Cited by 734Infection Control and VentilationCOVID-19 epidemiological studiesCOVID-19 impact on air quality

The DOI matches its Crossref record; 78 of the 79 references it cites were found in a registry or an index, and 1 are not checked yet.

Transmission of SARS-CoV-2 by inhalation of respiratory aerosol in the Skagit Valley Chorale superspreading event

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Published version of a preprint

Abstract

During the 2020 COVID-19 pandemic, an outbreak occurred following attendance of a symptomatic index case at a weekly rehearsal on 10 March of the Skagit Valley Chorale (SVC). After that rehearsal, 53 members of the SVC among 61 in attendance were confirmed or strongly suspected to have contracted COVID-19 and two died. Transmission by the aerosol route is likely; it appears unlikely that either fomite or ballistic droplet transmission could explain a substantial fraction of the cases. It is vital to identify features of cases such as this to better understand the factors that promote superspreading events. Based on a conditional assumption that transmission during this outbreak was dominated by inhalation of respiratory aerosol generated by one index case, we use the available evidence to infer the emission rate of aerosol infectious quanta. We explore how the risk of infection would vary with several influential factors: ventilation rate, duration of event, and deposition onto surfaces. The results indicate a best-estimate emission rate of 970 ± 390 quanta/h. Infection risk would be reduced by a factor of two by increasing the aerosol loss rate to 5 h−1 and shortening the event duration from 2.5 to 1 h.

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Crossref · 10.1111/ina.12751

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Research works printed but not linked: 4

  1. Read R, A choir decided to go ahead with rehearsal. Now dozens of members have COVID‐19 and two are dead, Los Angeles Times
  2. ASHRAE, 2017, ANSI/ASHRAE Standard 52.2‐2017 Method of Testing General Ventilation Air‐Cleaning Devices for Removal Efficiency by Particle Size
  3. Read R, Scientists to choirs: Group singing can spread the coronavirus, despite what CDC may say, Los Angeles Times
  4. Peinado F, El virus se ceba con las voces del coro de la Zarzuela, El Pais

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Metadata

Authors
Miller, S. L., Nazaroff, W. W., Jimenez, J. L., Boerstra, A., Buonanno, G., Dancer, S. J., Kurnitski, J., Marr, L. C., Morawska, L., & Noakes, C.
Affiliations
  • University of Colorado Boulder (US)
  • University of California, Berkeley (US)
  • Cooperative Institute for Research in Environmental Sciences (US)
  • REHVA (Federation of European Heating, Ventilation and Air Conditioning Associations) BBA Binnenmilieu Den Haag The Netherlands
  • Università degli studi di Cassino e del Lazio Meridionale (IT)
  • Edinburgh Napier University (GB)
  • Tallinn University of Technology (EE)
  • Virginia Tech (US)
  • International Laboratory for Air Quality and Heath (ILAQH) WHO Collaborating Centre for Air Quality and Health School of Earth and Atmospheric Sciences Queensland University of Technology Brisbane Queensland Australia
  • University of Leeds (GB)
Corresponding author
Miller, Shelly L.
Venue
Indoor Air
Publisher
Wiley
Published
2020-10-13
Volume
31
Issue
2
Pages
314-323
ISSN
  • 0905-6947 (ISSN-L)
  • 1600-0668
OpenAlex
W3089975294
Cited by
734
References
73
Citations by year
2026: 31 · 2025: 58 · 2024: 79 · 2023: 101 · 2022: 182 · 2021: 229 · 2020: 52
FWCI
79.48
Type
journal article
Language
en
Open access
Locations
  • Indoor Air (publishedVersion)
  • medRxiv (acceptedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
  • QUT ePrints (Queensland University of Technology) (submittedVersion, cc-by-nc)
  • Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion, other-oa)
  • CU Scholar (University of Colorado Boulder) (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • Archivio Istituzionale della Ricerca - Università degli Studi di Cassino (submittedVersion)
  • Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion, cc-by)
  • VTechWorks (Virginia Tech) (submittedVersion, cc-by-nc-nd)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
  • Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
  • Physical Sciences › Environmental Science › Global and Planetary Change › COVID-19 impact on air quality
Keywords
SARS-CoV-2, COVID-19 pandemic, superspreading events, aerosol deposition, ventilation rate, infection risk, choral rehearsal, indoor air quality
MeSH terms
COVID-19, SARS-CoV-2, Humans, Time Factors, Ventilation, Washington, Fomites, Singing

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