Playing wind instruments generates less aerosol than vocalization, COVID-19 study finds

The research project, known as PERFORM (ParticulatE Respiratory Matter to InForm Guidance for the Safe Distancing of PerfOrmeRs in a COVID-19 PandeMic), was supported by Public Health England, the Department for Digital, Culture, Media and Sport (DCMS), and UKRI and was carried out by a collaborative team from Imperial College London, University of Bristol, Wexham Park Hospital, Lewisham and Greenwich NHS Trust and Royal Brompton Hospital.

The study looked at the amount of aerosols and droplets generated when playing woodwind and brass instruments compared with breathing and vocalisation (speaking and singing). The work was carried out in an environment with no background aerosol particles to complicate measurement interpretation, with nine musicians playing 13 woodwind and brass instruments.

The research team found aerosol (<20 ?m diameter) generated while playing woodwind and brass instruments is similar to that produced by breathing, based on measurements of several musicians playing the flute and piccolo as well measurements across a range of instruments including clarinet, trumpet, trombone, and tuba. Aerosol concentrations generated while instrument playing were lower than those associated with vocalising at high volume.

Large droplets (>20 ?m diameter) were not observed during instrument playing but were observed during singing and coughing. Together the findings indicate that playing woodwind and brass instruments generates less aerosol than vocalising at high volume levels.

Concentrations of aerosol emissions from the musicians during breathing and vocalising were consistent with results from a study carried out last year of a large group of professional singers. No difference was found between the aerosol concentrations generated by professional and amateur performers while breathing or vocalising, suggesting aerosol generation is consistent across amateur and professional singers regardless of vocal training.

Dr Bryan Bzdek, Lecturer in the School of Chemistry at the University of Bristol and corresponding author on the paper, said: "Our study found playing woodwind and brass instruments generates less aerosol than vocalisation, which could have important policy implications in a roadmap to lifting COVID-19 restrictions, as many performing arts activities have been, and continue to be, severely restricted."

Jonathan Reid, Director of Bristol Aerosol Research Centre and Professor of Physical Chemistry in the School of Chemistry at the University of Bristol, added: "This study confirms that the risks of transmission of SARS-CoV-2 are likely elevated during vocalisation at loud volume in poorly ventilated spaces. By comparison, playing wind instruments, like breathing, generates less particles that could carry the virus than speaking or singing."