1 00:00:01,966 --> 00:00:04,433 UDY WOODRUFF: As we have been mentioning, the U.S. has passed yet another tragic marker 2 00:00:04,433 --> 00:00:06,933 in the pandemic. 3 00:00:06,933 --> 00:00:11,000 More than 200,000 people have died in this country from COVID-19 and related complications. 4 00:00:13,000 --> 00:00:16,966 That, in a period of less than eight months, is nearly twice as many Americans who have 5 00:00:18,500 --> 00:00:22,600 been killed in every major conflict since the Korean War combined. 6 00:00:24,466 --> 00:00:28,166 Our understanding of how the coronavirus is spreading continues to evolve. We want to 7 00:00:30,000 --> 00:00:32,333 use this moment to clarify much of the latest scientific thinking. 8 00:00:32,333 --> 00:00:37,366 First, a report from Stephanie Sy, followed by a conversation with William Brangham. 9 00:00:37,366 --> 00:00:42,333 WOMAN: The coronavirus can remain infectious on plastic and steel surfaces for up to three 10 00:00:43,000 --> 00:00:45,033 days. 11 00:00:45,033 --> 00:00:47,066 WOMAN: That has many people worried about shopping and other everyday tasks. 12 00:00:47,066 --> 00:00:50,533 MAN: Because you have got to be putting that disinfectant on these groceries. 13 00:00:50,533 --> 00:00:55,400 STEPHANIE SY: This was the sound of fear early in the pandemic, after studies showed that 14 00:00:55,400 --> 00:01:00,300 the novel coronavirus could live on surfaces for hours, even days. 15 00:01:00,300 --> 00:01:05,200 It led to a furious wave of scrubbing, disinfecting and sold-out cleaning supplies across the 16 00:01:05,866 --> 00:01:07,933 country. 17 00:01:07,933 --> 00:01:09,933 DR. EMANUEL GOLDMAN, Rutgers New Jersey Medical School: But the problem with those experiments 18 00:01:09,933 --> 00:01:12,366 is that they didn't relate to what a real-life scenario would be like. 19 00:01:12,366 --> 00:01:17,366 STEPHANIE SY: That's Dr. Emanuel Goldman, a microbiologist at Rutgers New Jersey Medical 20 00:01:17,900 --> 00:01:19,933 School. 21 00:01:19,933 --> 00:01:23,233 In July, he published this article in the British medical journal "The Lancet" arguing 22 00:01:23,233 --> 00:01:28,066 that these early studies greatly exaggerated the amount of virus that could actually be 23 00:01:28,066 --> 00:01:33,066 found on surfaces in the real world. He pointed out that the lowest amount of infectious particles 24 00:01:34,700 --> 00:01:39,233 researchers used to test surfaces in the lab was 10,000, a huge amount. 25 00:01:41,300 --> 00:01:43,633 DR. EMANUEL GOLDMAN: You would need something like 100 people coughing or sneezing on the 26 00:01:43,633 --> 00:01:48,600 same small surface area to get anywhere near the amount of virus that they used in these 27 00:01:49,266 --> 00:01:51,233 experiments. 28 00:01:51,233 --> 00:01:54,866 STEPHANIE SY: He says these mistakes, and a lack of scrutiny, have siphoned limited 29 00:01:54,866 --> 00:01:59,833 resources from everything from subway systems to schools for excessive deep cleaning that 30 00:02:01,266 --> 00:02:03,233 shows little evidence of helping prevent COVID spread. 31 00:02:03,233 --> 00:02:07,366 DR. EMANUEL GOLDMAN: Our mothers taught us, you go to the bathroom, you wash your hands. 32 00:02:07,366 --> 00:02:11,033 You prepare food, you wash your hands. You touch something dirty, you wash your hands. 33 00:02:11,033 --> 00:02:12,700 That's all you have to do. 34 00:02:12,700 --> 00:02:17,500 Normal, routine hygiene is sufficient to protect against this virus. 35 00:02:19,400 --> 00:02:22,133 STEPHANIE SY: Meanwhile, he adds, not enough money and attention have been paid to what 36 00:02:22,133 --> 00:02:26,066 we now know is the primary way the virus travels: the air. 37 00:02:26,066 --> 00:02:30,433 DR. EMANUEL GOLDMAN: A teacher from a school system saying they were going to shut down 38 00:02:30,433 --> 00:02:35,433 the schools one day a week for deep cleaning and disinfection. Wouldn't it be better to 39 00:02:37,466 --> 00:02:41,433 use it instead on ventilation systems or hiring more teachers, so you could have fewer students 40 00:02:42,033 --> 00:02:44,033 per class? 41 00:02:44,033 --> 00:02:44,966 DR. SHELLY MILLER, University of Colorado Boulder: You want to try to replicate the 42 00:02:44,966 --> 00:02:47,600 outside, indoors, in your space. 43 00:02:47,600 --> 00:02:51,700 STEPHANIE SY: Dr. Shelly Miller is an environmental engineer at the University of Colorado Boulder. 