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Assessing coughing-induced influenza droplet transmission and implications for infection risk control.
Cheng, Y-H; Wang, C-H; You, S-H; Hsieh, N-H; Chen, W-Y; Chio, C-P; Liao, C-M.
Afiliación
  • Cheng YH; Department of Bioenvironmental Systems Engineering,National Taiwan University,Taipei,Taiwan,ROC.
  • Wang CH; Department of Bioenvironmental Systems Engineering,National Taiwan University,Taipei,Taiwan,ROC.
  • You SH; National Environmental Health Research Center,National Health Research Institute,Miaoli County,Taiwan,ROC.
  • Hsieh NH; Institute of Labor,Occupational Safety and Health,Ministry of Labor,New Taipei City,Taiwan,ROC.
  • Chen WY; Department of Biomedical Science and Environmental Biology,Kaohsiung Medical University,Kaohsiung,Taiwan,ROC.
  • Chio CP; Institute of Occupational Medicine and Industrial Hygiene,College of Public Health,National Taiwan University,Taiwan,ROC.
  • Liao CM; Department of Bioenvironmental Systems Engineering,National Taiwan University,Taipei,Taiwan,ROC.
Epidemiol Infect ; 144(2): 333-45, 2016 Jan.
Article en En | MEDLINE | ID: mdl-26211781
Indoor transmission of respiratory droplets bearing influenza within humans poses high risks to respiratory function deterioration and death. Therefore, we aimed to develop a framework for quantifying the influenza infection risk based on the relationships between inhaled/exhaled respiratory droplets and airborne transmission dynamics in a ventilated airspace. An experiment was conducted to measure the size distribution of influenza-containing droplets produced by coughing for a better understanding of potential influenza spread. Here we integrated influenza population transmission dynamics, a human respiratory tract model, and a control measure approach to examine the indoor environment-virus-host interactions. A probabilistic risk model was implemented to assess size-specific infection risk for potentially transmissible influenza droplets indoors. Our results found that there was a 50% probability of the basic reproduction number (R0) exceeding 1 for small-size influenza droplets of 0·3-0·4 µm, implicating a potentially high indoor infection risk to humans. However, a combination of public health interventions with enhanced ventilation could substantially contain indoor influenza infection. Moreover, the present dynamic simulation and control measure assessment provide insights into why indoor transmissible influenza droplet-induced infection is occurring not only in upper lung regions but also in the lower respiratory tract, not normally considered at infection risk.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Control de Infecciones / Tos / Microbiología del Aire / Gripe Humana Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Control de Infecciones / Tos / Microbiología del Aire / Gripe Humana Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: Epidemiol Infect Asunto de la revista: DOENCAS TRANSMISSIVEIS / EPIDEMIOLOGIA Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido