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How did we get here: what are droplets and aerosols and how far do they go? A historical perspective on the transmission of respiratory infectious diseases

dc.contributor.authorRandall, Katherineen
dc.contributor.authorEwing, E. Thomasen
dc.contributor.authorMarr, Linsey C.en
dc.contributor.authorJiminez, J. L.en
dc.contributor.authorBourouiba, Lydiaen
dc.date.accessioned2021-10-13T16:34:22Zen
dc.date.available2021-10-13T16:34:22Zen
dc.date.issued2021-10-12en
dc.description.abstractThe COVID-19 pandemic has exposed major gaps in our understanding of the transmission of viruses through the air. These gaps slowed recognition of airborne transmission of the disease, contributed to muddled public health policies and impeded clear messaging on how best to slow transmission of COVID-19. In particular, current recommendations have been based on four tenets: (i) respiratory disease transmission routes can be viewed mostly in a binary manner of ‘droplets’ versus ‘aerosols’; (ii) this dichotomy depends on droplet size alone; (iii) the cut-off size between these routes of transmission is 5 µm; and (iv) there is a dichotomy in the distance at which transmission by each route is relevant. Yet, a relationship between these assertions is not supported by current scientific knowledge. Here, we revisit the historical foundation of these notions, and how they became entangled from the 1800s to today, with a complex interplay among various fields of science and medicine. This journey into the past highlights potential solutions for better collaboration and integration of scientific results into practice for building a more resilient society with more sound, far-sighted and effective public health policies.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationRandall K, Ewing ET, Marr LC, Jimenez JL, Bourouiba L. 2021 How did we get here: what are droplets and aerosols and how far do they go? A historical perspective on the transmission of respiratory infectious diseases. Interface Focus 11: 20210049. https://doi.org/10.1098/rsfs.2021.0049en
dc.identifier.doihttps://doi.org/10.1098/rsfs.2021.0049en
dc.identifier.issue6en
dc.identifier.urihttp://hdl.handle.net/10919/105287en
dc.identifier.volume11en
dc.language.isoenen
dc.publisherRoyal Societyen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectrespiratory diseasesen
dc.subjectpublic healthen
dc.subjectaerosolsen
dc.subjectdropletsen
dc.subjecthistoricalen
dc.subjecttransmissionen
dc.titleHow did we get here: what are droplets and aerosols and how far do they go? A historical perspective on the transmission of respiratory infectious diseasesen
dc.title.serialInterface Focusen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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