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Viral load - can someone explain?

88 replies

OverUnderSidewaysDown · 24/03/2020 18:07

Can someone with expertise explain viral load? I used to understand it as meaning how much virus an individual was carrying and shedding , i.e. how infectious they were to other people. But in recent days I've heard it described as meaning how much virus a person is exposed to, and used as an explanation for why doctors and nurses are getting the virus more than other people.
Which is correct? A doctor could catch it from just one patient, but if they treat one hundred patients does their susceptibility increase?

OP posts:
AnotherMurkyDay · 25/03/2020 15:23

It's working for the sake of working even when it doesn't even make good sense for the economy we are told that our only benefit to society is through work. Even now people are flouting the rules to go to work and not being properly supported to stay at home. It's ridiculous. And NHS staff are encouraged to not come into work with cold or flu symptoms or d&v but also disciplined for taking sick days. We can't have it both ways

itsgettingweird · 25/03/2020 16:04

Wow. Thanks for this explanation.

peridito · 25/03/2020 16:06

@Squirrelfan is it this one ?

www.gov.uk/government/publications/covid-19-stay-at-home-guidance

Viral load - can someone explain?
peridito · 25/03/2020 16:12

Is the high viral load of specific importance to Covid19 ? Don't all viruses act this way ie higher load resulting in worse outcome for the infected ?

Or is it more significant because of Covid 19 transmitting before symptoms appear or while the infected person is asymptomatic ? Which I think is more unusual .If I understand correctly .

If you caught chicken pox from exposure to one person is it more likely to be mild case than if caught at a party where several children were already infected ?

Squirrelfan · 25/03/2020 16:25

Thanks peridito, no it was pink, and I finally found it on the BBC website under What are social distancing and isolation? I can't seem to attach it however. The one you've posted looks better!

AnotherMurkyDay · 25/03/2020 16:35

@peridito

Some viruses do and some viruses don't. They never behave exactly the same but some behave Similarly. We don't fully know how covid 19 works yet but we can look at other viruses and what we DO know to try and predict the way it behaves and therefore what measures we can take.

peridito · 25/03/2020 16:52

Thanks Murky .

Glad you found it Squirrel

PristineCondition · 25/03/2020 17:06

How do you isolate a symptomatic child though?
One parent surely had to stay with them to check they don't go down hill?

And what if there's one vulnerable shielded person in the same small house, would it not be impossible to contain rendering the in house isolation unessesary?

Orangesandbananas · 25/03/2020 17:17

I haven't read the full thread, just the first page, sorry if this has already been asked.

If people with the virus get worse symptoms if they're exposed to more of it (heavier viral load) - doesn't that mean all the people in hospital are making each other more sick by their proximity to one another?

AnotherMurkyDay · 25/03/2020 17:22

@Orangesandbananas

If they are not in the window between initial infection and the bodies immune response then no. Also hopefully 2m apart from anybody uninflected

Orangesandbananas · 25/03/2020 17:33

@AnotherMurkyDay thanks so much.

I feel very reassured.

AnotherMurkyDay · 25/03/2020 17:56

@Orangesandbananas

But they could well all be exposing it to the people caring for them if their PPE is inadequate

Cornettoninja · 25/03/2020 18:04

Thanks @AnotherMurkyDay Smile

It feels like this would be tough but manageable in normal circumstances but almost impossible at the moment.

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