Rodriguez-Palacios Alex, Cominelli Fabio, Basson Abigail R, Pizarro Theresa T, Ilic Sanja
Division of Gastroenterology and Liver Diseases, Case Western Reserve University School of Medicine, Cleveland, OH, United States.
Digestive Health Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, United States.
Front Med (Lausanne). 2020 May 27;7:260. doi: 10.3389/fmed.2020.00260. eCollection 2020.
The main form of COVID-19 transmission is via "oral-respiratory droplet contamination" (droplet: very small drop of liquid) produced when individuals talk, sneeze, or cough. In hospitals, health-care workers wear facemasks as a minimum medical "" to protect themselves. Due to the shortage of masks during the pandemic, priority is given to hospitals for their distribution. As a result, the availability/use of medical masks is discouraged for the public. However, for asymptomatic individuals, not wearing masks in public could easily cause the spread of COVID-19. The prevention of "environmental droplet contamination" (EnvDC) from coughing/sneezing/speech is fundamental to reducing transmission. As an immediate solution to promote "," we assessed household textiles to quantify their potential as effective environmental droplet barriers (EDBs). The synchronized implementation of a universal "community droplet reduction solution" is discussed as a model against COVID-19. Using a bacterial-suspension spray simulation model of droplet ejection (mimicking a sneeze), we quantified the extent by which widely available clothing fabrics reduce the dispersion of droplets onto surfaces within 1.8 m, the minimum distance recommended for COVID-19 "social distancing." All textiles reduced the number of droplets reaching surfaces, restricting their dispersion to <30 cm, when used as single layers. When used as double-layers, textiles were as effective as medical mask/surgical-cloth materials, reducing droplet dispersion to <10 cm, and the area of circumferential contamination to ~0.3%. The synchronized implementation of EDBs as a "community droplet reduction solution" (i.e., face covers/scarfs/masks and surface covers) will reduce COVID-19 EnvDC and thus the risk of transmitting/acquiring COVID-19.
新型冠状病毒肺炎(COVID-19)的主要传播形式是通过个体说话、打喷嚏或咳嗽时产生的“经口-呼吸道飞沫污染”(飞沫:非常小的液滴)。在医院,医护人员至少要佩戴口罩作为一项基本医疗措施来保护自己。由于疫情期间口罩短缺,口罩优先分配给医院。因此,不鼓励公众使用医用口罩。然而,对于无症状个体而言,在公共场合不戴口罩很容易导致COVID-19传播。预防咳嗽/打喷嚏/说话造成的“环境飞沫污染”(EnvDC)是减少传播的根本。作为促进……的一项即时解决方案,我们评估了家用纺织品,以量化其作为有效环境飞沫屏障(EDB)的潜力。讨论了同步实施通用的“社区飞沫减少解决方案”作为对抗COVID-19的一种模式。我们使用飞沫喷射的细菌悬浮喷雾模拟模型(模拟打喷嚏),量化了广泛使用的服装面料在1.8米(COVID-19“社交距离”建议的最小距离)内减少飞沫在表面扩散的程度。当用作单层时,所有纺织品都减少了到达表面的飞沫数量,将其扩散限制在<30厘米。当用作双层时,纺织品与医用口罩/手术布材料一样有效,将飞沫扩散减少到<10厘米,圆周污染面积减少到~0.3%。同步实施EDB作为“社区飞沫减少解决方案”(即面罩/围巾/口罩和表面覆盖物)将减少COVID-19的EnvDC,从而降低传播/感染COVID-19的风险。