectious in a clinical setting. Spit on door handles, sweat on sheets, shaking hands, being to close...

Outside of a clinical setting without full PPE, it can certainly be caught by casual contact, no licking required.
 Quoting: Medic 25033107


Good hygiene, do not touch your nose, mouth, ears, or eyes without first washing your hands.
I ordered the destruction of mankind, why are you still here?
Medic
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
I imagine it's because there wont be enough space-suits to care for everyone coming through the doors.

So to stop panic spreading..... they specify some precautions ALL hospitals can take easily.


It sure beats the hospital advisory:
"You NEED space-suits or you're fucked. We know you don't have more than 4. Sucks for ya! Bye!"
 Quoting: SarahC


This is exactly correct. They do not have space suits for everyone...
Anonymous Coward
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
The CDC has zero credibility. None. Listening to them is like listening to CNN.

The CDC is owned and operated by the elite.

Just another pawn in the game. Albeit a dangerous one. "Disease control" is a misnomer. "Disease breeding and spreading" is more apt.

Think of the CDC as a Nazi facility.
Anu, father of Enki

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08/16/2014 02:37 PM
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
We can all post links...

[link to www.who.int]

Now really... stopposting1
 Quoting: Anu, father of Enki


Are you trying to use that link to prove the following point?

Then I would recommend not licking the patients, other than that minimal protection should suffice.

You GLPers are a suspicious bunch. Now trust me on this... stopposting1
 Quoting: Anu, father of Enki


Ebola then spreads in the community through human-to-human transmission, with infection resulting from direct contact (through broken skin or mucous membranes) with the blood, secretions, organs or other bodily fluids of infected people, and indirect contact with environments contaminated with such fluids.

So, the link that you used to try to 'prove' your original assertion contradicts the assertion completely.

You can't be serious?
 Quoting: Anonymous Coward 60426196


Of course I can be serious. But there is no need for panic. Wash your hands, don't touch your face before doing so. Live happy. And if all else fails, there will soon be a vaccine.
I ordered the destruction of mankind, why are you still here?
Anonymous Coward
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08/16/2014 02:37 PM
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
We can all post links...

Health-care workers caring for patients with suspected or confirmed Ebola virus should apply, in addition to standard precautions, other infection control measures to avoid any exposure to the patient’s blood and body fluids and direct unprotected contact with the possibly contaminated environment. When in close contact (within 1 metre) of patients with EBV, health-care workers should wear face protection (a face shield or a medical mask and goggles), a clean, non-sterile long-sleeved gown, and gloves (sterile gloves for some procedures).

[link to www.who.int]

Now really... stopposting1
 Quoting: Anu, father of Enki


So how do you figure you can't catch it from casual contact then? How do you define casual contact? Are you familiar with fomite transmission? You are aware that average person touches their face 3-5 times per minute? It is believed that a single particle of the virus is enough to cause infection. It can exist outside the body for days, dried infected material can be infectious in a clinical setting. Spit on door handles, sweat on sheets, shaking hands, being to close...

Outside of a clinical setting without full PPE, it can certainly be caught by casual contact, no licking required.
 Quoting: Medic 25033107


We're probably fools for taking someone role-playing as "Anu, father of Enki" seriously but it is good to have people play devil's advocate. The only problem is...a lot of these people aren't playing devil's advocate, they're actually devils.
Medic
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08/16/2014 02:38 PM
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Re: US Hospitals Prep for Inevitable Ebola Cases. CDC Recommends only Minimal Protection
We can all post links...

Health-care workers caring for patients with suspected or confirmed Ebola virus should apply, in addition to standard precautions, other infection control measures to avoid any exposure to the patient’s blood and body fluids and direct unprotected contact with the possibly contaminated environment. When in close contact (within 1 metre) of patients with EBV, health-care workers should wear face protection (a face shield or a medical mask and goggles), a clean, non-sterile long-sleeved gown, and gloves (sterile gloves for some procedures).

[link to www.who.int]

Now really... stopposting1
 Quoting: Anu, father of Enki


So how do you figure you can't catch it from casual contact then? How do you define casual contact? Are you familiar with fomite transmission? You are aware that average person touches their face 3-5 times per minute? It is believed that a single particle of the virus is enough to cause infection. It can exist outside the body for days, dried infected material can be infectious in a clinical setting. Spit on door handles, sweat on sheets, shaking hands, being to close...

Outside of a clinical setting without full PPE, it can certainly be caught by casual contact, no licking required.
 Quoting: Medic 25033107


Good hygiene, do not touch your nose, mouth, ears, or eyes without first washing your hands.
 Quoting: Anu, father of Enki



Unfortunately untrained people are pretty much incapable of sufficient hygiene in a public setting. Most people aren't even conscious of touching their face 3-5 times a minute, it's generally reflexive. Most people do not wash their hands or sanitize them every minute, or after every contact.

Plus droplet transmission is a possibility, as well as entry through open wounds. Which most people have at least a scratch somewhere on exposed skin.