Evidence map›Paper›PMID 23736803›Full record

Trial reportNature communications2013

Aerosol transmission is an important mode of influenza A virus spread.

Benjamin J Cowling, Dennis K M Ip, Vicky J Fang, Piyarat Suntarattiwong, Sonja J Olsen, Jens Levy, Timothy M Uyeki, Gabriel M Leung, J S Malik Peiris, Tawee Chotpitayasunondh and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 154 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
154citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

154 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Guideline
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Inferring influenza dynamics and control in households.Proceedings of the National Academy of Sciences of the United States of America · 2015
    Trial
  9. Trial
  10. Andes Virus: From Transmission Dynamics to Pandemic Potential.European journal of clinical investigation · 2026
    Review
  11. Article
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  15. Article
  16. Review
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94 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Benjamin J CowlingSchool of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, Hong Kong, China. bcowling@hku.hk
Dennis K M Ip
Vicky J Fang
Piyarat Suntarattiwong
Sonja J Olsen
Jens Levy
Timothy M Uyeki
Gabriel M Leung
J S Malik Peiris
Tawee Chotpitayasunondh
Hiroshi Nishiura
James Mark Simmerman

Funding

Understanding and controlling antibiotic resistanceU54GM088558 · NIGMS · HARVARD SCHOOL OF PUBLIC HEALTH · PI LIPSITCH, MARC · 2009 to 2018
$26.4M
A Controlled Trial of Masks and Hand Hygiene for Reducing Influenza TransmissionU01CI000439 · CI · UNIVERSITY OF HONG KONG · PI LEUNG, K. GABRIEL · 2006 to 2008
$1.4M
NCPDCID CDC HHS 1 U01 CI000439NCPDCID CDC HHS U01 CI000439NIAID NIH HHS HHSN266200700005CNIAID NIH HHS N01 AI070005NIGMS NIH HHS U54 GM088558
6 · The paper itself

Abstract

Influenza A viruses are believed to spread between humans through contact, large respiratory droplets and small particle droplet nuclei (aerosols), but the relative importance of each of these modes of transmission is unclear. Volunteer studies suggest that infections via aerosol transmission may have a higher risk of febrile illness. Here we apply a mathematical model to data from randomized controlled trials of hand hygiene and surgical face masks in Hong Kong and Bangkok households. In these particular environments, inferences on the relative importance of modes of transmission are facilitated by information on the timing of secondary infections and apparent differences in clinical presentation of secondary infections resulting from aerosol transmission. We find that aerosol transmission accounts for approximately half of all transmission events. This implies that measures to reduce transmission by contact or large droplets may not be sufficient to control influenza A virus transmission in households.

Indexed as

AerosolsFamily CharacteristicsHong KongHumansInfluenza A virusInfluenza, HumanModels, BiologicalProbabilityRisk FactorsThailandAerosols

Identifiers

PMID23736803
PMCPMC3682679

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.