Coronavirus can spread through just breathing, talking: Scientists
Infections previously believed to spread through just cough, sneeze; virus can remain in air
nNEW DELHI: The coronavirus disease (Covid-19) can spread through just breathing and talking, said a high-level US scientific panel on Wednesday, suggesting that the virus that causes it is airborne and is spreading more easily and sustainably between people than previously believed.
The scientists said the virus can stay suspended in air in the ultrafine mist that is produced when people exhale.
“While the current specific research is limited, the results of available studies are consistent with aerosolisation of virus from normal breathing,” said a letter written by Dr Harvey Fineberg, who is chair of the National Academies of Sciences, Engineering, and Medicine’s standing committee of experts to inform the US federal government on critical science and policy issues related to emerging infectious diseases and other public health threats.
“This could explain why the virus is spreading so quickly, and with evidence of asymptomatic spread of the disease, complete social isolation and lockdowns become critical to contain the disease,” said a virologist, requestanonymity.
Airborne viruses and bacteria, particularly, are more contagious and worrying for highly populated countries like India, where cluster outbreaks have started in congested areas.
“From what is known, the virus is not as infectious as measles or the tuberculosis bacterium, but more infectious than the seasonal flu,” said Dr Jacob John, professor emeritus and former head of virology at Christian Medical College, Vellore.
Scientists have so far maintained that Sars-cov2, the virus that causes Covid-19, spreads when infected people cough or sneeze and expel virus in large respiratory droplets that are about 1 mm in diameter. The most common symptoms of Covid-19 are fever, cough and fatigue, which progresses to difficulty in breathing.
The infection spreads when these droplets are inhaled by peoing ple in a radius of two metres, or contaminated surfaces and objects, which people may touch and then infect themselves by touching their mouth, nose, or eyes, according to the World Health Organization (WHO).
But a study in the New England Journal of Medicine forced a rethink when it reported the that virus stays suspended and infective in aerosol droplets that are below 5 microns across for up to 3 hours.
A scientific brief last week from the WHO said aerosol transmission “may be possible in specific circumstances and settings that generate aerosols,” such as when severely ill patients are intubated with a breathing tube for ventilator support, but added that an analysis of more than 75,000 cases in China revealed no cases of airborne transmission.
Another recent study from the University of Nebraska Medical Center found viral RNA on hardto-reach surfaces and air samples more than 2 meters from the patients in isolation rooms, which indicates the virus can spread through aerosols.
“Finding RNA in the environment using Pcr-based tests is not a scientific way of measuring transmission as finding nucleic acid (genetic material, which includes DNA and RNA) is not indicative of virus viability. RNA by itself is not transmissible and infective. The outer wall of the virus, which is what it uses to enter human cells, gets destroyed pretty quickly,” said Dr Jacob JOHN.PCR is short for polymerase chain reaction.
If not used properly, personal protective equipment could also be a source of airborne contamination, with a pre-print study from China showing the virus can be re-suspended in air when health workers remove it or move around in infected areas.
Several countries are reviewing whether everyone should wear masks in public to reduce transmission. “Of course you need protection, but basic precautions are enough. Everyone is wearing masks, but I still think social distancing and handwashing is what’s needed, unless around a patient,” said Dr John.
“I’m not going to wear a surgical mask, because clinicians need those. But I have a nice westernstyle bandana I might wear. Or I have a balaclava. I have some pretty nice options,” Dr Fineberg, former dean of the Harvard School of Public Health, told CNN.
nNEWDELHI: With the government yet to announce its lockdown exit strategy, India’s national carrier Air India on Friday decided to stop advance bookings for all its domestic and international flights till April 30.
The 21-day lockdown is scheduled to end on April 14 and the Centre had earlier dismissed reports of it being extended.
Private airlines, however, continue to take advance bookings beyond April 15.
“Air India bookings are now closed till April 30. We are awaiting a decision post-april 14,” an Air India official said on condition of anonymity. The airline continues to accept bookings for flights from May 1.
The country is currently under a 21-day lockdown imposed to curb the spread of the coronavirus disease (Covid-19).
“Air India is a commercial organisation and needs to consider scenarios with regard to advance bookings and cancellations in case the lockdown in extended. Right now, we don’t know if the lockdown will be lifted phase-wise or not. For now, we are going to wait till April 14 and in case the lockdown is not extended, bookings can begin the same day,” a senior official with the civil aviation ministry, requesting anonymity, said. He added that in case another lockdown is announced, refunds will be offered according to company policy.
All modes of conveyance, including rail traffic, road and air transport, were suspended when the lockdown came into effect. Initially, international flights were suspended for a week from March 22 but later extended until April 15 coinciding with the lockdown. Domestic flights were suspended from the day the lockdown started on March 25. Cargo flight, however, still ply.
The Centre had earlier dismissed the reports of the lockdown being extended. “There are rumours and media reports, claiming that the government will extend the lockdown when it expires. These reports are baseless,” Cabinet Secretary Rajiv Gauba had said.
The Air India move comes a day after Union civil aviation minister Hardeep Puri said India will consider resuming international flight operations on a caseby-case basis after the lockdown ends.