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Thank you for joining us!

Today’s live eLearning webinar will begin shortly.

ASCE offers free live eLearning webinars to enhance your personal and professional knowledge. Visit asce.org/eLearning for more available eLearning webinars. Also, you will find today’s recorded webinar there within 2 business days.

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CIVIL ENGINEERING & THE CORONAVIRUS:

REAL WORLD APPLICATIONS – A CORONAVIRUS

SERIES FOR STUDENTS

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Thank you for participating!

Be sure to check out these other great ASCE Resources:

Career by Design - https://collaborate.asce.org/careerbydesign/resources

Mentor Match – https://collaborate.asce.org/mentoring/home

COVID-19 Resources – https://https://collaborate.asce.org/covid-19/home

Not a student member of ASCE? Please join. It’s free!

https://www.asce.org/membership/student/

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TODAY’S WEBINAR:

TRANSMISSION OF VIRUSES IN DROPLETS & AEROSOLS IN THE BUILT ENVIRONMENT

Presenter:Linsey Marr, Ph.D.

Moderator: Kevin Brown, EI, A.M.ASCE

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T r a n s m i s s io n o f

V i r u s e s i n D r o p l e t s

a n d A e r os o l s i n t h e

B u i l t E n v i r o nme ntLINSEY C. MARR

CHARLES P. LUNSFORD PROFESSOR

CIVIL AND ENVIRONMENTAL ENGINEERING

VIRGINIA TECH

17 APRIL 2020

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source ofemissions

transport

transformation

O

OO

+

-

R

RR

R

transport

exposure ordeposition

pH

salt

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Topics

1. Transmission modes

2. Size distributions and evaporation

3. Virus aerosol dynamics

4. SARS-CoV-2

Linsey Marr, Virginia Tech, April 2020https://phil.cdc.gov/Details.aspx?pid=11160

7

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The origin of the 5-µm cutoff is not known. This cutoff is not supported by modern aerosol science. This distinction has hampered our understanding of transmission.

Modes of Transmission

http://www.phac-aspc.gc.ca/cpip-pclcpi/annf/v2-eng.php

direct contact indirect contact

large droplets aerosols

Linsey Marr, Virginia Tech, April 2020 8

Defined as >5 m and happening at close-range only (<2 m)

Defined as <5 m and happening mainly at long-distance (>2 m)

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Reality is More Complicated

Linsey Marr, Virginia Tech, April 2020 9Tellier et al., 2019, BMC Infect. Dis, https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-019-3707-y

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Virus Size

Linsey Marr, Virginia Tech, April 2020 10

influenza0.1 m

SARS-CoV-20.12 m

rhinovirus0.03 m

https://www.cdc.gov/flu/resource-center/freeresources/graphics/images.htm, http://solutionsdesignedforhealthcare.com/rhinovirus,https://phil.cdc.gov/Details.aspx?pid=23312, https://pdb101.rcsb.org/motm/132

adenovirus0.1 m

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Size Matters

• Airborne virus is not naked!

• Size determines• Lifetime in the atmosphere

• Where it deposits in the respiratory system

0.1 m

0.5 m

(0.2-100 m)

respiratory fluid

Linsey Marr, Virginia Tech, April 2020 11

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Droplet Composition by Mass

Linsey Marr, Virginia Tech, April 2020 12

Virus0%

NaCl10%

Protein89%

Surfactant1%

Non-volatiles are ~10% of initial mass (before evaporation)

Vejerano and Marr, 2018, J. Roy. Soc. Interface, https://royalsocietypublishing.org/doi/full/10.1098/rsif.2017.0939

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Linsey Marr, Virginia Tech, April 2020 13

Droplets that are expelled into air can be inhaled, land on people’s mucus membranes, or deposit onto surfaces, where someone can touch them or they can be resuspended into air.

How many droplets are there, and how big or small are they?

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Number of Droplets Emitted

Linsey Marr, Virginia Tech, April 2020 14Lindsley et al., 2012, J. Occupat. Environ. Hyg., https://www.ncbi.nlm.nih.gov/pubmed/22651099

Totals over the size range 0.35-10 µm:Droplets per cough when sick

75,000 ± 97,000

Droplets per cough after recovery52,000 ± 99,000

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Size Distributions: Coughing

Linsey Marr, Virginia Tech, April 2020 15Johnson et al., 2011, J. Aerosol Sci., https://www.sciencedirect.com/science/article/pii/S0021850211001200

Measured by aerodynamic particle sizer over the range 0.3-20 m

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Size Distributions: Breathing

Linsey Marr, Virginia Tech, April 2020 16Johnson et al., 2011, J. Aerosol Sci., https://www.sciencedirect.com/science/article/pii/S0021850211001200

Diameter (m)

0.1 1 10 100

Measured by aerodynamic particle sizer over the range 0.3-20 m

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Corrected Size Distributions

