Just breathing or talking may be enough to spread COVID-19 after all

Experts had said that the virus spreads only through large droplets from a cough or sneeze

women wearing face masks

Talking and breathing may spread the coronavirus through the air, an expert analysis indicates. That may mean that people need to wear masks to avoid infecting others.

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The coronavirus that causes COVID-19 may spread through the air in tiny particles that infected people exhale during normal breathing and speech.

Until now, experts have said that the virus, called SARS-CoV-2, doesn’t spread through the air in that way, but rather through relatively large droplets released when people cough or sneeze. Those droplets can contaminate surfaces or objects and infect people who touch the surface and then touch their faces.

Large droplets are still a means of infection, but researchers now say that tiny airborne particles may also carry infectious virus. “Currently available research supports the possibility that SARS-CoV-2 could be spread via bioaerosols generated directly by patients’ exhalation,” researchers from the U.S. National Academies of Science, Engineering and Medicine wrote in an April 1 report to the White House Office of Science and Technology Policy.

If the coronavirus is airborne, that could help explain why it is so contagious, and can spread before people have symptoms (SN: 3/13/20).

As of April 2, more than 1 million people worldwide are confirmed to have COVID-19, with nearly a quarter of those cases in the United States, according to tracking by Johns Hopkins University. More than 50,000 people have died worldwide, including more than 5,600 people in the United States.

Wearing surgical masks can cut down on the amount of virus that infected people spread, the expert panel says, citing an unpublished study from the University of Hong Kong. The letter does not address whether wearing a mask will protect the person wearing the mask from catching the illness (SN: 3/27/20). How much virus a person must breathe in to get infected isn’t known.

The report also notes that genetic material from the virus was detected more than two meters (six feet) away from patients’ hospital beds. That finding could indicate that physical distancing by at least two meters may not be enough to limit spread of the virus. Whether infectious virus could be carried that far or if the genetic material is from dead viruses isn’t yet known.

Tina Hesman Saey is the senior staff writer and reports on molecular biology. She has a Ph.D. in molecular genetics from Washington University in St. Louis and a master’s degree in science journalism from Boston University.

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