Computational characterization of inhaled droplet transport to the nasopharynx

Sci Rep. 2021 Mar 23;11(1):6652. doi: 10.1038/s41598-021-85765-7.

Abstract

How human respiratory physiology and the transport phenomena associated with inhaled airflow in the upper airway proceed to impact transmission of SARS-CoV-2, leading to the initial infection, stays an open question. An answer can help determine the susceptibility of an individual on exposure to a COVID-2019 carrier and can also provide a preliminary projection of the still-unknown infectious dose for the disease. Computational fluid mechanics enabled tracking of respiratory transport in medical imaging-based anatomic domains shows that the regional deposition of virus-laden inhaled droplets at the initial nasopharyngeal infection site peaks for the droplet size range of approximately 2.5-19 [Formula: see text]. Through integrating the numerical findings on inhaled transmission with sputum assessment data from hospitalized COVID-19 patients and earlier measurements of ejecta size distribution generated during regular speech, this study further reveals that the number of virions that may go on to establish the SARS-CoV-2 infection in a subject could merely be in the order of hundreds.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • COVID-19 / pathology
  • COVID-19 / transmission*
  • COVID-19 / virology
  • Computer Simulation
  • Humans
  • Nasopharynx / virology*
  • SARS-CoV-2 / isolation & purification
  • SARS-CoV-2 / physiology*
  • Sputum / virology
  • Viral Load