ReviewThe Journal of hospital infection2021
Dismantling myths on the airborne transmission of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2).
Review in The Journal of hospital infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 149 papers, 8 of them syntheses that pooled 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.
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.
Who cites it
149 citing papers in PubMed, 8 syntheses or guidelines pooled it, 368 citations in OpenAlex.
- Viral cultures for assessing airborne infectiousness of SARS-CoV-2: a systematic review and meta-analysis.BMC infectious diseases · 2025Pooled it
- Masks and respirators for prevention of respiratory infections: a state of the science review.Clinical microbiology reviews · 2024Pooled it
- Masking strategy to protect healthcare workers from COVID-19: An umbrella meta-analysis.Infection, disease & health · 2023Pooled it
- SARS-CoV-2 air sampling: A systematic review on the methodologies for detection and infectivity.Indoor air · 2022Pooled it
- Long distance airborne transmission of SARS-CoV-2: rapid systematic review.BMJ (Clinical research ed.) · 2022Pooled it
- A review on measurements of SARS-CoV-2 genetic material in air in outdoor and indoor environments: Implication for airborne transmission.The Science of the total environment · 2022Pooled it
- Recommendations for Safe Dental Care: A Systematic Review of Clinical Practice Guidelines in the First Year of the COVID-19 Pandemic.International journal of environmental research and public health · 2021Pooled it
- The efficacy of ultraviolet light-emitting technology against coronaviruses: a systematic review.The Journal of hospital infection · 2021Pooled it
- Monitors to improve indoor air carbon dioxide concentrations in the hospital: A randomized crossover trial.The Science of the total environment · 2022Trial
- Beyond Infection-Indoor Airborne Pathogens as Contributors to Respiratory Inflammation and Immune Dysregulation: A Narrative Review.Pathogens (Basel, Switzerland) · 2026Review
- Seasonal Variations and Indoor-Outdoor Characteristics of Fluorescent Aerosol Particles in Japanese Office Buildings.Biosensors · 2026Article
- Electronic measurement of frequency and duration of close nurse-patient contacts during patient care in intensive and intermediate care units: a cross-sectional observational study.Infection prevention in practice · 2026Article
- A system for invitro inhaled/exhaled aerosol testing of personal protective equipment.Scientific reports · 2026Article
- A 266-nm multi-reflection laser curtain for airborne bacterial inactivation in a 20-mFrontiers in public health · 2026Article
- Review
- Aerosol Dispersion and Efficacy of Protective Strategies During Dental Procedures.International dental journal · 2025Article
- TRAINERWALL: An Innovative, Cost-Effective Removable Anteroom for Pathogen Containment in Healthcare Settings.International journal of environmental research and public health · 2025Article
- Factors Affecting Reduction of Infectious Aerosols by Far-UVC and Portable HEPA Air Cleaners.ACS ES&T air · 2025Article
- Serological Assays Reveal No Evidence of Natural SARS-CoV-2 Infection in US Cattle.Microorganisms · 2025Article
- CO2 and aerosol concentration during manual and mechanical chest compression while cardiopulmonary resuscitation.Medicine · 2025Article
89 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
17 authors at 15 institutions in 10 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has caused untold disruption throughout the world. Understanding the mechanisms for transmission of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is key to preventing further spread, but there is confusion over the meaning of 'airborne' whenever transmission is discussed. Scientific ambivalence originates from evidence published many years ago which has generated mythological beliefs that obscure current thinking. This article collates and explores some of the most commonly held dogmas on airborne transmission in order to stimulate revision of the science in the light of current evidence. Six 'myths' are presented, explained and ultimately refuted on the basis of recently published papers and expert opinion from previous work related to similar viruses. There is little doubt that SARS-CoV-2 is transmitted via a range of airborne particle sizes subject to all the usual ventilation parameters and human behaviour. Experts from specialties encompassing aerosol studies, ventilation, engineering, physics, virology and clinical medicine have joined together to produce this review to consolidate the evidence for airborne transmission mechanisms, and offer justification for modern strategies for prevention and control of COVID-19 in health care and the community.
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Identifiers
What OpenQuestion holds
Registered trials
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.