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Edited by Axel T. Brunger, Stanford University, Stanford, CA, and approved May 4, 2020 (received for review April 10, 2020)
Speech droplets generated by asymptomatic carriers of severe The amount by which a droplet shrinks upon dehydration
acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are in- depends on the fraction of nonvolatile matter in the oral fluid,
creasingly considered to be a likely mode of disease transmission. which includes electrolytes, sugars, enzymes, DNA, and rem-
Highly sensitive laser light scattering observations have revealed nants of dehydrated epithelial and white blood cells. Whereas
that loud speech can emit thousands of oral fluid droplets per pure saliva contains 99.5% water when exiting the salivary
second. In a closed, stagnant air environment, they disappear from glands, the weight fraction of nonvolatile matter in oral fluid falls
the window of view with time constants in the range of 8 to in the 1 to 5% range. Presumably, this wide range results from
14 min, which corresponds to droplet nuclei of ca. 4 μm diameter, differential degrees of dehydration of the oral cavity during
or 12- to 21-μm droplets prior to dehydration. These observations normal breathing and speaking and from decreased salivary
confirm that there is a substantial probability that normal speak- gland activity with age. Given a nonvolatile weight fraction in the
ing causes airborne virus transmission in confined environments. 1 to 5% range and an assumed density of 1.3 g·mL−1 for that
fraction, dehydration causes the diameter of an emitted droplet
MEDICAL SCIENCES
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COVID-19 speech droplet independent action hypothesis | respiratory to shrink to about 20 to 34% of its original size, thereby slowing
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disease disease transmission
down the speed at which it falls (1, 13). For example, if a droplet
with an initial diameter of 50 μm shrinks to 10 μm, the speed at
Data deposition: Movies that show the experimental setup and the full 85-minute obser-
on an infection when emitted by a virus carrier must take into vation of speech droplet nuclei have been deposited at Zenodo and can be accessed at
account how long droplet nuclei remain airborne (proportional https://doi.org/10.5281/zenodo.3770559.
to d−2) and the probability that droplets encapsulate at least one 1
To whom correspondence may be addressed. Email: bax@nih.gov or philip.anfinrud@
virion (proportional to d3), the product of which is proportional nih.gov.
to d.
A B
Fig. 1. Light scattering observation of airborne speech droplet nuclei, generated by a 25-s burst of repeatedly speaking the phrase “stay healthy” in a loud
voice (maximum 85 dBB at a distance of 30 cm; average 59 dBB). (A) Chart of particle count per frame versus time (smoothed with a 24-s moving average), with
Downloaded at Morocco: PNAS Sponsored on May 15, 2020
the red curve representing the top 25% in scattering brightness and the green curve representing the rest. The bright fraction (red) decays with a time
constant of 8 min, and the dimmer fraction (green) decays with a time constant of 14 min. Both exponential decay curves return to their respective back-
ground level of ca. 0 (red horizontal dashed line) and 0.4 (green dashed line) counts per frame. Time “0” corresponds to the time the stirring fan was turned
off. The 25-s burst of speaking started 36 s before time 0. The black arrow (at 0.5 min) marks the start of the exponential fits. (B) Image of the sum of 144
consecutive frames (spanning 6 s) extracted shortly after the end of the 25-s burst of speaking. The dashed circle marks the needle tip used for focusing the
camera. The full movie recording is available in ref. 17, with time “0” in the graph at time point 3:38 in the movie.
MEDICAL SCIENCES
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