A Modeling Study of the Respiratory System for an Early Intervention of COVID-19 and Its Transmission

Bijan Hejazi, K. Hejazi
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Abstract

Background: One of the most challenging aspects of coronavirus disease 2019 (COVID-19) is that a newly infected individual shows diagnosable symptoms, such as body temperature (Tb) rise, several days after contracting the disease. In the early phase of infection (i.e., incubation period), an undiagnosed and unaware individual can spread the virus to others. The fastest and most efficient route of COVID-19 transmission is the respiratory system. Therefore, developing a model of the respiratory system to predict changes in the lung performance upon COVID-19 infection is useful for early diagnosis and intervention during the incubation period. Objectives: This modeling study aimed to evaluate the respiratory system to present an early intervention for COVID-19 and its transmission. Methods: A simple model was developed by performing mass and energy balances on the lungs; it was simulated by the Aspen HYSYS chemical process simulator. Results: To compensate for the virus-infected lung inefficiency, the O2 concentration increased in the exhaled air at the cost of decreased CO2 concentration. Contrary to previous findings on the reduced stability of coronavirus in hot and humid environments, it was found that very hot and humid environments promote the viral transmission rate because of the direct heat transfer to the body via respiration and condensation of water vapor that may cause infection in the respiratory tract. Conclusions: Our model revealed that measurement of O2 or CO2 composition of exhaled gas, using a non-invasive and inexpensive device at home, allows for the early diagnosis of infection and its prevention. This study also aimed to highlight the actual effects of high temperature and high relative humidity (RH) on increasing the virus transmission rates, as opposed to the generally accepted hypothesis of decreased coronavirus stability under these conditions.
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呼吸系统模型对COVID-19早期干预及其传播的影响
背景:2019冠状病毒病(COVID-19)最具挑战性的一个方面是,新感染者在感染该疾病几天后会出现可诊断的症状,如体温升高。在感染的早期阶段(即潜伏期),未确诊和不知情的个体可将病毒传播给他人。COVID-19最快和最有效的传播途径是呼吸系统。因此,建立呼吸系统模型来预测COVID-19感染后肺功能的变化,有助于在潜伏期进行早期诊断和干预。目的:本模型研究旨在评估呼吸系统,为COVID-19及其传播提供早期干预措施。方法:通过对肺进行质量和能量平衡建立一个简单的模型;采用阿斯彭HYSYS化工过程模拟器进行模拟。结果:为补偿病毒感染肺部的无效,呼出空气中O2浓度升高,CO2浓度降低。与以往关于冠状病毒在湿热环境中稳定性降低的研究结果相反,研究发现,非常湿热的环境通过呼吸和水蒸气的冷凝直接将热量传递到身体,从而可能导致呼吸道感染,从而促进了病毒的传播速度。结论:我们的模型显示,在家中使用无创和廉价的设备测量呼出气体中的O2或CO2成分,可以早期诊断感染并预防感染。这项研究还旨在强调高温和高相对湿度(RH)对增加病毒传播率的实际影响,而不是普遍接受的在这些条件下冠状病毒稳定性降低的假设。
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