Linsey Marr, Virginia Tech, April 2020 17Johnson et al., 2011, J. Aerosol Sci., https://www.sciencedirect.com/science/article/pii/S0021850211001200

Measured by droplet deposition analysis over the range 20-2000 m

Speaking

Coughing

Infe

rred

nu

mb

er c

on

centr

atio

n i

n u

pp

er r

esp

irat

ory

tra

ct

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Flu Virus in Droplets (Aerosols)

Linsey Marr, Virginia Tech, April 2020 18

coarse aerosols > 5 m fine aerosols < 5 m

30-min samplerecite alphabet at 5, 15, 25 minYan et al., 2018, PNAS, https://www.ncbi.nlm.nih.gov/pubmed/29348203

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Linsey Marr, Virginia Tech, April 2020 19

Breathing, talking, and coughing release droplets that range from submicron to millimeter in size. The majority of flu virus in airborne droplets resides in the fine fraction and can be released by breathing and talking, without coughing.

How do these droplets move around the indoor environment?

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Settling Velocity and Time

Droplets smaller than 10 m can remain suspended for many minutes

Linsey Marr, Virginia Tech, April 2020 20

𝑠𝑒𝑡𝑡𝑖𝑛𝑔 𝑣𝑒𝑙𝑜𝑐𝑖𝑡𝑦 𝑣 =𝑔𝐷𝑝

2𝜌𝑝18𝜇

particle diameterparticle density

dynamic viscosity of air

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0.0

0.2

0.4

0.6

0.8

1.0

1.2

0 20 40 60 80

Hei

ght

(m)

Distance (m)

Low indoor air velocity (5 cm/s)

5 um

10 um

20 um

30 um

Droplets Can Travel More Than 2 m

Linsey Marr, Virginia Tech, April 2020 21

Nazaroff, 2020, personal communication

trajectory of 5 m droplet

0.0

0.2

0.4

0.6

0.8

1.0

1.2

0 50 100 150 200 250 300

Hei

ght

(m)

Distance (m)

High indoor air velocity (20 cm/s)

5 um

10 um

20 um

30 um

Position of droplets released from a height of 1 m

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0.0

0.2

0.4

0.6

0.8

1.0

0 20 40 60 80 100

fin

al / in

itia

l d

iam

ete

r

RH (%)

Humidity Controls Final Size

)6

exp()4

exp(RH3d

vn

dRT

M

p

p ws

w

ww

sat

d

−==

10 m

4 m

Linsey Marr, Virginia Tech, April 2020 22

Kohler equation applied to a droplet containing physiological levels of NaCl and protein

Mikhailov, 2004, Atmos. Chem. Phys., https://www.atmos-chem-phys.net/4/323/2004/

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• Settling velocity v depends on diameter d

• Diameter depends on RH

• Inactivation rate k depends on RH

Virus Dynamics in Indoor Air

dd Ck

H

v

dt

dC)( ++−=

concentration of

infectious virus in

aerosols of diameter d

ventilation

settling

inactivation

Linsey Marr, Virginia Tech, April 2020 23

Yang and Marr, 2011, PLoS One, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3123350/

H

relative humidity (RH)

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Aerosolized Flu Viability vs. RH

k = 0.044 RH - 0.0063r² = 0.98

0.000

0.005

0.010

0.015

0.020

0.025

0.030

0.035

0% 20% 40% 60% 80% 100%

Decay r

ate

(m

in-1

)

RH

Linsey Marr, Virginia Tech, April 2020 24Yang and Marr, 2011, PLoS One,https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3123350/;Kormuth and Lin et al., 2018, J. Infect. Dis., https://academic.oup.com/jid/article/218/5/739/5025997

virus decays less (survives better) at low RH

virus decays more at high RH (y-axis is upside down)

But this relationship is more U-shaped, with maximum decay at 40-70% RH, in fluid containing proteins, and there is no decay over 1 hr when supplemented with material from human bronchial cells.

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Virus-Aerosols From a Cough

0

10

20

30

40

50

60

0 10 20 30 40 50 60 70 80 90 100

ΔC

/Δd

eq

(# m

-3µ

m-1

)

deq (µm)

λ = 1 ACH at RH = 50%

0 min1 min5 min10 min15 min30 min45 min

There is a size shift due to loss of larger droplets by gravitational settling.

evaporation and gravitational settling

Yang and Marr, 2011, PLoS One, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3123350/

Linsey Marr, Virginia Tech, April 2020 25

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Infectious Concentrations vs. RH

Concentrations are higher at lower RH mainly because lab-determined inactivation rate is lower.

