Violent expiratory events: on coughing and sneezing
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Abstract Violent respiratory events such as coughs and sneezes play a key role in transferring respiratory diseases between infectious and susceptible individuals. We present the results of a combined experimental and theoretical investigation of the fluid dynamics of such violent expiratory events. Direct observation of sneezing and coughing events reveals that such flows are multiphase turbulent buoyant clouds with suspended droplets of various sizes. Our observations guide the development of an accompanying theoretical model of pathogen-bearing droplets interacting with a turbulent buoyant momentum puff. We develop in turn discrete and continuous models of droplet fallout from the cloud in order to predict the range of pathogens. According to the discrete fallout model droplets remain suspended in the cloud until their settling speed matches that of the decelerating cloud. A continuous fallout model is developed by adapting models of sedimentation from turbulent fluids. The predictions of our theoretical models are tested against data gathered from a series of analogue experiments in which a particle-laden cloud is ejected into a relatively dense ambient. Our study highlights the importance of the multiphase nature of respiratory clouds, specifically the suspension of the smallest drops by circulation within the cloud, in extending the range of respiratory pathogens.
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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 [19]
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Cites
Aerosol Technology Properties, Behavior, and Measurement of Airborne Particles
Laucks, M. L. (2000) · Journal of Aerosol Science · doi:10.1016/s0021-8502(99)00571-6 · Cited by 3,446 · see citing works
Turbulent gravitational convection from maintained and instantaneous sources
Morton, B. R., Taylor, G. I., & Turner, J. S. (1956) · Proceedings of the Royal Society of London A Mathematical and Physical Sciences · doi:10.1098/rspa.1956.0011 · Cited by 2,605 · see citing works
Evidence of Airborne Transmission of the Severe Acute Respiratory Syndrome Virus
Yu, I. T. S., Li, Y., Wong, T. W., Tam, W., Chan, A., Lee, J. H. W., Leung, D. Y. C., & Ho, T. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa032867 · Cited by 1,255 · see citing works
Morawska, L., Johnson, G. R., Ristovski, Z. D., Hargreaves, M., Mengersen, K., Corbett, S., Chao, C. Y. H., Li, Y., & Katoshevski, D. (2009) · Journal of Aerosol Science · doi:10.1016/j.jaerosci.2008.11.002 · Cited by 1,129 · see citing works
Toward Understanding the Risk of Secondary Airborne Infection: Emission of Respirable Pathogens
Nicas, M., Nazaroff, W. W., & Hubbard, A. (2005) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459620590918466 · Cited by 867 · see citing works
The size and the duration of air-carriage of respiratory droplets and droplet-nuclei
Duguid, J. P. (1946) · Epidemiology and Infection · doi:10.1017/s0022172400019288 · Cited by 860 · see citing works
Review of Aerosol Transmission of Influenza A virus
Tellier, R. (2006) · Emerging Infectious Diseases · doi:10.3201/eid1211.060426 · Cited by 803 · see citing works
Microfluidics: The No-Slip Boundary Condition
Lauga, E., Brenner, M. P., & Stone, H. A. (2007) · Springer handbooks · doi:10.1007/978-3-540-30299-5_19 · Cited by 699 · see citing works
The size distribution of droplets in the exhaled breath of healthy human subjects
PAPINENI, R. S., & ROSENTHAL, F. S. (1997) · Journal of Aerosol Medicine · doi:10.1089/jam.1997.10.105 · Cited by 690 · see citing works
On the velocity of steady fall of spherical particles through fluid medium
Cunningham, E. (1910) · Proceedings of the Royal Society of London Series A Containing Papers of a Mathematical and Physical Character · doi:10.1098/rspa.1910.0024 · Cited by 682 · see citing works
Tang, J. W.-T., Li, Y., Eames, I., Chan, P. K. S., & Ridgway, G. L. (2006) · Journal of Hospital Infection · doi:10.1016/j.jhin.2006.05.022 · Cited by 668 · see citing works
Droplet fate in indoor environments, or can we prevent the spread of infection?
