J Intern Med December 2021 PMID 34268819

Self-infection with speech aerosol may contribute to COVID-19 severity.

Poorna Kushalnagar, Carson C Chow, Adriaan Bax

Mentions

77
Peak: 26 in Jul 2021
across 6 sources since Jul 2021

Extended reach

500,924
potential audience

Total likes

163

Video views

255

Mentions per month

Jul 2021 – Nov 2025

Where it's discussed

  • X / Twitter58 posts
  • Facebook10 posts
  • News4 articles
  • Instagram2 posts
  • Blogs2 articles
  • YouTube1 videos

AI synopsis

What people are saying

The overall tone indicates a strong agreement with the idea that self-infection via speech aerosols may influence disease severity, with comments like 'another reason to stop talking so much' and 'rest your voice too,' emphasizing practical actions. The language, combining curiosity and urgency, reflects both engagement and perceived potential impact of the research findings.

AgreementModerate agreement

Most discussions acknowledge the publication's hypothesis that self-infection through speech aerosols could impact COVID-19 severity, with some emphasizing agreement and interest.

InterestHigh interest

Numerous comments explore the implications of the findings, showing strong curiosity and relevance to health practices.

EngagementModerate engagement

Participants actively debate the theory, suggesting actions like resting the voice, wearing masks, and further research, indicating thoughtful engagement.

ImpactModerate impact

The discussions highlight potential practical applications, such as mask-wearing and communication strategies, which could influence public health measures.

Abstract in brief

  • Self-infection with speech aerosols could play a role in increasing the severity of COVID-19 cases.
  • The study suggests that aerosols produced while speaking can contain the virus and potentially infect the same individual again.
  • This self-infection route might help explain variations in disease severity among infected individuals.]

Top posts

Most liked on X and Bluesky
Jeremy Howard
@jeremyphoward · X

Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the lungs. This may be the primary reason behind @MonicaGandhi9's observations of lower disease severity amongst mask wearers https://t.co/8l1KJPXXMS

Jul 17, 2021 · 104 likes · 19 shares · 266,261 followers View post →
Parenting Mishmash
@ParentMishmash · X

@coniinthegarden @_ppmv Yes, excellent point, and part of resting should include resting the voice https://t.co/4oLpUtlm1C

Sep 13, 2022 · 15 likes · 6 shares · 3,953 followers View post →
Structural Behaviorist
@structureBHist · X

@justthefacts85 Anytime I talk to anyone over the phone while they're sick with covid, I tell them to hang up and stop talking to me. In fact, talk as little as possible. https://t.co/Q4gw9xTLHu

Jul 22, 2022 · 14 likes · 1 share · 825 followers View post →
Lazarus Long
@LazarusLong13 · X

@PhyllisG123 @sameo416 @BarryHunt008 @jana0C @DFisman @lisa_iannattone @AmyTanMD @DGBassani @dgurdasani1 This is very, very interesting to me. Why isn't this being studied? This would be easy to study in a hospital. Slap N95's on patients. Document severity. Less severity? Further confirmation of this..... https://t.co/J9oiJCwfK4 https://t.co/ACOJwzo0OL

Mar 20, 2022 · 4 likes · 1 share · 15,938 followers View post →
Nick Bax.eth
@bax1337 · X

(1/5) Proposed hypothesis explaining the documented effect of cloth masks on reducing COVID-19 severity: Masks may prevent "self-infection" from upper respiratory tract (URT) to lower respiratory tract (lungs) Infection in lungs➡️severe disease https://t.co/p46hpGglGl

Jul 16, 2021 · 4 likes · 1 share · 7,067 followers View post →
Parenting Mishmash
@ParentMishmash · X

@nurse_supermom @J_Cronq @ExtroSpecteur @bumblebuzz6 @crwequine Yes, rest, including resting your voice, use other communication methods like messaging or text to speech as much as possible https://t.co/4oLpUtlm1C

Sep 17, 2022 · 4 likes · 3,953 followers View post →

All mentions

SharonBC,Canada
@SharonBurnabyBC · X

RT @ParentMishmash: @SharonBurnabyBC And rest your voice while you are sick too https://t.co/4oLpUtkOc4

Aug 10, 2025 · 1 share · 6,980 followers View post →
Parenting Mishmash
@ParentMishmash · X

@SharonBurnabyBC And rest your voice while you are sick too https://t.co/4oLpUtkOc4

Aug 10, 2025 · 2 likes · 1 share · 3,953 followers View post →
Parenting Mishmash
@ParentMishmash · X

