1/ This paper is very interesting:
https://www.nature.com/articles/s41598-019-38808-z

It summarises some of the literature on the aerosolisation of particles during speech and reports impact of increasing speech volume on aerosolisation. Here's my summary:
2/
🔸smaller particles (~1μm) are aerosolised during breathing and talking (N.B. #COVID19 virus is 100-160 nm in size so these particles are big enough to carry the virus)
3/
🔸these smaller particles are potentially more infectious than the larger particles (~50μm) produced during coughing and sneezing, because they stay in the air for longer
🔸smaller particles have more chance of penetrating deeper into the lungs
4/
🔸speech can release a larger numbers of particles compared to coughing (counting aloud produces 2-10x more particles than 1 cough)
🔸there is a linear correlation: increasing particle emission with increasing speech volume
5/
🔸particles are the same size (~1μm) regardless of speech volume
🔸on average speaking loudly resulted in 10x more particle emission than speaking quietly
🔸some participants were superemitters but there were no trends for gender, age, BMI
6/
🔸Hypthesised mechanism of action: vocal fold vibration and adduction at the larynx resulting in a 'fluid-film burst' mechanism and particle emission
7/
My question is: should we be wearing FFP3 for all SLT assessment and interventions with COVID-19 suspected and positive patients?

What do #wespeechies think?
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