0

5

10

15

20

0 5 10 15 20 25 30 35 40 45

ΔC

/Δd

eq

(# m

-3µ

m-1

)

deq (µm)

10% RH

30% RH

50% RH

70% RH

90% RH

Yang and Marr, 2011, PLoS One, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3123350/

Linsey Marr, Virginia Tech, April 2020 26

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Removal Mechanisms• Settling: main removal mechanism, efficient for large but not small droplets

• Ventilation: effective for all sizes, important in public places

• Inactivation: effective for all sizes, important for small droplets

Yang and Marr, 2011, PLoS One, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3123350/

Linsey Marr, Virginia Tech, April 2020 27

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Linsey Marr, Virginia Tech, April 2020 28

Viruses can be removed from indoor air by settling, ventilation, and inactivation; some of these processes depend on humidity.

What do we know about SARS-CoV-2 in droplets/aerosols?

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Linsey Marr, Virginia Tech, April 2020 29Ong et al., 2020, JAMA, https://jamanetwork.com/journals/jama/fullarticle/2762692

Samples in patient A’s and B’s rooms were negative after cleaning. These results are for patient C before cleaning.

table, bed rail, locker, chair, light switches, stethoscope, sink, floor, window, door and handle, toilet, air outlet fan

control panel on bed, call bell, rail in bathroom, outer rim of sink in bathroom, all anteroom, air

negative

positive

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Linsey Marr, Virginia Tech, April 2020 30Chia et al., 2020, https://www.medrxiv.org/content/10.1101/2020.03.29.20046557v2; Santarpia et al., 2020, https://www.medrxiv.org/content/10.1101/2020.03.23.20039446v2

Airborne Viral RNA in Hospitals

I estimate a viral RNA emission rate of 10,000 genome copies per minute in “small” droplets.

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SARS-CoV-2 Survival

Linsey Marr, Virginia Tech, April 2020 31van Doremalen et al., 2020, NEJM, https://www.nejm.org/doi/full/10.1056/NEJMc2004973

materials matter

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Restaurant Outbreak

Linsey Marr, Virginia Tech, April 2020 32

recirculating air conditioning flow over tables BAC

Liu et al., 2020, EID, https://wwwnc.cdc.gov/eid/article/26/7/20-0764_article

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Major Unknowns

• Which transmission routeis dominant: direct contact,indirect contact withcontaminated objects (fomites), inhalation of aerosols, deposition of droplets?

• How much virus is released in what size aerosols at different stages of infection?

• How well does SARS-CoV-2 survive in aerosols under real-world conditions?

• How does humidity affect transmission?

Linsey Marr, Virginia Tech, April 2020 33Liu et al., 2016, Indoor Air, https://onlinelibrary.wiley.com/doi/abs/10.1111/ina.12314

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Opportunities for Civil Engineers

• Design buildings and transportation systems whose ventilation systems minimize the risk of airborne transmission.

• Integrate treatment technologies, such as germicidal UV and HEPA filtration, in confined spaces.

• Select materials that are less favorable for pathogen survival in high-touch areas.

• Apply environmental engineering fundamentals to understand fate and transport of pathogens in the built environment.

Linsey Marr, Virginia Tech, April 2020 34

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AcknowledgmentsKaren KormuthSeema LakdawalaWeinan LengKaisen LinAJ Prussin IIElankumaran SubbiahEric VejeranoPeter VikeslandHaoran WeiWan Yang

Linsey Marr, Virginia Tech, April 2020 35

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Questions?Linsey Marr, Ph.D.: [email protected]

Not a student member of ASCE? Join today – it’s free!

https://www.asce.org/membership/student/

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Upcoming:

Civil Engineering & the Coronavirus: Real World Applications - A Coronavirus Series for Students

ESSENTIAL BUILDINGS: US ARMY CORPS OF ENGINEERS ASSISTANCE WITH INCREASING HOSPITAL CAPACITY

Date:

Thursday, April 23, 2020 | 2:00 – 3:00 p.m. [Eastern]

Did you know that civil engineering issues and concepts are on the front lines of the current coronavirus/COVID-19 pandemic? Join these civil engineering experts as they explore the intersection of civil engineering and the pandemic that is challenging health systems and upending daily lives around the globe.

The focus of this webinar: One of the biggest challenges facing the country in the COVID-19 crisis is the anticipated shortage of hospital facilities to treat the critically ill. Enter the US Army Corps of Engineers who is assisting with increasing capacity in existing facilities and converting other buildings into temporary hospitals. Learn from a member of the Construction Branch about the Corps’ mission, and how it took on this mission.

Presenter: Kenny Simmons, AIA, LEED AP BD+C, is an Architect in the Construction Branch at the U.S. Army Corps of Engineers, headquarters in Washington, DC.

To Register:

asce.org/continuing-education/elearning-webinars

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Thank you for participating!

Before you go…

Be sure to check out these other great ASCE Resources:

Career by Design - https://collaborate.asce.org/careerbydesign/resources

Mentor Match – https://collaborate.asce.org/mentoring/home

COVID-19 Resources – https://https://collaborate.asce.org/covid-19/home

Not a student member of ASCE? Please join. It’s free!

https://www.asce.org/membership/student/