ABSTRACT
The COVID-19 pandemic has plunged the world into uncharted territory, leaving people feeling helpless in the face of an invisible threat of unknown duration that could adversely impact the national economic growths. According to the World Health Organization (WHO), the SARS-CoV-2 spreads primarily through droplets of saliva or discharge from the mouth or nose when an infected person coughs or sneezes. However, the transmission of the SARS-CoV-2 through aerosols remains unclear. In this study, computational fluid dynamic (CFD) is used to complement the investigation of the SARS-CoV-2 transmission through aerosol. The Lagrangian particle tracking method was used to analyze the dispersion of the exhaled particles from a SARS-CoV-2-positive patient under different exhale activities and different flow rates of chilled (cooling) air supply. Air sampling of the SARS-CoV-2 patient ward was conducted for 48-h measurement intervals to collect the indoor air sample for particulate with diameter less than 2.5 µm. Then, the reverse transcription quantitative real-time polymerase chain reaction (RT-qPCR) was conducted to analyze the collected air sample. The simulation demonstrated that the aerosol transmission of the SARS-CoV-2 virus in an enclosed room (such as a hospital ward) is highly possible.
Subject(s)
COVID-19 , SARS-CoV-2 , Aerosols , Hospitals , Humans , PandemicsABSTRACT
The rapid spread of the SARS-CoV-2 in the COVID-19 pandemic had raised questions on the route of transmission of this disease. Initial understanding was that transmission originated from respiratory droplets from an infected host to a susceptible host. However, indirect contact transmission of viable virus by fomites and through aerosols has also been suggested. Herein, we report the involvement of fine indoor air particulates with a diameter of ≤ 2.5 µm (PM2.5) as the virus's transport agent. PM2.5 was collected over four weeks during 48-h measurement intervals in four separate hospital wards containing different infected clusters in a teaching hospital in Kuala Lumpur, Malaysia. Our results indicated the highest SARS-CoV-2 RNA on PM2.5 in the ward with number of occupants. We suggest a link between the virus-laden PM2.5 and the ward's design. Patients' symptoms and numbers influence the number of airborne SARS-CoV-2 RNA with PM2.5 in an enclosed environment.
Subject(s)
COVID-19/transmission , Environmental Monitoring/methods , SARS-CoV-2/chemistry , Aerosols/analysis , Aerosols/chemistry , Air Microbiology , Air Pollution, Indoor , COVID-19/epidemiology , COVID-19/metabolism , COVID-19/virology , Fomites/microbiology , Fomites/statistics & numerical data , Hospitals , Humans , Malaysia/epidemiology , Pandemics , Particulate Matter/analysis , RNA, ViralABSTRACT
The rapid spread of the SARS-CoV-2 in the COVID-19 pandemic had raised questions on the route of transmission of this disease. Initial understanding was that transmission originated from respiratory droplet from an infected host to a susceptible host. However, indirect contact transmission of viable virus by fomites and through aerosols has also been suggested. Herein, we report the involvement of fine indoor air particulate with the diameter of ≤ 2.5 µm (PM2.5) as the transport agent of the virus. PM2.5 was collected over four weeks during a 48 hours measurement intervals in four separate wards containing different infected clusters in a teaching hospital in Kuala Lumpur, Malaysia. Our results indicated highest SARS-CoV-2 RNA on PM2.5 in the ward associated with a lavatory. We suggest a link between the virus-laden PM2.5 and the ward’s design. Patients’ symptoms and numbers that govern the magnitude of viral shedding may also influence the number of airborne SARS-CoV-2 RNA on PM2.5 in an enclosed environment.