Increasing ventilation reduces SARS-CoV-2 airborne transmission in schools: A retrospective cohort study in Italy's Marche region

IntroductionWhile increasing the ventilation rate is an important measure to remove inhalable virus-laden respiratory particles and lower the risk of infection, direct validation in schools with population-based studies is far from definitive.MethodsWe investigated the strength of association between ventilation and SARS-CoV-2 transmission reported among the students of Italy's Marche region in more than 10,000 classrooms, of which 316 were equipped with mechanical ventilation. We used ordinary and logistic regression models to explore the relative risk associated with the exposure of students in classrooms.Results and discussionFor classrooms equipped with mechanical ventilation systems, the relative risk of infection of students decreased at least by 74% compared with a classroom with only natural ventilation, reaching values of at least 80% for ventilation rates >10 L s−1 student−1. From the regression analysis we obtained a relative risk reduction in the range 12%15% for each additional unit of ventilation rate per person. The results also allowed to validate a recently developed predictive theoretical approach able to estimate the SARS-CoV-2 risk of infection of susceptible individuals via the airborne transmission route. We need mechanical ventilation systems to protect students in classrooms from airborne transmission; the protection is greater if ventilation rates higher than the rate needed to ensure indoor air quality (>10 L s−1 student−1) are adopted. The excellent agreement between the results from the retrospective cohort study and the outcome of the predictive theoretical approach makes it possible to assess the risk of airborne transmission for any indoor environment

Ultrafine particle apportionment and exposure assessment in respect of linear and point sources

Abstract The effects of particulate matter on the environment and public health were widely studied in recent years but agreement amongst these studies on the relative importance of the particle size and its origin with respect to health effects is still lacking. Nevertheless, air quality standards are moving towards greater focus on the smaller particles. In industrialized areas, anthropogenic activities are a major contributor to the particle concentrations. Then, it is important to characterize the emission sources as well as the evolution of particle size distribution in the proximity of these emission points. In this study, the authors evaluated the particle concentration and size distribution at a downwind receptor site of a linear (a major highway) and point (waste incinerator plant) source in an area characterized by high anthropic environmental impact. The particle emissions of the incinerator under examination were characterized by using a Scanning Mobility Particle Sizer ® (SMPS), an Aerodynamic Particle Sizer ® (APS) Spectrometer, a Rotating Disk Thermodiluter and a Thermal Conditioner (Matter Engineering AG). As regards the linear source, concentrations were determined at increasing distances from the most important Italian road, the A1 highway. Particle number, surface and mass exponentially decreases away from the freeway, whereas particle number concentration measured at 400 m downwind from the freeway is indistinguishable from upwind background concentration. Annual mean values of 8.6×10 ± 3.7×10 particle cm -3 and 31.1 ± 9.0 μg m -3 were found for particle number and PM 10 concentration, typical of a rural site. The particle apportionment and exposure assessment in respect of linear and point sources for ultrafine particles represent the major novelty of the present paper. The study here presented could be very important in developing appropriate management and control strategies for air quality in areas characterized by high anthropic pressure and to perform exposure assessment for populations involved

Ventilation strategies to minimise the airborne virus transmission in indoor environments

A key challenge to fight the Covid-19 pandemic is to minimise the airborne transmission of the SARS-CoV-2 virus. Highly crowded indoor environments, such as schools, become possible hotspots for virus spreading because the basic non-pharmaceutical mitigation measures applied until now are not effective in reducing the virus airborne transmission mode, which is the principal one in indoor environments and requires improved ventilation. In the present study, a mass balance equation was applied to typical school scenarios to evaluate (i) required air exchange rates for mechanically-ventilated classrooms and (ii) adequate airing procedures for naturally ventilated classrooms. In the case of naturally ventilated classrooms, a feedback control strategy was evaluated using the measurements of indoor CO2. Our results show how these procedures can be applied in real life to support continued in-person instruction during a pandemic.publishedVersio

