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1) both Austin and SS will spread the disease regardless of "the Cure", depending how the disease is spread. We went over this with the covid shots.
2) half a dose for a child is about right.
If every moral choice is clear cut, you don't understand the problem.
Either way, living in the relative safety of Vault 81, Austin could probably be quarantined effectively (indefinitely or until he's no longer infectious), but I don't think the same could be said for the Sole Survivor as they go back out into the wasteland without a cure to face constant injuries, and sleep with multiple partners.
Since the Sole Survivor has only just been infected and is yet to develop serious symptoms, there's a reasonable chance that giving them the cure will exclude them from becoming an infection risk and spare the wasteland from a plague outbreak.
Not that I imagine it matters so much for Vault 81; they can just seal the doors if the surface is ravaged by an incurable disease.
Get bitten by a mole rat. Get mole rat disease.
Go fight ferals. get bitten by feral.
Ferals bite others.
fight normal mole rats.
Normal mole rats bite others.
Get bitten by blood bugs.
Get bitten by rad-bears.
use berry mentats to see molerats before they appear
assign a shortcut key for jet