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Contact Transmission of Infectious Diseases

Aug 17, 2025

Overview

This lecture explains the three types of contact transmission for infectious diseases: direct contact, indirect contact (fomites), and droplet transmission.

Types of Contact Transmission

  • Infectious diseases can spread by contact transmission between people or through contaminated items.
  • There are three types: direct contact transmission, indirect contact transmission, and droplet transmission.

Direct Contact Transmission

  • Direct contact transmission occurs when a sick person physically touches a healthy person, spreading pathogens.
  • Examples include kissing, holding hands, or sexual contact.
  • Sexually transmitted infections are often spread by direct contact.

Indirect Contact Transmission

  • Indirect contact transmission happens when pathogens are transferred via an inanimate object called a fomite.
  • Fomites include door handles, towels, needles, computer keyboards, and mice.
  • A person contaminates the object, and another gets infected by touching the same object.
  • Sharing needles, towels, and similar objects increases the risk.

Droplet Transmission

  • Droplet transmission involves pathogens carried in droplets expelled during coughing or sneezing.
  • Droplets can travel about one meter from the source.
  • A person can get infected by droplets landing directly on them or by touching surfaces with droplets.
  • Droplet transmission is different from airborne transmission (e.g., measles), which can linger in the air longer and travel further.

Key Terms & Definitions

  • Direct Contact Transmission — Disease spread by direct physical contact between individuals.
  • Indirect Contact Transmission — Disease spread through inanimate objects (fomites) touched by an infected person.
  • Fomite — An inanimate object capable of carrying infectious organisms and transferring them to a person.
  • Droplet Transmission — Spread of disease via droplets from sneezing or coughing that travel short distances.
  • Airborne Transmission — Spread of pathogens through the air over longer distances and times than droplets.

Action Items / Next Steps

  • Review examples of each contact transmission type.
  • Remember the distinction between droplet and airborne transmission for exams.