Skip to main content
Springer Nature - PMC COVID-19 Collection logoLink to Springer Nature - PMC COVID-19 Collection
. 2022 Dec 23;16(5):765–780. doi: 10.1007/s12273-022-0968-y

Predominance of inhalation route in short-range transmission of respiratory viruses: Investigation based on computational fluid dynamics

Wenzhao Chen 1, Li Liu 2, Jian Hang 3, Yuguo Li 1,4,
PMCID: PMC9782262  PMID: 36575690

Abstract

During the Coronavirus disease 2019 pandemic, short-range virus transmission has been observed to have a higher risk of causing infection than long-range virus transmission. However, the roles played by the inhalation and large droplet routes cannot be distinguished in practice. A recent analytical study revealed the predominance of short-range inhalation over the large droplet spray route as causes of respiratory infections. In the current study, short-range exposure was analyzed via computational fluid dynamics (CFD) simulations using a discrete phase model. Detailed facial membranes, including eyes, nostrils, and a mouth, were considered. In CFD simulations, there is no need for a spherical approximation of the human head for estimating deposition nor the “anisokinetic aerosol sampling” approximation for estimating inhalation in the analytical model. We considered two scenarios (with two spheres [Scenario 1] and two human manikins [Scenario 2]), source-target distances of 0.2 to 2 m, and droplet diameters of 3 to 1,500 µm. The overall CFD exposure results agree well with data previously obtained from a simple analytical model. The CFD results confirm the predominance of the short-range inhalation route beyond 0.2 m for expiratory droplets smaller than 50 µm during talking and coughing. A critical droplet size of 87.5 µm was found to differentiate droplet behaviors. The number of droplets deposited on the target head exceeded those exposed to facial membranes, which implies a risk of exposure through the immediate surface route over a short range.

Electronic Supplementary Material (ESM)

the Supplementary Materials are available in the online version of this article at 10.1007/s12273-022-0968-y.

Keywords: airborne transmission, close contact, short-range inhalation, large droplet spray, computational fluid dynamics

Electronic Supplementary Material

12273_2022_968_MOESM1_ESM.pdf (1MB, pdf)

Predominance of inhalation route in short-range transmission of respiratory viruses: Investigation based on computational fluid dynamics

Acknowledgements

This work was supported by a General Research Fund (grant number 17202719) provided by the Research Grants Council of Hong Kong.

Footnotes

Declaration of competing interest

The authors declare that they have no known competing financial interests or personal relationships that could appear to influence the work reported in this paper.

