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Published on: Jul 07, 2020
1 minute read
By: Dr Rajan Choudhary

Asymptomatic Carriers Of COVID

Why Asymptomatic carriers of COVID are as dangerous as symptomatic patients

Many countries have now begun enforcing masks for everyone to wear when out in public, in enclosed spaces, or on public transport. There is good evidence to support these measures, but unfortunately, some still show resistance to the idea. Whilst some reasons put forward are non-sensical (masks do not cause any noticeable or measurable decrease in oxygen delivery to the body), other people feel like they shouldn’t wear a mask because they do not have symptoms of COVID. And thus would not spread anything. Here we look at a recent publication in Nature, one of the most esteemed peer-reviewed scientific journals in the world, and what it shows us about the transmission of COVID in a population.

This study by Lavezzo et al looked at the suppression of the SARS-CoV-2 outbreak in the Italian municipality of Vo’. This municipality is 50 kilometers west of Venice with a population of just 3,416 people. It experienced its first casualty of COVID on the 21st of February, after which it underwent lockdown for 14 days. During this time data was collected on the clinical presentation and hospitalization of COVID patients, as well as other citizens through the contact tracing network.

In total 2,812 residents were tested in late February, with another 2,343 tests performed two weeks later at the end of lockdown. Nasal and throat swabs were taken to identify infected individuals. The study found only 2.6% of people were positive for COVID at the start of lockdown, which reduced to 1.2% two weeks later.

Out of this infected population, 42.5% were asymptomatic. They had no symptoms at the time of swab testing nor did they develop symptoms afterwards. When the viral load was measured between symptomatic and asymptomatic patients, there was little difference.

Evidence has pointed to a large asymptomatic population, and previous studies have shown it to be as high as 50% in some cases. Many would assume if a patient has no symptoms then they must have fought the infection before it became an issue, or had a very low viral load and therefore were not likely to spread it. This study shows it is simply not true. Asymptomatic carriers of COVID are likely to contribute to the transmission and spread of COVID amongst the population.

If you are asymptomatic you have as high a viral load as someone who is symptomatic. But there is no way to tell without a swab. You have as much of a potential to spread the infection to the vulnerable. Even in people who became symptomatic the height of transmission was found to be before the patient showed any symptoms.

So what does this mean? If you have COVID you are likely to spread it before you show any symptoms or any symptoms at all. We know masks are effective at significantly reducing the spread of COVID, by catching the water droplets that carry the SARS-CoV-2 Virus. Now that shops and public places are re-opening, the risk of spread is high.

Wear a mask. Stop the spread.

https://www.nature.com/articles/s41586-020-2488-1_reference.pdf suppression of a SARS article

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Flexible Work Schedules with Telehealth Support: A Smarter Approach to Employee Wellbeing

The modern workplace is undergoing a significant transformation. Rigid office hours and traditional healthcare access models are giving way to flexible work schedules and digital health solutions. One of the most impactful combinations emerging in corporate wellness is flexible work schedules with telehealth support.

This integrated approach addresses two critical challenges faced by today’s workforce: work-life imbalance and delayed healthcare access.

Why Workplace Health Models Need to Change

According to NITI Aayog and EY-FICCI workforce reports, Indian employees face rising levels of:

work-related stress
lifestyle diseases
burnout
absenteeism

Long working hours, commuting stress and limited time for medical visits worsen health outcomes. Flexible work arrangements and telehealth support directly address these gaps.

What Are Flexible Work Schedules?

Flexible work schedules allow employees to:

adjust start and end times
work remotely or in hybrid formats
manage personal commitments alongside work

Flexibility empowers employees to align work with their physical and mental health needs.

Understanding Telehealth Support

Telehealth uses digital platforms to deliver healthcare services such as:

online doctor consultations
follow-up care
preventive health advice
mental health support

It eliminates geographical and time barriers to healthcare.

Why Combining Flexibility with Telehealth Works

Individually, flexibility and telehealth are beneficial. Together, they create a powerful wellness ecosystem.

This combination allows employees to:

consult doctors without taking leave
manage chronic conditions proactively
address early symptoms promptly
reduce healthcare delays

Health Benefits for Employees

Reduced Stress and Burnout

Flexible schedules reduce time pressure, while telehealth removes healthcare-related anxiety.

Improved Access to Preventive Care

Employees are more likely to seek early consultations when care is convenient.

Better Management of Chronic Conditions

Conditions like hypertension, diabetes and thyroid disorders require regular follow-up, which telehealth supports efficiently.

Enhanced Mental Wellbeing

Tele-mental health services enable confidential and timely support.

Improved Work-Life Balance

Employees can prioritise health without compromising job responsibilities.

Productivity Benefits for Employers

Reduced Absenteeism

Quick access to care reduces prolonged sick leave.

Improved Employee Engagement

Health-supported employees show higher motivation and loyalty.

Lower Healthcare Costs

Preventive care reduces long-term medical claims.

Strong Employer Branding

Wellness-focused policies attract and retain talent.

Evidence Supporting Flexible Work and Telehealth

According to WHO and Lancet workplace health studies:

flexible work reduces stress-related disorders
telehealth improves healthcare utilisation
preventive care lowers chronic disease burden

Indian corporate data mirrors these findings, especially in hybrid work environments.

Role in Preventive Healthcare

Preventive healthcare focuses on early risk identification and lifestyle management.

Flexible schedules with telehealth support:

encourage routine checkups
support ongoing health monitoring
enable early intervention

This aligns with India’s preventive healthcare priorities outlined by NITI Aayog.

Addressing Common Concerns

Productivity Loss Myth

Multiple studies show flexible work improves output rather than reducing it.

Quality of Telehealth

Telehealth is effective for most primary care and follow-up needs.

Data Security

Modern telehealth platforms follow strict privacy and data protection standards.

Ideal Use Cases in the Workplace

This model is particularly effective for:

IT and corporate offices
remote and hybrid teams
organisations with distributed workforce
high-stress work environments

Implementation Best Practices

To maximise impact:

set clear flexibility guidelines
integrate telehealth access into HR benefits
promote preventive consultations
track wellness metrics

Leadership support is key to adoption.

Long-Term Organisational Impact

Organisations adopting this model report:

improved employee health indicators
reduced burnout
stronger workplace culture
sustainable productivity gains

Wellbeing becomes a strategic advantage.

Conclusion

Flexible work schedules with telehealth support represent the future of employee wellbeing. By removing barriers to healthcare access and allowing employees control over their work routines, this approach promotes preventive care, reduces stress and enhances productivity. As workplaces evolve, integrating flexibility with digital health support is not just an employee benefit—it is a strategic investment in long-term organisational health and resilience.

References

World Health Organization (WHO) – Workplace Health Promotion Framework
Indian Council of Medical Research (ICMR) – Lifestyle Disease and Workforce Health Studies
NITI Aayog – Digital Health and Workplace Wellness Reports
Lancet – Telehealth and Workforce Productivity Research
EY-FICCI – Corporate Wellness and Future of Work Reports
Statista – Telehealth Adoption and Workforce Trends

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