• Timothy F Booth, Bill Kournikakis, Nathalie Bastien, Jim Ho, Darwyn Kobasa, Laurie Stadnyk, Yan Li, Mel Spence, Shirley Paton, Bonnie Henry, Barbara Mederski, Diane White, Donald E Low, Allison McGeer, Andrew Simor, Mary Vearncombe, James Downey, Frances B Jamieson, Patrick Tang, and Frank Plummer.
• National Microbiology Laboratory, Public Health Agency of Canada, Canadian Science Centre for Human and Animal Health, Winnipeg, Manitoba, Canada. tim_booth@hc-sc.gc.ca
• J. Infect. Dis. 2005 May 1; 191 (9): 1472-7.

AbstractSevere acute respiratory syndrome (SARS) is characterized by a risk of nosocomial transmission; however, the risk of airborne transmission of SARS is unknown. During the Toronto outbreaks of SARS, we investigated environmental contamination in SARS units, by employing novel air sampling and conventional surface swabbing. Two polymerase chain reaction (PCR)-positive air samples were obtained from a room occupied by a patient with SARS, indicating the presence of the virus in the air of the room. In addition, several PCR-positive swab samples were recovered from frequently touched surfaces in rooms occupied by patients with SARS (a bed table and a television remote control) and in a nurses' station used by staff (a medication refrigerator door). These data provide the first experimental confirmation of viral aerosol generation by a patient with SARS, indicating the possibility of airborne droplet transmission, which emphasizes the need for adequate respiratory protection, as well as for strict surface hygiene practices.

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