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
Hauptverfasser: Zhang, Jinjun, Qin, Fei, Qin, Xinyan, Li, Jianren, Tian, Sijia, Lou, Jing, Kang, Xuqin, Lian, Huixin, Niu, Shengmei, Zhang, Wenzhong, Chen, Yuguo
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container_issue 1
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container_title Annals of medicine (Helsinki)
container_volume 53
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.
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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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