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- Rule 12
- GTP_Famine
There's a couple of things at play.I'd like to know a little more about this. So how is it possible that nobody has immunity (and everyone has lungs), and yet some people won't be infected? Do some people have a natural immunity? I go through life assuming that anyone participating in public can come down with just about any virus, and that eventually they will (barring a vaccine).
The biggest one of all is that most - and overwhelmingly most - cases won't ever be suspected, tested, or recorded. Coronavirus family members generally causes colds, as in the common cold; it's usually a rhinovirus, but sometimes a coronavirus and others. They're almost indistinguishable from a regular cold, and might not even be suspected as anything apart from feeling crap for a day or three. I've got some sniffles and sneezes right now which could be a cold, but I think are "seasonal allergic rhinitis" (hayfever; probably early grass pollen). They might be COVID-19 - I've been out of the house a few times, my youngest goes to school with the great unwashed, my eldest had a weekend in Amsterdam two weeks ago - but I have no real reason to suspect that it is and no cause to be tested.
There is a good chance that two-thirds or more of all COVID-19 cases will never be recorded. Perhaps a small fraction will show up in random blood panels over the next few decades as "apparently you had coronavirus at some point" ("I knew that cold I had in March 2020 was a bit weird!"),
After that it's the transmission method. If it was fully airborne, the conversation would be about who won't get it, but it's not, it's droplet transmission. It essentially needs moist tract mucus to go from host to host, and honestly we're pretty good about keeping our mucus to ourselves most of the time. Societally we don't spit on the floor (we were conditioned out of it during the consumption era), we cover up when we cough rather than hacking into a window or the open air, and we usually wash our hands a lot. Fecal-oral is stymied by having bog lids and hand-washing, sexual transmission is thwarted by the condoms we've been using since HIV.
Probably the riskiest things in our society are shaking hands with someone who doesn't wash after a wee, or using things lots of other people touch (door or shopping trolley handles, McDonald's touchscreens, etc.) - which you can ameliorate by not putting your hands anywhere near your moist face holes until you've washed them. Letting your kid have a bite of your biscuit is another point of entry, solved by JOEY DOESN'T SHARE FOOD.
With SARS-CoV-2 there's a chance it can survive in fine mucosal mist (there's a pleasant thought for you) in the air for a few hours before it hits the floor, so it's possible to pick it up by wandering through places people have openly coughed. For comparison MeV/measles, which is airborne, has a basic reproductive number roughly ten times higher than SARS-CoV-2/COVID-19 - on average each infected individual can infect 15-20 susceptible uninfected individuals, compared to two (ish... It's 1.5-3.5 or so at the moment). Of course we vaccinate for that, and with good reason, so measles outbreaks are rare and small - which isn't a limitation for COVID-19.
The last point is completely out of my area of expertise, which is the natural immunity you mention. To cause a disease, a virus has to get into its target cells and reproduce within the cell. Your immune system reacts against foreign bodies - even those it doesn't know definitely are a threat, and sometimes against some which definitely aren't - all the time. The hayfever I mention above is an example of the former, and autoimmune diseases like lupus of the latter. It's never lupus. The immune system doesn't have to know that something is bad, just that it shouldn't be there, and may react to virus particles. The cells may also not take kindly to invasion and self-destruct, so a mere virus entry into the body isn't a guarantee of infection (some viruses do have a 100% success rate though; I think HIV is one). I'm not great on immunology and virology (I did cancer), so Dr. @Touring Mars would be a waaaaaaaay better source.