Abstract

A large number of infectious diseases are transmitted by respiratory droplets. How long these droplets persist in the air, how far they can travel, and how long the pathogens they might carry survive are all decisive factors for the spread of droplet-borne diseases. The subject is extremely multifaceted and its aspects range across different disciplines, yet most of them have only seldom been considered in the physics community. In this review, we discuss the physical principles that govern the fate of respiratory droplets and any viruses trapped inside them, with a focus on the role of relative humidity. Importantly, low relative humidity—as encountered, for instance, indoors during winter and inside aircraft—facilitates evaporation and keeps even initially large droplets suspended in air as aerosol for extended periods of time. What is more, relative humidity affects the stability of viruses in aerosol through several physical mechanisms such as efflorescence and inactivation at the air-water interface, whose role in virus inactivation nonetheless remains poorly understood. Elucidating the role of relative humidity in the droplet spread of disease would permit us to design preventive measures that could aid in reducing the chance of transmission, particularly in indoor environment.

Highlights

  • One of the prevalent ways in which numerous viruses, bacteria, and fungi spread among plants, animals, and humans is by droplets of various sizes [1,2,3]

  • We attempted to summarize and elucidate those known physical mechanisms of droplet and airborne transmission that are influenced by relative humidity (RH)

  • RH starts to play a role the moment respiratory droplets are exhaled into the air

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Summary

Introduction

One of the prevalent ways in which numerous viruses, bacteria, and fungi spread among plants, animals, and humans is by droplets of various sizes [1,2,3]. Humans produce respiratory droplets during talking, coughing, sneezing, and other similar activities [4,5,6,7,8] These droplets, which potentially contain pathogens, spread outside the human body in different ways, enabling the pathogens to find a new host [1,2,3, 9, 10]. A better understanding of the role of RH for virus viability in droplets helps us understand the droplet spread of infections and seasonality of some viruses but can guide our understanding of using humidity as a non-pharmaceutical intervention [39, 40]. This review aims to summarize those physical mechanisms of droplet and airborne transmission of disease in which RH plays a role. We look into virusladen droplets (Section 6) and the various factors that influence the survival of viruses in these droplets with respect to changes in RH

Respiratory droplet size and composition
Physics of a falling droplet
Evaporation of a falling water droplet
Droplets containing solutes
Droplet size: ideal mixing
Droplet size: non-ideal mixing and efflorescence
Droplet sedimentation
Deposition of aerosol
Viruses in respiratory droplets
RH and virus structure
RH and droplet composition
Droplet pH
Inactivation at the air-water interface
Experimental factors
Conclusions
Findings
Compliance with ethical standards
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