[Goose]

Considering that 54% of SCC cases are from unknown contacts, maybe fomites are playing a bigger role than the CDC currently acknowledges.

Could be true. However, the 54% of the cases not being from known contacts is more easily explained by the fact that a total of 58% of the cases either name no contacts (do not cooperate) or cannot be reached (15%). I think that is a much bigger problem.

I know of a case last week in a food service that has me concerned about how many secondary infections could be from fomites from this one person.  I believe that if you went to a eating establishment (indoors, outdoors, to-go), and a server, cashier, or cook got sick, or you go ot a grocery store where a cashier or stocker got sick, you wouldn't be informed.  If you got sick, you'd be in that 54% with unknown contacts.

Probably true you would not be contacted as a "close contact" unless you were known to have been served by the employee in question. It is unclear to me what would happen when you showed up sick. In "normal" times, effort would be expended figuring out where you got the disease, and the establishment with the positive case would come under scrutiny. An even better question that I have no answer for is if a person tests positive and names a contact who has previously tested positive but did not name the current person as a contact counted as a contact to a case? Clearly the subsequent case IS a contact to a case, but was not originally named as such.

[Goose]

Considering that 54% of SCC cases are from unknown contacts, maybe fomites are playing a bigger role than the CDC currently acknowledges.

Could be true. However, the 54% of the cases not being from known contacts is more easily explained by the fact that a total of 58% of the cases either name no contacts (do not cooperate) or cannot be reached (15%). I think that is a much bigger problem.

I know of a case last week in a food service that has me concerned about how many secondary infections could be from fomites from this one person.  I believe that if you went to a eating establishment (indoors, outdoors, to-go), and a server, cashier, or cook got sick, or you go ot a grocery store where a cashier or stocker got sick, you wouldn't be informed.  If you got sick, you'd be in that 54% with unknown contacts.

Probably true you would not be contacted as a "close contact" unless you were known to have been served by the employee in question. It is unclear to me what would happen when you showed up sick. In "normal" times, effort would be expended figuring out where you got the disease, and the establishment with the positive case would come under scrutiny. An even better question that I have no answer for is if a person tests positive and names a contact who has previously tested positive but did not name the current person as a contact counted as a contact to a case? Clearly the subsequent case IS a contact to a case, but was not originally named as such.