Short-range airborne route dominates exposure of respiratory infection during close contact

A susceptible person experiences the highest exposure risk of respiratory infection when he or she is in close proximity with an infected person. The large droplet route has been commonly believed to be dominant for most respiratory infections since the early 20th century, and the associated droplet...

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Vydáno v:Building and environment Ročník 176; s. 106859
Hlavní autoři: Chen, Wenzhao, Zhang, Nan, Wei, Jianjian, Yen, Hui-Ling, Li, Yuguo
Médium: Journal Article
Jazyk:angličtina
Vydáno: Elsevier Ltd 01.06.2020
Témata:
ISSN:0360-1323, 1873-684X
On-line přístup:Získat plný text
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Abstract A susceptible person experiences the highest exposure risk of respiratory infection when he or she is in close proximity with an infected person. The large droplet route has been commonly believed to be dominant for most respiratory infections since the early 20th century, and the associated droplet precaution is widely known and practiced in hospitals and in the community. The mechanism of exposure to droplets expired at close contact, however, remains surprisingly unexplored. In this study, the exposure to exhaled droplets during close contact (<2 m) via both the short-range airborne and large droplet sub-routes is studied using a simple mathematical model of expired flows and droplet dispersion/deposition/inhalation, which enables the calculation of exposure due to both deposition and inhalation. The short-range airborne route is found to dominate at most distances studied during both talking and coughing. The large droplet route only dominates when the droplets are larger than 100 μm and when the subjects are within 0.2 m while talking or 0.5 m while coughing. The smaller the exhaled droplets, the more important the short-range airborne route. The large droplet route contributes less than 10% of exposure when the droplets are smaller than 50 μm and when the subjects are more than 0.3 m apart, even while coughing. •The smaller the exhaled droplets, the more important the short-range airborne route.•Exhalation velocity impacts significantly on droplet travel distance and size change.•The large droplet route only dominates when the subjects are within 0.2 m while talking or 0.5 m while coughing.•The large droplet route contributes less than 10% of exposure when the droplets are smaller than 50 μm at 0.3 m apart.
AbstractList A susceptible person experiences the highest exposure risk of respiratory infection when he or she is in close proximity with an infected person. The large droplet route has been commonly believed to be dominant for most respiratory infections since the early 20th century, and the associated droplet precaution is widely known and practiced in hospitals and in the community. The mechanism of exposure to droplets expired at close contact, however, remains surprisingly unexplored. In this study, the exposure to exhaled droplets during close contact (<2 m) via both the short-range airborne and large droplet sub-routes is studied using a simple mathematical model of expired flows and droplet dispersion/deposition/inhalation, which enables the calculation of exposure due to both deposition and inhalation. The short-range airborne route is found to dominate at most distances studied during both talking and coughing. The large droplet route only dominates when the droplets are larger than 100 μm and when the subjects are within 0.2 m while talking or 0.5 m while coughing. The smaller the exhaled droplets, the more important the short-range airborne route. The large droplet route contributes less than 10% of exposure when the droplets are smaller than 50 μm and when the subjects are more than 0.3 m apart, even while coughing. •The smaller the exhaled droplets, the more important the short-range airborne route.•Exhalation velocity impacts significantly on droplet travel distance and size change.•The large droplet route only dominates when the subjects are within 0.2 m while talking or 0.5 m while coughing.•The large droplet route contributes less than 10% of exposure when the droplets are smaller than 50 μm at 0.3 m apart.
ArticleNumber 106859
Author Li, Yuguo
Yen, Hui-Ling
Wei, Jianjian
Chen, Wenzhao
Zhang, Nan
Author_xml – sequence: 1
  givenname: Wenzhao
  surname: Chen
  fullname: Chen, Wenzhao
  organization: Department of Mechanical Engineering, The University of Hong Kong, Pokfulam Road, Hong Kong, China
– sequence: 2
  givenname: Nan
  surname: Zhang
  fullname: Zhang, Nan
  organization: Department of Mechanical Engineering, The University of Hong Kong, Pokfulam Road, Hong Kong, China
– sequence: 3
  givenname: Jianjian
  surname: Wei
  fullname: Wei, Jianjian
  organization: Institute of Refrigeration and Cryogenics, Key Laboratory of Refrigeration and Cryogenic Technology of Zhejiang Province, Zhejiang University, Hangzhou, China
– sequence: 4
  givenname: Hui-Ling
  surname: Yen
  fullname: Yen, Hui-Ling
  organization: School of Public Health, The University of Hong Kong, 7 Sassoon Road, Pokfulam, Hong Kong, China
– sequence: 5
  givenname: Yuguo
  surname: Li
  fullname: Li, Yuguo
  email: liyg@hku.hk
  organization: Department of Mechanical Engineering, The University of Hong Kong, Pokfulam Road, Hong Kong, China
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ISSN 0360-1323
IngestDate Tue Nov 18 21:43:23 EST 2025
Sat Nov 29 07:23:43 EST 2025
Fri Feb 23 02:47:20 EST 2024
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Keywords Large droplet
Close contact
Exposure
Short-range airborne
Disease transmission
Language English
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crossref_primary_10_1016_j_buildenv_2020_106859
elsevier_sciencedirect_doi_10_1016_j_buildenv_2020_106859
PublicationCentury 2000
PublicationDate June 2020
2020-06-00
PublicationDateYYYYMMDD 2020-06-01
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PublicationTitle Building and environment
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Title Short-range airborne route dominates exposure of respiratory infection during close contact
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