Morawska, L. (2006) · Indoor Air · doi:10.1111/j.1600-0668.2006.00432.x · Cited by 646 · see citing works
Modality of human expired aerosol size distributions
Johnson, G. R., Morawska, L., Ristovski, Z., Hargreaves, M. H., Mengersen, K. L., Chao, C. Y. H., Wan, M. P., Li, Y., Xie, X., Katoshevski, D., et al. (2011) · Journal of Aerosol Science · doi:10.1016/j.jaerosci.2011.07.009 · Cited by 641 · see citing works
Flow dynamics and characterization of a cough
Gupta, J. K., Lin, C., & Chen, Q. (2009) · Indoor Air · doi:10.1111/j.1600-0668.2009.00619.x · Cited by 609 · see citing works
Aerosol transmission of influenza A virus: a review of new studies
Tellier, R. (2009) · Journal of The Royal Society Interface · doi:10.1098/rsif.2009.0302.focus · Cited by 587 · see citing works
Turner, J. S. (1979) · Cited by 571 · see citing works
The Fluid Mechanics Inside a Volcano
Gonnermann, H. M., & Manga, M. (2006) · Annual Review of Fluid Mechanics · doi:10.1146/annurev.fluid.39.050905.110207 · Cited by 501 · see citing works
Inactivation of influenza A viruses in the environment and modes of transmission: A critical review
Weber, T. P., & Stilianakis, N. I. (2008) · Journal of Infection · doi:10.1016/j.jinf.2008.08.013 · Cited by 489 · see citing works
The Size and Concentration of Droplets Generated by Coughing in Human Subjects
Yang, S., Lee, G. W. M., Chen, C.-M., Wu, C.-C., & Yu, K.-P. (2007) · Journal of Aerosol Medicine · doi:10.1089/jam.2007.0610 · Cited by 473 · see citing works
Revised formula for the density of moist air (CIPM-2007)
Picard, A., Davis, R., Gläser, M., et al. (2008) · Metrologia · doi:10.1088/0026-1394/45/2/004 · Cited by 408 · see citing works
Recent advances in pulmonary drug delivery using large, porous inhaled particles
Edwards, D. A., Ben-Jebria, A., & Langer, R. (1998) · Journal of Applied Physiology · doi:10.1152/jappl.1998.85.2.379 · Cited by 342 · see citing works
Global Physiology and Pathophysiology of Cough
McCool, F. D. (2006) · CHEST Journal · doi:10.1378/chest.129.1_suppl.48s · Cited by 302 · see citing works
Tang, J. W.-T., Liebner, T. J., Craven, B. A., & Settles, G. S. (2009) · Journal of The Royal Society Interface · doi:10.1098/rsif.2009.0295.focus · Cited by 300 · see citing works
Experiments on convection of isolated masses of buoyant fluid
Scorer, R. S. (1957) · Journal of Fluid Mechanics · doi:10.1017/s0022112057000397 · Cited by 289 · see citing works
Crystal settling in a vigorously convecting magma chamber
Martin, D., & Nokes, R. (1988) · Nature · doi:10.1038/332534a0 · Cited by 279 · see citing works
Airborne Contagion and Air Hygiene: An Ecological Study of Droplet Infections
Wells, W. F. (1955) · JAMA · doi:10.1001/jama.1955.02960180092033 · Cited by 272 · see citing works
Cluster of SARS among Medical Students Exposed to Single Patient, Hong Kong
Wong, T.-W., Lee, C.-K., Tam, W., Lau, J. T. F., Yu, T.-S., Lui, S., Chan, P. K. S., Li, Y., Bresee, J., Sung, J. J. �., et al. (2004) · Emerging infectious diseases · doi:10.3201/eid1002.030452 · Cited by 264 · see citing works
Woods, A. W. (2010) · Annual Review of Fluid Mechanics · doi:10.1146/annurev-fluid-121108-145430 · Cited by 254 · see citing works
Crowder, T. M., Rosati, J. A., Schroeter, J. D., et al. (2002) · Pharmaceutical Research · doi:10.1023/a:1014426530935 · Cited by 248 · see citing works
Virtual origin correction for lazy turbulent plumes
Hunt, G. R., & Kaye, N. B. (2001) · Journal of Fluid Mechanics · doi:10.1017/s0022112001003871 · Cited by 231 · see citing works
Zayas, J. G., Chiang, M. C. J., Wong, E. Y. L., MacDonald, F., Lange, C. F., Senthilselvan, A., & King, M. (2012) · BMC Pulmonary Medicine · doi:10.1186/1471-2466-12-11 · Cited by 228 · see citing works
(1979) · Environmental Pollution (1970) · doi:10.1016/0013-9327(79)90156-3 · Cited by 190 · see citing works
Park, J. H., Kang, S., Lee, S. C., et al. (2010) · Yonsei Medical Journal · doi:10.3349/ymj.2010.51.3.392 · Cited by 146 · see citing works
Temperatures of expired air under varying climatic conditions
Höppe, P. (1981) · International Journal of Biometeorology · doi:10.1007/bf02184460 · Cited by 128 · see citing works
Air movement and perceived air quality
Melikov, A. K., & Kaczmarczyk, J. (2011) · Building and Environment · doi:10.1016/j.buildenv.2011.06.017 · Cited by 125 · see citing works
Schlieren “PIV” for turbulent flows
Jonassen, D. R., Settles, G. S., & Tronosky, M. D. (2005) · Optics and Lasers in Engineering · doi:10.1016/j.optlaseng.2005.04.004 · Cited by 123 · see citing works
Particle clouds in homogeneous and stratified environments
Bush, J. W. M., Thurber, B. A., & Blanchette, F. (2003) · Journal of Fluid Mechanics · doi:10.1017/s0022112003005160 · Cited by 117 · see citing works
Self-citationThe numbers and the sites of origin of the droplets expelled during expiratory activities.
