Peering inside a cough or sneeze to explain enhanced airborne transmission under dry weather

Real-time 4D tracking of airborne virus-laden droplets and aerosols

There is currently no real-time airborne virus tracking method, hindering the understanding of rapid virus changes and associated health impacts. Nano-digital in-line holographic microscopy (Nano-DIHM) is a lensless technology that can directly obtain the interference patterns of objects by recording the scattered light information originating from the objects. Here, we provide evidence for real-time physicochemical tracking of virus-laden droplets and aerosols in the air using desktop label-free Nano-DIHM. The virus interference patterns, as single and ensemble particles, were imaged by the Nano-DIHM with 32.5 ms resolution. The next-generation Stingray and Octopus software was used to automate object detection, characterization and classification from the recorded holograms. The detection system was demonstrated to detect active MS2 bacteriophages, inactivated SARS-CoV-2 and RNA fragments, and an MS2 mixture with metallic and organic compounds. This work demonstrates the feasibility of using Nano-DIHM to provide rapid virus detection to improve transmission management in real time.

Devendra Pal and coworkers report an imaging system using Nano-Digital in-line Holographic Microscopy (NanoDIHM) to detect airborne viruses in droplets and aerosols in real time. This system is able to detect various viruses in air, water and heterogeneous matrices within one minute, enabling real-time tracking of pollutant particles for efficient epidemic management.

Influence of indoor environmental conditions on airborne transmission and lifetime of sneeze droplets in a confined space: a way to reduce COVID-19 spread

Effects of indoor temperature (T∞) and relative humidity (RH∞) on the airborne transmission of sneeze droplets in a confined space were studied over the T∞ range of 15-30 °C and RH∞ of 22-62%. In addition, a theoretical evaporation model was used to estimate the droplet lifetime based on experimental data. The results showed that the body mass index (BMI) of the participants played an important role in the sneezing jet velocity, while the impact of the BMI and gender of participants was insignificant on the size distribution of droplets. At a critical relative humidity RH∞,crit of 46%, the sneezing jet velocity and droplet lifetime were roughly independent of T∞. At RH∞ < RH∞,crit, the sneezing jet velocity decreased by increasing T∞ from 15 to 30 °C, while its trend was reversed at RH∞ > RH∞,crit. The maximum spreading distance of aerosols increased by decreasing the RH∞ and increasing T∞, while the droplet lifetime increased by decreasing T∞ at RH∞ > RH∞,crit. The mean diameter of aerosolized droplets was less affected by T∞ than the large droplets at RH∞ < RH∞,crit, while the mean diameter and number fraction of aerosols were more influenced by RH∞ than the T∞ in the range of 46% ≤ RH∞ ≤ 62%. In summary, this study suggests suitable indoor environmental conditions by considering the transmission rate and lifetime of respiratory droplets to reduce the spread of COVID-19.

Mechanisms controlling the transport and evaporation of human exhaled respiratory droplets containing the severe acute respiratory syndrome coronavirus: a review

Transmission of the coronavirus disease 2019 is still ongoing despite mass vaccination, lockdowns, and other drastic measures to control the pandemic. This is due partly to our lack of understanding on the multiphase flow mechanics that control droplet transport and viral transmission dynamics. Various models of droplet evaporation have been reported, yet there is still limited knowledge about the influence of physicochemical parameters on the transport of respiratory droplets carrying the severe acute respiratory syndrome coronavirus 2. Here we review the effects of initial droplet size, environmental conditions, virus mutation, and non-volatile components on droplet evaporation and dispersion, and on virus stability. We present experimental and computational methods to analyze droplet transport, and factors controlling transport and evaporation. Methods include thermal manikins, flow techniques, aerosol-generating techniques, nucleic acid-based assays, antibody-based assays, polymerase chain reaction, loop-mediated isothermal amplification, field-effect transistor-based assay, and discrete and gas-phase modeling. Controlling factors include environmental conditions, turbulence, ventilation, ambient temperature, relative humidity, droplet size distribution, non-volatile components, evaporation and mutation. Current results show that medium-sized droplets, e.g., 50 µm, are sensitive to relative humidity. Medium-sized droplets experience delayed evaporation at high relative humidity, and increase airborne lifetime and travel distance. By contrast, at low relative humidity, medium-sized droplets quickly shrink to droplet nuclei and follow the cough jet. Virus inactivation within a few hours generally occurs at temperatures above 40 °C, and the presence of viral particles in aerosols impedes droplet evaporation.

