Turbulent Gas Clouds and Respiratory Pathogen Emissions: Potential Implications for Reducing Transmission of COVID-19
Abstract
This JAMA Insights Clinical Update discusses the need to better understand the dynamics of respiratory disease transmission by better characterizing transmission routes, the role of patient physiology in shaping them, and best approaches for source control in the context of the COVID-19 outbreak.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Dynamic respiratory events may project particulates well in excess of 2 m.
“Dynamic respiratory events may project particulates well in excess of 2 m [18–21], which is also supported by physical modelling investigations [15, 22–25].”
From The protective performance of reusable cloth face masks, disposable procedure masks, KN95 masks and N95 respirators: Filtration and total inward leakage (2021) · cites this paper as [18]
Cited by
Sorted by citations
Wiersinga, W. J., Rhodes, A., Cheng, A. C., Peacock, S. J., & Prescott, H. C. (2020) · JAMA · doi:10.1001/jama.2020.12839 · Cited by 4,609 · see citing works
Airborne transmission of SARS-CoV-2: The world should face the reality
Morawska, L., & Cao, J. (2020) · Environment International · doi:10.1016/j.envint.2020.105730 · Cited by 1,728 · see citing works
Transmissibility and transmission of respiratory viruses
Leung, N. H. L. (2021) · Nature Reviews Microbiology · doi:10.1038/s41579-021-00535-6 · Cited by 890 · see citing works
Particle Sizes of Infectious Aerosols: Implications for Infection Control
Fennelly, K. P. (2020) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(20)30323-4 · Cited by 621 · see citing works
Asadi, S., Cappa, C. D., Barreda, S., Wexler, A. S., Bouvier, N. M., & Ristenpart, W. D. (2020) · Scientific Reports · doi:10.1038/s41598-020-72798-7 · Cited by 480 · see citing works
Consideration of the Aerosol Transmission for COVID-19 and Public Health
Anderson, E. L., Turnham, P., Griffin, J. R., & Clarke, C. C. (2020) · Risk Analysis · doi:10.1111/risa.13500 · Cited by 433 · see citing works
Tang, J. W., Bahnfleth, W. P., Bluyssen, P. M., Buonanno, G., Jimenez, J. L., Kurnitski, J., Li, Y., Miller, S., Sekhar, C., Morawska, L., et al. (2021) · Journal of Hospital Infection · doi:10.1016/j.jhin.2020.12.022 · Cited by 350 · see citing works
Azimi, P., Keshavarz, Z., Cedeno Laurent, J. G., Stephens, B., & Allen, J. G. (2021) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2015482118 · Cited by 245 · see citing works
Blocken, B., van Druenen, T., Ricci, A., Kang, L., van Hooff, T., Qin, P., Xia, L., Ruiz, C. A., Arts, J. H., Diepens, J. F. L., et al. (2021) · Building and Environment · doi:10.1016/j.buildenv.2021.107659 · Cited by 183 · see citing works
Randall, K., Ewing, E. T., Marr, L. C., Jimenez, J. L., & Bourouiba, L. (2021) · Interface Focus · doi:10.1098/rsfs.2021.0049 · Cited by 12 · see citing works
Self-citationThe Role of Fit Testing N95/Ffp2/Ffp3 Masks: A Narrative Review
Regli, A., Sommerfield, A., & von Ungern‐Sternberg, B. S. (2021) · Anaesthesia · doi:10.1111/anae.15261 · Cited by 117 · see citing works
Mechanisms of Airborne Infection via Evaporating and Sedimenting Droplets Produced by Speaking
Netz, R. R. (2020) · The Journal of Physical Chemistry B · doi:10.1021/acs.jpcb.0c05229 · Cited by 108 · see citing works
SARS-CoV-2: A systematic review of indoor air sampling for virus detection
Borges, J. T., Nakada, L. Y. K., Maniero, M. G., & Guimarães, J. R. (2021) · Environmental Science and Pollution Research · doi:10.1007/s11356-021-13001-w · Cited by 85 · see citing works
Duncan, S., Bodurtha, P., & Naqvi, S. (2021) · PLOS ONE · doi:10.1371/journal.pone.0258191 · Cited by 75 · see citing works
Indoor Aerosol Science Aspects of SARS-CoV-2 Transmission
Nazaroff, W. W. (2022) · Indoor Air · doi:10.1111/ina.12970 · Cited by 70 · see citing works
Deep Ensemble Model for Classification of Novel Coronavirus in Chest X‐Ray Images
Ahmad, F., Farooq, A., & Ghani, M. U. (2021) · Computational Intelligence and Neuroscience · doi:10.1155/2021/8890226 · Cited by 65 · see citing works
COVID-19 outbreak among attendees of an exercise facility—Chicago, Illinois, August–September 2020
Lendacki, F. R., Teran, R. A., Gretsch, S., Fricchione, M. J., & Kerins, J. L. (2021) · MMWR. Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm7009e2 · Cited by 55 · see citing works
Soon, J. M., Wahab, I. R. A., Hamdan, R. H., & Jamaludin, M. H. (2020) · PLOS ONE · doi:10.1371/journal.pone.0235870 · Cited by 56 · see citing works
A paradigm shift to align transmission routes with mechanisms
Marr, L. C., & Tang, J. W. (2021) · Clinical Infectious Diseases · doi:10.1093/cid/ciab722 · Cited by 53 · see citing works
- Authors
- Bourouiba, L.
- Affiliations
- Massachusetts Institute of Technology (US)
- Corresponding author
- Bourouiba, Lydia
- ORCID
- Bourouiba, Lydia
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2020-03-26
- Volume
- 323
- Issue
- 18
- Pages
- 1837-1838
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W3014043262
- Cited by
- 1,066
- References
- 0
- Citations by year
- 2026: 10 · 2025: 22 · 2024: 41 · 2023: 82 · 2022: 166 · 2021: 370 · 2020: 375
- FWCI
- 141.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Physical Sciences › Environmental Science › Global and Planetary Change › COVID-19 impact on air quality
- Keywords
- respiratory pathogen transmission, airborne transmission, gas clouds, source control, COVID-19 pandemic
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Cough, Gases, Health Personnel, Humans, Masks, Occupational Diseases, Pneumonia, Viral, Sneezing, Social Isolation, Coronavirus Infections, Disease Transmission, Infectious, Exhalation, History, 19th Century, History, 20th Century, Biophysical Phenomena, Pandemics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review