Assessment of CO2 and aerosol (PM2.5, PM10, UFP) concentrations during the reopening of schools in the COVID-19 pandemic: The case of a metropolitan area in Central-Southern Spain

Comprehensive air quality assessment including non-targeted approaches in primary schools from Spain

This work aims to establish a strategy to comprehensively assess the indoor air quality in schools including the analysis of chemical pollutants, bio-aerosols like fungi, bacteria and respiratory viruses and the identification of volatile and semi-volatile organic compounds applying non-targeted approaches. For this, a pilot study was performed in four primary schools from Spain, located in different urban and rural areas during different seasons. Common indoor pollutants, like CO2, NO2, O3, CO, particulate matter (PM10, PM2.5), ultrafine particles (UFP), total volatile organic compounds (TVOCs), and formaldehyde (HCHO), were assessed in terms of maximum recommended levels, daily variations, seasonality, and school location. Additionally, fungi and bacteria were studied indoors and they were always found at adequate levels. The most prevalent fungal genera were Aspergillus, Penicillium, and Cladosporium. Seventeen respiratory viruses were measured in the air of the assessed classrooms and none were detected. Volatile and semivolatile organic compounds were identified indoors and outdoors using non-targeted approaches based on GC-HRMS and UHPLC-HRMS. High-confidence identified compounds were classified according to their chemical and toxicological characteristics, revealing that 44% and 26% of them presented a high toxicological risk in outdoor and indoor environments, respectively. This study provides a new strategy to assess comprehensively the IAQ in schools, and expands the knowledge about contaminants present in these environments, giving rise to future research.

CO2 and aerosol concentration during manual and mechanical chest compression while cardiopulmonary resuscitation

BACKGROUND

This study investigates the staff-to-staff transmission risk of Coronavirus disease 2019 during cardiopulmonary resuscitation in an ambulance vehicle.

METHODS

Comparing manual and mechanical chest compressions, CO2 concentrations were monitored as a proxy for infection risk.

RESULTS

Results suggest that mechanical chest compressions generate lower CO2 levels, indicating a reduced risk of infection among healthcare workers compared to manual compressions.

CONCLUSIONS

These findings highlight the potential benefits of employing mechanical chest compressions to mitigate staff-to-staff infections in small, confined spaces during aerosol-transmitted diseases.

Sources, levels, and determinants of indoor air pollutants in Europe: A systematic review

Clean air is a requirement for life, and the quality of indoor air is a health determinant since people spend most of their daily time indoors. The aim of this study was to systematically review the available evidence regarding the sources, determinants and concentrations of indoor air pollutants in a set of scenarios under study in K-HEALTHinAIR project. To this end, a systematic review was performed to review the available studies published between the years 2013-2023, for several settings (schools, homes, hospitals, lecture halls, retirement homes, public transports and canteens), conducted in Europe, where sources and determinants of the indoor pollutants concentrations was assessed. After a two-stage screening in abstract and full-text, 148 papers were included for data extraction. For particulate matter, carbon dioxide and volatile organic compounds, several emission sources were identified (occupancy, human activities, resuspension, cleaning products, disinfectants, craft activities, cooking, smoking), with ventilation, number of occupants, building characteristics, being considered as important determinants. This review made also possible to discuss some of the actions that are already in place or should be implemented in the future to prevent and control the presence of pollutants indoors.

Monitoring of indoor air quality at a large sailing cruise ship to assess ventilation performance and disease transmission risk

Large passenger ships are characterised as enclosed and crowded indoor spaces with frequent interactions between travellers, providing conditions that facilitate disease transmission. This study aims to provide an indoor ship CO2 dataset for inferring thermal comfort, ventilation and infectious disease transmission risk evaluation. Indoor air quality (IAQ) monitoring was conducted in nine environments (three cabins, buffet, gym, bar, restaurant, pub and theatre), on board a cruise ship voyaging across the UK and EU, with the study conducted in the framework of the EU HEALTHY SAILING project. CO2 concentrations, temperature and relative humidity (RH) were simultaneously monitored to investigate thermal characteristics and effectiveness of ventilation performance. Results show a slightly higher RH of 68.2 ± 5.3 % aboard compared to ASHRAE and ISO recommended targets, with temperature recorded at 22.3 ± 1.4 °C. Generally, good IAQ (<1000 ppm) was measured with CO2 mainly varying between 400 and 1200 ppm. The estimated air change rates (ACH) and ventilation rates (VR) implied sufficient ventilation was provided in most locations, and the theatre (VR: 86 L s-1 person-1) and cabins (VR: >20 L s-1 person-1) were highly over-ventilated. Dining areas including the pub and restaurant recorded high CO2 concentrations (>2000 ppm) potentially due to higher footfall (0.6 person m-2 and 0.4 person m-2) and limited ACH (2.3 h-1 and 0.8 h-1), indicating a potential risk of infection; these areas should be prioritised for improvement. The IAQ and probability of infection indicate there is an opportunity for energy saving by lowering hotel load for the theatre and cabins and achieving the minimum acceptable VR (10 L s-1 person-1) for occupants' comfort and disease control. Our study produced a first-time dataset from a sailing cruise ship's ventilated areas and provided evidence that can inform guidelines about the optimisation of ventilation operations in large passenger ships, contributing to respiratory health, infection control and energy efficiency aboard.

