Covid-19 Risk Among Airline Passengers: Should the Middle Seat Stay Empty?

Arnold Barnett

doi: https://doi.org/10.1101/2020.07.02.20143826

This article is a preprint and has not been peer-reviewed [what does this mean?]. It reports new medical research that has yet to be evaluated and so should not be used to guide clinical practice.

PDF: https://www.medrxiv.org/content/10.1101/2020.07.02.20143826v3.full.pdf

Abstract

We use recent data and research results to approximate the probability that an air traveler in coach will contract Covid-19 on a US domestic flight two hours long, both when all coach seats are full and when all but middle seats are full. The point estimates we reach based on data from late June 2020 are 1 in 4,300 for full flights and 1 in 7,700 when middle seats are kept empty. These estimates are subject to both quantifiable and nonquantifiable sources of uncertainty, and sustain known margins of error of a factor about 2.5. However, because uncertainties in key parameters affect both risk estimates the same way, they leave the relative risk ratio for fill all seats compared to middle seat open close to 1.8 (i.e., close to 1/4,300)/(1/7,700). We estimate the mortality risks caused by Covid-19 infections contracted on airplanes, taking into account that infected passengers can in turn infect others. The point estimates, which use 2019 data about the percentage of seats actually occupied on US flights, range from one death per 400,000 passengers to one death per 600,000. These death-risk levels are considerably higher than those associated with plane crashes but comparable to those arising from two hours of everyday activities during the pandemic.

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

None

https://www.medrxiv.org/content/10.1101/2020.07.02.20143826v3