Transmission of SARS-CoV-2 during air travel: a descriptive and modelling study
To explore the potential of SARS-CoV-2 spread during air travel and the risk of in-flight transmission. We enrolled all passengers and crew suspected of being infected with SARS-CoV-2, who bounded for Beijing on international flights. We specified the characteristics of all confirmed cases of COVID-...
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Veröffentlicht in: | Annals of medicine (Helsinki) 2021-01, Vol.53 (1), p.1569-1575 |
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creator | Zhang, Jinjun Qin, Fei Qin, Xinyan Li, Jianren Tian, Sijia Lou, Jing Kang, Xuqin Lian, Huixin Niu, Shengmei Zhang, Wenzhong Chen, Yuguo |
description | To explore the potential of SARS-CoV-2 spread during air travel and the risk of in-flight transmission.
We enrolled all passengers and crew suspected of being infected with SARS-CoV-2, who bounded for Beijing on international flights. We specified the characteristics of all confirmed cases of COVID-19 infection and utilised Wells-Riley equation to estimate the infectivity of COVID-19 during air travel.
We screened 4492 passengers and crew with suspected COVID-19 infection, verified 161 confirmed cases (mean age 28.6 years), and traced two confirmed cases who may have been infected in the aircraft. The estimated infectivity was 375 quanta/h (range 274-476), while the effective infectivity was only 4 quanta/h (range 2-5). The risk of per-person infection during a 13 h air travel in economy class was 0.56‰ (95% CI 0.41‰-0.72‰).
We found that the universal use of face masks on the flight, together with the plane's ventilation system, significantly decreased the infectivity of COVID-19.
KEY MESSAGES
The COVID-19 pandemic is changing the lifestyle in the world, especially air travel which has the potential to spread SARS-CoV-2.
The universal use of face masks on the flight, together with the plane's ventilation system, significantly decreased the infectivity of COVID-19 on an aircraft.
Our findings suggest that the risk of infection in aircraft was negligible. |
doi_str_mv | 10.1080/07853890.2021.1973084 |
format | Article |
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We enrolled all passengers and crew suspected of being infected with SARS-CoV-2, who bounded for Beijing on international flights. We specified the characteristics of all confirmed cases of COVID-19 infection and utilised Wells-Riley equation to estimate the infectivity of COVID-19 during air travel.
We screened 4492 passengers and crew with suspected COVID-19 infection, verified 161 confirmed cases (mean age 28.6 years), and traced two confirmed cases who may have been infected in the aircraft. The estimated infectivity was 375 quanta/h (range 274-476), while the effective infectivity was only 4 quanta/h (range 2-5). The risk of per-person infection during a 13 h air travel in economy class was 0.56‰ (95% CI 0.41‰-0.72‰).
We found that the universal use of face masks on the flight, together with the plane's ventilation system, significantly decreased the infectivity of COVID-19.
KEY MESSAGES
The COVID-19 pandemic is changing the lifestyle in the world, especially air travel which has the potential to spread SARS-CoV-2.
The universal use of face masks on the flight, together with the plane's ventilation system, significantly decreased the infectivity of COVID-19 on an aircraft.