@pbo775 Rest your voice too https://t.co/4oLpUtkOc4

May 5, 2025 · 3,953 followers View post →
Joey
@Joey4292 · X

RT @Ad_Bax_4NMR: Another reason to stop talking so much: Self‐infection with speech aerosol may contribute to COVID‐19 severity https://t…

Sep 25, 2023 · 2 shares · 22 followers View post →
Carl Van Keirsbilck
@CarlvKeirsbilck · X

@NicolayBenoit @TijlDeBie @drWouterArrazol @cochranecollab Si elles sont prises dans le masque, cela vous empêche juste de les respirer à nouveau plus profondément dans les poumons via le nuage de ta propre respiration! https://t.co/7iSYvPDJOD https://t.co/A5hNzz402u

Feb 24, 2023 · 1 like · 3,528 followers View post →
Carl Van Keirsbilck
@CarlvKeirsbilck · X

@kitchencone @ServaasCarbonez @DavidElfstrom @YouAreLobbyLud Not only because your cognitive performance declines substantially with such high CO2. Some people need to work while in their hotel room. But also against self inoculation comparable to the protection by facemasks against self-inoculation described here https://t.co/7iSYvPDJOD

Feb 20, 2023 · 3,528 followers View post →
Structural Behaviorist
@structureBHist · X

@micheal_olainn @Orla_Hegarty @ariccio @jmcrookston @ExtroSpecteur @ProfCharlesHaas @lollyfoot @kprather88 @acceptsrisk @ProfKAHamilton @irishmhw This is what this publication asserts. https://t.co/Q4gw9xTLHu https://t.co/Mg4AM9k0rx

Nov 27, 2022 · 1 like · 825 followers View post →
Parenting Mishmash
@ParentMishmash · X

@nurse_supermom @J_Cronq @ExtroSpecteur @bumblebuzz6 @crwequine Yes, rest, including resting your voice, use other communication methods like messaging or text to speech as much as possible https://t.co/4oLpUtlm1C

Sep 17, 2022 · 4 likes · 3,953 followers View post →
sars2info
@sars2info · X

RT @ParentMishmash: @coniinthegarden @_ppmv Yes, excellent point, and part of resting should include resting the voice https://t.co/4oLpUt…

Sep 14, 2022 · 6 shares · 92 followers View post →
2030 is the new 2100
@iconoclassism · X

RT @ParentMishmash: @coniinthegarden @_ppmv Yes, excellent point, and part of resting should include resting the voice https://t.co/4oLpUt…

Sep 14, 2022 · 6 shares · 986 followers View post →
Parenting Mishmash
@ParentMishmash · X

RT @ParentMishmash: @coniinthegarden @_ppmv Yes, excellent point, and part of resting should include resting the voice https://t.co/4oLpUt…

Sep 13, 2022 · 6 shares · 3,953 followers View post →
dr WWK
@wwkaz · X

RT @ParentMishmash: @coniinthegarden @_ppmv Yes, excellent point, and part of resting should include resting the voice https://t.co/4oLpUt…

Sep 13, 2022 · 6 shares · 86 followers View post →
coniinthegarden
@coniinthegarden · X

RT @ParentMishmash: @coniinthegarden @_ppmv Yes, excellent point, and part of resting should include resting the voice https://t.co/4oLpUt…

Sep 13, 2022 · 6 shares · 3,389 followers View post →
Scott Squires @scottsquires.bsky.social
@scott_squires · X

RT @ParentMishmash: @coniinthegarden @_ppmv Yes, excellent point, and part of resting should include resting the voice https://t.co/4oLpUt…

Sep 13, 2022 · 6 shares · 15,710 followers View post →
Parenting Mishmash
@ParentMishmash · X

@coniinthegarden @_ppmv Yes, excellent point, and part of resting should include resting the voice https://t.co/4oLpUtlm1C

Sep 13, 2022 · 15 likes · 6 shares · 3,953 followers View post →
Deb N-T
@tryna_do_rite · X

RT @JillCozzens: @pierrejtremblay @amandalhu You aren't the only one thinking about it. https://t.co/LT6DoLPelx

Sep 5, 2022 · 2,761 followers View post →
Jill Cozzens
@JillCozzens · X

@pierrejtremblay @amandalhu You aren't the only one thinking about it. https://t.co/LT6DoLPelx

Sep 5, 2022 · 1 like · 109 followers View post →
Parenting Mishmash
@ParentMishmash · X

RT @ParentMishmash: @stargazing90 @TreadLightly_RE Looks like a good strategy to pair with Enovid too https://t.co/bzfHT3GFzg

Jul 25, 2022 · 3,953 followers View post →
Parenting Mishmash
@ParentMishmash · X

