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Superspreading event

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Superspreading event

A superspreading event (SSEV) is an event in which an infectious disease is spread much more than usual, while an unusually contagious organism infected with a disease is known as a superspreader. In the context of a human-borne illness, a superspreader is an individual who is more likely to infect others, compared with a typical infected person. Such superspreaders are of particular concern in epidemiology.

Some cases of superspreading conform to the 80/20 rule, where approximately 20% of infected individuals are responsible for 80% of transmissions, although superspreading can still be said to occur when superspreaders account for a higher or lower percentage of transmissions. In epidemics with such superspreader events, the majority of individuals infect relatively few secondary contacts.[citation needed] The degree to which superspreading contributes to an epidemic is often quantified by the t20 metric, which denotes the proportion of infections attributable to the most infectious 20% of the population.

SSEVs are shaped by multiple factors including a decline in herd immunity, nosocomial infections, virulence, viral load, misdiagnosis, airflow dynamics, immune suppression, and co-infection with another pathogen.

Although loose definitions of superspreader events exist, some effort has been made at defining what qualifies as a superspreader event (SSEV). Lloyd-Smith et al. (2005) define a protocol to identify a superspreader event as follows:

This protocol defines a 99th-percentile SSEV as a case which causes more infections than would occur in 99% of infectious histories in a homogeneous population.

During the SARS-CoV-1 2002–2004 SARS outbreak from China, epidemiologists defined a superspreader as an individual with at least eight transmissions of the disease.

Superspreaders may or may not show any symptoms of the disease.

SSEVs can further be classified into 'societal' and 'isolated' events. Funerals have been known to epidemiology as common superspreader events. In particular where funeral rites involve contact with the decedent, funerary transmission may occur. The International Red Cross proposed the practices now known as "safe and dignified burials" during the Western African Ebola virus epidemic to reduce funerary transmission.

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