Export citation

Export citation

Choose format for download:

Download Citation
  • Featured in Physics
  • Editors' Suggestion
  • Rapid Communication
  • Free to Read

Stretching and break-up of saliva filaments during speech: A route for pathogen aerosolization and its potential mitigation

M. Abkarian1,* and H. A. Stone2,†

  • 1Centre de Biochimie Structurale, CNRS UMR 5048-INSERM UMR 1054, University of Montpellier, 34090 Montpellier, France
  • 2Department of Mechanical and Aerospace Engineering, Princeton University, Princeton, New Jersey 08544, USA

  • *Manouk.Abkarian@umontpellier.fr
  • †hastone@princeton.edu

Phys. Rev. Fluids 5, 102301(R) – Published 2 October, 2020

DOI: https://doi.org/10.1103/PhysRevFluids.5.102301

Abstract

Speech is a potent route for viral transmission in the COVID-19 pandemic. Informed mitigation strategies are difficult to develop since no aerosolization mechanism has been visualized yet in the oral cavity. Here we show with high-speed imaging how phonation of common stop consonants, found in most of the world's spoken languages, form and extend salivary filaments in a few milliseconds as moist lips open or when the tongue separates from the teeth. Both saliva viscoelasticity and airflow associated with the plosion of stop consonants are essential for stabilizing and subsequently forming centimeter-scale thin filaments, tens of microns in diameter, that break into speech droplets. Moreover, these plosive consonants induce vortex rings that drive meter-long transport of exhaled air, tying this mechanism to transport associated with speech. We demonstrate that a similar mechanism of aerosolization occurs during the vibration of reeds in wind instruments and may occur during the flapping of the glottis folds. Finally, our research suggests a mitigation of droplet production during speech by using a lip balm.

Physics Subject Headings (PhySH)

Video

How Speaking Creates Droplets That May Spread COVID-19

Published 2 October, 2020

High-speed video reveals the process that produces airborne saliva droplets during speech and also shows that lip balm can reduce droplet production.

See more in Physics

Article Text

Supplemental Material

References (39)

