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New WHO proposed terminology for respiratory pathogen transmission

A WHO report suggests the terms ‘airborne transmission/inhalation’, ‘direct deposition’ and ‘infectious respiratory particles’ for describing transmission modes, highlighting the continuum of particle size with greatest exposure near the source. The report did not update infection control guidelines.

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Fig. 1: Major modes of transmission of respiratory pathogens after incorporating the WHO proposed new terminology for pathogens that transmit through the air.

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Correspondence to Nancy H. L. Leung.

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Competing interests

N.H.L.L. discloses support from the Theme-based Research Scheme (T11-712/19-N; T11-705/21-N) from the Research Grants Council and the Health and Medical Research Fund (20190502) from the Health Bureau of the Hong Kong Special Administrative Region, China. D.K.M. discloses support from the US National Institutes of Health, The Flu Lab and Balvi Filantropic Fund, and stock options from Lumen Bioscience, Inc. While both authors were part of the WHO consultation group advising on the referred report on proposed terminology for pathogens that transmit through the air (TTAT), and N.H.L.L. on indoor airborne risk assessment (ARIA), this Comment is solely the responsibility of both authors and does not represent the official views of TTAT, ARIA or WHO. The authors report no other competing interests.

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Leung, N.H.L., Milton, D.K. New WHO proposed terminology for respiratory pathogen transmission. Nat Rev Microbiol 22, 453–454 (2024). https://doi.org/10.1038/s41579-024-01067-5

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