Abstract

Coronavirus disease 2019 (COVID-19) was first identified in China in late 2019 and is caused by newly identified severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Previous studies had reported the stability of SARS-CoV-2 in cell culture media and deposited onto surfaces under a limited set of environmental conditions. Here, we broadly investigated the effects of relative humidity, temperature, and droplet size on the stability of SARS-CoV-2 in a simulated clinically relevant matrix dried on nonporous surfaces. The results show that SARS-CoV-2 decayed more rapidly when either humidity or temperature was increased but that droplet volume (1 to 50 μl) and surface type (stainless steel, plastic, or nitrile glove) did not significantly impact decay rate. At room temperature (24°C), virus half-life ranged from 6.3 to 18.6 h depending on the relative humidity but was reduced to 1.0 to 8.9 h when the temperature was increased to 35°C. These findings suggest that a potential for fomite transmission may persist for hours to days in indoor environments and have implications for assessment of the risk posed by surface contamination in indoor environments.IMPORTANCE Mitigating the transmission of SARS-CoV-2 in clinical settings and public spaces is critically important to reduce the number of COVID-19 cases while effective vaccines and therapeutics are under development. SARS-CoV-2 transmission is thought to primarily occur through direct person-to-person transfer of infectious respiratory droplets or through aerosol-generating medical procedures. However, contact with contaminated surfaces may also play a significant role. In this context, understanding the factors contributing to SARS-CoV-2 persistence on surfaces will enable a more accurate estimation of the risk of contact transmission and inform mitigation strategies. To this end, we have developed a simple mathematical model that can be used to estimate virus decay on nonporous surfaces under a range of conditions and which may be utilized operationally to identify indoor environments in which the virus is most persistent.

Highlights

  • Coronavirus disease 2019 (COVID-19) was first identified in China in late 2019 and is caused by newly identified severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

  • We report the first analysis of the stability of SARS-CoV-2 in simulated saliva, to represent a relevant clinical matrix [13, 14], using droplets of various sizes deposited on surfaces and incubated under a range of controlled temperature and relative humidity (RH) conditions, thereby providing a more complete understanding of factors that influence SARS-CoV-2 environmental persistence

  • In a subset of the trials (n ϭ 6), we quantitated viral RNA using reverse transcription quantitative real-time PCR (RT-qPCR) as a second measure of physical losses but observed that its decay rate was dependent on both temperature and humidity conditions and concluded that viral RNA could not be used as a physical tracer

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Summary

Introduction

Coronavirus disease 2019 (COVID-19) was first identified in China in late 2019 and is caused by newly identified severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We report the first analysis of the stability of SARS-CoV-2 in simulated saliva, to represent a relevant clinical matrix [13, 14], using droplets of various sizes deposited on surfaces and incubated under a range of controlled temperature and RH conditions, thereby providing a more complete understanding of factors that influence SARS-CoV-2 environmental persistence.

Results
Conclusion
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