论文标题
从微观液滴到宏观人群:在短期呼吸道传播模型中跨越量表,并应用于Covid-19
From microscopic droplets to macroscopic crowds: Crossing the scales in models of short-range respiratory disease transmission, with application to COVID-19
论文作者
论文摘要
如Covid-19的例证,短期暴露于空气传播病毒的呼吸液滴现在被认为是呼吸道疾病的有效传播途径。为了评估涉及数十个人的日常生活环境中与该途径相关的风险,需要在液滴传播的流体动力学模拟和种群规模的流行病学模型之间桥接鸿沟。我们通过在发射极中的病毒浓度的时空图中(在各种环境流中模拟)中粗粒的显微镜液滴轨迹(模拟),并将这些图与有关行人人群的现场数据耦合到不同的情况(街道,火车站,火车站,市场,排队和街道Caf caf {ef)。在单个行人的规模上,我们的结果强调了环境空气流相对于发射极运动的速度的重要性。这种空气动力学效应分散了感染性气溶胶并因此减轻了短程传播风险,它占据了所有其他环境变量。在人群的规模上,该方法通过它们所呈现的新感染的风险(由街道Caf {é} S,然后是室外市场所主导的新感染风险)产生了场景的排名。虽然风的影响对定性排名的影响相当微小,但即使是最适中的环境空气流量大大降低了新感染的定量率。此处考虑了SARS-COV-2的构建框架,但它对其他空中病原体以及对其他(真实或假设)人群安排的概括很简单。
Short-range exposure to airborne virus-laden respiratory droplets is now acknowledged as an effective transmission route of respiratory diseases, as exemplified by COVID-19. In order to assess the risks associated with this pathway in daily-life settings involving tens to hundreds of individuals, the chasm needs to be bridged between fluid dynamical simulations of droplet propagation and population-scale epidemiological models. We achieve this by coarse-graining microscopic droplet trajectories (simulated in various ambient flows) into spatio-temporal maps of viral concentration around the emitter and coupling these maps to field-data about pedestrian crowds in different scenarios (streets, train stations, markets, queues, and street caf{é}s). At the scale of an individual pedestrian, our results highlight the paramount importance of the velocity of the ambient air flow relative to the emitter's motion. This aerodynamic effect, which disperses infectious aerosols and thus mitigates short-range transmission risks, prevails over all other environmental variables. At the crowd's scale, the method yields a ranking of the scenarios by the risks of new infections that they present, dominated by the street caf{é}s and then the outdoor market. While the effect of light winds on the qualitative ranking is fairly marginal, even the most modest ambient air flows dramatically lower the quantitative rates of new infections. The proposed framework was here applied with SARS-CoV-2 in mind, but its generalization to other airborne pathogens and to other (real or hypothetical) crowd arrangements is straightforward.