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de Crane D’Heysselaer S, Parisi G, Lisson M, Bruyère O, Donneau AF, Fontaine S, Gillet L, Bureau F, Darcis G, Thiry E, Ducatez M, Snoeck CJ, Zientara S, Haddad N, Humblet MF, Ludwig-Begall LF, Daube G, Thiry D, Misset B, Lambermont B, Tandjaoui-Lambiotte Y, Zahar JR, Sartor K, Noël C, Saegerman C, Haubruge E. Systematic Review of the Key Factors Influencing the Indoor Airborne Spread of SARS-CoV-2. Pathogens 2023; 12:382. [PMID: 36986304 PMCID: PMC10053454 DOI: 10.3390/pathogens12030382] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 02/19/2023] [Accepted: 02/20/2023] [Indexed: 03/06/2023] Open
Abstract
The COVID-19 pandemic due to the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has been plaguing the world since late 2019/early 2020 and has changed the way we function as a society, halting both economic and social activities worldwide. Classrooms, offices, restaurants, public transport, and other enclosed spaces that typically gather large groups of people indoors, and are considered focal points for the spread of the virus. For society to be able to go "back to normal", it is crucial to keep these places open and functioning. An understanding of the transmission modes occurring in these contexts is essential to set up effective infection control strategies. This understanding was made using a systematic review, according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement (PRISMA) 2020 guidelines. We analyze the different parameters influencing airborne transmission indoors, the mathematical models proposed to understand it, and discuss how we can act on these parameters. Methods to judge infection risks through the analysis of the indoor air quality are described. Various mitigation measures are listed, and their efficiency, feasibility, and acceptability are ranked by a panel of experts in the field. Thus, effective ventilation procedures controlled by CO2-monitoring, continued mask wearing, and a strategic control of room occupancy, among other measures, are put forth to enable a safe return to these essential places.
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Affiliation(s)
| | - Gianni Parisi
- Research Unit in Epidemiology and Risk Analysis Applied to Veterinary Sciences (UREAR-ULiege), FARAH Research Centre, Faculty of Veterinary Medicine, University of Liege, 4000 Liege, Belgium
| | - Maxime Lisson
- TERRA Research Centre, Gembloux Agro-Bio Tech, University of Liège, 5030 Gembloux, Belgium
| | - Olivier Bruyère
- Division of Public Health, Epidemiology and Health Economics, Faculty of Medicine, University of Liège, 4000 Liège, Belgium
| | | | - Sebastien Fontaine
- Institute for Research in Social Sciences (IRSS), Faculty of Social Sciences, University of Liege, 4000 Liège, Belgium
| | - Laurent Gillet
- Immunology-Vaccinology Laboratory, FARAH Research Center, Faculty of Veterinary Medicine, University of Liège, 4000 Liège, Belgium
| | - Fabrice Bureau
- Laboratory of Cellular and Molecular Immunology, GIGA Institute, University of Liege, 4000 Liège, Belgium
| | - Gilles Darcis
- Infectious Diseases Department, Centre Hospitalier Universitaire de Liège, 4000 Liège, Belgium
| | - Etienne Thiry
- Veterinary Virology and Animal Viral Diseases, FARAH Research Centre, Department of Infectious and Parasitic Diseases, Faculty of Veterinary Medicine, University of Liège, 4000 Liège, Belgium
| | - Mariette Ducatez
- IHAP, Université de Toulouse, INRAE, ENVT, 31000 Toulouse, France
| | - Chantal J. Snoeck
- Clinical and Applied Virology Group, Department of Infection and Immunity, Luxembourg Institute of Health, 4354 Esch-sur-Alzette, Luxembourg
| | - Stéphan Zientara
- UMR1161 Virologie, INRAE, Ecole Nationale Vétérinaire d’Alfort, Anses, Université Paris-Est, F-94700 Maisons-Alfort, France
| | - Nadia Haddad
- UMR BIPAR 956, Anses, INRAE, Ecole Nationale Vétérinaire d’Alfort, Université Paris-Est, 94700 Maisons-Alfort, France
| | - Marie-France Humblet
- Department of Occupational Safety and Health, University of Liege, 4000 Liege, Belgium
| | - Louisa F. Ludwig-Begall
- Veterinary Virology and Animal Viral Diseases, FARAH Research Centre, Department of Infectious and Parasitic Diseases, Faculty of Veterinary Medicine, University of Liège, 4000 Liège, Belgium
| | - Georges Daube
- Laboratoire de Microbiologie des Denrées Alimentaires, FARAH Research Center, Faculty of Veterinary Medicine, University of Liège, 4000 Liège, Belgium
| | - Damien Thiry
- Bacteriology, FARAH Research Center, Faculty of Veterinary Medicine, University of Liege, 4000 Liège, Belgium
| | - Benoît Misset
- Service des Soins Intensifs, CHU Sart Tilman, Department des Sciences Cliniques, University of Liège, 4000 Liege, Belgium
| | - Bernard Lambermont
- Service des Soins Intensifs, CHU Sart Tilman, Department des Sciences Cliniques, University of Liège, 4000 Liege, Belgium
| | - Yacine Tandjaoui-Lambiotte
- Laboratoire Hypoxie and Poumon INSERM U1272, Service de Réanimation Médico-Chirurgicale, CHU Avicenne, Assistance Publique-Hôpitaux de Paris, 93000 Bobigny, France
| | | | - Kevin Sartor
- Planification: Energie—Environnement, Département d’Aérospatiale et Mécanique, Systèmes Énergétiques, University of Liège, 4000 Liège, Belgium
| | - Catherine Noël
- Department of Occupational Safety and Health, University of Liege, 4000 Liege, Belgium
| | - Claude Saegerman
- Research Unit in Epidemiology and Risk Analysis Applied to Veterinary Sciences (UREAR-ULiege), FARAH Research Centre, Faculty of Veterinary Medicine, University of Liege, 4000 Liege, Belgium
