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      Environmental factors influencing the transmission of the coronavirus 2019: a review

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          Abstract

          The coronavirus 2019 pandemic, induced by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has strongly altered healthcare systems and the economy worldwide. The lack of knowledge on this virus has led to the implementation of uncertain strategies and measures to fight the pandemic. Here, we review environmental factors that control viral transmission, such as air, temperature, humidity, food, water and sewage, insects, inanimate surfaces, hand hygiene, and social distancing. The main route of viral transmission is the respiratory tract through aerosols. Masks and social distancing are effective in ceasing air transmission. Proper cleaning of surfaces and hand disinfection are required, especially in healthcare units. Food should be handled properly, and food handlers should work based on hygienic protocols. Water and sewage transmission, and transmission through insects appear less important than other environmental factors.

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          Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China

          Chaolin Huang, Yeming Wang, Xingwang Li … (2020)
          Summary Background A recent cluster of pneumonia cases in Wuhan, China, was caused by a novel betacoronavirus, the 2019 novel coronavirus (2019-nCoV). We report the epidemiological, clinical, laboratory, and radiological characteristics and treatment and clinical outcomes of these patients. Methods All patients with suspected 2019-nCoV were admitted to a designated hospital in Wuhan. We prospectively collected and analysed data on patients with laboratory-confirmed 2019-nCoV infection by real-time RT-PCR and next-generation sequencing. Data were obtained with standardised data collection forms shared by WHO and the International Severe Acute Respiratory and Emerging Infection Consortium from electronic medical records. Researchers also directly communicated with patients or their families to ascertain epidemiological and symptom data. Outcomes were also compared between patients who had been admitted to the intensive care unit (ICU) and those who had not. Findings By Jan 2, 2020, 41 admitted hospital patients had been identified as having laboratory-confirmed 2019-nCoV infection. Most of the infected patients were men (30 [73%] of 41); less than half had underlying diseases (13 [32%]), including diabetes (eight [20%]), hypertension (six [15%]), and cardiovascular disease (six [15%]). Median age was 49·0 years (IQR 41·0–58·0). 27 (66%) of 41 patients had been exposed to Huanan seafood market. One family cluster was found. Common symptoms at onset of illness were fever (40 [98%] of 41 patients), cough (31 [76%]), and myalgia or fatigue (18 [44%]); less common symptoms were sputum production (11 [28%] of 39), headache (three [8%] of 38), haemoptysis (two [5%] of 39), and diarrhoea (one [3%] of 38). Dyspnoea developed in 22 (55%) of 40 patients (median time from illness onset to dyspnoea 8·0 days [IQR 5·0–13·0]). 26 (63%) of 41 patients had lymphopenia. All 41 patients had pneumonia with abnormal findings on chest CT. Complications included acute respiratory distress syndrome (12 [29%]), RNAaemia (six [15%]), acute cardiac injury (five [12%]) and secondary infection (four [10%]). 13 (32%) patients were admitted to an ICU and six (15%) died. Compared with non-ICU patients, ICU patients had higher plasma levels of IL2, IL7, IL10, GSCF, IP10, MCP1, MIP1A, and TNFα. Interpretation The 2019-nCoV infection caused clusters of severe respiratory illness similar to severe acute respiratory syndrome coronavirus and was associated with ICU admission and high mortality. Major gaps in our knowledge of the origin, epidemiology, duration of human transmission, and clinical spectrum of disease need fulfilment by future studies. Funding Ministry of Science and Technology, Chinese Academy of Medical Sciences, National Natural Science Foundation of China, and Beijing Municipal Science and Technology Commission.
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            Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents

            G Kampf, D Todt, S. Pfaender … (2020)
            Summary Currently, the emergence of a novel human coronavirus, SARS-CoV-2, has become a global health concern causing severe respiratory tract infections in humans. Human-to-human transmissions have been described with incubation times between 2-10 days, facilitating its spread via droplets, contaminated hands or surfaces. We therefore reviewed the literature on all available information about the persistence of human and veterinary coronaviruses on inanimate surfaces as well as inactivation strategies with biocidal agents used for chemical disinfection, e.g. in healthcare facilities. The analysis of 22 studies reveals that human coronaviruses such as Severe Acute Respiratory Syndrome (SARS) coronavirus, Middle East Respiratory Syndrome (MERS) coronavirus or endemic human coronaviruses (HCoV) can persist on inanimate surfaces like metal, glass or plastic for up to 9 days, but can be efficiently inactivated by surface disinfection procedures with 62–71% ethanol, 0.5% hydrogen peroxide or 0.1% sodium hypochlorite within 1 minute. Other biocidal agents such as 0.05–0.2% benzalkonium chloride or 0.02% chlorhexidine digluconate are less effective. As no specific therapies are available for SARS-CoV-2, early containment and prevention of further spread will be crucial to stop the ongoing outbreak and to control this novel infectious thread.
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              Transmission of COVID-19 virus by droplets and aerosols: A critical review on the unresolved dichotomy

              Mahesh Jayaweera, Hasini Perera, Buddhika Gunawardana … (2020)
              The practice of social distancing and wearing masks has been popular worldwide in combating the contraction of COVID-19. Undeniably, although such practices help control the COVID-19 pandemic to a greater extent, the complete control of viral-laden droplet and aerosol transmission by such practices is poorly understood. This review paper intends to outline the literature concerning the transmission of viral-laden droplets and aerosols in different environmental settings and demonstrates the behavior of droplets and aerosols resulted from a cough-jet of an infected person in various confined spaces. The case studies that have come out in different countries have, with prima facie evidence, manifested that the airborne transmission plays a profound role in contracting susceptible hosts. Interestingly, the nosocomial transmission by airborne SARS-CoV-2 viral-laden aerosols in healthcare facilities may be plausible. Hence, clearly defined, science-based administrative, clinical, and physical measures are of paramount importance to eradicate the COVID-19 pandemic from the world.
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                Author and article information

                Contributors
                Robert Penchovsky:
                ORCID: http://orcid.org/0000-0001-9502-3421
                robert.penchovsky@hotmail.com
                Journal
                Journal ID (nlm-ta): Environ Chem Lett
                Journal ID (iso-abbrev): Environ Chem Lett
                Title: Environmental Chemistry Letters
                Publisher: Springer International Publishing (Cham )
                ISSN (Print): 1610-3653
                ISSN (Electronic): 1610-3661
                Publication date (Electronic): 21 February 2022
                Pages: 1-8
                Affiliations
                GRID grid.11355.33, ISNI 0000 0001 2192 3275, Department of Genetics, Faculty of Biology, , Sofia University “St. Kliment Ohridski”, ; 8 Dragan Tzankov Blvd, 1164 Sofia, Bulgaria
                Author information
                http://orcid.org/0000-0001-9502-3421
                Article
                Publisher ID: 1418
                DOI: 10.1007/s10311-022-01418-9
                PMC ID: 8859930
                PubMed ID: 35221835
                SO-VID: 3c2ba387-b04f-437d-84b6-4d650c08f74d
                Copyright © © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2022
                License:

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                Date received : 21 August 2021
                Date accepted : 15 February 2022
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100003336, Bulgarian National Science Fund;
                Award ID: KP-06-H31/18/13.12.2019
                Award Recipient :
                Categories
                Subject: Review

                ScienceOpen disciplines: Environmental chemistry
                Keywords: sars-cov-2,environmental factors,temperature,humidity,surfaces,personal protective equipment,insects
                Data availability:
                ScienceOpen disciplines: Environmental chemistry
                Keywords: sars-cov-2, environmental factors, temperature, humidity, surfaces, personal protective equipment, insects

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