Ultrafine Particle Generation from Ozone Oxidation of Cannabis Smoke

Cannabis smoke is a complex aerosol mixture, featuring characteristic monoterpenes and sesquiterpenes which are susceptible to reaction with ozone and other oxidants. These reactions form less-volatile species which can contribute to secondary organic aerosol (SOA) and ultrafine particle (UFP) formation. In this work, the reaction of ozone with cannabis smoke was observed in an environmental chamber. Particle size distribution, and gas-phase and particle-phase composition were monitored in real time. The diameter of primary particles ranged from 10-1 to 1 μm. Ultrafine particle formation occurred when cannabis smoke was exposed to ozone levels greater than 10 ppb, over the entire observed primary particle concentration range (1030-4580 μg m-3). Gas-phase measurements indicate that monoterpene and sesquiterpene levels decayed rapidly upon ozone exposure, while oxygen-containing species were formed during oxidation. On the other hand, measurements of particle composition showed an increase in nitrogen-containing species during oxidation. Although ozone was the only oxidant added to cannabis smoke in the chamber, it is believed that the OH radical plays an important role in the oxidation mechanism, where OH results from the reaction of ozone with terpenes and sesquiterpenes. Overall, smoking cannabis in ozone-rich environments, both indoors and outdoors, will likely lead to UFP formation.

Monitoring and assessment of CO2 and NO2 in schools within the Sentinel Schools Network of Catalonia during the COVID-19 era

In response to the global impact of the COVID-19 pandemic, international and national authorities, including those in Catalonia (Spain), recognized the crucial need to ensure proper ventilation in classrooms, emphasizing the importance of safe and healthy indoor environments for face-to-face learning. The present work, conducted within the COVID-19 Sentinel Schools Network of Catalonia (CSSNC) framework, aimed to monitor carbon dioxide (CO2) and nitrogen dioxide (NO2) concentrations in 23 schools, ensuring a comprehensive sample regarding educational levels, daily scholar schedules, and classroom typologies distributed across the four provinces of Catalonia. The research spanned three study periods: March and April 2021, October 2021 to January 2022, and March to June 2022. Briefly, 28%, 25%, and 37% of classrooms surpassed the 700 parts per million (ppm) CO2 limit in each study period, respectively. Generally, CO2 averages were lower in preschool classrooms (mean ± SD = 486 ± 106 ppm), while high school classrooms displayed the highest CO2 concentrations (mean ± SD = 710 ± 253 ppm). Moreover, classrooms in towns (<30000 inhabitants) exhibited higher CO2 levels as compared to classrooms from schools located in cities. As for NO2, the highest averages were obtained in urban areas, particularly in the Barcelona metropolitan area (e.g. mean indoor levels of 24.56 μg m-3 as compared to 11.05 μg m-3 in towns). In addition, the Indoor/Outdoor ratio (I/O ratio) in towns was the lowest (0.60). These results, together with the higher concentration of CO2 indoors, could indicate poorer ventilation in town schools. The results of this study are anticipated to contribute to implementing evidence-based measures to improve indoor air quality (IAQ) in educational settings.

Viral infection transmission and indoor air quality: A systematic review

Respiratory disease transmission in indoor environments presents persistent challenges for health authorities, as exemplified by the recent COVID-19 pandemic. This underscores the urgent necessity to investigate the dynamics of viral infection transmission within indoor environments. This systematic review delves into the methodologies of respiratory infection transmission in indoor settings and explores how the quality of indoor air (IAQ) can be controlled to alleviate this risk while considering the imperative of sustainability. Among the 2722 articles reviewed, 178 were retained based on their focus on respiratory viral infection transmission and IAQ. Fifty eight articles delved into SARS-CoV-2 transmission, 21 papers evaluated IAQ in contexts of other pandemics, 53 papers assessed IAQ during the SARS-CoV-2 pandemic, and 46 papers examined control strategies to mitigate infectious transmission. Furthermore, of the 46 papers investigating control strategies, only nine considered energy consumption. These findings highlight clear gaps in current research, such as analyzing indoor air and surface samples for specific indoor environments, oversight of indoor and outdoor parameters (e.g., temperature, relative humidity (RH), and building orientation), neglect of occupancy schedules, and the absence of considerations for energy consumption while enhancing IAQ. This study distinctly identifies the indoor environmental conditions conducive to the thriving of each respiratory virus, offering IAQ trade-offs to mitigate the risk of dominant viruses at any given time. This study argues that future research should involve digital twins in conjunction with machine learning (ML) techniques. This approach aims to enhance IAQ by analyzing the transmission patterns of various respiratory viruses while considering energy consumption.

