In a new paper, researchers suggest COVID-19 can spread 10 meters or more by breathing.
The plea was issued by 239 scientists from around the world to recognize and mitigate airborne transmission of COVID-19 addressed to international health authorities.
The 239 signatories from 32 countries come from many different areas of science and engineering, including virology, aerosol physics, flow dynamics, exposure and epidemiology, medicine, and building engineering.
The appeal is to address the overwhelming research finding that an infected person exhales airborne virus droplets when breathing and talking that can travel further than the current 1.5m social distance requirement.
The team says studies by the signatories and other scientists have demonstrated beyond any reasonable doubt that viruses are exhaled in microdroplets small enough to remain aloft in the air and pose a risk of exposure beyond 1 to 2m by an infected person.
At typical indoor air velocities, a 5-micron droplet will travel tens of meters, much greater than the scale of a typical room while settling from a height of 1.5m above the floor.
The measures that need to be taken to mitigate airborne transmission include:
Provide sufficient and effective ventilation (supply clean outdoor air, minimize recirculating air) particularly in public buildings, workplace environments, schools, hospitals, and aged care homes.
Supplement general ventilation with airborne infection controls such as local exhaust, high-efficiency air filtration, and germicidal ultraviolet lights.
Avoid overcrowding, particularly in public transport and public buildings.
The team says these are practical and can be easily implemented and many are not costly.
For example, simple steps such as opening both doors and windows can dramatically increase airflow rates in many buildings.
Numerous health authorities currently focus on hand-washing, maintaining social distancing, and droplet precautions.
Hand-washing and social distancing are appropriate, but it is insufficient to provide protection from virus-carrying respiratory microdroplets released into the air by infected people.
Several studies of the SARS epidemic had shown that airborne transmission was the most likely mechanism that explained the spatial pattern of infections.
For example, a recent study analyzed the data and video records in a restaurant where three separate groups of diners contracted COVID-19, and observed no evidence of direct or indirect contact between the three groups, but modeled how the transmission occurred through the air.
The researchers are concerned that people may think they are fully protected by following the current recommendations, but in fact, additional airborne precautions are needed to further reduce the spread of the virus.
One author of the study is QUT Professor Lidia Morawska.
The study is published in the journal Clinical Infectious Diseases.
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