Effect of indoor temperature on the velocity fields and airborne transmission of sneeze droplets: An experimental study and transient CFD modeling

The spread of the COVID-19 pandemic through the airborne transmission of coronavirus-containing droplets emitted during coughing, sneezing, and speaking has now been well recognized. This study presented the effect of indoor temperature (T_∞) on the airflow dynamics, velocity fields, size distribution, and airborne transmission of sneeze droplets in a confined space through experimental investigation and computational fluid dynamic (CFD) modeling. The CFD simulations were performed using the renormalization group k-ε turbulence model. The experimental shadowgraph imaging and CFD simulations showed the time evolution of sneeze droplet concentrations into the turbulent expanded puff, droplet cloud, and fully-dispersed droplets. Also, the predicted mean velocity of droplets was compared with the obtained experimental data to assess the accuracy of the results. In addition, the validated computational model was used to study the sneeze complex airflow behavior and airborne transmission of small, medium, and large respiratory droplets in confined spaces at different temperatures. The warm room showed more than ∼14 % increase in airborne aerosols than the room with a mild temperature. The study provides information on the effect of room temperature on the evaporation of respiratory droplets during sneezing. The findings of this fundamental study may be used in developing exposure guidelines by controlling the temperature level in indoor environments to reduce the exposure risk of COVID-19.

Reducing Virus Transmission from Heating, Ventilation, and Air Conditioning Systems of Urban Subways

Aerosols carrying the virus inside enclosed spaces is an important mode of transmission for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), as supported by growing evidence. Urban subways are one of the most frequented enclosed spaces. The subway is a utilitarian and low-cost transit system in modern society. However, studies are yet to demonstrate patterns of viral transmission in subway heating, ventilation, and air conditioning (HVAC) systems. To fill this gap, we performed a computational investigation of the airflow (and associated aerosol transmission) in an urban subway cabin equipped with an HVAC system. We employed a transport equation for aerosol concentration, which was added to the basic buoyant solver to resolve the aerosol transmission inside the subway cabin. This was achieved by considering the thermal, turbulent, and induced ventilation flow effects. Using the probability of encountering aerosols on sampling surfaces crossing the passenger breathing zones, we detected the highest infection risk zones inside the urban subway under different settings. We proposed a novel HVAC system that can impede aerosol spread, both vertically and horizontally, inside the cabin. In the conventional model, the maximum probability of encountering aerosols from the breathing of infected individuals near the fresh-air ducts was equal to 51.2%. This decreased to 3.5% in the proposed HVAC model. Overall, using the proposed HVAC system for urban subways led to a decrease in the mean value of the probability of encountering the aerosol by approximately 84% compared with that of the conventional system.

Application of virtual product design to the development of HVAC solution for Incheon International Airport Modular COVID-19 testing center

Owing to the spread of COVID-19, the need for an inspection center that can quickly determine whether travelers using the airport are infected has emerged. For rapid determination, not only polymerase chain reaction tests but also antigen-antibody tests and on-site analysis systems are required. However, because it is time- and cost-intensive to construct a building that meets the standards for negative pressure facilities, modular negative pressure facilities are being installed as alternatives. Existing negative pressure facilities have problems such as increased energy consumption due to outdoor air load and condensation due to differences in indoor and outdoor temperatures and humidities caused by excessive external air inflow to achieve the target negative pressure and air change rate (ACH). In addition, owing to the installation of additional devices, additional construction is required to use them for other purposes in the future. To solve these problems, in this study, energy recovery ventilation (ERV) was employed to develop a heating, ventilation and air conditioning (HVAC) solution for the Incheon International Airport COVID-19 Testing Center. To shorten the development period, virtual product design (VPD) using computational fluid dynamics analysis-based design of experiments was performed. Owing to the application of VPD, the Incheon International Airport Modular COVID-19 Testing Center was completed in 2 weeks. The target pressure was measured in all spaces by applying the optimal conditions derived through VPD. In addition, owing to the application of ERV, the ACH of an airborne infectious isolation room exceeded the value suggested by international organizations.

