Even then, ich goes from the sand bed to the fish. It would have to tank a weird route to get from the sand, skip the fish, go through the UV, and then get in contact with the fish once it has been damaged.
Not saying that you can't have a tank with ich and fish surviving, but that I doubt fish are not built for ich management with constant reinfections of the parasite as these fish are not trapped in small boxes in the wild with the same parasite over and over again. I really never understood why ich management vs QT is an argument. One absolutely works, the other is just saying welp I guess I'll see if it dies or not. It is not really comparible as they are not doing the same thing (in fact they are doing the opposite). I am not saying that everyone must QT or they are irresponsible as its not practical for everyone, but I think that ich management is just a polite way of saying I am not going to stop my fish from repeatedly getting sick, and every new fish I get is either going to die or survive.