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Viable influenza a virus in airborne particles from human coughs

tetano

Editor, Senior Moderator
J Occup Environ Hyg. 2015 Feb;12(2):107-13. doi: 10.1080/15459624.2014.973113.
[h=1]Viable influenza a virus in airborne particles from human coughs.[/h] Lindsley WG[SUP]1[/SUP], Noti JD, Blachere FM, Thewlis RE, Martin SB, Othumpangat S, Noorbakhsh B, Goldsmith WT, Vishnu A, Palmer JE, Clark KE, Beezhold DH.
[h=3]Author information[/h]

[h=3]Abstract[/h] Patients with influenza release aerosol particles containing the virus into their environment. However, the importance of airborne transmission in the spread of influenza is unclear, in part because of a lack of information about the infectivity of the airborne virus. The purpose of this study was to determine the amount of viable influenza A virus that was expelled by patients in aerosol particles while coughing. Sixty-four symptomatic adult volunteer outpatients were asked to cough 6 times into a cough aerosol collection system. Seventeen of these participants tested positive for influenza A virus by viral plaque assay (VPA) with confirmation by viral replication assay (VRA). Viable influenza A virus was detected in the cough aerosol particles from 7 of these 17 test subjects (41%). Viable influenza A virus was found in the smallest particle size fraction (0.3 μm to 8 μm), with a mean of 142 plaque-forming units (SD 215) expelled during the 6 coughs in particles of this size. These results suggest that a significant proportion of patients with influenza A release small airborne particles containing viable virus into the environment. Although the amounts of influenza A detected in cough aerosol particles during our experiments were relatively low, larger quantities could be expelled by influenza patients during a pandemic when illnesses would be more severe. Our findings support the idea that airborne infectious particles could play an important role in the spread of influenza.


[h=4]KEYWORDS:[/h] aerosols; air microbiology; airborne transmission; cough; infectious disease transmission; influenza

PMID: 25523206 [PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/25523206
 
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