1 00:00:10,500 --> 00:00:12,850 PROFESSOR: So now let's talk about viruses, 2 00:00:12,850 --> 00:00:15,410 which is our main focus in these lectures. 3 00:00:15,410 --> 00:00:17,500 So viruses are very different from bacteria, 4 00:00:17,500 --> 00:00:24,530 because they are pathogens which infect the cells of your body. 5 00:00:24,530 --> 00:00:27,790 And so they themselves are not large cellular organisms, 6 00:00:27,790 --> 00:00:30,430 but in fact have a different biology. 7 00:00:30,430 --> 00:00:35,720 So they consist of virions, which 8 00:00:35,720 --> 00:00:44,150 are a capsid form of the virus, which contains a strand of RNA, 9 00:00:44,150 --> 00:00:48,200 which is some genetic material that, when this capsid is then 10 00:00:48,200 --> 00:00:52,460 integrated into the host cell, the RNA can basically activate 11 00:00:52,460 --> 00:00:56,150 to infect that cell, and also replicate itself and make 12 00:00:56,150 --> 00:00:58,460 some more virions, which can spread out and infect 13 00:00:58,460 --> 00:00:59,780 additional cells. 14 00:00:59,780 --> 00:01:02,660 So the basic entity that we're worried about here 15 00:01:02,660 --> 00:01:06,710 is really a small object, which is often shaped like a sphere, 16 00:01:06,710 --> 00:01:10,010 or maybe it's an ellipsoid, the virion. 17 00:01:10,010 --> 00:01:11,850 And it's much, much smaller. 18 00:01:11,850 --> 00:01:15,539 So the typical size is really on the order -- 19 00:01:15,539 --> 00:01:19,910 the radius, let's say -- is on the order of 100 nanometers. 20 00:01:19,910 --> 00:01:24,650 So that is 0.1 micron or less, so much smaller than even 21 00:01:24,650 --> 00:01:28,070 the smallest aerosol droplets that we can easily observe. 22 00:01:28,070 --> 00:01:30,320 So they're extremely tiny. 23 00:01:30,320 --> 00:01:32,660 There's a couple examples we can think about, 24 00:01:32,660 --> 00:01:34,350 which are famous examples. 25 00:01:34,350 --> 00:01:42,750 So one class of viruses cause the disease measles. 26 00:01:42,750 --> 00:01:46,840 And measles has a virus shape, as you can see here, 27 00:01:46,840 --> 00:01:50,160 which is not quite spherical but usually a little bit elongated, 28 00:01:50,160 --> 00:01:52,320 like an ellipsoid, and has a typical size 29 00:01:52,320 --> 00:01:57,479 of 100 to 300 nanometers in diameter. 30 00:01:57,479 --> 00:02:00,120 So measles is still a very active disease, 31 00:02:00,120 --> 00:02:02,370 which we have been controlling for a long time 32 00:02:02,370 --> 00:02:03,690 with vaccinations. 33 00:02:03,690 --> 00:02:07,170 But despite that, there were still, in 2018, 34 00:02:07,170 --> 00:02:11,210 114,000 deaths worldwide from measles. 35 00:02:11,210 --> 00:02:15,180 And it's estimated that in the eight years before that -- 36 00:02:15,180 --> 00:02:17,700 actually, in the 20 years before that, excuse me -- 37 00:02:17,700 --> 00:02:21,030 that the vaccine has saved around 23 million lives that 38 00:02:21,030 --> 00:02:23,160 would be lost otherwise if this virus were 39 00:02:23,160 --> 00:02:26,720 allowed to propagate. 40 00:02:26,720 --> 00:02:30,660 And measles -- it is known to be airborne. 41 00:02:30,660 --> 00:02:34,350 So this is the classic example of an airborne transmission. 42 00:02:34,350 --> 00:02:37,380 It's been studied by, for example, 43 00:02:37,380 --> 00:02:40,230 Riley in the 1970s, who demonstrated 44 00:02:40,230 --> 00:02:45,210 measles transmission in schools and in other settings. 45 00:02:45,210 --> 00:02:47,700 And from our perspective, in this lecture, 46 00:02:47,700 --> 00:02:48,579 it's not surprising. 47 00:02:48,579 --> 00:02:50,680 These viruses or virions are so small, 48 00:02:50,680 --> 00:02:52,890 they can be contained in the smallest droplets, which 49 00:02:52,890 --> 00:02:57,150 are easily present in the air for hours, 50 00:02:57,150 --> 00:02:59,460 and so they are not settling out. 51 00:02:59,460 --> 00:03:02,400 So what's of much more interest to us today 52 00:03:02,400 --> 00:03:05,070 is the family of coronaviruses. 