Humidity as a non-pharmaceutical intervention for influenza A.

Influenza is a global problem infecting 5-10% of adults and 20-30% of children annually. Non-pharmaceutical interventions (NPIs) are attractive approaches to complement vaccination in the prevention and reduction of influenza. Strong cyclical reduction of absolute humidity has been associated with i...

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Main Authors: Jennifer M Reiman, Biswadeep Das, Gregory M Sindberg, Mark D Urban, Madeleine E M Hammerlund, Han B Lee, Katie M Spring, Jamie Lyman-Gingerich, Alex R Generous, Tyler H Koep, Kevin Ewing, Phil Lilja, Felicity T Enders, Stephen C Ekker, W Charles Huskins, Hind J Fadel, Chris Pierret
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC6155525?pdf=render
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author Jennifer M Reiman
Biswadeep Das
Gregory M Sindberg
Mark D Urban
Madeleine E M Hammerlund
Han B Lee
Katie M Spring
Jamie Lyman-Gingerich
Alex R Generous
Tyler H Koep
Kevin Ewing
Phil Lilja
Felicity T Enders
Stephen C Ekker
W Charles Huskins
Hind J Fadel
Chris Pierret
author_facet Jennifer M Reiman
Biswadeep Das
Gregory M Sindberg
Mark D Urban
Madeleine E M Hammerlund
Han B Lee
Katie M Spring
Jamie Lyman-Gingerich
Alex R Generous
Tyler H Koep
Kevin Ewing
Phil Lilja
Felicity T Enders
Stephen C Ekker
W Charles Huskins
Hind J Fadel
Chris Pierret
author_sort Jennifer M Reiman
collection DOAJ
description Influenza is a global problem infecting 5-10% of adults and 20-30% of children annually. Non-pharmaceutical interventions (NPIs) are attractive approaches to complement vaccination in the prevention and reduction of influenza. Strong cyclical reduction of absolute humidity has been associated with influenza outbreaks in temperate climates. This study tested the hypothesis that raising absolute humidity above seasonal lows would impact influenza virus survival and transmission in a key source of influenza virus distribution, a community school. Air samples and objects handled by students (e.g. blocks and markers) were collected from preschool classrooms. All samples were processed and PCR used to determine the presence of influenza virus and its amount. Additionally samples were tested for their ability to infect cells in cultures. We observed a significant reduction (p < 0.05) in the total number of influenza A virus positive samples (air and fomite) and viral genome copies upon humidification as compared to control rooms. This suggests the future potential of artificial humidification as a possible strategy to control influenza outbreaks in temperate climates. There were 2.3 times as many ILI cases in the control rooms compared to the humidified rooms, and whether there is a causal relationship, and its direction between the number of cases and levels of influenza virus in the rooms is not known. Additional research is required, but this is the first prospective study suggesting that exogenous humidification could serve as a scalable NPI for influenza or other viral outbreaks.
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spelling doaj.art-9f84f6e74b434b55be8f7fe473de5bc22022-12-22T02:54:15ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01139e020433710.1371/journal.pone.0204337Humidity as a non-pharmaceutical intervention for influenza A.Jennifer M ReimanBiswadeep DasGregory M SindbergMark D UrbanMadeleine E M HammerlundHan B LeeKatie M SpringJamie Lyman-GingerichAlex R GenerousTyler H KoepKevin EwingPhil LiljaFelicity T EndersStephen C EkkerW Charles HuskinsHind J FadelChris PierretInfluenza is a global problem infecting 5-10% of adults and 20-30% of children annually. Non-pharmaceutical interventions (NPIs) are attractive approaches to complement vaccination in the prevention and reduction of influenza. Strong cyclical reduction of absolute humidity has been associated with influenza outbreaks in temperate climates. This study tested the hypothesis that raising absolute humidity above seasonal lows would impact influenza virus survival and transmission in a key source of influenza virus distribution, a community school. Air samples and objects handled by students (e.g. blocks and markers) were collected from preschool classrooms. All samples were processed and PCR used to determine the presence of influenza virus and its amount. Additionally samples were tested for their ability to infect cells in cultures. We observed a significant reduction (p < 0.05) in the total number of influenza A virus positive samples (air and fomite) and viral genome copies upon humidification as compared to control rooms. This suggests the future potential of artificial humidification as a possible strategy to control influenza outbreaks in temperate climates. There were 2.3 times as many ILI cases in the control rooms compared to the humidified rooms, and whether there is a causal relationship, and its direction between the number of cases and levels of influenza virus in the rooms is not known. Additional research is required, but this is the first prospective study suggesting that exogenous humidification could serve as a scalable NPI for influenza or other viral outbreaks.http://europepmc.org/articles/PMC6155525?pdf=render
spellingShingle Jennifer M Reiman
Biswadeep Das
Gregory M Sindberg
Mark D Urban
Madeleine E M Hammerlund
Han B Lee
Katie M Spring
Jamie Lyman-Gingerich
Alex R Generous
Tyler H Koep
Kevin Ewing
Phil Lilja
Felicity T Enders
Stephen C Ekker
W Charles Huskins
Hind J Fadel
Chris Pierret
Humidity as a non-pharmaceutical intervention for influenza A.
PLoS ONE
title Humidity as a non-pharmaceutical intervention for influenza A.
title_full Humidity as a non-pharmaceutical intervention for influenza A.
title_fullStr Humidity as a non-pharmaceutical intervention for influenza A.
title_full_unstemmed Humidity as a non-pharmaceutical intervention for influenza A.
title_short Humidity as a non-pharmaceutical intervention for influenza A.
title_sort humidity as a non pharmaceutical intervention for influenza a
url http://europepmc.org/articles/PMC6155525?pdf=render
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