Dispersion of free-falling saliva droplets by two-dimensional vortical flows

ABSTRACT

The dispersion of respiratory saliva droplets by indoor wake structures may enhance the transmission of various infectious diseases, as the wake spreads virus-laden droplets across the room. Thus, this study analyzes the interaction between vortical wake structures and exhaled multi-component saliva droplets. A self-propelling analytically described dipolar vortex is chosen as a model wake flow, passing through a cloud of micron-sized evaporating saliva droplets. The droplets' spatial location, velocity, diameter, and temperature are traced, coupled to their local flow field. For the first time, the wake structure decay is incorporated and analyzed, which is proved essential for accurately predicting the settling distances of the dispersed droplets. The model also considers the nonvolatile saliva components, adequately capturing the essence of droplet-aerosol transition and predicting the equilibrium diameter of the residual aerosols. Our analytic model reveals non-intuitive interactions between wake flows, droplet relaxation time, gravity, and transport phenomena. We reveal that given the right conditions, a virus-laden saliva droplet might translate to distances two orders of magnitude larger than the carrier-flow characteristic size. Moreover, accounting for the nonvolatile contents inside the droplet may lead to fundamentally different dispersion and settling behavior compared to non-evaporating particles or pure water droplets. Ergo, we suggest that the implementation of more complex evaporation models might be critical in high-fidelity simulations aspiring to assess the spread of airborne respiratory droplets.

A numerical approach for preventing the dispersion of infectious disease in a meeting room

Airborne transmission of respiratory aerosols carrying infectious viruses has generated many concerns about cross-contamination risks, particularly in indoor environments. ANSYS Fluent software has been used to investigate the dispersion of the viral particles generated during a coughing event and their transport dynamics inside a safe social-distance meeting room. Computational fluid dynamics based on coupled Eulerian-Lagrangian techniques are used to explore the characteristics of the airflow field in the domain. The main objective of this study is to investigate the effects of the window opening frequency, exhaust layouts, and the location of the air conditioner systems on the dispersion of the particles. The results show that reducing the output capacity by raising the concentration of suspended particles and increasing their traveled distance caused a growth in the individuals' exposure to contaminants. Moreover, decreasing the distance between the ventilation systems installed location and the ceiling can drop the fraction of the suspended particles by over 35%, and the number of individuals who are subjected to becoming infected by viral particles drops from 6 to 2. As well, the results demonstrated when the direction of input airflow and generated particles were the same, the fraction of suspended particles of 4.125%, whereas if the inputs were shifted to the opposite direction of particle injection, the fraction of particles in fluid increased by 5.000%.

The effect of relative air humidity on the evaporation timescales of a human sneeze

The present paper investigates droplet and aerosol emission from the human respiratory function by numerical and experimental methods, which is analyzed at the worst-case scenario, a violent sneeze without a face covering. The research findings develop the understanding of airborne disease transmission relevant to COVID-19, its recent variants, and other airborne pathogens. A human sneeze is studied using a multiphase Computational Fluid Dynamics (CFD) model using detached eddy simulation coupled to the emission of droplets that break up, evaporate, and disperse. The model provides one of the first experimental benchmarks of CFD predictions of a human sneeze event. The experiments optically capture aerosols and droplets and are processed to provide spatiotemporal data to validate the CFD model. Under the context of large random uncertainty, the studies indicate the reasonable correlation of CFD prediction with experimental measurements using velocity profiles and exposure levels, indicating that the model captures the salient details relevant to pathogen dispersion. Second, the CFD model was extended to study the effect of relative humidity with respect to the Wells curve, providing additional insight into the complexities of evaporation and sedimentation characteristics in the context of turbulent and elevated humidity conditions associated with the sneeze. The CFD results indicated correlation with the Wells curve with additional insight into features, leading to non-conservative aspects associated with increased suspension time. These factors are found to be associated with the combination of evaporation and fluid-structure-induced suspension. This effect is studied for various ambient air humidity levels and peaks for lower humidity levels, indicating that the Wells curve may need a buffer in dry climates. Specifically, we find that the increased risk in dry climates may be up to 50% higher than would be predicted using the underlying assumptions in Wells' model.

