Tuesday, August 18, 2020

Nature Comms: Influenza A Transmission Via `Aerosolized Fomites'

https://www.nature.com/articles/s41467-020-17888-w
 








#15,421

It's not exactly a new idea, although for the first time - thanks to a study published today in Nature Communications - we appear to have laboratory evidence that influenza A viruses (and probably others) can be transmitted via airborne or  `aerosolized fomites'

Fomites are any surface or object that can become contaminated with viral, fungal, or bacterial pathogens and that can then later contaminate - and possibly infect - anyone who touches, handles, or ingests them.

While the authors of today's study describe their work as venturing into `seldom considered' territory, this is actually a topic we've touched on with some regularity over the years. The science of all of this even has a name; aerobiology – the study of how bacteria, fungal spores, pollen and even viruses can be passively transported in the air.

In April of 2015 during the North American H5Nx epizootic, the idea of farm-to-farm spread via infected dust was openly discussed (see Bird Flu’s Airborne `Division’) by the USDA's Chief Veterinarian, John Clifford.
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(Note: Audio link no longer appears live
The following month (May, 2015), in CIDRAP: H5N2 Roundup & Detection In Environmental Air Samples, we looked at air sampling conducted by the University of Minnesota around infected poultry farms that found evidence of airborne virus particles.

We've seen numerous other instances where the `dust’ (desiccated chicken manure, feathers, etc.) from chicken farms or live markets has been strongly suspected of spreading bird flu – at least for distances of a few hundred yards.

Most of the evidence we've seen to date, however, has been anecdotal, or circumstantial. 

Today's study - using guinea pigs - provides the first direct experimental evidence that viable Influenza A viruses can be carried through the air by dust, fibers, and other `non-respiratory' particles.

This open access study is lengthy, and quite detailed, and so you'll want to follow the link to read it in its entirety. I've only posted the abstract below. 

Published: 18 August 2020
Sima Asadi, Nassima Gaaloul ben Hnia, Ramya S. Barre, Anthony S. Wexler, William D. Ristenpart & Nicole M. Bouvier 

Nature Communications volume 11, Article number: 4062 (2020)  

Abstract

Influenza viruses are presumed, but not conclusively known, to spread among humans by several possible routes. We provide evidence of a mode of transmission seldom considered for influenza: airborne virus transport on microscopic particles called “aerosolized fomites.”
In the guinea pig model of influenza virus transmission, we show that the airborne particulates produced by infected animals are mainly non-respiratory in origin. Surprisingly, we find that an uninfected, virus-immune guinea pig whose body is contaminated with influenza virus can transmit the virus through the air to a susceptible partner in a separate cage. We further demonstrate that aerosolized fomites can be generated from inanimate objects, such as by manually rubbing a paper tissue contaminated with influenza virus.
Our data suggest that aerosolized fomites may contribute to influenza virus transmission in animal models of human influenza, if not among humans themselves, with important but understudied implications for public health.

(Continue . . . )