Covid 19 and beyond: a procedure for HVAC systems to address infectious aerosol illness transmission

From pandemic to seasonal, the COVID-19 pandemic experience suggests many common respiratory infections rather than likely having a fomite etiology as previously thought, are primarily caused by the inhalation of infectious aerosols shed by ill persons during coughing and normal breathing and talkin...

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Main Authors: Douglas Stuart Walkinshaw, Raymond Henry Horstman
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Built Environment
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Online Access:https://www.frontiersin.org/articles/10.3389/fbuil.2023.999126/full
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author Douglas Stuart Walkinshaw
Raymond Henry Horstman
author_facet Douglas Stuart Walkinshaw
Raymond Henry Horstman
author_sort Douglas Stuart Walkinshaw
collection DOAJ
description From pandemic to seasonal, the COVID-19 pandemic experience suggests many common respiratory infections rather than likely having a fomite etiology as previously thought, are primarily caused by the inhalation of infectious aerosols shed by ill persons during coughing and normal breathing and talking. Given this new understanding, the good news is that, unlike indoor-sourced noxious and irritating gases that can only be mitigated practically by diluting them with outdoor air ventilation, the indoor infectious aerosol illness transmission route can be addressed by circulating already conditioned air through commonplace commercial filters. Given that infectious aerosols released from the breath of occupants were practically an unknown vector of respiratory disease in the healthcare community for many decades, understandably HVAC regulations have not addressed this issue yet. However, this is about to change. To further this new end, this paper develops the formulae needed to set conditioned air recirculation rates through such filters for design infectious aerosol emission and inhalation rates, HID values, exposure times and occupancies, and target significantly lower than currently normal airborne infection reproduction rates. The analysis extends the equations previously developed for group inhalation of infectious aerosols to develop equations predicting the number of infections likely to occur from this inhalation and the rate of disease spread (reproduction). The governing equations provided and exemplified use group exposures since the number of infections (reproduction number) is group based. Examples using the equations provided are given for many different settings and two case study findings are compared with their predictions. Some settings such as the typical office are shown to already have a relatively low infection reproduction rate. Alternatively, others such as a typical school classroom or a longer commercial air flight require increased filtered ventilation air flows to yield a similarly low reproduction rate. The formulae and their application will be of interest to government and industry health and HVAC standard setting bodies.
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spelling doaj-art-efe0af0d9ff4417fb0c60ef301f8e9552025-01-20T15:34:05ZengFrontiers Media S.A.Frontiers in Built Environment2297-33622023-07-01910.3389/fbuil.2023.999126999126Covid 19 and beyond: a procedure for HVAC systems to address infectious aerosol illness transmissionDouglas Stuart Walkinshaw0Raymond Henry Horstman1Indoor Air Technologies Inc, Ottawa, ON, CanadaAmerican Society of Heating, Refrigerating, and Air-Conditioning Engineers, Atlanta, GA, United StatesFrom pandemic to seasonal, the COVID-19 pandemic experience suggests many common respiratory infections rather than likely having a fomite etiology as previously thought, are primarily caused by the inhalation of infectious aerosols shed by ill persons during coughing and normal breathing and talking. Given this new understanding, the good news is that, unlike indoor-sourced noxious and irritating gases that can only be mitigated practically by diluting them with outdoor air ventilation, the indoor infectious aerosol illness transmission route can be addressed by circulating already conditioned air through commonplace commercial filters. Given that infectious aerosols released from the breath of occupants were practically an unknown vector of respiratory disease in the healthcare community for many decades, understandably HVAC regulations have not addressed this issue yet. However, this is about to change. To further this new end, this paper develops the formulae needed to set conditioned air recirculation rates through such filters for design infectious aerosol emission and inhalation rates, HID values, exposure times and occupancies, and target significantly lower than currently normal airborne infection reproduction rates. The analysis extends the equations previously developed for group inhalation of infectious aerosols to develop equations predicting the number of infections likely to occur from this inhalation and the rate of disease spread (reproduction). The governing equations provided and exemplified use group exposures since the number of infections (reproduction number) is group based. Examples using the equations provided are given for many different settings and two case study findings are compared with their predictions. Some settings such as the typical office are shown to already have a relatively low infection reproduction rate. Alternatively, others such as a typical school classroom or a longer commercial air flight require increased filtered ventilation air flows to yield a similarly low reproduction rate. The formulae and their application will be of interest to government and industry health and HVAC standard setting bodies.https://www.frontiersin.org/articles/10.3389/fbuil.2023.999126/fullrespiratory infectionsHVAC filtrationinfectious aerosolsWells-RileyCOVID-19infection reproduction rate
spellingShingle Douglas Stuart Walkinshaw
Raymond Henry Horstman
Covid 19 and beyond: a procedure for HVAC systems to address infectious aerosol illness transmission
Frontiers in Built Environment
respiratory infections
HVAC filtration
infectious aerosols
Wells-Riley
COVID-19
infection reproduction rate
title Covid 19 and beyond: a procedure for HVAC systems to address infectious aerosol illness transmission
title_full Covid 19 and beyond: a procedure for HVAC systems to address infectious aerosol illness transmission
title_fullStr Covid 19 and beyond: a procedure for HVAC systems to address infectious aerosol illness transmission
title_full_unstemmed Covid 19 and beyond: a procedure for HVAC systems to address infectious aerosol illness transmission
title_short Covid 19 and beyond: a procedure for HVAC systems to address infectious aerosol illness transmission
title_sort covid 19 and beyond a procedure for hvac systems to address infectious aerosol illness transmission
topic respiratory infections
HVAC filtration
infectious aerosols
Wells-Riley
COVID-19
infection reproduction rate
url https://www.frontiersin.org/articles/10.3389/fbuil.2023.999126/full
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