#[1]alternate [2]Has the Era of Overzealous Cleaning Finally Come to an
End?
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[8]Health|Has the Era of Overzealous Cleaning Finally Come to an End?
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Has the Era of Overzealous Cleaning Finally Come to an End?
This week, the C.D.C. acknowledged what scientists have been saying for
months: The risk of catching the coronavirus from surfaces is low.
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A hotel room in Long Beach, Wash., being fogged with sanitizer.
“There’s really no evidence that anyone has ever gotten Covid-19 by
touching a contaminated surface,” one researcher noted.
A hotel room in Long Beach, Wash., being fogged with sanitizer.
“There’s really no evidence that anyone has ever gotten Covid-19 by
touching a contaminated surface,” one researcher noted.Credit...Celeste
Noche for The New York Times
By Emily Anthes
April 8, 2021
When the coronavirus began to spread in the United States last spring,
many experts warned of the danger posed by surfaces. [17]Researchers
reported that the virus could survive for days on plastic or stainless
steel, and the Centers for Disease Control and Prevention advised that
if someone touched one of these contaminated surfaces — and then
touched their eyes, nose or mouth — they could become infected.
Americans responded in kind, wiping down groceries, quarantining mail
and clearing drugstore shelves of Clorox wipes. Facebook closed two of
its offices for a “[18]deep cleaning.” New York’s Metropolitan
Transportation Authority began [19]disinfecting subway cars every
night.
But the era of “[20]hygiene theater” may have come to an unofficial end
this week, when the C.D.C. updated its [21]surface cleaning guidelines
and noted that the risk of contracting the virus from touching a
contaminated surface was [22]less than 1 in 10,000.
“People can be affected with the virus that causes Covid-19 through
contact with contaminated surfaces and objects,” Dr. Rochelle Walensky,
the director of the C.D.C., said at a White House briefing on Monday.
“However, evidence has demonstrated that the risk by this route of
infection of transmission is actually low.”
The admission is long overdue, scientists say.
“Finally,” said Linsey Marr, an expert on airborne viruses at Virginia
Tech. “We’ve known this for a long time and yet people are still
focusing so much on surface cleaning.” She added, “There’s really no
evidence that anyone has ever gotten Covid-19 by touching a
contaminated surface.”
During the early days of the pandemic, many experts believed that the
virus spread primarily through large respiratory droplets. These
droplets are too heavy to travel long distances through the air but can
fall onto objects and surfaces.
In this context, a focus on scrubbing down every surface seemed to make
sense. “Surface cleaning is more familiar,” Dr. Marr said. “We know how
to do it. You can see people doing it, you see the clean surface. And
so I think it makes people feel safer.”
Image A “sanitization specialist” at an Applebee’s Grill and Bar in
Westbury, N.Y., wiping down a used pen last year. Restaurants and other
businesses have highlighted extra cleaning in their marketing since the
pandemic began.
A “sanitization specialist” at an Applebee’s Grill and Bar in Westbury,
N.Y., wiping down a used pen last year. Restaurants and other
businesses have highlighted extra cleaning in their marketing since the
pandemic began.Credit...Hiroko Masuike/The New York Times
But over the last year, it has become increasingly clear that the virus
spreads [23]primarily through the air — in both large and small
droplets, which can remain aloft longer — and that scouring door
handles and subway seats does little to keep people safe.
“The scientific basis for all this concern about surfaces is very slim
— slim to none,” said Emanuel Goldman, a microbiologist at Rutgers
University, [24]who wrote last summer that the risk of surface
transmission had been overblown. “This is a virus you get by breathing.
It’s not a virus you get by touching.”
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The C.D.C. [30]has previously acknowledged that surfaces are not the
primary way that the virus spreads. But the agency’s statements this
week went further.
“The most important part of this update is that they’re clearly
communicating to the public the correct, low risk from surfaces, which
is not a message that has been clearly communicated for the past year,”
said Joseph Allen, a building safety expert at the Harvard T.H. Chan
School of Public Health.
Catching the virus from surfaces remains theoretically possible, he
noted. But it requires many things to go wrong: a lot of fresh,
infectious viral particles to be deposited on a surface, and then for a
relatively large quantity of them to be quickly transferred to
someone’s hand and then to their face. “Presence on a surface does not
equal risk,” Dr. Allen said.
In most cases, cleaning with simple soap and water — in addition to
hand-washing and mask-wearing — is enough to keep the odds of surface
transmission low, the C.D.C.’s updated cleaning guidelines say. In most
everyday scenarios and environments, people do not need to use chemical
disinfectants, the agency notes.
“What this does very usefully, I think, is tell us what we don’t need
to do,” said Donald Milton, an aerosol scientist at the University of
Maryland. “Doing a lot of spraying and misting of chemicals isn’t
helpful.”
Still, the guidelines do suggest that if someone who has Covid-19 has
been in a particular space within the last day, the area should be both
cleaned and disinfected.
“Disinfection is only recommended in indoor settings — schools and
homes — where there has been a suspected or confirmed case of Covid-19
within the last 24 hours,” Dr. Walensky said during the White House
briefing. “Also, in most cases, fogging, fumigation and wide-area or
electrostatic spraying is not recommended as a primary method of
disinfection and has several safety risks to consider.”
And the new cleaning guidelines do not apply to health care facilities,
which may require more intensive cleaning and disinfection.
Saskia Popescu, an infectious disease epidemiologist at George Mason
University, said that she was happy to see the new guidance, which
“reflects our evolving data on transmission throughout the pandemic.”
But she noted that it remained important to continue doing some regular
cleaning — and maintaining good hand-washing practices — to reduce the
risk of contracting not just the coronavirus but any other pathogens
that might be lingering on a particular surface.
Dr. Allen said that the school and business officials he has spoken
with this week expressed relief over the updated guidelines, which will
allow them to pull back on some of their intensive cleaning regimens.
“This frees up a lot of organizations to spend that money better,” he
said.
Schools, businesses and other institutions that want to keep people
safe should shift their attention from surfaces to air quality, he
said, and invest in improved ventilation and filtration.
“This should be the end of deep cleaning,” Dr. Allen said, noting that
the misplaced focus on surfaces has had real costs. “It has led to
closed playgrounds, it has led to taking nets off basketball courts, it
has led to quarantining books in the library. It has led to entire
missed school days for deep cleaning. It has led to not being able to
share a pencil. So that’s all that hygiene theater, and it’s a direct
result of not properly classifying surface transmission as low risk.”
Roni Caryn Rabin contributed reporting
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