Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in a Patient Transport Van

Author:

Jones Lucas D1,Chan Ernest R2,Zabarsky Trina F3,Cadnum Jennifer L4,Navas Maria E5,Redmond Sarah N6,Kovach Jeffrey D7,Linger Marlin7,Rutala William A8,Zimmerman Peter A7,Donskey Curtis J69

Affiliation:

1. Department of Molecular Biology and Microbiology, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

2. Cleveland Institute for Computational Biology, Case Western Reserve University, Cleveland, Ohio, USA

3. Infection Control Department, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio, USA

4. Research Service, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio, USA

5. Pathology and Laboratory Medicine Service, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio, USA

6. Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

7. The Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, USA

8. Division of Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA

9. Geriatric Research, Education, and Clinical Center, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio, USA

Abstract

Abstract We report 2 episodes of potential SARS-CoV-2 transmission from infected van drivers to passengers despite masking and physical distancing. Whole-genome sequencing confirmed relatedness of driver and passenger SARS-CoV-2. With the heater operating, fluorescent microspheres were transported by airflow >3 meters from the front to the back of the van.

Funder

Department of Veterans Affairs

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

Reference12 articles.

1. Community outbreak investigation of SARS-CoV-2 transmission among bus riders in Eastern China;Shen;JAMA Intern Med,2020

2. Transmission of SARS-CoV-2 in public transportation vehicles: a case study in Hunan Province, China;Luo;Open Forum Infect Dis,2020

3. What are the sources of exposure in healthcare personnel with coronavirus disease 2019 infection?;Zabarsky;Am J Infect Control,2021

4. Turbulent gas clouds and respiratory pathogen emissions: potential implications for reducing transmission of COVID-19;Bourouiba;JAMA,2020

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