1 00:00:10,940 --> 00:00:13,730 PROFESSOR: So let's build on this concept of diffusion 2 00:00:13,730 --> 00:00:17,060 of virions in droplets to understand 3 00:00:17,060 --> 00:00:21,890 how we would expect a size dependent infectivity 4 00:00:21,890 --> 00:00:24,920 of virions in different sized droplets. 5 00:00:24,920 --> 00:00:27,350 So an important concept in epidemiology 6 00:00:27,350 --> 00:00:30,890 that we will come to later is the infectivity, 7 00:00:30,890 --> 00:00:34,540 which is the probability that if a virion is transferred 8 00:00:34,540 --> 00:00:37,550 that it actually causes an infection in the host. 9 00:00:37,550 --> 00:00:40,490 That can be further broken down into a product 10 00:00:40,490 --> 00:00:41,390 of two probabilities. 11 00:00:41,390 --> 00:00:44,810 The first is that if the virus has escaped from the droplet, 12 00:00:44,810 --> 00:00:47,000 it actually causes an infection. 13 00:00:47,000 --> 00:00:49,300 And that's perhaps something which is roughly constant. 14 00:00:49,300 --> 00:00:54,380 It has to do with the physiology of the host. 15 00:00:54,380 --> 00:00:58,490 But then there is the escape of the virion from the droplet. 16 00:00:58,490 --> 00:01:00,080 And as we've already discussed, that's 17 00:01:00,080 --> 00:01:01,970 a strongly size dependent quantity. 18 00:01:01,970 --> 00:01:03,680 And from very large droplets, it's 19 00:01:03,680 --> 00:01:06,290 very difficult in a mucus droplet, especially, 20 00:01:06,290 --> 00:01:10,280 for the virion to diffuse out in a reasonable amount of time. 21 00:01:10,280 --> 00:01:13,970 And in fact, virions are typically 22 00:01:13,970 --> 00:01:16,710 found to have a period of deactivation 23 00:01:16,710 --> 00:01:18,260 where after a certain amount of time, 24 00:01:18,260 --> 00:01:23,240 they are no longer viable and able to basically cause 25 00:01:23,240 --> 00:01:24,420 further infection. 26 00:01:24,420 --> 00:01:26,870 And so if we assume there's a certain time 27 00:01:26,870 --> 00:01:29,870 t, or tau v for the virus deactivation, 28 00:01:29,870 --> 00:01:31,730 then we can ask ourselves if the virus 29 00:01:31,730 --> 00:01:35,060 has had a chance to escape or not as a function of size. 30 00:01:35,060 --> 00:01:37,400 So basically, to solve this problem, 31 00:01:37,400 --> 00:01:39,500 we think of the droplet here. 32 00:01:39,500 --> 00:01:43,789 And we actually want to solve a diffusion problem 33 00:01:43,789 --> 00:01:48,080 where C here is the concentration of viruses 34 00:01:48,080 --> 00:01:49,560 in the domain. 35 00:01:49,560 --> 00:01:51,950 D is the diffusivity of the viruses. 36 00:01:51,950 --> 00:01:55,670 And this is the [INAUDIBLE] equation 37 00:01:55,670 --> 00:01:58,800 in the sphere, which is the diffusion equation. 38 00:01:58,800 --> 00:02:02,600 And our boundary conditions are that C of R 39 00:02:02,600 --> 00:02:05,210 and 0, the initial condition is 0. 40 00:02:05,210 --> 00:02:11,130 And then at R and t, it's going to be one. 41 00:02:11,130 --> 00:02:13,670 So basically what we're imagining here 42 00:02:13,670 --> 00:02:15,230 is that we're trying to figure out 43 00:02:15,230 --> 00:02:17,329 the C will be the concentration viruses that 44 00:02:17,329 --> 00:02:18,940 has left the system actually. 45 00:02:18,940 --> 00:02:24,380 So what we have is if we look as a function of the radius, 46 00:02:24,380 --> 00:02:29,570 of the radius of this thing is R, capital R. So 47 00:02:29,570 --> 00:02:32,600 in that distance, we have this constant-- 48 00:02:32,600 --> 00:02:34,670 what I'm calling concentration here is just 49 00:02:34,670 --> 00:02:37,550 going to jump up to one. 50 00:02:37,550 --> 00:02:41,810 And then it's going to diffuse inward like this. 51 00:02:41,810 --> 00:02:45,290 OK, and then eventually the final state 52 00:02:45,290 --> 00:02:49,460 is that it's entirely basically one everywhere. 