Recognition of aerosol transmission of infectious agents: a commentary

Abstract Although short-range large-droplet transmission is possible for most respiratory infectious agents, deciding on whether the same agent is also airborne has a potentially huge impact on the types (and costs) of infection control interventions that are required. The concept and definition of...

Full description

Bibliographic Details
Main Authors: Raymond Tellier, Yuguo Li, Benjamin J. Cowling, Julian W. Tang
Format: Article
Language:English
Published: BMC 2019-01-01
Series:BMC Infectious Diseases
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12879-019-3707-y
_version_ 1818031739439677440
author Raymond Tellier
Yuguo Li
Benjamin J. Cowling
Julian W. Tang
author_facet Raymond Tellier
Yuguo Li
Benjamin J. Cowling
Julian W. Tang
author_sort Raymond Tellier
collection DOAJ
description Abstract Although short-range large-droplet transmission is possible for most respiratory infectious agents, deciding on whether the same agent is also airborne has a potentially huge impact on the types (and costs) of infection control interventions that are required. The concept and definition of aerosols is also discussed, as is the concept of large droplet transmission, and airborne transmission which is meant by most authors to be synonymous with aerosol transmission, although some use the term to mean either large droplet or aerosol transmission. However, these terms are often used confusingly when discussing specific infection control interventions for individual pathogens that are accepted to be mostly transmitted by the airborne (aerosol) route (e.g. tuberculosis, measles and chickenpox). It is therefore important to clarify such terminology, where a particular intervention, like the type of personal protective equipment (PPE) to be used, is deemed adequate to intervene for this potential mode of transmission, i.e. at an N95 rather than surgical mask level requirement. With this in mind, this review considers the commonly used term of ‘aerosol transmission’ in the context of some infectious agents that are well-recognized to be transmissible via the airborne route. It also discusses other agents, like influenza virus, where the potential for airborne transmission is much more dependent on various host, viral and environmental factors, and where its potential for aerosol transmission may be underestimated.
first_indexed 2024-12-10T05:56:16Z
format Article
id doaj.art-043a10f0b53a485786bd9a01499e96e0
institution Directory Open Access Journal
issn 1471-2334
language English
last_indexed 2024-12-10T05:56:16Z
publishDate 2019-01-01
publisher BMC
record_format Article
series BMC Infectious Diseases
spelling doaj.art-043a10f0b53a485786bd9a01499e96e02022-12-22T01:59:55ZengBMCBMC Infectious Diseases1471-23342019-01-011911910.1186/s12879-019-3707-yRecognition of aerosol transmission of infectious agents: a commentaryRaymond Tellier0Yuguo Li1Benjamin J. Cowling2Julian W. Tang3Department of Pathology and Laboratory Medicine, University of CalgaryDepartment of Mechanical Engineering, University of Hong KongWHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, The University of Hong KongDepartment of Infection, Immunity and Inflammation, University of LeicesterAbstract Although short-range large-droplet transmission is possible for most respiratory infectious agents, deciding on whether the same agent is also airborne has a potentially huge impact on the types (and costs) of infection control interventions that are required. The concept and definition of aerosols is also discussed, as is the concept of large droplet transmission, and airborne transmission which is meant by most authors to be synonymous with aerosol transmission, although some use the term to mean either large droplet or aerosol transmission. However, these terms are often used confusingly when discussing specific infection control interventions for individual pathogens that are accepted to be mostly transmitted by the airborne (aerosol) route (e.g. tuberculosis, measles and chickenpox). It is therefore important to clarify such terminology, where a particular intervention, like the type of personal protective equipment (PPE) to be used, is deemed adequate to intervene for this potential mode of transmission, i.e. at an N95 rather than surgical mask level requirement. With this in mind, this review considers the commonly used term of ‘aerosol transmission’ in the context of some infectious agents that are well-recognized to be transmissible via the airborne route. It also discusses other agents, like influenza virus, where the potential for airborne transmission is much more dependent on various host, viral and environmental factors, and where its potential for aerosol transmission may be underestimated.http://link.springer.com/article/10.1186/s12879-019-3707-yAerosolAirborneDropletTransmissionInfection
spellingShingle Raymond Tellier
Yuguo Li
Benjamin J. Cowling
Julian W. Tang
Recognition of aerosol transmission of infectious agents: a commentary
BMC Infectious Diseases
Aerosol
Airborne
Droplet
Transmission
Infection
title Recognition of aerosol transmission of infectious agents: a commentary
title_full Recognition of aerosol transmission of infectious agents: a commentary
title_fullStr Recognition of aerosol transmission of infectious agents: a commentary
title_full_unstemmed Recognition of aerosol transmission of infectious agents: a commentary
title_short Recognition of aerosol transmission of infectious agents: a commentary
title_sort recognition of aerosol transmission of infectious agents a commentary
topic Aerosol
Airborne
Droplet
Transmission
Infection
url http://link.springer.com/article/10.1186/s12879-019-3707-y
work_keys_str_mv AT raymondtellier recognitionofaerosoltransmissionofinfectiousagentsacommentary
AT yuguoli recognitionofaerosoltransmissionofinfectiousagentsacommentary
AT benjaminjcowling recognitionofaerosoltransmissionofinfectiousagentsacommentary
AT julianwtang recognitionofaerosoltransmissionofinfectiousagentsacommentary