It's both. The spread of a virus like the new coronavirus depends on a range of environmental and epidemiological factors that ultimately lead to transmission in individual cases or clusters. These include the patient and what stage of disease they are in, their behaviour, their environment, and the amount of time spent in that environment.
"We are not all the same," said Christl Donnelly, a professor of statistical epidemiology at Imperial College London."We vary in our immune systems, in our behaviour, and in where we happen to be. All of these things can affect how many people we would transmit to. Thus, biological and behavioural factors can contribute, but so can time and place.
The WHO described the South Korea outbreak as a"cluster" of cases and reiterated that it does not use super-spreading as a technical term. Last week, a WHO spokesman, asked about groups of infections in Singapore, France, Britain, Germany and elsewhere, said:"We don't have enough evidence to confirm a case involving a super-spreading event in the COVID-19 outbreak".
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