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分析严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的主要传播途径以建立疾病传播模型。

Analyzing the dominant SARS-CoV-2 transmission routes toward an disease spread model.

作者信息

Chaudhuri Swetaprovo, Basu Saptarshi, Saha Abhishek

机构信息

Institute for Aerospace Studies, University of Toronto, Toronto, Ontario M3H 5T6, Canada.

Department of Mechanical Engineering, Indian Institute of Science, Bengaluru, KA 560012, India.

出版信息

Phys Fluids (1994). 2020 Dec 1;32(12):123306. doi: 10.1063/5.0034032.

Abstract

Identifying the relative importance of the different transmission routes of the SARS-CoV-2 virus is an urgent research priority. To that end, the different transmission routes and their role in determining the evolution of the Covid-19 pandemic are analyzed in this work. The probability of infection caused by inhaling virus-laden droplets (initial ejection diameters between 0.5 m and 750 m, therefore including both airborne and ballistic droplets) and the corresponding desiccated nuclei that mostly encapsulate the virions post droplet evaporation are individually calculated. At typical, air-conditioned yet quiescent indoor space, for average viral loading, cough droplets of initial diameter between 10 m and 50 m are found to have the highest infection probability. However, by the time they are inhaled, the diameters reduce to about 1/6th of their initial diameters. While the initially near unity infection probability due to droplets rapidly decays within the first 25 s, the small yet persistent infection probability of desiccated nuclei decays appreciably only by , assuming that the virus sustains equally well within the dried droplet nuclei as in the droplets. Combined with molecular collision theory adapted to calculate the frequency of contact between the susceptible population and the droplet/nuclei cloud, infection rate constants are derived , leading to a susceptible-exposed-infectious-recovered-deceased model applicable for any respiratory event-vector combination. The viral load, minimum infectious dose, sensitivity of the virus half-life to the phase of its vector, and dilution of the respiratory jet/puff by the entraining air are shown to mechanistically determine specific physical modes of transmission and variation in the basic reproduction number from first-principles calculations.

摘要

确定严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒不同传播途径的相对重要性是一项紧迫的研究重点。为此,本研究分析了不同的传播途径及其在决定新冠疫情演变中的作用。分别计算了吸入携带病毒的飞沫(初始喷射直径在0.5微米至750微米之间,因此包括空气传播和弹道飞沫)以及相应的干燥核引发感染的概率,这些干燥核大多在飞沫蒸发后包裹着病毒粒子。在典型的、有空调且静止的室内空间中,对于平均病毒载量,发现初始直径在10微米至50微米之间的咳嗽飞沫具有最高的感染概率。然而,当它们被吸入时,直径会减小到初始直径的约六分之一。虽然飞沫导致的初始近乎1的感染概率在最初25秒内迅速下降,但干燥核的小而持续的感染概率仅在[具体时长未给出]时才会明显下降,假设病毒在干燥的飞沫核中与在飞沫中一样能很好地存活。结合适用于计算易感人群与飞沫/核云之间接触频率的分子碰撞理论,推导出感染率常数,从而得到一个适用于任何呼吸事件 - 传播媒介组合的易感 - 暴露 - 感染 - 康复 - 死亡模型。从第一性原理计算表明,病毒载量、最小感染剂量、病毒半衰期对其传播媒介阶段的敏感性以及夹带空气对呼吸喷射/ puff的稀释作用,从机制上决定了特定的物理传播模式以及基本再生数的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4439/7720902/76065e4c6de1/PHFLE6-000032-123306_1-g001.jpg

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