53 00:03:05,070 --> 00:03:09,570 So coronaviruses look very similar to this one, 54 00:03:09,570 --> 00:03:13,240 but they have these proteins that stick out, 55 00:03:13,240 --> 00:03:14,790 which we've all seen, that look a bit 56 00:03:14,790 --> 00:03:17,670 like a crown, or a corona. 57 00:03:17,670 --> 00:03:20,410 And they still have an RNA on the inside. 58 00:03:26,120 --> 00:03:29,270 And there's lots of different human coronaviruses. 59 00:03:29,270 --> 00:03:34,220 So there are the standard human coronaviruses, 60 00:03:34,220 --> 00:03:36,530 which cause the common cold. 61 00:03:39,470 --> 00:03:42,700 And there are four typical human coronaviruses 62 00:03:42,700 --> 00:03:45,370 that cause common colds that we all experience, 63 00:03:45,370 --> 00:03:48,579 and more serious pneumonias, but generally not 64 00:03:48,579 --> 00:03:50,500 life-threatening illnesses. 65 00:03:50,500 --> 00:03:56,110 But there are variations of the coronavirus mutations, which 66 00:03:56,110 --> 00:03:58,870 are constantly coming into contact with humans 67 00:03:58,870 --> 00:04:02,060 and can cause much more serious diseases. 68 00:04:02,060 --> 00:04:06,700 So in recent memory, we've had the Severe Acute Respiratory 69 00:04:06,700 --> 00:04:10,600 Syndrome coronavirus. 70 00:04:10,600 --> 00:04:15,250 And there was a big outbreak, reasonably big outbreak 71 00:04:15,250 --> 00:04:18,700 around 2003, that started also in China. 72 00:04:18,700 --> 00:04:21,910 And it infected around 8,000 people, and about 800 died. 73 00:04:21,910 --> 00:04:24,910 So It was a fairly lethal disease, about 10% mortality, 74 00:04:24,910 --> 00:04:28,540 but fortunately, it didn't spread too widely. 75 00:04:28,540 --> 00:04:31,480 More recently, there was the Middle East Respiratory 76 00:04:31,480 --> 00:04:37,300 Syndrome coronavirus, which was in 2012. 77 00:04:37,300 --> 00:04:40,930 And this led, over the couple of years after that as well, 78 00:04:40,930 --> 00:04:45,790 to around 2,500 cases and around 850 deaths. 79 00:04:45,790 --> 00:04:49,060 So again, an outbreak that was potentially very serious 80 00:04:49,060 --> 00:04:53,140 but remained controlled and was primarily in Saudi Arabia. 81 00:04:53,140 --> 00:04:59,520 And then we come to SARS-CoV-2, which, we all know the story. 82 00:04:59,520 --> 00:05:01,350 So this is the novel coronavirus, 83 00:05:01,350 --> 00:05:08,010 which appeared in Wuhan, China, in December 2019, 84 00:05:08,010 --> 00:05:11,140 and then led to the present global pandemic, 85 00:05:11,140 --> 00:05:15,460 which so far has claimed almost a million deaths. 86 00:05:15,460 --> 00:05:18,510 So as of today, which is September 24, 87 00:05:18,510 --> 00:05:22,890 it's around 976,000 deaths worldwide. 88 00:05:22,890 --> 00:05:27,760 And the confirmed cases are currently at about 3.8 million, 89 00:05:27,760 --> 00:05:30,630 which is a reasonable fraction of the world's population, 90 00:05:30,630 --> 00:05:32,760 around 7 billion. 91 00:05:32,760 --> 00:05:35,850 So what we can understand from all this 92 00:05:35,850 --> 00:05:38,700 is that these are very small objects. 93 00:05:38,700 --> 00:05:40,590 They cannot swim. 94 00:05:40,590 --> 00:05:44,830 And so they are just sort of floating in droplets. 95 00:05:44,830 --> 00:05:47,880 And so, of course, they can be in small droplets. 96 00:05:47,880 --> 00:05:49,650 And as we'll discussed next, you can 97 00:05:49,650 --> 00:05:51,780 imagine that they're actually more 98 00:05:51,780 --> 00:05:53,460 infectious in those small droplets, 99 00:05:53,460 --> 00:05:57,450 because they can more easily get out and reach host cells when 100 00:05:57,450 --> 00:05:58,560 they're transmitted. 101 00:05:58,560 --> 00:06:00,720 Moreover, small droplets are much easier 102 00:06:00,720 --> 00:06:02,790 to get deep into your respiratory system, 103 00:06:02,790 --> 00:06:05,070 into the smallest cavities of your lungs, 104 00:06:05,070 --> 00:06:08,040 where there's a high surface area for that interaction 105 00:06:08,040 --> 00:06:09,980 to take place.