Droplet nuclei caustic formations in exhaled vortex rings

Vortex ring (VR) structures occur in light or hoarse cough configurations. These instances consist of short impulses of exhaled air resulting to a self-contained structure that can travel large distances. The present study is the first implementation of the second order Fully Lagrangian Approach (FLA) for three-dimensional realistic flow-fields obtained by means of Computational Fluid Dynamics (CFD) and provides a method to calculate the occurrence and the intensity of caustic formations. The carrier phase flow field is resolved by means of second order accurate Direct Numerical Simulation (DNS) based on a Finite Difference approach for the momentum equations, while a spectral approach is followed for the Poisson equation using Fast Fourier Transform (FFT). The effect of the undulations of the carrier phase velocity due to large scale vortical structures and turbulence is investigated. The evaluation of the higher order derivatives needed by the second order FLA is achieved by pre-fabricated least squares second order interpolations in three dimensions. This method allows for the simulation of the clustering of droplets and droplet nuclei exhaled in ambient air in conditions akin to light cough. Given the ambiguous conditions of vortex-ring formation during cough instances, three different exhale (injection) parameters n are assumed, i.e. under-developed (\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$n=2$$\end{document}n=2), ideal (\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$n=3.7$$\end{document}n=3.7) and over-developed (\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$n=6$$\end{document}n=6) vortex rings. The formation of clusters results in the spatial variance of the airborne viral load. This un-mixing of exhumed aerosols is related to the formation of localised high viral load distributions that can be linked to super-spreading events.

Drivers of Research Outcomes in Developing Countries: The Case of Lebanon

This paper uses a unique dataset from Lebanon, a developing country with unstable political conditions, to explore the drivers of research outcomes. We use the Negative Binomial model to empirically examine the determinants of the total number of publications and single and co-authored articles. The results indicate that males are more likely to publish co-authored papers than females. Moreover, our findings show a quadratic relationship between age and the number of published papers with a peak at the age of 40. After this turning point, the publication rate starts to decrease at an increasing rate. When we run the model by gender, we find that females in large departments tend to publish more co-authored papers. We also find that full professors tend to publish more papers in Q1 and Q2 journals, while associate professors have more papers in Q2 and Q3 journals.

Investigation on the evaporation and dispersion of human respiratory droplets with COVID-19 virus

On March 11, 2020, COVID-19 was declared as a pandemic by World Health Organization (WHO). Effective prevention is indispensable for defeating the ongoing COVID-19 pandemic. The evaporation and diffusion characteristics of the droplet in the air are the critical factors for the virus transmission by droplets. To better understand transmission routes of COVID-19 through respiratory droplets, a new evaporation and dispersion model for respiratory droplets is proposed to estimate droplet lifetime and the size of spreading zone in air. The importance of respiratory activities and environmental factors on the transmission of respiratory viruses are further discussed. The predictive results demonstrate initial particle size, ambient temperature and relative humidity all have significant effect on the survival time and infection distance of respiratory droplets. Decreasing droplet initial size always shortens the lifetime and the transmission distance of respiratory droplets. The 100 μm droplets expelled by talking or coughing can be carried more than 2 m away. Increasing ambient temperature and decreasing ambient humidity can effectively reduce the lifetime and propagation distance of respiratory droplets, thus reducing the risk of viral infection. These findings could contribute to developing effective prevention measures for controlling infectious disease transmission via droplets.

A short review of vapour droplet dispersion models used in CFD to study the airborne spread of COVID19

The use of computational fluid dynamics (CFD) to simulate the spread of COVID19 and many other airborne diseases, especially in an indoor environment needs accurate understanding of dispersion models. Modelling the transport/dispersion of vapour droplets within the atmosphere is a complex problem, as it involves the motion of more than one phase, as well as the interphase interactions between the phases. This paper reviews the current canon of research on dispersion modelling of vapour droplets by looking at three specific aspects: (i) physical definition/specification of the initial droplet size distribution; (ii) physics of evaporation/condensation models and (iii) transport equations (with molecular/turbulent dispersion models) to describe the movement of the vapour droplets as they propagate through the air. This review found that the state of modelling implements a wide range of models which shows variances in results thus leading to a state where it is difficult to know which model is most accurate. The authors suggest that further studies in this direction should focus on developing a principle set of equations by benchmarking the previously developed models to establish model uncertainty of the previously developed models with reference to a fixed theoretical model and be compared under identical conditions. However, it must be noted that due to the complex nature of microdroplet evaporation and dispersion coupled with the unpredictable way droplet size distributions are produced, current experimental methodologies that are available to validate such simulations, such as particle image velocimetry, are still not robust enough to provide detailed data to verify minute aspects of the simulations.

