This study aimed to provide data on the survival and site of damage of Escherichia coli cells following aerosolization using two different techniques, nebulization and flow focusing. Four metabolic stains were assessed for their ability to detect respiratory activities and membrane homeostasis in aerosolized E. coli cells. The degree of sublethal injury increased significantly over the 10-min period of aerosolization in E. coli cells aerosolized by using the Collison nebulizer, reaching up to 99.9% of the population. In contrast, a significantly lower proportion of the population was sublethally damaged during aerosolization using the flow-focusing aerosol generator (FFAG). Concomitantly, loss of membrane homeostasis increased at a higher rate in nebulized cells (68 to 71%) than in those aerosolized by using the FFAG (32 to 34%). The activities of respiratory enzymes decreased at increased rates in nebulized cells (27 to 37%) compared to the rates of decrease in cells aerosolized by using the FFAG (59 to 61%). The results indicate that the physiology of an aerosolized bacterium is linked to the method of aerosol generation and may affect the interpretation of a range of aerobiological phenomenon.Aerosolization of bacteria has importance from medical, agricultural, and biodefense perspectives. Bacterial infections of the respiratory tract are transmitted by aerosols produced by coughing and sneezing (26,35,36,37). Insecticidal bacteria, such as Bacillus thuringiensis, may be disseminated by aerosols to control agricultural pests (3). Dissemination of biowarfare agents can occur by the production of an aerosol, and an understanding of survival is important for hazard management (32). In all these examples, for the aerosolized bacteria to exert an effect, they must remain viable in the aerosolized state for a period of time.The physiological status of bacteria changes with time spent in the aerosolized state. Loss of culturability on plating media is often biphasic, being defined by an initial rapid decline over the first few minutes followed by further decline at a lower rate (13,39,41,48). The initial process of aerosolization, for example, nebulization, will impart device-dependent mechanical stress, such as physical shear and wall impaction, resulting from operation of the pressurized system (33,34,38). After aerosolization, a number of parameters will contribute to loss of viability in the airborne bacteria, including temperature, particle size, desiccation (relative humidity), UV radiation, oxidative shock, and toxic pollutants (carbon monoxide, sulfur dioxide, nitrogen dioxide, nitrogen oxide, ozone, and "open air factor") (9,10,13,16,20,36,42,43,46,48). Furthermore, bacteriological factors, such as growth phase or sporulation state, will influence survival (8, 9). Bacteria have been proposed to enter the viable-but-nonculturable (VBNC) state as a result of both aerosolization and impingement. VBNC cells represent a physiological state where bacteria cannot be cultured on nonselective agar yet retain certain...