Assessment of natural ventilation strategy to decrease the risk of COVID 19 infection at a rural elementary school

Natural ventilation in low-budget elementary schools is the main focus to ensure the health and comfort of its occupants, specifically when looking at the global pandemic related to SARS-COV-2. This paper presents an experimental and novel study of natural ventilation in a public elementary school (Los Zumacales), with a particularly low economic budget. The study was carried out during the winter months of the Covid 19 pandemic. The school is located in the rural area of Castilla y León (North-Western Spain) far from high traffic roads. In this study, a methodology of measuring CO2 concentration was applied in nine classrooms in a school. The experimental study shows the level of natural ventilation in each classroom, expressed in Air Changes per Hour (ACH), using the Decay CO2 concentration method. The method is proven by comparing the experimental values of the obtained ACH with those determined by the most powerful methods to achieve appropriate ventilation levels. Thus, ensuring health protection protocol in rural schools, against the COVID 19 pandemic. Harvard guide and Spanish regulations (RITE), two widely recognized methods have been used together with the experimentally obtained standard by Rey et al. Only one classroom showed a value lower than 3 indicating poor ventilation. In this study, the degree of thermal comfort in the nine classrooms were also analyzed according to the EN15251 standard. An average indoor temperature of approximately 19 °C was obtained, and the relative humidity was stable and correct according to Spanish regulations. In addition, the risk of infection in each classroom was estimated following the international method recommended by the federation of European Heating, Ventilation, and Air Conditioning Associations (REHVA). The probability of infection in all the cases studied was less than 14%. Therefore, this study provides a strong response against infections illnesses, such as Covid 19, in educational buildings where economic budgets of their facilities are low in both, maintenance and investment.

The Influence of Ventilation Measures on the Airborne Risk of Infection in Schools: A Scoping Review

OBJECTIVES

To review the risk of airborne infections in schools and evaluate the effect of intervention measures reported in field studies.

BACKGROUND

Schools are part of a country's critical infrastructure. Good infection prevention measures are essential for reducing the risk of infection in schools as much as possible, since these are places where many individuals spend a great deal of time together every weekday in a small area where airborne pathogens can spread quickly. Appropriate ventilation can reduce the indoor concentration of airborne pathogens and reduce the risk of infection.

METHODS

A systematic search of the literature was conducted in the databases Embase, MEDLINE, and ScienceDirect using keywords such as school, classroom, ventilation, carbon dioxide (CO2) concentration, SARS-CoV-2, and airborne transmission. The primary endpoint of the studies selected was the risk of airborne infection or CO2 concentration as a surrogate parameter. Studies were grouped according to the study type.

RESULTS

We identified 30 studies that met the inclusion criteria, six of them intervention studies. When specific ventilation strategies were lacking in schools being investigated, CO2 concentrations were often above the recommended maximum values. Improving ventilation lowered the CO2 concentration, resulting in a lower risk of airborne infections.

CONCLUSIONS

The ventilation in many schools is not adequate to guarantee good indoor air quality. Ventilation is an important measure for reducing the risk of airborne infections in schools. The most important effect is to reduce the time of residence of pathogens in the classrooms.

Ventilation and thermal conditions in secondary schools in the Netherlands: Effects of COVID-19 pandemic control and prevention measures

During the COVID-19 pandemic, the importance of ventilation was widely stressed and new protocols of ventilation were implemented in school buildings worldwide. In the Netherlands, schools were recommended to keep the windows and doors open, and after a national lockdown more stringent measures such as reduction of occupancy were introduced. In this study, the actual effects of such measures on ventilation and thermal conditions were investigated in 31 classrooms of 11 Dutch secondary schools, by monitoring the indoor and outdoor CO2 concentration and air temperature, both before and after the lockdown. Ventilation rates were calculated using the steady-state method. Pre-lockdown, with an average occupancy of 17 students, in 42% of the classrooms the CO2 concentration exceeded the upper limit of the Dutch national guidelines (800 ppm above outdoors), while 13% had a ventilation rate per person (VRp) lower than the minimum requirement (6 l/s/p). Post-lockdown, the indoor CO2 concentration decreased significantly while for ventilation rates significant increase was only found in VRp, mainly caused by the decrease in occupancy (average 10 students). The total ventilation rate per classrooms, mainly induced by opening windows and doors, did not change significantly. Meanwhile, according to the Dutch national guidelines, thermal conditions in the classrooms were not satisfying, both pre- and post-lockdown. While opening windows and doors cannot achieve the required indoor environmental quality at all times, reducing occupancy might not be feasible for immediate implementation. Hence, more controllable and flexible ways for improving indoor air quality and thermal comfort in classrooms are needed.

Investigation of a cluster of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections in a hospital administration building

OBJECTIVE

To investigate a cluster of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections in employees working on 1 floor of a hospital administration building.

METHODS

Contact tracing was performed to identify potential exposures and all employees were tested for SARS-CoV-2. Whole-genome sequencing was performed to determine the relatedness of SARS-CoV-2 samples from infected personnel and from control cases in the healthcare system with coronavirus disease 2019 (COVID-19) during the same period. Carbon dioxide levels were measured during a workday to assess adequacy of ventilation; readings >800 parts per million (ppm) were considered an indication of suboptimal ventilation. To assess the potential for airborne transmission, DNA-barcoded aerosols were released, and real-time polymerase chain reaction was used to quantify particles recovered from air samples in multiple locations.

RESULTS

Between December 22, 2020, and January 8, 2021, 17 coworkers tested positive for SARS-CoV-2, including 13 symptomatic and 4 asymptomatic individuals. Of the 5 cluster SARS-CoV-2 samples sequenced, 3 were genetically related, but these employees denied higher-risk contacts with one another. None of the sequences from the cluster were genetically related to the 17 control sequences of SARS-CoV-2. Carbon dioxide levels increased during a workday but never exceeded 800 ppm. DNA-barcoded aerosol particles were dispersed from the sites of release to locations throughout the floor; 20% of air samples had >1 log₁₀ particles.

