ABSTRACT
Dental services are yet to return to a semblance of normality owing to the fear and uncertainty associated with the possible airborne transmission of diseases. The present study aims to investigate the impacts of environmental conditions [changes in ventilation location, ventilation rate, and relative humidity (RH)] and variations in dental patient's breathing rate on droplet transmission during dental service. Computational fluid dynamics simulation was performed based on our previous experimental study during ultrasonic scaling. The impacts of different factors were numerically analyzed by the final fate and proportion of emitted droplets in the dental surgery environment. The results revealed that about 85% of droplets deposited near the dental treatment region, where the patient's torso, face, and floor (dental chair) accounted for around 63%, 11%, and 8.5%, respectively. The change in the ventilation location had a small impact on the deposition of larger droplets (> 60 mu m), and a spatial region with high droplet mass concentration would be presented near the dental professional. The change in the ventilation rate from 5 to 8 ACH led to a 1.5% increment in the fraction of escaped droplets. 50% RH in dental environments was recommended to prevent droplets' fast evaporation and potential mold. Variations in the patient's breathing rate had little effect on the final fate and proportion of emitted droplets. Overall, environmental factors are suggested to maintain 50% RH and larger ACH in dental surgery environments. The findings can give policymakers insights into the role of environmental factors on infection control.
ABSTRACT
This study investigates the aerosol transmission in queuing and dining scenarios in canteens and explores the effectiveness of control measures. An improved Wells-Riley equation is adopted to calculate the infection risk. The dilution of exhaled aerosols is difficult in the crowded queuing scenario, where the replacement of queuing positions increases the cross-infection risk. The highest infection risk is 1.16% and 1.08% for the linear-queue and cross-queue condition, respectively. Shortening the queuing duration, increasing the separation distance, and wearing masks can considerably reduce the infection risk. In the dining scenario, the effect of increasing ACH is limited on reducing the local concentration. An exhaust vent installed close to the top of the partition can effectively remove the local high-concentration aerosols. Intermittent occupation of a seat can considerably reduce the transmission risk between the consecutive dinners taking that seat. These findings should contribute to improved control of infectious transmission in canteens.
ABSTRACT
Numerous short-term exposure events in public spaces were reported during the COVID-19 pandemic, especially during the spread of Delta and Omicron. However, the currently used exposure risk assessment models and mitigation measures are mostly based on the assumption of steady-state and complete-mixing conditions. The present study investigates the dynamics of airborne transmission in short-term events when a steady state is not reached before the end of the events. Large-eddy simulation (LES) is performed to predict the airborne transmission in short-term events, and three representative physical distances between two occupants are examined. Both time-averaged and phase-averaged exposure indices are used to evaluate the exposure risk. The results present that the exposure index in the short-term events constantly varies over time, especially within the first 1/ACH (air changes per hour) hour of exposure between occupants in close proximity, posing high uncertainty to the spatial and temporal evolutions of the risk of cross-infection. The decoupling analysis of the direct and indirect airborne transmission routes indicates that the direct airborne transmission is the predominated route in short-term events. It suggests also that the general dilution ventilation has a relatively limited efficiency in mitigating the risk of direct airborne transmission, but determines largely the occurrence time of the indirect one. Given the randomness, discreteness, localization, and high-risk characteristics of direct airborne transmission, a localized method that has a direct interference on the respiratory flows would be better than dilution ventilation for short-term events, in terms of both efficiency and cost.
ABSTRACT
It is important that efficient measures to reduce the airborne transmission of respiratory infectious diseases (including COVID-19) should be formulated as soon as possible to ensure a safe easing of lockdown. Ventilation has been widely recognized as an efficient engineering control measure for airborne transmission. Room ventilation with an increased supply of clean outdoor air could dilute the expiratory airborne aerosols to a lower concentration level. However, sufficient increase is beyond the capacity of most of the existing mechanical ventilation systems that were designed to be energy efficient under non-pandemic conditions. We propose an improved control strategy based on source control, which would be achieved by implementing intermittent breaks in room occupancy, specifically that all occupants should leave the room periodically and the room occupancy time should be reduced as much as possible. Under the assumption of good mixing of clean outdoor supply air with room air, the evolution of the concentration in the room of aerosols exhaled by infected person(s) is predicted. The risk of airborne cross-infection is then evaluated by calculating the time-averaged intake fraction. The effectiveness of the strategy is demonstrated for a case study of a typical classroom. This strategy, together with other control measures such as continuous supply of maximum clean air, distancing, face-to-back layout of workstations and reducing activities that increase aerosol generation (e.g., loudly talking and singing), is applicable in classrooms, offices, meeting rooms, conference rooms, etc.