Evidence map›Paper›PMID 32767639›Full record

ArticleJournal of paediatrics and child health2020

SARS-CoV-2 in human milk is inactivated by Holder pasteurisation but not cold storage.

Gregory J Walker, Vanessa Clifford, Nidhi Bansal, Alberto O Stella, Stuart Turville, Sacha Stelzer-Braid, Laura D Klein, William Rawlinson

Open access · bronzeAbstract read
In one paragraph

Article in Journal of paediatrics and child health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.2field-weighted citation impact, top 4% of its field
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

28 citing papers in PubMed, 45 citations in OpenAlex.

  1. TMPRSS2-mediated coronavirus spike activation and inhibition.Nature structural & molecular biology · 2026
    Article
  2. Review
  3. Viruses and Human Milk: Transmission or Protection?Advances in nutrition (Bethesda, Md.) · 2023
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Breastfeeding during the COVID-19 pandemic.Frontiers in pediatrics · 2023
    Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Gregory J WalkerVirology Research Laboratory, Serology and Virology Division (SAViD), Prince of Wales Hospital, University of New South Wales, Sydney, New South Wales, Australia.
Vanessa CliffordClinical Services and Research, Australian Red Cross Lifeblood, Melbourne, Victoria, Australia.
Nidhi BansalDepartment of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.
Alberto O StellaKirby Institute, University of New South Wales, Sydney, New South Wales, Australia.
Stuart TurvilleKirby Institute, University of New South Wales, Sydney, New South Wales, Australia.
Sacha Stelzer-BraidVirology Research Laboratory, Serology and Virology Division (SAViD), Prince of Wales Hospital, University of New South Wales, Sydney, New South Wales, Australia.
Laura D KleinClinical Services and Research, Australian Red Cross Lifeblood, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-7287-8029
William RawlinsonVirology Research Laboratory, Serology and Virology Division (SAViD), Prince of Wales Hospital, University of New South Wales, Sydney, New South Wales, Australia.
UNSW Sydney · AUAustralian Red Cross Lifeblood · AURoyal Children's Hospital · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimAs the COVID-19 pandemic evolves, human milk banks world-wide continue to provide donor human milk to vulnerable infants who lack access to mother's own milk. Under these circumstances, ensuring the safety of donor human milk is paramount, as the risk of vertical transmission of SARS-CoV-2 is not fully understood. Here, we investigate the inactivation of SARS-CoV-2 in human milk by pasteurisation and the stability of SARS-CoV-2 in human milk under cold storage.

methodsSARS-CoV-2 was experimentally inoculated into human milk samples from healthy donors or into a control medium. Triplicates of each sample were layered onto uninfected cells after Holder pasteurisation (63°C for 30 min), heating to 56°C for 30 min, or after 48 h of storage at 4°C or -30°C. Infectious titres of virus were determined at 72 h post-infection by endpoint titration.

resultsFollowing heating to 63°C or 56°C for 30 min, replication competent (i.e. live) SARS-CoV-2 was undetected in both human milk and the control medium. Cold storage of SARS-CoV-2 in human milk (either at 4°C or -30°C) did not significantly impact infectious viral load over a 48 h period.

conclusionSARS-CoV-2 is effectively inactivated by Holder pasteurisation, suggesting that existing milk bank processes will effectively mitigate the risk of transmission of SARS-COV-2 to vulnerable infants through pasteurised donor human milk. The demonstrated stability of SARS-CoV-2 in refrigerated or frozen human milk may assist in the development of guidelines around safe expressing and storing of milk from COVID-19 infected mothers.

Indexed as

Cold TemperatureCOVID-19PasteurizationSARS-CoV-2Virus InactivationHumansMilk, HumanCOVID-19Holder pasteurisationpasteurised donor human milkSARS-CoV-2viral inactivation

Identifiers

PMID32767639
PMCPMC7436299
OpenAlexW3048339418

What OpenQuestion holds

Textmetadata
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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.