Aerosols from speaking can linger in the air for up to nine hours

Effectiveness of a suction device for containment of pathogenic aerosols and droplets

BACKGROUND

As the global community begins recovering from the COVID-19 pandemic, the challenges due to its aftermath remain. This health crisis has highlighted challenges associated with airborne pathogens and their capacity for rapid transmission. While many solutions have emerged to tackle this challenge, very few devices exist that are inexpensive, easy to manufacture, and versatile enough for various settings.

METHODS

This paper presents a novel suction device designed to counteract the spread of aerosols and droplets and be cost-effective and adaptable to diverse environments. We also conducted an experimental study to evaluate the device's effectiveness using an artificial cough generator, a particle counter, and a mannequin in an isolated system. We measured droplet removal rates with simulated single and repeated cough incidents. Also, measurements were taken at four distinct areas to compare its effectiveness on direct plume versus indirect particle removal.

RESULTS

The device reduced airborne disease transmission risk, as evidenced by its capacity to decrease the half-life of aerosol volume from 23.6 minutes to 15.6 minutes, effectively capturing aerosol-sized droplets known for their extended airborne persistence. The suction device lessened the peak total droplet volume from peak counts. At 22 minutes post peak droplet count, the count had dropped 24% without the suction device and 43% with the suction device.

CONCLUSIONS

The experiment's findings confirm the suction device's capability to effectively remove droplets from the environment, making it a vital tool in enhancing indoor air quality. Given the sustained performance of the suction device irrespective of single or multiple cough events, this demonstrates its potential utility in reducing the risk of airborne disease transmission. 3D printing for fabrication opens the possibility of a rapid iterative design process, flexibility for different configurations, and rapid global deployment for future pandemics.

Single Liquid Aerosol Microparticle Electrochemistry on a Suspended Ionic Liquid Film

Liquid aerosols are ubiquitous in nature, and several tools exist to quantify their physicochemical properties. As a measurement science technique, electrochemistry has not played a large role in aerosol analysis because electrochemistry in air is rather difficult. Here, a remarkably simple method is demonstrated to capture and electroanalyze single liquid aerosol particles with radii on the order of single micrometers. An electrochemical cell is constructed by a microwire (cylindrical working electrode) traversing a film of ionic liquid (1-butyl-1-methylpyrrolidinium bis(trifluoromethylsulfonyl)imide) that is suspended within a wire loop (reference/counter electrode). An ionic liquid is chosen because the low vapor pressure preserves the film over weeks, vastly improving suspended film electroanalysis. The resultant high surface area allows the suspended ionic liquid cell to act as an aerosol net. Given the hydrophobic nature of the ionic liquid, aqueous aerosol particles do not coalesce into the film. When the liquid aerosols collide with the sufficiently biased microwire (creating a complex boundary: aerosol|wire|ionic liquid|air), the electrochemistry within a single liquid aerosol particle can be interrogated in real-time. The ability to achieve liquid aerosol size distributions for aerosols over 1 µm in radius is demonstrated.

Emerging use of air eDNA and its application to forensic investigations - A review

Biological material is routinely collected at crime scenes and from exhibits and is a key type of evidence during criminal investigations. Improvements in DNA technologies allow collection and profiling of trace samples, comprised of few cells, significantly expanding the types of exhibits targeted for DNA analysis to include touched surfaces. However, success rates from trace and touch DNA samples tend to be poorer compared to other biological materials such as blood. Simultaneously, there have been recent advances in the utility of environmental DNA collection (eDNA) in identification and tracking of different biological organisms and species from bacteria to naked mole rats in different environments, including, soil, ice, snow, air and aquatic. This paper examines the emerging methods and research into eDNA collection, with a special emphasis on the potential forensic applications of human DNA collection from air including challenges and further studies required to progress implementation.