Charged particles and cluster ions produced during cooking activities

Previous studies showed that a significant number of the particles present in indoor air are generated by cooking activities, and measured particle concentrations and exposures have been used to estimate the related human dose. The dose evaluation can be affected by the particle charge level which is usually not considered in particle deposition models. To this purpose, in this paper we show, for the very first time, the electric charge of particles generated during cooking activities and thus extending the interest on particle charging characterization to indoor micro-environments, so far essentially focused on outdoors. Particle number, together with positive and negative cluster ion concentrations, was monitored using a condensation particle counter and two air ion counters, respectively, during different cooking events. Positively-charged particle distribution fractions during gas combustion, bacon grilling, and eggplant grilling events were measured by two Scanning Mobility Particle Sizer spectrometers, used with and without a neutralizer. Finally, a Tandem Differential Mobility Analyzer was used to measure the charge specific particle distributions of bacon and eggplant grilling experiments, selecting particles of 30, 50, 80 and 100 nm in mobility diameter. The total fraction of positively-charged particles was 4.0%, 7.9%, and 5.6% for gas combustion, bacon grilling, and eggplant grilling events, respectively, then lower than other typical outdoor combustion-generated particles

numerical simulation of ultrafine particle dispersion in urban street canyons with the spalart allmaras turbulence model

The increased traffic emissions and reduced ventilation of urban street canyons lead to the formation of high particle concentrations as a function of the related flow field and geometry. In this context, the use of advanced modelling tools, able to evaluate particle concentration under different traffic and meteorological conditions, may be helpful. In this work, a numerical scheme based on the non-commercial fully explicit AC-CBS algorithm, and the one-equation Spalart-Allmaras turbulence model, was developed to perform numerical simulations of fluid flow and ultrafine particle dispersion in different street canyon configurations and under different wind speed and traffic conditions. The proposed non-commercial numerical tool was validated through a comparison with data drawn from the scientific literature. The results obtained from ultrafine particle concentration simulations show that as the building height increases the dispersion of particles in the canyon becomes weaker, due to the restricted interaction between the flow field in the street canyon and the undisturbed flow. Higher values of approaching wind speed facilitate the dispersion of the particles. The traffic effect has been evaluated by imposing different values of particles emission, depending on the vehicles type, with the lowest concentration values obtained for the Euro 6 vehicles, and the highest for High Duty Vehicles. A parametric analysis was also performed concerning the exposure to particles of pedestrians in different positions at the road level as a function of street canyon geometry, traffic mode, and wind speed. The worst exposure (1.25 × 10 6 part./cm 3 ) was found at the leeward side for an aspect ratio H/W = 1, wind speed of 5 m/s when High Duty Vehicles traffic was considered

Response of the Cardiac Autonomic Control to Exposure to Nanoparticles and Noise: A Cross-Sectional Study of Airport Ground Staff

Airport activity causes the emission of particulate matter and noise, two environmental contaminants and potential health hazards, particularly for the personnel operating nearby taxiways. We explored the association between exposure to fine/ultrafine particles (UFPs) and noise with heart rate variability (HRV), an early indicator of cardiovascular autonomic response, among a sample of airport ground staff. Between May and June 2018, thirty-four male operators (mean age = 43 years and SD = 6.7) underwent personal monitoring of exposure to nanoparticles and noise, and HRV during their work activity. We conducted univariate and multivariate analysis to test the effect of UFP and noise exposure HRV. Total Lung Deposition Surface Area (LDSA) was significantly associated with a decrease in HRV Total Power and Triangular index (beta = -0.038 p = 0.016 and beta = -7.8 x 10(-5), p = 0.042, respectively). Noise peak level showed an opposite effect, which was significant for Total Power (beta = 153.03, p = 0.027), and for Triangular index (beta = 0.362, p = 0.035). Further investigation is warranted to clarify the effect of the concurrent exposure to UFPs and noise on early changes of cardiac autonomic regulation

The Natural Compound Climacostol as a Prodrug Strategy Based on pH Activation for Efficient Delivery of Cytotoxic Small Agents

