Expiratory Aerosol pH: The Overlooked Driver of Airborne Virus Inactivation

• Published in: Environmental science & technology 2023-01, Vol.57 (1), p.486-497
• Main Authors: Luo, Beiping, Schaub, Aline, Glas, Irina, Klein, Liviana K., David, Shannon C., Bluvshtein, Nir, Violaki, Kalliopi, Motos, Ghislain, Pohl, Marie O., Hugentobler, Walter, Nenes, Athanasios, Krieger, Ulrich K., Stertz, Silke, Peter, Thomas, Kohn, Tamar
• Format: Article
• Language: English
• Subjects: Acidity; Aerosols; Air Pollution, Indoor; Atmospheric aerosols; COVID-19; Deactivation; Disease control; Disease transmission; Disease Transmission, Infectious; Ecotoxicology and Public Health; Humans; Hydrogen-Ion Concentration; Inactivation; Indoor environments; Influenza; Influenza A; Mechanical ventilation; Mitigation; Nitric acid; pH effects; Relative humidity; Respiratory Aerosols and Droplets; SARS-CoV-2; Severe acute respiratory syndrome coronavirus 2; Viral diseases; Virus Inactivation; Viruses; Volatile acids
• ISSN: 0013-936X; 1520-5851; 1520-5851
• DOI: 10.1021/acs.est.2c05777

Respiratory viruses, including influenza virus and SARS-CoV-2, are transmitted by the airborne route. Air filtration and ventilation mechanically reduce the concentration of airborne viruses and are necessary tools for disease mitigation. However, they ignore the potential impact of the chemical environment surrounding aerosolized viruses, which determines the aerosol pH. Atmospheric aerosol gravitates toward acidic pH, and enveloped viruses are prone to inactivation at strong acidity levels. Yet, the acidity of expiratory aerosol particles and its effect on airborne virus persistence have not been examined. Here, we combine pH-dependent inactivation rates of influenza A virus (IAV) and SARS-CoV-2 with microphysical properties of respiratory fluids using a biophysical aerosol model. We find that particles exhaled into indoor air (with relative humidity ≥ 50%) become mildly acidic (pH ∼ 4), rapidly inactivating IAV within minutes, whereas SARS-CoV-2 requires days. If indoor air is enriched with nonhazardous levels of nitric acid, aerosol pH drops by up to 2 units, decreasing 99%-inactivation times for both viruses in small aerosol particles to below 30 s. Conversely, unintentional removal of volatile acids from indoor air may elevate pH and prolong airborne virus persistence. The overlooked role of aerosol acidity has profound implications for virus transmission and mitigation strategies.