53 00:02:49,460 --> 00:02:51,920 And that's when basically the probability of removal 54 00:02:51,920 --> 00:02:55,270 has hit every part of the drop and all of the virus 55 00:02:55,270 --> 00:02:55,980 has been removed. 56 00:02:55,980 --> 00:03:00,450 So the C is a time dependent fraction 57 00:03:00,450 --> 00:03:04,580 of the virus, the virions in the droplet, which 58 00:03:04,580 --> 00:03:07,430 had been removed at time t. 59 00:03:07,430 --> 00:03:09,470 So this spherical diffusion equation 60 00:03:09,470 --> 00:03:12,170 can be solved analytically in various ways. 61 00:03:12,170 --> 00:03:15,270 But there's not a simple closed form solution to this problem. 62 00:03:15,270 --> 00:03:16,940 And what we're really interested in here 63 00:03:16,940 --> 00:03:19,130 is just a rough approximation of what 64 00:03:19,130 --> 00:03:21,270 the solution might look like. 65 00:03:21,270 --> 00:03:23,960 So let's pull out an approximation for this. 66 00:03:23,960 --> 00:03:28,430 So I'll sketch the droplet again here. 67 00:03:28,430 --> 00:03:31,760 Now at early times, when there hasn't 68 00:03:31,760 --> 00:03:34,100 been a chance for the viruses, the virions 69 00:03:34,100 --> 00:03:35,630 to diffuse very far. 70 00:03:35,630 --> 00:03:37,640 Then only those which are close to the boundary 71 00:03:37,640 --> 00:03:38,780 actually have a chance of leaving. 72 00:03:38,780 --> 00:03:41,400 That's this initial boundary earlier that I sketched here, 73 00:03:41,400 --> 00:03:43,280 which is working its way in. 74 00:03:43,280 --> 00:03:47,079 So why don't we sketch the central region 75 00:03:47,079 --> 00:03:51,130 and give that a distance delta, which is the boundary layer 76 00:03:51,130 --> 00:03:51,740 thickness. 77 00:03:51,740 --> 00:03:54,980 So basically this outer annulus has been-- 78 00:03:54,980 --> 00:03:57,760 is really where virions had a chance to leave. 79 00:03:57,760 --> 00:04:01,870 And that's where c is jumping to one. 80 00:04:01,870 --> 00:04:05,620 And from-- if this were just a plane 81 00:04:05,620 --> 00:04:08,460 with a semi-infinite diffusion towards the center, so 82 00:04:08,460 --> 00:04:12,160 in other words, this delta is much less than R, 83 00:04:12,160 --> 00:04:15,010 capital R, the radius, then it's almost like diffusion 84 00:04:15,010 --> 00:04:16,120 from a planar source. 85 00:04:16,120 --> 00:04:21,190 And then we actually know that this distance as well 86 00:04:21,190 --> 00:04:24,730 approximated by square root of 2 DT. 87 00:04:24,730 --> 00:04:27,490 So that just comes from solving the diffusion equation in one 88 00:04:27,490 --> 00:04:30,250 dimension leads to that scaling of the diffusion layer 89 00:04:30,250 --> 00:04:30,760 thickness. 90 00:04:30,760 --> 00:04:34,190 So that's this thickness of this blue region 91 00:04:34,190 --> 00:04:36,400 as it goes that way is delta. 92 00:04:36,400 --> 00:04:39,340 And it scales as it's approximated 93 00:04:39,340 --> 00:04:41,360 by square root of 2DT. 94 00:04:41,360 --> 00:04:43,180 And now let's ask ourselves then what 95 00:04:43,180 --> 00:04:47,480 is this concentration here? 96 00:04:47,480 --> 00:04:49,870 Well, what I'm really interested in actually 97 00:04:49,870 --> 00:04:53,440 is this escape probability PE. 98 00:04:53,440 --> 00:04:55,600 And that's going to be the integral 99 00:04:55,600 --> 00:04:58,670 of CDV over the volume. 100 00:04:58,670 --> 00:05:01,600 So this is the integral over all the R's that 101 00:05:01,600 --> 00:05:03,310 are less than capital R. So basically 102 00:05:03,310 --> 00:05:06,320 inside the drop of this concentration field. 103 00:05:06,320 --> 00:05:10,390 So that contrary field starts at 0 and eventually goes to 1. 104 00:05:10,390 --> 00:05:15,800 And that base is giving me this total escape probability. 