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Piscitelli P, Miani A, Setti L, De Gennaro G, Rodo X, Artinano B, Vara E, Rancan L, Arias J, Passarini F, Barbieri P, Pallavicini A, Parente A, D'Oro EC, De Maio C, Saladino F, Borelli M, Colicino E, Gonçalves LMG, Di Tanna G, Colao A, Leonardi GS, Baccarelli A, Dominici F, Ioannidis JPA, Domingo JL. The role of outdoor and indoor air quality in the spread of SARS-CoV-2: Overview and recommendations by the research group on COVID-19 and particulate matter (RESCOP commission). Environ Res 2022; 211:113038. [PMID: 35231456 PMCID: PMC8881809 DOI: 10.1016/j.envres.2022.113038] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 02/24/2022] [Accepted: 02/24/2022] [Indexed: 05/29/2023]
Abstract
There are important questions surrounding the potential contribution of outdoor and indoor air quality in the transmission of SARS-CoV-2 and perpetuation of COVID-19 epidemic waves. Environmental health may be a critical component of COVID-19 prevention. The public health community and health agencies should consider the evolving evidence in their recommendations and statements, and work to issue occupational guidelines. Evidence coming from the current epidemiological and experimental research is expected to add knowledge about virus diffusion, COVID-19 severity in most polluted areas, inter-personal distance requirements and need for wearing face masks in indoor or outdoor environments. The COVID-19 pandemic has highlighted the need for maintaining particulate matter concentrations at low levels for multiple health-related reasons, which may also include the spread of SARS-CoV-2. Indoor environments represent even a more crucial challenge to cope with, as it is easier for the SARS-COV2 to spread, remain vital and infect other subjects in closed spaces in the presence of already infected asymptomatic or mildly symptomatic people. The potential merits of preventive measures, such as CO2 monitoring associated with natural or controlled mechanical ventilation and air purification, for schools, indoor public places (restaurants, offices, hotels, museums, theatres/cinemas etc.) and transportations need to be carefully considered. Hospital settings and nursing/retirement homes as well as emergency rooms, infectious diseases divisions and ambulances represent higher risk indoor environments and may require additional monitoring and specific decontamination strategies based on mechanical ventilation or air purification.
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Affiliation(s)
- Prisco Piscitelli
- Italian Society of Environmental Medicine (SIMA), Milan, Italy; UNESCO Chair on Health Education and Sustainable Development, University of Naples Federico II, Naples, Italy.
| | - Alessandro Miani
- Italian Society of Environmental Medicine (SIMA), Milan, Italy; Department of Environmental Science and Policy, University of Milan, Milan, Italy.
| | - Leonardo Setti
- Italian Society of Environmental Medicine (SIMA), Milan, Italy; Department of Industrial Chemistry, University of Bologna, Bologna, Italy.
| | - Gianluigi De Gennaro
- Italian Society of Environmental Medicine (SIMA), Milan, Italy; Department of Biology, University of Bari "Aldo Moro", Bari, Italy.
| | - Xavier Rodo
- ICREA and Climate & Health Program, ISGlobal, Barcelona, Spain.
| | - Begona Artinano
- Unit Atmospheric Pollution and POP Characterization, CIEMAT, Madrid, Spain.
| | - Elena Vara
- Department of Biochemistry and Molecular Biology, School of Medicine, Complutense University, Madrid, Spain.
| | - Lisa Rancan
- Department of Biochemistry and Molecular Biology, School of Medicine, Complutense University, Madrid, Spain.
| | - Javier Arias
- School of Medicine, Complutense University, Madrid, Spain.
| | - Fabrizio Passarini
- Interdepartmental Centre for Industrial Research "Renewable Sources, Environment, Blue Growth, Energy", University of Bologna, Rimini, Italy.
| | - Pierluigi Barbieri
- Italian Society of Environmental Medicine (SIMA), Milan, Italy; Department of Chemical and Pharmaceutical Sciences, University of Trieste, Trieste, Italy.
| | | | - Alessandro Parente
- Université libre de Bruxelles (ULB), Ecole Polytechnique de Bruxelles, Département d'Aéro-Thermo-Mécanique, Brussels, Belgium; Brussels Institute for Thermal-fluid systems and clean Energy (BRITE), Brussels, Belgium.
| | - Edoardo Cavalieri D'Oro
- Chemical, Biological, Radiological and Nuclear Unit (NBCRE), Italian National Fire and Rescue Service, Milan, Italy.
| | - Claudio De Maio
- Chemical, Biological, Radiological and Nuclear Unit (NBCRE), Italian National Fire and Rescue Service, Milan, Italy.
| | - Francesco Saladino
- Chemical, Biological, Radiological and Nuclear Unit (NBCRE), Italian National Fire and Rescue Service, Milan, Italy.
| | - Massimo Borelli
- UMG School of PhD Programmes, University Magna Graecia of Catanzaro, Italy.
| | - Elena Colicino
- Department of Environmental Medicine and Public Health at the Icahn School of Medicine at Mount Sinai, New York, USA.
| | | | - Gianluca Di Tanna
- BioStatistics & Data Science Division, Meta-Research and Evidence Synthesis Unit, The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia.
| | - Annamaria Colao
- UNESCO Chair on Health Education and Sustainable Development, University of Naples Federico II, Naples, Italy.
| | - Giovanni S Leonardi
- Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine (LSHTP), London, UK.
| | - Andrea Baccarelli
- Chair of the Department of Environmental Health Sciences, Columbia University, New York, USA.
| | | | - John P A Ioannidis
- Departments of Medicine, of Epidemiology and Population Health, of Biomedical Data Science and of Statistics, Stanford University, Stanford, CA, USA.
| | - Josè L Domingo
- Laboratory of Toxicology and Environmental Health, Universitat Rovira I Virgili, School of Medicine, Reus, Spain.
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