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NewsThe Cochrane Library
Open Access

Speech droplets drive transmission of SARS-COV-2

Saudi Medical Journal August 2021, 42 (8) 920;
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9 JUNE 2021 - A new review published in the Journal of Internal Medicine indicates that unmasked speech in confined spaces poses the greatest risk of spreading SARS-CoV-2, the virus that causes COVID-19, to others.

The focus of the review is on the interface between physics and medicine, and it describes how different sized respiratory droplets emitted while speaking span a continuum of sizes and can carry different amounts of virus. Most concerning are intermediate-sized droplets that remain suspended in air for minutes and can be transported over considerable distances by convective air currents.

“We’ve all seen some spit droplets flying when people talk but there are thousands more, too small to be seen by the naked eye. When the water evaporates from such speech-generated, potentially virus-rich droplets, they float in the air for minutes, like smoke, thus putting others at risk,” said senior author Adriaan Bax, PhD, of the National Institute of Diabetes and Digestive and Kidney Diseases.

URL Upon Publication: https://onlinelibrary.wiley.com/doi/10.1111/joim.13326

Full Citation: “Breathing, speaking, coughing or sneezing: What drives transmission of SARS-CoV-2?” V. Stadnytskyi, P. Anfinrud, A. Bax. JIM; Published Online: June 8, 2021 (DOI: 10.1111/joim.13326).

Copyright © 2021 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd., reproduced with permission.

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This is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work.

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Saudi Medical Journal: 42 (8)
Saudi Medical Journal
Vol. 42, Issue 8
1 Aug 2021
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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