Practical Indicators for Risk of Airborne Transmission in Shared Indoor Environments and Their Application to COVID-19 Outbreaks.

Some infectious diseases, including COVID-19, can undergo airborne transmission. This may happen at close proximity, but as time indoors increases, infections can occur in shared room air despite distancing. We propose two indicators of infection risk for this situation, that is, relative risk parameter (Hr) and risk parameter (H). They combine the key factors that control airborne disease transmission indoors: virus-containing aerosol generation rate, breathing flow rate, masking and its quality, ventilation and aerosol-removal rates, number of occupants, and duration of exposure. COVID-19 outbreaks show a clear trend that is consistent with airborne infection and enable recommendations to minimize transmission risk. Transmission in typical prepandemic indoor spaces is highly sensitive to mitigation efforts. Previous outbreaks of measles, influenza, and tuberculosis were also assessed. Measles outbreaks occur at much lower risk parameter values than COVID-19, while tuberculosis outbreaks are observed at higher risk parameter values. Because both diseases are accepted as airborne, the fact that COVID-19 is less contagious than measles does not rule out airborne transmission. It is important that future outbreak reports include information on masking, ventilation and aerosol-removal rates, number of occupants, and duration of exposure, to investigate airborne transmission.

Dismantling myths on the airborne transmission of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2).

The coronavirus disease 2019 (COVID-19) pandemic has caused untold disruption throughout the world. Understanding the mechanisms for transmission of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is key to preventing further spread, but there is confusion over the meaning of 'airborne' whenever transmission is discussed. Scientific ambivalence originates from evidence published many years ago which has generated mythological beliefs that obscure current thinking. This article collates and explores some of the most commonly held dogmas on airborne transmission in order to stimulate revision of the science in the light of current evidence. Six 'myths' are presented, explained and ultimately refuted on the basis of recently published papers and expert opinion from previous work related to similar viruses. There is little doubt that SARS-CoV-2 is transmitted via a range of airborne particle sizes subject to all the usual ventilation parameters and human behaviour. Experts from specialties encompassing aerosol studies, ventilation, engineering, physics, virology and clinical medicine have joined together to produce this review to consolidate the evidence for airborne transmission mechanisms, and offer justification for modern strategies for prevention and control of COVID-19 in health care and the community.

The cluster model of ultraviolet disinfection explains tailing kinetics.

AIMS: To develop a new mathematical model derived from first principles to define the kinetics of ultraviolet disinfection and to explain the phenomenon known as tailing. The theory presented interprets tailing as the result of photoprotection due to cumulative Mie scattering effects in clustered populations of micro-organisms. METHODS AND RESULTS: Mie scattering effects at ultraviolet wavelengths are used to compute a shielding constant for each micro-organism based on the average projected diameter. An intrinsic rate constant, hypothesized to be a characteristic property of the microbial genome alone, is computed. The cluster model is fitted to tailing data from 30 ultraviolet inactivation studies and results are compared with the classic two stage multihit model. CONCLUSIONS: The cluster model demonstrates a statistically significant improvement in the mean adjusted R2 values of the tested data sets (P < 0·0001). Tailing in survival curves is the direct consequence of the Gaussian distribution of cluster sizes and the intrinsic rate constant is a real and critical parameter that defines ultraviolet susceptibility. SIGNIFICANCE AND IMPACT OF THE STUDY: The ultraviolet dose-response behaviour of micro-organisms can now be explained in terms of parameters that have physical meaning and provide deep insight into the disinfection process.

Demonstration of a hermetic airborne ozone disinfection system: studies on E. coli.

An enclosed flow-through system using airborne ozone for disinfection and which removes the ozone with a catalytic converter was tested with a strain of Escherichia coli. Petri dishes containing the microorganisms were inserted in a chamber and exposed for 10-480 min to ozone concentrations between 4 and 20 ppm. Death rates in excess of 99.99% were achieved. Survival data is fitted to a two-stage curve with a shoulder based on the multihit target model. Ozone was removed from the exhaust air to nondetectable levels using a metal oxide based catalyst. The possibility of using ozone as an airborne disinfectant for internal building surfaces and catalytically removing the ozone on exhaust is demonstrated to be feasible. A model for the decay of Bacillus cereus under ozone exposure is proposed as an example for predicting the sterilization of buildings contaminated with anthrax. The potential for disinfecting airstreams and removing ozone to create breathable air is also implied by the results of this experiment.

Engineering control of airborne disease transmission in animal laboratories.

We here present a review of the problem of controlling airborne disease transmission in animal research facilities, with emphasis on engineering design and air-treatment technologies. Dilution ventilation, pressurization control, source control, and air disinfection and removal systems are reviewed, and analytical studies on the effects of dilution ventilation, filtration, and ultraviolet germicidal irradiation are summarized. In addition, we discuss practical problems common to laboratory facilities and present a database of potential airborne pathogens and allergens that can be transmitted between humans and animals. We offer some conclusions regarding the design and selection of available technologies and components and provide cost estimates for various air-cleaning systems.