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Non-contagious infections, by contrast, usually require a special mode of transmission between persons or hosts. These include need for intermediate vector species (mosquitoes that carry malaria) or by non-casual transfer of bodily fluid (such as transfusions, needle sharing or sexual contact). The boundary between contagious and non-contagious infectious diseases is not perfectly drawn, as illustrated classically by tuberculosis, which is clearly transmissible from person to person but was not classically considered a contagious disease. In the present day, most sexually transmitted infections are considered contagious, but only some of them are subject to medical isolation.
Originally, the term referred to a contagion (a derivative of 'contact') or disease transmissible only by direct physical contact. In the modern-day, the term has sometimes been broadened to encompass any communicable or infectious disease. Often the word can only be understood in context, where it is used to emphasize very infectious, easily transmitted, or especially severe communicable disease.
Effect on Public Health Response
Most epidemics are caused by contagious diseases, with occasional exceptions, such as yellow fever. The spread of non-contagious communicable diseases is changed either very little or not at all by medical isolation of ill persons or medical quarantine for exposed persons. Thus, a "contagious disease" is sometimes defined in practical terms, as a disease for which isolation or quarantine are useful public health responses.
- "Merriam-Webster dictionary definition of contagious disease". Retrieved 2009-11-27.
-  A primer from the CDC on quarantine and its uses against contagious disease spread. Accessed Nov. 27, 2009.