We synthesized and characterized MOMO as a new small molecule analog of the cytotoxic natural product climacostol efficiently activated in mild extracellular acidosis. The synthesis of MOMO had a key step in the Wittig olefination for the construction of the carbon-carbon double bond in the alkenyl moiety of climacostol. The possibility of obtaining the target (Z)-alkenyl MOMO derivative in very good yield and without presence of the less active (E)-diastereomer was favored from the methoxymethyl ether (MOM)-protecting group of hydroxyl functions in aromatic ring of climacostol aldehyde intermediate. Of interest, the easy removal of MOM-protecting group in a weakly acidic environment allowed us to obtain a great quantity of climacostol in biologically active (Z)-configuration. Results obtained in free-living ciliates that share the same micro-environment of the climacostol natural producer Climacostomum virens demonstrated that MOMO is well-tolerated in a physiological environment, while its cytotoxicity is rapidly and efficiently triggered at pH 6.3. In addition, the cytostatic vs. cytotoxic effects of acidified-MOMO can be modulated in a dose-dependent manner. In mouse melanoma cells, MOMO displayed a marked pH-sensitivity since its cytotoxic and apoptotic effects become evident only in mild extracellular acidosis. Data also suggested MOMO being preferentially activated in the unique extra-acidic microenvironment that characterizes tumoural cells. Finally, the use of the model organism Drosophila melanogaster fed with an acidic diet supported the efficient activity and oral delivery of MOMOmolecule in vivo.MOMO affected oviposition ofmating adults and larvae eclosion. Reduced survival of flies was due to lethality during the larval stages while emerging larvae retained their ability to develop into adults. Interestingly, the gut of eclosed larvae exhibited an extended damage (cell death by apoptosis) and the brain tissue was also affected (reduced mitosis), demonstrating that orally activated MOMO efficiently targets different tissues of the developing fly. These results provided a proof-of-concept study on the pHdependence of MOMO effects. In this respect, MOM-protection emerges as a potential prodrug strategy which deserves to be further investigated for the generation of efficient pH-sensitive small organic molecules as pharmacologically active cytotoxic compounds

Practical Indicators for Risk of Airborne Transmission in Shared Indoor Environments and Their Application to COVID-19 Outbreaks

Some infectious diseases, including COVID-19, can undergo airborne transmission. This may happen at close proximity, but as time indoors increases, infections can occur in shared room air despite distancing. We propose two indicators of infection risk for this situation, that is, relative risk parameter (Hr) and risk parameter (H). They combine the key factors that control airborne disease transmission indoors: viruscontaining aerosol generation rate, breathing flow rate, masking and its quality, ventilation and aerosol-removal rates, number of occupants, and duration of exposure. COVID-19 outbreaks show a clear trend that is consistent with airborne infection and enable recommendations to minimize transmission risk. Transmission in typical prepandemic indoor spaces is highly sensitive to mitigation efforts. Previous outbreaks of measles, influenza, and tuberculosis were also assessed. Measles outbreaks occur at much lower risk parameter values than COVID-19, while tuberculosis outbreaks are observed at higher risk parameter values. Because both diseases are accepted as airborne, the fact that COVID-19 is less contagious than measles does not rule out airborne transmission. It is important that future outbreak reports include information on masking, ventilation and aerosol-removal rates, number of occupants, and duration of exposure, to investigate airborne transmission

Transmission of SARS?CoV?2 by inhalation of respiratory aerosol in the Skagit Valley Chorale superspreading event

During the 2020 COVID‐19 pandemic, an outbreak occurred following attendance of a symptomatic index case at a weekly rehearsal on 10 March of the Skagit Valley Chorale (SVC). After that rehearsal, 53 members of the SVC among 61 in attendance were confirmed or strongly suspected to have contracted COVID‐19 and two died. Transmission by the aerosol route is likely; it appears unlikely that either fomite or ballistic droplet transmission could explain a substantial fraction of the cases. It is vital to identify features of cases such as this to better understand the factors that promote superspreading events. Based on a conditional assumption that transmission during this outbreak was dominated by inhalation of respiratory aerosol generated by one index case, we use the available evidence to infer the emission rate of aerosol infectious quanta. We explore how the risk of infection would vary with several influential factors: ventilation rate, duration of event, and deposition onto surfaces. The results indicate a best‐estimate emission rate of 970 ± 390 quanta/h. Infection risk would be reduced by a factor of two by increasing the aerosol loss rate to 5 h−1 and shortening the event duration from 2.5 to 1 h