  1. L. Bourouiba, Turbulent gas clouds and respiratory pathogen emissions: Potential implications for reducing transmission of COVID-19, J. Am. Med. Assoc. 323, 1837 (2020).
  2. W. F. Wells, On air-borne infection: Study II. Droplets and droplet nuclei, Am. J. Epidemiol. 20, 611 (1934).
  3. J. P. Duguid, The size and the duration of air-carriage of respiratory droplets and droplet-nuclei, Epidemiol. Infect. 44, 471 (1946).
  4. G. Johnson, L. Morawska, Z. Ristovski, M. Hargreaves, K. Mengersen, C. Chao, M.-P. Wan, Y. Li, X. Xie, D. Katoshevski, and S. Corbett, Modality of human expired aerosol size distributions, J. Aerosol Sci. 42, 839 (2011).
  5. L. Bourouiba, E. Dehandschoewercker, and J. W. M. Bush, Violent expiratory events: On coughing and sneezing, J. Fluid Mech. 745, 537 (2014).
  6. R. Mittal, R. Ni, and J.-H. Seo, The flow physics of COVID-19, J. Fluid Mech. 894, F2 (2020).
  7. J. Lu, J. Gu, K. Li, C. Xu, W. Su, Z. Lai, D. Zhou, C. Yu, B. Xu, and Z. Yang, COVID-19 outbreak associated with air conditioning in restaurant, Guangzhou, China, 2020, Emerg. Infect. Dis. 26, 1628 (2020).
  8. S. Y. Park, Y.-M. Kim, S. Lee, B. J. Na et al., Coronavirus disease outbreak in call center, South Korea, Emerging Infect. Dis. 26, 1666 (2020).
  9. L. Hamner, P. Dubbel, I. Capron et al., High SARS-CoV-2 attack rate following exposure at a choir practice—Skagit County, Washington, March 2020, MMWR Morb. Mortal. Wkly. Rep. 69, 606 (2020).
  10. S. Jang, S. H. Han, and J.-Y. Rhee, Coronavirus disease cluster associated with fitness dance classes, South Korea, Emerg. Infect. Dis. 26, 1917 (2020).
  11. D. Hijnen, A. V. Marzano, K. Eyerich, C. GeurtsvanKessel, A. M. Giménez-Arnau, P. Joly, C. Vestergaard, M. Sticherling, and E. Schmidt, SARS-CoV-2 transmission from presymptomatic meeting attendee, Germany, Emerg. Infect. Dis. 26, 1935 (2020).
  12. S. Asadi, A. S. Wexler, C. Cappa, S. Barreda, N. M. Bouvier, and W. D. Ristenpart, Aerosol emission and superemission during human speech increase with voice loudness, Sci. Rep. 9, 2348 (2019).
  13. S. Asadi, A. S. Wexler, C. Cappa, S. Barreda, N. M. Bouvier, and W. D. Ristenpart, Effect of voicing and articulation manner on aerosol particle emission during human speech, PLoS One 15, e0227699 (2020).
  14. M. Gandhi, D. S. Yokoe, and D. V. Havlir, Asymptomatic transmission, the Achilles’ heel of current strategies to control Covid-19, New Engl. J. Med. 382, 2158 (2020).
  15. N. Isshiki and R. Ringel, Air flow during the production of selected consonant, J. Speech Hear. Res. 7, 233 (1964).
  16. C. R. Krausert, A. E. Olszewski, L. N. Taylor, J. S. McMurray, S. H. Dailey, and J. J. Jiang, Mucosal wave measurement and visualization techniques, J. Voice 25, 395 (2011).
  17. C. J. Chen, Elements of Human Voice (World Scientific, Singapore, 2016).
  18. S. J. Styles and L. Gawne, When does maluma/takete fail? Two key failures and a meta-analysis suggest that phonology and phonotactics matter, i-Perception 8, 2041669517724807 (2017).
  19. PHOIBLE 2.0, edited by S. Moran and D. McCloy (Max Planck Institute for the Science of Human History, Jena, 2019).
  20. See Supplemental Material at http://link.aps.org/supplemental/10.1103/PhysRevFluids.5.102301 for Materials and Methods of the experiments as well as text associated with each of the Supplementary Movie files.
  21. M. Abkarian, S. Mendez, N. Xue, F. Yang, and H. A. Stone, Speech can produce jet-like transport relevant to asymptomatic spreading of virus, arXiv:2006.10671 [PNAS (to be published)].
  22. P. Anfinrud, V. Stadnytskyi, C. E. Bax, and A. Bax, Visualizing speech-generated oral fluid droplets with laser light scattering, New Engl. J. Med. 382, 2061 (2020).
  23. D. Grass, I. Henrion, W. S. Warren, E. P. Fischer, M. C. Fischer, and E. Westman, Low-cost measurement of facemask efficacy for filtering expelled droplets during speech, Sci. Adv. 6, eabd3083 (2020).
  24. M. W. Jennison, Atomizing of mouth and nose secretions into the air as revealed by high-speed photography, Aerobiology 17, 106 (1942).
  25. C. Creton and M. Ciccotti, Fracture and adhesion of soft materials: A review, Rep. Prog. Phys. 79, 046601 (2016).
  26. P. P. Bhat, S. Appathurai, M. T. Harris, M. Pasquali, G. H. McKinley, and O. A. Basaran, Formation of beads-on-a-string structures during break-up of viscoelastic filaments, Nat. Phys. 6, 625 (2010).
  27. J. Eggers, Nonlinear dynamics and breakup of free-surface flows, Rev. Mod. Phys. 69, 865 (1997).
  28. E. Zussman, A. L. Yarin, and R. M. Nagler, Age- and flow-dependency of salivary viscoelasticity, J. Dent. Res. 86, 281 (2007).
  29. S. Haward, J. Odell, M. Berry, and T. Hall, Extensional rheology of human saliva, Rheol. Acta 50, 869 (2010).
  30. A. Bazilevsky, V. Entov, and A. Rozhkov, Breakup of a liquid bridge as a method of rheological testing of biological fluids, Fluid Dyn. 46, 613 (2011).
  31. C. E. Wagner and G. H. McKinley, Age-dependent capillary thinning dynamics of physically-associated salivary mucin networks, J. Rheol. 61, 1309 (2017).
  32. E. Villermaux, Fragmentation, Annu. Rev. Fluid Mech. 39, 419 (2007).
  33. E. Villermaux, Fragmentation versus cohesion, J. Fluid Mech. 898, P1 (2020).
  34. B. E. Scharfman, A. H. Techet, J. W. M. Bush, and L. Bourouiba, Visualization of sneeze ejecta: Steps of fluid fragmentation leading to respiratory droplets, Exp. Fluids 57, 24 (2016).
  35. G. R. Johnson and L. Morawska, The mechanism of breath aerosol formation, J. Aerosol Med. Pulm. Drug Delivery 22, 229 (2009).
  36. R. S. Papineni and F. S. Rosenthal, The size distribution of droplets in the exhaled breath of healthy human subjects, J. Aerosol Med. 10, 105 (1997).
  37. J. A. Moriarty and J. B. Grotberg, Flow-induced instabilities of a mucus–serous bilayer, J. Fluid Mech. 397, 1 (1999).
  38. J. O. Lloyd-Smith, S. J. Schreiber, P. E. Kopp, and W. M. Getz, Superspreading and the effect of individual variation on disease emergence, Natur (London) 438, 355 (2005).
  39. P. J. Bueno de Mesquita, C. J. Noakes, and D. K. Milton, Quantitative aerobiologic analysis of an influenza human challenge-transmission trial, Indoor Air (2020).

Outline

Information

Sign In to Your Journals Account

Filter

Filter

Article Lookup

Enter a citation