References

  1. Abbott S, Sherratt K, Gerstung M, et al. (2022). Estimation of the test to test distribution as a proxy for generation interval distribution for the Omicron variant in England. medRxiv 2022.01.08.22268920.
  2. Abkarian M, Mendez S, Xue N, et al. Speech can produce jet-like transport relevant to asymptomatic spreading of virus. Proceedings of the National Academy of Sciences of the United States of America. 2020;117:25237–25245. doi: 10.1073/pnas.2012156117. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Banik RK, Ulrich A. Anesthesia and Analgesia. 2020. Evidence of short-range aerosol transmission of SARS-CoV-2 and call for universal airborne precautions for anesthesiologists during the COVID-19 pandemic; pp. e102–e104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Behera S, Bhardwaj R, Agrawal A. Effect of co-flow on fluid dynamics of a cough jet with implications in spread of COVID-19. Physics of Fluids. 2021;33:101701. doi: 10.1063/5.0064104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Chao CYH, Wan MP, Morawska L, et al. Characterization of expiration air jets and droplet size distributions immediately at the mouth opening. Journal of Aerosol Science. 2009;40:122–133. doi: 10.1016/j.jaerosci.2008.10.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Chen W, Zhang N, Wei J, et al. Short-range airborne route dominates exposure of respiratory infection during close contact. Building and Environment. 2020;176:106859. doi: 10.1016/j.buildenv.2020.106859. [DOI] [Google Scholar]
  7. Chen W, Qian H, Zhang N, et al. Extended short-range airborne transmission of respiratory infections. Journal of Hazardous Materials. 2022;422:126837. doi: 10.1016/j.jhazmat.2021.126837. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Coroneo MT, Collignon PJ. SARS-CoV-2: Eye protection might be the missing key. The Lancet Microbe. 2021;2:e173–e174. doi: 10.1016/S2666-5247(21)00040-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Craven BA, Settles GS. A computational and experimental investigation of the human thermal plume. Journal of Fluids Engineering. 2006;128:1251–1258. doi: 10.1115/1.2353274. [DOI] [Google Scholar]
  10. de Dear RJ, Arens E, Hui Z, et al. Convective and radiative heat transfer coefficients for individual human body segments. International Journal of Biometeorology. 1997;40:141–156. doi: 10.1007/s004840050035. [DOI] [PubMed] [Google Scholar]
  11. Duguid JP. The size and the duration of air-carriage of respiratory droplets and droplet-nuclei. Epidemiology & Infection. 1946;44:471–479. doi: 10.1017/S0022172400019288. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Dunnett SJ, Ingham DB. An empirical model for the aspiration efficiencies of blunt aerosol samplers orientated at an angle to the oncoming flow. Aerosol Science and Technology. 1988;8:245–264. doi: 10.1080/02786828808959187. [DOI] [Google Scholar]
  13. Gao NP, Niu JL. CFD study of the thermal environment around a human body: a review. Indoor and Built Environment. 2005;14:5–16. doi: 10.1177/1420326X05050132. [DOI] [Google Scholar]
  14. Jia W, Wei J, Cheng P, et al. Exposure and respiratory infection risk via the short-range airborne route. Building and Environment. 2022;219:109166. doi: 10.1016/j.buildenv.2022.109166. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Lei H, Xiao S, Cowling BJ, et al. Hand hygiene and surface cleaning should be paired for prevention of fomite transmission. Indoor Air. 2020;30:49–59. doi: 10.1111/ina.12606. [DOI] [PubMed] [Google Scholar]
  16. Li Y, Leung GM, Tang JW, et al. Role of ventilation in airborne transmission of infectious agents in the built environment—A multidisciplinary systematic review. Indoor Air. 2007;17:2–18. doi: 10.1111/j.1600-0668.2006.00445.x. [DOI] [PubMed] [Google Scholar]
  17. Li Y. Basic routes of transmission of respiratory pathogens—A new proposal for transmission categorization based on respiratory spray, inhalation, and touch. Indoor Air. 2021;31:3–6. doi: 10.1111/ina.12786. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Li Y, Qian H, Hang J, et al. Probable airborne transmission of SARS-CoV-2 in a poorly ventilated restaurant. Building and Environment. 2021;196:107788. doi: 10.1016/j.buildenv.2021.107788. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Li X, Ai Z, Ye J, et al. Airborne transmission during short-term events: Direct route over indirect route. Building Simulation. 2022;15:2097–2110. doi: 10.1007/s12273-022-0917-9. [DOI] [Google Scholar]
  20. Li Y, Cheng P, Jia W. Poor ventilation worsens short-range airborne transmission of respiratory infection. Indoor Air. 2022;32:e12946. doi: 10.1111/ina.12946. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Lindsley WG, Blachere FM, Thewlis RE, et al. Measurements of airborne influenza virus in aerosol particles from human coughs. PLoS One. 2010;5:e15100. doi: 10.1371/journal.pone.0015100. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Liu L, Li Y, Nielsen PV, et al. Short-range airborne transmission of expiratory droplets between two people. Indoor Air. 2017;27:452–462. doi: 10.1111/ina.12314. [DOI] [PubMed] [Google Scholar]
