Surgical Mask Partition Reduces the Risk of Noncontact Transmission in a Golden Syrian Hamster Model for Coronavirus Disease 2019 (COVID-19)

Jasper Fuk Woo Chan, Shuofeng Yuan, Anna Jinxia Zhang, Vincent Kwok Man Poon, Chris Chung Sing Chan, Andrew Chak Yiu Lee, Zhimeng Fan, Can Li, Ronghui Liang, Jianli Cao, Kaiming Tang, Cuiting Luo, Vincent Chi Chung Cheng, Jian Piao Cai, Hin Chu, Kwok Hung Chan, Kelvin Kai Wang To, Siddharth Sridhar, Kwok Yung Yuen

Research output: Contribution to journalArticlepeer-review

249 Citations (Scopus)

Abstract

Background: Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is believed to be mostly transmitted by medium-to large-sized respiratory droplets, although airborne transmission may be possible in healthcare settings involving aerosol-generating procedures. Exposure to respiratory droplets can theoretically be reduced by surgical mask usage. However, there is a lack of experimental evidence supporting surgical mask usage for prevention of COVID-19. Methods: We used a well-established golden Syrian hamster SARS-CoV-2 model. We placed SARS-CoV-2-challenged index hamsters and naive hamsters into closed system units each comprising 2 different cages separated by a polyvinyl chloride air porous partition with unidirectional airflow within the isolator. The effect of a surgical mask partition placed between the cages was investigated. Besides clinical scoring, hamster specimens were tested for viral load, histopathology, and viral nucleocapsid antigen expression. Results: Noncontact transmission was found in 66.7% (10/15) of exposed naive hamsters. Surgical mask partition for challenged index or naive hamsters significantly reduced transmission to 25% (6/24, P =. 018). Surgical mask partition for challenged index hamsters significantly reduced transmission to only 16.7% (2/12, P =. 019) of exposed naive hamsters. Unlike the severe manifestations of challenged hamsters, infected naive hamsters had lower clinical scores, milder histopathological changes, and lower viral nucleocapsid antigen expression in respiratory tract tissues. Conclusions: SARS-CoV-2 could be transmitted by respiratory droplets or airborne droplet nuclei which could be reduced by surgical mask partition in the hamster model. This is the first in vivo experimental evidence to support the possible benefit of surgical mask in prevention of COVID-19 transmission, especially when masks were worn by infected individuals.

Original languageEnglish
Pages (from-to)2139-2149
Number of pages11
JournalClinical Infectious Diseases
Volume71
Issue number16
DOIs
Publication statusPublished - Oct 15 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020 The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

ASJC Scopus Subject Areas

  • Microbiology (medical)
  • Infectious Diseases

Keywords

  • COVID-19
  • SARS-CoV-2
  • coronavirus
  • mask
  • transmission

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