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Coronavirus, 239 Scientists agree on Aerosolization transmission Analytics Table
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It is Time to Address Airborne Transmission of COVID-19 (Clinical Infectious Disease, 6 July) https://academic.oup.com/cid/article/doi/10.1093/cid/ciaa939/5867798 239 scientists support this Commentary Potential for airborne spread of COVID-19 Significant potential for inhalation exposure Microscopic respiratory droplets (microdroplets) Viruses are released during exhalation, talking, and coughing in microdroplets Small enough to remain aloft in air 5 μm droplet will travel tens of meters Transmission via airborne microdroplets is an important pathway Hand washing and social distancing are appropriate, but insufficient Viruses have been shown to survive equally well, if not better, in aerosols compared to droplets on a surface Several superspreading events We must address every potentially important pathway to slow the spread of COVID-19 Measures that should be taken 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. WHO response https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200326-sitrep-66-covid-19.pdf?sfvrsn=81b94e61_2 Transmission through smaller droplet nuclei (airborne transmission) that propagate through air at distances longer than 1 meter is limited to aerosol generating procedures during clinical care of COVID-19 patients. In all other contexts, available evidence indicates that COVID-19 virus is transmitted during close contact through respiratory droplets (such as coughing) and by fomites. WHO continues to recommend Everyone performs hand hygiene frequently Follows respiratory etiquette Regularly clean and disinfect surfaces Maintaining physical distances Avoiding people with fever or respiratory symptoms These preventive measures will limit viral transmission WHO, However We are also looking at the possible role of airborne transmission in other settings We will be releasing our brief in the coming days We acknowledge there is emerging evidence in this field Therefore, we believe we have to be open to this evidence and its implications Determining the dose of the virus required for airborne transmission These fields of research are really growing but not definitive The possibility of airborne transmission in public settings — especially closed, poorly ventilated settings — cannot be ruled out Importance of removal of the virus-laden droplets from indoor air by ventilation
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