@stargazing90 @TreadLightly_RE Looks like a good strategy to pair with Enovid too https://t.co/bzfHT3GFzg

Jul 25, 2022 · 1 like · 3,953 followers View post →
Altai Pazyryk
@APazyryk · X

RT @LaTriSarahtops: @justthefacts85 Anytime I talk to anyone over the phone while they're sick with covid, I tell them to hang up and stop…

Jul 22, 2022 · 1 share · 1,285 followers View post →
Structural Behaviorist
@structureBHist · X

@justthefacts85 Anytime I talk to anyone over the phone while they're sick with covid, I tell them to hang up and stop talking to me. In fact, talk as little as possible. https://t.co/Q4gw9xTLHu

Jul 22, 2022 · 14 likes · 1 share · 825 followers View post →
Carl Van Keirsbilck
@CarlvKeirsbilck · X

@jouwannes @wol976 @VTM @VRT Dit klopt niet. Indien je besmet bent zorgt een masker er zelfs voor dat een deel van de schadelijke aerosolen die je uitademt in het masker worden gecapteerd => minder virussen uit je eigen wolk die opnieuw worden ingeademd. https://t.co/7iSYvPDJOD

Jul 12, 2022 · 3,528 followers View post →
Carl Van Keirsbilck
@CarlvKeirsbilck · X

@AnjaLenaerts Gezien dit onderzoek suggereert dat een besmet persoon door dragen v mondmasker voorkomt dat de EIGEN aerosolen terug (dieper) worden ingeademd, ben ik geneigd ervan uit te gaan dat je ook beter uit elkaars buurt blijft. https://t.co/7iSYvPDJOD https://t.co/nVdMOl545N

Jul 4, 2022 · 1 like · 3,528 followers View post →
Structural Behaviorist
@structureBHist · X

@alscriv @EhleryR https://t.co/Q4gw9xTLHu ; It's an interesting hypothesis. Yes, similar to what you're describing. Increasing viral exposure in general and also increasing lower respiratory track exposure.

Apr 2, 2022 · 825 followers View post →
Structural Behaviorist
@structureBHist · X

@jana0C @apmalong @BarryHunt008 @DFisman @lisa_iannattone @AmyTanMD @DGBassani @dgurdasani1 There was a hypothesis of “self-infection” and that masking could decrease it. I’d imagine good filtration/ventilation would similarly reduced self/infection. https://t.co/Q4gw9xTLHu

Mar 21, 2022 · 3 likes · 825 followers View post →
M. Oliver
@sameo416 · X

RT @LazarusLong13: @PhyllisG123 @sameo416 @BarryHunt008 @jana0C @DFisman @lisa_iannattone @AmyTanMD @DGBassani @dgurdasani1 This is very, v…

Mar 20, 2022 · 1 share · 8,612 followers View post →
Lazarus Long
@LazarusLong13 · X

@PhyllisG123 @sameo416 @BarryHunt008 @jana0C @DFisman @lisa_iannattone @AmyTanMD @DGBassani @dgurdasani1 This is very, very interesting to me. Why isn't this being studied? This would be easy to study in a hospital. Slap N95's on patients. Document severity. Less severity? Further confirmation of this..... https://t.co/J9oiJCwfK4 https://t.co/ACOJwzo0OL

Mar 20, 2022 · 4 likes · 1 share · 15,938 followers View post →
ingrid
@IngridUP4 · X

@NathanMackBrown Interesting study on how speaking maskless while infected may increase disease severity. https://t.co/SeC2KSFk2v

Dec 29, 2021 · 9 followers View post →
Carl Van Keirsbilck
@CarlvKeirsbilck · X

@VNKO_be @realBertBlocken @jdceulaer Ik weet, dat laatste klinkt wellicht gek, maar ook bij dragen v mondmaskers lijkt er sprake van een zekere mate van zelfbescherming bij de besmette persoon door het dragen van een masker. Je kunt hetzelfde ongetwijfeld bekomen door luchtreiniging dichtbij https://t.co/7iSYvPDJOD https://t.co/J7bs9DEDBN

Dec 26, 2021 · 2 likes · 3,528 followers View post →
Carl Van Keirsbilck
@CarlvKeirsbilck · X

@wim_steenhaut @GeertNoels Masker verhindert zelfs dat een besmet persoon zichzelf nog zieker maakt door diepere inhalatie eigen besmette wolk. https://t.co/7iSYvPDJOD

Nov 11, 2021 · 3,528 followers View post →
ingrid
@IngridUP4 · X

Self‐infection with speech aerosol may contribute to COVID‐19 severity https://t.co/OiptXU6tsY