  23. Liu Z, Zhu H, Song Y, et al. Quantitative distribution of human exhaled particles in a ventilation room. Building Simulation. 2022;15:859–870. doi: 10.1007/s12273-021-0836-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Miller SL, Nazaroff WW, Jimenez JL, et al. Transmission of SARS-CoV-2 by inhalation of respiratory aerosol in the Skagit Valley Chorale superspreading event. Indoor Air. 2021;31:314–323. doi: 10.1111/ina.12751. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Milton DK. A Rosetta stone for understanding infectious drops and aerosols. Journal of the Pediatric Infectious Diseases Society. 2020;9:413–415. doi: 10.1093/jpids/piaa079. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Morawska L, Johnson GR, Ristovski ZD, et al. Size distribution and sites of origin of droplets expelled from the human respiratory tract during expiratory activities. Journal of Aerosol Science. 2009;40:256–269. doi: 10.1016/j.jaerosci.2008.11.002. [DOI] [Google Scholar]
  27. Morawska L, Tang JW, Bahnfleth W, et al. How can airborne transmission of COVID-19 indoors be minimised? Environment International. 2020;142:105832. doi: 10.1016/j.envint.2020.105832. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Mui KW, Wong LT, Wu CL, et al. Numerical modeling of exhaled droplet nuclei dispersion and mixing in indoor environments. Journal of Hazardous Materials. 2009;167:736–744. doi: 10.1016/j.jhazmat.2009.01.041. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Ou C, Hu S, Luo K, et al. Insufficient ventilation led to a probable long-range airborne transmission of SARS-CoV-2 on two buses. Building and Environment. 2022;207:108414. doi: 10.1016/j.buildenv.2021.108414. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Popov TA, Dunev S, Kralimarkova TZ, et al. Evaluation of a simple, potentially individual device for exhaled breath temperature measurement. Respiratory Medicine. 2007;101:2044–2050. doi: 10.1016/j.rmed.2007.06.005. [DOI] [PubMed] [Google Scholar]
  31. Prather KA, Marr LC, Schooley RT, et al. Airborne transmission of SARS-CoV-2. Science. 2020;370:303–304. doi: 10.1126/science.abf0521. [DOI] [PubMed] [Google Scholar]
  32. Somsen GA, van Rijn C, Kooij S, et al. Small droplet aerosols in poorly ventilated spaces and SARS-CoV-2 transmission. The Lancet Respiratory Medicine. 2020;8:658–659. doi: 10.1016/S2213-2600(20)30245-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Sun W, Ji J. Transport of droplets expelled by coughing in ventilated rooms. Indoor and Built Environment. 2007;16:493–504. doi: 10.1177/1420326X07084290. [DOI] [Google Scholar]
  34. Wei J, Li Y. Enhanced spread of expiratory droplets by turbulence in a cough jet. Building and Environment. 2015;93:86–96. doi: 10.1016/j.buildenv.2015.06.018. [DOI] [Google Scholar]
  35. Wells WF. On air-borne infection: study II. Droplets and droplet nuclei. American Journal of Epidemiology. 1934;20:611–618. doi: 10.1093/oxfordjournals.aje.a118097. [DOI] [Google Scholar]
  36. WHO (2020a). Transmission of SARS-CoV-2: Implications for infection prevention precautions—Scientific Brief, 9 July 2020. Available at https://www.who.int/news-room/commentaries/detail/transmission-of-sars-cov-2-implications-for-infection-prevention-precautions. Accessed 23 July 2022.
  37. WHO (2020b). Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations—Scientific Brief, 29 March 2020. Available at https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations. Accessed 23 July 2022.
  38. WHO (2021). Coronavirus disease (COVID-19): How is it transmitted? Available at https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-covid-19-how-is-it-transmitted. Accessed 23 July 2022.
  39. Xie X, Li Y, Chwang AY, et al. How far droplets can move in indoor environments—Revisiting the Wells evaporation-falling curve. Indoor Air. 2007;17:211–225. doi: 10.1111/j.1600-0668.2007.00469.x. [DOI] [PubMed] [Google Scholar]
  40. Xu J, Psikuta A, Li J, et al. Influence of human body geometry, posture and the surrounding environment on body heat loss based on a validated numerical model. Building and Environment. 2019;166:106340. doi: 10.1016/j.buildenv.2019.106340. [DOI] [Google Scholar]
  41. Yakhot V, Orszag SA. Renormalization group analysis of turbulence. I. Basic theory. Journal of Scientific Computing. 1986;1:3–51. doi: 10.1007/BF01061452. [DOI] [PubMed] [Google Scholar]
  42. Zhang N, Chen W, Chan PT, et al. Close contact behavior in indoor environment and transmission of respiratory infection. Indoor Air. 2020;30:645–661. doi: 10.1111/ina.12673. [DOI] [PubMed] [Google Scholar]
  43. Zhang N, Jia W, Wang P, et al. Most self-touches are with the nondominant hand. Scientific Reports. 2020;10:10457. doi: 10.1038/s41598-020-67521-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  44. Zhang N, Chen X, Jia W, et al. Evidence for lack of transmission by close contact and surface touch in a restaurant outbreak of COVID-19. The Journal of Infection. 2021;83:207–216. doi: 10.1016/j.jinf.2021.05.030. [DOI] [PMC free article] [PubMed] [Google Scholar]
  45. Zhao P, Li Y, Tsang TL, et al. Equilibrium of particle distribution on surfaces due to touch. Building and Environment. 2018;143:461–472. doi: 10.1016/j.buildenv.2018.07.023. [DOI] [Google Scholar]
  46. Zhao P, Chan PT, Gao Y, et al. Physical factors that affect microbial transfer during surface touch. Building and Environment. 2019;158:28–38. doi: 10.1016/j.buildenv.2019.05.005. [DOI] [Google Scholar]
  47. Zhu S, Kato S, Yang JH. Study on transport characteristics of saliva droplets produced by coughing in a calm indoor environment. Building and Environment. 2006;41:1691–1702. doi: 10.1016/j.buildenv.2005.06.024. [DOI] [Google Scholar]

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Supplementary Materials

12273_2022_968_MOESM1_ESM.pdf (1MB, pdf)

Predominance of inhalation route in short-range transmission of respiratory viruses: Investigation based on computational fluid dynamics


Articles from Building Simulation are provided here courtesy of Nature Publishing Group

RESOURCES