105 00:05:15,800 --> 00:05:18,160 So to calculate this integral of the concertation field, 106 00:05:18,160 --> 00:05:20,170 I basically have a domain at the outside 107 00:05:20,170 --> 00:05:22,420 here with the concept of this concentration variable 108 00:05:22,420 --> 00:05:25,180 is near one and a central region where 109 00:05:25,180 --> 00:05:27,820 it's C approximately zero. 110 00:05:27,820 --> 00:05:30,370 And here C is equal to one on the boundary. 111 00:05:30,370 --> 00:05:32,600 This variable I've defined here. 112 00:05:32,600 --> 00:05:39,920 So therefore, I can write that this PE is, roughly speaking, 113 00:05:39,920 --> 00:05:41,680 if we think of just what is the volume 114 00:05:41,680 --> 00:05:46,030 of that spherical annulus, that would be-- 115 00:05:46,030 --> 00:05:48,130 and relative to the total volume-- 116 00:05:48,130 --> 00:05:54,820 that would be r-cube minus R minus delta cube divided 117 00:05:54,820 --> 00:05:55,570 by r-cube. 118 00:05:55,570 --> 00:05:59,320 So each of the volumes has a 4/3 pi, which I've canceled off. 119 00:05:59,320 --> 00:06:01,450 So this is basically the volume of the total sphere 120 00:06:01,450 --> 00:06:03,200 minus the volume in the inner sphere. 121 00:06:03,200 --> 00:06:04,970 So that's just the volume of the shell. 122 00:06:04,970 --> 00:06:07,070 Then I normalize it properly here. 123 00:06:07,070 --> 00:06:16,690 So this is one minus delta over r parentheses cubed. 124 00:06:16,690 --> 00:06:18,290 And if I now-- 125 00:06:18,290 --> 00:06:19,840 and I have this expression here. 126 00:06:19,840 --> 00:06:21,810 So now I have at least an approximation 127 00:06:21,810 --> 00:06:24,690 for what this might look like. 128 00:06:24,690 --> 00:06:28,080 We can also further say that this approximation here 129 00:06:28,080 --> 00:06:31,800 was valid for the delta B much less than r. 130 00:06:31,800 --> 00:06:34,950 And when that's the case, then I also 131 00:06:34,950 --> 00:06:36,600 can say that this quantity is small. 132 00:06:36,600 --> 00:06:38,640 So at early times that's small. 133 00:06:38,640 --> 00:06:39,870 And I can expand. 134 00:06:39,870 --> 00:06:41,760 All right, this is 1 minus. 135 00:06:41,760 --> 00:06:43,590 And then 1 minus something cubed, 136 00:06:43,590 --> 00:06:46,920 where that something is small, is 1 minus 3 times 137 00:06:46,920 --> 00:06:50,100 that something. 138 00:06:50,100 --> 00:06:52,060 That's basically a tailor expansion. 139 00:06:52,060 --> 00:06:55,020 So that when I work this out, the ones cancel. 140 00:06:55,020 --> 00:07:01,490 And I get three delta over R. So what we find 141 00:07:01,490 --> 00:07:08,300 is that this PE, which we're trying to calculate, 142 00:07:08,300 --> 00:07:12,080 has two limits that are easy to calculate. 143 00:07:12,080 --> 00:07:15,380 One of them is this 3 delta over R. And if that's our delta, 144 00:07:15,380 --> 00:07:20,940 then we get 3 square root of 2 DT times R. 145 00:07:20,940 --> 00:07:24,060 And specifically, the p is defined up to a certain time 146 00:07:24,060 --> 00:07:27,840 tau v. So I'll now replace t with tau v 147 00:07:27,840 --> 00:07:32,190 because that is my timescale for virus deactivation. 148 00:07:32,190 --> 00:07:38,730 And so this would be in the case where this quantity is-- 149 00:07:38,730 --> 00:07:43,030 basically, this ratio here is much less than one. 150 00:07:43,030 --> 00:07:45,480 And then in the opposite limit where 151 00:07:45,480 --> 00:07:47,870 this diffusion has completely spanned the particle 152 00:07:47,870 --> 00:07:49,290 and is getting much bigger than R, 153 00:07:49,290 --> 00:07:52,120 then this obviously has to tend to 1. 