Sep 12, 2021 · 1 like · 9 followers View post →
JIM - Journal of Internal Medicine
@JInternMed · X

Hot topic at https://t.co/9MsRUd6phW: Self-infection with speech aerosol may contribute to COVID-19 severity FREE ACCESS. https://t.co/hIBfdCAKGg #covid19 #covid19research @Wiley_Health @wileyinresearch @NIH https://t.co/OumRKwmGWE

Aug 31, 2021 · 1 share · 1,652 followers View post →
ingrid
@IngridUP4 · X

@EricTopol Another reason to mask up: https://t.co/SeC2KSnJaX Self-infection with speech aerosol may contribute to COVID-19 severity

Aug 2, 2021 · 9 followers View post →
ingrid
@IngridUP4 · X

@EricTopol @FT https://t.co/SeC2KSnJaX

Jul 21, 2021 · 9 followers View post →
Dr Tammy Davidson Thompson
@TammyDavidsonTh · X

Very interesting theory postulated via a research letter. #slpeeps what are your thoughts? https://t.co/dgRRbtKpGU

Jul 21, 2021 · 877 followers View post →
Emily Petro
@EmilyPetro22 · X

@PhilWMagness It's this paper. https://t.co/relmtankai. The citation they use is M Gandhi's "theory" paper that has "potential" in the title and zero 'documented evidence'. No need to even pretend at integrity anymore./2 https://t.co/K7QWDljIHt

Jul 18, 2021 · 2 likes · 1,895 followers View post →
HariKNair
@HKN_India · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 18, 2021 · 19 shares · 210 followers View post →
subho
@subhobrata1 · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 18, 2021 · 19 shares · 963 followers View post →
Justin Ward
@JustinW05482353 · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 18, 2021 · 19 shares · 707 followers View post →
Ganesh Bhat
@ganesh3 · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 18, 2021 · 19 shares · 584 followers View post →
FluSCIM Lucas Gonzalez
@lucasgonzalez · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 2,080 followers View post →
Suhnylla Kler
@SuhnyllaKler · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 1,573 followers View post →
priya joseph
@ayirpelle · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 4,981 followers View post →
leslierenfrew
@leslierenfrew · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 3,750 followers View post →
Rob Cain
@cain_rob · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 942 followers View post →
hodeehum
@hodeehum · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 82 followers View post →
lhansen0
@lhansen0 · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 1,722 followers View post →
99% gone from here
@steltenpower · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 1 followers View post →
MK @merrykaate@the prehistoricbeastsite{dot}lol
@MerryKaate · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 508 followers View post →
yaggawagga
@yaggawagga · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 343 followers View post →
A E
@arcsine · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 271 followers View post →
Joshua Galka
@Joshgalka89 · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 281 followers View post →
Monica Gandhi MD, MPH
@MonicaGandhi9 · X

RT @jeremyphoward: Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the…

Jul 17, 2021 · 19 shares · 85,423 followers View post →
Jeremy Howard
@jeremyphoward · X

Interesting new paper argues that, in addition to preventing transmission, masks also cut down on self-infection of the lungs. This may be the primary reason behind @MonicaGandhi9's observations of lower disease severity amongst mask wearers https://t.co/8l1KJPXXMS

Jul 17, 2021 · 104 likes · 19 shares · 266,261 followers View post →
Joy A. Franco, PhD
@engineering_joy · X

RT @bax1337: (1/5) Proposed hypothesis explaining the documented effect of cloth masks on reducing COVID-19 severity: Masks may prevent…

Jul 16, 2021 · 1 share · 2,977 followers View post →
Nick Bax.eth
@bax1337 · X

(1/5) Proposed hypothesis explaining the documented effect of cloth masks on reducing COVID-19 severity: Masks may prevent "self-infection" from upper respiratory tract (URT) to lower respiratory tract (lungs) Infection in lungs➡️severe disease https://t.co/p46hpGglGl

Jul 16, 2021 · 4 likes · 1 share · 7,067 followers View post →
Magnetic Resonance News
@nmr900 · X

RT @Ad_Bax_4NMR: Another reason to stop talking so much: Self‐infection with speech aerosol may contribute to COVID‐19 severity https://t…

Jul 16, 2021 · 2 shares · 6,124 followers View post →
ad
@Ad_Bax_4NMR · X

Another reason to stop talking so much: Self‐infection with speech aerosol may contribute to COVID‐19 severity https://t.co/AqJS6h4HsN

Jul 16, 2021 · 3 likes · 2 shares · 272 followers View post →
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