Large eddy simulation of cough jet dynamics, droplet transport, and inhalability over a ten minute exposure

High fidelity simulations of expiratory events such as coughing provide the opportunity to predict the fate of the droplets from the turbulent jet cloud produced from a cough. It is well established that droplets carrying infectious pathogens with diameters of 1 - 5   μ m remain suspended in the air for several hours and transported by the air currents over considerable distances (e.g., in meters). This study used a highly resolved mesh to capture the multiphase turbulent buoyant cloud with suspended droplets produced by a cough. The cough droplets' dispersion was subjected to thermal gradients and evaporation and allowed to disperse between two humans standing 2 m apart. A nasal cavity anatomy was included inside the second human to determine the inhaled droplets. Three diameter ranges characterized the droplet cloud, < 5   μ m , which made up 93% of all droplets by number; 5 to 100 μm comprised 3%, and > 100   μ m comprising 4%. The results demonstrated the temporal evolution of the cough event, where a jet is first formed, followed by a thermally driven puff cloud with the latter primarily composed of droplets under 5 μm diameter, moving with a vortex string structure. After the initial cough, the data were interpolated onto a more coarse mesh to allow the simulation to cover ten minutes, equivalent to 150 breathing cycles. We observe that the critical diameter size susceptible to inhalation was 0.5   μ m , although most inhaled droplets after 10 min by the second human were approximately 0.8   μ m . These observations offer insight into the risk of airborne transmission and numerical metrics for modeling and risk assessment.

On the utility of a well-mixed model for predicting disease transmission on an urban bus

The transport of virus-laden aerosols from a host to a susceptible person is governed by complex turbulent airflow and physics related to breathing, coughing and sneezing, mechanical and passive ventilation, thermal buoyancy effects, surface deposition, masks, and air filtration. In this paper, we study the infection risk via airborne transmission on an urban bus using unsteady Reynolds-averaged Navier-Stokes equations and a passive-scalar model of the virus-laden aerosol concentration. Results from these simulations are directly compared to the widely used well-mixed model and show significant differences in the concentration field and number of inhaled particles. Specifically, in the limit of low mechanical ventilation rates, the well-mixed model will overpredict the concentration far from the infected passenger and substantially underpredict the concentration near the infected passenger. The results reported herein also apply to other enclosed spaces.

Investigation of theoretical scaling laws using large eddy simulations for airborne spreading of viral contagion from sneezing and coughing

Using a set of large eddy point-particle simulations, we explore the fluid dynamics of an ejected puff resulting from a cough/sneeze. The ejection contains over 61 000 potentially virus-laden droplets at an injection Reynolds number of about 46 000, comparable to an actual cough/sneeze. We observe that global puff properties, such as centroid, puff volume, momentum, and buoyancy vary little across realizations. Other properties, such as maximum extent, shape, and edge velocity of the puff, may exhibit substantial variation. In many realizations, a portion of the puff splits off and advances along a random direction, while keeping airborne droplet nuclei afloat. This peeled-off portion provides a mechanism for virus-laden droplets to travel over large distances in a short amount of time. We also observe that the vast majority of droplets remain suspended within the puff after all liquid has evaporated. The main objectives of the study are to (i) evaluate assumptions of Balachandar's et al. theory [Int. J. Multiphase Flow 132, 103439 (2020)], which include buoyancy effects, shape of the puff, and droplet evaporation rate, (ii) obtain values of closure parameters, which include location and time of the virtual origin, and puff entrainment and drag coefficients, and (iii) evaluate the accuracy of the theory in predicting the shape, size, and location of the puff, as well as droplet number density long after ejection. The theory adequately predicts global puff properties including size, velocity, and distance traveled, the largest size of droplets that exit the puff due to settling, and the droplet size distribution within the puff long after ejection.