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EVIDENCE SUPPORTING AIRBORNE TRANSMISSION | MEASLES | INFLUENZA | CHICKENPOX | COVID-19 | TUBERCULOSIS | SARS & MERS |
In lab setting, aerosolized pathogen remains stable and/or viable (infectious) in the air after significant time has passed | De Jong 1964 Viable virus after 2 hours Sattar 1987 - rinderpest recovered after one hour in air (Table 1) | Wells 1936 Hemmes 1960 Sattar 1987 - lists various times infuenza has lasted in air, including 24 hours (Table 1) Kormuth 2018 | van Doremalen 2020 Viable virus at 3 hours | Clark 2011 | van Doremalen 2020 Viable virus at 3 hours | |
Viable pathogen isolated from aerosol samples (cough/breath) in laboratory settings | Fabian 2009 Milton 2013 Lindsley 2015 Lindsley 2016 Pan 2017 Yan 2018 Leung 2020 | Adenaiye 2021 | Fennelly 2003 Fennelly 2012 Patterson 2018 Theron 2020 Dinkele 2021 | |||
Viable pathogen isolated from air samples in non-laboratory settings |
| Lednicky 2020 Lednicky 2021 Santarpia 2021 | SARS: Xiao 2004 MERS: Kim 2016 | |||
Outbreak investigations showing high likelihood of transmission over “long distances” (i.e. > 2m) | Riley 1978 Bloch 1985 Remington 1985 Chen 1989 Ehreleman 1995 | Moser 1979 | Leclair 1980 Asano 1980 Josephson 1988 Gustafson 1982 | Azimi 2021 Eichler 2021 Cai 2020 Günther 2020 Miller 2020 Jang 2020 Li 2021 Katelaris 2021 Cheng 2021 | Houk 1980 Kenyon 1996 | SARS: Olsen 2003 Yu 2004 Li 2005 MERS: Cho 2016 |
Genetic material of pathogen detected in aerosol samples, on air grates, in air vents and/or on low-/no- touch surfaces | Bischoff 2016 | Fabian 2008 RNA out of breath sample Stelzer-Braid 2009 multiple viruses found in breath samples, including flu Blachere 2009 Lindsley 2010 Yang 2011 Noti 2012 Bischoff 2013 Nikitin 2014 Leung 2016 Yan 2018 Coleman 2018 Xie 2019 | Sawyer 1994 AC filter and multiple surfaces in a house Yoshikawa 2001 Suzuki 2002 Suzuki 2003 samples from air purifier filters in houses of infected children Suzuki 2004 | Coleman 2021 Cheng 2021 Chia 2020 Ge 2020 Jin 2020 Kenarkoohi 2020 Lei 2020 Liu 2020 Lednicky 2020 Ma 2020 Moore 2021 Nissen 2020 Razzini 2020 Santarpia 2020 | SARS: Booth 2005 SARS found in air samples, confirmed by PCR, but not able to culture MERS: Kim 2016 Hao 2019 | |
Nosocomial outbreaks (transmission events) despite use of droplet & contact precautions | Bloch 1985 Remington 1985 | Wong 2010 | Leclair 1980 Asano 1980 Anderson 1985 Josephson 1988 Menkhaus 1990 Gustafson 1982 | Klompas 2021 Klompas 2021 Goldberg 2021 Oksanen 2021 Cheng 2021 Karan 2021 Saidel-Odes 2021 | Kantor 1988 Hutton 1990 | SARS: Christian 2004 Li 2004 Yu 2004 Wong 2004 MERS: Cho 2016 |
Animal models showing isolation of pathogen from aerosol samples and/or transmission through the air |
| GUINEA PIGS: Lowen 2006 Mubareka 2009 FERRETS: Andrewes 1941 Koster 2012 MICE: Schulman 1962 | FERRETS: Richard 2020 Kutter 2021 HAMSTERS: Sia 2020 Port 2021 Yinda 2021 MONKEYS: Dabisch 2021 Zhang 2021 | GUINEA PIGS: Alsaadi 1973 Riley 1959 Riley 1961 Chambers 2002 Escombe 2007 Escombe 2009 Dharmadhikari 2012 | SARS: Kutter 2021 MERS: Totura 2020 | |
Human challenge trials (unethical with COVID) OR Human to animal transmission studies | Henle 1946 Alford 1996 Bischoff 2011 Nguyen van Tam 2020 Bueno de Mesquita 2020 | Riley 1959 Riley 1961 Escombe 2007 Escombe 2009 Dharmadhikari 2012 |
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