Indoor air humidity revisited: Impact on acute symptoms, work productivity, and risk of influenza and COVID-19 infection

Recent epidemiological and experimental findings reconfirm that low indoor air humidity (dry air) increases the prevalence of acute eye and airway symptoms in offices, result in lower mucociliary clearance in the airways, less efficient immune defense, and deteriorate the work productivity. New epidemiological and experimental research also support that the environmental conditions for the risk of infection of influenza and COVID-19 virus is lowest in the Goldilocks zone of 40-60% relative humidity (RH) by decrease of the airways' susceptibility, which can be elevated by particle exposure. Furthermore, low RH increases the generation of infectious virus laden aerosols exhaled from infected people. In general, elevation of the indoor air humidity from dry air increases the health of the airways concomitantly with lower viability of infectious virus. Thus, the negative effects of ventilation with dry outdoor air (low absolute air humidity) should be assessed according to 1) weakened health and functionality of the airways, 2) increased viability and possible increased transmissibility of infectious virus, and 3) evaporation of virus containing droplets to dry out to droplet nuclei (also possible at high room temperature), which increases their floating time in the indoor air. The removal of acid-containing ambient aerosols from the indoor air by filtration increases pH, viability of infectious viruses, and the risk of infection, which synergistically may further increase by particle exposure. Thus, the dilution of indoor air pollutants and virus aerosols by dry outdoor air ventilation should be assessed and compared with the beneficial health effects by control of the center zone of 40-60% RH, an essential factor for optimal functionality of the airways, and with the additional positive impact on acute symptoms, work productivity, and reduced risk of infection.

Air Change Rate and SARS-CoV-2 Exposure in Hospitals and Residences: A Meta-Analysis

As SARS-CoV-2 swept across the globe, increased ventilation and implementation of air cleaning were emphasized by the US CDC and WHO as important strategies to reduce the risk of inhalation exposure to the virus. To assess whether higher ventilation and air cleaning rates lead to lower exposure risk to SARS-CoV-2, 1274 manuscripts published between April 2020 and September 2022 were screened using key words "airborne SARS-CoV-2 or "SARS-CoV-2 aerosol". Ninety-three studies involved air sampling at locations with known sources (hospitals and residences) were selected and associated data were compiled. Two metrics were used to assess exposure risk: SARS-CoV-2 concentration and SARS-CoV-2 detection rate in air samples. Locations were categorized by type (hospital or residence) and proximity to the sampling location housing the isolated/quarantined patient (primary or secondary). The results showed that hospital wards had lower airborne virus concentrations than residential isolation rooms. A negative correlation was found between airborne virus concentrations in primary-occupancy areas and air changes per hour (ACH). In hospital settings, sample positivity rates were significantly reduced in secondary-occupancy areas compared to primary-occupancy areas, but they were similar across sampling locations in residential settings. ACH and sample positivity rates were negatively correlated, though the effect was diminished when ACH values exceeded 8. While limitations associated with diverse sampling protocols exist, data considered by this meta-analysis support the notion that higher ACH may reduce exposure risks to the virus in ambient air.

Reduction of acute respiratory infections in day-care by non-pharmaceutical interventions: a narrative review

Objective

Children who start in day-care have 2-4 times as many respiratory infections compared to children who are cared for at home, and day-care staff are among the employees with the highest absenteeism. The extensive new knowledge that has been generated in the COVID-19 era should be used in the prevention measures we prioritize. The purpose of this narrative review is to answer the questions: Which respiratory viruses are the most significant in day-care centers and similar indoor environments? What do we know about the transmission route of these viruses? What evidence is there for the effectiveness of different non-pharmaceutical prevention measures?

Design

Literature searches with different terms related to respiratory infections in humans, mitigation strategies, viral transmission mechanisms, and with special focus on day-care, kindergarten or child nurseries, were conducted in PubMed database and Web of Science. Searches with each of the main viruses in combination with transmission, infectivity, and infectious spread were conducted separately supplemented through the references of articles that were retrieved.

Results

Five viruses were found to be responsible for ≈95% of respiratory infections: rhinovirus, (RV), influenza virus (IV), respiratory syncytial virus (RSV), coronavirus (CoV), and adenovirus (AdV). Novel research, emerged during the COVID-19 pandemic, suggests that most respiratory viruses are primarily transmitted in an airborne manner carried by aerosols (microdroplets).

Conclusion

Since airborne transmission is dominant for the most common respiratory viruses, the most important preventive measures consist of better indoor air quality that reduces viral concentrations and viability by appropriate ventilation strategies. Furthermore, control of the relative humidity and temperature, which ensures optimal respiratory functionality and, together with low resident density (or mask use) and increased time outdoors, can reduce the occurrence of respiratory infections.