Jp, D. (1945) · PubMed · Cited by 105 · see citing works
Some aspects of the airborne transmission of infection
Clark, R. P., & de Calcina-Goff, M. L. (2009) · Journal of The Royal Society Interface · doi:10.1098/rsif.2009.0236.focus · Cited by 98 · see citing works
<i>Respiratory Heat Exchange with Varying Temperature and Humidity of Inspired Air</i>
McCutchan, J. W., & Taylor, C. L. (1951) · Journal of Applied Physiology · doi:10.1152/jappl.1951.4.2.121 · Cited by 96 · see citing works
Settling velocity and porosity of large suspended particle
Kajihara, M. (1971) · Journal of Oceanography · doi:10.1007/bf02109135 · Cited by 78 · see citing works
Puff motions in unstratified surroundings
Richards, J. (1965) · Journal of Fluid Mechanics · doi:10.1017/s002211206500006x · Cited by 75 · see citing works
Tang, J. W.-T., & Settles, G. S. (2008) · New England Journal of Medicine · doi:10.1056/nejmicm072576 · Cited by 72 · see citing works
Loudon, R. G., & ROBERTS, R. M. (1967) · Nature · doi:10.1038/213095a0 · Cited by 68 · see citing works
Mixing by a turbulent plume in a confined stratified region
Cardoso, S. S. S., & Woods, A. W. (1993) · Journal of Fluid Mechanics · doi:10.1017/s0022112093001466 · Cited by 66 · see citing works
FLUID MECHANICS AND HOMELAND SECURITY
Settles, G. S. (2005) · Annual Review of Fluid Mechanics · doi:10.1146/annurev.fluid.38.050304.092111 · Cited by 66 · see citing works
Environmental Fluid Mechanics : Theories and Applications
Shen, H. H., Cheng, A. H. ‐., Wang, K., et al. (2002) · Cited by 63 · see citing works
Clarke, G. K. C., Bush, A. B. G., & Bush, J. W. M. (2008) · Journal of Climate · doi:10.1175/2008jcli2439.1 · Cited by 59 · see citing works
Self-citationHow turbulence enhances coalescence of settling particles with applications to rain in clouds
Ghosh, S., Dávila, J., Hunt, J. C. R., et al. (2005) · Proceedings of the Royal Society A Mathematical Physical and Engineering Sciences · doi:10.1098/rspa.2005.1490 · Cited by 59 · see citing works
Airborne Contagion and Air Hygiene: An Ecological Study of Droplet Infection
(1957) · Tubercle · doi:10.1016/s0041-3879(57)80076-2 · Cited by 56 · see citing works
Experiments on the penetration of an interface by buoyant thermals
Richards, J. (1961) · Journal of Fluid Mechanics · doi:10.1017/s0022112061000585 · Cited by 54 · see citing works
Kinetics and evaporation of water drops in air
Holterman, H. J. (2003) · Socio-Environmental Systems Modeling · doi:10.18174/562300 · Cited by 54 · see citing works
Vortices, Complex Flows and Inertial Particles
Hunt, J. C. R., Delfos, R., Eames, I., & Perkins, R. J. (2007) · Flow Turbulence and Combustion · doi:10.1007/s10494-007-9096-0 · Cited by 30 · see citing works
Two-phase modeling of sediment clouds
Lai, A. C. H., Zhao, B. C., Law, A. W., et al. (2013) · Environmental Fluid Mechanics · doi:10.1007/s10652-013-9271-x · Cited by 29 · see citing works
THE ROLE OF PARTICLE SIZE IN EXPERIMENTAL AIR-BORNE INFECTION1
Sonkin, L. S. (1951) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a119459 · Cited by 26 · see citing works
Structure of a Horizontal Sediment-Laden Momentum Jet
Lee, W. Y., Li, A., & Lee, J. H. W. (2012) · Journal of Hydraulic Engineering · doi:10.1061/(asce)hy.1943-7900.0000662 · Cited by 24 · see citing works
Wang, T. G. (1989) · Cited by 17 · see citing works
Multi-Phase Plumes in Uniform, Stratified, and Flowing Environments
Socolofsky, S. A., Crounse, B. C., & Adams, E. E. (2002) · Cited by 15 · see citing works
Sedimentation in a stratified ambient
Blanchette, F. (2003) · Cited by 5 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- IMF/WORLD BANK, 2006 Press briefing: Avian flu. In Proc. IMF/World Bank Annual Meetings Suntec.
