Modeling within-host and aerosol dynamics of SARS-CoV-2: The relationship with infectiousness

PLoS Comput Biol. 2022 Aug 1;18(8):e1009997. doi: 10.1371/journal.pcbi.1009997. eCollection 2022 Aug.

Abstract

The relationship between transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the amount of virus present in the proximity of a susceptible host is not understood. Here, we developed a within-host and aerosol mathematical model and used it to determine the relationship between viral kinetics in the upper respiratory track, viral kinetics in the aerosols, and new transmissions in golden hamsters challenged with SARS-CoV-2. We determined that infectious virus shedding early in infection correlates with transmission events, shedding of infectious virus diminishes late in the infection, and high viral RNA levels late in the infection are a poor indicator of transmission. We further showed that viral infectiousness increases in a density dependent manner with viral RNA and that their relative ratio is time-dependent. Such information is useful for designing interventions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • COVID-19*
  • Cricetinae
  • Humans
  • RNA, Viral
  • Respiratory Aerosols and Droplets
  • SARS-CoV-2*
  • Virus Shedding

Substances

  • RNA, Viral

Grants and funding

SMC and NH-B acknowledge salary support from National Science Foundation grants No. 1813011 and 2051820 and by Virginia Tech Center for Emerging, Zoonotic, and Arthropod-borne Pathogens (CeZAP) seed grant. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.