Fates of Emitted Particles Depending on Mask Wearing Using an Approach Validated Across Spatial Scales

The spread of emitted potentially virus-laden aerosol particles is known to be highly dependent on whether a mask is worn by an infected person and on the emission scenario, i.e., whether the person is coughing, speaking, or breathing. The aim of this work is to investigate in detail the fates of particles emitted by a person wearing a perfectly fitting, a naturally fitted mask with leakage, and no mask depending on the emission scenario. Therefore, a two-scale numerical workflow is proposed where parameters are carried through from a micro-scale where the fibers of the mask filter medium and the aerosol particles are resolved to a macro-scale and validated by comparison to experimental measurements of fractional filtration efficiency and pressure drop of the filter medium as well as pressure drop of the mask. It turns out that masks reduce the number of both emitted and inhaled particles significantly even with leakage. While without a mask, the person opposite of an infected person is generally at the highest risk of being infected, a mask worn by an infected person speaking or coughing will deflect the flow leading to the fact that the person behind the infected person might inhale the largest number of aerosol particles.

Efficacy of Do-It-Yourself air filtration units in reducing exposure to simulated respiratory aerosols

Many respiratory diseases, including COVID-19, can be spread by aerosols expelled by infected people when they cough, talk, sing, or exhale. Exposure to these aerosols indoors can be reduced by portable air filtration units (air cleaners). Homemade or Do-It-Yourself (DIY) air filtration units are a popular alternative to commercially produced devices, but performance data is limited. Our study used a speaker-audience model to examine the efficacy of two popular types of DIY air filtration units, the Corsi-Rosenthal cube and a modified Ford air filtration unit, in reducing exposure to simulated respiratory aerosols within a mock classroom. Experiments were conducted using four breathing simulators at different locations in the room, one acting as the respiratory aerosol source and three as recipients. Optical particle spectrometers monitored simulated respiratory aerosol particles (0.3-3 μm) as they dispersed throughout the room. Using two DIY cubes (in the front and back of the room) increased the air change rate as much as 12.4 over room ventilation, depending on filter thickness and fan airflow. Using multiple linear regression, each unit increase of air change reduced exposure by 10%. Increasing the number of filters, filter thickness, and fan airflow significantly enhanced the air change rate, which resulted in exposure reductions of up to 73%. Our results show DIY air filtration units can be an effective means of reducing aerosol exposure. However, they also show performance of DIY units can vary considerably depending upon their design, construction, and positioning, and users should be mindful of these limitations.

Integrated system of exhaust air heat pump and advanced air distribution for energy-efficient provision of outdoor air

A large outdoor air supply is required to control the airborne infection risk of respiratory diseases (e.g., COVID 19) but causes a high energy penalty. This study proposes a novel integrated system of the exhaust air heat pump and advanced air distribution to energy-efficiently provide outdoor air. The system energy performances are evaluated by the experimentally validated thermodynamic model of heat pump and heat removal efficiency model of advanced air distribution. Results show the exhaust air heat pump with advanced air distribution can save energy because of three mechanisms. First, the exhaust air heat pump reuses the exhaust air to reduce the condensation temperature, thereby improving the coefficient of performance. Second, advanced air distribution reduces ventilation load. Third, advanced air distribution reduces the condensation temperature and enhances the evaporation temperature, thereby improving the coefficient of performance. The exhaust air heat pump saves energy by 18%, advanced air distribution saves energy by 36%, and the integrated system of the exhaust air heat pump and advanced air distribution can save energy by 45%. As a specific application, compared with the conventional system (i.e., the outdoor air heat pump with mixing ventilation), the exhaust air heat pump with stratum ventilation saves energy by 21% - 35% under various outdoor air ratios and outdoor air temperatures. The proposed integrated system of the exhaust air heat pump and advanced air distribution contributes to the development of low-carbon and healthy buildings.

Close contact behavior-based COVID-19 transmission and interventions in a subway system

During COVID-19 pandemic, analysis on virus exposure and intervention efficiency in public transports based on real passenger's close contact behaviors is critical to curb infectious disease transmission. A monitoring device was developed to gather a total of 145,821 close contact data in subways based on semi-supervision learning. A virus transmission model considering both short- and long-range inhalation and deposition was established to calculate the virus exposure. During rush-hour, short-range inhalation exposure is 3.2 times higher than deposition exposure and 7.5 times higher than long-range inhalation exposure of all passengers in the subway. The close contact rate was 56.1 % and the average interpersonal distance was 0.8 m. Face-to-back was the main pattern during close contact. Comparing with random distribution, if all passengers stand facing in the same direction, personal virus exposure through inhalation (deposition) can be reduced by 74.1 % (98.5 %). If the talk rate was decreased from 20 % to 5 %, the inhalation (deposition) exposure can be reduced by 69.3 % (73.8 %). In addition, we found that virus exposure could be reduced by 82.0 % if all passengers wear surgical masks. This study provides scientific support for COVID-19 prevention and control in subways based on real human close contact behaviors.

