Is It Safe? Doctor's Advice on COVID-19 Risks in Public Spaces - Family Medicine

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Safety concerns, please ask the doctor?


Hello Dr.
Wu, I just finished my exam and went out to have fun with my family.
Recently, there has been a COVID-19 outbreak, but I only carried my mask with me and wore it while taking public transportation.
When we checked into the hotel, my family was already being cautious.
I thought it would be fine to not wear a mask in the elevator since we would reach our room quickly.
After having breakfast, I also didn’t wear my mask, but my sister said it was dangerous.
I noticed that a mother and child nearby weren’t wearing masks either, and I thought my dad might just have a cold.
My sister mentioned that my mindset was not good...
I want to ask the doctor, is it possible to get infected in such a short time, like less than 30 seconds, especially since I didn’t hear any coughing? I feel like my sister is being overly cautious, although being careful is a good thing.
Thank you!

Niu Niu, 10~19 year old female. Ask Date: 2020/07/13

Dr. Wu Zongying reply Family Medicine


Hello: COVID-19 is primarily transmitted through respiratory droplets.
If you do not encounter strangers at close range, or if the other person is not coughing or speaking, the risk of transmission through droplets is relatively low.
However, it is still important to wear a mask in close proximity or in crowded public places.
Additionally, hand hygiene is crucial; washing your hands (either with soap and water or hand sanitizer) after touching objects (such as doorknobs, elevator buttons, or furniture) can significantly reduce the risk of infection.
As long as you adhere to these principles, there is no need for excessive anxiety.
Wishing you mental and physical well-being and health.

Reply Date: 2020/07/13

More Info


When it comes to the risks associated with COVID-19 in public spaces, it's essential to understand the transmission dynamics of the virus. COVID-19 primarily spreads through respiratory droplets when an infected person coughs, sneezes, talks, or breathes. The risk of transmission increases in crowded or poorly ventilated spaces, especially when individuals are in close proximity to one another.

In your situation, where you briefly shared an elevator with others and did not wear a mask, the risk of transmission is relatively low, particularly if the encounter lasted less than 30 seconds and you did not hear any coughing or sneezing. However, it is important to note that while the risk may be low, it is not zero. The presence of asymptomatic carriers—individuals who are infected but do not show symptoms—can still pose a risk, albeit a smaller one.

Your sister's concerns about safety are valid, especially given the ongoing pandemic. It is always better to err on the side of caution. Wearing a mask in public spaces, particularly indoors or in crowded areas, is a recommended practice to reduce the risk of transmission. Masks act as a barrier to prevent respiratory droplets from being released into the air and can significantly lower the chance of spreading or contracting the virus.

Moreover, maintaining good hand hygiene is crucial. Regularly washing your hands with soap and water or using hand sanitizer can help eliminate any potential virus particles you may have come into contact with on surfaces. This is particularly important in public places where many people touch the same surfaces, such as elevator buttons, door handles, and dining tables.

In terms of dining indoors, if you are in a restaurant where tables are spaced apart and there are protective barriers, the risk is further mitigated. However, if you are in a crowded environment without proper ventilation, the risk increases. It is advisable to choose dining options that allow for social distancing and good airflow.

In summary, while your brief exposure in the elevator may not pose a significant risk, it is essential to adopt preventive measures consistently. Wearing masks, practicing good hand hygiene, and maintaining social distance are all effective strategies to minimize the risk of COVID-19 transmission. Your sister's caution reflects a responsible approach to health and safety during these times. It is always better to be cautious and prioritize your health and the health of those around you.

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