Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/41064
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dc.contributor.authorHeller, Léo
dc.contributor.authorMota, César R.
dc.contributor.authorGreco, Dirceu B.
dc.date.accessioned2020-05-01T23:45:34Z
dc.date.available2020-05-01T23:45:34Z
dc.date.issued2020
dc.identifier.citationHELLER, Léo; MOTA, César R.; GRECO, Dirceu B. COVID-19 faecal-oral transmission: Are we asking the right questions? Science of the Total Environment, v. 729, p. 1-3, 2020.
dc.identifier.issn0048-9697
dc.identifier.urihttps://www.arca.fiocruz.br/handle/icict/41064
dc.descriptionDocumento disponível em acesso aberto pela Editora, devido a pandemia da COVID-19.
dc.language.isoeng
dc.publisherElsevier
dc.rightsopen access
dc.subject.otherPandemia
dc.subject.otherCOVID-19
dc.subject.otherSARS-CoV-2
dc.subject.otherSaneamento de Água-Transmissão fecal-oral
dc.titleCOVID-19 faecal-oral transmission: Are we asking the right questions?
dc.typeArticle
dc.identifier.doi10.1016/j.scitotenv.2020.138919
dc.description.abstractenDetection of the SARS-CoV-2 virus in stools and sewage has recently been reported, raising the hypothesis of faecal-oral transmission. If confirmed, this could have far-reaching consequences for public health and for pandemic control strategies. In this paper, we argue that a comprehensive and more nuanced analysis is required to test this hypothesis, taking into consideration both environmental dynamics and the persistence of viral infectivity. First, we examine the evidence regarding the presence of the virus in stools and sewage. Then we discuss the current framework of disease transmission through water and excreta and how the transmission of a respiratory disease fits into it. Against this background, we propose a framework to test the faecal-oral hypothesis, unpacking the different environmental routes from faeces to the mouth of a susceptible person. This framework should not be seen as a confirmation of the hypothesis but rather as an expanded view of its complexities, which could help shaping an agenda for research into a number of unanswered questions. Finally, the paper briefly discusses practical implications, based on current knowledge, for containment of the pandemic.
dc.creator.affilliationOswaldo Cruz Foundation. René Rachou Institute. Belo Horizonte, MG, Brazil.
dc.creator.affilliationFederal University of Minas Gerais. Department of Sanitary and Environmental Engineering. Belo Horizonte, MG, Brazil.
dc.creator.affilliationFederal University of Minas Gerais. Faculty of Medicine. Belo Horizonte, MG, Brazil.
dc.subject.enPandemic
dc.subject.enCOVID-19
dc.subject.enSARS-CoV-2
dc.subject.enWater Sanitation Faecal-oral transmission
Appears in Collections:MG - IRR - Artigos de Periódicos
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