44 00:02:54,200 --> 00:02:56,800 For decades, she's studied the way pollutants and infectious diseases spread in indoor spaces, 45 00:02:58,800 --> 00:03:02,766 and over the summer helped her own university prepare for when students and faculty return 46 00:03:02,766 --> 00:03:05,266 to campus. 47 00:03:05,266 --> 00:03:08,133 DR. SHELLY MILLER: You want to control the source of the contaminants. And, in this pandemic, 48 00:03:08,133 --> 00:03:13,133 the sources are the infectious people inside. And so, to control the release of virus, you 49 00:03:16,333 --> 00:03:21,333 want to wear a mask, and you also want to be outside of their personal cloud. 50 00:03:23,400 --> 00:03:26,533 But some of the virus can potentially leak into the environment, and then you have to 51 00:03:28,533 --> 00:03:30,600 clean the environment. And the way to do that is the filtration and ventilation. 52 00:03:30,600 --> 00:03:35,500 STEPHANIE SY: The simplest way to do that, she says, open a door or window. 53 00:03:37,400 --> 00:03:40,200 But in many parts of the country where it's still too hot, or becoming too cold, to do 54 00:03:40,200 --> 00:03:45,200 that, Miller says there are different ways to increase a building's mechanical ventilation 55 00:03:45,800 --> 00:03:47,766 and filtration. 56 00:03:47,766 --> 00:03:51,766 Here's a basic guide: Buildings up to code should already be replacing the inside air 57 00:03:53,733 --> 00:03:56,800 with outside air three times an hour. But with coronavirus, that should be doubled, 58 00:03:58,400 --> 00:04:02,500 to six exchanges per hour, and, ideally, to nine exchanges per hour. 59 00:04:02,500 --> 00:04:07,500 And, crucially, the more people there are contained in a space, the more exchanges are 60 00:04:10,066 --> 00:04:12,700 needed. HEPA filters, which stands for high-efficiency particulate air, should also be added to ventilation 61 00:04:14,566 --> 00:04:16,800 systems to increase protection. 62 00:04:16,800 --> 00:04:21,800 If I walk into a restaurant or a classroom, is there a way for me to personally tell if 63 00:04:25,166 --> 00:04:27,900 that is a safe place to be, if there's enough ventilation? 64 00:04:27,900 --> 00:04:32,466 DR. SHELLY MILLER: Unfortunately, at this point in time, no. And that is why, a lot 65 00:04:32,466 --> 00:04:37,000 of times, I have been saying, well, we really need to address this. We need to give buildings 66 00:04:37,000 --> 00:04:42,000 and classrooms and other facilities resources, so they can -- so they can let the public 67 00:04:43,200 --> 00:04:45,666 know how they have attended to this. 68 00:04:45,666 --> 00:04:49,766 STEPHANIE SY: She and others say the Centers for Disease Control and Prevention and the 69 00:04:49,766 --> 00:04:54,766 World Health Organization have been too slow to move away from early guidance on surface 70 00:04:56,633 --> 00:05:00,166 disinfection, and towards clearer guidance on preventing airborne transmission. 71 00:05:02,266 --> 00:05:05,666 Last Friday, the CDC did add language on its Web site about aerosols from coughing or breathing 72 00:05:07,700 --> 00:05:11,033 spreading the virus, and the need for ventilation, then suddenly removed it. 73 00:05:11,033 --> 00:05:14,900 DR. SHELLY MILLER: So, the only rule of thumb I can say is, if you walk into a space and 74 00:05:14,900 --> 00:05:19,900 it feels hot and stuffy in there, and you can smell smoke and you can smell different 75 00:05:22,333 --> 00:05:25,833 odors, then it's probably not ventilated enough, and you probably shouldn't spend very much 76 00:05:26,433 --> 00:05:28,533 time in there. 77 00:05:28,533 --> 00:05:31,333 STEPHANIE SY: Even portable air cleaners can help, and Dr. Miller and her colleagues have 78 00:05:31,333 --> 00:05:35,933 created a guide for schools on these, which you can find on our Web site. 79 00:05:35,933 --> 00:05:40,200 The bottom line: If you're thinking about going back to the gym, to a restaurant, your 80 00:05:40,200 --> 00:05:45,200 office or school, keep washing your hands, keep wearing your mask, and keep social distancing. 81 00:05:47,100 --> 00:05:51,300 But don't let those deep cleans fool you. Ask what they have done about the air. 82 00:05:51,300 --> 00:05:55,233 DR. EMANUEL GOLDMAN: The problem is that it's been out there for so long, and Shakespeare 83 00:05:55,233 --> 00:06:00,266 said it the best, what's done cannot be undone. And it's going to be a long time to turn the 84 00:06:02,200 --> 00:06:06,400 ship around, if ever, because a lot of people still are operating on these assumptions. 85 00:06:07,966 --> 00:06:09,900 STEPHANIE SY: For the "PBS NewsHour," I'm Stephanie Sy in Phoenix.