Epidemiologic Evidence for Airborne Transmission of SARS-CoV-2 during Church Singing, Australia, 2020
Anthea L. Katelaris
, Jessica Wells, Penelope Clark, Sophie Norton, Rebecca Rockett, Alicia Arnott, Vitali Sintchenko, Stephen Corbett, and Shopna K. Bag
Author affiliations: Western Sydney Local Health District, Sydney, New South Wales, Australia (A. Katelaris, J. Wells, P. Clark, S. Norton, S. Corbett, S.K. Bag); The University of Sydney, Sydney (S. Norton, R. Rockett, A. Arnott, V. Sintchenko, S Corbett, S.K. Bag); New South Wales Health Pathology, Westmead, New South Wales, Australia (R. Rockett, A. Arnott, V. Sintchenko)
Figure 2. Schematic diagram of church layout showing seating locations of primary and secondary case-patients during an outbreak of infection with severe acute respiratory syndrome coronavirus 2, Australia, 2020. Case numbers are based on order of notification received by the Public Health Unit. Location of case-patients indicated in green and dark blue were confirmed on video recordings; the 2 case-patients indicated in light blue described their locations. The primary case-patient was located in an elevated loft ≈3 m above ground level. He was singing and playing the piano throughout the services and faced toward the piano. Other members of the congregation were seated throughout all sections of the church during the 4 services. Relatively more persons were seated in the front area of the church than in the sides or back.
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