New data suggest that casual contact at social settings accounts for much TB transmission. The CONTEXT (Casual Contact and Migration in XDR-TB) study, conducted in KwaZulu-Natal, South Africa, found that close contact explained only 9% of TB transmission links, while casual contact accounted for 49%. The findings were presented at CROI 2025. These findings come in the context of other research that suggest TB could be transmitted through breathing, and growing evidence that people with asymptomatic TB can transmit the infection.
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