CONCLUSIONS

In a hospital administration building outbreak, sequencing of SARS-CoV-2 confirmed transmission among coworkers. Transmission occurred despite the absence of higher-risk exposures and in a setting with adequate ventilation based on monitoring of carbon dioxide levels.

Long-Term Assessment of a Set of CO2 Concentration Sensors in an In-Use Office Building

The measurement of the CO₂ concentration has a wide range of applications. Traditionally, it has been used to assess air quality, with other applications linked to the experimental assessment of occupancy patterns and air renewal rates. More recently, the worldwide dissemination of COVID-19 establishing a relationship between infection risk and the mean CO₂ level has abruptly led to the measurement of the CO₂ concentration in order to limit the spread of this respiratory disease in the indoor environment. Therefore, the extensive application of this measurement outside of traditional air quality assessment requires an in-depth analysis of the suitability of these sensors for such modern applications. This paper discusses the performance of an array of commercial wall-mounted CO₂ sensors, focusing on their application to obtain occupancy patterns and air renovation rates. This study is supported by several long-term test campaigns conducted in an in-use office building located in south-eastern Spain. The results show a spread of 19-101 ppm, with a drift of 28 ppm over 5 years, an offset of 2-301 ppm and fluctuations up to 80 ppm in instantaneous measurements not related to concentration changes. It is proposed that values averaged over 30 min, using a suitable reference value, be used to avoid erroneous results when calibration is not feasible.

Assessment of indoor air quality and risk of COVID-19 infection in Spanish secondary school and university classrooms

Despite the risk of transmission of SARS-CoV-2, Spanish educational centers were reopened after six months of lockdown. Ventilation was mostly adopted as a preventive measure to reduce the transmission risk of the virus. However, it could also affect indoor air quality (IAQ). Therefore, here we evaluate the ventilation conditions, COVID-19 risk, and IAQ in secondary school and university classrooms in Toledo (central Spain) from November 2020 to June 2021. Ventilation was examined by monitoring outdoor and indoor CO2 levels. CO2, occupancy and hygrothermal parameters, allowed estimating the relative transmission risk of SARS-CoV-2 (Alpha and Omicron BA.1), H r, under different scenarios, using the web app COVID Risk airborne . Additionally, the effect of ventilation on IAQ was evaluated by measuring indoor/outdoor (I/O) concentration ratios of O3, NO2, and suspended particulate matter (PM). University classrooms, particularly the mechanically ventilated one, presented better ventilation conditions than the secondary school classrooms, as well as better thermal comfort conditions. The estimated H r for COVID-19 ranged from intermediate (with surgical masks) to high (no masks, teacher infected). IAQ was generally good in all classrooms, particularly at the university ones, with I/O below unity, implying an outdoor origin of gaseous pollutants, while the source of PM was heterogeneous. Consequently, controlled mechanical ventilation systems are essential in educational spaces, as well as wearing well-fitting FFP2-N95 masks indoors is also highly recommended to minimize the transmission risk of COVID-19 and other airborne infectious diseases.

A systematic review of ventilation conditions and airborne particulate matter levels in urban offices

Many working activities are carried out in office buildings that are located in urban areas. Several studies have shown that these workplaces are likely to present poor indoor environmental quality (IEQ) due to inadequate ventilation rates, compromised thermal comfort conditions, and/or high concentration of air pollutants, such as particulate matter. This study aimed to review ventilation conditions, based on carbon dioxide (CO₂ ) concentrations, and indoor airborne particulate matter (PM_2.5 and PM₁₀ ) levels assessed in offices worldwide. The approach carried out in this work followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Six databases (Scopus, Web of Science, PubMed, Inspec, Science Direct, and Dimensions) were used to search for peer-reviewed articles on the subject of IEQ, in particular, those reporting data for the levels of CO₂ and particulate matter in offices, published during the last decade. Firstly, 394 records were identified, resulting in 23 articles included in the review after the screening process and the implementation of eligibility criteria. Based on the results and considering the mean concentration reported, office environments present, in general, acceptable ventilation conditions (mean: 665 ppm). However, the few cases of studies that reported CO₂ values exceeding 1000 ppm identified situations of high occupancy density and inadequate operation of heating, ventilation, and air conditioning (HVAC) systems as the unequivocal causative factors. In turn, PM_2.5 and PM₁₀ seemed to be IEQ parameters that are even more critical to be tackled in offices, with the reported overall mean values (36 and 63 μg/m³ ) exceeding the current World Health Organization (WHO) guidelines (15 and 45 μg/m³ ). The highest aerosol concentrations were typically found in naturally ventilated buildings and were mostly associated with the influence of high levels of particles introduced indoors through the outdoor air. Overall, measures for improving IEQ in offices toward promoting healthy and safe environments for workers include strategies to periodically control IEQ, ensure the adequate percentage of fresh air and maintenance of the mechanical ventilation systems (operation, maintenance, and air filtration efficiency), and adjust occupancy to the room dimensions and ventilation conditions.