Cited by
Sorted by citations
Aerosol Emission and Superemission during Human Speech Increase with Voice Loudness
Asadi, S., Wexler, A. S., Cappa, C. D., Barreda, S., Bouvier, N. M., & Ristenpart, W. D. (2019) · Scientific Reports · doi:10.1038/s41598-019-38808-z · Cited by 919 · see citing works
Vuorinen, V., Aarnio, M., Alava, M., Alopaeus, V., Atanasova, N., Auvinen, M., Balasubramanian, N., Bordbar, H., Erästö, P., Grande, R., et al. (2020) · Safety Science · doi:10.1016/j.ssci.2020.104866 · Cited by 472 · see citing works
The fluid dynamics of disease transmission
Bourouiba, L. (2021) · Annual Review of Fluid Mechanics · doi:10.1146/annurev-fluid-060220-113712 · Cited by 366 · see citing works
Self-citationEnhanced spread of expiratory droplets by turbulence in a cough jet
Wei, J., & Li, Y. (2015) · Building and Environment · doi:10.1016/j.buildenv.2015.06.018 · Cited by 321 · see citing works
Visualization of sneeze ejecta: steps of fluid fragmentation leading to respiratory droplets
Scharfman, B. E., Techet, A. H., Bush, J. W. M., & Bourouiba, L. (2016) · Experiments in Fluids · doi:10.1007/s00348-015-2078-4 · Cited by 287 · see citing works
Self-citationBlocken, 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-citationSchijven, J., Vermeulen, L. C., Swart, A., Meijer, A., Duizer, E., & de Roda Husman, A. M. (2021) · Environmental Health Perspectives · doi:10.1289/ehp7886 · Cited by 142 · 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
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
Vitamins C., D and zinc: Synergistic roles in immune function and infections
Maggini, S., Maldonado, P., Cardim, P., Newball, C. F., & Sota Latino, E. R. (2017) · Vitamins & Minerals · doi:10.4172/2376-1318.1000167 · Cited by 51 · see citing works
- Authors
- Bourouiba, L., Dehandschoewercker, E., & Bush, J. W. M.
- Affiliations
- Massachusetts Institute of Technology (US)
- Physique et Mécanique des Milieux Hétérogènes (FR)
- Corresponding author
- Bourouiba, Lydia
- Venue
- Journal of Fluid Mechanics
- Publisher
- Cambridge University Press (CUP)
- Published
- 2014-03-24
- Volume
- 745
- Pages
- 537-563
- ISSN
- 0022-1120 (ISSN-L)
- 1469-7645
- OpenAlex
- W2113076742
- Cited by
- 828
- References
- 59
- Citations by year
- 2026: 37 · 2025: 54 · 2024: 75 · 2023: 86 · 2022: 127 · 2021: 224 · 2020: 161 · 2019: 17 · 2018: 9 · 2017: 18 · 2016: 9 · 2015: 7 · 2014: 3 · 2013: 1
- FWCI
- 9.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Fluid Mechanics (publishedVersion)
- DSpace@MIT (Massachusetts Institute of Technology) (submittedVersion, cc-by-nc)
- Funders
- National Science Foundation (1022356)
- Natural Sciences and Engineering Research Council of Canada
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
- Physical Sciences › Engineering › Ocean Engineering › Particle Dynamics in Fluid Flows
- Physical Sciences › Engineering › Computational Mechanics › Fluid Dynamics and Heat Transfer
- Keywords
- cough, sneezing, expiratory flow, respiratory droplets, pathogen transmission, droplet settling
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