Infection risk of SARS-CoV-2 in a dining setting: Deposited droplets and aerosols

Considering that safe-distancing and mask-wearing measures are not strictly enforced in dining settings in the context of SARS-CoV-2, the infection risks of patrons in a dining outlet (e.g., a cafe) is assessed in this study. The size-resolved aerosol emission rate (AER) and droplets deposition rate (DDR) on dining plates from speaking were obtained through chamber measurements and droplet deposition visualization via fluorescent imaging technique (FIT), respectively. The AER from speaking was 24698 #/min in the size range of 0.3-5.5 μm, while the DDR was 365 #/min in the size range of 43-2847 μm. Furthermore, an infection risk model was adopted and revised to evaluate the infection risk of 120 diners for a "3-h event" in the cafe. In a four-person dining setting around a rectangular table, a diner seated diagonally across an infected person posed the least infection risk due to the deposited droplets on dining plates. The deposited droplets on a dining plate were dominant in possible viral transmission as compared to the long-range airborne route when a diner shared a table with the infected person. Yet, long-range airborne transmission had the potential to infect other diners in the cafe, even resulting in super-spreading events. A fresh air supply of 12.1-17.0 L/s per person is recommended for the cafe to serve 4-20 diners concurrently to minimize infection risks due to aerosols. Current ventilation standards (e.g., 8-10 L/s per person) for a cafe are not enough to avoid the airborne transmission of SARS-CoV-2.

The effect of increasing indoor ventilation on artificially generated aerosol particle counts

The COVID-19 global pandemic has caused millions of infections and deaths despite mitigation efforts that involve physical distancing, mask-wearing, avoiding indoor gatherings and increasing indoor ventilation. The purpose of this study was to compare ways to improve indoor ventilation and assess its effect on artificially generated aerosol counts. It was hypothesized that inbuilt kitchen vents would be more effective in reducing indoor aerosol counts than opening windows alone. A fixed amount of saline aerosol was dispersed in the experimental area using a nebulizer under constant temperature and a narrow range of humidity. A laser air quality monitor was used to record small particle counts every 30 minutes from baseline to 120 minutes for four different experimental groups for each combination of kitchen vents and windows. The results of the study demonstrate that aerosol counts were lowest with the kitchen exhaust vents on. This study suggests that liberal use of home exhaust systems like the kitchen vents could achieve significantly more air exchange than open windows alone and may present an effective solution to improving indoor ventilation, especially during the colder months when people tend to congregate indoors in closed spaces. There were no safety concerns involved when conducting this experiment.

Reliability and Validity of General Health Questionnaire-12 in Chinese Dental Healthcare Workers During the COVID-19 Pandemic

BACKGROUND

The General Health Questionnaire-12 (GHQ-12) is a widely used instrument to assess mental health status. However, little is known about its applicability in Chinese healthcare workers. This study aimed to evaluate the reliability and validity of the GHQ-12 in Chinese dental healthcare workers.

METHODS

Dental healthcare workers participated in the first occupational survey in China conducted by the Chongqing Stomatological Association from February 2021 to March 2021 by filling out GHQ-12. The reliability and validity of GHQ-12 were then tested.

RESULTS

A total of 3,020 valid electronic questionnaires were acquired. The positive detection rate of self-reported mental health status was 23.80% (719/3,020). The Cronbach's α coefficient of the GHQ-12 was 0.892, and the Cronbach's α coefficient was 0.877-0.888 after the deletion of individual items, and the split-half reliability was 0.843. The correlation coefficient between the item-total score ranged from 0.465 to 0.762 (P<0.05). The exploratory factor analysis found 2 common factors with a factor load of 0.564-0.818. The confirmatory factor analysis showed that the factor load on the specified items was 0.480-0.790.

CONCLUSIONS

The two-factor model of GHQ-12 featured good reliability and validity, which could be used to assess the mental health status of Chinese dental healthcare workers.