Abstract

Following the Wright brothers’ first powered flights in 1903, technological advancements in aeronautics have enabled aircraft to overcome distances that would have taken many months or weeks to complete by terrestrial modes in a matter of hours by air...

Highlights

  • Following the Wright brothers’ first powered flights in 1903, technological advancements in aeronautics have enabled aircraft to overcome distances that would have taken many months or weeks to complete by terrestrial modes in a matter of hours by air [1]

  • In this article we review documented precedents, engineering controls on commercial airliners and additional security measures employed on the ground intended to mitigate infectious disease spread and transmission potential through air travel

  • It is impossible to predict what infectious agent will cause the pandemic, but it is likely that air travel will contribute to its spread

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Summary

Introduction

Following the Wright brothers’ first powered flights in 1903, technological advancements in aeronautics have enabled aircraft to overcome distances that would have taken many months or weeks to complete by terrestrial modes in a matter of hours by air [1]. In this article we review documented precedents, engineering controls on commercial airliners and additional security measures employed on the ground intended to mitigate infectious disease spread and transmission potential through air travel. Infections may be spread within aircrafts through close contact and by mean of large droplets; airborne spread through small-particle aerosols (as in the case of Severe Acute Respiratory Syndrome [SARS]), through contaminated food or infectious disease vectors (insects, rodents or parasites).

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