Skeptics of the notion that the coronavirus spreads through the air — including advisers to the World Health Organization — have held out for one missing piece of evidence: proof that floating respiratory droplets called aerosols contain live virus and not just fragments of genetic material.
Now a team of virologists and aerosol scientists has produced exactly that: confirmation of infectious virus in the air.
“This is what people have been clamoring for,” said Linsey Marr, an expert in airborne spread of viruses who was not involved in the work. “It’s unambiguous evidence that there is infectious virus in aerosols.”
A team at the University of Florida isolated live virus from aerosols collected 7 to 16 feet from patients hospitalized with COVID-19 — farther than the 6 feet recommended in social distancing guidelines.
The findings, posted online last week, have not yet been vetted by peer review but have caused a stir among scientists. “If this isn’t a smoking gun, then I don’t know what is,” Marr tweeted.
But some experts said it still was not clear that the amount of virus recovered was sufficient to cause infection.
The research was exacting. Aerosols are minute by definition, measuring up to 5 micrometers across; evaporation can make them even smaller. Attempts to capture these delicate droplets usually damage the virus they contain.
“It’s very hard to sample biological material from the air and have it be viable,” said Shelly Miller, an environmental engineer at the University of Colorado Boulder.
In the new study, researchers devised a sampler that uses pure water vapor to enlarge the aerosols enough that they can be collected easily from the air. Rather than leave these aerosols sitting, the equipment transfers them into a liquid rich with salts, sugar and protein, which preserves the pathogen.
“I’m impressed,” said Robyn Schofield, an atmospheric chemist at Melbourne University in Australia, who measures aerosols over the ocean. “It’s a very clever measurement technique.”
The researchers had previously used this method to sample air from hospital rooms. But in those attempts, other floating respiratory viruses grew faster, making it difficult to isolate the coronavirus.
This time, the team collected air samples from a room in a ward dedicated to COVID-19 patients at the University of Florida Health Shands Hospital. Neither patient in the room was subject to medical procedures known to generate aerosols, which the WHO and others have contended are the primary source of airborne virus in a hospital setting.
The team used two samplers, one about 7 feet from the patients and the other about 16 feet from them. The scientists were able to collect virus at both distances and then to show that the virus they had plucked from the air could infect cells in a lab dish.
The genome sequence of the isolated virus was identical to that from a swab of a newly admitted symptomatic patient in the room.
The room had six air changes per hour and was fitted with efficient filters, ultraviolet irradiation and other safety measures to inactivate the virus before the air was reintroduced into the room.
That may explain why the researchers found only 74 virus particles per liter of air, said John Lednicky, the team’s lead virologist. Indoor spaces without good ventilation might accumulate much more airborne virus, he said.
But other experts said it was difficult to extrapolate from the findings to estimate an individual’s risk. “The only conclusion I can take from this paper is you can culture viable virus out of the air,” said Angela Rasmussen, a virologist at Columbia University in New York. “But that’s not a small thing.”