Monitoring and Assessment of Indoor Environmental Conditions in Educational Building Using Building Information Modelling Methodology

Managing indoor environmental quality (IEQ) is a challenge in educational buildings in the wake of the COVID-19 pandemic. Adequate indoor air quality is essential to ensure that indoor spaces are safe for students and teachers. In fact, poor IEQ can affect academic performance and student comfort. This study proposes a framework for integrating occupants' feedback into the building information modelling (BIM) methodology to assess indoor environmental conditions (thermal, acoustic and lighting) and the individual airborne virus transmission risk during teaching activities. The information contained in the parametric 3D BIM model and the algorithmic environment of Dynamo were used to develop the framework. The IEQ evaluation is based on sensor monitoring and a daily schedule, so the results show real problems of occupants' dissatisfaction. The output of the framework shows in which range the indoor environmental variables were (optimal, acceptable and unacceptable) and the probability of infection during each lecture class (whether or not 1% is exceeded). A case study was proposed to illustrate its application and validate it. The outcomes provide key information to support the decision-making process for managing IEQ and controlling individual airborne virus transmission risks. Long-term application could provide data that support the management of ventilation strategies and protocol redesign.

Energy, economic, and environmental impacts of enhanced ventilation strategies on railway coaches to reduce Covid-19 contagion risks

In the last years, the Covid-19 outbreak raised great awareness about ventilation system performance in confined spaces. Specifically, the heating, ventilation, and air conditioning system design and operating parameters, such as air change per hour, air recirculation ratio, filtration device performance, and vents location, play a crucial role in reducing the spread of viruses, moulds, bacteria, and general pollutants. Concerning the transport sector, due to the impracticability of social distancing, and the relatively loose requirements of ventilation standards, the SARS-COV-19 outbreak brought a reduction of payload (up to 50%) for different carriers. Specifically, this has been particularly severe for the railway sector, where train coaches are typically characterized by relatively elevated occupancy and high recirculation ratios. In this framework, to improve the Indoor Air Quality and reduce the Covid-19 contagion risk in railway carriages, the present paper investigates the energy, economic and environmental feasibility of diverse ventilation strategies. To do so, a novel dynamic simulation tool for the complete dynamic performance investigation of trains was developed in an OpenStudio environment. To assess the Covid-19 contagion risk connected to the investigated scenarios, the Wells-Riley model has been adopted. To prove the proposed approach's capabilities and show the Covid-19 infection risk reduction potentially achievable by varying the adopted ventilation strategies, a suitable case study related to an existing medium-distance train operating in South/Central Italy is presented. The conducted numerical simulations return interesting results providing also useful design criteria.

Natural Ventilation and Air Purification for Effective Removal of Airborne Virus in Classrooms with Heater Operation

Mass COVID-19 infection cases in indoor spaces have been continuously reported since its global outbreak, generating increasing public interest in reducing the spread of the virus. This study considered a situation in which an infected individual continuously releases the virus into the air in a classroom, simulated by continuous injection of NaCl particles ≤ 5 μm, with heater operation during winter. The effects of applying natural ventilation and operating one or two air purifiers on the removal of virus-containing aerosols were experimentally compared and analyzed based on the spatiotemporal changes in NaCl concentration within the classroom. When a heater was operated with all windows shut, operating one and two air purifiers reduced the amount of the aerosol in indoor air by approximately 50 and 60%, respectively, compared to the case with no air purifier. Additionally, when the heater was operated with one or two air purifiers under natural ventilation, the amount of virus-containing aerosol in the air was reduced by 86-88% compared to the case with neither natural ventilation nor air purifier. Because natural ventilation significantly varies with weather conditions and particulate matter concentrations, combining natural ventilation with air purifiers in classrooms during winter needs to be adjusted appropriately.

HEPA filters of portable air cleaners as a tool for the surveillance of SARS-CoV-2

Studies about the identification of SARS-CoV-2 in indoor aerosols have been conducted in hospital patient rooms and to a lesser extent in nonhealthcare environments. In these studies, people were already infected with SARS-CoV-2. However, in the present study, we investigated the presence of SARS-CoV-2 in HEPA filters housed in portable air cleaners (PACs) located in places with apparently healthy people to prevent possible outbreaks. A method for detecting the presence of SARS-CoV-2 RNA in HEPA filters was developed and validated. The study was conducted for 13 weeks in three indoor environments: school, nursery, and a household of a social health center, all in Ciudad Real, Spain. The environmental monitoring of the presence of SARS-CoV-2 was conducted in HEPA filters and other surfaces of these indoor spaces for a selective screening in asymptomatic population groups. The objective was to limit outbreaks at an early stage. One HEPA filter tested positive in the social health center. After analysis by RT-PCR of SARS-CoV-2 in residents and healthcare workers, one worker tested positive. Therefore, this study provides direct evidence of virus-containing aerosols trapped in HEPA filters and the possibility of using these PACs for environmental monitoring of SARS-CoV-2 while they remove airborne aerosols and trap the virus.

