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. 2020 Jun 4;75(8):1121. doi: 10.1111/anae.15145

Personal protective equipment during the COVID‐19 pandemic: a comment

J H Murphy 1,
PMCID: PMC7300575  PMID: 32496622

I wish to make a few observations with respect to Professor Cook's recent review [1]. First, whereas there is no consensus definition of what ‘relatively large’ means with respect to respiratory droplets, the spectrum of aerosol emissions from the airway has been observed to be in the range of 0.1–1000 μm [2]. A 5‐μm particle is therefore much closer to the lower end than the upper end. Second, a droplet is not visible to the unaided eye of most people when smaller than 50 μm. Stoke's law predicts the terminal settling velocity of a 5 μm droplet under the influence of gravity in perfectly still air to be of the order of 0.1 cm.h−1. At 50 μm, it is closer to 6 cm.h−1 [Stariolo, unpublished observations, https://arxiv.org/abs/2004.05699]. So, while those droplets are subject to gravitational forces, the inference of Professor Cook's review that they fall out under gravity within 1 m of expulsion is simply not consistent with well‐established aerosol physics [3].

These facts have important implications for the conclusions of Professor Cook's review with respect to the suitability of personal protective equipment for different task scenarios.

No competing interests declared.

References

  • 1. Cook TM. Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic – a narrative review. Anaesthesia 2020; 75: 920–7. [DOI] [PubMed] [Google Scholar]
  • 2. Mittal R, Ni R, Seo J‐H. The flow physics of COVID‐19. Journal of Fluid Mechanics 2020. Epub 1 May. 10.1017/jfm.2020.330. [DOI] [Google Scholar]
  • 3. Xie X, Ki Y, Chwaung ATY, Ho PL, Seto WH. How far droplets can move in indoor environments – revisiting the Wells evaporation–falling curve. Indoor Air 2007; 17: 211–25. [DOI] [PubMed] [Google Scholar]

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