Under what circumstances would airborne transmission of SARS-CoV-2 occur?

ABSTRACT

To find out the circumstances under which airborne transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) would happen, we conducted mechanistic and systematic modelling of two Coronavirus disease 2019 (COVID-19) outbreaks, i.e., Hunan 2-bus outbreak and Luk Chuen House outbreak (the horizontal cluster). Computational fluid dynamics (CFD) simulations, multi-zone airflow modelling, multi-route mechanistic modelling, and dose-response estimation were carried out selectively according to the transmission characteristics in each outbreak. Our results revealed that poorly ventilated bus indoor environments bred the Hunan 2-bus outbreak in which airborne transmission predominates;prevailing easterly background wind and probable door opening behaviour led to the secondary infections across the corridor in Luk Chuen House outbreak. Measures to facilitate sufficient ventilation indoors and positive pressure in the housing building corridor may help minimise infection risk. © 2022 17th International Conference on Indoor Air Quality and Climate, INDOOR AIR 2022. All rights reserved.