154 00:07:52,120 --> 00:07:57,300 OK, now, I can write down a function 155 00:07:57,300 --> 00:08:00,090 that makes this transition right about when 156 00:08:00,090 --> 00:08:03,820 this thing is of order one in a variety of ways. 157 00:08:03,820 --> 00:08:05,310 One way we could do that would be 158 00:08:05,310 --> 00:08:07,050 to write that PE is approximately 159 00:08:07,050 --> 00:08:11,850 given by 1 minus the exponential of minus this quantity. 160 00:08:11,850 --> 00:08:21,220 So minus 3 square root of 2 d tau v divided by R. 161 00:08:21,220 --> 00:08:26,150 And you can see there we have a-- there's sort of-- 162 00:08:26,150 --> 00:08:29,630 you could either write this in terms of a time 163 00:08:29,630 --> 00:08:32,840 where the critical time is-- 164 00:08:32,840 --> 00:08:34,640 so we could write this-- 165 00:08:34,640 --> 00:08:36,169 just to get more insight into it, 166 00:08:36,169 --> 00:08:40,190 we could write PE is approximately 1 minus e 167 00:08:40,190 --> 00:08:46,340 to the minus tau v over some timescale-- 168 00:08:46,340 --> 00:08:48,650 I'll call it tau d for diffusion-- 169 00:08:48,650 --> 00:08:57,170 where we see here that tau d is R squared over-- 170 00:08:57,170 --> 00:08:58,950 and then it's-- 171 00:08:58,950 --> 00:09:01,430 To bring inside the square root, this 3 becomes 9. 172 00:09:01,430 --> 00:09:02,660 And then times 2 is 18. 173 00:09:02,660 --> 00:09:05,240 So 18D. 174 00:09:05,240 --> 00:09:07,280 Now, you may recall from our last calculation, 175 00:09:07,280 --> 00:09:10,310 the average first passage time in the sphere calculated 176 00:09:10,310 --> 00:09:13,910 exactly was R squared over 15D. 177 00:09:13,910 --> 00:09:16,100 So this very simple calculation is clearly 178 00:09:16,100 --> 00:09:18,110 giving us roughly the right order of magnitude 179 00:09:18,110 --> 00:09:19,430 for that time. 180 00:09:19,430 --> 00:09:21,140 But we're actually not interested so much 181 00:09:21,140 --> 00:09:22,510 in writing this in terms of time. 182 00:09:22,510 --> 00:09:24,630 We'd actually like to write in terms of radius. 183 00:09:24,630 --> 00:09:30,500 So I can also write PE is 1 minus E to the minus R. 184 00:09:30,500 --> 00:09:34,250 I'll call it maybe Rd for diffusion over R 185 00:09:34,250 --> 00:09:43,970 where Rd is basically all this stuff, 3 root 2 d tau v. OK, 186 00:09:43,970 --> 00:09:47,590 so this is maybe another useful way to write that. 187 00:09:47,590 --> 00:09:51,200 And what does this function look like as a function of R, 188 00:09:51,200 --> 00:09:52,040 this one right here? 189 00:09:52,040 --> 00:09:55,090 So maybe if I sketch that out, I'll 190 00:09:55,090 --> 00:09:57,390 look at this a little bit more carefully. 191 00:09:57,390 --> 00:09:58,920 Let's plot this. 192 00:09:58,920 --> 00:10:07,660 So as a function of R, here is this Rd, this critical size. 193 00:10:07,660 --> 00:10:12,850 When we are smaller than that critical size, then basically 194 00:10:12,850 --> 00:10:14,650 we have that PE. 195 00:10:14,650 --> 00:10:16,840 The escape probability, essentially, 196 00:10:16,840 --> 00:10:19,940 is very close to 1, OK, because then we have-- 197 00:10:19,940 --> 00:10:21,940 that's basically just what we were just arguing. 198 00:10:21,940 --> 00:10:24,200 It's this limit right here. 199 00:10:24,200 --> 00:10:25,620 But then it's a function that when 200 00:10:25,620 --> 00:10:27,990 it gets much larger than our d, then it 201 00:10:27,990 --> 00:10:30,780 decays as we suggested here as sort of 1 over R. 202 00:10:30,780 --> 00:10:37,060 So it's actually a fairly slow decay in the long run. 203 00:10:37,060 --> 00:10:39,300 So basically, there's this limit here. 204 00:10:39,300 --> 00:10:41,790 And I just wanted to get to this picture. 