Could singing spread COVID-19?

Singing doesn't need to be silenced, however, but at the moment the wisest thing is to sing with social distancing in place. The advice comes from aerosol researchers at Lund University in Sweden. They have studied the amount of particles we actually emit when we sing—and by extension—if we contribute to the increased spread of COVID-19 by singing.

"There are many reports about the spreading of COVID-19 in connection with choirs singing. Therefore, different restrictions have been introduced all over the world to make singing safer. So far, however, there has been no scientific investigation of the amount of aerosol particles and larger droplets that we actually exhale when we sing," says Jakob Löndahl, associate professor of Aerosol Technology at Lund University.

Aerosols are small airborne particles. To get a better understanding of the amount of aerosols and virus particles we actually emit when we sing, 12 healthy singers and two people with confirmed COVID-19 took part in a research project. Seven of the participants were professional opera singers.

The study shows that singing—particularly loud and consonant-rich singing—spreads a lot of aerosol particles and droplets into the surrounding air.

"Some droplets are so large that they only move a few decimetres from the mouth before they fall, whereas others are smaller and may continue to hover for minutes. In particular, the enunciation of consonants releases very large droplets and the letters B and P stand out as the biggest aerosol spreaders," says Malin Alsved, doctoral student of Aerosol Technology at Lund University.

During the research experiments at Lund University's Aerosol Laboratory, the singers had to wear clean air suits and enter a specially built chamber supplied with filtered, particle-free air. In the chamber, analysis was conducted of the number and mass of particles emitted by singers during breathing, talking, different types of singing and singing with a face mask.

What they sang was a short and plosive-rich Swedish song, "Bibbis pippi Petter," which was repeated 12 times in two minutes at constant pitch. The same song was also repeated with the consonants removed, leaving only the vowels. During the song tests, aerosols and larger droplets were measured using strong lamps, a high-speed camera and an instrument that can measure very small particles. The louder and more powerful the song, the greater the concentration of aerosols and droplets.

"We also carried out measurements of virus in the air close to two people who sang when they had COVID-19. Their air samples contained no detectable amount of virus, but the viral load can vary in different parts of the airways and between different people. Accordingly, aerosols from a person with COVID-19 may still entail a risk of infection when singing," says Malin Alsved.

Can we still have choral singing, singalongs during concerts, chanting at sporting events and loud talk in bars? The researchers consider that if we have a good understanding of the risks involved when a group of people sing together, we can also sing in a safer way. The song can be sung with social distancing, good hygiene and good ventilation, which reduces the concentration of aerosol particles in the air. Face masks can also make a difference.

"When the singers were wearing a simple face mask this caught most of the aerosols and droplets and the levels were comparable with ordinary speech," says Jakob Löndahl.

"Singing does not need to be silenced, but presently it should be done with appropriate measures to reduce the risk of spreading infection," says Jakob Löndahl.