Human factors affecting ventilation in Australian classrooms during the COVID-19 pandemic: Toward insourcing occupants' proficiency in ventilation management

Underventilation in classrooms is associated with poorer academic performance and greater transmission risk of COVID-19. In a study involving data from CO2 logging in 67 classrooms in Brisbane, Australia, it was found that more than half of the classrooms monitored experienced between 5 and 50 separate instances of CO2 concentrations exceeding 1,800 ppm, a level at which cognitive performance reductions have been recorded and which is considered high risk for COVID-19 transmission. The research identifies a number of human-related factors affecting ventilation in certain classrooms, including the disabling of window operation to minimize the potential for student interference, keeping windows closed in naturally ventilated buildings to improve energy efficiency, difficult to reach switches for exhaust fans and perceptions of the likelihood of remedial action being taken. Identifying Inbodied Interaction as a useful lens to enable users themselves to better identify and remedy instances of poor IAQ, the paper contributes: (1) Insight into the CO2 concentrations experienced in Australian classrooms during the COVID pandemic; (2) Identification of human-factors contributing to the ventilation—and underventilation—of the rooms monitored; and (3) Suggestions for how to foster greater awareness of ventilation among classroom occupants and translate awareness into more active, informed, and healthier ventilation behaviors from occupants, using principles of Inbodied Interaction.

Impact of air pollutants on COVID-19 transmission: a study over different metropolitan cities in India

India is affected strongly by the Coronavirus and within a short period, it becomes the second-highest country based on the infected case. Earlier, there was an indication of the impact of pollution on COVID-19 transmission from a few studies with early COVID-19 data. The study of the effect of pollution on COVID-19 in Indian metropolitan cities is ideal due to the high level of pollution and COVID-19 transmission in these cities. We study the impact of different air pollutants on the spread of coronavirus in different cities in India. A correlation is studied with daily confirmed COVID-19 cases with a daily mean of ozone, particle matter (PM) in size ≤ 10 μ m, carbon monoxide, sulfur dioxide, and nitrogen dioxide of different cities. It is found that particulate matter concentration decreases during the nationwide lockdown period and the air quality index improves for different Indian regions. A correlation between the daily confirmed cases with particulate matter (PM2.5 and PM10 both) is observed. The air quality index also shows a positive correlation with the daily confirmed cases for most of the metropolitan Indian cities. The correlation study also indicates that different air pollutants may have a role in the spread of the virus.

Increased airborne transmission of COVID-19 with new variants, implications for health policies

New COVID-19 variants, either of higher viral load such as delta or higher contagiousness like omicron, can lead to higher airborne transmission than historical strains. This paper highlights their implications for health policies, based on a clear analytical understanding and modeling of the airborne contamination paths, of the dose following exposure, and the importance of the counting unit for pathogens, itself linked to the dose-response law. Using the counting unit of Wells, i.e. the quantum of contagium, we develop the conservation equation of quanta which allows deriving the value of the quantum concentration at steady state for a well-mixed room. The link with the monitoring concentration of carbon dioxide is made and used for a risk analysis of a variety of situations for which we collected CO2 time-series observations. The main conclusions of these observations are that 1) the present norms of ventilation, are both insufficient and not respected, especially in a variety of public premises, leading to high risk of contamination and that 2) air can often be considered well-mixed. Finally, we insist that public health policy in the field of airborne transmission should be based on a multi parameter analysis such as the time of exposure, the quantum production rate, mask wearing and the infector proportion in the population in order to evaluate the risk, considering the whole complexity of dose evaluation. Recognizing airborne transmission requires thinking in terms of time of exposure rather than in terms of proximal distance.

Short-term influence of environmental factors and social variables COVID-19 disease in Spain during first wave (Feb-May 2020)

This study aims to identify the combined role of environmental pollutants and atmospheric variables at short term on the rate of incidence (TIC) and on the hospital admission rate (TIHC) due to COVID-19 disease in Spain. This study used information from 41 of the 52 provinces of Spain (from Feb. 1, 2021 to May 31, 2021). Using TIC and TIHC as dependent variables, and average daily concentrations of PM₁₀ and NO₂ as independent variables. Meteorological variables included maximum daily temperature (Tmax) and average daily absolute humidity (HA). Generalized linear models (GLM) with Poisson link were carried out for each provinces The GLM model controlled for trend, seasonalities, and the autoregressive character of the series. Days with lags were established. The relative risk (RR) was calculated by increases of 10 μg/m³ in PM₁₀ and NO₂ and by 1 °C in the case of Tmax and 1 g/m³ in the case of HA. Later, a linear regression was carried out that included the social determinants of health. Statistically significant associations were found between PM₁₀, NO₂, and the rate of COVID-19 incidence. NO₂ was the variable that showed greater association, both for TIC as well as for TIHC in the majority of provinces. Temperature and HA do not seem to have played an important role. The geographic distribution of RR in the studied provinces was very much heterogeneous. Some of the health determinants considered, including income per capita, presence of airports, average number of diesel cars per inhabitant, average number of nursing personnel, and homes under 30 m² could explain the differential geographic behavior. As findings indicates, environmental factors only could modulate the incidence and severity of COVID-19. Moreover, the social determinants and public health measures could explain some patterns of geographically distribution founded.