205 00:10:41,790 --> 00:10:44,160 Just to point out that even though there are obviously 206 00:10:44,160 --> 00:10:48,630 physiological characteristics having to do with the way 207 00:10:48,630 --> 00:10:51,090 the a virion would actually get into a host cell 208 00:10:51,090 --> 00:10:52,910 and whether they would get infected, 209 00:10:52,910 --> 00:10:55,380 but a lot of those properties should 210 00:10:55,380 --> 00:10:59,160 be independent of the delivery of the virion in a droplet. 211 00:10:59,160 --> 00:11:02,880 It's really more once the virion gets out, there's some process. 212 00:11:02,880 --> 00:11:04,860 But what this calculation shows is 213 00:11:04,860 --> 00:11:08,070 that we would expect a fairly strong dependence 214 00:11:08,070 --> 00:11:10,200 of the infectivity on the size of the drop. 215 00:11:10,200 --> 00:11:12,070 Well, in particular, if we calculate this Rd. 216 00:11:12,070 --> 00:11:14,280 We'll have some idea that droplets 217 00:11:14,280 --> 00:11:16,410 that are smaller than that are highly 218 00:11:16,410 --> 00:11:19,440 infectious because every virion in those droplets 219 00:11:19,440 --> 00:11:22,290 can get out and infect the host cell. 220 00:11:22,290 --> 00:11:24,500 Whereas if the virus is-- 221 00:11:24,500 --> 00:11:26,100 the droplet is much bigger than that, 222 00:11:26,100 --> 00:11:29,220 then you have this problem where this dead region in the middle. 223 00:11:29,220 --> 00:11:30,990 And those virions are not going to be 224 00:11:30,990 --> 00:11:33,550 able to get out in a reasonable amount of time, 225 00:11:33,550 --> 00:11:35,340 which is set by this tau v. 226 00:11:35,340 --> 00:11:41,160 So for example, a tau v for SARS COV-2, the coronavirus, 227 00:11:41,160 --> 00:11:44,100 is estimated to be anywhere from one hour. 228 00:11:44,100 --> 00:11:46,350 There was one study in aerosol droplets 229 00:11:46,350 --> 00:11:47,850 finding that kind of decay. 230 00:11:47,850 --> 00:11:50,130 But another study found that after 16 hours, 231 00:11:50,130 --> 00:11:51,030 it was still viable. 232 00:11:51,030 --> 00:11:53,680 So there's not quite a consensus forming yet. 233 00:11:53,680 --> 00:11:57,780 But it may be a time on the order of hours, certainly 234 00:11:57,780 --> 00:12:02,250 days, over which the virion needs to get out of the droplet 235 00:12:02,250 --> 00:12:05,550 in order to be able to cause infection. 236 00:12:05,550 --> 00:12:07,690 And this calculation shows you that as a result, 237 00:12:07,690 --> 00:12:12,180 you would expect a size dependent diffusivity-- 238 00:12:12,180 --> 00:12:14,220 or excuse me, a size dependent infectivity. 239 00:12:14,220 --> 00:12:17,860 And roughly speaking, if we plug-in the numbers, 240 00:12:17,860 --> 00:12:19,830 these are the aerosol droplets. 241 00:12:19,830 --> 00:12:22,900 And these are the large drops. 242 00:12:22,900 --> 00:12:23,900 We've already done that. 243 00:12:23,900 --> 00:12:27,140 That was our previous calculation based on this time 244 00:12:27,140 --> 00:12:29,540 here, which is what I'm calling tau 245 00:12:29,540 --> 00:12:31,310 d here, which corresponds to this, 246 00:12:31,310 --> 00:12:34,400 is also pretty close to what we call tau 0. 247 00:12:34,400 --> 00:12:39,720 That was the-- well, that was the longest escape time, 248 00:12:39,720 --> 00:12:41,720 actually what I call, I think, tau bar actually, 249 00:12:41,720 --> 00:12:46,520 which was R squared over 15d. 250 00:12:46,520 --> 00:12:48,240 That was the average escape time. 251 00:12:48,240 --> 00:12:50,660 So basically, we've already shown that that average escape 252 00:12:50,660 --> 00:12:54,350 time starts to become days or even months when 253 00:12:54,350 --> 00:12:55,320 we get to large drops. 254 00:12:55,320 --> 00:12:58,500 But for the aerosol droplets in mucus 255 00:12:58,500 --> 00:13:02,960 anyway, this timescale is of order minutes 256 00:13:02,960 --> 00:13:04,370 to hours, which is reasonable. 257 00:13:04,370 --> 00:13:07,690 And you would expect those to be very infectious droplets.