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Microbiology

Routes and dynamics of transmission: R0, incubation and infectious periods

Routes of transmission, R0 and the herd immunity threshold, incubation versus infectious periods, and how the timing of infectiousness against symptoms decides whether isolation, quarantine or vaccination controls an outbreak.

Tier 1Medical sciences concept

Written with AI assistance and fact-checked against the sources below. For exam study, not clinical decisions. How notes are made

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At a glance

  • Transmission depends on the route, how much organism a case sheds, how long they shed it, and how many susceptible people they meet.
  • The basic reproduction number (R0) is the average number of secondary cases from one case in a fully susceptible population. The effective reproduction number (Re) accounts for immunity and control measures; an outbreak shrinks when Re is below 1.
  • Herd immunity threshold = 1 − 1/R0. Measles (R0 12 to 18) needs about 92 to 94% immunity.

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Last updated
14 November 2026
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