Our findings suggest that the risk of infection in aircraft was negligible.</description><identifier>ISSN: 0785-3890</identifier><identifier>EISSN: 1365-2060</identifier><identifier>DOI: 10.1080/07853890.2021.1973084</identifier><identifier>PMID: 34463165</identifier><language>eng</language><publisher>Taylor & Francis</publisher><subject>air travel ; aircraft ; COVID-19 ; Infectious Diseases ; SARS-CoV-2 ; transmission</subject><ispartof>Annals of medicine (Helsinki), 2021-01, Vol.53 (1), p.1569-1575</ispartof><rights>2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group 2021</rights><rights>2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group 2021 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c511t-f995d723e4bb02e8c783bc4b0baff8256e22e949a1599d75b04042c4b2e5ec843</citedby><cites>FETCH-LOGICAL-c511t-f995d723e4bb02e8c783bc4b0baff8256e22e949a1599d75b04042c4b2e5ec843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8409939/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8409939/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,27479,27901,27902,53766,53768,59116,59117</link.rule.ids></links><search><creatorcontrib>Zhang, Jinjun</creatorcontrib><creatorcontrib>Qin, Fei</creatorcontrib><creatorcontrib>Qin, Xinyan</creatorcontrib><creatorcontrib>Li, Jianren</creatorcontrib><creatorcontrib>Tian, Sijia</creatorcontrib><creatorcontrib>Lou, Jing</creatorcontrib><creatorcontrib>Kang, Xuqin</creatorcontrib><creatorcontrib>Lian, Huixin</creatorcontrib><creatorcontrib>Niu, Shengmei</creatorcontrib><creatorcontrib>Zhang, Wenzhong</creatorcontrib><creatorcontrib>Chen, Yuguo</creatorcontrib><title>Transmission of SARS-CoV-2 during air travel: a descriptive and modelling study</title><title>Annals of medicine (Helsinki)</title><description>To explore the potential of SARS-CoV-2 spread during air travel and the risk of in-flight transmission.
We enrolled all passengers and crew suspected of being infected with SARS-CoV-2, who bounded for Beijing on international flights. We specified the characteristics of all confirmed cases of COVID-19 infection and utilised Wells-Riley equation to estimate the infectivity of COVID-19 during air travel.
We screened 4492 passengers and crew with suspected COVID-19 infection, verified 161 confirmed cases (mean age 28.6 years), and traced two confirmed cases who may have been infected in the aircraft. The estimated infectivity was 375 quanta/h (range 274-476), while the effective infectivity was only 4 quanta/h (range 2-5). The risk of per-person infection during a 13 h air travel in economy class was 0.56‰ (95% CI 0.41‰-0.72‰).
We found that the universal use of face masks on the flight, together with the plane's ventilation system, significantly decreased the infectivity of COVID-19.
KEY MESSAGES
The COVID-19 pandemic is changing the lifestyle in the world, especially air travel which has the potential to spread SARS-CoV-2.
The universal use of face masks on the flight, together with the plane's ventilation system, significantly decreased the infectivity of COVID-19 on an aircraft.
Our findings suggest that the risk of infection in aircraft was negligible.</description><subject>air travel</subject><subject>aircraft</subject><subject>COVID-19</subject><subject>Infectious Diseases</subject><subject>SARS-CoV-2</subject><subject>transmission</subject><issn>0785-3890</issn><issn>1365-2060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>DOA</sourceid><recordid>eNp9kdtq3DAQhkVoSLZpH6GgF_B2dLKlXpSGpYdAIJCkvRU6bhVsa5G8W_bta3fTQm56NTDz_x8MH0LvCKwJSHgPnRRMKlhToGRNVMdA8jO0IqwVDYUWXqHVkmmW0CV6XesTANCOwAW6ZJy3jLRihe4eixnrkGpNecQ54ofr-4dmk380FPt9SeMWm1TwVMwh9B-wwT5UV9JuSoeAzejxkH3o-yVXp70_vkHn0fQ1vH2eV-j7l8-Pm2_N7d3Xm831beMEIVMTlRK-oyxwa4EG6TrJrOMWrIlRUtEGSoPiyhChlO-EBQ6czgEaRHCSsyt0c-L6bJ70rqTBlKPOJuk_i1y22pQpuT5oKigXUjkiJeGuBWupdbJrI40tkyBm1scTa7e3Q_AujPO7_Qvoy8uYfuptPmjJQSmmZoA4AVzJtZYQ_3UJ6MWW_mtLL7b0s6259-nUS2PMZTC_cum9nsyxzyXOXlyqmv0f8RulXJnf</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Zhang, Jinjun</creator><creator>Qin, Fei</creator><creator>Qin, Xinyan</creator><creator>Li, Jianren</creator><creator>Tian, Sijia</creator><creator>Lou, Jing</creator><creator>Kang, Xuqin</creator><creator>Lian, Huixin</creator><creator>Niu, Shengmei</creator><creator>Zhang, Wenzhong</creator><creator>Chen, Yuguo</creator><general>Taylor & Francis</general><general>Taylor & Francis Group</general><scope>0YH</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20210101</creationdate><title>Transmission of SARS-CoV-2 during air travel: a descriptive and modelling study</title><author>Zhang, Jinjun ; Qin, Fei ; Qin, Xinyan ; Li, Jianren ; Tian, Sijia ; Lou, Jing ; Kang, Xuqin ; Lian, Huixin ; Niu, Shengmei ; Zhang, Wenzhong ; Chen, Yuguo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c511t-f995d723e4bb02e8c783bc4b0baff8256e22e949a1599d75b04042c4b2e5ec843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>air travel</topic><topic>aircraft</topic><topic>COVID-19</topic><topic>Infectious Diseases</topic><topic>SARS-CoV-2</topic><topic>transmission</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Jinjun</creatorcontrib><creatorcontrib>Qin, Fei</creatorcontrib><creatorcontrib>Qin, Xinyan</creatorcontrib><creatorcontrib>Li, Jianren</creatorcontrib><creatorcontrib>Tian, Sijia</creatorcontrib><creatorcontrib>Lou, Jing</creatorcontrib><creatorcontrib>Kang, Xuqin</creatorcontrib><creatorcontrib>Lian, Huixin</creatorcontrib><creatorcontrib>Niu, Shengmei</creatorcontrib><creatorcontrib>Zhang, Wenzhong</creatorcontrib><creatorcontrib>Chen, Yuguo</creatorcontrib><collection>Taylor & Francis Open Access</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Annals of medicine (Helsinki)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Jinjun</au><au>Qin, Fei</au><au>Qin, Xinyan</au><au>Li, Jianren</au><au>Tian, Sijia</au><au>Lou, Jing</au><au>Kang, Xuqin</au><au>Lian, Huixin</au><au>Niu, Shengmei</au><au>Zhang, Wenzhong</au><au>Chen, Yuguo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transmission of SARS-CoV-2 during air travel: a descriptive and modelling study</atitle><jtitle>Annals of medicine (Helsinki)</jtitle><date>2021-01-01</date><risdate>2021</risdate><volume>53</volume><issue>1</issue><spage>1569</spage><epage>1575</epage><pages>1569-1575</pages><issn>0785-3890</issn><eissn>1365-2060</eissn><abstract>To explore the potential of SARS-CoV-2 spread during air travel and the risk of in-flight transmission.
We enrolled all passengers and crew suspected of being infected with SARS-CoV-2, who bounded for Beijing on international flights. We specified the characteristics of all confirmed cases of COVID-19 infection and utilised Wells-Riley equation to estimate the infectivity of COVID-19 during air travel.
We screened 4492 passengers and crew with suspected COVID-19 infection, verified 161 confirmed cases (mean age 28.6 years), and traced two confirmed cases who may have been infected in the aircraft. The estimated infectivity was 375 quanta/h (range 274-476), while the effective infectivity was only 4 quanta/h (range 2-5). The risk of per-person infection during a 13 h air travel in economy class was 0.56‰ (95% CI 0.41‰-0.72‰).
We found that the universal use of face masks on the flight, together with the plane's ventilation system, significantly decreased the infectivity of COVID-19.
KEY MESSAGES
The COVID-19 pandemic is changing the lifestyle in the world, especially air travel which has the potential to spread SARS-CoV-2.
The universal use of face masks on the flight, together with the plane's ventilation system, significantly decreased the infectivity of COVID-19 on an aircraft.
Our findings suggest that the risk of infection in aircraft was negligible.</abstract><pub>Taylor & Francis</pub><pmid>34463165</pmid><doi>10.1080/07853890.2021.1973084</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | air travel aircraft COVID-19 Infectious Diseases SARS-CoV-2 transmission |
title | Transmission of SARS-CoV-2 during air travel: a descriptive and modelling study |
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