Darquenne Chantal, Borojeni Azadeh A T, Colebank Mitchel J, Forest M Gregory, Madas Balázs G, Tawhai Merryn, Jiang Yi
Department of Medicine, University of California, San Diego, San Diego, CA, United States.
Edwards Lifesciences Foundation Cardiovascular Innovation and Research Center and Department of Biomedical Engineering, University of California, Irvine, Irvine, CA, United States.
Front Physiol. 2022 Jun 20;13:923945. doi: 10.3389/fphys.2022.923945. eCollection 2022.
The recent COVID-19 pandemic has propelled the field of aerosol science to the forefront, particularly the central role of virus-laden respiratory droplets and aerosols. The pandemic has also highlighted the critical need, and value for, (that inform policymakers to develop public health responses) (that inform the public and health care providers how individuals develop respiratory infections). Here, we review existing data and models of generation of respiratory droplets and aerosols, their exhalation and inhalation, and the fate of infectious droplet transport and deposition throughout the respiratory tract. We then articulate how aerosol transport modeling can serve as a bridge between and guide calibration of within-host and epidemiological models, forming a comprehensive tool to formulate and test hypotheses about respiratory tract exposure and infection within and between individuals.
近期的新冠疫情已将气溶胶科学领域推到了前沿,尤其是携带病毒的呼吸道飞沫和气溶胶所起的核心作用。这场疫情还凸显了(为政策制定者制定公共卫生应对措施提供依据的)以及(让公众和医护人员了解个体如何感染呼吸道疾病的)关键需求和价值。在此,我们回顾了有关呼吸道飞沫和气溶胶的产生、呼出和吸入,以及传染性飞沫在整个呼吸道中的传播和沉积情况的现有数据和模型。然后,我们阐述了气溶胶传播建模如何能够在宿主内模型和流行病学模型之间起到桥梁作用并指导其校准,从而形成一个全面的工具,用以提出和检验关于个体内部以及个体之间呼吸道暴露和感染的假设。