| | - Eric Haubruge
- TERRA Research Centre, Gembloux Agro-Bio Tech, University of Liège, 5030 Gembloux, Belgium
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Takamure K, Sakamoto Y, Iwatani Y, Amano H, Yagi T, Uchiyama T. Characteristics of collection and inactivation of virus in air flowing inside a winding conduit equipped with 280 nm deep UV-LEDs. ENVIRONMENT INTERNATIONAL 2022; 170:107580. [PMID: 36252438 DOI: 10.1016/j.envint.2022.107580] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 10/06/2022] [Accepted: 10/10/2022] [Indexed: 06/16/2023]
Abstract
A general-purpose virus inactivation unit that can inactivate viruses was developed using deep ultraviolet (DUV) LEDs that emit DUV rays with a wavelength of 280 nm. The inside of the virus inactivation unit is a rectangular conduit with a sharp turn of 180° (sharp-turned rectangular conduit). Virus inactivation is attempted by directly irradiating the air passing through the conduit with DUV rays. The flow characteristics of air and virus particles inside the virus inactivation unit were investigated using numerical simulations. The air was locally accelerated at the sharp turn parts and flowed along the partition plate in the sharp-turned rectangular conduit. The aerosol particles moving in the sharp-turned rectangular conduit were greatly bent in orbit at the sharp turn parts, and then rapidly approached the partition plate at the lower part of the conduit. Consequently, many particles collided with the partition plates behind the sharp-turn parts. SARS-CoV-2 virus was nebulized in the virus inactivation unit, and the RNA concentration and virus inactivation rate with and without the emission of DUV-LEDs were measured in the experiment. The concentration of SARS-CoV-2 RNA was reduced to 60% through DUV-LED irradiation. In addition, SARS-CoV-2 passing through the virus inactivation unit was inactivated below the detection limit by the emission of DUV-LEDs. The virus inactivation rate and the value of the detection limit corresponded to 99.38% and 35.36 TCID50/mL, respectively.
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Affiliation(s)
- Kotaro Takamure
- Institute of Materials and Systems for Sustainability, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8601, Japan.
| | - Yasuaki Sakamoto
- Graduate School of Informatics, Nagoya University, Nagoya 464-8601, Japan
| | - Yasumasa Iwatani
- Clinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya 460-0001, Japan.
| | - Hiroshi Amano
- Institute of Materials and Systems for Sustainability, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8601, Japan.
| | - Tetsuya Yagi
- Department of Infectious Diseases, Nagoya University Hospital, Nagoya 466-0065, Japan.
| | - Tomomi Uchiyama
- Institute of Materials and Systems for Sustainability, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8601, Japan.
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Baselga M, Alba JJ, Schuhmacher AJ. The Control of Metabolic CO 2 in Public Transport as a Strategy to Reduce the Transmission of Respiratory Infectious Diseases. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:6605. [PMID: 35682191 PMCID: PMC9180361 DOI: 10.3390/ijerph19116605] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 05/25/2022] [Accepted: 05/27/2022] [Indexed: 01/27/2023]
Abstract
The global acceptance of the SARS-CoV-2 airborne transmission led to prevention measures based on quality control and air renewal. Among them, carbon dioxide (CO2) measurement has positioned itself as a cost-efficiency, reliable, and straightforward method to assess indoor air renewal indirectly. Through the control of CO2, it is possible to implement and validate the effectiveness of prevention measures to reduce the risk of contagion of respiratory diseases by aerosols. Thanks to the method scalability, CO2 measurement has become the gold standard for diagnosing air quality in shared spaces. Even though collective transport is considered one of the environments with the highest rate of COVID-19 propagation, little research has been done where the air inside vehicles is analyzed. This work explores the generation and accumulation of metabolic CO2 in a tramway (Zaragoza, Spain) operation. Importantly, we propose to use the indicator ppm/person as a basis for comparing environments under different conditions. Our study concludes with an experimental evaluation of the benefit of modifying some parameters of the Heating-Ventilation-Air conditioning (HVAC) system. The study of the particle retention efficiency of the implemented filters shows a poor air cleaning performance that, at present, can be counteracted by opening windows. Seeking a post-pandemic scenario, it will be crucial to seek strategies to improve air quality in public transport to prevent the transmission of infectious diseases.
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Affiliation(s)
- Marta Baselga
- Institute for Health Research Aragon (IIS Aragón), 50009 Zaragoza, Spain; (M.B.); (J.J.A.)
| | - Juan J. Alba
- Institute for Health Research Aragon (IIS Aragón), 50009 Zaragoza, Spain; (M.B.); (J.J.A.)
- Department of Mechanical Engineering, University of Zaragoza, 50018 Zaragoza, Spain
| | - Alberto J. Schuhmacher
- Institute for Health Research Aragon (IIS Aragón), 50009 Zaragoza, Spain; (M.B.); (J.J.A.)
- Fundación Agencia Aragonesa para la Investigación y el Desarrollo (ARAID), 500018 Zaragoza, Spain
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