Al Haddrell Profile picture
Aug 3 14 tweets 4 min read Read on X
Given the unusually high number of swimmers catching Covid in the Olympics, many have hypothesized as to why. I’ve seen a few people point to some work we published on how environmental factors affect SARS-CoV-2’s aerostability.

Some thoughts🧵:

Context:

When respiratory aerosol is exhaled, the dissolved CO2 in the fluid (in the form of HCO3) leaves the aerosol over the course of a couple of minutes. When the CO2 leaves, the pH of the aerosol reaches >10.3.

The high pH drives viral decay. Image
We have reported that anything that can limit this increase in aerosol pH, such as nitric acid or CO2, slows the airborne viral decay rate. This, in turn, will increase the risk of transmission. Image
The net effect is more impactful over longer time periods. Elevating the CO2 from 500 to 3000 ppm leads to a 10-fold increase in the airborne viral load over 40 minutes. Likewise, increasing nitric acid from 0 to ~50 ppb leads to 2-fold increase. Image
The decay rate of the virus in the aerosol slows over time (left). The reason for this is that the trace acidic vapor in the air (normal air pollution) will slowly neutralize the aerosol. As this happens, the aerosol becomes more and more hospitable for the virus (right). Image
Okay, so what does this have to do with a swimming pool? Well, the swimming pools are disinfected with chlorine. Chlorine vapourwill react with the water in the respiratory aerosol to form acid. This will reduce the aerosol pH. Image
This suggests that the chlorine in the air around the pool will lead to the virus remaining infectious in the air longer, leading to higher transmission risk.
Theory 1: The chlorine above the pool neutralizes the aerosol, leading to the virus remaining infectious in the air longer. Image
Theory 2: The concentration of chlorine above the pool is so high that the pH in the aerosol actually becomesacidic, and the acidity inactivates the virus. Image
Which theory is correct? 1 or 2?

Unfortunately, currently, we simply don’t know. The measurements have yet to be made. I could speculate, but that wouldn’t be all that helpful (if not harmful). Image
A link to the study where we first explore the interplay between air acidity and aerostabilityis here:

royalsocietypublishing.org/doi/10.1098/rs…
It’s also important to note that there are numerous factors that ALL play a role in airborne viral transmission. What is happening in the Olympic pool could be due a factor other than aerostability, or even a combination of multiple factors. We need to make measurements to know. Image
Since there were people discussing this, I thought it would be helpful for people to have a better understanding of the underlying processes that are in play.

If you have any questions, I would be happy to try to answer them.
I suppose? Humidity is known to affect mucosal immunity, perhaps this is something similar(?).

Maybe someone more familiar with this end of things can add some insights… 🙏

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More from @ukhadds

Dec 8
Thanks for your interest in our work. You’ve asked a lot of “out of the box” questions here, and I’ll address some of them.
Exhaled aerosol has a water activity of ~0.995. The RHof fog could be higher: the the aerosol would simply take up water from the gas phase. For viruses such as influenza, where the salt concentration seems to be very important, this would lead to an reduction in the decay rate. Image
This is a good question that we need to explore. Understanding airborne microbe decay is highly dependent on understanding the aerosol dynamics. And the pH dynamics in an aerosol is very complicated and need of a lot of study. Image
Read 11 tweets
Nov 1
A study came out last month looking at how long influenza remains viable in the air.

In the article, it highlights some of my larger concerns in what is happening in the field of airborne viral decay.

First off, here’s the article:

frontiersin.org/journals/micro…
Out of the gate, the article is fine.

My largest critique is the assertion that 99% decay means something. Why 99%? Why not 98%? Or 97… or 92… 87%? 83.5%?
While it sounds like I’m being coy, I’m not. 99% is an arbitrary number. That’s okay, but don’t act like it’s an agreed upon value. It isn’t.

Anyway, this is a minor issue (of someone in the field). The general trends presented by the authors is supported by their work. Image
Read 16 tweets
Oct 5
How does humidity affect the transmission of SARS-CoV-2?

There's a lot of confusion around this question. Is dry air or wet air better? Somewhere in between? In this explainer video I dive into this and go into what we know, and what we don't.
This is the first part of a (what I expect to be) a two part series. In this video I discuss how humdity affects transmission. In the followup I will dive into why humdity does, or does not, have an effect.
This is the second video on my channel (like and subscribe!).

If you found this one interesting, you may also find my other one interesting as well.
Read 4 tweets
Sep 16
Are respiratory aerosol liquid, solid, neither or both? What about the virus, where does it go? Let's get into this.
We published some work on this previously where we studied how respiratory aerosol changes once it is exhaled.

tandfonline.com/doi/full/10.10…
Once exhaled, the aerosol will begin to lose water. The rate in which the aerosol loses water will depend on the humidity (loses size faster in dry air). The humidity will also determine both the final size and particle structure. Image
Read 6 tweets
Sep 15
There's been a lot of discussion about the size of exhaled aerosol that contains the most virus. For the most part, it's thought to be in the ~1 to ~5 micron range. There's a little bit of variation between studies, but that's roughly the size of concern (“Viral”).
Image
If you are curious, this is due to a combination of the size distribution of exhaled aerosol and maximum conc that the virus can grow in the respiratory fluid. Here we looked at aerosol size, others have looked into the viral load as a function of size.tandfonline.com/doi/full/10.10…
So, N95 masks work well in filtering out the aerosol size region that is most associated with airborne viral transmission. The key really does come down to fit.

hse.gov.uk/respiratory-pr…
Read 6 tweets
Aug 14
Huge paper exploring the relationship between exhalation aerosol counts and CO2 has just been published.

Take home message: CO2 and aerosol strongly correlate in silence. Vocalisation causes this relationship to breakdown (way more aerosol than CO2).
pubs.acs.org/doi/10.1021/ac…
This has huge implications on how CO2 can be used to estimate the aerosol counts in a room. Noise matters!!

I've mentioned this work previously, it's great to see it finally published so everyone can have a good look. Image
I mentioned this work in a previous thread where I discussed the many ways in which CO2 is associated with Covid transmission.

Read 8 tweets

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