Presymptomatic Transmission of SARS-CoV-2 — Singapore, January 23–March 16, 2020

Presymptomatic Transmission of SARS-CoV-2 — Singapore, January 23–March 16, 2020

One specific named location that has received much less attention is Shazer, a brief hunting stop mentioned in only two verses. After reviewing the potential etymology of the name, Warren Aston provides new information from discoveries made during field work in late at the prime candidate for the Valley of Lemuel, discoveries that lead to new understanding about the path to Shazer. In light of fieldwork and further information, Aston also reviews the merits of several locations that have been proposed for Shazer and points to a fully plausible, even probable, location for Shazer. And it came to pass that we did take our tents and depart into the wilderness, across the river Laman. And it came to pass that we did take our bows and our arrows, and go forth into the wilderness to slay food for our families; and after we had slain food for our families we did return again to our families in the wilderness, to the place of Shazer. This essay reviews the likely etymology of the name before reporting new discoveries made in late at the prime candidate for the Valley of Lemuel, finds that ultimately form part of the story of Shazer. Several of the locations discussed have not been pictured previously in Latter-day Saint publications. This essay contributes to that discussion by suggesting that the identification of the most plausible location for Shazer has strong implications for the suggestions made to date.

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Wycliffe E. Yong, MMed 1 ; Matthias P. Toh, MMed 2 ,3 ; Vernon J. Lee, PhD 1 ,3 View author affiliations. Preliminary evidence indicates the occurrence of presymptomatic transmission of SARS-CoV-2, based on reports of individual cases in China. Investigation of all cases of COVID reported in Singapore during January 23—March 16 identified seven clusters of cases in which presymptomatic transmission is the most likely explanation for the occurrence of secondary cases.

The possibility of presymptomatic transmission increases the challenges of containment measures. Public health officials conducting contact tracing should strongly consider including a period before symptom onset to account for the possibility of presymptomatic transmission. The potential for presymptomatic transmission underscores the importance of social distancing, including the avoidance of congregate settings, to reduce COVID spread.

The first case of COVID in Singapore was detected on January 23, , and by March 16, a total of cases had been confirmed, including locally acquired cases. Clinical and epidemiologic findings of all COVID cases in Singapore through March 16 were reviewed to determine whether presymptomatic transmission might have occurred.

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