ABSTRACT
BACKGROUND: Spread of SARS-CoV2 by aerosol is considered an important mode of transmission over distances >2 m, particularly indoors. OBJECTIVES: We determined whether SARS-CoV2 could be detected in the air of enclosed/semi-enclosed public spaces. METHODS AND ANALYSIS: Between March 2021 and December 2021 during the easing of COVID-19 pandemic restrictions after a period of lockdown, we used total suspended and size-segregated particulate matter (PM) samplers for the detection of SARS-CoV2 in hospitals wards and waiting areas, on public transport, in a university campus and in a primary school in West London. RESULTS: We collected 207 samples, of which 20 (9.7%) were positive for SARS-CoV2 using quantitative PCR. Positive samples were collected from hospital patient waiting areas, from hospital wards treating patients with COVID-19 using stationary samplers and from train carriages in London underground using personal samplers. Mean virus concentrations varied between 429 500 copies/m3 in the hospital emergency waiting area and the more frequent 164 000 copies/m3 found in other areas. There were more frequent positive samples from PM samplers in the PM2.5 fractions compared with PM10 and PM1. Culture on Vero cells of all collected samples gave negative results. CONCLUSION: During a period of partial opening during the COVID-19 pandemic in London, we detected SARS-CoV2 RNA in the air of hospital waiting areas and wards and of London Underground train carriage. More research is needed to determine the transmission potential of SARS-CoV2 detected in the air.
Subject(s)
COVID-19 , Chlorocebus aethiops , Animals , Humans , COVID-19/epidemiology , RNA, Viral , SARS-CoV-2 , London/epidemiology , Pandemics , Vero Cells , Communicable Disease Control , Respiratory Aerosols and Droplets , Particulate Matter/analysisABSTRACT
A link between outdoor pollution of particulate matter (PM) and the mortality from COVID-19 disease has been reported. The potential interaction of SARS-CoV2 emitted from an infected subject in the form of droplets or as an aerosol with PM2.5 (PM of 2.5 μm or less in aerodynamic diameter) may modulate SARS-CoV2 replication and infectivity. This may represent an important airborne route of transmission, which could lead to pneumonia and a poor outcome from COVID-19. Further studies are needed to assess the potential infectivity and severity of such transmission.
ABSTRACT
Indoor, airborne, transmission of SARS-CoV-2 is a key infection route. We monitored fourteen different indoor spaces in order to assess the risk of SARS-CoV-2 transmission. PM2.5 and CO2 concentrations were simultaneously monitored in order to understand aerosol exposure and ventilation conditions. Average PM2.5 concentrations were highest in the underground station (261 ±62.8 μgm-3), followed by outpatient and emergency rooms in hospitals located near major arterial roads (38.6 ±20.4 μgm-3), the respiratory wards, medical day units and intensive care units recorded concentrations in the range of 5.9 to 1.1 μgm-3. Mean CO2 levels across all sites did not exceed 1000 ppm, the respiratory ward (788 ±61 ppm) and the pub (bar) (744 ±136 ppm) due to high occupancy. The estimated air change rates implied that there is sufficient ventilation in these spaces to manage increased levels of occupancy. The infection probability in the medical day unit of hospital 3, was 1.6-times and 2.2-times higher than the emergency and outpatient waiting rooms in hospitals 4 and 5, respectively. The temperature and relative humidity recorded at most sites was below 27 °C, and 40% and, in sites with high footfall and limited air exchange, such as the hospital medical day unit, indicate a high risk of airborne SARS-CoV-2 transmission.