Coronavirus: Could social distancing of less than two metres work?

Prime Minister Boris Johnson has said that, from 4 July, a "one metre plus" rule will be introduced in England when it is not possible to stay 2m apart.

He announced the change as part of a series of moves to further ease lockdown.

The distance could be lowered with "mitigations", so people can be closer without a higher risk of transmission, he said.

A review into the 2m (over 6ft) social distancing rule was first announced by Mr Johnson last month.

The government had been under pressure from MP and the hospitality industry to allow people to be closer together, to help businesses after they reopen.

Sage, the government's committee of scientific advisers say current evidence suggests being 1m (just over 3ft) apart carries between two and 10 times the risk of being 2m apart.

The simple answer is that the nearer you are to someone who is infected, the greater the risk of catching the virus.

The World Health Organization recommends keeping a distance of at least 1m.

Some countries have adopted this guidance, often because they also insist on people wearing masks.

But there are also regional variations inside countries.

Scientists advising the British government say every workplace or building should carry out its own assessment because the risks at each location will vary.

And they highlight several strategies for people who are within 2m of each other.

The most obvious is to minimise the length of time spent together.

Plastic screens can block the movement of infected droplets, as can face coverings.

In a growing number of countries, including all parts of the UK, people are being encouraged to wear face coverings on public transport and "enclosed spaces where social distancing is not always possible".

Other changes in the workplace include moving to shift patterns to reduce the numbers in an office or factory at any one time.

Seating can be arranged to minimise how many people are face to face - which is judged to carry more risk than being side by side.

Making sure that legal requirements on ventilation are met with the correct supply of fresh air to dilute and disperse any virus - and frequent cleaning of surfaces including tables, desks, chairs and handles also becomes more important the busier a place gets.

What's the latest research?

In a study published in medical journal The Lancet, scientists looked at research into how coronavirus spreads.

They concluded that keeping at least 1m from other people could be the best way to limit the chances of infection.

The risk of being infected is estimated to be 13% within 1m, but only 3% beyond that distance.

And the study says that for every extra metre of distance up to 3m, the risk is further reduced by half.

It can be traced back to research in the 1930s.

Scientists found that droplets of liquid released by coughs or sneezes evaporate quickly in the air or fall to the ground.

Most of those droplets, they reckoned, would land within 1-2m.

That is why it is said the greatest risks come from having the virus coughed at you from close range, or from touching a surface that someone coughed onto, and then touching your face.

Proximity and surface contact are considered the main transmission routes.

But some researchers fear coronavirus can also be transported through the air in tiny particles called aerosols.

If true, then the flow of wind from someone's breath could carry the virus over longer distances.

Prof Lydia Bourouiba from the Massachusetts Institute of Technology (MIT) used high-speed cameras to capture a cough projecting miniature specks as far as 6m.

And a study carried out in Chinese hospitals which found traces of coronavirus in Covid-19 wards and intensive care units, estimated that 4m was a better safe distance.

But the US Centers for Disease Control says the role of aerosols in spreading the virus is "currently uncertain".

And what's still not known is whether any virus that spreads further than 2m can still be infectious.

Timing is also key. The longer you spend in close proximity with an infected person, the bigger the risk.

Scientists advising the UK government say spending six seconds at a distance of 1m from someone is the same as spending one minute at a distance of 2m.

Being exposed to someone coughing is riskier. Being 2m away from a cough carries the same risk as someone talking to you for 30 minutes at the same distance.

A crowded stuffy room is bound to increase the chances of infection.

The direction of air flow is also crucial - whether a draught or fan behind someone infected is pushing any virus they breathe out towards you.

And a good supply of fresh air can make all the difference.

In a restaurant in China, where nine people caught the virus, the air conditioning units mounted on the walls were blamed for recirculating the air rather than refreshing it.

Japanese researchers investigated 110 cases of Covid-19 and found the odds of infection were nearly 19 times greater indoors than outside.

It is only a few months since the coronavirus emerged, and in that short time scientists have learned a great deal about it.

But we still don't know how much virus can be released by people who are infected and how much someone has to receive to catch the disease.

Until that is established, the advice is that the risks are real - and that only when the numbers being infected drop dramatically can the distancing guidance be relaxed.