Airborne infection risk of nearby passengers in a cabin environment and implications for infection control.

BACKGROUND: Expiratory droplets cause high infection risk to nearby passengers via airborne route. METHODS: We built a two-row four-seat setup to simulate a public transport cabin. A cough generator and a nebulizer were used to simulate the cough and talk processes respectively. Exposure and infection risk of nearby passengers was studied. The effect of gasper jet and backrest on risk mitigation was investigated. RESULTS: For the activity of coughing, the front passenger has much higher infection risk, which was around four times of that of other passengers, because of the concentration surge in the inhalation zone. For talking, the nearby passengers have similar infection risk because nearby passengers were all exposed to concentration surges with similar peak value. Gasper jet of the infected passenger and higher backrest can extinguish or reduce the concentration surge of front passengers and reduce the infection risk due to coughing and talking droplets. CONCLUSION: The passengers near the infected passenger have very high infection risk. The overhead gasper and a higher backrest can reduce the exposure and mitigate the risk of infection. It is believed that the control measures to protect nearby passengers are urgently needed in public transport cabins.

Personalized Ventilation as a Possible Strategy for Reducing Airborne Infectious Disease Transmission on Commercial Aircraft

Featured ApplicationPersonalized ventilation systems for improving air quality around passengers in confined vehicles, such as airplanes.In the last decade, there has been an increase in ease and affordability of air travel in terms of mobility for people all around the world. Airplane passengers may experience different risks of contracting airborne infectious diseases onboard aircraft, such as influenza or severe acute respiratory syndrome (SARS-CoV-1 and SARS-CoV-2), due to nonuniform airflow patterns inside the airplane cabin or proximity to an infected person. In this paper, a novel approach for reducing the risk of contracting airborne infectious diseases is presented that uses a low-momentum personalized ventilation system with a protective role against airborne pathogens. Numerical simulations, supported by nonintrusive experimental measurements for validation purposes, were used to demonstrate the effectiveness of the proposed system. Simulation and experimental results of the low-momentum personalized ventilation system showed the formation of a microclimate around each passenger with cleaner and fresher air than produced by the general mixing ventilation systems.

Review of component designs for post-COVID-19 HVAC systems: possibilities and challenges.

The globally occurring recurrent waves of the COVID-19 pandemic, primarily caused by the transmission of aerosolized droplets from an infected person to a healthy person in the indoor environment, has led to the urgency of designing new modes of indoor ventilation. To prevent cross-contaminations due to airborne viruses, bacteria, and other pollutants in indoor environments, heating ventilation and air-conditioning (HVAC) systems need to be redesigned with anti-pandemic components. The three vital anti-pandemic components for the post-COVID-19 HVAC systems, as identified by the authors, are: a biological contaminant inactivation unit, a volatile organic compound decomposition unit, and an advanced air filtration unit. The purpose of the current article is to provide an overview of the latest research outcomes toward designing these anti-pandemic components and pointing out the future promises and challenges. In addition, the role of personalized ventilation in minimizing the risk of indoor cross-contamination by employing various air terminal devices is discussed. The authors believe that this article will encourage HVAC designers to develop effective anti-pandemic components to minimize the indoor airborne transmission.

Ten questions concerning the paradox of minimizing airborne transmission of infectious aerosols in densely occupied spaces via sustainable ventilation and other strategies in hot and humid climates.

Airborne disease transmission in indoor spaces and resulting cross-contamination has been a topic of broad concern for years - especially recently with the outbreak of COVID-19. Global recommendations on this matter consist of increasing the outdoor air supply in the aim of diluting the indoor air. Nonetheless, a paradoxical relationship has risen between increasing amount of outdoor air and its impact on increased energy consumption - especially densely occupied spaces. The paradox is more critical in hot and humid climates, where large amounts of energy are required for the conditioning of the outdoor air. Therefore, many literature studies investigated new strategies for the mitigation of cross-contamination with little-to-no additional cost of energy. These strategies mainly consist of the dilution and/or the capture and removal of contaminants at the levels of macroenvironment room air and occupant-adjacent microenvironment. On the macroenvironment level, the dilution occurs by the supply of large amounts of outdoor air in a sustainable way using passive cooling systems, and the removal of contaminants happens via filtering. Similarly, the microenvironment of the occupant can be diluted using localized ventilation techniques, and contaminants can be captured and removed by direct exhaust near the source of contamination. Thus, this work answers ten questions that explore the most prevailing technologies from the above-mentioned fronts that are used to mitigate cross-contamination in densely occupied spaces located in hot and humid climates at minimal energy consumption. The paper establishes a basis for future work and insights for new research directives for macro and microenvironment approaches.

Exploring the potentials of personalized ventilation in mitigating airborne infection risk for two closely ranged occupants with different risk assessment models.

In the context of COVID-19, new requirements are occurring in ventilation systems to mitigate airborne transmission risk in indoor environment. Personalized ventilation (PV) which directly delivers clean air to the occupant's breathing zone is considered as a promising solution. To explore the potentials of PV in preventing the spread of infectious aerosols between closely ranged occupants, experiments were conducted with two breathing thermal manikins with three different relative orientations. Nebulized aerosols were used to mimic exhaled droplets transmitted between the occupants. Four risk assessment models were applied to evaluate the exposure or infection risk affected by PV with different operation modes. Results show that PV was effective in reducing the user's infection risk compared with mixing ventilation alone. Relative orientations and operation modes of PV significantly affected its performance in airborne risk control. The infection risk of SARS-CoV-2 was reduced by 65% with PV of 9 L/s after an exposure duration of 2 h back-to-back as assessed by the dose-response model, indicating effective protection effect of PV against airborne transmission. While the side-by-side orientation was found to be the most critical condition for PV in airborne risk control as it would accelerate diffusion of infectious droplets in lateral diffusion to occupants by side. Optimal designs of PV for closely ranged occupants were hereby discussed. The four risk assessment models were compared and validated by experiments with PV, implying basically consistent rules of the predicted risk with PV among the four models. The relevance and applicability of these models were discussed to provide a basis for risk assessment with non-uniformly distributed pathogens indoor.

Effects of personalized ventilation interventions on airborne infection risk and transmission between occupants.

The role of personalized ventilation (PV) in protecting against airborne disease transmission between occupants was evaluated by considering two scenarios with different PV alignments. The possibility that PV may facilitate the transport of exhaled pathogens was explored by performing experiments with droplets and applying PV to a source or/and a target manikin. The risk of direct and indirect exposure to droplets in the inhalation zone of the target was estimated, with these exposure types defined according to their different origins. The infection risk of influenza A, a typical disease transmitted via air, was predicted based on a dose-response model. Results showed that the flow interactions between PV and the infectious exhaled flow would facilitate airborne transmission between occupants in two ways. First, application of PV to the source caused more than 90% of indirect exposure of the target. Second, entrainment of the PV jet directly from the infectious exhalation increased direct exposure of the target by more than 50%. Thus, these scenarios for different PV application modes indicated that continuous exposure to exhaled influenza A virus particles for 2 h would correspond with an infection probability ranging from 0.28 to 0.85. These results imply that PV may protect against infection only when it is maintained with a high ventilation efficiency at the inhalation zone, which can be realized by reduced entrainment of infectious flow and higher clean air volume. Improved PV design methods that could maximize the positive effects of PV on disease control in the human microenvironment are discussed.