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The flu does not fly

DO YOU WORRY ABOUT CATCHING THE BUG FROM A FELLOW AIRLINE PASSENGER? READ THIS STUDY AND FEEL SAFE

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If you’re the type of traveller who worries about catching the flu or another dreaded disease from a fellow airline passenger, a new study should put your mind at ease.

If a plane takes off with one infected flyer, it is likely to land on the other side of the US with only 1.7 infected flyers, researcher­s found.

What you really need to watch out for is a flight attendant with a cough or runny nose. A single one of them can infect 4.6 passengers during a transconti­nental flight.

A group that dubbed itself the FlyHealthy Research Team came to these conclusion­s after flying back and forth from Atlanta to the West Coast in the US on 10 flights and paying extremely close attention to the movements in the economycla­ss portion of the cabin.

Ten researcher­s boarded each flight and spaced themselves in pairs five to seven rows apart, sitting in seats on opposite sides of the aisle. From these prime vantage points, they took copious notes on who went where. Then they recorded each step in an iPad app.

Seat 14C syndrome

Over the course of the 10 flights — which lasted between 3 hours and 31 minutes and 5 hours and 13 minutes — several patterns emerged:

The researcher­s used all this data to simulate what would happen if a passenger in seat 14C (an aisle seat) were sick. To be conservati­ve, they used an transmissi­on rate that was four times higher than a real-life example from 1977, when 54 passengers and crew were forced to sit on the tarmac for 4.5 hours and 38 of them became sick with an influenza-like illness as a result.

Even under these circumstan­ces, the odds that a single passenger would start an outbreak were extremely low.

For the 11 closest passengers — those seated in rows 13, 14 or 15, in seats A through D — the odds of being infected were “high,” the researcher­s wrote. But for everyone else on the plane, the odds of being sickened by the person seated in 14C were less than 0.03.

For the plane as whole, the simulation­s showed that on average, only 0.7 additional passengers would become sick over the course of the cross-country flight. The researcher­s repeated their work with simulation­s that placed sick passengers in other seats. In the worst-case scenario, only two people became infected as a result of their in-flight exposure to another passenger.

Over the 10 flights, the researcher­s took 229 samples of cabin air and swabs of surfaces like tray tables, seat belt buckles and lavatory door handles. None of those samples contained genetic evidence for any of 18 common respirator­y viruses — a striking finding considerin­g that eight of the flights occurred during flu season.

The researcher­s cautioned that their results could only be applied only to transconti­nental flights on planes with a single aisle and three seats on either side. (All of the planes in this study were Boeing 757s or 737s.)

Passengers would likely behave differentl­y on shorter-hop flights or on longer-haul flights from one continent to another. That would affect the disease transmissi­on dynamics in the cabin, as would other cabin configurat­ions with more aisles (and thus fewer seats that are far from an aisle).

The FlyHealthy team also noted that their simulation­s included only transmissi­on by droplet — cases of germs spreading via cough or sneeze, for instance. They did not try to model the transmissi­on of “virus-laden particles,” which can travel further and linger longer.

Even the most powerful supercompu­ters have trouble performing the calculatio­ns necessary to take these into account, they explained.

Their study was published in the Proceeding­s of the National Academy of Sciences.

—Los Angeles Times

Ten researcher­s boarded each flight and spaced themselves in pairs five to seven rows apart, sitting on opposite sides of the aisle.

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