Thermal Perception in Naturally Ventilated University Buildings in Spain during the Cold Season

The indoor thermal environment has become a critical factor, due to its impact on the energy efficiency of a building and the health and performance of its occupants. It is particularly important for educational buildings, where students and teachers are exposed to these thermal conditions. This study assessed the impact of natural ventilation efficiency and university students’ thermal perception during the cold season. A field monitoring campaign and a questionnaire survey were conducted. A total of 989 students participated in this study. The results show that, although the CO2 concentration in 90% of the evaluated classrooms was below the European recommended value (i.e., 800 ppm), only 18% of the classrooms were within the thermal comfort zone defined by national regulations. These thermal conditions caused 55% of the students surveyed to report that they were dissatisfied, and that this environment interfered with their academic performance. Significant differences were found between thermal sensation votes from female and male students (p < 0.001). The obtained neutral temperature was one degree higher for female students than for males. Our results suggest that ventilation protocols need to be modified by adjusting the window opening strategy, and these findings should be used as guidelines during their redesign.

SARS in Cars: Carbon Dioxide Levels Provide a Simple Means to Assess Ventilation in Motor Vehicles

Background:

Poorly ventilated enclosed spaces pose a risk for airborne transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and other respiratory viruses. Limited information is available on ventilation in motor vehicles under differing driving conditions.

Methods:

We conducted carbon dioxide measurements to assess ventilation in motor vehicles under varying driving conditions with 2 to 3 vehicle occupants. During routine driving, carbon dioxide produced by the breathing of vehicle occupants was measured inside 5 cars and a van under a variety of driving conditions with or without the ventilation fan on and with windows open or closed. Carbon dioxide readings above 800 parts per million (ppm) were considered an indicator of suboptimal ventilation.

Results:

Carbon dioxide levels remained below 800 ppm in all vehicles if the ventilation fan was on and/or the windows were open while parked or during city or highway driving. With the ventilation system set on non-recirculation mode, carbon dioxide levels rose above 800 ppm in all vehicles when the fan was off and the windows were closed while parked and during city driving, and in 2 of the 6 vehicles during highway driving. With the ventilation system set on recirculation mode, carbon dioxide rose above 800 ppm within 10 minutes in all vehicles tested.

Conclusion:

Carbon dioxide measurements could provide a practical and rapid method to assess ventilation in motor vehicles. Simple measures such as opening windows, turning on the fan, and avoiding the recirculation mode greatly improve ventilation.

Ventilation conditions and their influence on thermal comfort in examination classrooms in times of COVID-19. A case study in a Spanish area with Mediterranean climate

Current evidence and recent publications have led to the recognition that aerosol-borne transmission of COVID-19 is possible in indoor areas such as educational centers. A crucial measure to reduce the risk of infection in high occupancy indoors is ventilation. In this global pandemic context of SARS-CoV-2 virus infection, a study has been carried out with the main objective of analyzing the effects of natural ventilation conditions through windows on indoor air quality and thermal comfort during on-site examinations in higher education centers during the winter season, as this implies situations of unusual occupation and the impossibility in many cases of taking breaks or leaving classrooms, as well as the existence of unfavorable outdoor weather conditions in terms of low temperatures. For this purpose, in situ measurements of the environmental variables were taken during different evaluation tests. As the main results of the study, ventilation conditions were generally adequate in all the tests carried out, regardless of the ventilation strategy used, with average CO₂ concentration levels of between 450 and 670 ppm. The maximum CO₂ concentration value recorded in one of the tests was 808 ppm. On this basis, the limit for category IDA 2 buildings, corresponding to educational establishments, was not exceeded in any case. However, these measures affected the thermal comfort of the occupants, especially when the outside temperature was below 6 °C, with a dissatisfaction rate of between 25 and 72%. Examinations carried out with outside temperatures above 12 °C were conducted in acceptable comfort conditions regardless of outside air supply and classroom occupancy. In these cases, the dissatisfaction rate was less than 10%. The results obtained have made it possible to establish strategies for ventilation in the implementation of future exams, depending on the climatic conditions outside.

CO2 concentration monitoring inside educational buildings as a strategic tool to reduce the risk of Sars-CoV-2 airborne transmission

In order to avoid SARS-CoV-2 transmission inside educational buildings and promote the safe reopening of schools, the Italian Government, in line with the other European countries and in accordance with the WHO recommendations, adopted a contingency plan including actions able to guarantee adequate air ventilation in classrooms. Therefore, in this pilot study, a surveillance activity based on the real-time monitoring of CO2 levels as a proxy of SARS-CoV-2 transmission risk, was conducted inside 9 schools (11 classrooms) located in Apulia Region (South of Italy) during the reopening of schools after the lockdown due to COVID-19 pandemic. More specifically, monitoring activities and data treatment were conducted to evaluate the initial scenario inside the classrooms (first stage of evaluation) and the potential improvements obtained by applying a detailed operating protocol of air ventilation based on specific actions and the simultaneous real time visualization of CO2 levels by non-dispersive infrared (NDIR) sensors (second stage of evaluation). Although, during the first evaluation stage, air ventilation through the opening of windows and doors was guaranteed, 6 (54%) classrooms showed mean values of CO2 higher than 1000 ppm and all classrooms exceeded the recommended CO2 concentration limit value of 700 ppm. The development and implementation of tailored ventilation protocol including the real time visualization of CO2 levels allowed to depict better scenariosAn overall improvement of CO2 levels was indeed registered for all classrooms where teachers were compliant and helpful in the management of the air ventilation strategy. Therefore, this study reports the first evidence-based measures demonstrating that, with the exception of few environments affected by structural limits, the real-time visualization and monitoring of CO2 concentrations allowes effective air exchanges to be implemented and contributes to prevent SARS-CoV-2 transmission. Moreover, on the basis of the monitoring outcomes and in order to ensure adequate air ventilation in educational buildings, a 4 level-risk classification including specific corrective actions for each level was provided.

