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The absence of large numbers of published in-flight transmissions of SARS-CoV-2 is not definitive evidence of safety. All peer-reviewed publications of flights with possible transmission are categorized by the quantity of transmission. Three mass transmission flights without masking are contrasted to 5 with strict masking and 58 cases with zero transmission.
‘Immunity passport’ (also called ''immunity certificate'' or ''immunity license'' has been suggested to certify traveler’ protection from SARS-CoV-2 infection. Some data have demonstrated development of neutralizing antibodies that may protect against reinfection and reduce disease severity in the short-term, and some tests correlate with virus neutralization. More evidence is needed on serologies for such certification to facilitate travel, to protect travelers and their destination countries.
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