Related Experiment Video
Updated: Jun 3, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Skin as a potential source of infectious foot and mouth disease aerosols
1Lawrence Livermore National Laboratory, PO Box 808, L-103, Livermore, CA 94551, USA. dillon7@llnl.gov
Abstract:
This review examines whether exfoliated, virus-infected animal skin cells could be an important source of infectious foot and mouth disease virus (FMDV) aerosols. Infectious material rafting on skin cell aerosols is an established means of transmitting other diseases. The evidence for a similar mechanism for FMDV is: (i) FMDV is trophic for animal skin and FMDV epidermis titres are high, even in macroscopically normal skin; (ii) estimates for FMDV skin cell aerosol emissions appear consistent with measured aerosol emission rates and are orders of magnitude larger than the minimum infectious dose; (iii) the timing of infectious FMDV aerosol emissions is consistent with the timing of high FMDV skin concentrations; (iv) measured FMDV aerosol sizes are consistent with skin cell aerosols; and (v) FMDV stability in natural aerosols is consistent with that expected for skin cell aerosols. While these findings support the hypothesis, this review is insufficient, in and of itself, to prove the hypothesis and specific follow-on experiments are proposed. If this hypothesis is validated, (i) new FMDV detection, management and decontamination approaches could be developed and (ii) the relevance of skin cells to the spread of viral disease may need to be reassessed as skin cells may protect viruses against otherwise adverse environmental conditions.
Insights
Exfoliated animal skin cells may spread infectious foot and mouth disease virus (FMDV) through aerosols. This review suggests skin cells could be a significant FMDV transmission source, warranting further investigation.
Area of Science:
- Veterinary Virology
- Infectious Disease Transmission
- Aerosol Science
Background:
- Foot and mouth disease virus (FMDV) is a significant threat to animal agriculture.
- Viral transmission via aerosols is a known phenomenon for various pathogens.
- The role of exfoliated skin cells in FMDV aerosolization is not well-established.
Purpose of the Study:
- To evaluate the hypothesis that exfoliated, virus-infected animal skin cells are a significant source of infectious FMDV aerosols.
- To review existing evidence supporting or refuting this transmission mechanism.
Main Methods:
- Literature review and synthesis of existing data.
- Analysis of FMDV tropism for skin, viral loads in epidermis, and aerosol emission rates.
- Comparison of FMDV aerosol characteristics (size, stability) with those of skin cell aerosols.
Main Results:
- FMDV shows high tropism for animal epidermis, even in clinically normal skin.
- Estimated FMDV skin cell aerosol emissions are substantial and exceed the minimum infectious dose.
- FMDV aerosol characteristics align with those expected from skin cell carriers.
- Timing of aerosol emissions correlates with high FMDV skin concentrations.
Conclusions:
- Evidence supports the hypothesis that FMDV-infected skin cells contribute to infectious aerosol formation.
- Further experimental validation is required to confirm this transmission route.
- Potential implications include novel FMDV detection and control strategies and a broader understanding of skin cells in viral dissemination.
Related Concept Videos
Skin Diseases and Disorders
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
The Skin Microbiota
Smallpox
Staphylococcal Skin Infections
Surface Membrane Barriers
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
Infection
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...