Monitoring and Assessment of Indoor Environmental Conditions after the Implementation of COVID-19-Based Ventilation Strategies in an Educational Building in Southern Spain

Since students and teachers spend much of their time in educational buildings, it is critical to provide good levels of indoor environmental quality (IEQ). The current COVID-19 pandemic has shown that maintaining a good indoor air quality level is an effective measure to control the transmission of the SARS-CoV-2 virus. This study used sensors to monitor key IEQ factors and assess several natural ventilation scenarios in a classroom of the University of Granada. Subsequently, the IEQ factors (temperature, relative humidity, CO₂ concentration, acoustic environment, and air velocity) were evaluated for the selected ventilation scenarios in the occupied classroom, and the field monitoring was carried out in two different assessment periods, winter and summer. The obtained results show that the CO₂ concentration levels were well below the recommended limits. However, the maintenance of the recommended thermal and acoustic IEQ factors was significantly affected by the natural ventilation strategies (temperature and relative humidity values were very close to the outside values, and the background sound pressure level was over 35 dBA during the entire assessment). The proper measurements and careful selection of the appropriate ventilation scenarios become of utmost importance to ensure that the ventilation rates required by the health authorities are achieved.

Indoor Air Quality including Respiratory Viruses

The detection of SARS-CoV-2 in indoor environments is a cause of increasing concern. In this study, three sampling methodologies have been used in order to collect SARS-CoV-2 and 17 other respiratory viruses in indoor air, combined with a new analytical process to analyze respiratory viruses. Different areas of an ophthalmological hospital were investigated for the presence of these airborne viruses. Moreover, indoor air quality (IAQ) parameters (carbon dioxide, CO₂; carbon monoxide, CO; nitrogen dioxide, NO₂; volatile organic compounds, VOCs; formaldehyde, HCHO; and particulate matter, PM) have been examined to study the relationship between IAQ and airborne viruses. All indoor air and surface samples assessed were found to be negative for SARS-CoV-2. Nevertheless, another airborne respiratory virus (HRV/ENV) was detected, illustrating that the methodology set out here is a suitable one. Regarding the results for the IAQ, chemical parameters studied in the hall and waiting room of the hospital presented acceptable values. However, in the doctor's consultation room VOCs and HCHO show some instantaneous levels higher than the recommended guide values. The methodological approach described in this paper, integrating conventional IAQ and the assessment of bioaerosols, can be used in research and control programs aimed at promoting a healthy indoor environment.

Airborne transmission of respiratory viruses

The COVID-19 pandemic has revealed critical knowledge gaps in our understanding of and a need to update the traditional view of transmission pathways for respiratory viruses. The long-standing definitions of droplet and airborne transmission do not account for the mechanisms by which virus-laden respiratory droplets and aerosols travel through the air and lead to infection. In this Review, we discuss current evidence regarding the transmission of respiratory viruses by aerosols-how they are generated, transported, and deposited, as well as the factors affecting the relative contributions of droplet-spray deposition versus aerosol inhalation as modes of transmission. Improved understanding of aerosol transmission brought about by studies of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection requires a reevaluation of the major transmission pathways for other respiratory viruses, which will allow better-informed controls to reduce airborne transmission.

Airborne transmission of respiratory viruses

The COVID-19 pandemic has revealed critical knowledge gaps in our understanding of and a need to update the traditional view of transmission pathways for respiratory viruses. The long-standing definitions of droplet and airborne transmission do not account for the mechanisms by which virus-laden respiratory droplets and aerosols travel through the air and lead to infection. In this Review, we discuss current evidence regarding the transmission of respiratory viruses by aerosols-how they are generated, transported, and deposited, as well as the factors affecting the relative contributions of droplet-spray deposition versus aerosol inhalation as modes of transmission. Improved understanding of aerosol transmission brought about by studies of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection requires a reevaluation of the major transmission pathways for other respiratory viruses, which will allow better-informed controls to reduce airborne transmission.

Dynamic Evaluation of the Effects of Climate Change on the Energy Renovation of a School in a Mediterranean Climate

This paper addresses the effects of long-term climate change on retrofit actions on a school building located in a Mediterranean climate. Dynamic energy simulations were performed using Termolog EpiX 11, first with conventional climate data and then with future year climate data exported from the CCWorldWeatherGen computational software. To date, many incentive actions are promoted for school renovations, but are these measures effective in preventing the discomfort that will be found due to overheating generated by climate change? Today, one of the main objectives in retrofit measures is the achievement of ZEB (Zero Energy Building) performance. Achieving this target requires first and foremost a high-performance envelope. This study evaluates the impact of retrofit strategies mostly applied to the school building envelope, over the years, considering three different time horizons, until 2080. Thermal performance indices and indoor operative temperature under free-floating were evaluated. The results highlight that, with a changing climate, it is no longer possible to assume a constant static condition to evaluate retrofit actions, but it is necessary to develop a predictive mathematical model that considers the design variability for future years. There is an urgent necessity to ensure both the safety and comfort of buildings while also anticipating future variations in climate.