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Evaluation of aerosol transmission risk during home quarantine under different operating scenarios: A pilot study

SARS-CoV-2 has been recognized to be airborne transmissible. With the large number of reported positive cases in the community, home quarantine is recommended for the infectors who are not severely ill. However, the risks of household aerosol transmission associated with the quarantine room operatin...

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Autores principales: Cheung, Toby, Li, Jiayu, Goh, Jiamin, Sekhar, Chandra, Cheong, David, Tham, Kwok Wai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9528801/
https://www.ncbi.nlm.nih.gov/pubmed/36210963
http://dx.doi.org/10.1016/j.buildenv.2022.109640
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author Cheung, Toby
Li, Jiayu
Goh, Jiamin
Sekhar, Chandra
Cheong, David
Tham, Kwok Wai
author_facet Cheung, Toby
Li, Jiayu
Goh, Jiamin
Sekhar, Chandra
Cheong, David
Tham, Kwok Wai
author_sort Cheung, Toby
collection PubMed
description SARS-CoV-2 has been recognized to be airborne transmissible. With the large number of reported positive cases in the community, home quarantine is recommended for the infectors who are not severely ill. However, the risks of household aerosol transmission associated with the quarantine room operating methods are under-explored. We used tracer gas technique to simulate the exhaled virus laden aerosols from a patient under home quarantine situation inside a residential testbed. The Sulphur hexafluoride (SF(6)) concentration was measured both inside and outside the quarantine room under different operating settings including, air-conditioning and natural ventilation, presence of an exhaust fan, and the air movement generated by ceiling or pedestal fan. We calculated the outside-to-inside SF(6) concentration to indicate potential exposure of occupants in the same household. In-room concentration with air-conditioning was 4 times higher than in natural ventilation settings. Exhaust fan operation substantially reduced in-room SF(6) concentration and leakage rate in most of the ventilation scenarios, except for natural ventilation setting with ceiling fan. The exception is attributable to the different airflow patterns between ceiling fan (recirculates air vertically) and pedestal fan (moves air horizontally). These airflow variations also led to differences in SF(6) concentration at two sampling heights (0.1 m and 1.7 m) and SF(6) leakage rates when the quarantine room door was opened momentarily. Use of natural ventilation rather than air-conditioning, and operating exhaust fan when using air-conditioning are recommended to lower exposure risk for home quarantine. A more holistic experiment will be conducted to address the limitations reflected in this study.
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spelling pubmed-95288012022-10-04 Evaluation of aerosol transmission risk during home quarantine under different operating scenarios: A pilot study Cheung, Toby Li, Jiayu Goh, Jiamin Sekhar, Chandra Cheong, David Tham, Kwok Wai Build Environ Article SARS-CoV-2 has been recognized to be airborne transmissible. With the large number of reported positive cases in the community, home quarantine is recommended for the infectors who are not severely ill. However, the risks of household aerosol transmission associated with the quarantine room operating methods are under-explored. We used tracer gas technique to simulate the exhaled virus laden aerosols from a patient under home quarantine situation inside a residential testbed. The Sulphur hexafluoride (SF(6)) concentration was measured both inside and outside the quarantine room under different operating settings including, air-conditioning and natural ventilation, presence of an exhaust fan, and the air movement generated by ceiling or pedestal fan. We calculated the outside-to-inside SF(6) concentration to indicate potential exposure of occupants in the same household. In-room concentration with air-conditioning was 4 times higher than in natural ventilation settings. Exhaust fan operation substantially reduced in-room SF(6) concentration and leakage rate in most of the ventilation scenarios, except for natural ventilation setting with ceiling fan. The exception is attributable to the different airflow patterns between ceiling fan (recirculates air vertically) and pedestal fan (moves air horizontally). These airflow variations also led to differences in SF(6) concentration at two sampling heights (0.1 m and 1.7 m) and SF(6) leakage rates when the quarantine room door was opened momentarily. Use of natural ventilation rather than air-conditioning, and operating exhaust fan when using air-conditioning are recommended to lower exposure risk for home quarantine. A more holistic experiment will be conducted to address the limitations reflected in this study. Elsevier Ltd. 2022-11 2022-09-29 /pmc/articles/PMC9528801/ /pubmed/36210963 http://dx.doi.org/10.1016/j.buildenv.2022.109640 Text en © 2022 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Cheung, Toby
Li, Jiayu
Goh, Jiamin
Sekhar, Chandra
Cheong, David
Tham, Kwok Wai
Evaluation of aerosol transmission risk during home quarantine under different operating scenarios: A pilot study
title Evaluation of aerosol transmission risk during home quarantine under different operating scenarios: A pilot study
title_full Evaluation of aerosol transmission risk during home quarantine under different operating scenarios: A pilot study
title_fullStr Evaluation of aerosol transmission risk during home quarantine under different operating scenarios: A pilot study
title_full_unstemmed Evaluation of aerosol transmission risk during home quarantine under different operating scenarios: A pilot study
title_short Evaluation of aerosol transmission risk during home quarantine under different operating scenarios: A pilot study
title_sort evaluation of aerosol transmission risk during home quarantine under different operating scenarios: a pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9528801/
https://www.ncbi.nlm.nih.gov/pubmed/36210963
http://dx.doi.org/10.1016/j.buildenv.2022.109640
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