Cough Into Your Elbow With Sleeves, Please

While N95 masks are the most effective at reducing droplet transmission, even simple cloth masks could go a long way in preventing the spread of respiratory diseases.

AsianScientist (Sep. 21, 2020) – Coughing into your elbow is a surprisingly good way to contain a cough—but only if you are wearing long sleeves. These findings, by researchers in India, have been published in Physics of Fluids.

Masks are an essential tool for preventing the spread of respiratory infections such as COVID-19, but their effectiveness can vary widely depending on the quality of the mask and how it is worn. A small number of respiratory particles may escape even a well-fitted N95 mask, particularly if the wearer coughs.

To understand how far droplets can travel when people cough with and without various types of face coverings, Padmanabha Prasanna Simha, from the Indian Space Research Organisation, and Prasanna Simha Mohan Rao, from the Sri Jayadeva Institute of Cardiovascular Sciences and Research, experimentally visualized the flow fields of coughs under various common cough scenarios.

“If a person can reduce the extent of how much they contaminate the environment by mitigating the spread, it’s a far better situation for other healthy individuals who may enter places that have such contaminated areas,” Simha said.

Density and temperature are intricately related, and coughs tend to be warmer than their surrounding area. Tapping into this connection, Simha and Rao utilized a technique that visualizes changes in density called schlieren imaging to capture pictures of voluntary coughs from five test subjects. By tracking the motion of a cough over successive images, the team estimated the velocity and spread of the expelled droplets.

Unsurprisingly, they found N95 masks to be the most effective at reducing the horizontal spread of a cough. The N95 masks reduced a cough’s initial velocity by up to a factor of ten and limit its spread to between 0.1 and 0.25 meters. An uncovered cough, in contrast, can travel up to three meters, but even a simple disposable mask can bring this all the way down to 0.5 meters.

“Even if a mask does not filter out all the particles, if we can prevent clouds of such particles from traveling very far, it’s better than not doing anything,” said Simha. “In situations where sophisticated masks are not available, any mask is better than no mask at all for the general public in slowing the spread of infection.”

Some of the other comparisons, however, were striking. For example, using an elbow to cover up a cough is typically considered a good alternative in a pinch, which is contradictory to what the pair found. Unless covered by a sleeve, a bare arm cannot form the proper seal against the nose necessary to obstruct airflow. A cough is then able to leak through any openings and propagate in many directions.

Simha and Rao hope their findings will put to rest the argument that regular cloth masks are ineffective, but they emphasize that masks must continue to be used in conjunction with social distancing.

“Adequate distancing is something that must not be ignored, since masks are not foolproof,” Simha said.



The article can be found at: Simha & Rao (2020) Universal Trends in Human Cough Airflows at Large Distances.

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Source: American Institute of Physics; Photo: Shutterstock.
Disclaimer: This article does not necessarily reflect the views of AsianScientist or its staff.

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