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CIVIL ENGINEERING & THE CORONAVIRUS:
REAL WORLD APPLICATIONS – A CORONAVIRUS
SERIES FOR STUDENTS
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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
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
source ofemissions
transport
transformation
O
OO
+
-
R
RR
R
transport
exposure ordeposition
pH
salt
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
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)
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
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
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
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
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?
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
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
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
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
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
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?
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
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
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/
• 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)
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.
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
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
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
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?
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
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.
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
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
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
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
AcknowledgmentsKaren KormuthSeema LakdawalaWeinan LengKaisen LinAJ Prussin IIElankumaran SubbiahEric VejeranoPeter VikeslandHaoran WeiWan Yang
Linsey Marr, Virginia Tech, April 2020 35
Questions?Linsey Marr, Ph.D.: [email protected]
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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
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/