COVID-19 Transmission: Risks of In-Ear Headphones - Otolaryngology

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Transmission routes of COVID-19?


Hello, doctor.
I recently saw reports stating that the transmission routes of COVID-19 include the conjunctiva of the eyes, oral mucosa, and nasal mucosa.
I am going to try on in-ear headphones soon and I am wondering if there is a risk of transmission through ear secretions or something similar.
Thank you for your help.

Xiao An, 20~29 year old female. Ask Date: 2020/06/15

Dr. Zheng Jueyi reply Otolaryngology


Hello: Currently, there are no local cases in Taiwan, so there should be no risk of infection.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/06/15

More Info


When it comes to understanding the transmission of COVID-19, it is essential to clarify the primary routes through which the virus spreads. COVID-19 is primarily transmitted via respiratory droplets when an infected person coughs, sneezes, talks, or breathes. The virus can also spread through contact with contaminated surfaces, followed by touching the face, particularly the mouth, nose, or eyes.
Regarding your concern about in-ear headphones, the risk of COVID-19 transmission through the ear canal is considered negligible. The ear canal is not a typical entry point for the virus, and there is no substantial evidence to suggest that the virus can be transmitted through ear secretions or by wearing headphones. The primary concern with headphones, especially those that are in-ear, is more related to hygiene and the potential for bacterial or fungal infections if the headphones are not cleaned properly or if they are shared among multiple users.

If you are trying on in-ear headphones, the main risk would be if the headphones have been contaminated with respiratory droplets from an infected person. If someone who has COVID-19 has touched the headphones or if they were placed in an environment where the virus was present, there could be a risk of surface contamination. To mitigate this risk, it is advisable to clean the headphones before use, especially if they are shared or have been used by others. Using alcohol wipes or disinfectant sprays on the surfaces of the headphones can help reduce any potential risk.

Additionally, it is important to maintain good personal hygiene practices. Wash your hands frequently, avoid touching your face, and consider wearing a mask in crowded or enclosed spaces where social distancing is not possible. These measures are effective in reducing the overall risk of COVID-19 transmission.

In summary, while the risk of contracting COVID-19 through in-ear headphones is low, it is always wise to practice good hygiene and cleanliness, especially in the context of shared items. If you have any further concerns or if you experience any symptoms related to COVID-19, it is advisable to consult with a healthcare professional for personalized advice and guidance.

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